St. Augustine Woman's Journal - Oct/Nov 2016

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Seasons of Change 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.

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Suzanne Egeln, Publisher

fter my parents died last fall, within four weeks of each other, I thought I should write a book about everything I learned along their final path. Something that might help others be better prepared for this journey: packing up and selling the family home, moving to assisted living, managing their medications, speaking with their doctors, dealing with Verizon, having to make life changing decisions. What I found out was that I was not alone, you are never prepared for this, and I will miss them forever. That being said, my husband and I were then given a golden opportunity to discuss how we would like to be cared for in the future. We sat down with our attorney, Joe Boles (page 23), to make that path easier for our children. My father had served in the military and had arranged to be buried in the U.S. veteran’s cemetery. He and my mother never thought they would leave the family home. Literally overnight

My late parents, Phil and Betty Curley they were not able to care for themselves. We tried scheduling in-home care. My parents fought it. We talked about respite care, hospice, and funerals. As we grow older so does the “depression baby” generation. In our fifties we become the parents not only to our children in their twenties, but to our parents in their eighties. The ladies with whom I share coffee on Tuesday mornings are well informed about the growing elderly population. Our conversation often includes financial planning, hospice care and even making funeral arrangements. On Friday, October 21st, at the Anastasia library, these ladies will be available to answer questions about achieving financial security as we age. On happier note, I want to give a

Find Find us us on on the the web web at: at: staugustinewomansjournal.com staugustinewomansjournal.com

shout-out to Jaybird’s Hotel and Restaurant for a great “local” stay-cation! We had a wonderful time supporting the “local” events in September, including free trolley rides, and free entrance into local museums and festivals. We even had a wonderful time testing the “local” spirits at the St. Augustine Distillery! As always we invite you to enjoy the articles enclosed in these pages and to support our Contributors. We welcome your suggestions for new Contributors and recommendations for our Women In Profile feature. We are especially looking to add Contributors in the Home Improvement area: Electrical, Plumbing, Heating and Air, Roofing, Painting, Landscaping and other building contractors. Slainte! Suzanne Egeln


In This Issue

st. augustine woman’s journal | OCTOBER/NOVEMBER 2016

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7 43

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29 Health & Medicine

4 | October is Breast Cancer Awareness Month 5 | Reflux and It’s Potential Complications 6 | 3D Mammography to be offered at Flagler Imaging Center 7 | Flagler Hospital Employees Get In the Groove 9 | Don’t Forget Medicare Annual Enrollment Period 10 | Discover the latest in varicose vein treatment 11 | 2 on 2 Dynamic Couples Counseling 12 | What is Assisted Living Today? 14 | First City Hospitalists 16 | You Have Some Nerve (Nerve Disorders of the Foot and Ankle) 17 | Restore Your Independence from Adult Incontinence

Life Services

17 | Why to Make Prearrangements 18 | Hospice is a Philosophy of Care 19 | Senior Move Management Moving an Aging America 20 | Simply Susie. Let us clean, cook and run errands for you! It’s just a part of what we do!

Business & Finance 21 |

Editing Your Own Website

Legal

23 | The Homestead-“King of All Assets”

Women in Profile

24 | Felicia Sumrall, Rosa Shala Andrea Clark, Renee Taylor Becky Weiss and Seka Collins

Community

27 | Love Your Mother Eco Fashion Show

34 Food & Entertainment

37 | Ichiban Buffet 38 | WFOY 39 | Music at Grace presents RareSong Three 40 | Behind the scenes, Limelight is doing more than producing live shows 42 | Treat Your Taste Buds at PJ’s Asia One Market 43 | North Florida Women’s Chorale Holiday Concert

Back Cover

44 | St. Augustine Ballet: The Nutracker

28 | Magic at the Fountain 29 | A New Step for St. Gerard Students 30 | The Inaugural Real Men Wear Pink Campaign 31 | It’s About More Than Just Riding a Horse… 32 | The St. Augustine Pirate Gathering 33 | Call for Recognizing Outstanding Women In The Arts (ROWITA) and Jr. ROWITA Fellowship Nominations

Fashion & Beauty

34 | Love Your Mother Recycled Fashion Show 35 | Why Use a Professional Hair Colorist?

Find us on the web at: staugustinewomansjournal.com


Health & Medicine

October is Breast Cancer Awareness Month through the recovery process. When you are fully healed there is a wide array of products for your needs.

Early diagnosis is important, so think pink!!

Many women who have had breast cancer surgery are either uninsured, underinsured

When I did happen into Susan’s to check on something for my back aches, wow, I found so much more. Susan has created a therapeutic environment with her knowledge, sensitivity and support. With her consultation of what is available, I now no longer have the daily back aches. I also have the wonderful bonus of improved posture and feeling a renewed sense of feminine confidence. Susan is an asset to our community for women going through all their unique situations.”

or financially strapped. If

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By: Susan Detar, CFm Owner, The Pink Door

ctober is Breast Cancer Awareness Month and being aware is being ahead of the curve. We women must take charge of our health in general and specifically our breast health. And it is pretty easy to do the things that will minimize the severity of a breast cancer diagnosis. The three things we must do on a regular basis are:

• Monthly breast self exams • Clinical breast exam during your annual doctor’s visit • Annual mammogram Do these consistently and breast cancer is usually found at an early stage. If surgery with chemotherapy and/or radiation is necessary you should know there are many things that can make the journey much less burdensome. There is a full continuum of care with respect to garments as you go

“Can’t say why it took me all this time to walk through the Pink Door, but I am thrilled that I did! Speaking from the collective of my family of four sisters on this breast cancer journey together, (each in a different location up and down the East coast), we were advised that how we healed was basically as good as it gets. Having gone through surgeries, reconstructions and for some, chemo, a point is reached that it is just “enough of all that”. Outcomes for the four of us were as diverse as our personalities. Tremendously relieved to be fortunate to be here, the discomforts and loss of the familiar sense of self seemed to be part of this new territory.

you know anyone in those circumstances, please be sure to let them know that

Thank You, Brigid

The Pink Door has an Angel Closet from which to fit them with the things necessary to bring their body back to balance and to improve their self esteem. These items have been donated by other diagnosed women and their families when they are no longer needed by them. There will be a fitting by a certified fitter and free products.

