St. Augustine Woman's Journal - August/September 2013 by Northeast Florida Woman's Journals Inc

Talk about the Weather…… Publisher/Editor Suzanne Egeln publisher@NEFLWomansJournals.com

Business Manager Anthony Egeln bizmgr@NEFLWomansJournals.com

Graphic Design Samantha Angeli samantha.angeli74@gmail.com

Photography Christine Cousart Christine@Cousartstudios.com

Email / Web info@neflwomansjournals.com www.NEFLWomansJournals.com P.O. Box 3655, Ponte Vedra Beach, FL 32004 Voice & Fax: 904-280-0788 U.S. Mail • Direct Drop Distributors • Subscription The St. Augustine Woman’s Journal is published bimonthly by Northeast Florida Woman’s Journals and is available free of charge, by display stands in approved private and public establishments and by authorized distributors only. Subscriptions are available.Trademark laws and U.S. copyright laws protect The St. Augustine Woman’s Journal. No part of this paper may be reproduced without the written permission of the publisher. The St. Augustine Woman’s Journal is not responsible for (1) any editorial comment (other than its own), (2) typographical errors from advertisements submitted as camera ready or (3) any reproductions of advertisements submitted as camera ready. If an advertisement does not meet our standards of acceptance, we may revise or cancel it at any time, whether or not it has been already acknowledged and/or previously published. The advertiser assumes sole responsibility for all statements contained in submitted copy and will protect and indemnify The St. Augustine Woman’s Journal, its owners, publishers, and employees, against any and all liability, loss or expense arising out of claims for libel, unfair trade names, patents, copyrights and proprietary rights, and all violations of the right of privacy or other violations resulting from the publication by this newspaper or its advertising copy. Publisher shall be under no liability for failure, for any reason, to insert an advertisement. Publisher shall not be liable by reason of error, omission and/or failure to insert any part of an advertisement. Publisher will not be liable for delay or failure in performance in publication and/or distribution if all or any portion of an issue is delayed or suspended for any reason. The publisher will exercise reasonable judgment in these instances and will make adjustments for the advertiser where and when appropriate. The St. Augustine Woman’s Journal assumes no responsibility for unsolicited material or reproductions made by advertisers. Representations by The St. Augustine Woman’s Journal™, Copyright 2011.

Suzanne Egeln, Publisher

ummer is the beginning of many seasons. Sea turtle season, hurricane season, bug season and vacation season. We often need to be reminded that we live in a vacation “hot spot” filled with beaches, sun and more. Soon we celebrate the 500th anniversary of Juan Ponce de León’s arrival on Florida’s east coast. What makes this anniversary so unique is that Ponce de León’s convoy of explorers was the first group of Europeans to document such a landing and give a name to Florida— La Florida. As we roll into the fall season, plan on enjoying a weekend with family and friends in the city of St. Augustine by

visiting Fort Matanzas, walk the Bridge of Lions and other scenic sites. Re-invent the Sunday drive by plugging into the scenic highways – beginning in Ponte Vedra and ending in Flagler Beach. The A1A Scenic & Historic Coastal Byway organization provides a cell phone tour: a self-directed audio tour of special sites along the Byway. A small marker identifies each of the 45 stops on the 72-mile corridor with the stop number and the phone access number: (904) 596-0029. For more information go to: http://www.scenica1a.org/about-us.html.

Plan to shop for local produce, arts, & crafts at the many markets in our area. The “Wednesday Market” is located at the St. Johns County Pier Park. Open from 8-2:30, there is not a more scenic shopping spot than the Wednesday Market. Open year round - rain or shine. Free parking!

For more family fun check out the Vilano Beach Sunset Celebration, held the first Saturday of every month, 3 p.m. to dusk at the Vilano Beach Pier. Come by land or water and enjoy the music, entertainment, and vendors. September brings on the National Estuaries Day 2013 at the Guana Tolomato Matanzas center. Estuaries have played a significant role in the rich cultural history found here in northeast Florida. Celebrate at Guana State Park with two days of family activities. A Friday evening Star Party (September 27, 2013, 6pm - 10pm) is the perfect opportunity to bring the family, or that special someone, and look up at the beautiful night sky to learn about stellar navigational history. Saturday (September 28, 2013, 10am - 2pm) is a family event showcasing northeast Florida specialists from all aspects surrounding the estuarine ecosystem. They’ll have food, face painting, fishing, hiking, biking, gardening, a plant sale, and much, much more. As always we ask you to support our local contributors to the Woman’s Journal! We welcome your recommendations for our “Women in Profile” feature, and referrals for new contributors.

Look Who’s Joining the Family Business! Anthony and I are very pleased to announce that our daughter, Anna, will be joining us in bringing you the St. Augustine Woman’s Journal. Anna is a 2008 graduate of Nease High School, and a 2012 graduate of St. Andrews University (Laurinburg, NC), with a major in English. She played high school and college lacrosse, and is now the assistant girl’s lacrosse coach at Episcopal High School. She also coaches for the Lax Maniax girl’s lacrosse travel team. She will be our “right hand woman”, and be involved in all aspects of the business, from signing-up new contributors, to magazine distribution and keeping our web site current. She also will be helping us in our plans to open new Woman’s Journal publications in other areas of northeast Florida. Please don’t hesitate to call Anna and ask her how the Woman’s Journal may serve you!

Suzanne Egeln, Publisher, The St. Augustine Woman’s Journal

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In This Issue

st. augustine woman’s journal | AUGUST/SEPTEMBER 2013

40 30 10 23

Business &Finance

Fashion & Beauty

4 | Innovations in Pulmonary Care

22 | You’re Great...

5 | Is Weight Loss Surgery a Cure for Type 2 Diabetes?

39 | White Gold or Platinum?

Health & Medicine 6 | Discover the latest in varicose vein treatment-A Solution to Leg Pain

Make Sure Everyone Knows it Online!

Legal

7 | Every 3000 Smiles…

23 | Tailor Tenant Against The Bank Foreclosure

8 | Diabetes and Cancer

Women in Profile

9 | Bio Identical Hormonal Replacement and Weight Loss Program 10 | First Coast Cardiovascular Institute® Providing outstanding care at lower out-of pocket costs 11 | Are You an Expectant or Nursing Mother? 12 | Protect Your Feet 13 | Today’s Certified Nurse-Midwives

24 | Bobbie-Jo Manning, Lisa Nazario,

Cassie Linderman

Community

27 | A Community Committed to Caring 28 | Nation Estuaries Day 29 | Horace Mann and DonorsChoose.org

bring school supplies to classrooms

38 | Eyebrow is the king of beauty 40 | Destination Wedding!

Food & Entertainment

41 | Florida’s First Educational Radio Talk Show Launches In St. Johns County 42 | Treat Your Taste Buds at PJ’s Asia One Market 43 | Casual Dining at its Finest 44 | Ode to the Apple

Home & Garden

45 | Top 5 countdown: Auto repairs you’ll want

to think twice about

46 | A Delicious Summer Dinner in Less Than

30 | Have Fun and Give Back!

16 | Abdominal pain? Loss of Appetite? Could be a serious diagnosis.

31 | Halla Galla – Junior Service League Gala

47 | 312 Self Storage, Inc.

17 | Neurofeedback Works!

32 | Northeast Florida Healthy Start Coalition 34 | Home Again St. Johns

Back Cover

35 | 2014 Pin Up Paws calendar photo contest

48 | Hearts 4 Stars Fundraiser

14 | Beat the Heat! Dehydration – The Facts

Life Services 18 | What Does A Funeral Home Do For

the Family of the Deceased?

19 | Simply Susie. Let us clean, cook and run

errands for you! It’s just a part of what we do!

21 | CoreAlign Training

15 Minutes? You Got It!

and fundraiser

36 | Think Pink in October

Travel

37 | Quantum of the Seas Prepare yourself for a World of Wow!

On the Cover From Left to Right: Jen Chaney, First Federal Bank Of Florida, Cathy Johnston, Haven Hospice, Erica Parker, Erica Parker Skincare, Jessica Jay First Atlantic, Nicole Stewart, Sweet City Cupcakes, Dana Mickler, Mane De Leon Salon, Aslyn Baringer, Aslyn Baringer Production, Kathi Jones, St. John’s Vending, Christine Cousart, Cousart Studios Of Fine And Photography, Jennifer Hill, Home Instead Senior Care, Dee Flippin, A Kitchen Connection, Julie Gill, Essential Business Services, Aurelia Collins Land Title Of America, Crystal Thomasson, Jasper Eco-Tech, Dr. Michelle Defelice, St. Johns Family Dentistry, Amber Seay, Mint Magazine, Annie Thompson, Mary Kay Cosmetics, Barbara Lynch, Action Cleaning

Health & Medicine

Innovations in Pulmonary Care

lagler Hospital has earned the Pulmonary Care Excellence Award from the nation’s leading hospital ratings agency for the past three consecutive years. The Pulmonary Care Excellence Award recognizes hospitals for superior outcomes in treating chronic obstructive pulmonary disease (COPD) and pneumonia. Flagler is also one of the few hospitals in the nation offering innovative bronchial thermoplasty services. This procedure is helping patients with severe asthma breathe clearly again.

WHAT IS BRONCHIAL THERMOPLASTY? Bronchial thermoplasty is a non-drug procedure for severe persistent asthma in patients 18 years and older whose asthma is not well-controlled with inhaled corticosteroids and long-acting beta-agonists. The system delivers thermal energy to the airway wall, in a precisely controlled manner, in order to reduce excessive airway smooth muscle. Reducing airway smooth muscle decreases the ability of the airways to constrict, and helps in reducing the number of asthma attacks. This minimally invasive bronchoscopic procedure is performed in outpatient procedure visits. Bronchial thermoplasty is routinely performed under moderate sedation or light anesthesia, and the patient typically goes home the same day.

“Flagler is also one of the few hospitals in the nation offering innovative bronchial thermoplasty services. This procedure is helping patients with severe asthma breathe clearly again.” WHO CAN BENEFIT FROM BRONCHIAL THERMOPLASTY? Bronchial thermoplasty is typically reserved for select adult patients whose severe and persistent asthma has not been helped by inhaled corticosteroids and longacting beta agonist medications.

WHAT IS THE EXPECTED OUTCOME? Bronchial thermoplasty is expected to complement asthma maintenance medications by providing long-lasting

About Flagler Hospital

asthma control and improving asthma-related quality of life of patients with severe asthma. In addition, bronchial thermoplasty has been demonstrated to reduce severe exacerbations (asthma attacks) emergency rooms visits for respiratory symptoms, and time lost from work, school and other daily activities due to asthma. A video and more information about this procedure can be found on the Flagler Hospital web site under Medical Services, Pulmonary Care. www.flaglerhospital.org.

Flagler Hospital is a 335 bed, acute care hospital that has been ranked among the top 5% of all hospitals in the nation for both clinical excellence and patient safety for the past seven consecutive years. The hospital has operated as a not-for-profit healthcare institution in St. Augustine, Florida since its founding in 1889. The hospital has earned accreditation from the American College of Surgeons Commission on Cancer, the Gold Seal of Approval™ from The Joint Commission for Primary Stroke Care Centers, national accreditation for its total hip and total knee replacement programs, and Center of Excellence Designation for its Bariatric Surgery Center. For more information, log on to www.flaglerhospital.org

August/September 2013

Health & Medicine

Is Weight Loss Surgery a Cure for Type 2 Diabetes?

wo independent studies have confirmed what many local residents already know - weight loss surgery can eliminate the symptoms of type 2 diabetes. The studies, published in the New England Journal of Medicine and presented at the annual meeting of the American College of Cardiology, noted that many patients got better within weeks, days, sometimes even hours after the surgery -- long before they lost any weight. Patients of the Flagler Hospital Bariatric Surgery Center are well aware of this. “I had surgery on a Wednesday. By Saturday, my blood sugar was in the normal range at 98. On Sunday, it was 92. I have not taken any medication for diabetes since that day,” commented gastric bypass patient, Bill. “My blood sugar is completely normal. You could say I am no longer diabetic - and I feel great.” At the beginning of the first study, conducted on 150 patients by Dr. Phil Schauer of the Cleveland Clinic, most of the patients were taking three or more medications to control their diabetes. But after a year almost none of the gastric-bypass patients needed medication. Forty-four percent required daily insulin injections before surgery and none did after The second study from the Catholic University of Rome and Weill Cornell Medical College followed 60 patients for two years and produced even stronger results. In that experiment one-third of the volunteers got drug therapy, one third bypass surgery, and the last group underwent bilopancreatic diversion, a procedure where surgeons block part of the small intestine. After two years, 75 percent of those who underwent bypass reached normal blood sugar levels and 95 percent of those undergoing the bilopancreatic diversion were normal. None of the patients on just drug therapy reached the goal of normal blood sugar levels. The authors of the study say the vast majority of surgery patients have achieved “complete diabetes remission.” Though the doctors have followed them for only two years, there is no indication that the diabetes is returning in any of them. The medical director of Flagler Hospital’s Bariatric Surgery Center, Dr. Robert Marema, is one of the nation’s leading experts on weight loss surgery and offers free education sessions about this topic and o thers to the public. For more information, log on to FlaglerHospitalWeightLoss.com.

“I had surgery on a Wednesday. By Saturday, my blood sugar was in the normal range at 98. On Sunday, it was 92. I have not taken any medication for diabetes since that day,” commented gastric bypass patient, Bill. “My blood sugar is completely normal. You could say I am no longer diabetic - and I feel great.”

About Flagler Hospital

Health & Medicine Discover the latest in varicose vein treatment -A Solution to Leg Pain

blood to return from the legs against gravity. If the valves leak, blood pools in leg veins, which can become enlarged or varicose. Endovenous ablation is an ultrasound guided procedure that uses heat generated by radiofrequency energy to close off these faulty vessels, diverting blood flow immediately to nearby healthy veins.

By: Ryan Pereira, DPM FACFAS

ave you taken a look at your legs lately?

If you don’t like what you see then, at the Centre for Advanced Vein Care, Dr. Ryan Pereira and Dr. David Ross are who can relieve your painful symptoms and improve the appearance of your legs to restore them to a more youthful look! What is Radiofrequency Endovenous ablation? There are several options in the treatment of varicose veins. They involve Endovenous ablation, vein stripping and ligation, phlebectomy and sclerotherapy. For the purposes of this article I will focus on endovenous ablation treatment. Varicose vein treatment with endovenous ablation, is the latest minimally invasive treatment that uses radiofrequency energy to cauterize (burn) and close abnormally enlarged veins in the legs, a condition called venous insufficiency. Normally, blood circulates from the heart to the legs via arteries and back to the heart through veins. Veins contain one-way valves, which allow For more information about vein treatments, please visit: www.anastasiamedicalgroup.com or contact the office at 904-461-0821. The Center for Advance Vein Care (CAV care) treats all of the aspects of venous disease, the most common of which are varicose veins, spider veins, venous ulcers, and refluxing veins. We utilize the VNUS® Closure® procedure and treatments usually last approximately 45 minutes. In order to provide for total comprehensive vein care, vein stripping, ambulatory phlebectomy and sclerotherapy are also performed at the Center for Advance Vein Care. Dr. Ryan J. Pereira (pictured above) has been

August/September 2013

What are some common uses of the procedure? Although this procedure may be used for cosmetic purposes, it is more commonly used to help alleviate symptoms associated with venous insufficiency. Leg pain, fatigue, tiredness, heaviness, aching, burning, itching, and restless legs are common symptoms of venous insufficiency. These symptoms often worsen with long periods of standing and can lead to leg swelling, throbbing and leg cramps. Conservative treatments include heavy support stockings, anti-inflammatory medications, and leg elevation. Venous disease is not as yet curable; however with appropriate treatment, the progressive nature of vein disease can be slowed and controlled How is the procedure performed? Dr. Pereira and Dr. Ross will numb the area where the catheter will enter into the abnormal vein with an anesthetic solution, and use the ultrasound probe to study the vein and track its path. The leg being treated is then cleaned, sterilized and covered with a surgical drape. A very small nick is made in the skin at the site. Using ultrasound guidance, the catheter is inserted through the skin into the vein and positioned within the abnormal vein. The radiofrequency electrode is inserted through the catheter and placed into the ‘safe zone.’ The local anesthetic solution is injected around the abnormal vein with ultrasound guidance. Radiofrequency energy is applied as the catheter is withdrawn 7 cm every 20 seconds. The skin is then covin practice since 2002 and has been treating venous disease since 2005. He is a Diplomat of the American Board of Podiatric Surgery and is Board Certified in both Foot Surgery and ReDr. David S. Ross constructive Rearfoot/Ankle surgery. He is also a Fellow of the American College of Foot and Ankle Surgeons. He graduated from the Ohio College of Podiatric Medicine with his Doctorate in Podiatric Medicine. Dr. David S. Ross has been in practice since 1977 and has been treating venous disease since

ered with a bandage. No sutures are needed. This procedure is usually completed within 45 minutes. Following the procedure, you will need to wear a gradient compression stocking to help reduce bruising, tenderness, and minimize the very rare possibility that blood clots may form. You may resume your normal activity immediately, with the exception of air travel or prolonged sitting (such as a long car trip). The physicians will perform a follow up ultrasound examination in order to assess the treated vein. Within Additional procedures (such as sclerotherapy or ambulatory phlebectomy) may be necessary to treat the smaller associated vein and are finishing touches to make your legs beautiful and youthful once again! What are the benefits of this procedure? Benefits are . . . • No surgical incision is needed-only a small nick in the skin that does not have to be stitched closed. • When compared with traditional vein stripping techniques, endovenous ablation is more effective, has

2008. He is Board Certified in both Emergency Medicine and Family Practice and is a Fellow of the American College of Emergency Physicians. He graduated with a Doctorate in Medicine from the University of Florida.

fewer complications, and is associated with much less pain during recovery. • Endovenous ablation is generally complication-free and safe. • This procedure leaves virtually no scars because catheter placement requires skin openings of only a few millimeters, not large incisions. • Endovenous ablation offers a less invasive alternative to standard surgery. • Most of the veins treated are effectively invisible even to ultrasound 6-12 months after the procedure. • Most patients report symptom relief and are able to return to normal daily activities immediately, with little or no pain. And finally Your legs will look great!

