RANDOM ACTS OF KINDNESS
Publisher of: The St. Augustine Woman’s Journal
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 2009.
St. Gerard Campus - Non-profit maternity home and Florida accredited Christian high school for pregnant teenagers. (www.stgerardcampus.org)
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Suzanne Egeln, Publisher
s we wind down the year, and begin the New Year, we should remember to continue to “pay it forward”, as well as celebrating “random acts of kindness” with friends and family. Volunteering is a great way to “give a gift” that is not measured in monetary dollars. As you review your “time” spent in 2016, I invite you to find time to volunteer for a cause in St. Johns County. Whether your passion is literacy, the arts, homeless shelter or a church, we can all make a difference. Here are a few organizations that are in need of help:
St. Augustine Youth Services (SAYS) - A therapeutic group home
for boys who have been victims of child abuse and/or extreme neglect. SAYS provides a safe, stable home in which the boys can live, learn, grown and heal. (www.saykids.org)
Habitat for Humanity - Building homes, communities, and hope. (www. habitatstjohns.org) St. Francis House - Provides shelter for the homeless in our community. (http://stfrancisshelter.org) Haven Horse Ranch - Therapy horses used to teach children basic life’s principles, particularly those who suffer from many physical and mental disabilities. (http://www.havenhorseranch.org)
On New Year’s Day, America’s State Parks have all 50 states offering free, guided First Day Hike Programs. These hikes provide a means for individuals and families to welcome the coming year in the outdoors, exercising and connecting with nature. To our family and friends we wish a prosperous New Year. According to the
Find Find us us on on the the web web at: at: staugustinewomansjournal.com staugustinewomansjournal.com
Chinese calendar, the year 2017 is the year of the Fire Rooster. The Chinese people say that this year people will be more polite and less stubborn, but they will have the tendency to complicate things. As Asian people see it, the year 2017 is a year dominated by the orientation towards progress, honor and maximum integrity, with people learning to temper their ardor. We welcome to this issue new Contributors Rosa Shala and John Reardon. We also thank all those Woman’s Journal Contributors who have provided informative and educational information to our readers during 2016. As always we invite you to enjoy the articles enclosed in these pages and to support our Contributors. We welcome your suggestions for new Contributors and recommendations for our Women In Profile feature. This publication is free for all readers to enjoy and pass on to a friend.
We are especially looking to add Contributors in the Home Improvement area: Electrical, Plumbing, Heating and Air, Roofing, Painting, Landscaping and other building contractors.
Slainte! Suzanne Egeln
In This Issue
ST. AUGUSTINE WOMAN’S JOURNAL | DECEMBER 2016/JANUARY 2017
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30 19 28 Health & Medicine
4 | It’s The End of The Year and The Beginning of The Year!!! 5 | Improving Nutrition to Reduce Cancer Risk 6 | Going Beyond The Call of Duty 7 | Celiac Disease 8 | Top Superfoods for the Maturing Adult 11 | The Art of Spider Vein Treatment: Sclerotherapy & Laser Therapy 12 | How to Lose Every Time 13 | Foot Myths: Don’t Believe the Hype 14 | 3D Mammography to be offered at Flagler Imaging Center 15 | Flagler Hospital Designated a Lung Cancer ScreeningCenter by the American College of Radiology
Life Services
16 | The Choice Belongs to You 17 | Senior Move Management Downsizing an Aging America 18 | Simply Susie. Let us clean, cook and run errands for you! It’s just a part of what we do!
Legal
19 | Flood Insurance, FEMA and SBA… What’s the Difference?
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Business & Finance
Fashion & Beauty
Women in Profile
Food & Entertainment
20 | 22 | 23|
The Most Common Mistakes Retirees Make With Their Finances Your Website: The Friendly Receptionist Reverse Mortgages - Retirement Income for You?
24 | Michelle Andrade, Johanna Hölljes Baker, Nicole Stewart and Kathy Barry
Community
26 | Benefits of Adult Day Care 27 | Rodeheaver Foundation Grant Challenge 28 | State of the Shelter St. Francis House St. Augustine 29 | Become an Outdoors Woman Workshop 30 | Hands on Learning: The Barbara A. Kay Foundation Sponsors Habitat’s Teen Build 2016 32 | What’s Your Legacy? 33 | Betty Griffin Center Awarded $100,000 from Women’s Giving Alliance to Help Survivors of Domestic & Sexual Abuse Overcome Addiction 34 | ELC and Sykes Farm Along with Amazing Grace Crop Farm Continue Annual Early Literacy Event 35 | The Kiwanis Club of St. Augustine
36 | Pics for your Biz 37 | 3 Fundamentals to Dress Fabulous for the Holidays 39 | Get a Great Haircut!
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First Coast Opera to Produce Italian Favorite Madama Butterfly Ichiban Buffet WFOY Treat Your Taste Buds at PJ’s Asia One Market
Back Cover
44 | The Babes present Hormonal Imbalance - A Mood-Swinging Musical Revue
Find us on the web at: staugustinewomansjournal.com
Health & Medicine It’s The End of The Year and The Beginning of The Year!!!
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By: Susan Detar, CFm Owner, The Pink Door
or those using insurance benefits for your post-surgical needs for the 2016 calendar year, they must be delivered and billed no later than December 31st. We need at least one week to order anything that is not in the shop inventory, so plan on contacting us as soon as you know you want to beat the end of the year deadline. Remember, typically you are eligible for a new prosthesis per side every two years and 6 bras every calendar year. Should you have a plan for surgery in the early new year, coming by in December to get baseline measurements and a file started would be helpful for down the road needs. The beginning of the year sees many of us making resolutions to hit the gym, the yoga studio or run the roads. We have a number of great sports bras that will take your mind off the bounce and put it all on your activity. Being measured and fitted with the right style and size makes a world of difference to your running, jumping
and bending. You will find functionality and style to satisfy your needs. Our holiday hours are: Closed Monday December 26 and Monday January 2
AND IT’S CHRISTMAS!!! If you or a woman in your life is always complaining about bras, a great life changing experience is being fitted in a proper fitting garment. We have gift certificates available in any denomination.
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.
December 2016/January 2017
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Health & Medicine
Improving Nutrition to Reduce Cancer Risk
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Lisa Salt, PA-C
ne in two men and one in three women will face a cancer diagnosis at some point in their lives. Most of us are aware that tobacco is the number one cause of cancer and cancer deaths, however, you might not know that scientific research shows association between cancer risk and dietary factors. The USDA food pyramid has been replaced by the MyPlate which pictures the ideal meal for cardiovascular disease and cancer prevention. It recommends that half of our meals be fruits and vegetables, with a bit more vegetables than fruit. The other half of the plate is divided into a portion whole grains and a portion of protein (with a side of low-fat dairy). MD Anderson cancer center recommends that only half of that protein should be animal-based. The other half should be plant-based protein like beans, nuts and soy. This recommendation, that only approximately 1/8 of our meals be animal protein, is not how most of us traditionally eat! The good news is that, if you typically eat far from this ideal, more plant-based diet, small changes may make a big difference! According to the American Institute for Cancer Research, the foods that demonstrate the clearest benefit for reducing cancer risk are: beans, berries, cruciferous vegetables (broccoli, cauliflower, brussel sprouts, etc), dark green leafy vegetables (spinach, kale, romaine), flaxseed, garlic, red grapes and grape juice, green tea, soy (tofu, edamame),
tomatoes, and whole grains. Others with benefit include apples, carrots, cherries, coffee, grapefruit, squash, and walnuts. There is also strong evidence that cutting down on red meat and processed meats including bacon, sausage and ham, reduces cancer risk, specifically colon and stomach cancers. The char produced when cooking meat at high temperatures may also increase its cancer causing potential. When you can, choose grass-fed meats. Grass-fed beef contains up to 4 times the amount of antiinflammatory Omega-3 fatty acids as grainfed beef. Increasing dietary intake of antiinflammatory Omega-3s and decreasing pro-inflammatory Omega-6s, may also decrease cancer risk. Foods rich in Omega3s include fatty fish, walnuts, flaxseeds, chia seeds, spinach and soybeans. Improving your diet may also help you lose weight. Increased weight increases inflammation, which increases cancer risk. Adipose (fat) tissue produces hormones including estrogen. This is especially important for women as it increases risk of endometrial cancer and possibly some breast cancers. If you are trying to lose weight, make your calories count. Avoid empty calories and instead choose nutrient dense foods that contain vitamins, minerals, fiber, and other cancer-fighting nutrients. Alcohol also increases cancer risk. We have known for some time that alcohol increases risk of head and neck, esophageal, stomach and liver cancer but more recent research has also found a significant correlation between alcohol consumption and breast cancer risk. The recommendation is that women drink less than one alcoholic drink daily to decrease breast cancer risk. There is one important vitamin that is difficult to get through diet – Vitamin D. New research demonstrates that deficiency of vitamin D may also increase cancer risk. This is likely because the immune system recognizes cancer cells and destroys them, and vitamin D is necessary for normal immune function. Adequate sun exposure or supplements are needed to maintain healthy levels. We can measure this level with a blood test. Reducing cancer risk through better nutrition is easier than you think. Start with
making fruits and vegetables half of your meals. Then work on adding more plantbased proteins to your meals. You don’t have to completely stop eating your favorite foods, just learn to add more healthy sides. For example, if you just absolutely love pasta with a meaty red sauce, find a whole-grain pasta you like, decrease your portion to one third of your meal, and enjoy it with a side of baked zucchini and side salad. Good luck and eat well! Lisa Salt, PA-C
I am excited to join OB GYN Associates in August of 2016. My experience includes nine years as a Physician Assistant in Primary Care. I received my Masters in Physician Assistant Studies from the University of Florida in 2006. I received my Bachelors degree in Psychology and Anthropology from Washington University in St. Louis in 2002 with a minor in Biology and another in Fine
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Arts. While my undergraduate education and my father’s life long devotion to medical research gave me a strong interest in evidence based medicine and the science behind human physiology, my graduate education and my previous experience as an American Cancer Society employee created in me a desire to be a truly compassionate medical care giver with the utmost respect for the patientprovider relationship. I practice with the belief that it is a distinct privilege to be entrusted by my patients to care for them and I pride myself on listening to my patients’ wants and needs to provide educated, thorough, and individualized care. Originally from the Midwest, I enjoy the beautiful Florida sunshine (and lack of snow) living on 3 acres with the three loves of my life - my son Oliver, my daughter Amelia and their father Blake - as well as our dog and four cats. In my free time (if my two under two will nap simultaneously!) I enjoy creating all things handmade especially greeting cards and anything else I can make with my Cricut. Now the owner of a second-hand embroidery sewing machine, I look forward to learning how to use it!
Health & Medicine
Going Beyond The Call of Duty
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Dr. Roy H. Hinman, Island Doctors
r. Roy H. Hinman II is as self-disciplined and self-driven as they come. With twenty-three family practice locations across north Florida, Dr. Hinman sees the potential for health improvement in every patient who walks through his door. “Anybody who walks in this office, their health can be improved in one form or another- usually by patient intervention with us to guide, assist and educate them,” he explains. “Whether that’s helping them quit smoking, starting an exercise regimen, or changing their diet- patients are the ones who activate the key to success.” After eight years in the U.S. Army as a Calvary Officer, where among other things, Dr. Hinman served as a foreign military advisor with the Saudi Arabia National Guard (he speaks both Arabic and Spanish), he decided to make a career change and go into medicine, which he calls “a kinder, gentler profession than teaching anti-tank tactics in the desert.” A Tulsa, Oklahoma-native, Dr. Hinman already earned a bachelor’s degree in psychology from Tulsa University and a master’s degree in human resource management from Pepperdine University. In 1987, Dr. Hinman added a medical degree to his resume when he graduated from Universidad Tecnologica de Santiago in Santo Domingo, Dominican Republic.