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.

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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.

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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.

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What our patients say: Well organized & efficient staff! • I feel the level of care and the gentle and kind manner I was treated in was excellent. I think you should be proud of your staff. • This was my first colonoscopy and the entire staff made the experience less nerve racking, than I thought it was going to be. Everyone made me feel comfortable. • Well done from start to finish. Thank you!! • I had high anxiety over the procedure but staff put me at complete ease! Thank you! • I went in quivering in fear and left with no trauma. Thank you! • Very satisfied, would refer my family to you all.

Consultants in Digestive Disorders Santiago A. Rosado M.D. • Steven Yu Villanueva M.D. Timothy J. Cavacini D.O. • Stuart A. Soroka, M.D. Daniel J. Gassert, M.D. • William J Barlow, M.D. Anis A. Ahmadi, M.D. • Camille A. McGaw M.D St. Augustine 216 Southpark Circle East St. Augustine, FL 32086 Phone: 904.824.6108 Fax: 904.823.9613 Murabella/WGV 52 Tuscan Way, Suite 203 St. Augustine, FL 32092 Phone: 904.824.6108 Palatka 199 S. Highway, Suite C East Palatka, FL 32177 Phone: 386.326.4060 PALM COAST 50 Cypress Point Pkwy, Condo C1 Palm Coast, FL 32164 Phone: 386.986.3400 www.GI-Associates.com info@gi-associates.com


Health & Medicine

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3D Mammography to be offered at Flagler Imaging Center

lagler Imaging Center is pleased to introduce 3D mammograms later this fall. The Genius™ 3D Mammography Exam is the most exciting advancement in mammography in over 30 years. A Genius exam is an advanced technology in the fight against breast cancer that allows doctors to examine your breast tissue one layer at a time. The imaging system uses highpowered computing to convert digital breast images into a stack of very thin layers or “slices” for your radiologist to review. A good analogy for a Genius exam is thinking of the pages in a book. If you look down at the cover you cannot see all of the pages – but when you open it up, you can go through the entire book page-by-page to see everything between the covers. The Genius exam was designed with the same concept in mind. Doctors and scientists agree that early detection is the best defense against breast cancer. Successful treatment and survival rates for breast cancer patients are dramatically affected by early detection of breast cancers. If we find breast cancer early, before it has spread to lymph nodes, the fiveyear survival rate is almost 100 percent. Until now, the best way to do that has been with digital mammography. While digital mammography is still one of the most advanced technologies available today, it is only a 2-dimensional picture of the breast. The breast is a 3-dimensional object composed of different structures, such as blood

October/November 2016

vessels, milk ducts, fat, and ligaments. All of these structures, which are located at different heights within the breast, can overlap and cause confusion when viewed as a 2-dimensional, flat image. This confusion of overlapping tissue is a leading reason why small breast cancers may be

missed and normal tissue may appear abnormal, leading to unnecessary callbacks. Patients will find the 3D mammogram experience to be similar to that of a 2D mammogram. The test takes about the same amount of time with just a few seconds of compression.

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To learn more about Flagler Imaging Center and the new Genius™ 3D MAMMOGRAPHY™ exam, please visit www.FlaglerHospital.org


Health & Medicine

Flagler Hospital Employees Get In the Groove

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n Saturday September 10th, over 120 Flagler Hospital employees and their family members participated in the second annual Healthy Groove 5K. Despite the temperature being nearly 100 degrees, the event was a huge success and Team Flagler came out strong! The Healthy Groove 5k and 1 Mile Fun Run was a FREE community

event to promote the Healthiest Weight Florida initiative in St. Johns County, Florida. Healthiest Weight Florida is a public-private collaboration bringing together state agencies, not for profit organizations, businesses, and entire communities to help Florida’s children and adults make consistent, informed choices

about healthy eating and active living. Currently, only 35% of Floridians are at healthy weight. One quarter are obese, and the rest are overweight. On our current trend, by 2030, almost 60% will be obese. Addressing the public health threat of weight is a priority for the Department of Health. In response to the obesity epidemic,

the department launched the Healthiest Weight Florida initiative in early 2013. Healthiest Weight Florida brings together state agencies, not for profit organizations, businesses, and entire communities to help Florida’s children and adults make consistent, informed choices about healthy eating and active living.

Flagler Hospital is a 335 bed, acute care hospital that has consistently ranked among the top hospitals in the nation by leading ratings agencies. The hospital has operated as a not-for-profit healthcare institution in St. Augustine, Florida since its founding in 1889. Flagler Hospital’s focus on quality has resulted in numerous national accreditations including, designation as a Chest Pain Center by the Society of Chest Pain Centers, ANCC Magnet Status for Nursing Excellence, the Gold Seal of Approval™ from The Joint Commission for Primary Stroke Care Centers, National accreditation for its total hip and total knee replacement programs and accreditation of its Cancer Institute by the Commission on Cancer. To learn more about all of the hospital’s services log on to www.FlaglerHospital.org.

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Health & Medicine

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Health & Medicine

Don’t Forget Medicare Annual Enrollment Period

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Dr. Roy H. Hinman, Island Doctors

dicare Annual Enrollment Period is quickly coming into view. Having provided care to the Medicare population for over 25 years, we understand this time of year can be a challenge to understand the Medicare enrollment period and the details that go with it. Enrollment in a Medicare Advantage Plan could be a great way to increase the value of your Medicare benefits for the upcoming year with no additional cost to you. Enrollment in Medicare Advantage Plans only happens during a specific enrollment period each year.