Health & Medicine

Every 3000 Smiles…

Bert A. Tavary, D.D.S

Mickey Leth, D.M.D

aving regularly scheduled oil changes is far cheaper than having your car’s engine replaced and there’s never a convenient time for your car to break down. That’s an observation that everyone can relate to and agree with. Healthy teeth and healthy gums fuel the engine that keeps us going. Not to mention we love to laugh and to smile and we should be able to feel good about ourselves when we do. So.... why do we neglect our dental health?

Regularly scheduled dental examinations and cleanings are far cheaper than having your teeth replaced and there’s never a convenient time for your tooth to break down. Just like regular oil changes, regular dental check ups and care make perfect sense. Problems are always easier and more cost effective to treat early on. Regular dental cleanings and examinations are the keys to cost effective prevention and treatment. During regular dental examinations, the health of both your teeth and your

gums are evaluated. The dentist will check for decay and any breakdown of existing restorations, provide a thorough screening for oral cancer, measure the health of the bone surrounding your teeth, evaluate your occlusion and address your questions and concerns. Small cavities can be easily repaired with bonded fillings and often done with no anesthesia. But cavities left undiscovered and untreated can spread to the nerve causing discomfort and necessitating root canal. Advancing decay and the breakdown of existing fillings can also lead to teeth requiring full restoration with a crown or, in some cases, the loss of what once was a perfectly saveable tooth. Regular dental cleanings will remove plaque and tartar that contribute to gingivitis, which is a reversible condition. But when it goes unchecked, gingivitis can lead to periodontal disease and subsequently bone loss. Generally, the bone loss is irreversible. Your teeth AND your quality of life can be lost. These preventable and treatable dental conditions can even have profound implications for your entire body, especially your heart. It all starts small...... What better time to find it and treat it?

Early detection and treatment can save you money, time and discomfort. You wouldn’t drive your car until the wheels fall off. Why do that to your teeth? Imagine if you could only have one automobile for your entire life. Would you ever miss an oil change or ignore the check engine light? You only have one set of teeth... Publisher’s Note “I recently had some restorative dental work done by Dr. Tavary, and I must admit it may have been the best dental experience of my life. He is an artist and his staff is brilliant. I had absolutely no pain and his work was meticulous, but still expedient. If you have been putting off dental work, don’t wait, call them today!”

About the Doctors Dr. Tavary graduated from the University of Florida and Emory University School of Dentistry and began practicing dentistry as an associate in 1980. Dr. Tavary has lived in St. Augustine most of his adult life and this has become his adopted hometown. Dr. Tavary is a member of The American Academy of Facial Esthetics. He volunteers at The Wildflower Clinic and is a member of The Rotary. Dr. Tavary is also a huge supporter of the Headstart program. Dr. Leth graduated from the University of Florida and began practicing dentistry as an associate in 2009. Dr. Leth is a lifelong resident of St. Augustine. Dr. Leth is a member of The American Academy of Facial Esthetics. He is also a member of The American Academy of Pediatric Dentistry as well as The International Association of Orthodontics. Dr Tavary along with Dr. Leth practice Cosmetic and Restorative Dentistry in their modern office that utilizes the latest technology in Dentistry. Both doctors feel their fantastic staff, with their professional and personal relationship to their patients is “The Key” to the success they have enjoyed throughout their careers here in St. Augustine.

Health & Medicine

Diabetes and Cancer Inactivity – Higher physical activity levels lower the risk of type 2 diabetes and certain types of cancer. • Smoking – Smoking is linked to several types of cancer. Studies suggest that smoking is a risk factor for the development of type 2 diabetes. • Alcohol – Drinking more than one drink a day for women or two drinks a day for men raises the risk for both diabetes and cancer.

Lower Your Risks

By Lisa Salt,PA-C

here are ways you can lower your risk for type 2 diabetes and certain types of cancers: liver pancreas uterus colon breast bladder Researchers are trying to learn more about the link between type 2 diabetes and certain cancers.

What About My Risk?

Type 2 diabetes and certain cancers share some risk factors: • Age – As you get older, your risk for both type 2 diabetes and cancer goes up. • Gender – Overall, cancer occurs more often in men. Men also have a slightly higher risk of diabetes than women. • Race/ethnicity – African Americans and non-Hispanic whites are more likely to develop cancer. African Americans, Native Americans, Hispanics/Latinos, and Asian Americans/Pacific Islanders are at higher risk for developing type 2 diabetes. • Overweight – Being overweight can increase your risk of type 2 diabetes and certain types of cancer.

• Lose weight – If you are overweight, even losing 7% of your weight (15 pounds if you weigh 200 pounds) can make a big difference. Use the Body Mass Index (BMI) Calculator to find out how much weight you need to lose. • Eat healthy – Choose a diet with plenty of: • Fresh vegetables – The best choices are fresh, frozen, and canned vegetables and vegetable juices without added sodium, fat, or sugar. For good health, try to eat at least 3-5 daily servings of vegetables, including asparagus, broccoli, cabbage, carrots, cauliflower, celery, eggplant, greens, peppers, snap peas and tomatoes. A serving of vegetables is ½ cup of cooked vegetables or vegetable juice; or 1 cup of raw vegetables. • Whole grains – A whole grain is the entire grain, which includes the bran, germ, and endosperm (starchy part). Shop for cereals and grains that have the first ingredient with a whole grain such as bulgur (cracked wheat), whole wheat flour, whole oats/oatmeal, whole grain corn/corn meal, brown rice, or whole rye. Try to include dried beans, legumes, peas, and lentils into several meals per week. They are a great source of protein and are loaded with fiber, vitamins, and minerals. • Fruits – Eat fruits that are fresh, frozen, or canned without added sugars.

Common fruits include apples, blackberries, blueberries, cantaloupe, dates, figs, grapes, oranges, pears, and strawberries.

Choose healthier options:

• Low-fat or non-fat dairy products – Choose fat-free or low-fat (1%) milk, non-fat yogurt (without added sugar), and unflavored soy milk. • Lean meats – The best choices are cuts of meats and meat alternatives that are lower in saturated fat and calories. Include fish and seafood, poultry without the skin, eggs and choice grades of meats trimmed of fat. Also, select dried beans, legumes, peas, and lentils. Most importantly, be sure to watch portion sizes. • Stay active – Set a goal to exercise five days a week. Thirty minutes of brisk walk-

ing or a similar activity will work. You can even break it up into 3 10-minute blocks if it is easier to fit in your day. • Quit smoking – If you smoke, learn how you can quit. Prepare to quit by setting a date to quit, throwing away your cigarettes or asking others for help. Then choose a quitting strategy, such as going cold turkey, tapering off, or working with your health care professional. If you don’t smoke, never start.

Get recommended cancer screenings

Work with your health care provider to see what types of cancer screenings you should have. Your age and gender will help determine what screenings are recommended. Content: Provided by American Diabetes

A Brief History on Flagler Family Medicine. Flagler Family Medicine was established when Doctors Whitlock, Gunn and Clonch joined their solo practices in 1997. In 2001, Todd J. Batenhorst, MD joined their team after completing his residency. Shortly afterwards in 2002 Christopher J. Zub, DO joined the practice. Next, Flagler Family Medicine welcomed Frederick C. Dolgin, MD in 2004. Michael J. Look joined the practice with the opening of the East Palatka office in July of 2008. The most recent addition to the team was Carlos M Sanchez, MD when they opened the Shoppes at Murabella location in November of 2010. The practice continues to expand and bring on additional doctors and services in order to provide the highest quality care to patients in St John’s and the surrounding counties. Our continued growth allows us to better meet the growing healthcare needs of our patients and the community.

August/September 2013

www.flaglerfamilymedicine.com

Health & Medicine

Bio Identical Hormonal Replacement and Weight Loss Program

By: Dr. Elena Stanescu Physicians Pain Center

he ability to maintain a feeling of well-being would be a positive change in anybody’s life. The first step toward achieving this goal is to look at the whole picture; to see each person as an individual living in a unique environment and exposed to specific stressors. In dealing with life’s stressors and the aging process, many of us may experience hormonal imbalances which affect us in different ways. A plethora of physical symptoms including fatigue, general aches, weight gain, water retention, night sweats, hot flashes, headaches, decreased libido, bone loss, thinning and loss of hair, dry skin, acne, as well as emotional or cognitive ones such as depression, irritability, mood swings, anxiety and memory problems, can be associated with hormonal imbalances. In treating chronic pain patients, we often see these symptoms, either individually or in combination, as a major obstacle toward achieving the highest level of pain relief. But those who suffer from chronic pain are not the only ones affected. Functional endocrinology brings a new perspective to the treatment available for persons suffering from the above; restoring the hormonal balance will relieve many of the symptoms and will modulate the intensity of others. A simple saliva test, conducted over a 24 hour period, measures the levels of

“free” hormones which are delivered to the tissue receptors. Based on test results, the adequate bioidentical hormone replacement is prescribed. The saliva test is the only accurate method to monitor the transdermal hormone therapy. Treatment is adjusted based on follow up test results and symptom modification. For many of us, weight gain and obesity may also be a major problem and an enemy in the fight against chronic pain or the feeling of malaise. Once the hormonal balance is normalized, a medically-supervised weight loss program, in conjunction with the hormone replacement therapy, may be indicated. Human Chorionic Gonadotropin (hCG) is a hormone usually present during pregnancy. It has been found that when administered in small doses, it can produce liquefaction of the abnormal fat, allowing it to

In dealing with life’s stressors and the aging process, many of us may experience hormonal imbalances which affect us in different ways.

be released into the blood stream and used by the body, thus reducing hunger and food cravings. We have implemented the HCG diet protocol, which has shown great results. The program begins after a thorough patient examination, hormone testing, and basic lab work. The HCG prescription will be started along with a low calorie diet and proper nutritional supplements. The HCG program has shown weight loss at a rate of ½ to ¾ pound per day for women and ½ to 1 ½ pounds per day for men. Looking at each person as an individual and finding the underlying cause of one’s symptoms, can lead to a better understanding and a more comprehensive treatment plan, thus allowing everyone to achieve a more balanced life and feeling of well-being.

Board-certified in Anesthesiology and Pain Management, Dr. Stanescu provides comprehensive treatment including nerve blocks, spinal injections, radiofrequency ablation and medication management at offices in St. Augustine and Palatka. Advanced techniques, such as spinal cord stimulator and intrathecal pump placement, are performed at Flagler Hospital and the St. Augustine Surgery Center. Physicians Pain Center offers interventional pain management services to persons suffering from acute and/or chronic pain. Diagnoses treated include musculoskeletal pain, headaches, abdominal and pelvic pain, fibromyalgia, neuropathy and cancer-related pain. Dr. Stanescu and her partner are committed to providing quality and compassionate care to those whose pain has become debilitating and is affecting daily activities of living.

Health & Medicine

First Coast Cardiovascular Institute®

Providing outstanding care at lower out-of-pocket costs

recovering economy and skyrocketing healthcare costs present a challenge for patients and providers alike, but while others are still scrambling for a solution, First Coast Cardiovascular Institute® is already treating patients at lower out-of-pocket costs. “High quality care doesn’t always have to equal high cost,” says FCCI president, Yazan Khatib, MD. As an independent practice, FCCI performs a full spectrum of outpatient cardiovascular services

August/September 2013

at half the cost or less over facilities that are owned or operated by a hospital. FCCI patients receive topquality care in a fully accredited, state-of-the-art facility at a fraction of the cost. Backed By Experience Since FCCI opened its catheterization lab in 2007, their highly-trained medical professionals performed over 10,000 outpatient cardiovascular diagnostic and stent procedures. The FCCI catheterization lab was

designed with safety and convenience in mind. Dr. Khatib says the true focus is on patient care. “A facility is just a facility. What matters is the team that operates it. The entire FCCI staff is aligned on one goal – making sure our patients are served in a knowledgeable, compassionate manner and every little need is met.” The vast majority of patients who undergo outpatient treatment at FCCI return home the same day, although no procedure is without risk.

Quality Over Cost As one of the first three physicians in the U.S. to implant drug eluting stents, Dr. Khatib says, at FCCI, the innovative stents were used in 57 percent of procedures, even before their full cost was covered by insurance or Medicare. In each of these cases, the facility absorbed the additional cost. First Coast Cardiovascular Institute® is driven by the expectation that the patient comes first. Every patient receives the outstanding, cost-effective cardiovascular care they deserve.

Health & Medicine

Are You an Expectant or Nursing Mother?

By: Susan Detar, CFm Owner, The Pink Door

s you may already know, one of the earliest physical signs of pregnancy can be breast tenderness. At some point in your pregnancy (often but not always around the second month), breasts will start becoming larger as they prepare to nurse the new arrival. Some women experience this as a feeling of fullness rather than actual increase in size, and others are very aware of needing a larger cup size. Some women will continue to increase in cup size over the course of their pregnancy, and others find they have an increase during their first trimester, and not again until close to the end of their pregnancy. As your belly increases in size, your rib cage (band) measurement will also likely increase. Women who are petite or carrying high will often experience more increase in rib band than women who are taller or carrying low. Generally, most women increase one or two cup sizes and one or two rib band sizes over the course of their pregnancy. Then, for the first few days after giv-

ing birth, when you breastfeed, your baby receives colostrum. At around the third day, your milk will ‘come in’. At that point, you can experience an increase of one or two more cup sizes from your third trimester. Typically after about 6 weeks to a few months of nursing, these fluctuations settle down. You will have established your breastfeeding relationship and routine, and will usually decrease a few cup sizes. As well, around this point, your rib band size will begin to go back to your pre-pregnancy size. This is the size you will likely stay until you finish breastfeeding. That is, at about your pre-pregnancy rib band size, and up one cup size. The ideal time to size for a nursing bra is during the last few weeks of your pregnancy which will ensure a good prediction of your size once your milk comes in. It’s a great idea for a pregnant mom to go with a nursing bra when she begins to feel her prepregnancy bras are no longer working for her rather than a traditional bra, so she can get double duty out of it by also using it to nurse when she has her baby. Both during pregnancy and breastfeeding, a woman’s skin and nipples in particular can become extremely sensitive, even to the point of being sore. Moisture is a serious consideration: when breasts leak, it is important that the wetness does not stay next to the skin because this can result in irritation or infection. Using breast pads will absorb moisture and wick moisture away from the body so the nipple area remains dry.

Both disposable and reusable pads are available. While disposable may be cheaper, reusable pads are much softer and “green”. During your pregnancy you may also be experiencing abdominal straining, backache, hip separation, pubic symphysis and ankle and leg swelling. You might even feel that you have the sensation of “everything is going to fall out the bottom”. There are a number of supportive garments to alleviate any pain or discomfort you feel. By cradling the torso, these garments support strained muscles, encourage better posture and provide relief. Some women develop vulvar varicosities which are swollen veins in the pelvic area caused by the increased

Susan Detar is a Certified Mastectomy Fitter. The Pink Door is an accredited post-mastectomy care center. Our mission statement: “The Pink Door will be recognized as the preferred provider of foundations to women affected by breast cancer. We will offer a wide selection of products in a knowledgeable and caring environment. Our goal is to fulfill 80% of our customers’ needs on the first visit.” This mission extends to all women who walk through the door. You will be served in a warm, inviting boutique occupying a home in the south historic district of Palatka. Our job is to provide products that will make you look and feel better.

weight of the uterus. A supportive device with compressive properties will help keep the veins from swelling. This condition typically resolves after the birth of the baby. If you are interested in learning more about the benefits of nursing your baby, your local health department has a Lactation Peer Counselor on staff. Contact information: St. Johns County, (904) 825-5055 ext. 1110. Putnam County, (386) 326-3251.