“The medical training was very advantageous for me, in that for diagnosis, they did not rely on technical equipment, x-rays or laboratories”, Dr. Hinman explains of going to school in the Caribbean. “We relied predominantly on an extremely good patient history and physical examination. That’s really where your diagnosis comes from.” Dr. Hinman says this experience (“different than in the U.S. where patients are often diagnosed by tests and x-rays”) helped lay the groundwork for starting his own family practice, Island Doctors, in October of 1991 on Anastasia Island in St. Augustine. Today, the practice has almost two dozen clinics across north Florida and specializes in health improvement with a focused effort on cholesterol reduction, glucose reduction in diabetic patients and smoking cessation. “When I came here, there were two hospitals competing against one another. And then two months later, Flagler Hospital bought out St. Augustine General Hospital,” Dr. Hinman says of the local medical community back in the early 90s. “It was growing and thriving when I got here. Over the years, I’ve seen an increased focus on health improvement rather than “fix-it” medicine.” During this time, Dr. Hinman has also held a variety of positions in the local medical community including Chairman of Family Practice Department at Flagler Hospital, President of the St. Johns County Medical Society, Medical Director for Total Living Care of St. Augustine and Clinical Affiliate of Physician Assistant Sciences for the University of Florida and Clinical Associate Professor for Nova Southeastern Medical School. He’s also seen the number of healthcare providers grow by leaps and bounds. For many years, Island Doctors was the only medical practice on Anastasia Island. In 1998, the practice began managed care operations with Humana Medicare Advantage Plans and became a Medical
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Services Organization (MSO). “It’s hard to imagine,” Dr. Hinman admits. “We went from a regular family practice in acute care/urgent care, to a regional health improvement organization!” “We need to make economical and efficient use of the patient’s time and resources to come to their diagnosis and treatment plan”, he explains. “We, at Island Doctors, really pride ourselves on being a health improvement organization. When a patient walks through the doors of an Island Doctors’ clinic, the first thing my
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staff and I do is evaluate what we can do to help the patient look their best and feel their best, which will place them on the top of their individual health pyramid.” Whether it’s cholesterol reduction, blood glucose reduction in diabetic patients, smoking cessation, or beginning a patient on a weight loss regimen, Dr. Hinman says, “The future of medicine in Northeast Florida needs to focus its emphasis on health improvement. This will create a healthier, happier, and longer living community.”
Health & Medicine
Celiac Disease Some patients have no symptoms whatsoever. Some patients have classic symptoms of the disease related to decreased intestinal absorption such as diarrhea, weight loss, abdominal discomfort and bloating. Some adults do not exhibit digestive signs and symptoms and instead have an associated condition such as rash, osteopenia or osteoporosis (weakening of the bones), iron deficiency anemia (low blood count due to lack of iron), etc.
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Camille A. McGaw, M.D. GI Associates of Saint Augustine
HAT IS CELIAC DISEASE? Celiac Disease is a condition resulting from an intolerance to a protein called gluten that can present at any age. It affects as many as 1 in 133 Americans. This is an autoimmune condition which affects the lining of the upper small intestine after consumption of gluten. The small intestine is responsible for absorbing food and nutrients. When gluten is consumed, the immune system of a person with Celiac Disease responds abnormally causing damage to the intestinal lining leading to faulty digestion and malabsorption of nutrients thereby producing symptoms. Consequently, patients who have the disease get sick when they eat gluten containing foods such as wheat, rye and barley. SIGNS AND SYMPTOMS The symptoms of celiac disease can vary from one patient to the next.
HOW IS THE DIAGNOSIS MADE? The diagnosis is made with a blood test which looks for antibody production. This is a protein that patients with celiac disease produce after eating gluten. Before testing, patients must be on a diet containing gluten for the screening test to be valid. If you are on a gluten-free diet at the time of testing, other blood tests may be needed to evaluate for genetic predisposition. Confirmation of the diagnosis is made by intestinal biopsy. This is done by way of a short painless procedure called an upper endoscopy. Under sedation, a gastroenterologist will use a thin flexible tube with a tiny camera to examine your small intestine. A small sample of tissue will then be taken at that time to be examined for specific changes consistent with celiac disease. HOW IS IT TREATED? Celiac disease cannot be cured and at present, there are no medications available to stop, prevent or reverse damage done to the intestinal lining. However, the mainstay of treatment is the strict elimination of gluten in the diet which will stop the damage to
the intestinal lining. A gluten-free diet can be difficult to maintain as gluten is present in many common foods and products. Consultation with a dietitian is recommended. Potential sources of hidden gluten in processed foods, cross-contamination at restaurants and within medications or supplements. It is important to read labels carefully paying close attention to additives used. Oats can be introduced with caution and may be tolerated by some patients MONITORING RESPONSE TO TREATMENT A large percentage of patients have noticeable improvement in symptoms within two weeks of a glutenfree diet. Patient are monitored at regular intervals with blood tests and sometimes require a repeat endoscopy. Close attention must also be paid to vitamin and mineral deficiencies and supplemented as needed. The most common reasons for lack of improvement is poor compliance or unintentional gluten ingestion. A small subset of patients do not respond to a strict gluten-free diet and need to be evaluated and treated further by a gastroenterologist. WHO SHOULD BE TESTED? Anybody who has signs or symptoms of the disease should be tested. There are currently no guidelines for routine testing for celiac disease in asymptomatic patients but relatives of patients with celiac disease are at increased risk for having celiac disease. First degree relatives should consider being tested, especially if signs or symptoms of the disorder are present. Testing is usually done with a blood test, as described previously.
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WHAT OUR PATIENTS SAY: Well organized & efficient staff! • I feel the level of care and the gentle and kind manner I was treated in was excellent. I think you should be proud of your staff. • This was my first colonoscopy and the entire staff made the experience less nerve racking, than I thought it was going to be. Everyone made me feel comfortable. • Well done from start to finish. Thank you!! • I had high anxiety over the procedure but staff put me at complete ease! Thank you! • I went in quivering in fear and left with no trauma. Thank you! • Very satisfied, would refer my family to you all.
Consultants in Digestive Disorders Santiago A. Rosado M.D. • Steven Yu Villanueva M.D. Timothy J. Cavacini D.O. • Stuart A. Soroka, M.D. Daniel J. Gassert, M.D. • William J Barlow, M.D. Anis A. Ahmadi, M.D. • Camille A. McGaw M.D ST. AUGUSTINE 216 Southpark Circle East St. Augustine, FL 32086 Phone: 904.824.6108 Fax: 904.823.9613 MURABELLA/WGV 52 Tuscan Way, Suite 203 St. Augustine, FL 32092 Phone: 904.824.6108 PALATKA 199 S. Highway, Suite C East Palatka, FL 32177 Phone: 386.326.4060 PALM COAST 50 Cypress Point Pkwy, Condo C1 Palm Coast, FL 32164 Phone: 386.986.3400 ST. JOHNS 1633 Racetrack Road, Suite 206 St. Johns, FL 32259 Phone: 904.824.6108 www.GI-Associates.com info@gi-associates.com
Health & Medicine
Photo by Christine Cousart www.cousartphotography.com
Top Superfoods for the Maturing Adult
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uperfoods are nutrient dense foods that contain astonishing levels of antioxidants, vitamins and minerals to help nourish our bodies and fight disease and illness. Mature adults have specific nutrient needs as human physiology changes as we age; which means some foods can be especially beneficial to aging bodies. In fact, by including these superfoods that contain senior-deficient nutrients in daily diets, caregivers can help elderly loved ones stay healthy. Erika Cook, RD and Director of Food and Nutrition at BayView Healthcare explains, “Eating well is important at all ages, but even more necessary for seniors because nutritional needs change as we age. Nutrition is necessary for health, vitality and quality of life. Unfortunately, for a variety of reasons many seniors are not eating as well as they should for many reasons, including the ability to get to the shop and prepare their own meals. This can lead to poor nutrition or malnutrition, which in turn is often easily being mistaken as a disease or illness. There are some foods packed with nutrients that mature adults need that can help them stay healthy.”
This forum is a regular contribution from BayView Healthcare to help share the knowledge and expertise of the more than 280 healthcare professional across our continuum of care. In each issue an area of interest is addressed to help consumers be even more informed about their health and wellness. We are living longer, and with the changes in healthcare reform, confusion continues to arise regarding what healthcare services are covered and not covered at all. As we age, most of us contend with multiple healthcare issues, many of which are chronic and cannot be cured – only managed. In this FORUM, Erika Cook will explain how superfoods can enhance the health and wellness
regime for maturing adults. An aging body requires properly and carefully prepared meals that help to fight off lethargy, fatigue, diabetes, arthritis, inflammation and other conditions related to an aging population. The mind of the mature adult would also be strengthened by consuming a thoroughly prepared meal. Erika Cook is the Director of Food and Nutrition and a Registered Dietician (RD) for BayView Healthcare. She has been with BayView for 3 years. Ms. Cook and the Dietary team are committed to providing excellent nutrition and customer service for our residents and patients. Cook is a strong advocate for the importance of a quality meal time and the overall impact it has of the quality of life for our BayView Healthcare Family.
Since superfoods are nutrient-packed, those individuals eating superfoods regularly tend to be healthier than others. Cook says, “There are many reasons our bodies change as we get older, including physiological, perceptual and general age-related conditions. These changes all influence the performance of our body as a whole, which in turn, influences our eating, nutritional intake and overall health. Common nutrient deficiencies of dietary origin for mature adults include inadequate intake of vitamin A, B, C, D, E, folic acid and niacin, so including foods that contains these important nutrients can help them maintain optimal health.” As the body ages, the most common health issues are related to inflammation. Inflammation causes autoimmune diseases and fatigue in the mature adult. It can be prevented by including anti-inflammatory ingredients and foods high in antioxidants in the diet which come packed with nutrients to help the body fight off various diseases and conditions. Antioxidants help protect our bodies cells against free radicals. Some examples of antioxidants are beta-carotene, lycopene and vitamins A, C, and E.
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There are many super foods available but five categories are a must when mature adults diet planning is concerned: 1. Grains – Whole grains such as barley, oats, quinoa and brown rice are perfect for battling with diabetes. These grains help to make the body feel full longer by providing protein and fiber. Oatmeal is a good way to start the day. Adding whole grains to smoothies, salads and soups, will provide complete easy meals. 2 Root and Cruciferous Vegetables – Most vegetables can help the body in fighting off infections. However, for an aging body, the amount of polyphenols concentrated per surface area is an important factor while choosing vegetables. This requirement is met by root and cruciferous vegetables like beet root, cauliflower, cabbage and broccoli. For example one cup of broccoli and cauliflower contains your daily needs of Vitamin C and is a good source of folic acid. These vegetables are a good addition to juices and salads.
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3 Spices and Herbs – Certain spices and herbs are not only loaded with amazing benefits for the body, they also make the food taste better. Garlic is a booster of the immune system and has anti-inflammatory property. Turmeric, rosemary and thyme will add great flavors to food without adding extra calories and help to increase the nutrient content of meals. Ginger is another great super food that can be added to tea and smoothies. 4 Legumes – Beans, consist of peanuts, adzuki, lentils, kidney beans, black beans and garbanzo beans which have minerals and vitamins for fighting off inflammation in the body. Legumes are full of protein, fiber, folate, magnesium and iron. Adding beans to a daily diet will help to increase protein without adding extra saturated fats that come from animal proteins. Legumes can be included in soups, salad and many other main or side entrees. 5 Fats – Omega 3 fatty acids are known to work against not just inflammation but also cancer, arthritis and heart conditions. They are essential to a daily diet because the body is not able to produce them on its own. Best sources include salmon, sardines, avocados, walnuts and egg yolks. Flax seeds and chia seeds are another good option, the seeds can be included in smoothies and salads. The mind of a maturing adult would also be strengthened by consuming a thoroughly prepared meal and problems like Parkinson’s and Alzheimer’s disease can be kept at bay. Fortunately, at BayView Healthcare, the nutrition plans are designed at an individual level. The dietary team takes the patients and residents personal food preferences into consideration at each meals. In fact one of the highlights of the program is the alternative menu. Having nutritious choices and
Health & Medicine incorporating these suggested super foods into daily living is a focal point behind health, wellness and care plans at BayView Healthcare. Below are some examples found on the current daily menu and the alternative menu at BayView. It is our goal to focus on areas that need extra support as we age, such as: eyes, lungs, heart and brain. Each of the suggested items listed below fall within a specific superfood category providing a wealth of nourishment. Apples - Apples contain soluble fiber, which may help lower cholesterol and slow the uptake of glucose, helping you maintain healthy blood sugar levels. They’re also a super source of potassium, antioxidants and vitamin C. Asparagus - Asparagus is high in lycopene, which has been found to protect the prostate and help reduce the risk of prostate cancer. In addition to lycopene, asparagus contains vitamin A, important for the immune system and eye health, and lots of fiber to help reduce cholesterol and encourage heart health. Asparagus also contains protein and iron - something you may not expect from these thin green spears. Blueberries - Like apples, blueberries are high in soluble fiber, which can help lower cholesterol and slow the uptake of glucose, helping you maintain healthy blood sugar levels. But there’s much more packed inside those blue skins: Vitamins C and K are the major players, as are antioxidants and the mineral manganese Broccoli - Broccoli has been the butt of jokes for years, but you’d be foolish not to eat it. It’s high in fiber, antioxidants and vitamins such as A, C, B9 (folate) and K. That means your eyes, red blood cells, immune system, bones and tissues all benefit from this vegetable. Butternut Squash - The versatile butternut squash brims with beta-carotene,
which is important for eye health. The heart also benefits from the vitamin C in winter squash and its high fiber content, which helps lower cholesterol and maintains good blood sugar levels. Dark Chocolate - Dark chocolate includes many nutrients such as antioxidants, including flavonoids, minerals, fiber and polyphenols. Some studies indicate that consuming small amounts of dark (at least 70 percent cacao) chocolate on a regular basis can help lower blood pressure. Dark chocolate is sweetened with sugar, so indulging in moderation is recommended for calorie control. Fava Beans - Low-fat, no-cholesterol fava (broad) beans have plenty of fiber and B vitamins, including folate, thiamin and riboflavin. Minerals such as manganese, iron and potassium also make these beans a nutrient-rich choice. Fava beans are good in soup, pasta and salad. Greek Yogurt - Greek yogurt contains fewer carbohydrates, less sugar, less salt, and more protein and digestive-friendly probiotics than American-style yogurt. A serving of low-fat or nonfat Greek yogurt may have twice the protein and half the sugar of its non-Greek counterpart. If you opt for full-fat versions of Greek yogurt, however, it has more saturated fat.