Island Doctors is here for you with a short list of things you need to know about the 2017 Open Enrollment period: • Open enrollment begins October 15th and ends December 7th. • You are eligible for Medicare Advantage as soon as you are eligible for Medicare. • If you are three months before or three months after your 65th birthday, you are eligible for Medicare Advantage. This annual enrollment period is the only time of the year you are able to make changes to a Medicare Advantage Plan unless you have a special circumstance such as relocating to another county, becoming eligible for Medicaid, or being diagnosed with a specific disease. After the enrollment deadline, your benefits will be effective for the upcoming year on January 1st. Island Doctors is proud to be a Medicare Advantage provider for over 25 years and can offer guidance and education on benefits that go above and beyond traditional Medicare. These benefits as well as our excellence in healthcare allow us to do more than you have come to expect from your doctor. If you think you meet any of the above qualifications or if you have any additional questions regarding Island Doctors and this Annual Enrollment Period, give us a call at: (877) 4344676 or visit our website: www.islanddoctors.com.

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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.

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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!

October/November 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.

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• 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

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2 on 2 Dynamic Couples Counseling

f you have known for some time that couples therapy would help your relationship but haven’t been able to get your partner to agree, perhaps dynamic couples counseling offers the right opportunity. This type of counseling differs from traditional couples therapy in that it offer two therapists working simultaneously with the couple. By having both a male and female counselor present, gender differences are better understood and appreciated. This also gets couples past a frequent, initial stumbling block of should we seek a male or female therapist? It is fascinating to experience the shifting alliances and insights that arise in the dynamic interchange between four people (with perhaps the most fun arising when the therapists are not in total agreement!). You will find that this approach is very much focused on helping you achieve your goals. If your goals are not clear, the therapists will help you in establishing these for both you and the relationship. Achieving goals is more effective and rewarding when there is a focus on body, mind and spirit. This type of therapy is not passive and pastproblem directed, but rather more of a coaching model, pinpointing where behaviors are inconsistent with personal and couple goals. This solution focused approach is typically much more appealing to men, who often dread the thought of rehashing the past and being reminded of failures. Of course, the past may have some significance – therapists are interested in how you met, what drew you to each other, and if past painful relationships are impacting you presently, but they will focus on how to

You can find the emotional, physical and spiritual intimacy that comes from a committed relationship.

Kathleen Abbott,

Licensed Mental Health Counselor & Clinical Director

move past those painful experiences so that the heart can be re-opened to fulfill each person’s desire to be known and to be fully loved. The therapists use exercises which help in understanding what triggers problems, show you how to fill each other’s emotional bank accounts, and greatly improve your communication and conflict resolution skills. Most importantly, they show you a complete paradigm shift in learning how to welcome and even embrace conflict as an opportunity to grow and enrich yourself and your relationship. The therapist’s goal is to help you find the emotional, physical and spiritual intimacy that comes from a committed relationship. In just four to six sessions, most couples report that their level of understanding of themselves and their partner has increased significantly. As a result, they find themselves giving and receiving more love, experiencing a more fulfilling sexual relationship and being much more hopeful about the future.

ST. AUGUSTINE’S BEST COUNSELORS 2011-2014

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

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John R. “Jack” Jones, Jr,

Licensed Mental Health Counselor & Certified Family Law Mediator

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

Lasting Results Through Science & Spirituality

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 Villanueva, RMCHI

Dan Vosgerichian, PhD

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 & Medicine

Photo by Christine Cousart www.cousartphotography.com

What is Assisted Living Today?

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ssisted living is like these days, especially if they have preconceived notions that communities are synonymous with institutional nursing homes of the past. Families may not be entirely clear about what an assisted living community embodies especially in today’s world with state-of-the-art amenities. Assisted living communities include trained caregivers, nursing, medication technicians, resident service assistants, chef-inspired cuisine, occupational, physical, and speech therapy, field trip outings, and a regular schedule of planned activities, just to name a few. Transitioning into an assisted living environment can be an emotional time for families. Touring the assisted living facility, asking questions and seeing first-hand what the facility has to offer can make the process much less stressful. Anne Guenther, Senior Vice President of Operations of BayView Healthcare provides insight to help families going through this emotional turmoil. She comments: “I have seen some older adults really flourish in assisted living, mainly because assisted living often provides a more life enrichment home environment. This is especially true of older adults

October/November 2016

This forum is a regular contribution from BayView Healthcare to help share the knowledge and expertise of the more than 280 healthcare professionals 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, the assisted living leadership team of BayView Healthcare explains the progressive advancements in assisted living. Assisted living is not just your average nursing home, despite what many people think. Today there are a myriad of amenities, health and wellness options and life enrichment activities for your loved ones. From barber and beauty services to gourmet dining; assisted living can offer seniors not only fun and social connection, but also access to state-of-the-art medical care. Through these services, many seniors are finding that today’s assisted living communities provide convenience, happiness and improved quality of life.

who had previously been having difficulty leaving home due to physical or cognitive limitations. Assisted living’s medication management services can also be very helpful, and sometimes I see seniors progress medically simply because they begin taking their medications on a daily basis. It is important for families to visit and get a feel for a community to see whether it’s a good fit for their loved one’s personality, culture and level-of-care needed. Communities are also looking at ways to improve not just providing good care, but also exceeding customer service expectations and improving the lives of seniors through community development and philanthropic means.”

seniors themselves are more comfortable with assisted living facilities as a clear method of potentially expanding their quality of life an average of 10 to 20 years. The negative stigma about nursing homes and senior care of the past, has definitely diminished. The concept of resort-style living is becoming more attractive to active seniors. Skepticism is being replaced by a level of trust that your family member will be well cared for. Assisted living facilities focus on the quality of life seniors are looking for. BayView Assisted Living is part of a larger continuum of care, providing

As Anne notes, assisted living continues to grow, but it’s very important to do your research and find the right assisted living community for your specific needs and situation. How Assisted Living Has Changed Over the Years In most states, especially Florida, the regulations focus on operational excellence and staff training requirements. Families and

