St. Augustine Woman's Journal - Feb/Mar 2016 by Northeast Florida Woman's Journals Inc

Out and About in the Old City! 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.

Suzanne Egeln, Publisher

t is refreshing to note that St. Augustine was ranked #2 for being ecofriendly in a survey done by gogobot. com. The survey listed which cities are pro-active in protecting the environment through recycling centers and park space. Way to go St. Augustine! Become a friend of A1A Scenic & Historic Coastal Byway to enjoy what the coastline of St. Augustine has to offer and keep up with beach clean-ups and festivals along the coast. For more information about activities and clean-ups check out www. scenica1a.org. Our recent stay-cation included a wonderful and cozy overnight visit to the Old City House Inn, enjoying the gracious hospitality of owners, Juan Solano and Christopher Tur. Nestled inside the

city we enjoyed a walk through town, our own taste of the “soup” tour, and finally finding dessert at the Chocolate Turtle Dessert and Coffee Bar. Our highlight this year was being a tourist and enjoying the St. Augustine Scenic Cruise aboard the Liberty III, where we enjoyed the view of the “holiday” lights from the water and the fascinating historical narrative by the captain. Next trip a visit to the St. Augustine Lighthouse! Send us your favorite St. Augustine photo and we will be happy to publish on our Facebook site. When we are shopping local it also helps to support and “stay” local especially during the holidays. Next up, the St. Augustine Celtic Festival. Again, you can enjoy a “taste” of the town with many Irish stops including Meehan’s (try the clam chowder) and Ann O’Malley’s. Forever keeping in mind to “give” back to the community, I invite you to

Find us on the web at: staugustinewomansjournal.com

support “Blessings in a Backpack”. This organization directly impacts our school age children who receive extra nourishment for the weekend by volunteer donations. For more information please visit www.firstcoastblessingsinabackpack.com. Don’t forget that shopping local includes a visit to the local farmer’s markets. The St. Augustine Beach Civic Association sponsors The Wednesday Market, open on Wednesdays from 8 am until 12:30 at the Pier Park in beautiful St. Augustine Beach . 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 for the Woman’s Journal and recommendations of area women to be featured in our ” Women in Profile” section.

Slainte! Suzanne Egeln

In This Issue

st. augustine woman’s journal | FEBRUARY/MARCH 2016

33 32

41 38 8 Health & Medicine

Health & Fitness

17 | Harbour Island Tennis Centre

Life Services 19 | 20 | 21 |

24 | Jensen’s on the Gulf 25 | Old and New in Japan Encountering the True Spirit of the Land

Legal

26 | Can I Eliminate Medical Bills in Bankruptcy? 27 | The Seven Deadly Sins Of “Bad” Estate Planning

Women in Profile

28 | Dr. Camille McGaw, Andrea Vallee, Zoika Garci, Nicole Stewart, Heather Allen

& Susan Hopper

Community

Business & Finance 22 |

Travel

Debunking the Myths of Habitat for Humanity Betty Griffin House 5k Run & Walk-A-Thon Early Literacy St. Francis House Low Country Boil Colonial St. Augustine Foundation The Story of the 4,000 Crosses Investing in Kids Why Should You Care? Project SOS

Fashion & Beauty

41 | Why Use a Professional Hair Colorist? 42 | Its A Social Thing

Food & Entertainment 43 | 44 | 45 | 46 | 47 |

Ichiban Buffet St. Augustine Lions Seafood Festival WFOY Treat Your Taste Buds at PJ’s Asia One Market Celtic St Augustine Presents:

Dublin’s Irish Tenors and The Celtic Ladies

Back Cover

48 | Lee F. Slaughter Fine Cars On the Cover: Stefanie Robinson (on the right) is Director at BNI the largest business networking organization in the world and owner of Flashes of Brilliance. Lynne Meeks Coggin (on the left) is a licensed at Watson Referral Realty,Inc. Both women have been instrumental in mentoring and coaching countless women business leaders and owners in the community.

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

Photo by Christine Cousart www.cousartphotography.com

can become enlarged or varicose. Endovenous ablation is an ultrasound guided procedure that uses heat generated by radiofrequency energy to close off these faulty vessels, diverting blood flow immediately to nearby healthy veins.

ave you taken a look at your legs lately?

What are some common uses of the procedure? Although this procedure may be used for cosmetic purposes, it is more commonly used to help alleviate symptoms associated with venous insufficiency. Leg pain, fatigue, tiredness, heaviness, aching, burning, itching, and restless legs are common symptoms of venous insufficiency. These symptoms often worsen with long periods of standing and can lead to leg swelling, throbbing and leg cramps. Conservative treatments include heavy support stockings, anti-inflammatory medications, and leg elevation. Venous disease is not as yet curable; however with appropriate treatment, the progressive nature of vein disease can be slowed and controlled

What is Radiofrequency Endovenous ablation? There are several options in the treatment of varicose veins. They involve Endovenous ablation, vein stripping and ligation, phlebectomy and sclerotherapy. For the purposes of this article I will focus on endovenous ablation treatment. Varicose vein treatment with endovenous ablation, is the latest minimally invasive treatment that uses radiofrequency energy to cauterize (burn) and close abnormally enlarged veins in the legs, a condition called venous insufficiency. Normally, blood circulates from the heart to the legs via arteries and back to the heart through veins. Veins contain one-way valves, which allow blood to return from the legs against gravity. If the valves leak, blood pools in leg veins, which

How is the procedure performed? Dr. Pereira and Dr. Ross will numb the area where the catheter will enter into the abnormal vein with an anesthetic solution, and use the ultrasound probe to study the vein and track its path. The leg being treated is then cleaned, sterilized and covered with a surgical drape. A very small nick is made in the skin at the site. Using ultrasound guidance, the catheter is inserted through the skin into the vein and positioned within the abnormal vein. The radiofrequency electrode is inserted through the catheter and placed into the ‘safe zone.’ The local anesthetic solution is injected around the abnormal vein with ultrasound guidance. Radiofrequency energy is applied as the catheter is withdrawn 7 cm every 20 seconds. The skin is then covered with a bandage. No sutures are needed. This procedure is usually completed within 45 minutes. Following the procedure, you will need

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

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.

By: Ryan Pereira, DPM FACFAS

If you don’t like what you see then, at the Centre for Advanced Vein Care, Dr. Ryan Pereira and Dr. David Ross are who can relieve your painful symptoms and improve the appearance of your legs to restore them to a more youthful look!

February/March 2016

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

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

Health & Medicine

Reflux and its Potential Complications a muscle at the end of the esophagus that may transiently loosen throughout the day causing GERD. This muscle is supposed to stay tight to keep the stomach contents from coming up.

Stuart A. Soroka, M.D. GI Associates

astro-esophageal reflux disease (GERD) is an epidemic that continues to worsen. 30-40% of Americans experience heartburn at least once per week. This is a staggering number. Reflux disease results in increasing doctor visits, lost time at work, money spent on medications and worst of all, may increase your risk of esophageal cancer. First let’s define the problem. Gastro-esophageal reflux disease (GERD) is the persistent symptoms or tissue damage that results from the upward movement of gastric contents into the esophagus. Heartburn is the most common symptom of GERD. There are many contributors to GERD. These include a hiatal hernia (a common disorder where a small portion of the stomach extends above the diaphragm), increased abdominal pressure due to weight gain as well as many medications and dietary factors. There is

What are the complications of GERD? As mentioned earlier, reflux is the most common manifestation. Patients may also experience a narrowing in the esophagus, which may prevent food from passing, as well as pre-cancerous or cancerous growths. Patients may also describe chest pain, frequent throat clearing, laryngitis and hoarseness. This disease sends many people running to their cardiologist. The stomach contents can contain acid that can irritate the esophagus and mimic chest pain from a cardiac source. One third of patients undergoing cardiac catheterization for chest pain will have normal coronary arteries. One half of these patients will have reflux. It should be noted however that one shouldn’t assume chest pain is reflux induced. Patients need to first have a cardiac evaluation if they are experiencing chest pains. GERD is also commonly associated with asthma and may worsen this condition. Some clues to this association would be an adult onset asthmatic, wheezing worse at night or wheezing with meals. Chronic reflux can actually change the lining of the lower esophagus as it tries to protect itself from the stomach acids. This is a fairly common condition called Barrett’s Esophagus. The importance of this condition is that it increases a patient’s risk for Esophageal Cancer. In fact, esophageal cancer is becoming more and more common. Esophageal Cancer now has the fastest growing incidence of all cancers in the United States. It is recommended for patients with frequent reflux to have an endoscopy. This is a

short, painless procedure. Under sedation, a thin flexible scope is used to examine the esophagus. This procedure allows us to determine if damage has occurred, evaluate its severity and take biopsies if necessary. Endoscopy is just one of the many routine and diagnostic procedures available to our patients.

What can be done about this disease? There are a number of treatments for GERD. The first is lifestyle modifications. These are simple solutions which can provide some benefit including weight loss, avoiding overeating, not eating late before bedtime as well as staying away from products that can increase reflux. Some of these are excessive caffeine and alcohol intake. There are many medications that are used to treat GERD. Many are available “over the counter.” These range from mild antacids to very strong acid reducers. There are also medications which can be ordered by your doctor. These drugs can work very well to reduce the symptoms of heartburn. It should be noted that over the counter medication should not be used chronically without the advice of a physician. You don’t want to possibly mask a serious underlying problem. GERD is a common problem with many features. It can reduce ones quality of life and has enormous costs associated with it. It can however be prevented in many and treated successfully in nearly all cases. As with other medical problems, the key to a successful outcome is to find a problem early, treat it appropriately, and avoid potentially ominous complications down the line. For more information, please visit the following websites: www.cancer.org and www.gi-associates.com

Stuart A. Soroka, M.D. is certified by the American Board of Internal Medicine and Board Certified in Gastroenterology. After graduating from the University of Flordia in 1990, Dr. Soroka attended medical school at University of Miami School of Medicine from 1990-1994. At Emory University School of Medicine Dr. Soroka completed his Internship in Internal Medicine from 1994-1995. He completed his Residency in Internal Medicine from 1995-1997 and he completed his Fellowship in Gastroenterology at Emory University School of Medicine from 1997-2000. Dr. Soroka joined G.I. Associates in 2000. Gastroenterology Associates of St. Augustine is committed to serving the needs of the community by providing quality patient care in a pleasant, professional state-of-the-art facility. Our physicians are board certified in both internal medicine and gastroenterology to provide you with the best care offered in the St. John’s County area. G I Associates’ nursing personnel are specially trained to assist with the treatment of digestive disorders. Your procedure may be done at our AAAHC accredited and licensed ambulatory surgical center, conveniently located adjacent to your physician’s office. Your care will be provided by specially trained and licensed personnel, including a certified nurse anesthetist, to ensure your overall safety and comfort while in our facility. Our medical practice has been a stable source of medical care in Saint Augustine for more than twenty years. Doctors Rosado, Villaneuva, Cavacini, Soroka, Gassert,Barlow and Ahmadi are renowned for their approachable manner, attentive staff, and clinical expertise.

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 www.GI-Associates.com info@gi-associates.com

Health & Medicine

Flagler Hospital is Among Top 5% of Hospitals in Clinical Outcomes in Nation According to Healthgrades

Flagler Hospital a Recipient of the Distinguished Hospital Award for Clinical Excellence™

lagler Hospital today announced that it has received the Healthgrades 2016 Distinguished Hospital Award for Clinical Excellence™. The distinction makes Flagler Hospital one of the top five percent of more than 4,500 hospitals nationwide for its clinical performance as measured by Healthgrades, the leading online resource for comprehensive information about

February/March 2016

physicians and hospitals. The hospital earned 5 stars in 22 of the 32 common inpatient conditions and procedures, as evaluated by Healthgrades, and was also named in America’s 100 Best for orthopedic surgery and pulmonary care. “Earning a place among the top 5% of hospitals in our country reflects the unwavering commitment of our staff, our

community physicians, our leadership team and our board of directors to achieve the very best clinical outcome for every patient, every time,” commented Flagler Hospital CEO, Joe Gordy, during a hospital town hall meeting where a Healthgrades representative was onsite to present the award. “Our community should be proud of this tremendous accomplishment, just as

I am proud to work among such passionate people who truly care about our mission and maintain a commitment to caring for our community year after year.” In the Jacksonville, FL area, there were 2 hospitals out of 8 eligible hospitals recognized as recipients of the Distinguished Hospital for Clinical Excellence Award. As evaluated by

Health & Medicine “When it comes to hospital selection, two of the most important questions to consider are where you are most likely to have a complication-free hospital stay and which hospital offers the best chance of survival, both during the hospital stay and in the weeks that follow,” said Evan Marks, Chief Strategy Officer, Healthgrades. “Selecting a hospital that has achieved Healthgrades 2016 Distinguished Hospital for Clinical Excellence award is one way to be confident that you will receive the right care.”