Olive Oil - Olive oil is high in monosaturated fat, which has been found to lower blood cholesterol levels, decreasing the risk of heart disease. Research also shows that this type of fat may keep insulin levels low and improve the control of blood sugar. This healthy fat can be paired with garlic and onion to add significant flavor to many dishes. Pears - Pears are full of soluble fiber, which may help maintain healthy blood sugar levels, lowering diabetes risk. Pear season begins in late summer and continues through winter. The fruit is nutrient- and mineral-rich, providing vitamin C, folic acid, antioxidants and potassium. This is a great snack option. Cinnamon can be added to the fruit for more flavor. Quinoa - The South American grain quinoa is well-known to vegans and vegetarians because it’s a complete protein, similar to animal proteins and filled with antioxidants, vitamins and minerals, such as B2, magnesium, copper, iron and
Green Kale - Leafy green kale packs a nutritional wallop - cooked, raw or juiced. It contains important vitamins such as, K, C and A. It is high in fiber It also provides with some Omega 3, it is a low calorie food that is nutrient dense. Oatmeal - Oatmeal’s top benefit comes from its high soluble-fiber content, which helps lower cholesterol. Oatmeal is lowfat, high in protein and loaded with iron and other minerals. One cup of cooked oatmeal is only 166 calories. By adding walnuts, cinnamon, almond butter, chia seeds or yogurt to oatmeal in the morning you an increase its nutrients.
phosphorus. Quinoa is full of fiber and easy to use in place of other grains, pastas or white rice. This complete protein has essential amino acids without the added saturated fats you would get from animal proteins. Salmon - Salmon has been called a “super fish” because, among other benefits, it’s high in omega-3 fatty acids. Omega-3s can reduce your risk of heart attack and stroke. They can also help lower blood pressure and build brain cell membranes. This list provides some suggestions for adding superfoods to a balanced diet. Although, the foods mentioned are good choices, enjoy many different foods on a regular basis. It is important to continue to eat a balanced diet consisting of all foods groups. Add extra vegetables and whole grains to each meal to increased nutrients, fiber and protein, these items will keep the body full longer, help maintain good health and feel the best.
Health & Wellness Forum
161 Marine Street, St. Augustine, FL (904) 829-3475 www.bayviewhealthcare.org BayView Healthcare 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 at BayView Rehab at the Samantha R. Wilson Care Center, BayView Home Health and BayView Assisted Living at The Pavilion and Buckingham Smith, an 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. For further information about any of the programs offered through the BayView Healthcare continuum please call (904) 829-3475.
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Health & Medicine
December 2016/January 2017
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Health & Medicine The Art of Spider Vein Treatment: Sclerotherapy & Laser Therapy Photo by Christine Cousart www.cousartphotography.com
-Restoring the youth in your legs
characteristics of spider veins. Some of the treatment options that have been used for the treatment of spider veins are: • Lifestyle changes • Support stockings • Vein stripping surgery • Radiofrequency Occlusion • Sclerotherapy • Laser therapy For the purpose of this article I will focus on sclerotherapy and laser therapy
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By: Ryan Pereira, DPM, FACFAS
f you are one of the many who suffer from discomfort, pain, or poor self-image due to varicose veins, spider veins, or venous reflux, a wide array of minimally invasive treatment options are available at The Centre for Advanced Vein Care (CAV Care) which has been treating venous disease since 2005. Spider veins and varicose veins, although considered a cosmetic problem are actually a sign of an underlying disorder called Venous Insufficiency. Nearly 20-25 million Americans are afflicted by this condition. By age sixty, approximately 70 percent of women and 40 percent of men will be afflicted with venous insufficiency. Left untreated, it can lead to a chronic, debilitating, and sometimes limb-threatening condition. Spider veins present as small webs of red, purple or blue clusters or lines that disfigure the skin surface. Varicose veins appear as dark blue veins or bulging ropes beneath the skin. While these veins are not usually life threatening, they can disrupt and interfere with a person’s quality of life. There are various treatment options available depending on the size, location and 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 in
Sclerotherapy Sclerotherapy is the most common treatment for both spider veins and varicose veins. Dr. Pereira uses a needle to inject a liquid chemical into the vein. The chemical causes injury to the vein walls thereby causing it to stick together, and seal shut. This stops the flow of blood, and the vein turns into scar tissue. In a few weeks, the vein fades away. Sclerotherapy treatment does not require anesthesia and is performed in the office setting. Patients may return to normal activity immediately after treatment. Patients normally require between 2 and 5 treatments sessions every 4-6 weeks to obtain optimal results. After sclerotherapy patients may be asked to wear compression stockings. This treatment is very effective when done correctly. Side effects of Sclerotherapy Common temporary side effects of sclerotherapy are stinging, redness, raised patches of skin, bruising where the injection are performed. These subside immediately after treatment. Spots, brown lines, or groups of fine red blood vessels around the treated vein recede shortly after treatment. Finally blood trapping in the vein may cause a mild inflammation which is usually treated either by draining the trapped blood or applying warm moist. Laser therapy Laser transmits laser light through the skin to the 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 Reconstructive Rearfoot/ Ankle surgery. He is also a Fellow of the American ColDr. David S. Ross lege of Foot and Ankle Surgeons. He graduated from the Ohio College of Podiatric Medicine with his Doctorate in Podiatric Medicine.
target blood vessel up to 3 mm in size. After the laser light is absorbed, the light is converted to heat and damage the target vessel. As the vessel is damaged, circualtion stops and the blood vessel disappears shortly thereafter. This procedure is quick and can be done in about 15-20 minutes depending on the area, size and number of spider veins to be treated. The laser has a built in cooling device that prevents thermal injury to the skin and assists in the reduction of pain with the laser therapy. Laser therapy may require between 2-4 treatments in 4-8 week intervals. Side Effects of Laser Therapy Common temporary side effects are swelling, redness, mild pain and hypo-pigmentation or hyperpigmentation. These side effects will gradually disappear as the lesion heals, which may take from few days to several weeks depending on the severity of the spider vein. At CAV Care, we evaluate many patients for treatment of their spider veins, who have had these Dr. David S. Ross has been in practice since 1977 and has been treating venous disease since 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.
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previously treated where only the cosmetic appearance was addressed, only to see reappearance after 6-12 months. Those who opt only for superficial treatments of leg spider veins exchange the veins for dark blotches in the skin. The underlying problem is never considered or treated. A careful ultrasound vein mapping may show a deeper source of reflux in a larger source vein. We offer minimally invasive treatment options like VNUS Closure procedure to address the larger source veins. Once any underlying large vein insufficiency has been excluded or treated. Sclerotherapy, laser therapy and combination therapy are utilized to restore your legs to a more youthful appearance.
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ave you ever found yourself answering someone before they have even finished their statement or question? Began blaming or resurrecting past offenses to divert the focus? Participated in a competition of who is more tired, has done more or has a more difficult job? Completely tuned out the other person because you feel they are always criticizing? Attacked someone with a threat of leaving the relationship? Most people will admit that they are guilty of these maladaptive conflict management styles, but few will realize that they may be headed for a loss; not just with the current argument, but potentially the loss of a relationship. When unresolved conflict builds up it blocks the flow of connection and love and can threaten the sense of security and safety. This can trigger the fight or flight response inherent in all of us. Our style of managing conflict is learned from past experiences, and is also linked to our personality or temperament type. It is not a part of our genetic code, however, and it can most certainly be changed with insight and effective coaching strategies. The first step is reframing the concept of conflict and begin to see it as an opportunity, rather than something threatening or needing to be avoided. The opportunity created begins with a sense of curiosity and desire to understand. This perspective will immediately change your perception and emotional posture and you can begin listening with your ears and your heart.
Health & Medicine
How to Lose Every Time Many conflicts diminish when the other person simply feels heard. Remaining in the present moment as both a listener of the other person and yourself will contribute to maintaining flow and connection. Deep breaths and reassuring self- talk can help decrease anxiety and over-reactivity. Asking questions to verify your interpretation rather than making an assumption shows your partner that you are interested. Offering solutions prior to gaining this understanding can lead to disconnect. Sometimes conflict escalates to a point where it is unproductive and a time out is beneficial. When making this request it is helpful to indicate a need for self-reflection, but also acknowledging when the conversation will resume. This is a good time to surrender any beliefs that are negative or unproductive. If we can understand that we always try to find evidence to support our beliefs, then we can challenge this process to keep focused on the desired goal. For instance, changing the old belief of “I can never do anything right in my wife’s eyes” to “let me hear and understand her concern to build a better relationship” will yield a valuable outcome. If you find yourself repeating patterns, perhaps it is time to seek out coaching or counseling from The LifeSource Group. In just a few solution focused sessions, you can change your approach to conflict and begin improving and enriching your valued relationships.
ST. AUGUSTINE’S BEST COUNSELORS 2011-2014 December 2016/January 2017
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.
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John R. “Jack” Jones, Jr,
Licensed Mental Health Counselor & Certified Family Law Mediator
“Jack” has an MBA from Columbia University, a Masters Degree in Counseling Psychology from the University of North Florida, is a Licensed Mental Health Counselor, a Clinical Hypnotherapist and a Certified Family Law Mediator. 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, Guardian Ad Litem volunteer, licensed foster care parent, and adoptive father.
Lasting Results Through Science & Spirituality We are now an Amen Clinic Affiliate
Kathleen Abbott, LMHC Melissa Muller, LMHC John “Jack” Jones, LMHC Melody Ott, LCSW Liggett M. Cato, CECP Amy Ros, MS, RMHCI Kian F. Jacobs, LCSW Thomas Swisshelm, MEd, EdS Barbara Jenkin, M.A., CAP Liz Villanueva, RMCHI Allison Masters, LMHC Dan Vosgerichian, PhD
Free Counseling Through Our Graduate Intern Program Free Substance Abuse Groups Featuring SMART RECOVERY Now Accepting Medicare
(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
Health & Medicine
Foot Myths: Don’t Believe the Hype odor. The most efficient way to kill odorcausing bacteria is by using antiperspirants on the skin of the foot. Just as antiperspirants work on underarm odor, it helps to reduce the sweating that leads to the bacteria in the first place. So, while a vinegar soak for foot odor may be helpful in an indirect way, there is a better, more efficient solution to this problem.
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By Richard Johnson, DPM
Coastal Foot & Ankle Wellness Center
eople have used home remedies for foot ailments for many years. Many of these “cures” are not medically sound. Below are some foot myths, debunked. • Listerine and Vicks VapoRub will cure toenail fungus. The claim is that these chemicals will cure toenail fungus and provide a safe alternative to prescription antifungal pills and a cheaper alternative to topical fungal medications. These chemicals cannot effectively penetrate the skin underneath the nail where the nail fungus is located. Nail fungus should be diagnosed with a nail biopsy/culture from a nail clipping and treated properly with either prescription topical or oral medication.
• Vinegar can cure foot odor. People often mix a water and vinegar soak to treat foot odor. Vinegar contains acetic acid and may contribute indirectly to reducing foot
• Aspirin and ibuprofen are good treatments for plantar fasciitis (heel pain). Taking non-steroidal anti-inflammatory drugs such as aspirin and ibuprofen is believed to help with heel pain. However, these medications provide only temporary pain relief and, alone, do not treat the underlying condition. Plantar fasciitis is an inflammation of a ligament on the bottom of the heel. A combination of appropriate stretching, icing, proper shoe gear, orthotics and anti-inflammatories is more complete method of curing heel pain. • Fungus cannot survive inside an unworn shoe or boot over time. In fact, fungus can live in a dormant state just waiting to infect or re-infect a foot or toenail. If you had foot fungus last season, take precautions by using an anti-fungal spray on boots and shoes that were worn last season before wearing them this season. • Pennies and duct tape can kill warts. While there are people who will swear that they got rid of their warts with either or a combination of duct tape and pennies, there is no scientific proof that this works. Warts are caused by a virus which infects the epidermis (outer layer of skin) and needs to be treated/killed appropriately.