Health & Medicine

Protect Your Feet

By Richard Johnson, DPM

Coastal Foot & Ankle Wellness Center

ummer is often the time we hear more about skin cancer. We’re told to avoid the sun if possible and always wear sunscreen when we are in the sun. An important rule-of-thumb is – always wear sunscreen of at least 30SPF and re-apply after going into the water. Many people never think about their feet and legs when they take preventative action. In fact, skin cancer, even malignant melanoma (a serious type of skin cancer), can affect the legs and feet just as well as other parts of the body. Skin cancers on the feet usually occur between toes, in and around the nails, on the soles of the feet and front of the legs. The three most commonly seen skin cancers in the lower extremity and feet are: Basal Cell Carcinoma, Squamous Cell Carcinoma and Malignant Melanoma. While Basal Cell and Squamous Carcinomas are true skin cancers and are malignant, they have a very low probability of spread/metastasis. Importantly, there is a small chance that Basal Cell and Squamous Cell Carcinoma (and even benign moles) can develop into Malignant Melanoma. Malignant melanomas can be very

August/September 2013

aggressive and metastasize quickly. For this reason, regular evaluation and early detection is very important. Skin cancer on the feet can occur in men and women. While they usually develop in people over the age of 50, they can be found at any age. Lighter-skinned people are more likely to develop melanomas on sun-exposed areas of the body. Frequently, it is seen on the front of the legs and top of the feet. Only one-third of African-American patients who have melanoma develop it on sun-exposed areas. In the African- American population, melanomas most often develop on skin that is not exposed to the sun, such as the foot and under the toenails. Early detection is extremely important since malignant melanoma can spread/metastasize rapidly. Since skin cancer on the foot and ankle often go unnoticed during their earliest stage, routine foot and leg examinations can increase the likelihood of diagnosing and treating Basal Cell, Squamous Cell Carcinomas and Malignant Melanomas. During routine examinations your podiatrist will always look for moles, or “nevi,” which are usually evenly colored, round spots on the skin or even under the nails. Most are small and don’t change in size or shape. Other signs to watch for are changes in color or a mole that becomes raised from the skin. The doctor will carefully examine any moles that look “abnormal” with the use of the common dermatological rule (the “ABCD” rule) to characterize the skin cancer:

Asymmetrical lesions Border irregularity Color variation Diameter greater than the size Should your podiatrist detect a suspicious mole, a quick and simple biopsy can be done in the office. The result of a typical biopsy takes less than a week to be received. Skin cancer is rarely painful, so routine medical visits are important for anyone with questionable lesions on the feet or family history of skin cancer.

Let your feet beat the heat this summer. We have been treating your feet in St Augustine and Palatka for over 12 years. Make an appointment today with Dr. Richard Johnson or Dr. Jose Concha at (904)826-1900 in St Augustine or (386)328-1122 in Palatka. At Coastal Foot & Ankle Wellness Center, we are setting the highest standards for your foot and ankle care.

Health & Medicine

Today’s Certified Nurse-Midwives

By: Michele Rogero, CNM, ARNP

hat is a Certified Nurse-Midwife (CNM)?

A Certified Nurse Midwife (CNM) is a professional health care provider, an Advanced Registered Nurse Practitioner (ARNP), who has graduated from an advanced education program accredited by the American College of Nurse Midwives (ACNM). In addition, CNMs must pass a national certification examination and meet strict requirements set by state health agencies. The term midwife, meaning “with a woman,” was first recorded in the 1300’s. The practice of nurse-midwifery in the United States was established in the 1920’s. Certified Nurse- Midwives are skilled as primary health care providers for women.

What type of care do Midwives Provide?

While midwives are probably best known for their care of women during pregnancy and childbirth, they serve women throughout their lifetime. Midwives provide individualized care guided by evidence-based practices that have been tested

and proven successful. Midwifery health care includes pregnancy and birth, primary care, and gynecologic care. “Prenatal visits with your midwife include monitoring your health and the health of your baby using current technology and laboratory tests as indicated. Midwives are experts in normal pregnancy and health education, a combination that is perfect for most pregnant women. Midwives provide familycentered care that focuses on maintaining health and helping women make informed decisions about their health. Midwives take the time to listen to your physical, emotional, and spiritual needs. During labor, your midwife evaluates your progress, helps you give birth, and offers emotional support. Your midwife will help you make choices that are best for you, including options for pain management. Postpartum care begins immediately after birth as your midwife examines the newborn, provides advice on breast feeding and infant care, and helps you adjust to your new role as a mother.” (ACNM) “Annual examinations with a midwife include a complete health history, physical examination, and a thorough assessment that is shared with you. Screening and prevention services include annual exams, vaccinations, and referrals for mammography, laboratory testing, or specialist consultants as needed.

Midwives manage common health problems and prescribe medications as needed. Your midwife can provide you with

Midwives offer sensitive, confidential, and personal gynecologic care. current information about immunizations and the control of communicable diseases such as flu, hepatitis or HPV. Your midwife will help you prevent health problems and assist you in developing and maintaining healthy habits throughout life.” (ACNM) “Midwives offer sensitive, confidential, and personal gynecologic care. Midwives provide Pap tests, diagnosis and treatment for urinary tract infections,

management of incontinence, HIV screening, treatment of sexually transmitted infections, and other gynecologic services. Midwives explain and prescribe birth control methods, including oral, injectable, and implantable contraceptives, IUDs and others. Midwives are advocates for patient choice. Your midwife can offer counseling on natural family planning and permanent sterilization methods. Midwives also provide fertility counseling and referral to other health care providers as needed.” (ACNM)

Is Midwifery care covered by insurance carriers?

Midwifery care is covered by private health insurance carriers, Medicare, Medicaid, many managed care programs, as well as military and federal employee health plans. Contact your individual insurance companies for explanation of benefits and coverage. To learn more information about Nurse-Midwives, visit the American College of Nurse-Midwives online at: www.myMidwife.org

Ancient City Midwives was founded in 2008 by two local midwives with the vision of creating a medical practice that treats every patient with dignity and first-rate care. The nurses and office staff at Ancient City Midwives are highly-trained and exceptionally friendly. We understand that for many, visiting a healthcare provider can be a stressful experience. Our comfortable surroundings and compassionate medical professionals will ease your fears.

Health & Medicine

Beat the Heat!

Dehydration – The Facts

Larry Lake is a licensed psychotherapist and the CEO of BayView, as well as its parent

ater is essential to human life. It forms the basis for all body fluids, aids in the transportation and absorption of nutrients and it helps eliminate waste. Every day you lose more than 10 cups (close to 2.5 liters) of water simply by sweating, breathing and eliminating waste. You also lose electrolytes — minerals such as sodium, potassium and calcium that maintain the balance of fluids in your body. Normally, you can replenish what you’ve lost through the foods and liquids you consume. When you eliminate more water and salts than you replace, dehydration results — your system literally dries out. When dehydration combines with a rise in body temperature hyperthermia can result. Persons over the age of 50 are more susceptible to hyperthermia for many reasons.

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organization, the St. Johns Welfare Federation. Lake says “as a local nonprofit healthcare provider, we are excited about how this FORUM can help share the knowledge and expertise of the more than 275 healthcare professionals at BayView and across our continuum of care. In each issue we will address an area of interest to help consumers be even more informed about their health and wellness.” This FORUM focuses on summer heat, dehydration, hyperthermia and its effect on those 50 years of age and older. Dehydration is a frequent cause of

morbidity and mortality in elderly people. It causes the hospitalization of many patients and its outcome may be fatal. Our daily fluid consumption is mainly stimulated by thirst. Science has shown that the thirst sensation decreases with aging, there by increasing risk for dehydration, hyperthermia and other medical complications. This issue will provide simple tools for prevention. It will also answer many important questions helping us to better understand the interaction between summer heat, inadequate hydration, its’ health implications on you, your parents and your elderly neighbors.

What is Hyperthermia? Hyperthermia is a condition where a person experiences an increase in body temperature due to the body’s inability to dissipate heat. Hyperthermia is brought on by prolonged exposure to high temperatures

without

any

cooling

down periods. It can place a person at risk for serious and potentially life-threatening illness. In a 2006 review, the Centers for Disease Control found that of 3446 heatrelated deaths, 60% were over the age of 50. Heat waves are said to cause more deaths than lightning, rain, tornados, hurricanes and flood, combined.

Heat Stroke is a medical emergency and can be life threatening. Signs and symptoms include: • Body temperature greater than 104 degrees Fahrenheit • Fainting • A change in behavior, such as confusion, irritability, staggering or usual behavior • Dry flushed skin and a strong rapid pulse or a slow weak pulse • Not sweating in heat • Acting delirious • Unresponsiveness Treatment by a physician is imperative in addition to seeking out a cool location.

Health & Medicine Identifying Hyperthermia

• Heat cramps - tightening of stomach, arm, and/or leg muscles, usually as a result of exercise and/or hard work. The skin may remain moist and cool, while the pulse and body temperature remains normal. Drink plenty of fluids to cool the body down. Exclude caffeine and alcohol. • Heat edema - swelling in the ankles and feet when the body becomes overheated. Elevating your legs will generally alleviate this symptom quickly. If ineffective, notify your physician as soon as possible. • Heat syncope – sudden dizziness that arises when you are active in the heat. Putting your feet up and relaxing in a cool place usually alleviates this symptom. • Heat exhaustion - occurs when your body becomes unable to keep itself cool Symptoms include feeling thirsty, dizzy, weak, uncoordinated, nauseated and excessive sweating. The skin is typically cool and clammy. Pulse can be above 100 beats per minute while body temperature remains normal. Get to a cool place and drink plenty of fluids immediately. If ineffective, notify your physician right away. Risk Factors Those at highest risk for hyperthermia include persons over the age of 50; those living in homes without air conditioning and/or good air flow; those with limited ability to afford utility bills; those who don’t drink enough fluids; those diagnosed with a chronic illness such as heart, lung, or kidney disease, hyperthyroidism, hypertension, diabetes or dementia; those who are overweight or underweight; those with alcoholism. The surrounding area temperature outside or inside above 100 degrees Fahrenheit alone is not considered to be a significant risk factor for or predictor of hyperthermia. Medications such as those used

to treat heart and blood pressure conditions, diuretics, sedatives and tranquilizers can make it harder for your body to cool itself through sweating. Thus, combinations of these medications can further increase risk for becoming overheated. Always consult with your doctor or phamacist regarding both prescription and overthe-counter medications.

• Antihistamines – loratidine, diphenhydramine, fexofenadine, meclizine • Blood pressure and heart medicines - amlodipine, diltiazem,labetolol, metoprolol, carvedilol, clonidine. • Laxatives • Antidepressants/ antipsychotics- amitriptlyline, imipramine,chlorpromazine, haloperidol • Seizure medicines/ anticonvulsants - phenytoin, valproic acid, phenobarbital, carbamazepine

reports; avoid elevated temperatures, humidity or air pollution. Wear lighter fabrics, such as cotton and lighter colors. Avoid excessive activity and crowded places when it is hot. And as always, consult your doctor for more information. If you live in a home without fans or air conditioning, be sure to open windows at night on both sides of the building to create cross ventilation. Cover windows that receive direct sunlight using room darkening drapes or aluminum foil. Keep windows covered during the hottest part of the day and try to spend at least two hours a day in an air conditioned location such as, the mall, library, senior center, or a friend’s home. Contact your local agency on aging to see if an assistance program is available to receive air conditioners or financial help to run your air conditioner. Have someone drive you to a cool place on hot days. Do not wait outside for a ride or the bus.

What to do if you become over-heated

Get out of the heat immediately and into a cool, preferably air conditioned

place. Drink water, fruit and vegetable juices. Shower, bathe or sponge off with cool water. Lie down and rest. Seek medical attention if you don’t cool down quickly.

Taking care of our local seniors and neighbors

While our life expectancy continues to lengthen with the emergence of new medicines, disease management and treatments, our society has seen families becoming increasingly geographically separated. The nuclear family that lived together as they aged is becoming a memory of the past. More and more seniors are living in communities where they have no family. We all know someone (a neighbor, a church member) who is aging, living alone and that has no family nearby. Take this opportunity to say hello. Check on the condition of their home, see if their air conditioning is working, if their pantry is full, if the power is working and how they are doing in general. Take a moment to meet one of your senior neighbors and help them stay safe from the summer heat and heat-related illness.

• Water pills/diuretics - hydro chlorothiazide, furosemide,spironolactone • Anticholinergics hyoscyamine, oxybutinin

Health & Wellness Forum

161 Marine Street, St. Augustine, FL (904) 829-3475 www.bayviewhealthcare.org

• Antidiabetics - glyburide, metformin, insulin

Reduce your risk of heat-related illness now

Drink plenty of liquids, such as water or fruit and vegetable juices. At least eight glasses of fluids daily are needed to keep your body working properly. Limit your caffeine and alcohol intake, as these fluids deplete the body’s fluid resources. Pay attention to weather

BayView Healthcare, also known to many as the St. Johns Welfare Federation, is a private, not-for-profit comprehensive continuum of healthcare provider founded in 1920. Our superior level of services includes short-term inpatient and outpatient rehabilitation, skilled nursing (BayView Rehab at the Samantha R. Wilson Care Center), BayView Home Health and BayView Assisted Living (The Pavilion and Buckingham Smith), the Emergency Charitable Assistance Program and BayView Wellness. Caring Hands-Caring Community is a separate 501 (c) 3 charitable organization founded in 2004 by our parent organization. It was formed to support the exceptional services and continuum of care provided to people in need of healthcare services and financial assistance.

Health & Medicine

Abdominal pain? Loss of Appetite? Could be a serious diagnosis.

By Sandra Hoogerwerf, MD, Borland-Groover Clinic

bdominal pain, loss of appetite and weight loss may seem like just another case of an upset stomach, but might signal a more serious diagnosis like Crohn’s disease. Inflammation of Crohn’s disease may affect each individual in different ways. In many, it affects just the large part of the small intestine. In others, it’s confined to the colon. Symptoms can range from mild to severe which can develop gradually or suddenly. Symptoms might also fall into remission, or a period of time where you have no signs or symptoms. When the disease is active, signs and symptoms might include diarrhea, abdominal pain and cramping, blood in the stool, ulcers, reduced appetite and weight loss. Women might experience worsening of abdominal pain and

diarrhea during the premenstrual and menstrual periods of their cycle. Severe Crohn’s disease might cause fever, fatigue, arthritis, eye inflammation, mouth sores, skin disorders, liver and bile ducts inflammation or delayed growth and sexual development. The exact cause of Crohn’s disease remains unknown. Many researchers believe that a number of factors including heredity and a malfunctioning immune system play a role in the development of the disease. When the immune system tries to fight off any invading microorganism, an abnormal immune response causes the immune system to attack the cells in the digestive tract. Crohn’s is more common in people who have a family history of the disease leading experts to believe that one or more genes may make people more susceptible to it. However, it has been noted that people with the disease might not have a family history. There are many risk factors that are attributed to the disease, some of which can be controllable. Cigarette smoking is the most important controllable risk factor for developing the disease. Smoking leads to more severe disease and a greater risk of surgery in regards to Crohn’s. A diet high in fat and refined foods also plays a role in developing Crohn’s disease. Other risk factors include age, ethnicity and family history. For women, Crohn’s disease often leads to other health complications, especially in the

reproductive system. Women in the child-bearing age may experience complications involving fertility and pregnancy. It’s not uncommon for women to experience this same inflammation around the ovaries, uterus, vaginal canal, perineum and the vulva due to the disease’s proximity to these organs. Women with Crohn’s will commonly experience complications of anemia, dysmenorrhea and even ulcers of the perineum. For women who are pregnant and suffering with Crohn’s, there are many complications of concern during pregnancy, especially those involving nutrition and medication-related side effects. During delivery, complications are usually rare, but some women might experience the development of fistulas, an abdominal connection between two parts inside of the body, around the site of an episiotomy. The psychological impact of the disease is varied among most women. However, because of the pain and complications associated with diet and health, many women experience socialization issues due to complications with sexuality and body image. Perineal pain with intercourse is common in women with a perineal fistula or abscess. Some patients complain of severe rectal pressure during intercourse or are sexually inhibited because they fear rectal incontinence. Women who suffer from gynecological complications often require the use of hormonal replacement therapy or other forms of

hormonal-based treatments to manage the menstrual cycle regularity and to help control inflammation and pain associated with the proximal inflammation of the GI tract. There is no current cure for Crohn’s disease and no treatment works for everyone. The goal for medical treatment is to reduce inflammation-triggering symptoms and improving long-term prognosis by limiting complications. In the best cases, medical treatment may lead to symptom relief and also long-term remission. Treatment for Crohn’s includes drug therapy that might include anti-inflammatory drugs, immune system suppressors, antibiotics and other medications. Special diets might also be recommended improving overall nutrition and allowing the bowel to rest. In the past, supplements of calcium and B-12 vaccinations have been used to suppress the disease. If drug therapy is not effective, patients might also elect for surgery, which improve symptoms of the disease. Those suffering from Crohn’s also have an increased chance of colon cancer, which is 90 percent curable if detected through a colonoscopy early enough. It is important for women to consider visiting a doctor when experiencing symptoms such as abdominal pain, blood in the stool, unexplained fever and ongoing bouts of diarrhea that don’t respond to over-the-counter medications in order to help manage symptoms.

Dr Sandra Hoogerwerf graduated Cum Laude with a Doctorate of Medicine from the Erasmus University in Rotterdam, The Netherlands. She subsequently completed her internal medicine residency at Johns Hopkins Bayview Medical Center in Baltimore, Maryland, and her clinical gastroenterology fellowship at the University of Texas Medical Brach in Galveston, Texas. In addition, she completed a gastroenterological research fellowship at the Johns Hopkins University in Baltimore, Maryland. Before joining Borland-Groover Clinic in 2010, she served as an Assistant Professor of Medicine at the University of Michigan Medical Center in Ann Arbor, Michigan. Dr. Hoogerwerf has a longstanding interest in women’s health issues, functional bowel and motility disorders. She has published on a variety of topics including the management of gastrointestinal disease in pregnancy, acid suppressive therapy and reflux disease, irritable bowel syndrome and motility disorders such as achalasia.