Healthgrades, Flagler Hospital is among the hospitals in the Jacksonville, FL area with some of the best quality care across a broad spectrum of common inpatient conditions and procedures.

From 2012 through 2014, Healthgrades Distinguished Hospitals for Clinical Excellence, as a group, had a 26.5% lower risk adjusted in-hospital mortality rate across 19 procedures and conditions where mortality was the clinical outcome, compared to all other hospitals. During this same period, if all other hospitals performed at the level of Distinguished Hospitals for Clinical Excellence across these 19 procedures and conditions, 158,858 lives could potentially have been saved. For example, patients treated at a hospital that achieved the Distinguished Hospital for Clinical Excellence Award had, on average, a 32.0% lower risk of dying from heart failure than if treated at a hospital that did not receive this distinction.

The 260 recipients of the Distinguished Hospital Award for Clinical Excellence™ stand out among the rest for overall clinical excellence across a broad spectrum of care. During the 2016 study period (2012-2014), these hospitals showed superior performance in clinical outcomes for patients in the Medicare population across at least 21 of 32 of the most common inpatient conditions and procedures —as measured by objective performance data (risk-adjusted mortality and in-hospital complications). To learn more about how Healthgrades determines Distinguished Hospital Award for Clinical Excellence™ recipients, please visit www.healthgrades.com/quality. *Area evaluated refers to Core Based Statistical Area (CBSA)

About Flagler Hospital 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. Today, Flagler Hospital is part of Coastal Community Health, a regional affiliation between Baptist Health, Flagler Hospital and Southeast Georgia Health System - a highly integrated hospital network focused on enhancing the quality and value of care provided to our contiguous communities. Flagler Hospital’s commitment to quality has resulted in numerous national accreditations including, designation as a Chest Pain Center and a Primary Stroke Care Center, ANCC Magnet Status for Nursing Excellence, 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.

Health & Medicine

A Caring Hand Home Instead Senior Care

Photo by Christine Cousart www.cousartphotography.com

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 address 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 rise 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, Home Instead Senior

Care will explain the broad spectrum of care relating to various valued aspects of community involvement. Home Instead Senior Care is a non-medical provider of personal care, companionship, meal preparation, light housekeeping, medication reminders, errands, incidental transportation and even Alzheimer’s and dementia care. Their care givers encourage, assist, and stimulate our clients in a variety of activities that improve their quality of life and help them maintain their independence. All of these services allow a senior to stay HOME INSTEAD for a longer period of time. For more information on Home Instead Senior care, please visit www.homeinstead.com

By Debbie Ronson, General Manager

avid and Malorie Hill, owners of Home Instead Senior Care, established themselves over 15 years ago in St. Johns County as a leader of in-home senior care. The need for this care, both in the home and assisted living facilities, has increased at a rapid pace. The offices of Home Instead Senior Care in Jacksonville, St. Augustine and

February/March 2016

Palm Coast are 3 of over 1000 independently owned and operated franchises that are estimated to annually provide more than 50 million hours of care throughout the United States and 16 other countries. Our office of Home Instead Senior Care strives to partner with each client we serve, as well as his or her family members, to meet that particular individual’s needs. Our services span the full care continuum---providing

services from companionship and personal care to specialized Alzheimer’s care and hospice support. We take pride in matching our clients with a skilled caregiver who is able to attend to their needs and make their daily life at home easier. Whether our clients are recovering from a recent hospitalization, a surgery, dealing with an illness or suffering from a chronic condition that limits their ability to care for themselves, we will provide a

caregiver that meets their needs and someone they connect with. Client and Caregiver compatibility is crucial. We take training very seriously and believe that is what sets us apart. Our caregivers are required to attend training at our state of the art training center. Before a caregiver is assigned to a client, their hands on skills are tested, a written test is passed and all policy and procedures are covered. Once a caregiver is assigned to a client, they are monitored and managed in the field, assuring that there is a good fit and compatibility is present. Another important factor is that our caregivers are employees of Home Instead Senior Care, all bonded, insured, covered under workman’s compensation and liability insurance, drug test and level 2 back ground checked. Home Instead Senior Care strives to be a resource for family care giver education. One program we are very committed to is our nationally recognized “Be A Santa to a Senior.” This program touches the hearts of senior members of our community that many times are forgotten during the holidays, but all too often, that is what happens when seniors live alone. It is heartbreaking

Health & Medicine to think that many senior members of our community spend the holidays all by themselves, without any gifts or any way to celebrate the season. We have partnered with Bite a Bagel off of county road 210. They are offering a discount to customers for items purchased at their establishment for donating a gift. The gifts purchased are given to Buckingham Smith Assisted Living Facility located in the Lincolnville section of downtown Saint Augustine. BayView Assisted living at Buckingham Smith is a 36 bed subsidized assisted living facility (ALF) with a Limited Nursing Services License. The facility is located at 169 Martin Luther King Avenue and is supported by several charitable organizations. Buckingham Smith is unique in its ability to provide quality, affordable assisted living healthcare services for those elderly or disabled residents who may not otherwise be able to afford the financial obligations of assisted living. Home Instead Senior Care has partnered with members of our community who give so willingly so residents have the joy of opening a package on Christmas day. One area we are enthusiastic about is providing educational programs to our community. With the baby boomer population doubling by the year 2030, there is a great need for education on long term healthcare planning as well as family caregiver support. Some of the topics offer – Preventing Hospitalizations, Time to start talking – Making Parents Part of the Aging Process Now, Fall Prevention, Helping Siblings overcome

“Caring for the Caregiver.” All too many times we see the care giver physically, mentally and emotionally exhausted while trying to be the full time care giver to their loved one. Engaging in the needed care is critical. Support groups are offered throughout the St. Augustine Community to help families cope with ailing loved ones. Home Instead Senior Care of North East Florida is a proud supporter of Caring Hands-Caring Community, raising subsidized healthcare benefits through the programs of BayView Healthcare. Within this continuum, the seniors of our surrounding communities will have the ability to extend their quality of life in the tradition of caring. Log on to www.bayviewhealthcare.org for more information on the programs provided by supporters like Home Instead Senior Care.

“

When my father passed away, mom wanted to remain in her lovely home close to her friends and to her church and surrounded by familiar places. With no family member able to relocate, we turned to Home Instead Senior Care. It was a very good decision for all of us. Home Instead Senior Care caregivers prepared meals, medication reminders, help with dressing and provided companionship for mom for several years enabling her to remain in her home and enjoy a full life. Their service and the constant contact with family members provided peace of mind for all of us and many happy years for mom. When it was time to make a change to assisted living, it became clear that mom needed more than just meals and medication. We once again turned to Home Instead Senior Care.

The Home Instead Senior Care staff went above and beyond our expectation, reaching out to some of the staffers who had previously helped in the home. A familiar face and a cheerful smile have made all the difference in mom’s happiness in her new surroundings.

Health & Wellness Forum

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

Our family has found the Home Instead Senior Care team to be responsive to our needs, responsible in their coverage, and always family conflict, Too Close for Comfort willing to go above and beyond –Boomers and Seniors Who Live with to provide peace of mind and Them, and Alzeimer’s Family. We also compassionate care. The patient, offer the Virtual Dementia Tour which competent care their well trained gives participants the opportunity staff provides is a blessing experience what individuals whobehave yond measure to families unable the disease experience. care Momfactors is to One of for theloved most ones. important happy and with we are grateful. when dealing an aging loved one is

”

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 and 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. 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.

Health & Medicine

Do You Over-Pronate?

By JosĂŠ Concha, DPM

Coastal Foot & Ankle Wellness Center

ronation is a biomechanical term used to describe the inward rolling of the foot as it strikes the ground. Pronation allows for shock to be absorbed when walking or running. It also allows the bones in the feet to form a rigid lever so that the muscles can contract allowing us to propel or push off towards our next step. Generally, pronation is an inherited trait, though other factors- such as obesity- can also lead to this condition. A normal amount of pronation is a good thing. This is normally called the neutral position. Under pronation is not as common but can lead to injuries such as sprains and strains of the ankle and

February/March 2016

leg. Under pronators tend to spend more time on the outside edges of their feet. By far the most common type of biomechanical foot deformities are over pronators. Over pronation leads to excessive shock & stress upon impact. This deformity can lead to pain in the feet, knees, hips, back, and shoulders. Common injuries for people who pronate include shin splints, plantar fasciitis, tendonitis, and bunions. The common thought is that a stable shoe or sneakers can support and relieve the pain caused by pronation. Unfortunately many people do not realize that a good arch support, or orthotic is needed for optimal stabilization of these foot deformities. Just about all shoe & sneaker manufacturers lack the proper insole that would be considered a good support for the 26 bones, joints, tendons, ligaments, and muscles in the human foot. Treatment: In children, over pronation can be diagnosed and treated before the age of 5 so that all bones and joints will be aligned properly as growth continues. This can lead to prevention of arch collapse and early injuries in sports and physical activities. In adults, the only effective conservative treatment for pronation is orthotics or custom made devices. A visit to your local podiatrist can determine if you are in need of current treatment or help determine what that could be done to help prevent future breakdown and injuries.

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

Planning for Birth - Requires Thoughtful Consideration

Amy Loughlin, ARNP, CNM

lanning for the birth of a child happens months before the actual big day, and for some it begins even before a positive pregnancy test. Equipping oneself with knowledge is the best place to begin preparations for the marathon of birth. Providers that care for women and families during the pregnancy and birth process are often asked how to prepare for the work of labor. “How can I avoid medications?” “What medications can I use if I choose to do so?” “Do I need to know before labor what is best for me?” Obstetricians, midwives, doulas and childbirth educators are all experts in different aspects of childbirth and are all wonderful resources that are available in our community. The American College of NurseMidwives advocates addressing three things to help you labor successfully without using medications: knowledge about what to expect, belief in yourself, and emotional support and coaching during your labor. Reading about physiologic birth in reputable resources and not just a Google search of “birth” may be helpful to women who are unable to attend a structured childbirth class. Childbirth education is designed to help demystify labor and birth through

knowledge as well as provide suggestions for relaxation techniques to use during labor. Flagler Hospital offers a 6 week as well as a weekend intensive childbirth education course for women who plan to have a hospital birth. There are also The Bradley Method® and hypnobirthing education classes available in St. Augustine, Jacksonville and Palm Coast. How and where one chooses to give birth as well is with whom they entrust their care are very personal decisions. It is an honor to be asked to attend someone’s labor and the invitation should be thought out. Part of creating a safe place to labor and deliver is feeling as though those surrounding the laboring woman understand her wishes and can speak for her if she is unable to do so herself. That emotional support and coaching takes effort and time and therefore should be discussed and even practiced with the “team” prior to the day of labor. Whether you choose to give birth in or out of a hospital will play a part in what options you have for pain medication. The most common pain medications used during labor are narcotics and epidural anesthesia. There are pros and cons to using pain medications and these should be discussed with your healthcare provider. Just because a woman choses to give birth in a hospital does not mean she chooses to use pain medications during labor. Flagler Hospital supports women in their individual choices with regards to how they wish to labor and even has designated rooms on its labor floor set up for women who wish to have an un-medicated delivery. On the flip side, just because a woman choses to have a nurse-midwife attend and deliver her baby does not mean she has to have an un-medicated delivery. We have all heard many stories about giving birth and many of us have shared our own with anyone who will listen. The birth experience is different for everyone and no one can know ahead of time how painful or difficult labor will be. Educating

oneself and knowing ones desires is important. Having trust in yourself, your support and your provider will help you to be flexible when decisions you may not have anticipated need to be made. Amy Loughlin, ARNP, CNM My name is Amy Loughlin and I have been practicing midwifery with OB-Gyn Associates since 2007. Midwifery has been my calling since the birth of my son. As a young mother I felt that the midwife who delivered my son not only brought him into the world but helped to transition me into parenthood. Heck, if I could give birth to a baby I could surely be a mom! I became a certified nurse midwife in 2002 after graduating from the University of Maryland at Baltimore. My first job as a midwife was in rural South Carolina working at a federally funded community

health center. It was here that I learned about “being with women” which is what midwifery is all about. I also became a National Health Service Corp Recipient, a program that encourages providers to work in underserved communities. After five years in South Carolina my husband and son, both avid surfers, asked if we could move to the coast. Our search for a small beach town brought us to St. Augustine and we couldn’t be happier! Working for OB-Gyn Associates is wonderful. We serve a varied population of families thorough different stages of life. I truly enjoy being the person to help women transition into parenthood just like I did 19 years ago. I also enjoy educating women who want to space out their families. Empowering women to care for themselves is more rewarding than I ever imagined.