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We have been treating your feet in St Augustine and Palatka for over 12 years. Make an appointment today with Richard Johnson, DPM or Jose Concha, DPM 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
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3D Mammography to be offered at Flagler Imaging Center
lagler Imaging Center is pleased to introduce 3D mammograms later this fall. The Genius™ 3D Mammography Exam is the most exciting advancement in mammography in over 30 years. A Genius exam is an advanced technology in the fight against breast cancer that allows doctors to examine your breast tissue one layer at a time. The imaging system uses highpowered computing to convert digital breast images into a stack of very thin layers or “slices” for your radiologist to review. A good analogy for a Genius exam is thinking of the pages in a book. If you look down at the cover you cannot see all of the pages – but when you open it up, you can go through the entire book page-by-page to see everything between the covers. The Genius exam was designed with the same concept in mind. Doctors and scientists agree that early detection is the best defense against breast cancer. Successful treatment and survival rates for breast cancer patients are dramatically affected by early detection of breast cancers. If we find breast cancer early, before it has spread to lymph nodes, the fiveyear survival rate is almost 100 percent. Until now, the best way to do that has been with digital mammography. While digital mammography is still one of the most advanced technologies available today, it is only a 2-dimensional picture of the breast. The breast is a 3-dimensional object composed of different structures, such as blood
vessels, milk ducts, fat, and ligaments. All of these structures, which are located at different heights within the breast, can overlap and cause confusion when viewed as a 2-dimensional, flat image. This confusion of overlapping tissue is a leading reason why small breast cancers may be
December 2016/January 2017
missed and normal tissue may appear abnormal, leading to unnecessary callbacks. Patients will find the 3D mammogram experience to be similar to that of a 2D mammogram. The test takes about the same amount of time with just a few seconds of compression.
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To learn more about Flagler Imaging Center and the new Genius™ 3D MAMMOGRAPHY™ exam, please visit www.FlaglerHospital.org
Health & Medicine
Flagler Hospital Designated a Lung Cancer Screening Center by the American College of Radiology
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ung cancer is one of the most frequent diagnosed malignancies at Flagler Hospital. Reducing mortality rates from advanced lung cancer is an established goal for St. Johns County, as identified in the Health Leadership Council’s community health needs assessment. In an effort to identify high-risk patients early, the hospital’s cancer committee voted in 2015 to move forward with the implementation of lung cancer screening at Flagler Hospital. In 2016, Flagler Hospital was designated a Lung Cancer Screening Center by the American College of Radiology (ACR). ACR Lung Cancer Screening Center designation recognizes facilities that have committed to practice safe, effective diagnostic care for individuals at the highest risk for lung cancer. “We are always looking at ways to improve the health of the residents in our community, and we know that lung cancer is one of the leading causes of premature death in St. Johns County,” said Flagler Hospital President and CEO Joe Gordy. “The speed at which we were able to put this program together and earn this national designation is yet another testament to the collaborative relationship we have with our medical staff and our leadership team - all aimed at meeting our community’s needs.” In order to receive this elite distinction, facilities must be accredited by the ACR in computed tomography in the chest module, as well as undergo a rigorous assessment of its lung cancer
screening protocol and infrastructure. Also required are procedures in place for follow-up patient care, such as counseling and smoking cessation programs. “Lung cancer screening with low dose CT removes the fatalistic belief many share - that if they have smoked for many years, there is no use in trying to quit now, ” commented Dr. James Builteman, an area radiologist who led this initiative. “These screenings can help individuals retake control of their destiny. Quitting smoking not only reduces one’s chances of lung cancer but just as importantly stroke, heart attack, and peripheral vascular disease.” In December 2013, the United States Preventive Services Task Force recommended screening of adults aged 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years. Lung cancer is the nation’s leading cancer killer – taking the lives of more people each year than breast, colon and prostate cancers combined. Flagler Hospital offers free quit smoking classes. The group sessions take place in the Flagler Wellness Center once a week, for one hour, over a six week period. Each week covers a different topic such as nicotine replacement therapy, stress reduction and relaxation techniques and identifying smoking triggers. Written material is provided, a toll free Quit Line is available, and people can re-enter the program as many times as necessary. Call 904-819-4338 for more information on this free course.
ABOUT Lung Cancer Screening Who is eligible for screening? Lung cancer screening is not appropriate for everybody; you qualify for screening if you: • Are between 55-77 years old • Have smoked within the last 15 years, and
• Have smoked 30-pack-years or more (A pack year is used to describe how many cigarettes you have smoked in your lifetime, with a pack equal to 20 cigarettes. For example, if you have smoked 2 packs a day for 15 years, you have 30 pack years)
Darlene was referred for lung cancer screening by her primary care physician when he learned about her smoking history. She says she began smoking when she was 21 “because everybody smoked in the sixties” and she continued to smoke for years. She has had two annual screenings so far and will return for another visit in six months. Darleen shared that the process is very easy and provides peace of mind. “I enjoy the staff there very much. The young ladies who screened me were fantastic and did four different tests in just over an hour,” she said. Darlene also recommends that others start seeing a primary care doctor regularly if they don’t already. She says she has adopted a healthier lifestyle, quit drinking soda, is watching what she eats and has lost 40 lbs.
Flagler Hospital is a 335 bed, acute care hospital that has consistently ranked among the top hospitals in the nation by leading ratings agencies. The hospital has operated as a not-for-profit healthcare institution in St. Augustine, Florida since its founding in 1889. Flagler Hospital’s focus on quality has resulted in numerous national accreditations including, designation as a Chest Pain Center by the Society of Chest Pain Centers, ANCC Magnet Status for Nursing Excellence, 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 accreditation of its Cancer Institute by the Commission on Cancer. To learn more about all of the hospital’s services log on to www.FlaglerHospital.org.
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Life Services
Photo by Christine Cousart www.cousartphotography.com
The Choice Belongs to You
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Cathy Johnston Haven Hospice Administrator
very day people make choices. Some choices are vital and require research like selecting a primary care physician or a pediatrician to entrust with the well-being of our children. Before making decisions like these, it is customary to consult with friends or conduct internet research to establish what is best for you and your family.
Haven Hospice understands that decisions regarding end-of-life care for a loved one can be very difficult. In order to make the best decisions possible, it is important to be as informed as possible. Typically, physicians and hospitals refer patients to specialists, home health companies, hospice providers and long-term care facilities when they require services that are outside of their specialties. While these referrals can be helpful, it is important to understand that the choice belongs to you and your loved ones. As a Medicare Beneficiary, all patients have the right to choose the health care providers that they want to work with for the provision of their care and services. They have the expressed right to visit any doctor, specialist or Medicare certified provider, including hospice, that participates in the Medicare program. Haven Hospice believes that no patient should be in pain and suffer needlessly. Our expert physicians focus on managing pain and symptoms of our patients to make them comfortable. One of the ways that patient comfort is tracked by all hospices is by a pain score, which is defined by the Florida
December 2016/January 2017
Department of Elder Affairs (DOEA.) DOEA expects that 50 percent of all patients that get admitted to hospice with severe pain (score of 7 or higher on a 1-10 scale) should have their pain reduced to a self-reported 5 or lower by the end of the fourth day. Haven has consistently been able to reduce patient’s severe pain over 98 percent of the time for 2015, exceeding all benchmarks. Haven understands that our primary mission is to serve our patients and their families at this critical time. Haven’s programs and services address the physical, medical, emotional and spiritual challenges associated with life-limiting illness and include home and inpatient hospice services, palliative care consultation services, transitions support, volunteer services, community education and resources, as well as grief support. Haven’s team of physicians, nurses, certified nursing assistants, social workers, volunteers and chaplains work together to help you and your family with anything you may need. Haven Hospice is a non-profit hospice which has been providing comfort, care and compassion for patients and their families in North Florida for over 37 years, regardless of an individual’s ability to pay.
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Facing a life-limiting illness creates many difficult questions, so let us share how we can help you and your family answer those questions so that you can make the most informed decisions about the care of your loved one. Please call Haven Hospice in St. Augustine at 904.810.2377 or stop by our office located at 2497 US Highway 1 South. You can also visit our website at www.havenhospice.org for additional resources.
Thank you, Coldwell Banker Premier Properties of St. Augustine for your ongoing support of Haven Hospice. Coldwell Premier Properties recently held a Yard Sale to benefit Haven Hospice. This is just one example of how Coldwell supports Haven’s mission of honoring life by providing comfort, care and compassion to those we serve.
Life Services
Senior Move Management Downsizing an Aging America and professional accomplishments. Here are some tips to help you with downsizing the family home. Take What You Love Downsizing can be difficult. It helps to focus on the things in your home that have meaning for you, even if you have not used them in a while.
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Leslie Vlachos, President Design 55 Inc.
ging in so many ways is about loss—the loss of a spouse, the loss of physical or cognitive abilities, the loss of friends. When we speak to our loved ones about leaving a home that they have in lived for many years, we are also speaking about downsizing and the loss of home. And in so many ways, our stuff is what defines us. Our possessions hold memories of family, travel, life events,
Take Your Time Downsizing and sorting is exhausting. It will take time to go through all your household contents, especially if you have lived in your home for many years. Plan to spend a few hours at a time working through the sorting process. This is not a task that you can do for long periods of time at any age. Begin downsizing three to six months before you plan to make a major lifestyle move. Schedule appointments with yourself to downsize just as you might schedule a doctor’s appointment, a golf game, or bridge club. You will feel more prepared and less stress if you begin well in advance of a major lifestyle move. Making It Easier To Let Go Downsizing is as much about sorting through a lifetime of memories as it is about possessions. Don’t expect to pack up those framed portraits of your parents
or grandparents without shedding a tear. Belongings all contain memories, so take the time to reflect. Start a sentimental pile of possessions to pass on to family members. It will make you feel better to know that family heirlooms are still around—just not under your roof. Decision Making –Round Two Remember the 80/20 principle. Most people use only 20% of what they have. The other 80% is just taking up space. After deciding what you “absolutely must keep” give yourself a one-week break and go back through your possessions another time with a more critical eye. Once you get used to the idea of parting with certain belongings, it may be easier to make a final decision. Ask for Help. Get a Second Opinion. Sometimes it is challenging to get rid of things even if you know intellectually that you won’t need them. If you are finding it difficult to part with your items, or you are overwhelmed by the downsizing process, consult a Senior Move Manager to help you gain clarity in the situation. A Senior Move Manager is skilled at helping a client part with a possession without parting with the memory.
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WHAT OUR CLIENTS SAY: “You and your team pulled us out from under the most difficult move of our lives! Their strength, patience, tolerance, and understanding all with a sense of humor and efficiency.” - J. Schember “Design 55 is a superb company in what they do. From the time Leslie visits, to showing us our new home, there is such organization from everyone. What a great crew! What a great company! This service was invaluable to us.” - S. Putnam “Design 55 staff were prompt, hard-working, efficient, and cheerful. They were very respectful while asking questions and seeking our opinions. I was also impressed that your staff arranged my china cabinet based on a photo I had taken of it! That in itself saved me hours of work unpacking and arranging crystal. Your services are very comprehensive. I can’t think of anything you had not thought of first.” - S. King
Life Services Simply Susie: Let us clean, cook and run errands for you! Photo by Christine Cousart www.cousartphotography.com
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
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By Susie Sullivan
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
Susie has been helping me declutter ear Friends: my home. We are taking our time While many more mature adults are and she understands sometimes it’s enjoying staying in their homes longer, difficult to let go of things. Already it some find they still need some extra looks so much better. She also takes “care”. That’s where I come in. I am me to my Dr. appointments and is very prompt and knows the area so well. offering a wide variety of “in home non - Pete O. St Augustine 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) Please call me to get my competitive rates! Minimum of 1 hour!
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.