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individualized services tailored to each residents’ needs. This creates a “hands on” approach towards individualized care needs tailored specifically for each resident including healthcare, hobbies, food preferences, and social interaction. At BayView Healthcare we offer a multitude of life enrichment activities, and amenities: • Wellness and physical fitness, catered to individual needs, including: • Physical, occupational and speech therapy • Aqua Zumba in our heated saltwater pool • Handicap accessible walkway leading out to the private dock, overlooking the bay • Handicap accessible transportation which includes doctor’s appointments, shopping and luncheon outings • Fine dining with made to order breakfast and meal options • Housekeeping and laundering services • Social hour events with live entertainment • Music therapy • Barber and beautician service • Non-denominational religious services, Catholic Mass and Bible study • Library onsite • Wi fi access throughout the facility • Fishing from our private dock


Health & Medicine What Assisted Living is Like, Today Assisted living provides a home-like setting where care is provided in private apartments by staff who are trained to meet each residents care needs 24 hours a day 7 days a week. Residents are provided multiple choices in how they spend each day. Different levels of care are provided to residents based on their personal care needs. Angela Bean, Administrator of Bayview Assisted Living states: “Assisted living has evolved over the years. We have grown from being bed and board homes to senior living communities. We are dedicated to providing the highest level of care in a safe and secure environment. Our focus here at BayView Assisted Living is on the core principles of dignity, privacy and respect. Each resident is treated as a unique individual. They have the right to choose how they live their lives, and we promote their independence, while providing assistance with necessary physical care. We offer many options for healthcare, socialization, and activities. Every day is engaging with many different activities offered. When we admit a resident, one of the first things we do is to take an inventory of their skills and hobbies, likes and dislikes. If we do not offer something they are interested in, every effort is made to provide that activity. Informed choice, resident rights, quality staffing and oversight are the cornerstones of our mission to the residents we serve. My mantra is “We work where they live.” The Activities of Daily Living (ADLs) The textbook definition of activities of daily living (ADLs) are the tasks necessary to participate in a senior’s daily care. Resident service assistants (RSA) are trained to supplement where a resident has weaknesses, not do the tasks for them, but to assist them. Life tasks include two areas: Activities of Daily Living (ADLs): • Bathing • Dressing • Feeding • Grooming • Toileting • Ambulation

Instrumental Activities of Daily Living (IADLS): • Finances • Housekeeping • Meal Preparation • Shopping • Transportation • Communication In assisted living, many of the IADLS are handled by either the staff or a primary care relative of the resident. Each community has their own way of implementation, so it’s important to find the elective options that work for each family’s unique situation. Care professionals become like family for the residents and they come to rely on them for their daily activities, whether it’s dressing them, helping them shower, meeting their nutritional needs, and working within their individual routines. Staff at communities become an integral part of each resident’s life. At BayView Ongoing Staff Training is Important Trusting every staff person who interacts with the resident to provide quality care respecting the dignity and privacy of each resident is an important task. Staff must have the virtues of patience, kindness and respect for the senior community. Many communities, such as BayView, provide preservice orientation and ongoing training, emphasizing person-centered care. We hire caregivers for their heart and their abilities and train them using state mandated in-services. Hiring, screening, and orientation is a detailed process in order to find the right associates. Managers need to be constantly observing, exploring and modeling empathetic care to new staff, as well as offering ongoing training. At the end of the day, it is all about people taking care of people in a senior living environment. Communication between families and staff is critical. Problems need to be addressed immediately, processes changed and education offered. These are out dads and moms, aunts and uncles, friends and loved ones, and they need to feel honored and respected.

Why Emotional Connections with Staff Are Important ilies, without exception want communities to care for their loved one the way they do. Bonds are formed between the staff, resident and family, in order to create a high level of trust which is so important in the continuity of care. Carol Allegretti, Manager of Bayview Assisted Living at The Pavilion states: “As

you start your search, try not to get overwhelmed by all the options. You can tell so much about a facility by the people who live and work there. You want a facility with an active social atmosphere—where the residents feel comfortable and the staff is caring and warm. Imagine as if you yourself were looking for an assisted living facility to call it your home.”

Health & Wellness Forum

161 Marine Street, St. Augustine, FL (904) 829-3475 www.bayviewhealthcare.org BayView Healthcare is a private, not-for-profit comprehensive continuum of healthcare provider founded in 1920. Our superior level of services includes short-term inpatient and outpatient rehabilitation, skilled nursing at BayView Rehab at the Samantha R. Wilson Care Center, BayView Home Health and BayView Assisted Living at The Pavilion and Buckingham Smith, an Emergency Charitable Assistance Program and BayView Wellness. Caring Hands-Caring Community is a separate 501(c)3 charitable organization founded in 2004 by our parent organization. It was formed to support the exceptional services and continuum of care provided to people in need of healthcare services and financial assistance. For further information about any of the programs offered through the BayView Healthcare continuum please call (904) 829-3475.

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Health & Medicine

The Hospitalist – Dedicated and Exceptional Inpatient Care from Admission through to Discharge

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John E. Prioleau, MD.

wenty years ago, the word “hospitalist” was little-known. Even today, it is a profession that few outside of the medical community know exists. However, in the face of a changing healthcare landscape, hospital medicine is one of the fastest growing fields with over 50,000 hospitalists practicing in almost 80% of US hospitals. Hospitalists are specialized physicians, primarily internal medicine doctors, who work exclusively within the hospital, and whose primary job is to take care of admitted patients. First City Hospitalist Group provides compassionate, quality, patient-centered medical care to individuals while they are in Flagler Hospital. We do not maintain an outside practice, so our time is devoted solely to caring for patients while they are in the hospital, helping them achieve optimum health and the best possible outcomes, with a return to their daily lives as quickly as possible. Many Primary Care Providers in St. Augustine entrust the medical management of their patients to our group when admitted