Health & Medicine

Why Do We Sleep?

By Mara Cvejic, DO

s a sleep physician, I have been asked many philosophical questions about what I do. Considering that we spend one third of our day occupying this activity, it certainly is a valid question. In regards to sleep, I’ve often heard the phrase from friends and patients alike that “I’ll sleep when I’m dead”. The pressure to succeed in life has sent so many mixed messages to people that over time it has degraded the fabric of this very basic physiologic function. Why do we sleep in the first place? The ramifications of the complete lack of sleep are incontrovertible – you will die. For example, the disease Fatal Familial Insomnia is a neurologic disorder in which over the course of a few short months to a year, individuals with this extremely rare condition are unable to sleep and eventually pass away.

The body requires sleep. It isn’t just about health; it also serves the important role of helping us form new memories. To fully answer the question of why, one must first ask what is sleep. Sleep is a neurologic state – controlled by the most important organ in our body, our brain. It would be an oversimplification to say that there are only two states of being – awake and asleep. Have you ever heard the phone ring in your dream, only to awaken and realize that it was really ringing? Or been noticed to talk, mumble, or even laugh in your sleep? Sleep is more aptly described as a symphony – a conductor, a captive audience, and a curtain that likes to go up at the same time each night. Think of the audience as your lungs, your heart, and your muscles – all closely listening to cues from the brain. As the symphony begins, slowly conversation stops, phones are turned off and the outside world drifts away. Healthy sleep is a gradual and rhythmic process. Watch a person fall asleep on a train or bus, constantly nodding their head and then jerking awake multiple times. Marvel at the number of babies that you see completely passed out in their strollers despite the chaos of blaring noises around them. Our brain gradually filters noise and sound from the outside world and successively falls deeper into a state where it no longer receives signals that are not emergent, including from the body itself – like your full bladder or your stubbed toe. Evidence from brain waves shows proof that during tran-

sitional states of sleep we can elicit certain brain activity, despite the lack of a conscious response. Deep sleep typically follows this transitional period, and during this stage the neighbor’s loud party or your partner’s snoring is of no concern to you. Next comes dream sleep. Rapid Eye Movement (REM) sleep is a neurologic state where our muscles, with the exception of a few including our diaphragm are completely paralyzed and our eyes dart in quick movements from side to side. This process repeats itself – transitional sleep, deep sleep, REM sleep over and over again through the night. REM, as well as deep sleep (slow wave sleep), are two vital states of our brain that have proven to be essential to the process of neurologic repair and memory formation. Daytime energy usage of your brain is no different than using your muscles during exercise and your gut for digestion. When you exercise thought, you use energy and this energy comes at a cost, which is that byproducts of usage are built up over time and need to be removed. Similar to recycling, your brain uses glucose while active, but recycles the waste products at night and files away important information in the brain. Learning is an exercise that shows true potential once permanently stored away in long-term memory. Evidence for this comes from many scientific studies – children in particular have demonstrated this. When taught a procedure such as a piano piece, full recognition

of that learned ability does not occur until after a night of sleep. Take into consideration athletes who have been tested and shown to improve their performance with an extra hour of sleep at night. Even more disturbing, is that some studies have shown that just 1 hour less than the average time of sleep in a child reduces their school performance by two grade levels. Ouch. Numerous scientific studies have linked sleep deprivation to ADHD, behavioral problems, and mood disorders. And the quantity of sleep is not the only thing important to your body, so is the quality of sleep. A growing problem in this country is sleep apnea, a disorder of breathing while you lay unconscious. For sleep apnea patients, it doesn’t matter how long you sleep, you will never be able to “catch up”. The quality of your sleep is poor and constantly disruptive to your brain, your heart, your lungs and your metabolic system. The ramifications of this disease on your body and mind have become so widespread that non-sleep physicians struggle to keep up with the overwhelming amount of data showing its perpetration of obesity, cardiovascular disease, dementia, stroke, diabetes, depression and even cancer. And therein lies the answer that most people are seeking. We sleep so that we can live, and live well. My best advice as a sleep physician is cautionary: don’t adopt the attitude of sleeping when dead, because otherwise that day might come a lot sooner than expected!

Dr. Mara Cvejic Paryani completed her residency in pediatric neurology at Mayo Clinic Jacksonville through a joint program with Nemours Children’s Clinic. With a special interest in sleep medicine, she traveled to Palo Alto, CA and completed a Sleep Medicine fellowship at Stanford University, the original birthplace of sleep medicine. She is an active advocate in the Florida Medical Association (FMA) and the Duval County Medical Society (DCMS) and currently is a delegate to the FMA from the DCMS. She graduated from the Florida Medical Association Leadership Academy and continues to advocate for pediatric and adult care in Jacksonville. She has travelled to Haiti to the Hospital of Sacree Coeur as part of a volunteer pediatric medical relief team. With a special interest in sleep medicine and seizures, she evaluates and treats both adult and pediatric patients, performing and interpreting EEGs and sleep studies in all age groups over the age of 4y/o. To make an appointment with Dr. Cvejic regarding pediatric neurology or sleep disorders, please call our main office at 904-222-6656.

Central Scheduling 904.222.6656 • DrAshchiHeart.com

February/March 2016

Keep the Blood Flowing with an Active & Healthy Life

Health & Medicine Test your sleep IQ with the following questions: 1. 2. 3. 4. 5. 6. 7. 8.

Children need 8 hours of sleep, like adults. a. True b. False Some people only need 4 hours of sleep, that’s just the way they are. a. True b. False Napping is ok because I’m older and it is normal aging to feel sleepy in the day. a. True b. False If I cannot sleep, it is best that I stay in bed until I force myself to sleep a. True b. False Watching TV in bed is always bad. a. True b. False I’m not working so it doesn’t matter what time from night to night that I go to bed. a. True b. False Restless Legs Syndrome (RLS) is a disease that occurs while awake and asleep. a. True b. False People who have PTSD move in their dreams sometimes, acting out their nightmares or memories. a. True b. False

Answers:

1. False. A child’s sleep needs varies on their developmental and chronologic age. This can vary from 18 hours a day to 10 hours in a school aged child and teenager. 2. False. This myth has been debunked. While there are extremely rare cases of this, sleep less than 6 hours a night is associated with maladaptive behavior and increased risk of heart attack, obesity,and mortality. 3. False. Sleepiness during the day leading to daytime sleep periods is suggestive of a problem with your sleep. 4. False. Evidence shows that insomniacs benefit from removing themselves from the bed when awake longer than 20 minutes. 5. False. Some people who do not suffer from insomnia can watch TV in bed with no alteration of their sleep pattern. This is not recommended, however, in people who have disrupted sleep such as insomnia. 6. False. Your body runs on a clock, and varying your bedtime by more than an hour from day to day puts a physiologic stress on your body. 7. True. RLS is treated when you have daytime symptoms, but there are manifestations of this disease during sleep called Periodic Leg Movements. 8. False. Movement during REM sleep is called REM Behavior Disorder and is a distinct neurologic disease that is treated with education and medication, and is not associated with psychiatric disease.

Questions to ask yourself that may indicate you need a sleep study and referral to a sleep doctor: 1. 2. 3. 4. 5. 6. 7. 8.

Am I obese with a BMI of greater than 35? Do I snore loudly? Am I over the age of 50? Do I have high blood pressure? Do I have diabetes? Has my bed partner said that I pause in my breathing? Am I tired, fatigued or sleepy during the day? Is my neck size greater than 16 inches? (15 if you are female)

If you answered yes to more than 2 of these questions, you should ask to be referred to a sleep professional.

Health & Medicine

Preparing for Breast Surgery

By: Susan Detar, CFm Owner, The Pink Door

our doctor has told you that breast surgery is necessary. After the immediate shock you wonder what will it be like, when will it happen and how can I be ready for it and recovery. After leaving the hospital, one of the most important things you can do to

minimize the stress of recovery is to have a post-surgical garment. There are numerous styles, but what makes all of them of critical importance is that they manage the drainage system safely and conveniently. Rather than wonder what to do with the drains the garments include removable pouches to hold them. The garments also include two light weight forms which can be used to temporarily restore symmetry. Some also provide light compression. Later the garments are very nice for leisure wear or sleeping. These garments are also ideal for use following lumpectomy, reconstruction, augmentation/reduction and any breast or chest related surgery. If you or anyone you know will be having surgery, being fitted for and purchasing at least one of these items prior to the date of surgery would be most helpful.”

The Pink Door is an in network provider for Medicare, Aetna, MultiPlan and Veterans Health Administration. We also have relationship with Blue Cross Blue Shield. At the time of surgery, two recovery garments are covered with a breast cancer diagnosis. Prosthetics and bras are considered medically necessary and are also covered. Each plan has different limits, so it is good to inquire about them. We can work with other plans for a gap exception when that plan is unable to provide services to you at an in network facility. 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.

February/March 2016

“After leaving the hospital, one of the most important things you can do to minimize the stress of recovery is to have a post-surgical garment. “

Amoena 2160 Hannah Hook Front Opening Recovery Bra

Amoena 2863 Patricia Zipper Front Opening Compression Vest

Amoena 2105 Step In Post Surgical Camisole

Amoena 2860 Hannah Zipper Front Opening Post Surgical Camisole

Health & Medicine

Is it Time For a Mommy Makeover?

Dr. Michael Duffy, Jacksonville Cosmetic & Reconstructive Surgery Center

as having children and breastfeeding changed the appearance of your breasts and abdomen? This is not due to decreased physical activity (you are likely running now more than ever), slow metabolism, or poor eating habits. These changes are due to structural alterations in your body’s tissues that can be explained and rejuvenated to restore your pre-pregnancy appearance. The Abdomen The abdominal wall is composed of skin, then fat, then the rectus abdominus muscles (the “six-pack”) encased in a non-elastic substance called fascia. To accommodate the enlarged uterus (or womb) during pregnancy, all three abdominal wall layers—skin, fat, and muscle encased in fascia—from just above the navel (belly-

button) to the pubic bone stretch at a rate that often outstrips a woman’s ability to make new tissues. How well these tissues bounce back after delivery is dependent on many factors including the mother’s age, health, skin elasticity, and weight gain during pregnancy. The abdominal wall tissues of mothers bearing multiple children (twin, triplets, etc.) are stretched to a more extreme degree. “Stretch marks”, or striate, are caused by a rate of skin stretch that overwhelms the skin’s elasticity or ability to create new skin. Even though women spend millions of dollars every year purchasing products to improve stretch marks, there are no FDA approved therapies to remove stretch marks. Stretch marks are irreversible. Although the abdominal wall muscles will snap back after pregnancy, the tissues that encases these muscles (the fascia) does not have the same elasticity and is weakened. The weakening of the fascia causes a paunch, or protruding belly. This can never be improved with exercise of diet—it is a mechanical change in the tissue. Often I’ll hear, “I work out regularly and still can’t improve my belly.” Fat stores on the back and flanks are increased during pregnancy. These new stores are often also resistant to exercise. This change is natural, but it masculizes the feminine hourglass appearance. The Breasts During pregnancy, the breasts enlarge due to hormonal factors in preparation for milk production. If the mother does breast-feed (a healthy option for mother and child), the internal breast tissue loses much of its structural integrity. This change causes a flatten-

ing of the natural teardrop appearance of the breast. The flattening and dropping of the nipples position is called ptosis, often referred to as “drooping breasts.” The Solution: A Mommy Makeover is a combination of: 1. Abdominoplasty 2. Breast augmentation and/or lift, and 3. Suction lipectomy of the back flanks and hips. • Abdominoplasty: removes the excess skin and stretch marks from the abdomen, and tightens and restores the “abdominal wall corset.” • Breast Augmentation/Lift:

•

Depending on the size of the breasts, the amount of drooping (ptosis) and the patient’s desires, a breast lift (mastopexy), breast augmentation (with silicone “gummy bear” or saline implants), or a combination of the two can be performed to restore and enhance the breast shape. Liposculpture: of the back and flanks is performed to permanently remove the excess fat

The results are striking and long-lasting. Patients, and their partners, are equally ecstatic post-operatively.