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
December 2016/January 2017
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December Weekly Menu
Dec 5 Sausage and Cheese Ravioli/4 Layer Salad/Garlic Toast Sloppy Joes/Potato Salad/Baked Beans Healthy Choice Chicken Cacciatore over Br Rice/St Broccoli Pan Seared Salmon/O’Brien Potatoes/Green Beans Dec 12 Tangy Ginger Pork over Rice/Brussels Sprouts 4 Cheese and Spinach Manicotti/Asparagus/Dinner Roll Healthy Choice Parmesan Baked Chicken/Sweet Potatoes/Asparagus Maple Soy Salmon/Red Potatoes/Greek Salad Dec 19 Beef n Veggie Kabobs over Rice Pilaf/Potato Roll Asian BBQ Chicken Skewers over Rice Noodles/Asian Slaw Healthy Choice Seared Chicken and Caramelized Veggies/Smashed Potatoes Herbed Swai over Creole Rice/Herb Roasted Parsnips Dec 26 Cheesy Shrimp on Grits/Spring Mix Salad/Corn Muffin Chicken and Black Bean Taco w/ Toppings/Refried Beans Healthy Choice White Chicken Chili/Spinach Salad/Dinner Roll Swai w/ Balsamic Glaze over Orzo/ California VeggieMedley
Legal
Photo by Christine Cousart www.cousartphotography.com
Flood Insurance, FEMA and SBA…What’s the Difference?
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Joseph L. Boles, Jr
et’s set aside the issues of passing your estate to your loved ones for a moment and focus on what we need to do with our assets while we are alive and trying to survive Hurricane Matthew. I hope the little I have learned in the past few weeks since October 7th will be helpful to you or someone you know. Flood Insurance is bought by anyone who lives in an area that is subject to a risk of rising water engulfing your home. Your lender will require it in addition to your hazard insurance which DOES NOT include flood insurance. It is purchased and paid for separately. When you pay off your mortgage your lender does not care anymore because they have gotten their money. You, however, should care greatly about insurance because you want to be covered in the event of damage of any kind, flood included. But sadly some people drop it because it is another expense they can’t afford. So, if your home is damaged and
you do have flood insurance, contact your agent quickly! Or call the number on your Flood Insurance policy, (if it isn’t too wet to read!) and get that moving first of all! FEMA, or the Federal Emergency Management Agency, is a governmental organization that jumps into high gear whenever a disaster occurs. You can apply to FEMA for disaster assistance online or at one of the Disaster Recovery Centers that pop up in your community. If you have no flood insurance this is going to be your first priority because they have funds available for temporary housing, etc. But nothing is quick and nothing is guaranteed. SBA is the Small Business Administration. Why, you ask, are we talking about small business if it’s your house that’s been trashed! Well, the SBA also makes loans available for disaster relief for residential owners not just for businesses. You may need both and God Bless You if you do. Go fill out an application online or at the Disaster Recovery Center. Many people will be confused by the references to FEMA and Flood Insurance and believe they are one and the same. THEY ARE NOT! The confusion comes because its all Federal money. SBA is also the Feds, so apply for your flood insurance if you have it and FEMA if you don’t as your first move. Do a FEMA application regardless because if you go to SBA for money they want your FEMA application number in their application. (But if you don’t have it they will still process you, go figure!) If you are going to apply for your parent, you must have a Durable Power of
“But whatever you do, do something! Don’t walk around in your mold infested house thinking it will all dry up and go away eventually! ” Attorney in their hands before they can talk to you. You can “merge it” with your application, (whatever that is?) or simply fax it like I did for my Mom’s application. But whatever you do, do something! Don’t walk around in your mold infested house thinking it will all dry up and go away eventually! That’s not healthy and remember if you’ve got your “health”
you’ve got just about everything! (A platitude, I know, but it is true!) Joe Boles, Elder Law Attorney FEMA: 800-462-7585 SBA: 800-659-2955 or Call Doug Wiles at Herbie Wiles Insurance, he’ll help you just like he did me!
Joseph L. Boles, Jr. moved to St. Augustine with his parents in 1967. A native of North Carolina, he attended the University of Florida after graduating from St. Augustine High School in 1970. He initially obtained a Bachelor of Design and Advertising Design from the University of Florida, and also obtained his law degree from the University of Florida College of Law. He was admitted to practice in the fall of 1984 and his areas of interest are Elder law, asset protection, estates and trusts. He is married to Jane Reynolds and they have 7 children between them: Hayley, Molly, and Kirby Catherine Boles and Kara, Willie, Emily and Bridey Masson. His office is located on the corner of Riberia and Saragossa Streets in St. Augustine. The office phone number is 904-824-4278.
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Business & Finance
The Most Common Mistakes Retirees Make With Their Finances
“What do you get when you combine 10,000 baby boomers retiring every day, at an average age of 62, life expectancy of roughly 22 years, average savings of $104,000, fewer financial advisors than there have been in 30 years, and a stock market that is inflated and overblown?”
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Rosa Shala, Shala Financial™
oday two of the most common mistakes retirees and pre- retirees make with their finances will be discussed: 1st Mistake: Working capital not working. Now you’re probably thinking, what does that mean, working capital not working? There are two types of capital on your balance sheet: emergency capital and working capital. Emergency capital is exactly what it sounds like; money safe and liquid in case of any type of emergency. Unfortunately in today’s low interest rate environment, emergency capital is not keeping up with inflation. However, the majority of your money should be in working capital and its number one goal should be to keep up with inflation. Why is inflation such a big deal? It was only about 60 years ago that the average person retired at age 65 but the average life expectancy was age 67. Well if you are only going to be retired for 2 years, do you have to worry about inflation very much? No, of course not. However, it is a different world today. The average person
who retires today is expected to live between 20 and 30 years in retirement. That is a long time, and the think about the impact of inflation over a 20 to 30 year period. Think back for a moment to 1986 and think what a quart of milk cost, or a gallon of gasoline or the cost of a new car? If you had retired in 1986, you would need 4 times the income today to live the same lifestyle you had in 1986. That is the effect of inflation over a 30 year period. 2nd Mistake: that is as equal in magnitude, perhaps greater, but in some ways the opposite of working capital not working is: too many eggs in one basket. Sometimes we think of having too eggs in one basket as too much money in one stock such as company stock where one is employed or one particular fund. However, it might not be as obvious as that. Having too many eggs in one basket can be having too much money in the stock market overall or in the real estate market overall because sometimes when one of those particular markets is doing poorly, it almost doesn’t matter what individual holdings one has as they might all be dropping in value at the same time. Think about what happen to the real estate market over the last 8 years of the stock market over the last 16 years. Even if you had a diversified stock portfolio, it probably doesn’t matter what stocks you had, you might probably be dead even with what it was worth 16 years ago or maybe even slightly down in value. After all the stock market has zig zagged for the last 16 years; the market dropped by 50% in 2002; then recovered; dropped suddenly by close to 60% in 2008 and then recovered again. And now we might need to turn to history for clues to see where it might be heading?
December 2016/January 2017
“It was only about 60 years ago that the average person retired at age 65 but the average life expectancy was age 67. Well if you are only going to be retired for 2 years, do you have to worry about inflation very much? No, of course not. However, it is a different world today.”
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Business & Finance TESTIMONIALS:
Rosa… We would like to thank you for your help with our financial affairs these past 10 plus years. You have proven to be very knowledgeable in so many areas and we appreciate your valuable service. Also we can tell that you care about your clients and you have their best interest at heart. Thanks again and in addition you have become a good friend. - Linda & Jim M. I have known you for 15 years. You have gently guided me through all my business transactions and helped me as a friend to put my life in order. I am 81 years old and have been widowed for 7 years. - Patricia G.
THE 4 PILLARS OF FINANCIAL SECURITY: 1. Freedom from debt-to-others 2. An income you don’t work for and you won’t outlive 3. Ready money to take care of yourself and your family when some planned or unplanned life event required it – job loss, college for the kids, illness, a long awaited second honeymoon, homecare or nursing home expense 4. A legacy of wealth and wisdom for those you care about
Register for Free Workshop: Tuesday, January31, 2017 6:00 PM Anastasia Island Branch 124 Seagrove Main Street St. Augustine Beach, FL 32080
RSVP: 888-887-4252
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www.ShalaFinancial.com 352-207-7920 • rosashala@shalafinancial.com
Legal
Your Website: The Friendly Receptionist online so as to reach every possible customer. It’s great if your Salon sells hair products, but if 90% of your business is made through selling hair cuts, then the information for your hair products does not need to be as featured as the information about hair cuts. A better approach is to think like a customer and assume your website is your Friendly Receptionist. What information should she have readily available?
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By Jay Owen Owner, Design Extensions
s the first point of contact for your customers, your business’ website should be like a friendly receptionist. Potential clients and customers visiting your site; see your site, as indicative of the type, quality, and style of work you do. Presenting a sloppy unfriendly website, with poorly thought out navigation, and missing or confusing information, is like having a receptionist that clients are afraid to approach, and who wouldn’t know the answer anyway. You wouldn’t hire an employee like that so stop letting your website turn customers away from your business instead of inviting them in. Knowledge The Friendly Receptionist would not be very good at her job if all she did was act super friendly, but not actually know anything. Similarly the best designed website is no good if the information isn’t easily accessible, concise, and above all pertinent. Many businesses, new to the internet, tend to want to include every tiny detail of their business
Warmth We all have experience with the other type of receptionist as well. The one who knows everything about everything, but is so cold, and unfriendly that you really try not to bother her and find out what you need on your own. That’s how some websites are. The information they have is great unfortunately it is just too “ugly” to access. The wonderful information that you need is hidden in such a cold unfriendly way, that you’d almost rather just find it elsewhere. This problem is just as serious as the lack of information on an otherwise “friendly” site. How can she help anyone if they don’t want to spend anytime with her, or are afraid to approach her? You Care The best websites have the information you need, in a “wrapper” that is friendly and easy to use. Why are these two things so important? It tells your customer’s, that you care about them. We want to feel like the people and businesses we interact with care about us and our satisfaction. We want those businesses to make us feel like they are working with us towards a common goal. Design Extensions is here to make sure that you feel cared about, by making sure that we adhere to the principles of the Friendly Receptionist when designing, and building your website. Simple, beautiful websites, with easy to navigate menus, easy to access information, presented in a friendly inviting way will keep clients coming back, and recommending you to their friends.
December 2016/January 2017
“Presenting a sloppy unfriendly website…. is like having a receptionist that clients are afraid to approach.”
Design Extensions was founded by Jay Owen in St. Johns County in 1999. 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.
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Business & Finance
Reverse Mortgages - Retirement Income for You?
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John Reardon, Reverse Mortgage Specialist
everse Mortgages were created for homeowners aged 62 and older by HUD and are insured by FHA as an “Aging in Place” loan product. Seniors are living longer and living on limited income. The Reverse Mortgage allows access to some of the equity in a primary residence – funds are based on age and appraised value of home. Homeowners can use these funds/ equity and they are not required to make any payments back on the loan, while alive, living in the home. Did you know a Reverse Mortgage is a great financial tool to allow homeowner’s aged 62 and older access to between 50%-70% of the appraised value of their home, based on their age, to better their Quality of Living. The funds received do not have to be repaid back as long as the homeowners
live in their homes, pay their taxes and insurance and keep the home in good condition. The money received can be used for anything the homeowners need it for: • Creating an emergency account • Money to pay off their existing mortgage and get rid of their monthly mortgage payment • Provide money for healthcare costs • Home remodeling • Extra money for vacations • Extra money to eat out more each month • To make your car payment • To buy a vacation home • To have extra money to spoil the grandkids with • To have the extra money to travel and visit them! THINGS TO KNOW ABOUT REVERSE MORTGAGES • Couples or a homeowner always own their homes – just like a regular mortgage except no monthly payment • No payments are due while they continue living in their home as their primary residence • The debt is not passed on to their heirs/children. The heirs/children can inherit the home or sell the property to pay off the outstanding mortgage • Taxes and insurance always have to be paid on the property and home kept in good repair to FHA standards • New rule: Both borrowers do not need to be aged 62 or older – Financial Assessment Certified
“A Reverse Mortgage is a great financial tool to allow homeowner’s aged 62 and older access to between 50%-70% of the appraised value of their home, based on their age, to better their Quality of Living.” EXAMPLES: #1 A Couple Needs More Money To Live On: $250,000 home:
They are aged 70 and 69 years old. Their home appraised for $250,000 and they did not have a mortgage on it. They can receive $132,480 (est) – out of that they received 60%/$75,580 at closing, wired into their checking account and placing 40%/$56,900 in a Line of Credit that grows at 6.0% (est) and is available after one year. #2 A couple wants to get rid of their monthly mortgage payment and have more money to live on: $175,000 home:
A couple aged 69 and 68 want to pay off their current existing mortgage of $30,000, eliminating their monthly mortgage payment of $800 – freeing up that amount each month for them. Home appraised for $175,000 - They are getting enough to pay off their $30,000 existing mortgage, getting $20,796 (est) at closing and placing $39,340 (est) in a Line of Credit that grows at 6.0% (est) and is available after one year.