August/September 2013

Health & Medicine

Neurofeedback Works!

ine year old “Johnny” sits quietly and comfortably in a chair, 3 EEG sensors on his head. His attention is fixed on the video screen in front of him. The spaceship on the screen moves smoothly through the colorful tube in response to Johnny’s ever changing brain wave patterns. Johnny is improving his brain through a remarkable new therapy called Neurotherapy, now available at The LifeSource Group. “Before we started Neurofeedback, Johnny couldn’t sit still in a chair for longer than 5 minutes,” says Johnny’s mom. “Now look at him! He is calm, still, and attentive and will sit there effortlessly for the full 45 minute session! And now he is like that at home and school, too! This is simply amazing.” Johnny had been diagnosed with Attention Deficit Disorder with hyperactivity at age 6 and had been on ADD medications for 3 years with some improvements. But at age 9, Johnny’s doctor found that he was underweight and shorter than the average 9 year old and suspected that the ADD meds were stunting Johnny’s growth. He was immediately taken off the medications. Johnny’s hyperactivity, impulsiveness, and lack of focus quickly returned and affected his performance in school and his behavior at home. Then a friend of the family recommended that they try Neurofeedback, which helped their son a few years earlier. After 6 Neurofeedback sessions, Johnny’s performance in school changed dramatically! “The school reported that he is doing better than he did when he was on his ADD meds. He has completed more assignments in summer school than the entire 2nd semester when he was on his meds,” stated Johnny’s mom. This is just one example of how Neurotherapy can help those who struggle with a dysregulation of brain function such as Attention Deficit Disorder states Thomas Swisshelm, Johnny’s Neurotherapist at the

LifeSource Group. Neurofeedback is also used to treat Anxiety Disorders, Sleep Disorders, ODD, Memory Challenges, Migraine Headaches, Addictions, PTSD, Seizures, Autistic Spectrum Disorders, and much more. Neurotherapy utilizes EEG Neurofeedback and video game software to train the brain to produce better functioning brain wave patterns. “Neurofeedback is like taking your brain to the gym,” states Swisshelm. Swisshelm is also a certified Interactive Metronome® provider. Both IM and Neurofeedback help to retrain the brain for better function. Another use of Neurotherapy is for Peak Performance. “Pro, college, and Olympic athletes began using Neurofeedback about 10 years ago to increase their focus, decrease anxiety and therefore improve their performances,” stated Swisshelm. Swisshelm has used Neurotherapy with many high school athletes to help them reach or exceed their athletic and academic goals. “Corporate CEO’s also use Neurotherapy. This helps them to make better decisions, sleep better at night, and get more done during the day.” Combining Neurotherapy with the counseling and coaching already available from the excellent professionals at the LifeSource Group packs a powerful onetwo punch to help people overcome some of their challenges . To celebrate the addition of Neurotherapy to the LifeSource Group, Swisshelm is offering complimentary initial consults through September 30. “The beginning of the school year is a great time to start Neurotherapy for students with ADD or other challenges before they get too far behind,” stated Swisshelm,. Swisshelm may be contacted at 352-3273689, 904-797-5680, or FLNeurotherapy@ aol.com. For more information about Neurotherapy, please go to www.CenterForNeuroFitness.info.

The LifeSource Group welcomes the addition of Thomas Swisshelm, MEd, EdS as a new associate. Tom brings his 7 years experience as a Neurotherapist to the St Augustine community from Gainesville, FL . Tom obtained his EEG Neurofeedback training from EEG Spectrum International and Advanced Neurofeedback training from Sue and Siegried Othmer. Additionally, Mr. Swisshelm is a Certified Interactive Metronome provider. Mr. Swisshelm has extensive background in working with students and adults with ADD, athletes who want to improve their performances, and with corporate executives who want to improve their performances.

ST. AUGUSTINE’S BEST COUNSELORS

Kathleen Abbott, Licensed Mental Health Counselor & Clinical Director

“Kate” has a Masters Degree in Clinical Social Work from Florida State University and is a Licensed Mental Health Counselor. She has over 25 years of experience as a therapist and as a business leader. She coaches managers on best practices, is a regular speaker on creative and practical life strategies and believes “transformation begins with a renewing of the mind.” Her clinical expertise is broad with specialties in eating disorders, PTSD, women, couples, teens and faith-based counseling. She is also highly experienced in providing counseling and crisis intervention training to various organizations in our community. A former licensed foster care parent and mother of two daughters, she is able to equip others in managing life’s many changes and challenges.

John R. Jones, Jr, Licensed Mental Health Counselor, Family Law Mediator & Parenting Coordinator

“Jack” has an MBA from Columbia University, a Masters Degree in Counseling Psychology from the University of North Florida and is a doctoral student in Conflict Analysis & Resolution at Nova Southeastern University. A former CPA with over 20 years of international business experience, he now specializes in working with teenage and adult substance abuse, family and couple discord, parental alienation syndrome, trauma, anxiety, depression, and schizophrenia. Practicing what he calls Cognitive Soul Therapy, dramatic results are sought using both science and spirituality. He is also familiar with the courtroom through his experiences as a Family Law Mediator, Parenting Coordinator, Guardian Ad Litem volunteer, licensed foster care parent, and adoptive father.

Lasting Results Through Science & Spirituality Kathleen Abbott, LMHC John “Jack” Jones, LMHC Melody Ott, LCSW Mark J. Fitzpatrick, LMHC Barbara Jenkin, CAP Megan Keegan, MS Liggett M. Cato, CECP Cynthia Zsolani, PhD Susan Barrow, LCSW Lin Brightman, BCHC Interns & Associates NEW!

Thomas Swisshelm, MEd, EdS has joined the LifeSource Group

Free Counseling Through Our Graduate Intern Program Free Substance Abuse Groups Featuring Smart Recovery

(904) 797-5680

Displaying the Spiritual Paintings of Mary Lou Gibson Fax: (904) 797-5681 • www.TheLifeSourceGroup.com

248 Southpark Circle East • Saint Augustine, FL 32086

Life Services

What Does A Funeral Home Do For the Family of the Deceased?

Presented by: Linda Roy Licensed Funeral Director/ Embalmer Craig Funeral Home

hen a death occurs, there are certain criteria, mandated by law, which must be recognized and requirements fulfilled as a routine matter. Beyond this, the coordination of services and disposition choices are determined by the family. The staff of a funeral home will assist you and offer any guidance you may require in your time of need.

The following are services with which a Funeral Director will assist you:

• The transfer of the deceased from the place of death to the funeral home. • Professional care of the deceased, which may include sanitary washing, embalming, dressing, hair dressing, cosmetology, and casketing. • An arrangement conference with the family to plan specific details for the funeral. • Locating the deceased’s doctor to sign a death certificate; then filing this certificate at the local health department; obtaining the requested amount of certified death certificates for the family. • Obtaining all necessary permits and authorizations, as required.

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• Preparing an obituary to be placed in any newspapers requested by the family. • Contacting local cemeteries or crematory, as required. • Care and arrangement of floral pieces, and delivery to the family’s residence after the funeral. • Arranging for Pallbearers and motor equipment, including limousines, as required. • Ordering special floral pieces at the family’s request. • Arranging for Cash Advances for cemetery expenses, clergy honorariums, music, funeral escorts, and custom acknowledgments. • Contacting Fraternal or Military organizations to take part in the ceremony. • Arranging for a personalized remembrance package, consisting of a guest register book, memorial folders, acknowledgments. • Assist with Social Security and Veteran benefits. • Filing of life insurance claims. • Alternative Services If a family chooses not to have a service with burial or entombment, a funeral home can offer cremation options, immediate burial plans, and anatomical donation.

Why Funerals Are Important • • • • • • •

Initiates the grieving process. Acknowledges the importance of a life that has been lived. Can be personalized to allow mourners to remember and honor their loved one in ways that are special and meaningful. Serves as a central gathering place for family and friends to give emotional and physical support to one another. Provides closure for the bereaved. Confirms the reality and finality of the death. Encourages mourners to face the pain of their loss and express their

• •

thoughts and feelings. Helps survivors to better cope with their grief and assist in enabling them to move on with their lives. Provides a context for expression of religious and other beliefs.

• Grief shared is grief diminished and grief denied is grief delayed. Consult your Funeral Director regarding ways to help make the funeral you are arranging more meaningful.

Linda Roy is a native of Milwaukee, Wisconsin and is a graduate of the University of South Carolina, where she received a BA in Business with a major in Marketing. She is married to Jason Roy and they have two sons, Christopher and Brian. After staying home with her children, Mrs. Roy returned to school in 2003 and earned an AS in Mortuary Science from FCCJ. Linda served her internship and has worked for Craig Funeral Home as a licensed Funeral Director and Embalmer for the past 5 years. “My goal after becoming a LFD was to work for an Independent/ family owned funeral home that offered the highest level of service and still believed that caring about the people they serve was an essential part of their business. Craig Funeral Home has been serving the families of St. Augustine and all of St. Johns County for the past 95 years with dignified and respectful funeral and cremation services. Always sensitive to the needs of the people of St. Augustine, they were the first funeral home in St. Johns County to own and operate their own cemetery, crematory and Cremation Society. Craig Memorial Park is the only local cemetery that offers traditional ground burial but also offers families the option of both public mausoleums and cremation niches. An expansion and beautification project is underway to serve the future needs of our county. Dedicated to a tradition of caring for everyone as if they where our own family, we will be stand ready to be of service to all who need our services any hour of any day”.

Life Services

Photo by Christine Cousart www.cousartphotography.com

Simply Susie Let us clean, cook and run errands for you! It’s just a part of what we do! Testimonials:

Susie cleans my house and is always happy to do any special chore I happen to need. She is very reliable and my house looks and feels great. - Brenda L. St Augustine

By Susie Sullivan

ear Friends: While many more mature adults are enjoying staying in their homes longer, some find they still need some extra “care”. That’s where I come in. I am offering a wide variety of “in home non medical” services. They include but are not limited to: • Grocery Shopping (send me with a list or come with) • Companionship • Meal Planning (special diets invited) • Homemade meal delivery (up to 4 meals a week) • Budget and/or bill paying (snail mail or online thru your bank) • Decluttering • House Cleaning

(special rates apply)

My rates are $20 hour with a 1 hour minimum

In other words… Make me your personal valet. Use me occasionally or put me on your regular schedule! I hope you will find some value in this opportunity and give me a call and let’s see how Simply Susie can help.

Simply Susie brings me delicious home cooked meals each week. I have the monthly menu, call her on Friday to order for the following week, and get great tasting and healthy meals. Beats the hassle of having to eat out every night. - J. Sandifer St Augustine

August Weekly Menu

Susie has been helping me declutter my home. We are taking our time and she understands sometimes it’s difficult to let go of things. Already it looks so much better. She also takes me to my Dr. appointments and is very prompt and knows the area so well. - Pete O. St Augustine Hi friends, My husband Michael and I have been in St Augustine since 1980. We enjoy being active in our community and were lucky to raise 2 great daughters here. We are now proud grandparents of 9 awesome grandchildren! I am finally at the right place to where I can combine 2 of my long time passions: Cooking and providing services to others. The idea of “in home non medical” services is extremely appealing to me in that there is nothing in those words we can’t do for you. This allows you to get personal, reliable and quality care and attention without having to rely on several “agencies” to provide them for you. I have spent many years private catering and also residential cleaning as a 2nd income. Now it’s time to make Simply Susie and you, my client, my main focus. So, give me a call at 904-392-0423 and let’s get together and come up with a plan for you. Best regards, Susie Sullivan Simply Susie

August 4 Shepherd’s Pie/Garden Salad/Roll Parmesan Baked Pork Chop/Hash Brown Potatoes/Spinach Salad Healthy Choice Grilled Boneless Pork Chop/Sauteed Apples/Spinach Salad Salmon w/ Dill Sauce/Smashed Sweet Potatoes/Tomato Salad August 11 Pulled BBQ Pork Sliders/Boiled New Potatoes/Grilled Peaches Fettuccine w/ Pesto and Tomatoes/Cucumber/Onion Salad Healthy Choice Grilled Chicken Breast/Wild Rice/Summer Squash Salad Sesame Honey Salmon/Brown Rice/Asparagus August 18 Pot Roast over White Rice/Potatoes n Carrots/Roll Chicken Curry over Rice/Yams Healthy Choice Baked Tilapia/Sauteed Fresh Veggies over Br Rice Baked Skinless Chicken Thigh over Tarragon Br Rice/Sliced Beets August 28 Steak and Blue Cheese Potato Salad/Roll Chicken Enchilada/Refried Beans over Rice Healthy Choice Chicken & Veggie Stir Fry over Noodles Pork Tenderloin/Sauerkraut/St Asparagus

Health & Medicine

August/September 2013

Health & Fitness

CoreAlign Training

Tammy Lagasse Genesis Bodywork

xercise is essential for attaining and maintaining a healthy lifestyle. The benefits of exercise are evident and the importance of regular exercise to physical and mental well-being, documented. The CoreAlign takes the path to fitness to a whole new level. Developed by Jonathan Hoffman, PT, the CoreAlign is an innovative training device that involves sliding carts which move independently with resistance (or assistance) possible in both directions. The precise movements on the small, square platforms that slide in a horizontal frame are designed to force the mind to force the body to align itself properly. Through a functional blend of posture, strength, flexibility and control, the CoreAlign teaches the body to protect,

fix and upgrade itself through correct movement. Most of the exercises on the CoreAlign are performed in an upright position, leading to rapid improvements in posture, balance, functional movement and sport specific skills. Weaknesses and imbalances – e.g., tight hip flexors and hamstrings, glutes and abs that do not engage – will be corrected. For runners and bikers, the improved balance and alignment will make them more efficient. Improved body balance will allow for the quick directional changes necessary on the tennis and basketball courts. Improved posture and gait will relieve aches and pains in the hips and back. Core strengthening and resistance training, especially in the quadriceps or thighs, will improve stability and reduce the risk of falls, thus reducing the risk of fractures, regardless of age or bone density. In addition, the low impact of the exercises makes CoreAlign training ideal for people suffering from pain conditions, be they in the back, neck, or joints. While it may not appear to be a hard-core cardio workout – at least not initially – CoreAlign training does exhaust muscles in new ways. At advanced levels, moving discs replace the sliding plates, adding more challenge to engage the core and tone the body. Exercises become more complicated and the routines more exhausting, thus increasing endurance, along with strength and flexibility. The body becomes stronger and better aligned, thus, more functional.

The CoreAlign is ideal for musculoskeletal rehabilitation, sport performance enhancement and regular workouts. Who will benefit from CoreAlign training? • Persons rehabilitating from back and neck pain, joint problems and sports injuries; • High level athletes and weekend warriors, including runners, racquet enthusiasts, and golfers; • Aging adults and persons with osteoporosis and other pain conditions; • Anyone wishing to improve his/her level of fitness.

So, whether you want to: recover from, and prevent recurrence of, injuries; run faster, serve harder, or drive a golf ball farther; build strength, flexibility and improve mobility; or, simply look and feel better, the CoreAlign is for you. A healthy body is attained and maintained in many ways and a consistent program of exercise is an integral part of a fitness routine. If you wish to experience a unique and challenging workout, contact Genesis Bodywork for your complimentary CoreAlign introductory session.

The benefits of exercise are evident and the importance of regular exercise to physical and mental well-being, documented. The CoreAlign takes the path to fitness to a whole new level. Tammy Lagasse, PTA, LMT, is the owner of Genesis Bodywork. She has over seventeen years of experience in the field of rehabilitation and earned her Pilates Rehabilitation Certification from Polestar Education in 1999. Tammy opened her studio, specializing in Pilates-based rehabilitation, fitness and massage, in 2004, and currently offers, in addition to physical and massage therapy, personal training and small group classes in equipment-based Pilates and CoreAlign fitness training. Tammy and fellow trainer, Kim Palmer, have completed the CoreAlign training and are looking forward to introducing this new and exciting approach to fitness. Genesis Bodywork is located at 4075 A1A South, Suite 105, St. Augustine, Florida. Please contact us by telephone at 904-471-2999 to schedule a complimentary introduction session to CoreAlign.

Business & Finance You’re Great... Make Sure Everyone Knows it Online!

By Jay Owen Owner, Design Extensions

ou know your business is great. Clients have told you your business is great. Whether it be the great prices, customer service, or unique products you offer, people love you. But how do you let new clients know just how great you are. For many businesses word of mouth is a large driving factor for revenue. The best way to drive that same stream on your website, is by including testimonials. Testimonials are a great way to include endorsements from previous clients on your website. Sometimes a whole page can be devoted to them, if your business is geared toward a service provided. Sometimes maybe just a sidebar graphic with a couple of choice reviews will suffice. Whatever is right for your business you usually can’t go wrong including praise from previous customers, for future ones to see. The best way to get the testimonials you want on your site, is first of all be great at what you do. If for example you sell shoes for a living, instead of focusing on selling the most shoes that you can, focus on helping the most number of people get the shoe that is right for them. Then instead of getting a testimonial based on how well you sold a product or service, you’ll get on

August/September 2013

on well you helped. Don’t be afraid to ask clients for testimonials. We love receiving unasked for praise, but sometimes it is okay to ask a client how your performance was. If it was stellar, then great that would be a good testimonial, if it was less than fantastic, now you know what you need to work on. It is also quite all right to feature testimonials that you know matter the most, first. It is great to get feedback that you can use on your website from specialists in the area that you cater to. There are also other options to get testimonials on your site. Perhaps its a google places rating, that you’d like put on your site. We can get a feed from google to show reviews of your business that will update as people add new ones. There are numerous other sources that we can pull a “feed” from that will keep the testimonials and reviews on your site up to date and current. Don’t be afraid to tell the world how great your business is. Maybe you need a brand new website, or maybe your old one just needs some testimonials added to it. . .Whatever the case, Design Extensions would like to help with that.