“Dr. Michael Duffy is a Plastic and Reconstructive Surgeon providing comprehensive aesthetic and reconstructive surgery services in Jacksonville, Florida and the surrounding areas of Ponte Vedra, North Florida and South Georgia. Dr. Duffy received his Plastics Reconstructive training at Mayo Clinic, Rochester, MN and is certified by the American Board of Surgery and American Board of Plastic Surgery. His plastic surgery treatments include breast augmentation, breast lift, breast reduction, liposuction, tummy tuck, facial rejuvenation, rhinoplasty, mommy makeovers and total body rejuvenations and more. Dr. Duffy also leads a team of experienced medical aesthetician specialists that offers a full range of services from medical spa treatments, advanced skin care and laser services at his Cosmetic & Reconstructive Surgery skin care center. Popular services includes Medical Spa Treatments, BOTOX®, Dysport®, Juvéderm®, Obagi and CLENZIderm M.D.™

Health & Medicine

Boundaries & Buttons

erhaps the most frequent issue arising in psychotherapy today is one’s management of personal boundaries and our emotional reactions when someone is pushing our buttons. Whether we LOSE OUR COOL or REMAIN CALM under the pressures from our spouse, children, friends or bosses, is often directly related to the weakness or strength of our boundary management system. The inverse is also true, when our boundaries are healthy, we often find less pressure being applied to us – we simply are not available to “take the bait” and others seem to be aware of this (consciously or unconsciously). In his highly insightful book, Scream Free Parenting, Hal Runkel refers to boundaries as your space and your place. Your space is the emotional and physical territory you occupy in the world. Your place is the fence around your space, the limits of your freedom as it bumps up against other people’s space. We all need space to breathe our own air, space to grow, and space to discover ourselves. Family systems therapy focuses on individuation of family members, that is, the right for each individual to develop his/her own sense of self and a unique identity. Boundaries, connectivity and interaction between family members (including prior generations), are examined to eliminate codependency and triangulation patterns that keep the family locked in patterns of unhealthy emotional reactivity. Spaces and fences are put in place to allow the experience of unconditional vs. conditional love (which is not love at all). Spiritually based psychotherapist view boundaries as the opportunity to remain “sacred within your space.” By having a personal and emotional relationship with the Divine, unconditional love flows into the boundary that is then shared outwardly with others, hence, “in giving, we receive.” Oswald Chambers in My Utmost For His Highest, says: “Whenever God’s will is in complete control, He removes all pressure.” Experiencing this unconditional love keeps us abundantly healthy and better able to experience and manage/accept our emotions. Our emotions are hugely valuable to us when seen them for what they are – the paradoxical currents of life that beckon us back to the Garden of Eden - B.A. (Before Apple!).

Kathleen Abbott,

Licensed Mental Health Counselor & Clinical Director

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

John R. “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.

BOUNDARY MANAGEMENT QUIZ - True or False: 1. I am responsible for my own happiness and not my spouse’s and children’s. 2. If I sacrifice my marriage for the sake of the children, I sacrifice both. 3. Children need parents who don’t need them. 4. I cannot prevent others from making mistakes necessary for their own growth 5. I can live in the abundant grace and joy of God no matter what is happening.

Lasting Results Through Science & Spirituality

Yes, the answers are all True. Questions 2 and 3 are from Scream Free Parenting.

No matter what another does to us, we remain wholly accountable for our reaction. The space between what another does and how I react is simply - CHOICE. Healthy boundaries allow me the space to remain calm before I react and, oftentimes, this very space is enough to diffuse the situation. Even better, with practice, I can learn the skill of transforming conflict and pressure into an opportunity for grace and growth – the very essence of a healthy and fully aware/ enlivened conflict management system. Check in with your therapist to examine and improve your boundary management system and make it a personal pledge in the New Year to change all of your conflicted patterns of interaction into opportunities for grace and growth. It’s 100% possible! “Amen, Amen – I say to you…”

ST. AUGUSTINE’S BEST COUNSELORS 2011-2014 February/March 2016

an We are now ic Amen Clin Affiliate

Kathleen Abbott, LMHC John “Jack” Jones, LMHC Lisa Brice, LCSW Liggett M. Cato, CECP Barbara Jenkin, M.A., CAP Sarah Kamienski, LMHC Allison Masters, LMHC Melissa Muller, LMHC Melody Ott, LCSW Thomas Swisshelm, MEd, EdS Liz Villaneuva, RMCHI

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

(904) 797-5680

Displaying the Spiritual Paintings of Mary Lou Gibson Fax: (904) 797-5681 • www.TheLifeSourceGroup.com 248 Southpark Circle East • Saint Augustine, FL 32086

Health & Fitness

Harbour Island Tennis Centre This revived annual event is actually a continuation of a tournament that took place in the late 1800â&#x20AC;&#x2122;s and then ceased for generations. It was known in the tennis community as the first annual outdoor tournament of the year and took place on the wooden tennis courts (now a parking lot) behind The Alcazar Hotel & Casino.

Marie Turnbull, Owner

here is a lot of tennis going on at Harbour Island. A fifth court will be opened in March and we are preparing for our Tournament season. Harbour Island Tennis Centre of St. Augustine, Florida is proud to announce they are hosting the 4th Annual Tropical Tennis Tournament on March 12 & 13th. All net proceeds from the tournament will be donated to The Rotary Club of Coastal St. Johns County, to be distributed to charities within the local community.

The tournament will include mixed, menâ&#x20AC;&#x2122;s and womenâ&#x20AC;&#x2122;s singles and doubles events. To maintain the historical spirit of the tournament, players are strongly encouraged to dress in traditional tennis whites or attire from the period, including men in white trousers and women in long dresses. To heighten the stakes a little, the players will also be required to use wooden racquets; the tennis centre will have some wooden racquets to use. A Gala Ball will be held at the Fountain of Youth Pavillion On March 12 @ 6:00 all are invited to join this fun event. If you are interested in participating, please reserve your spot by calling 904-

460-4217, emailing courts@HarbourIslandTennis.com or by visiting our web page www.harbourislandtennis.com. Be a part of bringing history, tennis and tradition together again in St. Augustine, Florida!

Professional Tennis Instruction is available daily at Harbour Island Tennis Center. Members & Non-Members are welcome to participate in our programs. We have something for everyone from the beginner to the experienced tennis player. Things are building at Harbour Island. Court 5 will be available first week of March. Discussions with the architect on club house plans are ongoing. With growth come higher rates so join today and save on the initiation fees before they go up again.

Life Services

Photo by Christine Cousart www.cousartphotography.com

Ask for Haven Hospice Today which are all encompassing and support quality of life at the end of life for both patients and family members. There are many common misconceptions about hospice. Let’s explore some of these misconceptions and the facts about Haven Hospice services.

Cathy Johnston Haven Hospice Administrator

atients and their families often wish they had enrolled in hospice care earlier instead of waiting until the situation became critical. Until we have a personal experience with hospice care, many of us are unfamiliar with the programs and services that can be provided when a loved one has a life-limiting illness. Haven Hospice offers programs and services

Admission to hospice should only happen when the patient is within days or hours of dying. • Timely access to the right care plan is crucial to maximizing the quality of life before the situation becomes critical. Medicare defines a hospice patient as someone with a prognosis of six months or less and the state of Florida’s definition is 12 months or less. Haven Hospice patients and their families benefit from the support of an expert interdisciplinary team of physicians, nurses, nursing aides, social workers, volunteers and chaplains. Haven professionals provide expert pain and symptom management to promote and maximize quality of life so that the patient can spend more time with family and friends as well as enjoy favorite activities.

Hospice patients have to give up their family physician and their right to make health care decisions to enroll in hospice services. • Haven Hospice professionals coordinate the patient’s care and medications with the patient’s physician and other healthcare providers. Haven Hospice works with patients and families to create a plan of care that will manage the distressing pain and symptoms of a patient’s illness and will coordinate that care with the patient’s existing healthcare team.

All hospice patients go to a care center. • Haven Hospice patients are cared for in their home or wherever they call home in Florida: at their residence, in a skilled nursing facility or in a hospital. Haven Hospice provides routine home care, continuous care, inpatient care and respite care. If there is a need for short-term inpatient care, Haven Hospice does offer care centers in Gainesville, Palatka, Chiefland, Lake City and Orange Park. In these welcoming and home-like settings, family members are welcome 24-hours a day

and encouraged to stay. Haven also welcomes visits from children and family pets. The care centers also offer overnight, short-term respite care to provide a break to primary caregivers. Respite care is a welcome change of routine that is essential in maintaining caregiver quality of life.

There is only one hospice organization. • There are multiple organizations that provide hospice services in the state of Florida. Some organizations are for-profit and others are non-profit. Some are accredited and others are not. Haven Hospice is a not-for-profit, community hospice organization which is accredited by ACHC (Accreditation Commission for Health Care). At Haven, no one is turned away regardless of their ability to pay. Choosing hospice services and a hospice care provider are very important decisions. Spending time researching and understanding the differences between hospice organizations is important before the time becomes critical.

Life Services

Providing Compassionate, Dignified, & Personal Services to Remember Your Loved One

Presented by: Linda Roy

Licensed Funeral Director/Embalmer

Craig Funeral Home

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

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

February/March 2016

• Preparing an obituary to be placed in any newspapers requested by the family. • Contacting local cemeteries or crematory, as required. • Care and arrangement of floral pieces, and delivery to the family’s residence after the funeral. • Arranging for Pallbearers and motor equipment, including limousines, as required. • Ordering special floral pieces at the family’s request. • Arranging for Cash Advances for cemetery expenses, clergy honorariums, music, funeral escorts, and custom acknowledgments. • Contacting Fraternal or Military organizations to take part in the ceremony. • Arranging for a personalized remembrance package, consisting of a guest register book, memorial folders, acknowledgments. • Assist with Social Security and Veteran benefits. • Filing of life insurance claims. • Alternative Services If a family chooses not to have a service with burial or entombment, a funeral home can offer cremation options, immediate burial plans, and anatomical donation. Why Funerals Are Important • Initiates the grieving process. • Acknowledges the importance of a life that has been lived. • Can be personalized to allow mourners to remember and honor their loved one in ways that are special and meaningful. • Serves as a central gathering place for family and friends to give emotional and physical support to one another. • Provides closure for the bereaved. • Confirms the reality and finality of the death. • Encourages mourners to face the pain of their loss and express their

• •

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

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

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

Life Services 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

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

February Weekly Menu

Feb 1 Chicken Fricassee over Egg Noodles/Garden Salad/Roll Stuffed Pork Chops/Sweet Corn Healthy Choice Pan Braised Swai w/ Italian Herbs and Veggies Turkey Burger/Sweet Potato Fries/Wheat Roll Feb 8 Chicken Brunswick Stew/Spring Mix Salad/Roll Sirloin Steak/O Brien Potatoes/Wedge Salad Healthy Choice Fish Cioppini/Spinach Salad/Wheat Roll Turkey Kielbasa & Cabbage/Sauteed Zucchini and Onions Feb 15 Beef Stew w/ Potatoes and Carrots over Rice/Garden Salad Potato and Ham Soup/3 Cheese Panini Healthy Choice Chicken Cacciatore over Brown Rice/St Broccoli Stuffed Scallops/Pineapple Slaw/Corn Muffin Feb 22 Traditional Meatloaf/Mashed Potatoes/Peas n Carrots Bacon Spinach Quiche/Cream of Broccoli Soup Healthy Choice Salsa Chicken over Yellow Rice/St Spinach Baked Swai/Sweet Potatoes/St Asparagus Feb 29 TBA

Business & Finance

Website Design: What To Look For When Starting A New Website. 2.