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to Flagler Hospital, as this allows the Primary Care Provider or specialist to focus on the needs of their office patients, knowing that their admitted patients are getting timely, excellent care from the Hospitalists. In addition, we look after all of the non-insured patients, as well as those without a Primary Care Physician in the area. By working with patients from the time of admission, we can efficiently coordinate the course of their treatment, including collaborating with other providers and caregivers, and ordering diagnostic imaging studies and lab work. We are on-hand 24 hours a day, 7 days a week, and this around-the-clock care allows for increased efficiency and effectiveness as we can interpret results and understand the care pathway of patients in a more timely manner. Throughout the patients’ stay we will continually update them on their plan of care and expected discharge day. We are available to meet with patients and their families to personally answer and discuss any questions they may have about their illness, medications or other diagnostic and treatment processes during their hospitalization. Our team is made up of expert physicians and nurse practitioners who work closely together to manage our patients’ care. We work in shifts, which means that our patients will likely meet two or three of us during their stay. We understand that transitions between different team members can be challenging and we are committed to making these as smooth as possible. We try to anticipate and notify patients about up-coming transitions, and we routinely share important details about patient care within the group so there is continuity of the care plan. In addition, once discharged, we communicate with our patients’ primary care physicians so they are aware of their patients’ conditions.

“Hospitalists are specialized in looking after and managing the care of admitted patients in the hospital, helping individuals achieve optimal health with a return to their daily lives as quickly as possible.”

First City Hospitalist Group’s mission is to provide and coordinate exceptional inpatient hospital care in a compassionate, cost appropriate and efficient manner. We strive to provide excellence in clinical care, by working collaboratively with our healthcare partners, serving the needs of our patients, their families, Flagler Hospital and the St. Augustine community.

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Dr. John Prioleau is the Medical Director and Owner of First City Hospitalist Group. He is an experienced hospitalist, board certified in Internal Medicine. Dr. Prioleau earned his medical degree from the Boston University School of Medicine and completed his residency training at Vanderbilt University Medical Center. Dr Prioleau’s research and writings have been published in numerous publications, including the New England Journal of Medicine.


Health & Medicine

Restore Your Independence from Adult Incontinence

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Eric S. Pulsfus, MD

ncontinence is a condition that is common and embarrassing. An estimated 30 percent of the female population suffers from some degree of incontinence, often in silence. As a provider to the women in our area, it came to my attention that women need to understand the type of incontinence they are experiencing, provide them a treatment regimen and help to restore your independence. Urinary incontinence has plagued women for centuries and we are very pleased to be on the leading edge of providing an option to our patients that does not require medication or surgery. We just announced our partnership with Consortia Health whose sole focus is to address the issue of Urinary incontinence for women of all ages by working with physicians in a clinical setting. This allows the patient to remain under the care of their physician, receive diagnosis and therapy within their physicians’ office, and hopefully achieve a desired outcome in a clinical setting. Our goal is to return our patients to a life of health, wellness, and independence. We will, after a complete history and examination, diagnosis the type and cause of your particular problem and discuss the treatment best suited to you.

Here are some important facts that we think will be of interest to you: • Pelvic Floor Muscle Training (PFMT) is a non-invasive, painless treatment option for a wide range of bladder issues, which comes with a 70-80 percentsuccess rate of significantly improving symptoms and has no side effects. The therapy re-educates and tones the muscles in the pelvic floor, which in turn can positively affect general bladder function. • Who benefits from PFMT: Bladder dysfunction is more common in menopausal women due to hormonal changes and aging bladder muscles, and in pregnant and post-partum women because of hormonal changes and stress associated with pregnancy and childbirth. In Europe, the standard of care for every postpartum mom is to receive pelvic floor strengthening therapy after she delivers a baby. The goal is to strengthen and rehabilitate the muscles of the pelvic floor therby reducing the occurrence of postpartum incontinence and pelvic organ prolapse and to also help restore sexual function. • PFMT is indicated for the following conditions: Stress, Urge incontinence, Urinary frequency and urgency, interstitial cystitis, pelvic pain, overactive bladder, frequent nighttime urination, fecal incontinence, chronic constipation, rectal pain, pelvic floor relaxation and painful sexual intercourse. • What is PFMT: This therapy combines several techniques to stimulate the pelvic floor utilizing a vaginal and or rectal sensor. A mild electrical stimulus is used to stimulate pelvic muscles and cause a comfortable, timed contraction of the pelvic floor muscles. This will feel like a gentle tapping sensation and you will feel the muscle contract. The stimulation aids in muscle re-education and strengthening and decreased muscle spasms associated with pelvic problems.

How often will I need treatment: After the initial visit with one of our physicians you will be asked to return to the office for a 30 minute treatment weekly for approximately 6-8 weeks. A positive change in your symptoms should be noticed after 3 to 4 treatments if the therapy is going to be successful for you. There is no preparation required for this treatment.

PFMT is covered by most insurance plans. Call the office for more information and to schedule an appointment for the initial evaluation.

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Eric S. Pulsfus, MD Dr. Pulsfus’ practice incorporates all aspects of general gynecology and obstetrics. He has a special interest in menopausal medicine and urinary incontinence, including surgical and non-surgical treatments. Other areas of interest are obstetrics and laparoscopic surgery. Academic Background: • B.S., Florida State University • M.D., University of South Florida • Residency, Medical College of Wisconsin Eric spent part of his childhood in our own St. Augustine and attended Mill Creek Elementary and Nease High School. While raising two son’s he and his wife enjoy golf, travel and entertaining.


Health & Medicine

You Have Some Nerve!

(Nerve Disorders of the Foot and Ankle)

with manipulation of the area. Once diagnosed, your podiatrist may recommend orthotics, cortisone injections, oral medication, and physical therapy. Sometimes surgery is needed. Neuroma can be a solitary problem or part of a more extensive neurological condition.