Please call or email John Reardon, our local Reverse Mortgage Specialist anytime! He is always happy to answer any questions you might have. John Reardon - Direct Phone: 904-982-2210 Office: 386-445-411
Reverse Mortgage Specialist NMLS 555210
Community Mortgage Solutions – Serving St Johns, Duval, Flagler, Nassau, Clay, Putnam, Brevard and all surrounding Counties Regional Office: 1030 Palm Coast Parkway Suite 3, Palm Coast, Florida 32137 EMAIL: John@communitymortgagesolutions.com Website: www.FloridaReverseMortgagesMadeEasy.com
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Women in Profile
Michelle Andrade, BSN, RN, Director of Emergency Care Services
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ichelle Andrade serves as the Director of the Flagler Hospital Emergency Care Center. In this capacity, Michelle has operational and strategic responsibility for the Emergency Care Center and the Transition Admissions Unit and leads a staff of 150 who work around the clock to care for our community when emergencies arise.
Johanna HĂślljes Baker, Volunteer Chaplain at Flagler Hospital
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ohanna Baker serves as a Volunteer Chaplain at Flagler Hospital. In this capacity she provides spiritual care for patients, their loved ones and staff members at the hospital. She has been a hospital chaplain for three years and spends her time visiting patients in the Outpatient Surgery Department early in the morning. Johanna was born and raised in Baltimore, Maryland and attended the University of Maryland and The University of Paris-Sorbonne in France. She holds a B A in Human Resources with majors in Psychology & Communica-
December 2016/January 2017
Michelle received a Bachelor’s of Science in Nursing from Rhode Island College of Nursing. Upon graduation she worked in the Emergency Room at Sturdy Memorial Hospital in Attleboro, Massachusetts. Five years later Michelle was ready for a change and joined Flagler Hospital’s team as a nurse in the Emergency Care Center in 2005 and has since worked in several capacities within the organization including charge nurse and risk management nurse before assuming her current role as Director. Michelle enjoys her job in the Flagler Emergency Care Center and wants to continue to develop compassionate, highly-skilled nurses to provide exceptional care to those in our community. Michelle is a Portuguese American and spent several years as a little girl living in Portugal. In her free time, she dons colorful Portuguese attire and loves traveling to perform her native Portuguese Folk Dancing. Dancing is one of her passions, and she currently instructs Zumba classes whenever she has the time.
tions from Notre Dame of Maryland University and upon graduation she enjoyed a business career in outside sales and was also a printing broker. Johanna completed the four schools of Healing Prayer and has been a minister at Christian Healing Ministry in Jacksonville for 13 years. A school of healing prayer based ministry open to people of all denominations. Johanna serves as a Commissioned Lay Chaplain for Jurisdiction of Armed Forces and Chaplaincy by assisting at weekly mass at the Naval Air Station with her husband the Reverend David Baker. She is also a member of the Jurisdictions Executive Commission where she is their Chaplain and Secretary. Johanna is a member of the Daughters of American Revolution (DAR) and is currently enjoying researching her genealogy. In her free time she loves to garden, read, enjoy music and concerts, and especially being a grandmother. She loves her yellow lab, Molly who is in training to be a diabetic service dog to sense low blood sugar. Johanna is married to her husband David, and together they have four children and 11 grandchildren. Johanna says that she has had a blessed life and is enjoying the beauties of her marriage and ministry.
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Women in Profile
Photo by Christine Cousart www.cousartphotography.com
Kathy Barry, BSN, Haven Hospice Hospital Liaison
“I
know firsthand how difficult it can be having a loved one who requires hospice care. With my history as a nurse and my personal experience with hospice services, I think I bring very valuable insight to my role at Haven,” said Haven Hospice Hospital Liaison Kathy Barry who recently joined the Haven Hospice St. Augustine Team.
As a hospital liaison, Kathy is usually the first person to have contact with a patient or their family member. “My job is to listen, assess the patient’s needs and review their medical record. I provide the Haven physician with the medical history and help paint an accurate picture of what is really happening with the patient, their family and their needs.” Kathy will also meet with the patients and families and share Haven’s mission, services offered and the roles of Haven’s team members. “I try to bring comfort and understanding for all of the things they are going through,” said Kathy who joins Haven after 17 years at Flagler Hospital. “I make recommendations to the team on the types of services that a particular patient needs. This is truly a team effort and I am happy to be a part of Haven.” Kathy has lived, raised her children and worked in St. Augustine with her husband, Ron, since 1999. “I really like to ride on the back of my husband’s Harley Davidson motorcycle.” Kathy and her husband also enjoy all that St. Augustine has to offer. “We like to go downtown and play tourist, eat ice cream at Rita’s, and I love to walk barefoot on the beach.”
Nicole Stewart, Marketing Consultant GLK Consultants and WSOS 103.9 FM
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icole Stewart, founder of a St. Augustine institution -- Sweet City Cupcakes -- , built that business from the “ground up”, ultimately selling it earlier this year. Now, she is helping other businesses grow and achieve their goals as a key member of GLK Consultants LLC and WSOS Radio 103.9 FM. Her professional life is thriving, but being a working wife and mother of two is the focal point of her life. Her kids come first, plain and simple. She views family as “art.” Her business philosophy builds
December 2016/January 2017
upon her attitudes regarding family. She truly loves people and helping them succeed. This is the key ingredient for any successful business marketing consultant. Nicole is proud to support Caring Hands-Caring Community’s Caribbean Calypso Night as well as Northeast Florida ALS Foundation Ancient City Walk.
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Community
Benefits of Adult Day Care one with Alzheimer’s or dementia know if they should consider adult day care? Here are some questions to ask: • Does your loved one seem unable to provide any structure for their daily activities? • Are they isolated from others for more than an hour or two each day? • Can the patient be safely left at home alone? • Does the caregiver work outside the home or need a regular break?
by Susan Johnson, Communications Coordinator Council on Aging
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dult day care provides caregivers with much-needed respite, giving them a break to run errands, spend time with family or just get away from the stress of caregiving. But when a loved one has Alzheimer’s disease or other brain impairments, caregivers tend to be more reluctant to leave them with others. Adult day care can be another form of respite care since participants attend these programs during the day and return home in the evening. Is Adult Day Care Right for Your Loved One? How does a caregiver who has a loved
Center, located at 180 Marine St. in downtown St. Augustine and the Ponte Vedra Adult Day Care Center, located at 1048 A1A North in Ponte Vedra Beach. Programs run from several hours to a full day. Participants may attend daily, a few times a week, weekly, or just for special activities.
Please call Paulette Kozlowski, Manager, COA Adult Day Care, at (904) 209-3674 for more information about COA Adult Day Care.
Adult day care centers offer a host of benefits for caregivers and their loved ones. First and foremost they provide a safe environment for the elder, with safety features in place to handle wandering and other behaviors that are common among Alzheimer’s and dementia patients. The staff is trained to pay attention and look for signs of trouble or dangerous behaviors in elders. Daily activities, exercise and socialization are tailored to elders with Alzheimer’s or dementia. Most adult day care centers serve meals throughout the day. A day care program may provide such activities as crafts, music and exercise. Some programs include physical, occupational and speech therapy. In addition, adult day staff provides assistance with personal care and toileting. The Council on Aging offers professional care for your loved one at two licensed adult day care centers in St. Johns County: The Sunshine
Susan Johnson is the Communications Coordinator for the Council on Aging, 180 Marine St., the host of “The Joe and Susan Show” Thursday mornings at 8am on 102.1 FM WFOY, and the editor of gus! magazine, a publication of the COA, and the St. Augustine Record. She can be reached by phone at (904) 209-3700 or by e-mail to sjohnson@stjohnscoa.com.
December 2016/January 2017
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Community
Rodeheaver Foundation Grant Challenge
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Krista Purcell Director of Development Rodeheaver Foundation
ast winter, Rodeheaver Foundation accepted a grant challenge from the Frank V. Oliver, Jr. Endowment at the Community Foundation for Northeast Florida, towards a new 15-passenger van for Rodeheaver Boys Ranch. We were challenged to raise the additional funds needed, and in late springof this year we reached our goal. We purchased the new van in May 2016. The van is essential to transport the boys who reside
at Rodeheaver Boys Ranch,and many community members came together to support this cause by making a direct gift, including: Stellar Foundation, Lastinger Family Foundation, Don Reid Ford, and many private donors. This summer Rodeheaver Foundation was awarded a grant from the Quad Club Rotary Collaboration of St. Johns Countyto create a Learning Center at Ro-
deheaver Boys Ranch. We received a grant from each of the four St. Johns County Clubs (Rotary Club of St. Augustine, Rotary Club of St. Augustine Sunrise, Rotary Club of St. Johns, and Rotary Club of Coastal St. Johns County). In addition, the Quad Club Collaboration applied and won a match from their Rotary District. The Rotary Clubs of Putnam County quickly jumped in to support the Learning Center, including a recent grant from the Rotary Club of Palatka. Rodeheaver Foundation wants to replicate a modern library or student center(with at least 10 new computer stations) to be used as our Learning Center at Rodeheaver Boys
Ranch, where cottage parents and volunteers could tutor and help the boys with their homework, SAT prep, and academic studies. Renovations will begin this fall. Rodeheaver Boys Ranch , located on the St. Johns River in Palatka,has been providing complete care for up to 50 disadvantaged boys at a time, for over 65 years. It was founded by Homer Rodeheaver, a successful gospel musician, who dedicated the land to always be used as a Youth Ranch. He believed “It is better to build boys than to mend men.” Rodeheaver Boys Ranch focuses on at-risk and
underprivileged youth currently from 4 different states, 28 counties and 35 cities. Rodeheaver Foundation was recently selected in November to receive a grant from the Clay Electric Foundation Operation Round Up. Participating Clay Electric Cooperative members’ bills are rounded up each month to the nearest dollar and the additional change is considered a charitable donation. Rodeheaver Boys Ranch will use this grant to provide
electricity to their Boy Scouts Camp. There are many programs and resources available to the boys at Rodeheaver Boys Ranch, including their own Boy Scouts troop located
on the Ranch, 4H and their equestrian program- the Rockin R’ Horse Program. The Ranch Boy Scout Program is designed to build character, teaching survivor skills, teamwork, personal responsibility and establishing positive self-esteem for the boys by requiring service to others.
Rodeheaver Foundation and Rodeheaver Boys Ranch will be hosting their second annual Rodeheaver Boys Ranch Benefit Bass Tournament on March 4, 2017 at Crystal Cove Marina in Palatka, FL. Last year, Publix Super Markets Charities was the title sponsor.
www.rodeheaverfoundation.org
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For registration or sponsorship info, or to make a donation to Rodeheaver Foundation, contact Krista Purcell, Director of Development, at (386) 983-0658 or kpurcell@rodeheaverfoundation.org.
Community
State of the Shelter St. Francis House St. Augustine
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t. Francis is the only emergency shelter serving the homeless and lessfortunate between Jacksonville and Daytona Beach. We serve more than 3500 people annually. • Programs support individuals and families from all adjacent counties - frequently because people do not want to go to the city of Jacksonville for services. • St. Francis provides residential solution based case management services and Advocacy & Referral drop-in services. • Our 3 building campus in the City of St. Augustine was significantly damaged by Hurricane Matthew with 3 ft of water in all 3 buildings.
Services resumed 2 days after the hurricane from a temporary location in our courtyard. We are now providing limited housing on the 2nd floor of 1 buildings and expect to have men’s, women’s and some family shelter available by mid-December. Our kitchen is up and running serving lunch to the public 7 days a week and food boxes resumed 3 weeks ago. Repairs to be made in all three buildings include: walls, electrical and some floors in all buildings, a complete roof on one, roof repairs on another. Furniture, clothing in our clothes closet, food in our pantry and 2 street outreach vans were lost and more.