Design Extensions was founded by Jay Owen in St. Johns County over 13 years ago. He and his team at Design Extensions design and develop websites for clients all over the country. His passion is for developing high quality web sites and graphic design work that help his clients businesses grow. When not working on websites, he is usually spending time with his wife, Claire, and four children.

Legal

Tailor Tenant Against The Bank Foreclosure

By J. Russell Collins, Attorney

nce upon a time there lived a Tailor in a little rented house. The house was affordable, and close to the shop where he worked, sewing for all the fine gentlemen and ladies of the town. He liked his work, and he liked his little rented house. The Tailor paid his rent on time every month—he had no intention of moving. Then one day the Bank said he had to get out. “This property is being foreclosed on,” said the Bank. “The Landlady you have paid rent to has not made mortgage payments in many months, so this house is being taken over by the Bank.” The Tailor was quite perturbed. Certainly he did not want to move, but more than that, the Mayor of the town was getting married, and had just hired the Tailor to sew for him a new suit of the finest fabric with satin edging, and buttonholes to be stitched in silk thread. The Mayor’s wedding was in a fortnight, time enough to sew the suit for a handsome fit, but the Tailor would have to work very hard with no days to spare. “Why I shall have to employ the help of little mice if I am to finish the Mayor’s suit and look for a new place to live, plus pack up and move!” the Tailor declared.

Despite the Tailor’s protests, the Bank insisted that he did not have a bona fide lease with his Landlady, and that he would have to get out sooner rather than later. The Tailor met the Bank in court. “I am a Tailor,” the Tailor retorted, “and I stake my reputation on this: the lease of this house was a perfect legal fit at arm’s length,” he told the Judge. “The house was rented at market value and market terms, and the lease existed before the foreclosure.” Sure enough, the Judge ruled in favor of the Tailor, and his carefully measured arm’s length lease. The Bank was made to honor the terms of the lease that the Tailor had signed with his Landlady, at the end of which the Tailor had to outfit himself with a new place to live. But in the meantime, he completed the Mayor’s suit on schedule (without

the help of little mice). And from then began the luck of the Tailor. His very good reputation for precise measurement spread throughout the land, and he gained more customers so he could afford to buy a house of his own, and not have to worry about a Landlady making mortgage payments, or having to move.

With the Protecting Tenants at Foreclosure Act of 2009, a bona fide tenant under a lease or rental agreement who is paying rent can be protected when a new owner of the property comes along after foreclosure. Renters have rights, even in foreclosure. A new owner who takes over the property after foreclosure may have to honor the terms of the rental

agreement, including the length of the rental agreement if it is a valid lease; however, if the new owner plans to live at the property as a primary residence, the tenant may be able to have a 90-day notice before being evicted. The key factual issues are (1) valid rental agreement (month-to-month or a lease) and (2) if the new owner is going to live in it. And of course, (3) rent must be paid. Regardless of whether or not the landlord has made mortgage payments, a tenant in possession who pays rent has certain possessory rights to the property. Seek competent legal counsel to discuss the specifics of your renter’s rights. Your best move may be to remain until the end of your lease—do not let injustice force you out early. For more information, Google “Protecting Tenants at Foreclosure Act of 2009.”

Rusty Collins was admitted to the Florida Bar on September 27th, 2008 and his legal practice has grown rapidly since. His vast experience in real estate motivated him to attend law school, and consequently expand to serve both the real estate and legal needs of his clients. He is proud to provide service in areas where legal and real estate issues often overlap.

While a large portion of his practice is in foreclosure defense and consumer law, Mr. Collins’ reputation in fairness and honesty has brought him referrals in a variety of legal branches. He builds his professional profile as an attorney willing to do the work and accomplish difficult tasks.

Photo by Christine Cousart www.cousartphotography.com

Women in Profile

Bobbie-Jo Manning Engineering Development Coordinator for Public Works for the City of St. Augustine.

obbie-Jo is the Engineering Development Coordinator for Public Works for the City of St. Augustine. She has been working in engineering, construction, land development and marketing for over 20 years. Bobbie-Jo is a very active volunteer in the St. Augustine Community and is a proud member of the St. Augustine Sunrise Rotary Club. This is her 5th year in the club and she has served as Vice President for the past two years. She was also Volunteer Coordinator for Rhythm & Ribs in the previous four years. “I cannot say enough about the St. Augustine Sunrise Rotary Club. We have fun, we work hard on community projects like Rhythm & Ribs, and I love those people – they’re

somethin’ special!” says Bobbie-Jo. This year Bobbie-Jo was the Chairperson for Rhythm & Ribs and was recently honored with the title of Rotarian of the Year in June by the St. Augustine Sunrise Rotary Club. Bobbie-Jo says it was an honor for her to chair the St. Augustine Sunrise Rotary Club’s 18th Annual Rhythm & Ribs Festival (R&R) this past April 2013. She says she really prefers to stay “in the background”, working hard to make things successful. “But, every once in a while, I get pushed out into the spotlight, and then I just grin and bear it.” Net proceeds from the festival are at $100,000 with 100% of all R&R proceeds going to charity - mostly local and some international charitable causes. So, when you add all that together, how can you top that?! Well, the planning team for 2014 is already working, and Bobbie-Jo has no doubt they’ll surpass all expectations! So as busy and dedicated as she is, what is Bobbie-Jo up to now? Well, she has moved on from one festival to the next. Currently she is on the planning team for the Gentlemen of the Road St. Augustine Stopover - Mumford & Sons music festival scheduled for September 13 & 14, 2013. “We are just weeks out from the festival and things are taking shape. For one weekend, spotlights from around the globe will be on our community. People talk about the need for economic opportunity. This short 2-day event will bring an infusion of dollars to our economy during the slowest month of our tourist season,” explains Bobbie-Jo. Bobbie-Jo is a Sarasota native who moved to St. Augustine from Gainesville in 2000 with her husband Jimbo Manning, a local musician. She is a HUGE dog lover and has dogs of her own. Growing up on the water has made paddleboarding and wakeboarding some of the hobbies she enjoys. A couple of her favorite travel spots include the Caribbean and the Florida Keys. Most importantly, charities that are near and dear to Bobbie-Jo’s heart are Haven Horse Ranch and Betty Griffin House. The St. Augustine community is lucky to have Bobbie-Jo has one of our active volunteers working to better our community.

Lisa is a bachelor’s prepared registered nurse from Jacksonville University

Lisa Nazario Bariatric Program Coordinator for the Flagler Hospital Bariatric Surgery Center

and has served in various capacities at Flagler Hospital for 17 years. She has cared for patients in the Medical/Surgical floors, ICCU, Outpatient Surgery and the Emergency Care Center. She also has spent time in Nursing Informatics and served as a Nursing Educator. Lisa has many hobbies; she enjoys spending time with her rescued pets: a black lab named Molly and two cats named Gator and Evie. She also enjoys running and is a member of Ancient City Road Runners. She has been involved in the local Compassion 5K Sertoma Annual 5k Run which helps to

isa Nazario serves as the Bar-

iatric Program Coordinator for the Flagler Hospital Bariatric Surgery Center. In this capacity, Lisa helps navigate

raise money to ease the financial burden of local families that are currently living with a major health crisis. Lisa fell in love with St Augustine after starting work at Flagler Hospital and moved here family here in 1995. When not at work Lisa enjoys spending time with her family and friends.

patients through this transformational journey and collaborates with surgeons, nursing leadership, counselors, dieticians and concierge staff, to ensure every patient’s unique needs are met. She also plays a key role in ensuring Flagler Hospital’s multi-faceted Center of Excellence designated program remains among the top in the nation for quality and service.

August/September 2013

Women in Profile before graduation. Her internships at Flagler only strengthened her interest in

Photo by Christine Cousart www.cousartphotography.com

medicine and she started courses toward obtaining her Medical Assistant certification. She accepted a position at CareSpot Express (formerly, Solantic) and worked there for four and a half years. After leaving CareSpot, Cassie worked briefly at an attorneyâ&#x20AC;&#x2122;s office. She quickly found that she missed working with patients and felt in her heart that she needed to seek new employment. She

Cassie Linderman Medical Receptionist Coastal Foot & Ankle Wellness Center

was hired to work as the Medical Receptionist for Dr. Joseâ&#x20AC;&#x2122; Concha, DPM and Dr. Richard Johnson, DPM at Coastal Foot & Ankle Wellness Center in June of this year. Cassie says she already feels at home and loves her new Coastal family. She feels that the doctors are wonderful and she loves spending her day helping patients and believes that she is back where she belongs.

services at Heritage Baptist Church with her family. She also assists her hus-

band who preaches and ministers at youth prisons in both St. Augustine and Hastings. As part of their dedication to serving the community, Cassie and her family also visit and minister with nursing home residents monthly.

assie Linderman is a Saint Augustine native. She is married to her won-

derful husband, Jeremy, and is mother to soon-to-be 3 year old daughter, Nevaeh. Cassie and her husband hope to expand their family one day and find Saint Augustine a wonderful place to live and raise children.

When not at work, Cassie loves just being a mommy and enjoys attending

While in school, Cassie had a strong interest in the medical field. She was

selected as one of only a few candidates to have internships at Flagler Hospital

Now find us on the web at: staugustinewomansjournal.com

Community

A Community Committed to Caring

By Caroline A. Wolff, Founder, St. Gerard Campus, St. Augustine

hat does it mean to work together? It means we all play a huge role in the lives and the future of many infants, children, teens and people of our community. St. Augustine is an amazing city, of so many different people, all working together for the betterment of all. We are so proud to be a part of the big picture along with all the other agencies that reach out to help the less fortunate, the poor, the hungry, and the desperate. So much has happened and is happening here at St. Gerard Campus! Graduation this past June was a huge success! Our entire senior class of 15 students, walked with their class and received their diplomas. Even the babies received graduation mortars. Families came together to celebrate and join in the festivities. A wonderful banquet with donations from our volunteers and from local food chains finished off the evening. We are so proud of each student and the hard work they put into

50’s Remember When Sock Hop

achieving this day. We educated them, laughed with them, cried with them, saw their babies born and sent them out into the world, prepared to face the challenges that are life as independent young women. We are honored to announce Destiny Wells was Valedictorian and De’Shananya Humphrey was named Salutatorian. Congratulations to all the students and their families. A wild thunderstorm could not stop our “50’s Remember When Sock Hop”, held on July 20 at Bishop Baker Hall in St. Augustine. It was a huge success! We need to take a moment to thank some wonderful people and companies that helped us realize our goal of a fun event while raising much needed funds. We were truly blessed! Burkhardt Beer Distributors donated beer, Publix Supermarkets donated $3,000 which covered the hero sandwiches, salads, soda and other incidentals. Wal-Mart donated water and a gift card. Our music was provided by Ava/Cameron Audio and Video Productions. DJ Tony put on a wonderful show and the 50’s music was top-notch. Thanks to Judy and Gus Klein we were able to offer delicious wines. St. Augustine Candy and Nut provided retro candy for everyone’s enjoyment. Thanks to Richard and Irina Ziemann we had beautiful centerpieces made up of old record albums. Thanks also to Jackie Siegel for her contribution of poster art, balloons and the posters we distributed around town. A special thanks to Samantha of the Northeast Florida Woman’s Journals for designing

the wonderful poster for us. Thank you, too, to our wonderful volunteers, Rainy, who spent the entire evening handling all the food and drinks for our crowd and Dennis and Donna McNary, who handled all the door prize gifts, from beautiful baskets to gift certificates from local restaurants. It was certainly a job well done! Without all this support we could never have done this. Our guests came in costume, everything from poodle skirts, 50’s hairdos, leather jackets and “pink ladies” attire. What fun! Trophies were awarded for the dance contest, hula hoop contest, a 50’s Karaoke contest and a best costume contest. We are already making plans to have this event again next year. We hope you will all come! The Spring Newsletter Raffle winners have been announced! The 1st place winners were James and Kimberli Hargnett, who won a World Golf Village Package worth over $620. 2nd place went to William Garvey, winner of a Romantic St. Augustine package valued at $500. 3rd place was a lovely spa basket from Ponte Vedra Plastic Surgery, valued at $350 and was award to Loretta Respoli. Thank you all for you kind contributions to our mission. Our next newsletter will be sent out in September with details of our next fund raiser….the 30th Annual Fashion Show and Silent Auction at the World Golf Village Renaissance Resort on Saturday, December 7, 2013, from 12 noon to 3:30 pm, for the benefit of pregnant teens and new teen mothers. Ticket prices will remain at $35 per person. You can reserve your tickets early by calling St. Gerard Campus at 904-829-5516. School Registration for the upcoming new school year is going on right now. If you know a pregnant teen, between the ages of 13 and 20, or a new teen mother, in need of a high school diploma, please contact our dean, Ms. Julie Gramza, at 904-829-5516 for an interview and enrollment package. Seats fill up fast so act now! And speaking of school….we are reaching out again to the public to help us with school supplies. Most of our young women come from the poorest of homes and can ill afford school supplies. We are looking

for and in desperate need of donations of backpacks, spiral notebooks, pens, memo pads, marble notebooks, calculators, rulers, folders, colored markers and colored pencils. We can always use donations of diapers and wipes. Donations may be dropped off at our school located at 1405 US Hwy 1 in St. Augustine. Our 7th Annual A1A Ale works Golf Tournament is scheduled for Wednesday, September 11th at the Slammer and Squire Golf course at the World Golf Village. Registration is $100 per golfer and includes your cart, range balls, green fees, a tournament gift bag and an awards reception at the A1A Ale Works restaurant. There are many awards, raffles and prizes to be given, including 1st, 2nd and 3rd place teams, men’s and women’s longest drive, amongst others. There is also a grand prize of a new car for a hole-in-one! One was actually won last year. This year, it could be YOU! Please contact Scott King at A1A Ale Works at 829-2977 or 540-1757. We feel blessed to have such an active 2013. We are still struggling, but we know God will prevail and protect us. Thank you for all the time, energy and money you have poured into St. Gerard Campus. We would love to hear your good news, call 829-5516 to share with us. We continue to pray our little star continues to shine brightly as we work to save the lives of the little angels and empower our young women through education.

St. Gerard Campus 1405 US Highway 1 S St Augustine, FL 32084

(904)829-5516

www.stgerardcampus.org

Community

August/September 2013

Community

Horace Mann and DonorsChoose.org bring school supplies to classrooms e.org is a s o o h C s r o n o “D anization g r o t fi o r p n o n public that connects rs in need e h c a te l o o h c s materials m o o r s s la c f o ces with and experien nors who individual do .” want to help

Shannon Millican Heritage Educators Insurance Co. A Horace Mann Exclusive Agent

ost business people aren’t expected to bring their own office supplies to work, yet on average teachers spend $40 per month on classroom supplies in order to teach our kids, according to DonorsChoose.org. DonorsChoose. org is a nonprofit organization that connects public school teachers in need of classroom materials and experiences with individual donors who want to help. Charles Best developed the website that became DonorsChoose.org in 2000. At the time, he was teaching in a Bronx high school where teachers experienced first-hand the scarcity of learning materials in public schools. Best, then a social studies teacher, sensed that people would like to help, but were frustrated by a lack of influence over their donations. So, along with his students, he created a website that allowed individuals to connect directly with classrooms in need. Today, any public school teacher can

post classroom project requests on www. DonorsChoose.org. Requests range from crayons for art class, to computers for individual learning, to incentive items for an achievement program. The site includes an e-school mall which connects teachers to traditional education vendors such as Lakesshore Learning and ABC School Supply. Specialty stores like Sporttime and Frey Scientific are also included. Once a project is live on the site, donors can browse requests and give any amount to the one that inspires them. Donors can give as little as $1 and get the same level of choice, transparency, and feedback that is traditionally reserved for someone who gives millions. They call this “citizen philanthropy.” Once a project reaches its funding goal, DonorsChoose.org delivers the materials to the school. Donors then get a thank-you letter from the teacher and a cost report showing how each dollar was spent. The DonorsChoose.org blog is filled with comments from grateful teachers. One new teacher writes: “I am thankful for an organization that provides

such support for teachers. As a first year teacher, the expenses are so great. I keep buying supplies for my classroom. This is my first time using this organization, but it was recommended by another teacher that has gotten great results. Thank you so much for your support.” Another posted: Even after having several projects funded, I am still amazed that complete strangers are so generous to me and my students. I am always recommending DonorsChoose to my colleagues! And, because so many donors have helped me, I have chipped in on some projects to help other teachers. It feels so great to get funded. I want more teachers to experience that!