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By Dr. Jose Concha, DPM Coastal Foot & Ankle Wellness Center

ell obviously, as podiatrists, we treat conditions that affect the lower extremity of the human body. More specifically we treat the leg, foot, and ankle. Typically, a patients pain can be narrowed down to a specific site or structure on the affected limb, such as a nail, tendon, bone, ligament, muscle, or skin. These conditions can be readily identified either clinically or radiographically so that effective treatment can be rendered. Unfortunately, there is one type of body structure that is more complex both in the diagnosis and treatment. That structure my friends is the nerve. Nerve pain in the legs and feet can give you an indescribable feeling when it hits you. Most people with nerve pain often don’t describe it as “painful” but rather described the pain similar to being pricked with pins and needles, or shocked with an electrical sensation, or burning. When the nerve pain is not managed, it can end up controlling the way you live. Simply walking through the market can be unbearable. Even your socks, shoes, or the touch of a bed sheet can cause uncomfortable burning pain. Most structural conditions hurt during the day when the body part is being used or carrying weight, but nervous conditions hurt even at night time. Therefore many nerve pain victims cannot get a good night’s sleep, which can lead to feeling hopeless and depressed. Nerve pain can come about with various conditions. The following are explanations of some of the most common medical illnesses that cause neuralgia: Neuroma More commonly known as “Morton’s Neuroma”, it is caused by an entrapment of a nerve deep in the foot that travels between toes. Typically the pain is described as sharp, burning and located behind the 3rd and 4th bones located in the ball of the foot which can radiate to the corresponding toes. A “clicking” sensation may be felt

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Radiculopathy Sometimes referred to as sciatica when pain is localized in the upper thigh and buttock region, radiculopathy is due to a compression or inflammation of a spinal nerve root. Pain may radiate far into the extremity to the foot along the course of the specific spinal nerve root. Old injuries, recent trauma, arthritis, back surgery, or diabetes may be some of the causes. Diagnosis can be accomplished clinically, radiographically, and with the use of proper nerve conduction studies. Injection therapy, performed by a qualified physician, typically reduces the pain and allows the podiatrist to better manage the leg and foot pain. Back surgery may also be indicated. Neuropathy Neuropathy is a painful condition arising from damage along the peripheral nerves of the body. It is usually characterized by painful numbness, tingling, or burning sensations. Strangely, it can also happen in reverse with severe numbness and lack of feeling. The disease is predominantly caused by diabetes but may include auto-immune disorders, alcoholism, chemical exposure, inherited genetic disorders, or cancer treatments. Certain patients can develop a severe loss of protective sensation (LOPS), which classically can lead to the infection and amputation of a digit or limb. Diagnostic and therapeutic tools have been refined recently and can reduce and sometimes eliminate neuropathic pain. Managing the underlying disease also helps and sometimes cures neuropathy symptoms. Tarsal Tunnel Syndrome Much like its well known counterpart occurring in the hand, tarsal tunnel syndrome (TTS) is due to a compression inflammation of the posterior tibial nerve at the ankle level. This squeezing causes a radiating pain along the path of the nerve in the foot and ankle. Causes include biomechanical deformities, varicosities, space-occupying tumors, and systemic diseases. Proper diagnosis is needed as this condition is commonly mistaken as plantar fasciitis. Non-surgical treatment includes rest, ice, orthotics, cortisone injections, bracing and physical therapy. Sometimes surgery is the best option for treatment of TTS. Nerve pain of the lower extremity can be difficult to diagnose and treat. Seek out a well qualified podiatrist who can help you reduce your pains and enjoy life as it was meant to be. And remember: your feet do not have to hurt.

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


Life Services

Why to Make Prearrangements

Presented by Pamela Smith Pe-Need Counselor & Cemetery Sales Craig Funeral Home

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alking about death is often difficult. Yet a death in the family may create problems for survivors which may be eliminated by pre-planning. Cremation, funeral and/or burial arrangements are important and should be discussed openly and frankly with family members. Some people choose to pre-arrange and pre-finance a funeral or cremation to assist their survivors after a death occurs. There are many different reasons for preplanning a funeral or cremation. Some people who are alone in the world may want to assure their funeral and burial will meet their personal and religious beliefs. Others feel it is a responsibility to assist their survivors. Still others maintain summer and winter residences and want to be prepared regardless when and where the death occurs. Before making definite plans it is advisable to consider and consult those survivors who will be affected most by the death. This is important because when death occurs it may have strong

emotional impact on other members of the family. Allowing them to assist in making funeral, cremation and/or burial arrangements may alleviate some of the anxiety pertaining to death. Aside from personal reasons for discussing final arrangements in advance of need, there is an additional benefit. The subject of death is brought out into the open and families are given an opportunity to share their thoughts. Entering into a pre-arrangement agreement with a funeral home always provides an opportunity to indicate your own wishes and desires in writing. It also allows you to review current costs, funeral ceremonies and burial procedures as well as options pertaining to cremation.

of cash advance items (such as florists, clergy, death certificates, etc.) Revocable: The purchaser may withdraw all funds paid without penalty in most circumstances. Irrevocable: In the event the purchaser has needed to apply for state assistance the contract may be made irrevocable which means nonrefundable. This

eliminates the money paid from being considered an asset. This is usually done if the consumer is placed in a care facility. Selecting one’s funeral or cremation in advance, and making the financial commitment for payment, gives a person peace of mind that all details will be carried out as previously instructed.

A pre-arrangement agreement provides an opportunity to indicate your own wishes and desires. Why to Pre-Finance

In many instances persons who prearrange will also wish to prefinance their final expenses. This can be done in various ways. Each state has a regulatory board to control and regulate prefinancing final expenses. In the state of Florida the most popular means of prefunding is through a trust, insurance or annuities.

Types of Purchase Agreements

Guaranteed price: The funeral home will guarantee to provided services and merchandise for the amount paid and any accrued interest, with the exception

Pam Smith moved to St. Augustine in 1973. She worked at Atlantic Bank for 10 years before coming to work for Craig Funeral Home in 1983 as a prearrangement counselor and cemetery representative. She is an active member of Faith Community Church, St. Johns, Florida. She has been married to her husband James for over 37 years. They have 1 son, Jay and his wife, Maria who are presently serving in the United States Air Force stationed in Mountain Home, Idaho. She also has 2 granddaughters. 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�.