December 2016/January 2017
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YOUR HELP IS NEEDED • Monetary donations • Non-perishable food • Clothing • Hygiene items
For more information visit us on facebook or contact Karen at karen.hensel@stfrancisshelter.org or 904-806-1494
Community
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Community
Hands on Learning: The Barbara A. Kay Foundation Sponsors Habitat’s Teen Build 2016
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Lindsey Rodea, Volunteer Coordinator, Habitat for Humanity of St. Augustine/St. Johns County
he second annual Teen Build event, sponsored by the Barbara A. Kay foundation, encourages local students to get involved in their community and is meant to expose high school aged teens to Habitat for Humanity’s purpose by their involvement in the construction of homes for low income families in St. Johns County. During the first week of November, stu-
dents from the Florida School for the Deaf and Blind (FSDB) and students involved in St. Augustine Youth Services (SAYS) were hard at work on a Habitat build site. On Wednesday, November 2, teens in the Building a Tradesman program at FSDB worked the first of two Teen Build events, both located at a Habitat home on Holmes Boulevard in St. Augustine. Students enrolled in the program were in attendance, supervised by Randall Hancock, FSDB’s career and technical instructor, as well as other adult interpreters and instructors. Interestingly enough, the homeownerto-be is a FSDB Food Service staff and as Hancock says, “it struck a chord—FSDB students helping FSDB staff!” It is also this Habitat affiliate’s first time building a two story home. “Today was a boon for these curious students, they received actual hands-on training in the real world of the construction sector” said Hancock. “These students learned fraction measurements, but their real lesson learned was when they made cutting mistakes of the sidings too short. Mistake-learning is the best teacher, they improved the second time around after a white-knuckle mentality struggle
to troubleshoot and solve real-word measurements problems.” The second build day took place on Friday, November 4 with students from St. Augustine Youth Services. They were supervised by Doug Richner, who is the Employment Education Coach at SAYS. The necessity for this project is twofold: we need volunteers to help build our homes in order to make them affordable for Habitat homeowners and teens of St. Johns County need an opportunity to serve the community while learning new skills in an engaging environment. In partnership with the Barbara A. Kay Foundation, Teen Build is meant to teach teens a trade and cultivate a drive to build something which instills a sense of accomplishment while also nurturing and supporting the youth of St. Augustine. Our goal, at the end of the day of Teen Build, is for the teens to feel accomplished after their long day of sweat and hard work contributing to a local families dream of homeownership. We hope they feel empowered with their tools and abilities to build more, learn more, and volunteer more. We hope that they feel proud in having learned a new skill and being part
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Pictured above: Two students from the Florida School for the Deaf and Blind Building a Tradesman program hard at work on a Habitat for Humanity build site.
December 2016/January 2017
Pictured above: Student measuring and cutting Hardie Plank siding during Teen Build.
of a newly constructed home for someone in need. We hope they feel challenged to understand the need for affordable housing in our neighborhoods. Most importantly, we hope that the experience builds hope inside each student for the endless possibilities their future holds and a sense of comfort knowing that their community believes in them to succeed. The Barbara A. Kay Foundation, Inc. is a not-for-profit private foundation headquartered in St. Johns County. The Foundation focuses on igniting imaginations, rewarding creativity and advancing skills through promoting and supporting projects which will assist young people of St. Johns and surrounding counties by extending their horizons and by expanding their ideas about themselves and their world’s possibilities.
Habitat for Humanity of St. Augustine/St. Johns County is a nonprofit Christian based housing organization that seeks to put God’s love into action by bringing people together to build homes, communities, and hope. Our vision is a world where everyone has a decent place to live. The St. Johns County Habitat affiliate covers Elkton, Fruit Cove, Hastings, Nocatee, Ponte Vedra, St. Augustine, and St. Augustine Beach. Since 1993, Habitat has established 132 new homeowners in the community that reflect all races, religions, and nationalities. Annually, our organization builds 6 homes for families in need. We serve all varieties of families included but not limited to elderly, lowincome, veterans, single mothers, homeless, etc. To learn about more about how to become a homeowner, donate, or get involved, visit www.habitatstjohns.org.
Why
Community
should your business or practice become a contributor to the Woman’s Journal?
Amy Smith Coastal Foot & Ankle Wellness Center
“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 –
“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.
Susan Detar, The Pink Door
“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
“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
I would just like to say thank you very much for the last 3 1/2 years of allowing me to be a Contributor in your magazine. First, I want to say it is the smartest advertising exposure idea that my mother has ever had for my business. She recommended I call the Woman’s Journal when I first decided to go out on my own. When I first met with you your sincerity and genuineness shown through and you truly believed in what I had envisioned for my business. I am now living it and I thank you and the Women’s Journal for every step of my success. You and your magazine have truly let me realize my dream of being of service and providing a business that allows many a freedom to seniors to remain at home as long as they wish. I sincerely thank you. Susie Sullivan, Simply Susie
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 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
“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 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
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“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.”
Community
What’s Your Legacy?
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By Ric Lehman, Executive Director, Haven Horse Ranch
ou know, with the elections behind us and the Holidays ahead, it seems natural to look back and ahead, all at the same time. Where have we come from and where are we going? What will happen to the work we have done and what we have tried so hard to build? For Haven Horse Ranch, as we founders get older, it’s a great and wonderful thing to look back at the so many lives we have been blessed to have touched. It’s been an honor to look back and see how so many kids turned out and to be proud of them all. To look back at the hundreds of miracles we got to witness and be a small part of; those 100 plus children who spoke their first words here at the ranch. And then there are over 80 children who walked when doctor’s said they never would. And the hundreds that sat up, or picked up an object for the first time. We can’t forget
all of the kids who turned their lives around and went on to graduate High School or go to college, stay out of trouble and made something of themselves. These are the many blessing we have seen or been some small part of and I can say I am proud of each and every one of them. I am also very proud of the staff here at the ranch that has worked tirelessly to help others. It has taken a small army of staff and volunteers. But now what? None of us are getting any younger. None of us will live forever. How well have we planned for the future? I am so happy to say that this weekend I had a chance to sit with our latest crop of students, staffers and staff as they enjoyed a weekend campout here at the ranch. They slept in tents, cooked over a fire and then got up the next morning, cleaned stalls and then had a blast riding horses. All in all, it was a fun weekend.
I’m confident Haven Horse Ranch will continue to be a leader in the field of Equine Assisted Therapy for a long time to come. Not only that, but they will continue to be a faith based organization where kids can learn not only how to ride, but how to care for horses and people. They will learn about responsibility, confidence and self worth. They will learn how to deal with disappointments and accomplishments alike and they will one day lead and help to provide the kind of therapy we have been know for, for many years to come. If you want to support this kind of a program please go to www.havenhorseranch.org/donate and make a tax-deductible contribution. Every $25 raised is another session of therapy for a child in need. Or call 904-813-5710 if you would like to join us as a volunteer. We can use help in the barn, side-walking, fundraising, or on the grounds. We exist to make sure all kids have a chance to grow to their potential. Will you help?
But it was way more than that, I watched as Mr. Jarett and Julia helped organize and set up the event. They made sure everything was covered and planned for. I was privileged to sit and listen to the leadership offered up by Miss Lacey, Alexa and Emily. These young ladies taught and led the students in a way that any parent would be proud of. And I listened to the hopes and dreams of the students, why they were there, what they wanted to accomplish. This is our legacy. A wise man once said, a truly great leader can step down, pass the torch and no one will notice. I am so proud to report that the ranch is in GREAT hands. Not that I’m stepping down… not just yet anyway, lol.
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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.
December 2016/January 2017
Community
Betty Griffin Center Awarded $100,000 from Women’s Giving Alliance to Help Survivors of Domestic & Sexual Abuse Overcome Addiction of recovery and violence-free living. This program will address the gaps in service delivery and the lack of access to appropriate services for survivors of domestic and sexual abuse with cooccurring substance abuse issues. “Since addiction is an issue that affects about 75 percent of the survivors we serve, the grant will allow us to engage a therapist and an advocate to work directly with these sur-
About Betty Griffin Center
vivors to overcome their dependency
The Betty Griffin Center was founded in 1990 by concerned
on drugs and alcohol,” Mahr said. “We’re grateful for the support of the Women’s Giving Alliance to help us
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Joyce Mahr, Executive Director, Betty Griffin House, St. Johns County, FL
fund this program, which allows us to continue applying a holistic approach in helping the people who come to us for assistance.” In accepting the grant, the center
etty Griffin Center, which pro-
vides emergency shelter and services for survivors experiencing domestic or sexual abuse in St. Johns County, received a $100,000 grant from the Women’s Giving Alliance to assist in funding the nonprofit agency’s new Hope and Recovery Program. According to Betty Griffin Center Executive Director Joyce Mahr, the nonprofit agency will partner with Stewart-Marchman Act Behavioral Healthcare, a local substance abuse and mental health service provider, to provide survivors with the safety, support and hope they seek in their path
has set a goal that 80 percent of all self-referring survivors will complete a survivor-focused safety plan that
citizens and incorporated as the Safety Shelter of St. Johns County to develop plans to provide shelter for local victims of domestic violence and their children. In 1992, the nonprofit agency contracted with a local motel for space and started a 24-hour crisis line and court advocacy program. By 1994, the agency purchased and opened Betty Griffin House as a permanent shelter. The shelter was expanded in 1998 to meet local demand, and a sexual assault program was added the same year. The Sexual Assault Victim Recovery Program is currently recruiting on call volunteers to provide victim advocacy. For information contact Kelly at 904-808-8544.
meets their unique safety needs as it relates to domestic and/or sexual
Today, Betty Griffin Center shelters 250 to 350 victims of domestic
abuse and substance abuse, with par-
and sexual abuse annually, operates a 24-hour helpline, provides
ticipants receiving an after-care plan
professional counseling for victims of domestic and sexual abuse,
that meets their individual safety and
provides age-appropriate violence prevention training and operates
recovery needs. “This grant will give staff the capacity to further empower survivors of domestic and sexual abuse so they can more quickly resume a life free of addiction and abuse,” Mahr said.
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By Ron Whittington, Freelance Writer
two thrift stores at Julington Square and Anastasia Square to assist in funding the agency’s ongoing operations For more information or to make a donation, visit www.bettygriffincenter.org. To report if you or someone you know is being abused, call the Betty Griffin Center 24-hour helpline at (904) 824-1555.
Community
ELC and Sykes Farm Along with Amazing Grace Crop Farm Continue Annual Early Literacy Event
By Joan Whitson, Early Literacy Coordinator, Early Learning Coalition of North Florida
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he Early Learning Coalition of North Florida (ELC) hosted their annual early literacy-fall event at Sykes Farms in Elkton, on October 3rd and 4th, as well as Amazing Grace Crop Farm on October 18th, 2016. The Sykes Farm field trip included two special literacy corn mazes based on the books “Spookley the Square Pumpkin” and “Jack and the Cornstalk”. The venue held special events throughout the morning, including hay rides through pumpkin patches, petting zoo, an up close and personal look at farm animals, play ground with corn box, tube slide and opportunities to jump on their gigantic tractor tires as well as an oversized corn popper (large jumping pillow).
Throughout both days, ELC staff and volunteers were on-hand and provided extra craft activities and handed out copies of the book “Spookley” to every child who attended. Child care providers also
received a bagful of assorted “Spookley” books and other fall-related books. “I am very impressed with the high quality agriculture education programs that both of these farms put on each year,
it‘s just the type of program ELC wants to support.,” Joan Whitson, Early Literacy Outreach Manager said. 30 Preschools attended for a total of 542 children.
Our mission is to serve parents, caregivers, and educators of children by managing and evaluating early childhood education programs through a quality school readiness delivery system in North Florida. Address: 2450 Old Moultrie Road, Ste. 103, St. Augustine, FL 32086 Phone: 904-342-2267 Fax: 904-342-2268 • E-mail: kbrumfield@elcnorthflorida.org Website: elcnorthflorida.org • facebook.com/elcnorthflorida
December 2016/January 2017
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Community
The Kiwanis Club of St. Augustine
K
ids, Community & Service
The Kiwanis Club of St. Augustine celebrated its 92nd year of service in our community by expanding its outreach in our schools. Kiwanis volunteers currently work in student led Kiwanis Clubs at Crookshank, Ketterlinus, Osceola Elementary, Murray Middle School, Pedro Menendez and St. Augustine High School. Kiwanis International is all about kids and teaching them civic responsibility through electing officers and running their meetings to planning community programs that help those in need. They also participate in programs that benefit people and
kids in foreign lands such as Unicef ’s “Project Eliminate” to erase neo-natal tetanus in Third World countries. One of Kiwanis International’s overall missions is their “Young Child Priority One” program which benefits children ages 0 – 5 years. Because of a lack of local programs for this age group, The Kiwanis Club of St. Augustine focuses on helping parents find resources in which they can engage their children in fun activities and learning experiences in a safe atmosphere. Under the direction of Joan Whitson, Outreach Manager for the Early Learning Coalition and Kiwanis Club of St. Augustine volunteer, a Toddler Sensory Day/Toddler Preschool Festival outreach program was created geared towards toddlers and all preschool kids and their families. “Sensory experiences,” explains Joan Whitson, “provide open-ended opportunities where the process is more important than the product; how children use materials is much more important than what they make with them. Prompting a child to think creatively in order to solve problems or engage in makebelieve helps them express their creativity and build self-esteem.” Parents who have attended with their children always provide positive feedback and gratitude for the delightful child/parent experiences they enjoy at these events. In addition, this outreach program has been recognized by Kiwanis Club International as “a Program of Distinction” and The Kiwanis Club of St. Augustine was invited to speak about it at the recent Kiwanis International Convention in Toronto this past summer. The Toddler Sensory Day program is currently being held in St. Johns County li-
braries and the public is always notified of these events - all are welcome. The Toddler/ Preschool Festival is a larger scale event and is held yearly at a larger community venue. The programs are manned by Kiwanis Club of St. Augustine volunteers. These gatherings allow young children to experience the fun of learning through sensory play activities which include: Story Time (with special book character guests such as Clifford, Pete the Cat, Dora, etc.), Fishing for Books, assorted crafts, a “Dinosaur Dig,” Block and Car Zone, “Cinderella’s Parlor,” making sensory books, playing with Playdoh,
children attending, thus providing parents with a free evaluation resource. The programs will continue indefinitely to support this important segment of our community. For more information please call Joan Whitson at 904-342-2267.
kinetic sand and more. Music is also an integral part of each program and there is always a station for making musical instruments, as well as a time for dance (sometimes with a book character they love.) The Kiwanis Club of St. Augustine also gives every child attending these events a free book and every parent receives a bag with information on the importance of sensory play and literacy. The Kiwanis Club of St. Augustine also partners with local children’s professionals such as those from Brooks Pediatric Rehabilitation, who attend these programs in order to provide developmental and literacy assessments for the
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The Kiwanis Club of St. Augustine meets the second thru the last Tuesday of each month at Jaybird’s Restaurant, 2600 N. Ponce de Leon Blvd at noon. The public is welcome to attend and special guest speakers are often included. For reservations call Debbie Clements a 904-797-1836.