Horace Mann, one of the nation’s leading insurers focusing on the needs of educators, is a national sponsor of DonorsChoose.org. Since 2000, DonorsChoose.org has made it possible for more than 250,000 classroom projects to receive more than $100 million dollars in funding. And since partnering with DonorsChoose.org in 2011, Horace Mann has donated more than $2 million to projects on the website. On a local level, Horace Mann representative Shannon Millican is highly committed to the DonorsChoose.org’s mission as well. “Our partnership empowers educators by making it possible for them to find the teaching tools they need, from vital basic supplies to cutting edge technology that can make learning exciting for students,” Millican said. “The resources educators can acquire through DonorsChoose.org are only limited by their imagination.” Millican and her staff are available to show teachers how to post projects on DonorsChoose.org and give them ideas for promoting those projects. She can be contacted at (904) 810-5636 or by email at shannon.millican@horacemann.com.

Community

Have Fun and Give Back! Then it is out to the arena to learn how to get on and off that tall animal! Learning to maneuver the horse where you want it to go and not where it wants to go is a must! Once you get comfortable riding, you can join the group on Ride Days where everyone has fun and can show how well they are learning. Whether you are a seasoned rider or an absolute novice, we have the right horse for you!

Trail Rides:

By Mary Rigsbee Haven Horse Ranch

t Haven Horse Ranch Our mission is, To Assist Each Person with Special Needs in Reaching Their Full Potential through Interaction with Horses, and to provide a kind, rewarding home for older horses and ponies, loving care, and proper burial on our ranch when they pass on. To help support this endeavor, Haven Horse Ranch is also a working ranch where we educate others about enjoying horses through:

Riding Lessons:

Ever wonder just how the individuals in rodeos and horse shows got so good? Most began with lessons and lots of practice. Here at the ranch Western Horseback Riding and Horsemanship lessons are held almost every day, especially on Saturday mornings. Lessons are tailored to each participant’s needs. But, everyone must start in the barn with the basics, yep, getting the horse ready to ride. That includes learning how to groom the horse and put the bridle and saddle on properly.

Come sit in the Blue Barn with Mr. Ric and have him explain what to expect on the trail ride. He will show you how to handle the reins and the do’s and don’ts of trail riding. Then he will take you down to the arena so you can get acquainted with one of our capable horses. Mr. Jar-

Team Building:

We host group functions as well. Bring your classroom, youth group or office staff out for some team building or just for fun! The hayride through the woods is a treat to all. We are limited only by our combined creativity. and

Camps, Clinics and Retreats:

Our camp programs are designed to safely have fun with horses while creating new relationships, team work and individual character. Guests learn about horses, tack and general horse care and, of course, horseback riding. Through activities, our guests learn to improve not only their knowledge about horses, but they gain a level of self-esteem, self-respect, and selfdiscipline. Children come from all walks of life, from all over the First Coast area, working, learning, and playing together

on a level playing field. They spend time being kids, all the while experiencing some of life’s most important lessons. And the best part of all is that the money you spend for any of these great activities helps to provide therapy for a Special Needs Child. Haven Horse Ranch is a non-profit organization that does not receive any state or federal funding and relies solely on the generosity of individual supporters to fulfill our mission. If you wish to make donation, please see our website at: www.havenhorseranch.org or call the ranch at 904-813-5710.

ett and one of our volunteers will then take you on an interactive ride around the property. With acres of wooded land, you are bound to see a few living creatures such as turkeys, eagles, raccoons, or deer. It is so peaceful just listening to the horses’ hooves clomping along the trail and being in the great outdoors.

Birthday Parties:

Do you have a youngster that would like an adventure for their birthday? Well, the ranch is just the place for a party. There is a great spot under the trees with tables for that birthday cake and punch and then on to take a tour of the barns and meet the horses. One of our fabulous volunteers will show you how the horses are groomed and even give you a chance to try your hand! They also explain all kinds of neat things about horses and how they need to be treated. Depending on the party, there may be time to ride around for a little while.

Haven Horse Ranch, a non-profit, 501c3 organization is a licensed SpiritHorse Therapeutic Riding Center and member of PATH (Professional Association of Therapeutic Horsemanship). The ranch provides riding lessons, horse camps, clinics , retreats and trail rides to all individuals including those with special needs. “Horses just have a way of breaking down barriers,” explains Lehman. Whether child or adult, whether “normal” or “special needs” doesn’t matter to the horse. If you’re good to them, they’ll do right by you.” To sponsor a child, make a tax deductible contribution or for more information contact Haven Horse Ranch at 904-813-5710 or info@havenhorseranch.org or visit our website at www.havenhorseranch.org.

August/September 2013

Community

Northeast Florida Healthy Start Coalition

hen Evette Langham learned she was pregnant she was excited but also very worried. She had already experienced several miscarriages and in 2009, gave birth to a son at just 33 weeks. He weighed three pounds and was born with a birth defect. He passed away at four months old.

died before their first birthday. Jacksonville also experiences significant health disparities, with black babies dying at twice the rate of white babies. The leading causes of death are prematurity, low birth weight, birth defects and sleep-related death. A new Florida law went into effect July 1st, requiring all parents of newborns to receive safe sleep education and information before being released from the hospital or birthing center. In light of the new law, the Florida SIDS Alliance and the Florida Association of Healthy Start Coalitions have partnered up to bring safe sleep education state wide with the safe to sleep initiative. The Northeast Florida Healthy Start Coalition, Inc. was organized in 1992 as part of a statewide network of community-based organizations to reduce Florida’s high infant mortality and

improve the lives of pregnant women and their families. The Coalition covers Baker, Clay, Duval and Nassau and St. Johns counties. To help fund these programs the Coalition is hosting “Rounds at the Grounds.” Two teams of area doctors take part in a charity softball game. Now in its fourth year, the popular fundraising event takes place immediately before the last home game of the Jacksonville Suns on Sunday, September 1st. Funds generated are matched by a challenge grant from The Chartrand Foundation. “This year’s activities will focus on health education and community outreach, empowering community members to act as lay health advocates in their own neighborhoods,” said Dawn Clarke, Interim Executive Director Northeast Florida Healthy Start Coali-

Winston and Evette Langham So when Langham found out she was pregnant again she applied for services through one of the many programs offered by the Northeast Florida Healthy Start Coalition. She is a math professor at FSCJ and her husband is in the Navy so she feared she wouldn’t qualify. She was relieved to learn the program doesn’t base its support on financial ability, but rather the need to assist with a healthy outcome. Due to her history and older age, she was considered a high-risk patient and qualified for services. “Susan is the nurse who visited me throughout my pregnancy, providing information about each stage in the pregnancy,” said Langham. “My husband was not here for the majority of the pregnancy, so I really appreciated having Susan,” adds Langham, “memories of my last pregnancy haunted me and the information and support she gave me helped me feel more relaxed.” Langham is not alone in her worries about having a healthy baby. Florida’s infant mortality rates are among the highest in the nation and outcomes in Jacksonville are worse than the state. In 2012, 127 babies in Northeast Florida

August/September 2013

tion, “a portion will also help support community-based initiatives, which work on reducing Jacksonville’s high rate of infant deaths.” Jacksonville Jaguars No. 75 Offensive Tackle, Eugene Monroe is the lead sponsor and Celebrity Team Captain. “I am a father myself and my wife and I know how important it is for parents to be given the right tools and education so they can have a healthy and happy baby,” said Monroe. “I am looking forward to being a part of this event again and am excited for another great match up on Bragen Field.” Langham and her husband, Winston, say they are grateful for events like these that support the Coalition. The Langhams are now proud parents of a baby girl they named Brielle Rose and say they couldn’t be more grateful for the support they received.

Why

should your business or practice become a contributor to the Woman’s Journal? “Thank you, Woman’s Journal for your many contributions to our community! Your paper is full of important information on issues that affect the quality of life for all of us who live in St. Johns County. I can’t tell you how many times someone has asked me for details about something they read in the COA column in your magazine...probably because the Woman’s Journal is one of only a very few publications that everyone I know reads from cover to cover...and because your distribution is awesome... this magazine is everywhere! People really do come up to me and say, “I read about you in the Woman’s Journal while I was at the library...or waiting at Susan Johnson, Communications Coordinator Council on Aging

the doctor...or in my dentist’s office...!” Or better yet, “I know you...you’re in the Woman’s Journal!” You rock!” Susan Johnson – Council on Aging

“Over my five years of business, the SAWJ has been the most effective tool to bring customers to the shop. Everyone who opens this publication is impressed with its content and anxiously awaits the next issue. Partnering with Anthony and Suzanne has been an exceptional way to reach new customers and remind existing customers.” Susan Loosberg – The Pink Door “The Woman’s Journal has been a great asset to our community. I love sitting in doctor’s offices and watching people pick up the Journal and enjoy the articles. It has certainly spread the word about our mission at St. Gerard Campus. We have had the opportunity to touch people’s minds and hearts with the plight of pregnant teens and teen mothers who otherwise might not have had the opportunity to finish high school and make a better life for themselves and their children. Through the Woman’s Journals we have been able to share the success stories of our graduates. We thank the Woman’s Journal for bringing attention and awareness of issues facing women today.” Maria Gleason - St. Gerard Campus, Inc. “I would like to thank you both, Suzanne and Anthony, for the exceptional service and product that you have provided BayView Healthcare with since 2009. Your customer service over the years has been outstanding, your product excellent and your guidance unmeasurable. The Woman’s Journal has offered us an excellent vehicle to provide educational and informative health care information to members of our community. BayView Healthcare holds a strong belief in the importance of empowering healthcare consumers with education and knowledge. We know that being informed consumers reduces the stress of the unknown, can facilitate health-care decision-making and allows patients and families to be in the driver’s seat of their health, rehabilitation and their ultimately their future. BayView Healthcare is the leading multi-level continuum of heath care provider in St. Johns County and surrounding areas and the Woman’s Journal has been instrumental in helping us connect with members of our community at a new level. Not only have we been able to showcase our specialty programs, our clinicians, and explain every aspect of our continuum of care, but we have also been able to educate and give hope that help is out there. Each and every week, we speak with members of our community who have read about us in the Woman’s Journal. You have proven yourself to be very community-minded, very supportive of our organization and we are loyal contributors to your journal. Thank you. We appreciate you.” Anita Portman – BayView Healthcare “The woman’s journal is a superb educational tool and is a great resource for the community at large to gain factual knowledge written by leaders in their field.” Dr. Ryan Pereira, DPM, FACFAS – The Center for Advance Vein Care “From professional offices to public libraries, and even the regional airport, my clients and future clients can find me in the St. Augustine Woman’s Journal. Great distribution and content.” J. Russell Collins – Rusty Law

“I am always so pleased to have customers tell me how they came to our restaurant while browsing through the Woman’s Journal. The articles are informative and the distribution is widespread. We are very grateful to the staff of Woman’s Journal for encouraging us to update our ads. This has definitely increased our business.” Yvette Schindler – The Present Moment Café “I cannot tell you the number of patients that have found their way to our office in response to their having seen our articles in the Woman’s Journal. From former patients who lost touch years ago who were delighted to see a familiar face again, to brand new patients who have never seen a podiatrist before, but who felt so encouraged by what they read that they placed that important phone call. The Woman’s Journal is a publication that is informative, inviting and compassionate to it’s readers. We are proud to be associated with the Woman’s Journal and so pleased with the increased business we’ve experienced as a result!” Amy Smith– Practice Manager, Coastal Foot & Ankle Wellness Center “Being a contributor in The Woman’s Journal has benefited me and my company a great deal. It continually proves to be an excellent marketing tool for our services and goes “beyond local” to attract customers to our door. It’s an appealing, informative and popular publication that gets results.” Betty Carvajal, PhD – Ponce Home Medical Equipment, Inc. “The Woman’s Journal has really helped me build business for the AAA Travel department in St. Augustine. I ‘ve been contributing articles for just about a year now and hardly a day goes by that someone doesn’t mention the fact that they have seen us in the SAWJ. I have made some VERY profitable sales because of this exposure and feel so lucky to be partnering with Suzanne and Anthony . Thanks for all your support.” Kelly M. Monroe, The Auto Club Group “Working with Anthony and The Woman’s Journal has been a tremendously rewarding experience for our clinical counseling practice. We are reaching individuals and families who may or may not have heard of us, but most importantly, by reading our articles, they grow far more comfortable with the counseling process and who we are as therapist. It’s as if we are already having our first session together, addressing expectations and uncertainties that are part of the deeply rewarding experience of psychotherapy. When the phone rings (and it does far more frequently now), our readers already feel a sense of knowing us and, we too, feel a special connection with them when they say they saw us in The Woman’s Journal. Finally, the publishing deadlines become a gift by forcing us to focus on the most important issues impacting individuals and families within our very special community. Thank you Woman’s Journal!” John R. Jones and Kathleen Abbott – The LifeSource Group

Photo by Darice Michelle Photography www.DariceMichelle.com

Community

Diane Quick, Director of Development of Home Again St. Johns

ocal fundraising professional, Diane Quick, has recently joined the staff of Home Again St. Johns. Over the past 20 years, Quick has worked with three Northeast Florida nonprofits, raising millions of dollars, recruiting thousands of volunteers and helping over 800 low-income families acquire a home of their own. Quick recently stated, “I can’t think of anything I’d rather be doing with my life than helping people in need. I feel blessed to have been able to do that in my career.” Quick is now poised and ready to do the same with Home Again St. Johns. During the past three years, Quick has volunteered with the organization whose mission and cause became very important to her. The vision of Home Again St. Johns is to develop a one stop Community Needs Related to Homelessness • More shelter beds and affordable housing • Coordination among agencies serving the same people • One Stop Center where services are provided to the homeless • Street Outreach • Adjust public ordinances supporting a multi-agency system of care • Community embraces the issue of homelessness

August/September 2013

Home Again St. Johns location housing multiple agencies providing coordinated homeless services such as housing, healthcare, substance abuse, mental health and domestic violence services, technical service training, basic education, job placement and homeless prevention services. “Home Again St. Johns is a small nonprofit with big plans and ambitions”, said Quick. “I’ve previously worked with nonprofits with similar causes helping them to grow their organizations and meet their mission. I’m looking forward to helping Home Again St. Johns in any way I can.” In order to reach the ambitious goals of the organizations she’s been involved with in the past, Quick reached out into the community to raise funds, awareness and volunteers from businesses, churches, civic groups, schools and many concerned citizens. Quick sees Home Again St. Johns as the community’s response to helping the homeless return to being productive members of society. She and the organization believe it will take the entire community to make the goal of a one-stop-center a success. Therefore, the business community, the provider community, citizens and local government will need to support the project financially and provide input and approval for the agency’s ongoing efforts. Working as a volunteer over the past few months, Quick made a decision to contact two Northeast Florida families to discuss co-sponsoring her salary so she could join the staff of Home Again St. Johns. These families had been supportive of her and the organizations she had been involved with in the past. Within a month, both families agreed that they would. “Two of the most supportive families I’ve partnered with in the past have been Wayne and Delores Weaver of Jacksonville and the Scheidel family of Ponte Vedra,” said Quick. “If anyone was going to support Home Again St. Johns in this endeavor it would be these two families and their family foundations.” Matching funds for these grants was raised from local individuals and the St. Augustine Rotary Club. David Hoak, the agency’s Executive Director stated “This generous support which allows Diane Quick to join us is the latest example of Home Again

St. Johns bringing new resources to the effort to create lasting solutions for homeless people in St. Johns County. She is a hard worker whose efforts will have a great positive impact for the most needy in our community.” Quick has recently set up her office and began working fulltime with Home Again St. Johns handling fundraising, PR, community relations and grant writing. For additional information on Home Again St.

Johns, please call (904) 881-1167 or visit the website at www.homeagainsj.org Home Again St. Johns is a local 501c3 nonprofit with a mission to coordinate providers, government, individuals, community and faith-based organizations to resolve homelessness issues in St. Johns County. The organization’s vision is to build a one stop location housing multiple agencies to provide coordinated homeless services.

History of Home Again St. Johns • July 2008 - Group of business and community leaders support City of St. Augustine’s development of 10 Yr Plan to End Homelessness • April 9, 2009 – Adopts Home Again St. Johns as project name with staff support from United Way of St. Johns County • March 2010 – Reviewed current cost of homelessness • April 2010 - Monthly Providers Meeting Begins • June 2010 - Developed homeless street resources card “Opening Doors” • November 1, 2010 - Food sharing known as “Dining with Dignity” begins in a vacant lot at Bridge and Granada Streets. Meals provided daily by community organizations • October 1, 2011 – Incorporation date of Home Again St. Johns, Inc. • February 2012 – Announces location for One Stop Center at 1850 State Road 207 • May 2012 – Conceptual drawing of One Stop Center Campus • August 2012 – Full time executive director hired • January 2013 – Relocated offices to 1850 SR 207 with a 13.5 acre lease owned by Salvation Army • Today…Developing the “One Stop Center” on the State Road 207 property

Community

2014 Pin Up Paws calendar photo contest and fundraiser

Presented by Carolyn Smith, St. Augustine Humane Society Operations Director

o you want a fun way to win a great prizes and support the Humane Society at the same time? The society has announced its 2014 Pin Up Paws calendar photo contest and fundraiser, and a casting call has been issued! The calendar will feature “Classic Movie Moments,” and winning pets will have an opportunity to take part in a professional photo shoot in studio with award-winning photographer Addison Fitzgerald. The pets will be matched with famous movie quotes and costume and set designers will dress them for their starring roles in the 2014 calendar. Submit a photo of your pet to enter the contest, then you and your friends vote for your pet to win great prizes and to be a Pin Up in the calendar. Prizes include restaurant gift certificates from the Columbia Restaurant Community Harvest program. Photo submission is FREE and votes are $1 each. All proceeds benefit the programs of the St. Augustine Humane Society. After you submit your pet’s photo, be sure to campaign for votes through email, Facebook, Tweets, etc. The full-color calendars will be available October 4, 2013 at retail locations in St. Augustine just in time for holiday gift giving. For a $10 donation, you can pick up a calendar at the following St. Augustine locations: St. Augustine Humane Society – 1665 Old Moultrie Road; Tres Sebastion – 304 Anastasia Blvd., Antique Warehouse – 6370 N. US Hwy 1; Benet Store – 62 St. George St. For full details on how to enter the contest, rules, prizes, and to view current entries, visit www.pinuppaws. com. Have Fun! If you have any questions, please contact Carolyn Smith at 904-829-2737 or email her at admin1@ staughumane.org. For more information about the services offered at the Humane Society, visit www.staughumane.org. Premier showing of the calendars will take place at the annual Pawtini party held at the Raintree restaurant, Oct 3rd. 6:00 pm.