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Life Services

Photo by Christine Cousart www.cousartphotography.com

Hospice is a Philosophy of Care

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Cathy Johnston Haven Hospice Administrator

hile the concept of hospice has been evolving in Europe since the 11th century, when hospices were places of hospitality for the sick, wounded or dying, the modern concept of hospice was pioneered in the 1950s by Dame Cicely Saunders in the United Kingdom. Today, hospice in the United States (U.S.)

October/November 2016

has evolved into a philosophy of care and a program of services which can be delivered wherever the patient calls home: a private residence, assisted living facility, nursing home or in the hospital. While familiar with the term “hospice,” many people are not aware that they have a choice in hospice care providers. Since hospices first began providing care to patients and families in the U.S. in the late 1970s, there has been a misconception that all hospices were part of one single organization. However, there are thousands of hospices across the country and multiple hospices to choose from throughout Florida. Some of these organizations are forprofit businesses and others, like Haven Hospice, are community-based, not-forprofit entities. For over 37 years, Haven Hospice has served more than 78,000 patients in its 18-county service area in North Florida. Haven Hospice professionals work with patients and families to create a plan of care that will manage the distressing pain and symptoms of their illness, as well as coordinate the patient’s care and

medications with their physician and other healthcare providers. Haven Hospice services are all-encompassing and provide assistance with the physical, medical, emotional and spiritual challenges associated with advanced illnesses. Some of the benefits are: • Haven professionals provide expert pain and symptom management to promote and maximize the quality of life so that the patient can spend more time with family and friends as well as enjoy favorite activities. • Haven care provides resources to support families and caregivers at night and on weekends to reduce the need for emergency room visits and hospital re-admissions. • Haven provides all of the medications, medical supplies and medical equipment related to an individual’s hospice diagnosis. • Haven teams can educate the patient, family and caregivers about the issues and challenges related to patient care and the available resources which can be of assistance.

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The patient and family benefit from the support from a variety of Haven professionals: physicians, nurses, social workers, volunteers and chaplains.

Choosing hospice services and a hospice care provider are both very important decisions. Spending time researching and understanding the differences between hospice organizations is important so that when this critical time does arrive, individuals and families are able to make informed decisions. At Haven, our mission is to provide comprehensive and compassionate care to both patients and their caregivers while respecting each individual’s needs, beliefs and wishes. During National Hospice Month in November, I want to encourage you to learn more about hospice services before you experience a medical crisis. Please call us in St. Augustine at 904.810.2377, and let us share how we can help you and your family.


Life Services

Senior Move Management Moving an Aging America Senior move managers specialize in the issues that come with downsizing. A senior move manager can also step in when adult children don’t live near their parents or don’t have time to sort through a lifetime of belongings. Set Modest Goals Start small: a room, a closet, a shelf, a drawer, or a part of the garage. Begin in the areas of the house that you are currently not using. Start the sorting and clearing process in these rooms, because it will be least disruptive to your everyday life.

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Leslie Vlachos, President Design 55 Inc.

aking a major lifestyle move is stressful at any age, but particularly as we age. For those who have lived in the same home for many years, getting rid of things that have accumulated over decades can be a significant challenge. Sometimes it may be hard to get rid of things even if you know intellectually that you won’t need them. If you are finding it difficult to part with your items, or you are overwhelmed by the whole process, consult a senior move manager to help you gain clarity on the situation. A senior move manager provides handson help and resources to help with the physical and emotional demands of moving later in life.

Create a Floor Plan for Your New Home Most likely you will need to scale down the number of belongings you take to your new home. You will need to compare the size of your new home with your current home and visualize where your possessions will go. If space forces you to choose between some loved items, the decision will be easier for you to see with a floor plan on paper. A Senior Move Manager can provide you with space planning to help you visualize what your new home will look like. Remember to make space for the things you love! Begin Step-by-Step For many people, starting the sorting and decision-making process is a daunting process. Make sure you approach it step-bystep, pile-by-pile until the job is finished. Start

working in a specific room in your house or even a specific area of a room like a closet or a drawer. Begin somewhere, but begin.

I can’t decide about now and I need more time to think about

Ask the Tough Questions It’s easier to get rid of belongings from rooms that are mostly used for storage, such as an attic or basement. There is less sentimental attachment to items that are simply being stored rather than used. Be realistic. • When was the last time I used this? • If I do use it, how often and why? What purpose does it serve? • Is the item in good shape and easy to care for? • Can I get by without it? Do I own another item that can serve the same purpose as this one? • Is this item something I love? Does it have sentimental value? Could someone else benefit more from its use?

A senior move manager guides clients through a journey that is often as much about sorting through a lifetime of memories as it is about possessions. This is an opportunity to distill life’s treasures and to create a new home that reflects a lifetime of experiences.

Organize into Categories Decide what is still truly important for you to keep and what you are ready to let someone else enjoy. Create a sorting system before you begin. • Household items to keep • Items to give to family and friends • Items to sell • Stuff to donate to a favorite charity • Broken items and stuff to toss • Items for storage • Things for the “maybe” pile---things

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TESTIMONIALS “Your services were very comprehensive, I don’t know if I could have managed this move, which required significant downsizing and major decisions, without your services and support.” - J Ludlow “Everyone at Design 55 was a pleasure to work with! A wonderful service for older people who are already under the stress of leaving a much loved home. The move was much less stressful because of you!” - F Meza “We were most appreciative of all you did for us. We couldn’t possibly have made such a move without the attention to detail you provide.” - M Vessells


Life Services Simply Susie: Let us clean, cook and run errands for you! Photo by Christine Cousart www.cousartphotography.com

It’s just a part of what we do! Testimonials:

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

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By Susie Sullivan

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

Susie has been helping me declutter ear Friends: my home. We are taking our time While many more mature adults are and she understands sometimes it’s enjoying staying in their homes longer, difficult to let go of things. Already it some find they still need some extra looks so much better. She also takes “care”. That’s where I come in. I am me to my Dr. appointments and is very prompt and knows the area so well. offering a wide variety of “in home non - Pete O. St Augustine medical” services. They include but are not limited to: • Grocery Shopping (send me with a list or come with) • Companionship • Meal Planning (special diets invited) • Homemade meal delivery (up to 4 meals a week) • Budget and/or bill paying (snail mail or online thru your bank) • Decluttering • House Cleaning (special rates apply) Please call me to get my competitive rates! Minimum of 1 hour!