Fashion & Beauty
Pics for your Biz
The charm of St. Augustine cannot be beaten!
to start. Your local photographer should be offering a ‘Social Network Session’. With my clients, I go in and photograph some scenes for the month and they can use the photos on all of their Social Media sites. Here are some of the photos that I have used recently on my Facebook page:
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Christine Cousart
Owner, Cousart Studios
Cousart Studios of Fine Art & Photography 320 Hightide Drive #101 Saint Augustine, FL 32080 www.cousartphotography.com • 904.687.7700 Everyone loves babies!
ocial networking is something that cannot be ignored when it comes to your business. One of the things I have learned is people do not want to sold to when it comes to Facebook. They want to have fun, learn and love to see interesting photos. As a photographer, I have been helping several businesses with their social networking. I have noticed the ratings go up because we are adding photos and engaging the clients. If you are not using photos for your business, I encourage you As you can imagine, this photo received a lot of comments!
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 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 who attends Palm Beach Atlantic University. 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
December 2016/January 2017
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A local intererior Design firm (Inviting Interiors) wanted one of my images for a mural in one of their clients office. When I saw how pretty it was, I wanted to share the pic and my Facebook followers really loved seeing the work.
Fashion & Beauty
3 Fundamentals to Dress Fabulous for the Holidays
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Cindy Clardy, Certified Color and Image Consultant
earing clothes and accessories that are in harmony with your body’s unique design is the best way to dress fabulous for the holidays. By using 3 fundamentals that create Your Signature Look, getting dressed will become a joyful and creative experience. Having a wardrobe that accommodates your lifestyle and presents you in the most attractive manner will not only save you time, money, and energy, but also give you peace and confidence. Without stressing over what to wear and how you look, you’ll be able to enjoy the holidays in your own authentic style.
The 3 Fundamentals of Your Signature Look 1. Personality Style Formula - Dress authentically by matching your personality, values, preferences, lifestyle and passion with clothes. Personality style goes much deeper than the latest fashion trends or what is “in” this season - your style formula comes from the inside out. Dressing with your Style Formula allows people to see you in clear focus. Everyone can have a LBD (Little Black Dress), but it should be their very unique and individualized Little Black Dress. The dress should reflect your personality style so that it’s working for you and not against you. You won’t look like everybody else, you’ll look like the best version of you. When you style your own beauty, you look better than you could ever look trying to style someone else’s beauty. 2. Custom Color Portfolio - You’ll appear healthier and more vibrant when you’re wearing your best colors, which will reflect your skin, hair and eyes. Wearing red or green during the holidays is a great way to celebrate, but your red and green will be very individualized. Your custom portfolio of fabric swatches will allow you to choose the best colors for your wardrobe and accessories, and makeup that are in harmony with your natural physical coloring. Warmth or coolness, value and intensity are all part of the equation. Your preferred metals of gold, silver, bronze or copper are important factors in accessorizing. Patterns and prints should be chosen
meone you Give yourself or so ing gift of love the transform
Your Signature Look .
this holiday season
in depth consultation at Call me for a complimentary are available. 904-540-6771. Gift certificates
according to the proportion and scale of your face and body. Your contrast level will determine how your colors are worn together. Details of texture should be in harmony with your body, skin and hair. 3. Body silhouette and Proportion Analysis - Dress to accentuate your body silhouette and proportion. Rather than aspiring to impossible standards by squeezing yourself into clothing that was never meant for you, this secret will allow you to maximize your assets and minimize your flaws with designs and fabrics that are best for
you. Garment lengths necklines, details of scale, and texture should be in harmony with your features to define your beauty. Once you have incorporated the 3 fundamentals and discovered Your Signature Look it’s time to edit your wardrobe and make choices. Does it still fit or can it easily be altered - Is it in good condition - Is it fashionable or outdated - Does it work with your current age and lifestyle – Do you love it? Having a wardrobe that is in harmony with your authentic style and unique body will change your life.
Cindy Clardy is a Certified Color and Image Consultant passionate about discovering and defining the unique and personal style of her clients. She loves to help men and women relate their individual image and style into a wardrobe. Cindy’s experience with Image Consulting began in 1985 when she discovered her Signature Look, which was life changing for her, both personally and professionally. Image Consulting was a natural transition for Cindy with a mission to help all people fulfill their divine purpose. Combining a Fine Art degree, Aesthetician License, Massage Therapy License and Image Consultant Certification, Cindy founded Cindy Clardy’s Image Consulting. Cindy is a Flagler College alumni living in St. Augustine, Florida, with her teenage son, Jesse. To find out more about Cindy Clardy Image Consulting services, call Cindy at 904-540-6771.
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Fashion & Beauty
Get a Great Haircut!
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done prior to ever cutting, coloring or styling your hair. After all, you both want to be happy with the final results. And you want to build a lasting relationship with your stylist and the hair salon. And finally, listen to the advice from your hair stylist. Try the shampoos and conditioners that they recommend for your hair. Use the tools and techniques that they suggest. Set up a regularly scheduled maintenance program with your stylist. That allows you to keep and maintain your special hair style and cut with a great deal of ease. Plus it helps in the prevention of “bad hair days”!
Lisa Harris, Hair by Lisa
ow do you get a great haircut? First, you go to a professional hair stylist that really knows what they are doing. Next: a professional stylist will strongly urge you to have an in depth consultation
SO WHAT’S INVOLVED IN A GREAT HAIR CUT? There are two major components in a great haircut: the wet cut and the dry cut. Both are very important to having a haircut that will lay down properly! Wet cut - this is
when the foundation of your hair cut will be done. It will allow for a beautiful fall when the hair is at rest. In other words, your hair will fall into place nicely. Dry cut - this is where bulk and shape can come into play. In this part of the total haircut, we’re only removing what is not needed. Having a great cut also involves having a great finish. When both a wet and dry cut have been done to your hair, it helps ensure that you can duplicate the look. That is what a truly professional hair dresser will do ~ finish the hair properly.
HOW OFTEN SHOULD YOU GET YOUR HAIR CUT? How often you get your hair cut will depend on your particular hair and how you want it to look. In the world of hair dressers, that is referred to as the “goals” for your hair. When
you work with a professional hair stylist, they will customize a schedule for you, in order for you to maintain your particular cut or style. All of my clients have different schedules to maintain their locks. 4 weeks, 6 weeks, or 8 weeks are typical recommendations for a client returning to maintain their hair cut or to grow their hair out.
MEN Hair services for men are equally important. All of our services encompass men as well as women. All services are unisex. Anything a woman has done and man can have as well. Give me a call for your free consultation; your hair will thank you! Best Regards, Hair By Lisa, 904-334-6888
LET ME HELP YOU LOOK YOUR BEST! A great haircut can take you anywhere! And it’s important that you find a professional hair stylist that will not only listen to you, but one that will give you realistic advice about what can be achieved with your hair. You need to be able to tell your hairdresser what you like and don’t like. You want to build a good, long term relationship with them so that you can have a hair style and hair color that works for you, 365 days a year. I am originally from Jacksonville, Florida, and received my initial beauty school training at Brevard Community College. Very quickly I realized that I was truly passionate about learning the art and skill of professional hair cutting and hair styling. While living in Melbourne, Florida, I met my mentor. She encouraged me to continue training in my profession. I travelled to Miami on a monthly basis and began extensive Paul Mitchell training. Eventually I became a certified Paul Mitchell Educator. During my career I have been fortunate to be able to spend time in London, England. There I learned about the differences in techniques and consultations. The Vidal Sassoon academy in Santa Monica, California is the creme de la creme of hair cutting schools. It was there that I greatly expanded my horizons and my skill set in this wonderful world of hair! Over the years I have immersed myself in advanced training in hair coloring, hair cutting and hair design. Paul Mitchell conducts extensive educational events in Las Vegas, Nevada and Miami, Florida. I have attended their Hair Camp seven times and participated in advanced classes at their Signature Gathering on three occasions. I constantly strive to increase not only my abilities in this field, but also my creativity in all aspects of hair coloring, cutting, and styling. I now live in St. Augustine, Florida and work out of St. Augustine. My education: Paul Mitchell trained, Vidal Sassoon, and MBA in Business, St. Leo University. Are you ready to make a change? My specialty is making you look your best! Call me at 904-334-6888! Check out my website. Hairbylisaharris.com
Hair by Lisa
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HAIR DESIGNER • COLOR SPECIALIST • MAKEUP ARTIST By Appointment Only • On Location Available
904-334-6888 • Hairbylisaharris.com 5543 A1A South • Suite #101 • Saint Augustine Beach, FL 32080
Food & Entertainment
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First Coast Opera to Produce Italian Favorite Madama Butterfly
aint Augustine-based First Coast Opera (FCO), northeast Florida’s only professional opera company continues its 2016-17 season with a fully-staged production of Puccini’s Madama Butterfly, one of the world’s most popular operas. The production, featuring professional cast and orchestra, will be performed at Lewis Auditorium on the campus of Flagler College in downtown St. Augustine, January 6, 7:30 PM and January 8, 2:00 PM 2017. In this opera of interwoven cultures, set in Nagasaki, Japan in 1900, an American soldier weds a young Japanese girl. Though shunned by her family, Madame Butterfly fully embraces her new relationship and culture. But the American takes it all less seriously and marries a “real” bride back home in the United States. When the soldier later returns to Japan and realizes the seriousness of his earlier mistake, the opera ends tragically as the former geisha accepts the tragic fate her culture demands. Soprano Shannon Kessler Dooley sings the title role. She last appeared with FCO last November in Opera Paris. The North Carolina resident has sung with Pittsburgh Opera and the Spoleto Festival. Her American suitor, Lieutenant
Shannon Kessler Dooley
Pinkerton, will be sung by tenor Josh Kohl, making his company debut. Recent appearances for the Connecticut resident include Seattle Opera and Sarasota Opera. Baritone Cory Schantz, also returning from last season’s Opera Paris, sings the role of American Consul Sharpless. He coordinates the opera program at Reinhardt University in Georgia, where he has also sung with Atlanta Opera. International opera singer and Saint Augustine resident Lisa Lockhart makes her company debut in the role of Suzuki. Vermont-based Helena Binder will direct the production conducted by FCO Artistic Director Curtis Tucker. Important: audience enhancements - projected English translations for the opera sung in Italian, and the addition of a matinee performance Sunday, January 8, 2017 at 2:00pm, to go along with a Friday evening performance, January 6, 2017 at 7:30pm. Reserved seats are $40 for adults and $10 for students. For additional information and to purchase tickets, visit www.firstcoastopera.com. First Coast Opera is a 501 (C) 3 Non Profit
Joshua Kohl
December 2016/January 2017
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Cory Schantz
Lisa Lockhart
Helena Binder
Food & Entertainment
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Food & Entertainment
December 2016/January 2017
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Food & Entertainment
Treat Your Taste Buds at PJ’s Asia One Market 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:
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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 Asian recipe or need some help with a special ingredient, make sure you get some
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.
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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