By Jay Owen Owner, Design Extensions

n today’s competitive environment, every business needs a website. The question then becomes, how do I have the site designed and get it online? There are several options available for setting up a new business web site including:

1. Do It Yourself: There are many free

or cheap ways to setup your own web site. These involve some technical expertise, time spent researching, setting up, and maintaining the new site, lots of patience, and a willingness to settle for a cookie-cutter, out-of-the-box appearance to the site. TIME INVOLVED: Very High COST INVOLVED: Very Low END RESULT: Average Site with Limited Results

Bringing in professional help is often the best solution for any new or growing business.

February/March 2016

Hire a Friend/Neighbor/ Amateur/ Relative: This might be the neighbor’s child down the street or a relative who has recently dabbled with websites. The problem with this scenario is that the person involved often has little experience and limited vested interest in your project or business. The results can often be less than desirable. TIME INVOLVED: Moderate COST INVOLVED: Low-Moderate END RESULT: Average Site with Limited Results

Hire a Professional Web Design Company: The final option, is to select a professional web design company to help you put together a plan and design a website that will really be effective for your business. Many business owners will start with option 1 or 2 above and end up needing to go with a professional company to meet their business needs. Bringing in professional help is often the best solution for any new or growing business. Most of the time, it pays for itself very quickly. TIME INVOLVED: Low COST INVOLVED: Moderate-High END RESULT: Unique Presence & Powerful Results

to shop around. Don’t always go with the lowest bidder though, sometimes, you really do get what you pay for (good or bad).

2. Check References & Portfolios: The

reason that prices vary so much, is that quality and experience do as well. It’s important to check several references of the company you select and review multiple websites they have recently completed.

3. Ask Questions: If possible, meet with

the person that will actually manage your website project. This will help you get a feel for the personalities involved and determine if they will be a good fit for your business Don’t be afraid to ask questions, such as, Will my site be a unique design?, How will people find my site once it is launched?, and How long will this process take? Ultimately, only you can decide how you want to go about starting your website, but keep in mind that in the digital world today, your website can be the most powerful marking tool that you have (other than yourself).

• Tom Coughlin Jay Fund • Ponte Vedra Beach, FL • Client Since 2003 • Custom design and maintenance “Design Extensions has been a fantastic partner for the Tom Coughlin Jay Fund. They are easy to work with, provide great quality work and their service is prompt and detail oriented. We are very pleased with our website and it is a pleasure to work with Design Extensions.” – Keli Coughlin, Executive Director, www.tcjay.org

Each of these have their advantages and disadvantages. It’s important to weigh each one carefully. Your website will have an impact on your business. The question is, will it have a positive or negative impact? Your business website is a representation of you and your product or services when you are not there to present them. Will it give off the impression that you want or will it look like everyone else out there? If you decide to go with a professional web design company, it’s important to do the following:

1. Shop Around: Pricing for websites var-

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.

ies significantly. There can be differences of hundreds or even thousands of dollars on some projects and it’s always a good idea

Why

should your business or practice become a contributor to the Woman’s Journal?

Susie Sulliva, Simply Susie

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.

“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. “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 “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 “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

-Susie Sullivan, Simply Susie awaits the next issue. Partnering with Anthony and Suzanne has been an exceptional way to reach new customers and remind existing customers. Susan Detar, The Pink Door

”

“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 “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 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

Travel

February/March 2016

Travel

Old and New in Japan Encountering the True Spirit of the Land

Kelly Maguire Monroe, AAA Travel Professional

rom Geisha traditions to chilled sake, many Americans who’ve never been may believe that they have a good sense of Japan, its people, and its culture. But travelers who explore this lovely archipelago are likely to conclude that their pre-trip perceptions tell just a small part of the story. Indeed, Japan is a remarkably diverse country that will captivate and intrigue any visitor!

Kyoto and Tokyo…A Tale of Two Cities For 1,000 years, Kyoto was the Imperial capital and among its enduring landmarks, Kinkakuji is one of the most visited. Set on a tranquil pond, the top two floors of this Zen temple are completely covered in gold leaf! Equally spectacular is Kiyomizu-dera, a Buddhist temple founded in the 8th century and noted for its large veranda - set on wooden pillars and boasting views of Kyoto and the forested hills. The street leading up to Kiyomizu-dera is lined with shops, restaurants, traditional

ryokan inns and vendors selling incense and omikuji, slips of paper printed with a fortune. Exploring both of these temples provides a lesson in Japan’s modern-day spiritual beliefs, as well as insight into its architectural history and aesthetic values. In contrast to Kyoto, Tokyo presents a much different face. Although the city’s oldest temple also dates back more than 1,000 years, the overwhelming impression of Tokyo is that of a contemporary metropolis. Sixty years ago, the best views of the city were from atop the iconic Tokyo Tower. Today’s skyline is much different and there are many other skyscrapers that offer equally captivating views, including the observation deck at City Hall, the ultramodern 2,000-foot-tall Skytree, and Roppongi Hills – an upscale urban complex home to the Mori Art Museum. But enduring traditions can still be experienced in this modern capital. Head

now a UNESCO World Heritage Site. Or visit Kenrokuen Garden in Kanazawa, revered as one of Japan’s most beautiful gardens and noted for its use of traditional landscaping

principles including spaciousness, abundant water and broad views. Call your AAA Travel Agent today to learn more about travel to Japan including an escorted 11-day journey with AAA Vacations®. With expert Japanese guides and only 6 to 16 guests, you’ll experience more of Japan’s remarkable diversity as you travel from Kyoto and the Inland Sea all the way to Kanazawa and through the Alps to Tokyo. Exclusively with AAA Vacations®, enjoy a free pre-tour night and breakfast at the deluxe Granvia Hotel in Kyoto - plus savings up to $415 per person!

over to the Tsukiji Fish Market in the morning and join Tokyo chefs as they shop for the day’s freshest catch – just as they’ve been doing for nearly 100 years. Or take some time to stroll in the Asakusa district. For centuries, this was Tokyo’s premier entertainment area and today, the colorful stalls of the bustling Nakamise Arcade still capture the spirit of the Edo era. Of Mountain, Sea and Garden As much as travelers love Tokyo and Kyoto, much of Japan’s allure lies beyond the hustle and bustle of its cities. Explore the Inland Sea with its picturesque islands. Cruise on Lake Ashi amidst pine-clad hills with views of Mt. Fuji. Journey to Shirakawago, an Alpine hamlet of century-old farmhouses that is

SERVICE WITH A SMILE! Remember those days? AAA Travel St. Augustine does! Call or come by today and let our Travel Professional, Kelly Maguire Monroe, who has been sharing her passion for travel and creating memorable vacations for 30 years do all the work! Research, compare, and negotiate for the most competitive prices in town! Tours, cruises, hotels and cars. AAA Travel is equipped with the most up to date technology to ensure the best pricing for you! No fee to do on-line registrations, boarding passes or print electronic documents for all clients. Serving members and non members Monday thru Friday 8:30AM-5:30PM. Contact Kelly today and allow her to create a memorable vacation for you! (904) 825-0298 ext. 2225.

Legal

Can I Eliminate Medical Bills in Bankruptcy? “I have accrued over $25,000 in medical bills that I cannot pay, and that’s not counting the $12,000 I’ve already put on credit cards. If I file for bankruptcy, can I have my medical bills discharged?” Nina M. LaFleur, LaFleur Law Firm

hat is a common question we hear at LaFleur Law Firm and the answer is YES! Just like credit card debt, repossession deficiencies and short sale balances, medical debt is unsecured debt that can easily be wiped out in a bankruptcy. Dealing with debt and constant calls from creditors can be stressful for anyone but when that stress is compounded by medical problems, it can be overwheling. Patients have few options beyond attempting to research hospital charges ahead of time or negotiating with the hospital—which is probably the furthest thing from a person’s mind when they are most in need of medical care and when they need to focus on their health.

treatment and can’t be eliminated through bankruptcy. Fortunately, medical debt is not one of them. In bankruptcy, medical bills are considered general unsecured debts just like your credit cards. This means that medical bills don’t receive priority treatment and can easily be wiped out by filing for bankruptcy.

Bankruptcy Can Eliminate Medical Bills To learn more about your options in dealing with medical debt, consult with an experienced bankruptcy attorney. Nina LaFleur has 25 years of bankruptcy experience. Contact Nina at 904.797-7995 or nina@lafleurlaw.com for your free initial consultation.

Types of Debt Collected from Consumers in 2014

Medical debt is one of the most common reasons people seek bankruptcy relief. When you file for bankruptcy, your debts are separated into different categories. Certain debts receive special priority

LaFleur Law Firm recently contributed $2,000 to the medication fund of ArtBreakers, a local 501(c)(3), in conjunction with Island Family Pharmacy. The funds will be used to help defray the costs of medications for those battling all forms of cancer in St. Augustine. LaFleur Law Firm is a proud supporter of ArtBreakers and its founders, Pier Fitts and Gaye Jones, both cancer survivors.

Nina LaFleur has been a bankruptcy attorney for 25 years. Previously, she was a partner with the Jacksonville law firm of Stutsman, Thames & Markey, becoming the firm’s first woman partner. LaFleur Law Firm was established 2006. Nina LaFleur is a member of the Supreme Court of the United States, the American Bankruptcy Institute and the National Association of Women Judges. If you have any questions about bankruptcy, contact Nina LaFleur at 904.797.7995 or nina@lafleurlaw.com.

February/March 2016

Legal

The Seven Deadly Sins Of “Bad” Estate Planning

Photo by Christine Cousart www.cousartphotography.com

(or how to hold on to your “stuff” until you don’t need it anymore!). at least seven of them and if you want to discuss things in detail just give me a call. But lets look at:

DEADLY SIN NUMBER ONE:

Joseph L. Boles, Jr

o matter your age, education or affluence level your “stuff ” (money, land, stock portfolio etc.) can give you some sleepless nights wondering if you are protected as you move into the last third of your life, the years that should be worry free! While I do not give financial advice, (that’s for the money guys and if you find one with a crystal ball let me know!) there are some things to avoid, (and some simple steps you can take), to protect your assets for yourself, your spouse and especially your children. I call them the “Seven Deadly Sins of Bad Estate Planning”. You may already have committed one or two of them but it’s never too late to change your ways! To use an evangelical metaphor, its time to “get righteous with your assets!” Let’s take a look, shall we? Over the next year we will take a look at

“I’m going to add one of my children’s names to my bank account so they can help me with my finances when I get up in years and need a little help!” Good idea or bad idea? Very, very bad idea! How, you say can it be a bad idea to add one of your dear beloved children to your bank account (or any asset for that matter!). Well first there is the ability to clean out your account but let’s set aside the “bad son or daughter” scenario because we all know that OUR children are trustworthy beyond measure and would never take Mom or Dad’s money unless....well we won’t go there. Let’s just realize that when you add someone’s name to your account you open up the door to THEIR creditors. If that person has judgments against them for anything at all, (car wreck, unpaid charge cards, unpaid child support, student loan debt, medical debt, bankruptcy the list can go on and on), then those creditors can come and grab YOUR money! It might sound like a good idea to have someone else to be able to write checks but in order for that to happen the bank or credit union has to make that person a joint OWNER with you not just a signer. And if you ever want to get them off of your accounts they have to cooperate and sign off for you to reclaim total control of your own money! You can’t just remove them yourself.

“Let’s just realize that when you add someone’s name to your account you open up the door to THEIR creditors. If that person has judgments against them for anything at all, then those creditors can come and grab YOUR money!” If you have already added them to your account then “get them off!” If you give them your Power of Attorney they can access funds on your behalf without you worrying about their bill collectors, (or ex-wives, husbands, IRS or the State of Florida) grabbing your money! Then you only have to worry about their trustworthiness and that’s a very personal matter, (but there can be

a remedy for that as well but that’s for another discussion). So give me a call at 904-824-4278 if you want to know a little more about estate planning and protection of assets. And remember… There is never any charge for the initial consultation and if you are over 65 we do your Last Will and Testament for free! Very truly yours, Joe Boles

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.