Community

August/September 2013

Travel

Quantum of the Seas Prepare yourself for a World of Wow!

Kelly Maguire Monroe, AAA Travel Professional

oyal Caribbean International® unveils a Quantum leap forward in cruising. With newly designed staterooms, innovative features, and transformative venues, Royal Caribbean’s newest ship, Quantum of the SeasSM, elevates cruising to an entirely new level. Royal Caribbean continues to deliver firsts at sea – The exclusive North StarSM promises to elevate you both physically and emotionally, revealing 360-degree views of a world you’ve truly never seen before! Simply step into the North Star’s intimate, jewel-shaped capsule and gently ascend over 300 feet above sea level, where you can take in breathtaking views of the ocean, the ship, and the exciting destinations that we visit. The SeaPlexSM is not only the largest indoor active space at sea, but also the most groundbreaking. By day, guests can experience a circus school and flying trapeze, as well as a full-size regulation basketball court. Then by night, the firstever bumper car and roller skating offerings at sea will deliver thrills, with music provided by a floating DJ booth that

hovers above the activity happening below. And if all this play makes you hungry, the first-ever food truck at sea is on hand to serve up tasty snacks. Our ships do more than just sail the world — they let you fly! That’s right: Fly! Another first you’ll find only on Royal Caribbean is RipCord by iFly®. This skydiving simulator lets guests experience the sheer thrill and exhilaration of flying. RipCord by iFly®’s air machine will keep you afloat in a safe, controlled environment. So you can feel the wind in your hair, and utter WOW of flying, all without ever having to leave the ship. Your ears — and eyes — never had it so good. Music Hall is Quantum of the Seas’ SM hottest live music venue and is the place for guests to enjoy intimate and exclusive access to live performances, while also rocking out in a rebellious and edgy setting. At night, Music Hall comes alive as the heart of the ship’s entertainment featuring bands, musicians, DJs, theme night parties and more. Experience our most Royal accommodations ever. For those who want to experience our most luxurious accommodations, our two-story Loft Suites are just what you’re looking for. Featuring the finest amenities and most breathtaking, expansive views, these staterooms offer a dining area, a dedicated concierge, with more space and more pampering to make you feel right at home. And our Royal Loft even comes with its own private whirlpool. Plus, all your favorites are back.

Whether you want to hang out with characters from our DreamWorks® Experience like Shrek and Fiona, or hang ten on our 40-foot-long FlowRider® surf simulator, or climb our signature Rock Wall, all of the features and amenities you’ve come to expect and love from a Royal Caribbean International cruise vacation are here, on Quantum of the SeasSM. Designed for longer itineraries, Quantum of the Seas’SM expansive and bright indoor spaces al-

low you to experience every feature of the ship and comfortably enjoy your cruise from the moment you board. From her home port of Cape Liberty in Bayonne, New Jersey, QuantumSM sails throughout the Caribbean and the Bahamas, including our very own private beach paradise of Labadee® and CocoCay®. You can book now for our season starting the Winter 2014/15.

SERVICE WITH A SMILE! Remember those days? AAA Travel St Augustine does! Call or come by today and let our Travel professional, Kelly Maguire Monroe, who has been sharing her passion for travel and creating memorable vacations for 30 years do all the work! Research, compare, and negotiate for the most competitive prices in town! Tours, cruises, hotels and cars. AAA Travel is equipped with the most up to date technology to ensue the best pricing for you! No fee to do on line registrations, boarding passes or print electronic documents for all clients. Serving members and non members Monday thru Friday 830AM-530PM. Contact Kelly today and allow her to create a memorable vacation for you! (904) 825-0298 ext. 2225.

Fashion & Beauty

Eyebrow is the king of beauty Photo by Christine Cousart www.cousartphotography.com

rocketed. The hair removal technique is not just for the eyebrows: threading can be used to remove other facial and body hair as well. Benefits of eyebrow threading The benefits of threading for smooth hair removal includes exfoliating, but

How is it practiced? Practitioners use a pure, thin, twisted cotton thread, which is rolled over untidy hairlines, moustaches and so on, plucking the hair at the follicle level. Unlike tweezing where a single hair is pulled out each time, threading can remove an entire

threading otherwise it could result to uneven eyebrow. My threading methods include a specialization in eyebrow design. How long does threading last? Usually it lasts 3-4 weeks. You may

By Fatemeh

yebrow shape is one of the most important parts to beauty. Your eyebrow shape depends on your facial features. It can help you look younger and â&#x20AC;&#x153;liftâ&#x20AC;? the eye so it appears firmer. It especially important to shape your eyebrows if you wear glasses. Eyeglasses will make eyebrows look worse if they are not well shaped and groomed. Eyebrows frame the face and will also frame the glasses. I believe the eyes are the windows to the life force or soul of a person. And, the eyebrows are the window treatment for the eyes. What is eyebrow threading? Eyebrow threading is a depilation technique that originated in Persia, although it is also widely practiced in the Middle East. Salons in western nations offered the service to Middle Eastern clients for decades before European and American women became interested and the popularity of eyebrow threading sky-

not peeling skin, little or no redness, swelling, irritation or bumps, hair does not grow back as fast, and hair re-growth is finer, plus threading removes even the finest of hairs and skin feels smooth.

row of hair, resulting in a straighter line. Who should practice eyebrow threading? It is important to find an aesthetician who is experienced at eyebrow design

have to wait 4-6 weeks for your hair to grow back.

Come visit me and get the eyebrows of your dreams!

Fatemeh has practiced the art of threading internationally for 33 years, and in St. Augustine for almost 5 years. Threading is gaining in popularity and is increasing in demand among top salons throughout the world. It began as an ancient Indian all natural, safe, simple and fast effective method of facial hair removal. Facial threading is the best alternative to waxing and tweezing, especially for sensitive skin or people who are on prescriptions for the complexion.

August/September 2013

Fashion & Beauty

White Gold or Platinum?

Nicole Nettles

Owner, Blue Water Jewelers

ne of the most common questions in the jewelry industry is: “White Gold or Platinum…?” White gold and platinum are totally different metals. White gold starts out as yellow gold. Platinum is a white metal naturally. But all white gold jewelry and most platinum jewelry are alloyed and they each have their own properties that make them unique. The color of white gold is achieved by a careful, choice blending of yellow gold with metals such as silver, nickel or palladium which bleach the deep yellow of pure gold. White gold, rose gold and yellow gold will all have the same karat once they are formed, which measures the purity of the metal. For example, a 14 karat wedding ring, whether in yellow or white gold, is 14/24, which equals 58.3% gold and 41.7% other alloy. Both pure gold and pure platinum are soft metals. In fact both 24 karat gold and .999 platinum can be scratched and dented with a fingernail. Nether gold, nor platinum, in their pure state will hold a shine for long. Platinum does not need to be blended with other alloys to the extent of gold. Platinum used for jewelry is typically 90% to 95% pure. The remaining per-

centage consists of other alloys which make it stable for jewelry. White gold is a wonderful hard metal. It is easy to work with and refurbish. Many people are concerned with how it turns slightly yellow over time. Rhodium plating is used to make white gold look more white. Rhodium is very white and very hard, but it does wear away eventually. When the rhodium wears away, the quality of the white gold is seen for the first time. Most fine jewelry stores will refurbish your white gold jewelry and should always put a new beautiful coat of rhodium on the jewelry. Platinum is a gray white and will keep its true color; however, once platinum is worn, it loses its luster. But the advantage is that platinum will never have to be re-plated like white gold. It can be polished, though, to bring a likenew shine to the jewelry. The harder the metal, the more shine the finished piece will show. White gold is harder than platinum, therefore it holds its shine longer. But platinum does not wear away when it scratches from normal wear and tear. The scratch on a platinum piece is merely a displacement of the metal and none of its volume is lost, as with gold. Even with the price of gold and platinum almost the same per ounce, platinum jewelry will always be more expensive. As mentioned, platinum jewelry is 90%-95% pure and gold jewelry is around 58% pure. In addition, platinum is more difficult for a jeweler work with due to a higher melting temperature for casting and soldering, increasing it’s labor cost. There are advantages and disadvantages to both platinum and white gold, but quality fine jewelry will last for generations. A good jeweler will have skilled experience working with both

“There are advantages and disadvantages to both platinum and white gold, but quality fine jewelry will last for generations. A good jeweler will have skilled experience working with both and much of what you hear from jewelers is a matter of opinion. In the end, choose the metal you prefer.” and much of what you hear from jewelers is a matter of opinion. In the end, choose the metal you prefer. At Blue Water Jewelers, we are more than happy to take care of all your gold, platinum and silver repairs. We have skilled jewelers on site who can refurbish your existing pieces as well as custom design jewelry in either metal. Visit Blue Water Jewelers today for a free estimate or just to see our gorgeous collection of bridal and designer jewelry. We will clean and check your jewelry at no charge.

500 Anastasia Blvd St. Augustine, FL 32080 (904) 829-5855 store hours Monday - Friday: 10:00 am - 6:00 pm Saturday: 9:30 am - 5:00 pm Sunday: Closed Private Appointments: Call for Private After Hour Appointments

Blue Water Jewelers opened in 2006 with owner Robert , 2nd generation jewelry, and wife Nicole. Robert started with a passion for watches and received his degree in Horology. After working for several other jewelry stores in the surrounding area and developing his skill he was also was being trained in Rolex repair. With a lot of hard work, great customer service, wonderful client relationships and many enjoyable hours working with non-profits in the area Blue Water Jewelers quickly became St. Augustine’s #1 jewelry store. Blue Water Jewelers moved to an old bank building on April 14, 2010 exactly 40 years to the day the original bank was opened. Robert and Nicole believe in the restoration of existing buildings and will be in their new location for many years to come. You will find a beautiful showroom along with the original bank vault to hold all your valuable while they are being taken care of. For more information and pictures visit bluewater-jewelers.com.

Fashion & Beauty

Destination Wedding!

Christine Cousart

Owner, Cousart Studios & Go Fish Clothing & Jewelry

hat a great trend. A destination wedding. As a photographer, it is a great challenge and very rewarding. I love to go to new spots and view different places to photograph the bride and wedding party. Talk about getting the creative juices going! A recent wedding was in Georgia. How lovely it was to photograph in a setting in the country. The reception was held in a barn (with chandeliers) after a beautiful ceremony outside. There were seven bridesmaids and seven groomsmen. It was one of those weddings where everything went like clockwork. One of my favorite portraits from the wedding was the bride and groom walking down the country road (which was outside the venue). Another wedding was in the Bahamas. The couple were celebrating their anniversary with a renewing of their vows and their twin girls were the bridesmaids. There are advantages to this type

of wedding. The bride and groom get to enjoy family and friends in a beautiful setting and often don’t have to rush off. It is a close and intimate way of celebrating love. Some brides will bring their own hair stylists (as well as their photographer). Dana Mickler of Mane De Leon Salon is a local stylist (and salon owner) who has traveled to help her clients. Dana’s salon is on King Street downtown St. Augustine and is an extremely talented stylist. She has events at her place on every First Friday artwalk (once a month) and features a local artist each time. For some out of town brides, St. Augustine is the destination. It is always enjoyable to meet people from all over the world and celebrate with them during such a special time in their lives. I photograph many ceremonies downtown and also at the beach. Sometimes I get an elopement. That is always exciting. A bride coming to town should always interview a couple of photographers and also compare pricing. Checking references is always a good idea. Booking ahead is a big plus because photographers tend to get booked out quickly. To sum it up, wedding photography is an exciting part of my business whether it is traveling to an exotic destination or staying right here in town!

This man was the officiant for a recent destination wedding in Bordeaux, France.

Country Road, take me Home!

A local wedding with a most beautiful bride.

Cousart Studios of Fine Art & Photography 320 Hightide Drive #101 Saint Augustine, FL 32080 www.cousartphotography.com 904.687.7700

Christine Cousart has lived in St. Augustine since 2004 and says that it is the closest to the life she had when growing up in New Zealand. She owns Go Fish Clothing & Jewelry downtown Saint Augustine and Cousart Studios of Fine Art & Photography. She enjoys painting in all mediums as well as photographing a variety of subjects. She and her husband Kevin have two children that have graduated from Flagler College and one child that is schooled at home. The family loves to travel frequently and loves their relationship with many friends in the community. Cousart Studios of Fine Art & Photography | www.cousartphotography.com | 904.687.7700 | 320 Hightide Drive #101 | Saint Augustine, FL 32080

August/September 2013

Renewing the vows “Bahama Style”.

Food & Entertainment

Florida’s First Educational Radio Talk Show Launches In St. Johns County

“M

By Kris Phillips, President Newstalk 102.3 FM / AM 1240 WFOY and ESPN 1420 WAOC

aking the Grade” is Florida’s first radio talk show solely addressing education issues. The show’s host, Kim Kendall, will make her debut along with the show starting August 7. Weekly shows will continue on Wednesdays from 3 – 4 pm on WFOY’s new FM signal 102.3, following Rush Limbaugh. The show has already caught some buzz around the state and the guest lineup is not too shabby! Some of the first show guests include Governor Rick Scott, Speaker of the House Will Weatherford, Florida Home Education Foundation President Brenda Dickinson, and U.S. Congressman Ron DeSantis. With the launch of WFOY on the FM dial on 102.3, we’ve renewed our commitment to cover St Johns County like no one else does. Our public schools are a vitally important issue to our listeners; not only the parents but also business leaders who know our schools are what attract people to this county. As a mom and political activist, Kim brings a unique perspective to the show. We want listeners to feel like this show is a community-wide conversation about issues that really matter. Kendall has an impressive array of experience in tackling education

including as State Chair of the American Eagle & Literacy Challenge (150 FL schools); Fundraising Chair $50,000 for Timberlin Creek Elementary library books; Northeast Florida Early Learning Coalition Board Member; Timberlin Creek Elementary Business Liaison Chair; Author and Lobbied Educational State Legislation; and Board member of the St. Johns County Education Foundation. Kendall explained the format: “‘Making the Grade’ will address education’s hard-hitting issues; such as; Common Core Standards, Prayer at Graduation, Home Schooling, School Choice, Parent Empowerment, Early Learning, College Requirements… and solutions will be provided on each show so as to promote positive conservative change in the state.” Kendall continued, “As important as education is to our state, so is our listeners’ time. Each hour will be packed with important information and will give specifics on how the listeners can impact education reform needed in our county and in our state!” Listeners who call in will have the opportunity to not only voice their opinions, but will also have a chance to receive fantastic giveaways, which include;

Kim Kendall

“As important as education is to our state, so is our listeners’ time. Each hour will be packed with important information and will give specifics on how the listeners can impact education reform needed in our county and in our state!”

accommodations to the Ritz-Carlton Amelia Island, Jacksonville Symphony Tickets, golf course foursomes, and restaurant gift cards. More information about the show

and to activate desktop live streaming visit www.1023newsradio.com also, listeners can listen from their smart phones by browsing for “WFOY” on the free phone app “TuneIn Radio.”

Kris Phillips is President of Phillips Broadcasting, LLC which owns Newstalk 102.3 FM and AM 1240 WFOY; and ESPN 1420 WAOC in St Johns County. She worked for 7 years as senior reporter for the ABC affiliate in Little Rock, Arkansas specializing in covering statewide political campaigns and high-profile court trials. Kris served as Communications Director for a United States Senate Committee in Washington, DC before becoming managing partner of an ad agency. She has won awards both for news reporting and for television and radio ad production. Kris is currently the host of the St. Johns County Morning News weekdays from 8-9am on Newstalk 102.3. She can be reached at kris@1240news.com

Food & Entertainment

Treat Your Taste Buds at PJ’s Asia One Market

njoy a taste of cultural zest from PJ’s Asia One Market. St. Augustine’s only Asian grocery store offers a wide variety of ingredients from fresh produce to frozen seafood for some delicious dishes from around the globe. PJ’s Asia One Market carries 10 different styles of Thai curries and a fully stocked condiment section featuring many types of spices, sauces and dips from several Asian countries. If you’re a sushi enthusiast, PJ’s has all the ingredients you need to create your own sushi feast including rice, vinegar, nori, wasabi and flash frozen “sushi grade” seafood. Also available in the frozen section are packaged seafood items such as gyoza, lumpia along with an assortment of Asian flavored ice cream and icy treats. For soups and pasta dishes, a variety of noodles in both dry and refrigerated forms are available from Thailand, Japan, the Philippines, Korea, China and Indonesia. PJ’s also offers several different types of rice including Jasmine, sticky (sweet), brown, red and Basmati. You can also find a large selection of fresh Asian vegetables and fruits in PJ’s produce section. If you’d like to try your hand at a special

August/September 2013

Asian recipe or need some help with a special ingredient, make sure you get some advice from PJ’s proprietor, Thailand native and culinary school graduate Praphaphan “PJ” Johnson. After several years as a chef in St. Augustine, PJ and her husband Bob decided to open the grocery store in December 2009 and have been serving the community ever since. So send out the summer with a bang by picking up some special ingredients for your next meal at PJ’s Asian One Market!