Women in Profile

Andrea Vallee Haven Hospice Professional Liaison St. Augustine

“I

Photo by Christine Cousart www.cousartphotography.com

chose hospice work because I believe it is very rewarding,” said Haven Hospice St. Augustine Professional Liaison Andrea Vallee. “Hospice is one of the last decisions someone will make in their life. Being trusted to care for a family member during this very difficult transition is a special responsibility and not to be taken lightly.” Andrea has worked in the healthcare field for eight years. Most recently, she spent seven years working for American Eldercare as a contract specialist prior to

Nicole Stewart, Owner, Sweet City Cupcakes

ince 2012 Nicole Stewart started her dream of owning her own business, Sweet City Cupcakes. When she thinks back on some of her fondest memories as a child, Nicole is brought back to being in the kitchen with her mother. Besides riding her bike or playing basketball, if you wanted to find Nicole you looked in the kitchen. If you ask her what one thing that makes her happiest is, it’s seeing the pure delight on someone’s face when they taste one of her kitchen creations. Having been in the health and wellness industry for several years, Nicole learned and became passionate about cooking and baking foods that were much healthier and tasted fabulous. Her daughter, Ava, developed a gluten sensitivity which meant re-learning how to bake her daughter’s favorite treat, a cupcake! It didn’t take long for Nicole to realize

February/March 2016

joining Haven two months ago. “I am impressed with the quality of service Haven provides to patients and their families,” said Andrea. “The depth of services that Haven is able to offer through its interdisciplinary team of advanced registered nurse practitioners, nurses, certified nursing assistants, social workers and chaplains is amazing.” As a professional liaison, Andrea visits doctors’ offices, assisted living communities, skilled nursing facilities and hospitals to strengthen Haven’s relationships with these valuable members of the St. Augustine community. “As a professional liaison, I educate the community on a daily basis about hospice,” said Andrea a mother of two and St. Augustine resident for seven years. Andrea brings value to patients and caregivers by being knowledgeable about all of the services provided by Haven to help them make informed decisions about hospice care. “I think one of the most important things to share with patients and their families is that hospice care often helps patients live longer and improves their quality of life.” Andrea is a health and fitness advocate who loves to read and spend time with her two sons, Nicholas, 18, and Michael, 14. “My oldest son loves history, so we really enjoy learning about St. Augustine’s rich historical background,” she said. “My youngest son really enjoyed St. Augustine’s famous ghost tour. However, our favorite activity was doing the zip line course at the St. Augustine Alligator Farm Zoological Park.”

that if she wanted a special treat for her daughter, and wanted it to also taste good, she would have to be the one to make it. How nice it would be for her daughter to be able to enjoy a cupcake shop cupcake with the rest of her friends. Then the realization of Nicole’s dreams, one of the things that makes her happiest; creating small delights for every individual taste! This past fall 2015, Sweet City Cupcakes and The Kookaburra Australian Coffee shop expanded their services to the programs of BayView Assisted Living at Buckingham Smith. Any left overs or extra goodies Nicole and The Kookaburra donates to the senior citizens. Bringing joy to the hearts of many, her extraordinary efforts have benefited their lives. Spreading a little joy through the program Caring Hands-Caring Community. “It’s just a little treat of happiness. Knowing that my ability to bake, can benefit the well-being of someone’s life is extremely cathartic. I would like to teach my community to help out with our talents. It is our incredible service and privilege to this community.” Nicole’s charitable services can also be highlighted through Blue Water Jeweler’s Charity Cupcake event benefiting Saint Augustine Youth Services, Art Breakers/ Serenata’s Breast Cancer Awareness event Bratini, Haven Hospice, and BayView Healthcare’s Caribbean Calypso Night. Nicole and her husband David have resided in Saint Augustine for 11 years. Her children, Ava 9 and Finn 6, both attend Osceola Elementary School. The Sweet City Cupcakes can be found at The Kookaburra Coffee 312 Shop in the 312 shopping center. www.thesweetcitycupcakes.com.

Women in Profile

Zoika Garcia, Teacher, Abella’s School of Dance

oika Garcia was born in Pinar del Rio, Cuba where at an early age, she began the study of dance that would soon become her life’s passion and work. She graduated from the Superior Institute of Art in Havana, Cuba with a Master’s Degree in Fine Arts and Ballet but Zoika’s study of dance did not stop there. She continued her studies and earned additional diplomas as a teacher, dancer, and choreographer, receiving a post-graduate degree in Ballet and Character Dance Methodology, and a certificate in Musical Theater and dance

from Opera Lyrical of Cuba. During her time in Havana, she taught for many years at the prestigious National School of Ballet. Zoika’s career in dance has not been limited to being a teacher, she was also a principal dancer with the National Opera in Cuba and has danced with other world renowned companies. In 1996, she received 1st place at Havana’s Festival of Elsimor for her dance and choreography. Later that year, Zoika decided to make a move to Bolivia where she was a teacher, dancer, choreographer, and artistic director for Studio Capezio in La Paz, Bolivia. From there, she moved to Guatemala where she owned her own dance studio for 11 years. In 2015, she moved to Miami to provide a better life and better education for her two children, Ladislao, aged 14, and Carmilo, aged 12. While in Miami, she discovered that an old classmate from Pinar del Rio, Cuba lived in St. Augustine. During their reunion, Luis Abella invited her to join the staff of his dance studio, Abella’s School of Dance. She currently teaches, Conditioning, Character, Pre-ballet, and Mommy and Me classes at Abella’s studio in St. Augustine, FL. Her love of teaching is obvious when observing her classes and she is quick to smile when she talks about dance and her students. Since moving to St. Augustine in the fall of 2015, Zoika has become involved with Saint Augustine Ballet as one of the choreographers for The Nutcracker. She is currently working with the Ballet as a guest artist in their 2016 production of Peter Pan.

Sue Hopper, Volunteer Chaplain at Flagler Hospital

ue Hopper serves as a Volunteer Chaplain at Flagler Hospital. In this capacity she provides spiritual care for patients, loved ones and staff of Flagler Hospital. Sue was born and raised in upstate NY where she spent her career as a busy Broker/ Realtor. When she retired Sue wanted to do something meaningful, so she went on to study at St . Bernard’s College of Pastoral Care. Sue volunteered at Rochester Hospital

on the Spiritual Care and Discharge planning team. Because of an especially significant health episode occurred one week after Sue and her husband relocated to St Augustine, Sue knows what it’s like to be hospitalized and specifically likes to volunteer on Saturdays. She knows how important her visit is to a patient on the weekend. Sue says that Flagler Hospital is a treasure for the community and being a volunteer here is her idea of FUN.

Women in Profile

Heather Allen, Executive Director of Fund Development for the Flagler Health Care Foundation

eather Allen serves as the Executive Director of Fund Development for the Flagler Health Care Foundation. In this capacity, Heather leads the philanthropic efforts and community outreach to support Flagler Hospital’s goals. The Foundation relies on donated gifts from community individuals, corporations, associations

and other foundations in order to provide crucial hospital services, programs, equipment and facilities that will keep Flagler Hospital able to continue to provide world-class care to our community. She began as Executive Director in May 2015 and is excited to serve the community in this role. Heather holds a Bachelor of Science in Business Management from Indiana University. She has 17 years of fundraising experience in Healthcare, Social Services, Hospice and most recently as Director of Finance of a Hospital Foundation. Heather says that Flagler is a great organization and likes working for a community hospital where healthcare can be delivered right here. It’s similar to what she is used to. Heather was born and raised in Bloomington, IN. She and her husband are happily raising their 11 year old identical twin daughters and 12 year old son in St. Augustine. Heather and her family are enjoying the year-round sunshine, where they can take their boat to the waterways and fish. The kids love learning to surf and skateboard. Heather and her son are going to hike the Appalachian Trail for his 13th birthday.

Camille A. McGaw, M.D. GI Associates of St. Augustine

r. McGaw is certified by the American Board of Internal Medicine and is Board Certified in Gastroenterology. After graduating from Wesleyan College with a B.A. in Biology, Dr. McGaw subsequently embarked on her medical career and earned her medical degree at Howard University College of Medicine in Washington, DC. She then completed her residency at Montefiore

February/March 2016

Medical Center/ Albert Einstein College of Medicine in New York City. In 2014, she completed a 3-year fellowship in Gastroenterology and Hepatology at the University of Florida College of Medicine in Jacksonville, Florida, serving as chief fellow. In addition to general gastroenterology, Dr. McGaw has a special interest in colorectal cancer prevention and women’s gastrointestinal health issues. Dr. McGaw joined GI Associates in 2014.

Community

Debunking the Myths of Habitat for Humanity

Casey Schachner (left), Volunteer/Program Coordinator & Lindsey Rodea (right), Family Services Coordinator; Habitat for Humanity of St. Augustine/St. Johns County

s one of the largest and most recognizable nonprofit housing organizations in the world, Habitat for Humanity often encounters a number of misunderstandings from time to time. From confusion about how the Habitat mortgages work to who receives a home, there are myths that need to be debunked about Habitat for Humanity. We have selected some of the ‘myths’ we have heard most frequently here at our local St. Augustine/St. Johns affiliate. We hope this will help to dispel any confusion about Habitat for Humanity and help to spread the correct information to our community. Myth: Habitat gives homes away for free Fact: This is definitely the #1 myth heard here at Habitat St. Johns and also at every Habitat. No, Habitat homes are not free. No, Habitat does not give away homes. In fact, Habitat homeowners pay a monthly mortgage payment just like all other homeowners. What is different about Habitat is that we offer homeownership opportunities to individuals and families who do not qualify for conventional mortgages. Financing homes through a low interest mortgage, Habitat is able to facilitate affordable monthly payments for our homeowners.

Myth: Habitat homeowners are all on welfare Fact: While some of our homeowners receive assistance, such as families with dependent children, many of our partner families and individuals are working people in our community. Homeowners have to have verifiable income to be able to pay their mortgages. Currently, we have homeowners in our program who work at a local school, a medical assistance facility, restaurants, a trucking company, and many more occupations. However, typically their income is less than half of the area’s median in-

Directors for approval. Each homeowner must do 250 sweat equity hours of building on other Habitat homes (400 hours if a family) before building begins on their own home. The entire process from start to move in day can take anywhere from six months to two years.

Myth: Habitat was founded by former President Jimmy Carter Fact: While Jimmy Carter and his wife Rosalynn are longtime supporters and volunteers for Habitat for Humanity, the nonprofit organization was founded in 1976 by the late Millard Fuller.

Myth: Habitat homes reduce property values Fact: Studies have shown that affordable housing has no adverse effect on property values. Habitat for Humanity homes are newly constructed homes

Are you curious if you or someone you know may qualify for a Habitat home? If you answer yes to ALL of the following questions consider filling out a questionnaire at www.habitatstjohns.org

Pictured above: The Gray family in front of their future home, a historic property that is being restored by Habitat for Humanity and its volunteers. come, making affordable housing a problem for them. That’s why they come to Habitat. Myth: Habitat is a hand out Fact: Actually, Habitat is a hand up. Habitat homeowners have a lot of hard work ahead of them when they apply for a home. After filling out our questionnaire, applicants may move on to an intense credit counseling program before their application is reviewed. After a number of interviews and home visits from the Family Selection Committee, a potential homeowner is voted on and possibly moved to our Board of

1. 2. 3. 4. 5.

Have you lived or worked in St. Johns County for at least the past year? Do you meet the income requirements based on the number in your household? (see chart below) Have you had a clean criminal and sex offender background for the past 7 years? Is your credit history of making payments satisfactory? (Including no evictions or foreclosures in the past 7 years) Are your saleable assets (including land) valued at less than $20,000?

Family Selection Criteria: Need, ability to pay, willingness to partner, and residency or employment in St. Johns County for at least the past year

meeting all industry standards for safety and energy efficiency. In some areas Habitat homes have actually improved property values and local government tax income. Myth: You have to be a Christian to get a Habitat home Fact: Habitat homeowners are selected without regard to race, ethnic group, or religion. Habitat welcomes volunteers and future homeowners from all faiths or no faith, united together in an effort to eliminate poverty housing.

Habitat for Humanity of St. Augustine/St. Johns County We build homes, communities and hope.

Donate, Qualify, Volunteer.

Habitat for Humanity is a non-profit ecumenical (we work with people of all faiths and no faith) ministry that builds homes for people in need with the help of volunteer labor, some donated materials, donations, and homeowner mortgage payments. We build homes, communities, and hope. Our vision is ‘A world where everyone has a decent place to live’. Visit www.habitatstjohns.org or call 904-826-3252. Follow us on Facebook and Instagram @habitatstjohns

Community

Betty Griffin House 5k Run & Walk-A-Thon

hake off those winter “Yuks” and come join us for the 3rd annual Betty Griffin House 5K Run and Walk-a-Thon. The fun begins at the St. Augustine Pier on April 16th at 8:00 am. BE THERE OR BE SQUARE! Packet pick-up will be at the Betty Griffin House Thrift Store located at 1961 A1A South on Friday, April 15th beginning at 4:00 pm and ending at 7:00 pm. What a great location!! Pick up your packet and shop some of the best bargains on the island! If you can’t make it on Friday night, your packet can still be picked up the next day at 6:30 am at the pier. Register online by going to www.bettygriffinhouse5K.org. The registration fee is $25.00 through February 29th(Happy Leap Year) for Individuals 15 years or older. Children under 14 are invited to participate for a fee of $15.00. Beginning

March 1st through April 15th, registration is $30.00 and day of the race, it is $35.00. All fitness levels are welcome! Walk, run or stroll…it matters not. This event is designed for the whole family including

and recognition. You can find out more about this by accessing their website at www.runstaugustine.com. So…Now, Get ready, Get set and GO!

The race is set and all you need to do is register. We look forward to good weather, good friends and a good run. See you on the 16th!

“Fido” as long as he is on a leash. This year we are proud to announce that we have been selected to be part of the 2016 RUN ST. AUGUSTINE SERIES presented by RaceSmith. Twelve local running events are part of this series with yearly awards The month of April has been designated Sexual Assault Awareness Month (SAAM) in the United States. The goal of SAAM is to raise public awareness about sexual violence and to educate communities and individuals on how to prevent sexual violence. By working together and raising awareness during the month of April, we can highlight sexual violence as a major public health, human rights and social justice issue and reinforce the need for prevention efforts. Betty Griffin House is the only center in St. Johns County that has provided free services to all victims of domestic and sexual abuse for the past 25 years. The primary purpose of the agency is to provide holistic services that directly relate to the victims’ experience of abuse which will increase safety and security for both the victim and the family. As a full service domestic and sexual abuse center, Betty Griffin House provides information and referral, a 24-hour crisis hotline, court advocacy, civil legal representation, individual and group counseling and other support services to shelter residents and non-residents. Betty Griffin House also provides a Sexual Assault Recovery Program for advocacy, service management, legal representation, rape crisis unit forensic exams, advocacy coordination and crisis counseling services. In addition, Betty Griffin House community educators provide primary prevention education on domestic abuse and sexual assault in the community and St. Johns County School District K-12 and local colleges.

February/March 2016

Community

Early Literacy Read stories at bedtime, on the bus, while waiting in line at the grocery store, etc… Have Fun Children can learn from you that books are fun, which is an important ingredient in learning to read. Use animated voices and don’t be afraid to be dramatic.

By Joan Whitson, Early Literacy Coordinator, Early Learning Coalition of North Florida

t the Early Learning Coalition of North Florida we make it a priority to promote early literacy with all the child care providers and parents we work with. Early language and literacy (reading and writing) development begins in the first three years of life and is closely linked to a child’s earliest experiences with books and stories. The interactions that young children have with such literacy materials as books, paper, and crayons, and with the adults in their lives are the building blocks for language, reading and writing development. There is a direct correlation between how large a child’s vocabulary is to how often they were read to in early childhood. It is never too early to expose a child too books. Below are some tips of ways to share books with babies and toddlers. Ways to Share Books with Babies and Toddlers Make sharing books part of every day

A few minutes is OK-Don’t worry if you don’t finish the story Young children can only sit for a few minutes for a story, but as they grow, they will be able to sit longer Let children turn the pages Babies need board books and help turning pages, but a three year old can do it alone. Remember, it’s ok to skip pages! Show children the cover page Explain what the story is about Show children the words Run your finger along the words as you read them, from left to right Make it personal Talk about your own family, pets, or community when you are reading about others in a story Ask questions about the story, and let children ask questions too Use the story to engage in conversation and to talk about familiar activities and objects Let children tell the story Children as young as three years old can memorize a story, and many children love to be creative through storytelling.

What Children Like In Books 0-6 Months – Books with simple, large pictures or designs with bright colors. Stiff cardboard, “chunky” books, or fold out books that can be propped up in the crib. Cloth or vinyl books that can go in the bath or get washed. Infants 6-12 months – Board books with photos of other babies. Book with photos of familiar objects like balls and bottles. Washable cloth books to cuddle and mouth Young Toddlers 12-24 months – Sturdy board books they can carry. Animal books of all sizes and shapes. Books with simple rhymes or predictable text. Books with photos of children doing familiar things like sleeping or playing. Toddlers 2-3 years – Simple rhyming books that they can memorize. Bed time books. Books about counting, vehicle books, books about playtime. Books that tell simple stories.

How can you help the ELC of North Florida? 1. Hold a book drive to collect preschool books 2. Donate money towards our Three Year Old Book Page Project 3. Invite us to come and speak to your organization 4. Become a sponsor for one of our Early Literacy Events or Early Educators Conference 5. Become a volunteer reading pal in a local pre-school classroom 6. Become an outreach volunteer to help with special literacy events Contact Early Literacy Coordinator Joan Whitson at: jwhitson@elcnorthflorida.org or 904-342-2267 about helping in any of these areas.

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

Community

February/March 2016

Community

The Story of the 4,000 Crosses

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

wenty-six years ago my husband, Al Wolff, was very sad because no one wanted to address the issue of abortions in America. He read in the newspaper about a city on South Florida which placed 4,000 crosses in front of a church. Al called the church and asked if we could rent those crosses. ’Yes’ was the answer, and he was also offered a huge billboard showing a sad-faced baby. Al rented a truck, drove to South Florida, and brought back to St. Augustine the crosses and the billboard. We planned to set up at the Prince of Peace Church on San Marco Avenue. The students from St. Joseph’s Academy lined the field in a very “high-school way” without precision and in crooked rows, but between all of us working on the project, we got it done with laughter and prayers. All seemed to go well until I received a call from the St. Augustine Police Department. The officer said the sign was too big. He asked how long it would be up on the Church grounds. When I said that we planned to leave the crosses and the sign up for two weeks, I thought we had hit our first major stumbling block. The officer, however, said nicely, “Okay, as long as it’s only for 2 weeks.” Soon we faced another challenge. The sign was sprayed with black paint. We painted over it in time for the 365-mile Run for Life marathon beginning in Homestead, Florida and ending in St. Augustine. My husband decided the next year we should build our own sign and crosses. The first load of wood was dumped in the

February/March 2016

backyard of St. Gerard Campus. Al had no idea how to cut wood on a table saw. The Order of the Knights of Columbus, of which Al was a long-time member, heard of our plight. Their group came to the campus, sawed and assembled the crosses. I closed my eyes to the mess! Having met the construction project head on, we then put out a request for more help. Late one afternoon after school was over, Father Rene showed up with a crew of blind students from The Florida School for The Deaf and The Blind. There was about a half-acre of wood spread around the backyard, and it looked like they covered the entire backyard with white paint! But, they got the job done. We could not believe what a blessing these students were to help us. With all the wonderful help, we met the deadline of having the sign and the crosses in place when the marathon runners reached St. Augustine, although we were still hammering the crosses into the ground late Saturday night. We stored the wooden crosses and the sign in a shed on the St. Gerard Campus property. Throughout the years of annual use, some of the crosses were broken, and the sign needed fresh paint every so often. Different groups always volunteered to help repair and replace whatever was needed. There were times when the crosses were vandalized, torn up, and thrown in the Intracoastal waterway. After that Al would sleep in our van to “guard” the crosses and the sign. While he was on the Church grounds during the night time hours, he’d always talk to the people and answer questions. The vandalism continued for several years, but with Al guarding the crosses, it became less and less of an issue. Besides, he was getting tired of spending all those nights trying to get some sleep in the van! A young man named “A.J.” from the Knights of Columbus took over Al’s watch, and with the help of the local police department, the crosses are now protected and understood to be the number of abortions performed every day in America. Saturday, March 5, 2016 is the day the crosses and sign will be placed on the grounds of the newly-named Our Lady of La

Leche Shrine on San Marco Avenue. Many young couples with their children and teenage groups come to hammer in the crosses. For example, a man in his 40s from St. Ambrose Catholic Church in Elkton wrote a donation check. When I asked him why, he told his story. When he was young, he took part in hammering in the crosses. He never forgot what an impression it made on him when he was in the 8th grade. We invite all people – young, older, with children, single, grandparents – to join us on Saturday, March 5, 2016 beginning at 9:00 a.m. on San Marco Avenue at Our lady of La Leche. So many will be touched by this sight without a word being said.

It’s called the “Cemetery of the Innocents.” Please join us.

St. Gerard Campus 1405 US Highway 1 S St Augustine, FL 32084 (904)829-5516 www.stgerardcampus.org

Community

Why Should You Care?

and now average 90 sessions weekly. This year our goal is more than 4,300 sessions to more than 1,100 people. The resultant impact to the individuals and our community has been proven, is immeasurable and exponential.

Since 2010 alone, 94 children have spoken their first words and 74 have walked their very first steps. Recidivism rates are down to less than 10% for our juvenile programs and High School graduations are up to more than 95%!

By Ric Lehman, Master Clinician, Master Instructor, Master Equine Assisted Therapist Haven Horse Ranch

ow important is contributing to a local charity like Haven Horse Ranch? What’s a child’s first word or first steps worth? At Haven Horse Ranch, each and every dollar makes a big difference in the life of a local child. It’s always a challenge explaining what we do when our mission is to improve lives. Sometimes it’s hard to measure and even harder to justify within a financial perspective. Seeing how our contributions have been used effectively seems a good start. OUR PRIMARY MISSION: “To assist each child with special needs in reaching their full potential through interaction and therapy with rescued, repurposed horses.” Since 2009, we’ve provided over 19,600 therapy sessions for more than 4,800 children, who gained life changing therapy, in a controlled environment using proven, documented methods. We continue to grow

Are we a good and effective use of your contributions and support? YES! Our results speak for themselves, we are a proven program with proven results. In addition to great things happening, you should know that 100% of your contribution reaches its intended target. Our fee based services like our trail rides or riding lessons or Summer Horse Camp all pay for administrative overhead so you are never contributing to the light bill or computers etc. When you donate you are helping a local child get much needed therapy, period. So what’s the alternative? You don’t contribute, you don’t volunteer and services aren’t provided? How much will that cost us in taxes and public services? What will the cost be in cost of crime prevention? What about the lost revenue from people who could have otherwise been contributing members of society? How many previously challenged people went on to productive lives and made amazing discoveries that make your life easier today? They range from some of our greatest scientists, presidents, corporate leaders, and the list goes on. We hope you will consider supporting us via donations, upcoming events like Casino Night February 20th, our Benefit Motorcycle Ride March 26th or our Annual Miracle Maker’s Dance April 30th. Or maybe you prefer to get hands on and volunteer in the barn or taking care of the grounds, or helping with events or fundraisers. Maybe it’s just to take a horse ride or send your child to camp or lessons here, or in any other way you deem appropriate, give us the chance to show you what we can do with your contribution in our community for children you know. It all makes a difference.

Yes, if you have lived in the area for more than 3 or 4 years you know these people. They are your neighbors, they attend your church

or go to school with your kids or you work with their parents. They are people you know and care about. A few years back there was a popular movie called Bruce Almighty. In it, the lead character complains about the state of things and gets to play God and in the process learns a few things. One of the things he learns is that when you want to see a miracle, sometimes you have to “be the miracle!” Sometimes you have to take the step of faith and you have to make the difference. As we have said from the beginning, together, we can do anything and we appreciate your support. Let’s change the World, together, one child at a time. www.havenhorseranch.org or 904-813-5710

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.

February/March 2016

Community

Fashion & Beauty

Why Use a Professional Hair Colorist?

Lisa Harris, Hair by Lisa

here is a difference between having your hair professionally colored and using over-thecounter hair color products. First of all - why not? Customized color is created just for you! You’re special and worth it! Do you want healthy, beautiful vibrant hair? Professionals have practiced their skills to be the best at what they do. Are you considering whether or not to color your hair? Perhaps you just want to try out a little bit of color and see how you like it. Benefits of using a professional hair colorist Here are some reasons why not to buy the box! • First - it looks professional! It’s not haphazard! • Professional hair colorists are trained in choosing the correct palettes.