Recipe:

Green Papaya Salad For those extra hot Summer afternoons, try this cool dish for a special treat! Ingredients: 1 Small green papaya (Peeled and shredded to small thin strips it should measure about two cups) 2 Fresh Thai chili 1 clove Garlic Juice from 1/2 Lemon or lime or 1 tablespoon of tamarind paste 1/2 Teaspoon palm sugar 2 Tablespoons fish sauce 1/4 Cup toasted chopped peanuts 1/4 Cup ripe tomato cut into wedges 2 Tablespoons dry shrimp--optional Using a pestle and mortar, crush the toasted peanuts, then remove from mortar and set aside. Next, crush the chili, dry shrimp (optional) and garlic in the mortar and then add sugar, lime, lemon juice or tamarind paste, fish sauce, tomato, papaya and half of the crushed toasted peanuts. Gently mix everything together until papaya is well coated. Place the mixture on a serving dish and sprinkle remaining crushed peanuts on top. Serve at room temperature or cold with an optional lettuce garnish.

Recently, I decided to prepare a special meal for my girlfriend. Since she really enjoys Asian food, I went to PJ’s market looking for some great ideas. PJ was really helpful; she gave me her own recipe for a Thai curry chicken served with a cold papaya salad. I was able to get almost all the ingredients I needed for the meal at PJ’s, plus some advice on how to prepare everything. My girlfriend was seriously impressed, and I owe it all to PJ! Thanks! -Ty Moore

Food & Entertainment

Casual Dining at its Finest

Patty and Joseph Kelbert, owners, Le Pavillon Restaurant

earching for a relaxing dining experience with authentic German, Swiss and French cuisine? Then Le Pavillon Restaurant offers just that. Located at 45 San Marco, just two blocks north of Ripley’s, this 1868 Victorian era home is the oldest family run finedining establishment in St. Augustine. In 1977, the house was leased to Fritz Dold and it was turned into a restaurant. He convinced his sister, Gisele and brother-in-law, Chef Claude Sinatsch, to relocate from New York to St. Augustine. The house was purchased and Chef Claude, Gisele, and their two children--Patty and Claude Jr.-made the move to St. Augustine. As the business grew, dining rooms were added and renovated, still the restaurant remains an old home. Today, Patty and Joseph Kelbert, along with Gisele, maintain Le Pavillon as a landmark of excellent food in the European style. Their love of the culinary arts has been passed from one generation to the next. The menu, considered “Continental/

European/German,” is available seven days a week. Guests repeatedly return for signature dishes such as the famous rack of lamb, oysters, bouillabaisse, schnitzel, crepes and baked onion soup. Cocktails, beer and wine are served. Early Bird menu items are available daily from 5:00--6:00pm. Catering is available, and the restaurant has private rooms for wedding rehearsal dinners, corporate functions or private parties. Reservations are recommended. Many local groups like The Sons of the American Revolution, The German Club, The Women’s Networking Group, The Literature Study Group of St. Augustine, The Pilots Association and The Rotary Officers dine regularly. Le Pavillon has also hosted many celebrities, including Brooke Shields, Rob Lowe, Vanna White, Robert Wagner, Charo and Jacques Cousteau. With 35 years of success, guests attribute the restaurant’s staying power to casually elegant settings, friendly service and consistent food. Bon Appetite!

Whether breakfast, lunch or dinner, who doesn’t enjoy the comfort of a good quiche? Our Quiche Lorraine has been on the menu for 35 years and is still a local favorite. We use my Uncle Fritz’s recipe for weddings, baby showers, rehearsal dinners, funerals or any special occasion. We can cater an entire pie or simply call in for a slice to go! This is an age-old family recipe and such comfort food for me that I had to share it with you:

Quiche Lorraine

*9” deep dish pie shell (fresh or frozen) *4 whole large eggs *6 oz. of cream *1 1/2 to 2 lbs of Swiss cheese *2/3 cup chopped ham *1/2 cup chopped scallions *salt and pepper to taste Preheat oven to 375. Dock the bottom of the pie shell with fork. Bake shell for 10 minutes. Meanwhile, mix the cheese with the ham and scallions. Beat eggs and cream to combine. Season with salt and pepper. Place cheese evenly in pie shell. Make a small well in the center of the cheese mound. Add cream and egg mixture, then cover the well with cheese. Place on cookie sheet and place in oven on 325 degrees for 50-55 minutes until golden. Let sit and enjoy!

45 San Marco Avenue | St. Augustine, Florida 32084 904.824.6202 Lunch served 11:30am--2:30pm; Dinner served from 5:00pm (call for closing)  Visit our website at www.lepav.com

Food & Entertainment

Yvette Schindler, Executive Chef and Owner, Present Moment Cafe & Market

y first memory of eating fruit directly from nature was when I was 5 years old. I was in an apple orchard with my family. I remember circling the trees in wonder, leaping up, plucking the fruit and biting into sweet, crispy, deliciousness. It was love at first bite. And there was an abundance of it. Apples were everywhere; in trees, on the ground, in bushels, bags and cradled in children’s arms. Everyone seemed happy. Previously I thought anything edible came from a grey, grocery store, where it was made and packaged by people. That first bite in the orchard introduced me to the earth like a new-found friend. I began to search for “wild” food and was delighted to find some in my Chicago neighborhood: crabapples, wild pears, mulberries and the sweet nectar of a honeysuckle. When I fell out of a mulberry tree my mother decided it was time to feed my hunger safely so she planted a garden. In doing that, she planted a seed in me. I like to feed people. The following recipe is from our recently published “cooking” book. It is gluten-free, dairy free and white sugar free. It does not require cooking and it’s as easy as apple pie.

August/September 2013

APPLE COBBLER YlELDS: 1 8”x8”pan lnqredients 3 red apples 3 green apples 1/3 cup raisins 1 T maplesyrup 1 T cinnamon 1 t vanilla Pinch of salt Topping: 1 cup pecans 2 pitted dates pinch of salt

You can find more recipes in Handmade In The Present Moment, available for purchase through our café at 224 W. King St., or through amazon.com.

Core apples and shred with a grater Squeeze out excess liquid through a strainer (retain the juice for drinking) Combine cobbler ingredients except for topping in a large mixing bowl stirring to coat evenly. Spread cobbler mixture into pan Pulse all topping ingredients in food processor to a crumbly consistency Layer crust over the cobbler. No need to bake. Can be heated in oven or dehydrator till warmed. Serve with ice cream or add your favorite milk for granola

y... What our patrons sa sband loved my “Meat & Potato” hu

“Even miso soup, can’t it” Ordered the taco and y ordered, but he remember what my hubb prised how good ate it up! And he was su he had the special it was. Ordered dessert, VED! I have the “pumpkin” which he LO it was great. banana split sundie and

What our patron s say...

Photo by Darice Michelle Photography www.DariceMichelle.com

Photography by Molly Jane Design

Ode to the Apple

“Fabulous, even if you’re not a ve gan!” My wife and I ha d the good fortun e to tr y the Prese Moment Café ba nt sed on Trip Adv isor recommenda restaurant is no tions. This t to be missed! Fi rst, I have to tell the atmosphere you that is very laid back and comfortable on ounce of pret . There isn’t ense. It had wha t I would call a co atmosphere…an ffee house d a great stained glass panel in th dow. Also, neithe e front winr of us are vegans and we absolute ever ything we at ly loved e. My wife had th e Creamy White Pesto Pasta. In a Truffle word, it was trem endous. I had th Thai and it too w e Pad as delicious. We paired our mea Cartlidge & Bro l with the wne Sauvignon Blanc. It was lig lemon and grap ht with great efruit overtones and perfectly co the food. For de m plimented ssert we had a C hocolate/Grena was excellent. A ch e Pie. It too ll of this for just over $50.00! We some of the Raw also bought Organic Granola and nibbled on morning. It too it the next was incredibly ta sty. The next tim Saint Augustine e we’re in , the Present Mom ent Café is “on th e list.”

walk in they say Oh and I love when you comfortable”. :) “sit where ever you feel

y... What our patrons sa

have ever had!” “literally the best food i nt for lunch. when they my son and his friend we e forst words out of his met up with me later th Y THE BEST FOOD mouth were....LITERALL !!!! they were so happy I HAVE EVER HAD!!!!!!! of a restaurant!!!!!! they found this little gem ey will l vegans MUST go!!!!!!!! th ove it forever!

Present Moment Cafe & Market 226 West King Street | St Augustine, FL 32084

(904) 827-4499

thepresentmomentcafe.com

Home & Garden

Top 5 countdown: Auto repairs you’ll want to think twice about

“Fuel Injection Service every 15,000 miles.” Fuel injectors can last the life of a vehicle if a good quality fuel is used each time the gas tank is filled up. Name brand gasolines include detergents that keep fuel injectors clean. There are times when a vehicle will not run well due to clogged injectors but that is the only real time someone should incur the expense of a fuel injector service. Many vehicles have well over 100,000 miles on them and have never needed a fuel injector service. The most common cause of clogged injectors is an overly dirty fuel filter or regular use of inexpensive fuel from smaller non-franchised gas stations. The extra penny or two spent on quality gas more than makes up for a regular $99 fuel injection service.

“$15.95 Oil Change Special.” The one primary reason why an auto service business will offer a lowball oil change special – get people into the shop to up-sell very profitable and very often unnecessary work. The only way to profitably offer a super cheap oil change is to make for an initial loss in profit by selling other work. Often times these oil changes include the lowest quality oil and oil filters being installed by inexperienced and low paid workers. This

is not the way an oil change should be performed because all these factors combine to result in a lot more money being spent down the road for issues related to poor lubrication and dirty oil. A quality oil change cannot be offered at a low ball price!

“New Parts Sold but Used Parts Installed.” There are countless reasons why this tactic is used in many unscrupulous repair

“ f you think that something is wrong with your car, then there very likely is something wrong with it. Trust your instincts, go directly to your shop, or have it towed. The odds are good that this course of action will save you money and pain in the long run.” shops. The basic reason is increasing profit for a job. It is quite easy to ward this scam off - simply ask to see the part that was installed on the vehicle. If the parts looks worn, dirty, and/ or has grease pen writing anywhere on the part then chances are very good that a used part was installed on your vehicle. If a shop is hesitant about showing you the

part then warning flags should pop up in your mind and I recommend having the vehicle inspected by a reputable shop as soon as you can.

“Parts Sold but Never Installed.” This is a similar tactic to scam number 3. Always ask to see your old part after completion of a job if you have any suspicions about the shop you are dealing with. This request should be made from the very beginning before any work is performed on your vehicle.

“Axle Boots Cut Prior to Selling Axle Work.” This is a very common tactic. The way the scam works is a technician will take a knife and cut a rubber axle boot and bring the customer back to show the customer the damage. It is quite easy to tell if an axle boot has been cut or has worn out on its own - if the cut in the boot is very clean and straight and looks fresh with no signs of grease outside the axle then you may be getting played. If however the boot has a jagged and worn cut with some signs of axle grease around the boot, then it is probably a legitimate concern. Always ask to see the damage before agreeing to any

work being performed.

Note: A reputable shop will always do a complimentary inspection as they complete the current work assigned. This is to alert you to potential problems that could cost you money and trouble in the future. Tim and John Amun have been serving the motoring public in St. Augustine since 1994. They service and repair most makes of foreign cars, and have a shop fully equipped with the factory diagnostic tools for the cars they service .

Publishers Note:

We own a very special vehicle: a 1989 VW Vanagon Syncro, a 4x4 van produced by VW for just a few years. Until we found AA Foreign Car, no one anywhere in northeast Florida could work on this car with any measure of confidence. Tim and John have done both minor and very major work on this car and we couldn’t be happier. They are fair and honest, always discussing any needed work in detail so that we understand what had to be done and why. We have never felt that we’ve been overcharged for work, or asked to pay for unnecessary work. For peace of mind when it comes to car repairs, become a customer of AA Foreign.

Home & Garden

A Delicious Summer Dinner in Less Than 15 Minutes? You Got It! On our first visit we were relaxing at dusk in the big common room that overlooks the beach, chatting with the winsome owner, Patty. Soon folks began wandering in with bottles of wine, cheese, smoked meats, and other pre-dinner items. One guy even brought in a pail of fresh mussels (which Patty immediately threw into a big pot with some white wine and garlic.) As conversation and laughter filled the room, I turned to my wife and whispered, “All these people can’t be staying here. It’s not that big.” A man sitting

By: Warren Caterson, Author

Table for Two The Cookbook for Couples

near us replied, “Oh, we don’t stay here. We just drop in on the weekends with food and wine.” Yep, it’s that kinda place.

ho wants to spend mid-

summer hovering over a hot stove?

This is similar to the dish we had

Not me. Here’s a recipe featuring

that evening. I prepare it often.

the less-than-popular cousin of the

Once you try it, I’m sure you will

oyster and clam that you can cook

as well. This will serve two hungry

in well under 10 minutes. If you’ve

diners. All you will need to add

never tried mussels before, start

is a small tossed salad and lots of

with this recipe. You’ll be hooked.

French bread to soak up the sauce.

Oh, and don’t forget the white wine.

The House of Sea and Sun is a de-

lightful bed and breakfast that we’ve

Lots of it!

stayed at more than a few times for

Since more and more supermar-

our anniversary. (Yes, I know, it’s

kets and fish markets are selling cul-

just a hop, skip and a jump from

tivated mussels they are generally

where we live in Vilano Beach, but

de-bearded and free of barnacles.

hey, sometimes you don’t have to go

This is a good thing for the home

far to truly get away, eh?). Rooms

cook because a significant amount

are cozy and well-appointed and the

of time could be spent removing

breakfasts are simple, yet delicious.

them from the shells.

hormonal-based treatments to manage the menstrual cycle regularity and to help control inflammation and pain associated with the proximal inflammation of the GI tract. There is no current cure for Crohn’s disease and no treatment works for everyone. The goal for10 medical treatment is to reduce Prep time: 10 minutes • Cook time: minutes inflammation-triggering symptoms and improving long-term prognosis by limitINGREDIENTS ing complications. In the best cases, medical treatment may lead to symp2tom pounds mussels, cleaned remisrelief and also long-term sion. de-bearded Treatment for Crohn’s includes and drug therapy that might include anti(if necessary*) inflammatory drugs, immune system 1suppressors, clove garlic, minced and other antibiotics 1medications. small onion, chopped Special diets might also be recommended improving overall (about 1/2 cup) nutrition and allowing the bowel to 3 tablespoons chopped fresh rest. In the past, supplements of calciparsley, divided um and B-12 vaccinations have been used to suppress the disease. If drug 1/2 bay leaf therapy is not effective, patients might 1/8 teaspoon dried thyme also elect for surgery, which improve 1symptoms cup dry of white wine Those sufthe disease. fering from Crohn’s also have an in(I prefer Sauvignon Blanc) creased chance of colon cancer, which 2 tablespoon unsalted butter, is 90 percent curable if detected divided through a colonoscopy early enough. 1/8 freshly ground It teaspoon is important for women to consider visiting a doctor when experiblack pepper encing symptoms such as abdominal pain, blood in the stool, unexplained fever and DIRECTIONS ongoing bouts of diarrhea that don’t respond to over-the-counter medications in order to help 1. Rinse mussels under cold water. If necessary, remove “the beard” manage symptoms.

• MUSSELS MARINIÈRE • (Mussels in White Wine)

(see below).

2. Combine onion, garlic, 2 tablespoons parsley, bay leaf, thyme, wine, 1 tablespoon butter and pepper in dutch oven with a lid. Bring to boil over medium-high heat. Lower heat, and sauté for 2 minutes. 3. Add mussels, and cover. Cook just until shells open, about 5 to 6 minutes. Do not overcook. Remove mussels from sauce, discarding any that have not opened, and place in bowls. Add remaining butter and parsley. Heat until butter melts. Pour over mussels. *De-bearding mussels: The beard is the small, stringy tuft coming out between the two shells of wild mussels. To remove the beard, grab it and give it a firm pull. The beard should come right off. If not, use a sharp knife or scissors to cut the beard away from the shell.

Chef Warren is the author of the award-winning “Table for Two - The Cookbook for Couples” and the soon to be released “Table for Two - Back for Seconds”. Find him at www.tablefortwocookbooks.com or on Amazon.

August/September 2013

Home & Garden

Publisher’s Note: We have a unit at 312 Storage and we couldn’t be more happy. The location is conveniently central to the eastern part of the county, and it is on very high ground. I wouldn’t worry a bit about losing goods to flooding if there should there be a bad tropical storm. On top of that, Ed and Jeremy provide excellent customer service!!