• The color tones that professionals have access to are nicer and more vibrant. • Your color looks richer. • Confidence that your color has been customized just for you. • Less fading when used in conjunction with your take home care package! This helps with the care necessary to maintain your beautiful color. • The texture type of your hair influences how the color goes on your hair. Some textures are more resistant to color. This is all taken into consideration when a professional colors your hair. • Maintenance guesswork is eliminated. You will know when to have your next treatment so that your color can be properly maintained. • Professional hair stylists have a wide range of colors to choose from. This makes for true custom hair colors. • The color a professional creates for you will be much closer to what you had in mind than color from a box will be. • You get specific recommendations for products that will work with your hair color and texture type, and the recommendations are based in knowledge and experience.

Types of hair coloring processes Hair coloring can be grouped into 4 types: semipermanent, demi-permanent, permanent, and block coloring. Semi-permanent hair color is composed of smaller molecules that can partially penetrate the hair shaft, but they don’t bind tightly onto the hair protein. You do not end up with a line of demarcation. Longevity is anywhere from 2 - 7 weeks. The difference is staying time depends on how often

you shampoo and if the shampoo is a color-safe professionally recommended product. Demi-permanent hair color creates a more natural looking effect without lifting any levels. There is a gentle fading of the color. Longevity is 24 to 28 shampoos, roughly 4 to 8 weeks. This is dependent on your type of shampoo and how often you shampoo. Permanent hair color is permanent because the color actually penetrates the hair shaft and deposits color. There is a line of demarcation when the hair grows out. That color will need to be matched in 4 to 8 weeks depending on how fast the hair grows. All Over Color Versus Retouch! What’s the difference? All over color and retouch are completely different!!!!!!! Sometimes the simplest things are the hardest to explain. Getting “all over color” differs from a “retouch” because it is all over your hair. It’s a root to ends application. A “retouch” is used when there is a line of demarcation. It goes from your roots to that line where the color was applied.

All over color initially costs more because you are changing your hair color. To maintain this new color, you will need to be on a schedule to return for a retouch. This is typically in 3 to 8 weeks and depends on what color you choose and your natural hair color. A retouch is an application of color that is only intended to last for 3 or 4 weeks. You will need to return to the salon to maintain the color. When to return will depend on the color that has been chosen and the re-growth line of demarcation. How often should you get your hair colored? A professional hair colorist takes into consideration many factors when creating the perfect color formula for your hair. This includes the texture of your hair, the amount of gray in your hair, and the length of your hair. Once both you and your colorist know what you are trying to achieve, then a plan can be formulated. The plan takes into account realistic times frames for maintenance, budget considerations, and of course, your customized hair style. Go ahead - you’re worth it! Set up a consultation. Learn how to love your hair again!

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

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

Fashion & Beauty

Its A Social Thing Mona!

God’s Design!

The only “white” we will be seeing Florida! #cloudyskies #nojonas

Christine Cousart

Owner, Cousart Studios

ne of the media platforms I really enjoy is Instagram. If you are not on it, you are missing out on some fun. It is not like Facebook, it is a more visual and creative feed and it seems that the more artistic you are, the more attention you get. If you start exploring you will find that there are some ‘famous’ Instagramers. They have created a visual

feed that attracts thousands of people. Some have made a business out of it just traveling and popping out cool Instagram photos on a daily basis. A few ways they make money is by doing tutorials, company sponsorship and they can even sell their Instagram account. It is not something that business owners can ignore any longer. If you want to be savvy in this media driven world, you have to get your company on Instagram! If you are participating on a personal level, you may enjoy it if you are artistic and a visual person. The images I enjoy are clean and abstract. It is fantastic how creative individuals are. I have placed a feed of my Instagram photos on each side of this brief article. These are some of my favorites. If you are interested in following me on Instagram, go to: Chrisicousart. If you need help with your business Instagram and other social media, I have packages that include photography for social media and our company will even strategically post for you.

Morning coffee! #palmbeach

Me “Leah, stand by the L”. Leah “I don’t want to”. Me “Come on... stand by the L.” Etc, etc, etc...

All but one of the photos on this page are taken with a cell phone and were taken from my Instagram feed with my comments and hashtags (yes, comments will enhance a photo and help get it noticed).

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

You never know what’s around the corner! #palmbeach

Love Foggy Mornings!

Girlie Qs having fun!

A Monet Morning!

A little fun somewhere on A1A! #sunsetgrill #staugustinebeach

Last night at home... #collegebound #pba

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

February/March 2016

A Delicious Evening! #vilanobeach #thereef #bigbrothersbigsisters

Food & Entertainment

35th St. Augustine Lions Seafood Festival March 4-6th e’re Havin’ Fun Now!

Delicious seafood, over 100 artists & crafters and an entertainment lineup featuring Jazz, Country, and Americana music are just a few of the highlights of the 35th St. Augustine Lions Seafood Festival, presented by Winn-Dixie. To be held Friday March 4th through Sunday March 6th at Francis Field in downtown St. Augustine, the festival will serve up boatloads of seafood, with everything from lobster tail and conch fritters, to southern fried shrimp, octopus, wild Salmon, jambalaya and blue crab burritos on the menu. More than 20 food vendors will offer up seafood and other choices like Greek, BBQ, pizza, sweet treats and so much more. Along with the wide assortment of seafood, the Festival will present a three-day lineup of entertainment, with Linda Cole – niece of Nat King Cole, Florida State Bluegrass Band and rising star of Country Folk music Christian Lopez. More than 100 arts and crafts vendors will also exhibit their work in the Arts Village. Eat, Drink and Shop till you Drop! Family fun can be had in the Kidz Zone, Pirate Village and Spanish Landing. Be sure to catch the Clown Adventure, Mayhem the Pirate Magician and Nutter Interactive percussion. Rides will be for kids and can be enjoyed all day with a discount ride wristband. For the youngsters, come and meet their favorite superhero or fairy tail princess. In addition to presenting sponsor Winn-Dixie, festival sponsors include The St. Augustine Record, TotallyStAugustine.com, Money Pages, Beach 105.5, RE/MAX 100 Realty, Fresh from Florida® and United Rentals. Francis Field is located at 25 W. Castillo

Drive, next to the downtown parking garage. Hours are 3 to 9 p.m. Friday March 4th, 10 a.m. to 9 p.m. Saturday March 5th and 11 a.m. to 5 p.m. Sunday March 6th.

Admission is $5 for adults; children 15 and under are free. Active duty military with ID are also free. Proceeds from the festival benefit the charitable activities of

the St. Augustine Lions Foundation. For more information, email admin@lionsfestival.com, call 904-829-1753 or visit www.lionsfestival.com.

About the Lions Club With more than 1.4 million members in more than 206 countries and geographic areas, Lions Club International is the largest and most effective service organization in the world. The St. Augustine Lions Club raises over $100,000 each year to support worthwhile community projects. A 501c3 nonprofit organization, the St. Augustine Lions Foundation and St. Augustine Lions Club also conducts thousands of free vision screenings of local children each year, and provides support to many local organizations. Visit www.staugustinelions.com

February/March 2016

Food & Entertainment

Treat Your Taste Buds at PJ’s Asia One Market Be it that one is interested in Asian cooking for healthy ingredients, economics, or an enjoyable dining experience PJ’S can provide the necessary products and whether you may be a novice cook or experienced chef PJ is available and can recommend and discuss the types and styles of most Asian style food preparation and presentation. So bring your recipe and appetite and experience “Kun heow rupaow” which translated from the Thai language means “Are you hungry”?

J’S Asia One Market is proud to be St. Augustine’s first and only Asian grocery. Upon the coming second anniversary of the opening of the Asia One Market PJ would wish to thank all of her loyal patrons as well as recent customers. PJ’S Asia One Market stocks an inventory of over 2000 Asian and Asian inspired food products and related items. The market offers dry, refrigerated and frozen items from several Asian nations including Thailand, the Philippines, Viet Nam, Japan, China and Taiwan. For the curry enthusiast PJ’S stocks eleven styles of curry paste and other necessary ingredients for an enjoyable recipe. And for the sushi aficionado Asia One can provide the required products including sushi rice, vinegar, nori, pickled ginger, wasabi and soy as well as flash frozen sushi grade tuna, eel, octopus, shrimp, and squid. PJ’S also maintains a well stocked Asian produce section of the types not usually found in a conventional grocery store. Originally from northeast Thailand PJ came to St. Augustine in 1997 and shortly thereafter enrolled in the FCTC culinary arts program. Following her graduation with honors she worked as a chef in local establishments and at Flagler Hospital. After some consideration she decided to start her own business and opened the Asia One Market in late 2009.

February/March 2016

Method: • To make the Dressing, combine all the ingredients in a small bowl and mix well, until the sugar is dissolved. • Blanch the shrimps in boiling water for 1 minute until just pink. Remove and set aside. • Blanch the fish in the same manner or Steam the fish fillets until they are opaque, but still moist. Set aside. • In the same boiling water, cook the squid about a minute or more. Drain and set-aside until ready to use.

•

Toss the vegetables with the Dressing in a bowl then add all the seafood and gently toss to coat thoroughly with the Dressing. Serve with lettuce leaf or any fresh vegetable of your choice. PJ’S is open 9am to 7pm Tuesday thru Sunday. Tel # [904] 429-7587, FAX [904] 429-7542 website: staugustineasianmarket.com

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

Recipe:

Thai Spicy Seafood Salad Serves: 4 Preparation time: 30 minutes Cooking Time: 5 minutes Ingredients: 8 oz fresh squid clean and cut to bite size pieces 8 oz fresh medium shrimp, peeled and deveined 8 oz white fish fillets such as snapper or halibut, sliced 1/2 medium onion, thinly sliced 1 tomato, sliced 2 spring onions cut into 1-inch pieces 3 stalks Chinese celery, cut into 1-inch Pieces Cup mint leaves for garnish Dressing 3 tablespoons freshly squeezed lime juice 3 tablespoons fish sauce 1/2 teaspoon sugar (palm sugar) 3-7 bird’s-eye chilies, crushed 3 cloves garlic, minced 1 teaspoon Thai roasted chili paste in oil (optional)

Food & Entertainment

Celtic St Augustine Presents: Dublin’s Irish Tenors and The Celtic Ladies

ublin’s Irish Tenors and The Celtic Ladies will perform one-night only in downtown St. Augustine. This headlining concert for the St. Augustine Celtic Music & Heritage Festival will take place at 7:30 p.m. Friday, March 11 in Memorial Presbyterian Church, 32 Sevilla Street, downtown St. Augustine. With beautiful harmonies and lilting melodies, their unique blend of timeless traditional folk ballads with adult contemporary and classical songs will appeal to all ages. Their welcoming Irish charm and polished performances will win your heart and whisk you away to the Emerald Isle!

Festival is filled with live entertainment, Highland games athletic competitions, whiskey tasting, Celtic food, Clans from Ireland and Scotland, entertainment for

children, and other Celtic activities - all at Francis Field, 29 W. Castillo Drive, downtown across from the visitors’ parking garage.

The three-day St. Augustine Celtic Music & Heritage Festival is “arguably the finest collaboration of Celtic performers assembled in the United States”. This family fun festival is set for March 11 through 13 at Francis Field in downtown St. Augustine, featuring internationally acclaimed Celtic bands, Highland games, a Whiskey Tasting, Celtic shopping and food, kids’ games, live performances on two stages, with a variety of entertainment. …And the ONLY St. Patrick Day Parade in Northeast Florida begins at 10 a.m. Saturday, March 12.

The music ranges from opera to pop, swing to Irish classics, and their repertoire includes

a wide range of

songs like Hey Jude, Nessun Dorma, You Raise Me Up, Rolling in the Deep, and the beautiful and timeless, Danny Boy. You’ll be enchanted by their Irish charm, their exceptional harmonies, and their skillfully choreographed dancing. Seating is limited for this event.

Find the CELT in YOU in America’s Oldest Celtic City

Tickets are $25 to $60 and are sold separately from the Celtic Festival tickets.

Purchase concert tickets at

www.celticstaugustine.com/specialfriday-night-event/ The 6th Annual St. Augustine Celtic Music & Heritage Festival is set for March 11-13, 2016, when Celtic heritage and music take over the Ancient City. In addition to the St. Patrick’s Day Parade on March 12 at 10 a.m. in downtown St. Augustine, the weekend

Tickets are available at CelticStAugustine.com. Festival tickets may also be purchased at Ann O’Malley’s Irish Pub, 23 Orange St., or at Barley Republic Irish Pub, 48 Spanish St., downtown St. Augustine. The Celtic Festival and Celtic St. Augustine are produced by Romanza.