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

October/November 2016

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

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October Weekly Menu Oct 3 Salisbury Steak w/ Mashed Potatoes/Sweet Corn Smoked Ham Steak/Mac n Cheese/Green Peas Healthy Choice Thai Chicken over Orzo/St Broccoli Baked Swai/Sweet Potatoes/Brussels Sprouts

Oct 10 Spicy Beef n Noodle/Honey Ginger Carrots/Dinner Roll Chicken Cordon Bleu/St Broccoli and Garlic w/ Red Onion Healthy Choice Caribbean Shrimp w/ Rice/Spinach Salad Coq Au Vin/Veggie Pasta/Spring Mix Salad Oct 17 Pepper Steak over Rice/Garden Salad/Roll Greek Chicken and Orzo/Spring Mix Salad Healthy Choice Spicy Citrus Pork w/ Pineapple Salsa/Cranberry Applesauce Dill Salmon/Red Potatoes/Chickpea Salad Oct 24 Bone-In Pork Chop/Roasted Potatoes/White Corn Curry Chicken w/ Peaches n Raisin Rice/St Broccoli Healthy Choice Deviled Scallops/Corn on the Cob/Pineapple Slaw Baked Swai over Teriyaki Rice/Kale and Apple Slaw


Business & Finance

Editing Your Own Website: Pros & Cons updates like a news section, calendar of events, or blog, can help keep the setup costs down but give you the control you need to keep information fresh on the site. Keep in mind too, that whoever does your website maintenance does not need to be in your area. We are located in St. Augustine, Florida and service many clients in Jacksonville, but we also have clients all over the country from Key West to Seattle. We can provide quick updates to any website (even ones we didn’t build) via e-mail, phone, or fax (yes, we still have a fax machine… although it just forwards to our e-mail). Hopefully this has been helpful in the decision process of installing a content management system to edit your own

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By Jay Owen Owner, Design Extensions

ne of the most common questions that we hear from new client is: “Can I edit my own website?” The answer is yes, but there are some important things to consider in this decision. We live in a do it yourself culture. Most of us like to feel like we have full control over something and that goes for our company websites as well. When we started building websites (over 12 years ago), it was very difficult to give a customer access to editing their website without them having some advanced coding knowledge and lots of training. Times have changed and there are lots of great systems out there that make it much easier to update a website directly. There are even many great free and open source products like Word Press (our favorite), Joomla, Drupal, Expression Engine (not free), and others. Each of these products have their own advantages and disadvantages. One of the key questions I often ask new clients is, “how often do you expect to change the majority of the content on your site?” If the answer to that

website or not.

If you have any questions, we’d love to help. Just give us a call at 877-378-6101 or e-mail info@designextensions.com. is less than once a month, it usually does not make sense to spend the extra setup costs and go through training on how to manage and update content yourself. If you only plan to update information every few months, it makes more sense to send it to us (or your web development team) to take care of it for you. It’s kind of like me with my car, I COULD change my own oil and rotate my own tires, but it doesn’t make sense for me to do that with the time and cost involved. I’d rather just take it to a professional. If you plan to make regular updates to your site on a weekly basis, it usually makes more sense to have control over the content of your website. Another key point to consider is that you may not need control over ALL of the content on your site. Focusing in on the areas that really need regular

Design Extensions was founded by Jay Owen in St. Johns County in 1999. He and his team at Design Extensions design and develop websites for clients all over the country. His passion is for developing high quality web sites and graphic design work that help his clients businesses grow. When not working on websites, he is usually spending time with his wife, Claire, and four children.

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Why

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

“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 I would just like to say thank you very much for the last 3 1/2 years of allowing me to be a Contributor in your magazine. First, I want to say it is the smartest advertising exposure idea that my mother has ever had for my business. She recommended I call the Woman’s Journal when I first decided to go out on my own. When I first met with you your sincerity and genuineness shown through and you truly believed in what I had envisioned for my business. I am now living it and I thank you and the Women’s Journal for every step of my success. You and your magazine have truly let me realize my dream of being of service and providing a business that allows many a freedom to seniors to remain at home as long as they wish. I sincerely thank you. Susie Sullivan, Simply Susie

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 “Over my five years of business, the SAWJ has been the most effective tool to bring customers to the shop. Everyone who opens this publication is impressed with its content and anxiously awaits the next issue. Partnering with Anthony and Suzanne has been an exceptional way to reach new customers and remind existing customers.” Susan Detar, The Pink Door “The Woman’s Journal has really helped me build business for the AAA Travel department in St. Augustine. I ‘ve been contributing articles for just about a year now and hardly a day goes by that someone doesn’t mention the fact that they have seen us in the SAWJ. I have made some VERY profitable sales because of this exposure and feel so lucky to be partnering with Suzanne and Anthony . Thanks for all your support.” Kelly M. Monroe, The Auto Club Group “Working with Anthony and The Woman’s Journal has been a tremendously rewarding experience for our clinical counseling practice. We are reaching individuals and families who may or may not have heard of us, but most importantly, by reading our articles, they grow far more comfortable with the counseling process and who we are as therapist. It’s as if we are already having our first session together, addressing expectations and uncertainties that are part of the deeply rewarding experience of psychotherapy. When the phone rings (and it does far more frequently now), our readers already feel a sense of knowing us and, we too, feel a special connection with them when they say they saw us in The Woman’s Journal. Finally, the publishing deadlines become a gift by forcing us to focus on the most important issues impacting individuals and families within our very special community. Thank you Woman’s Journal!” John R. Jones and Kathleen Abbott – The LifeSource Group


Legal

Photo by Christine Cousart www.cousartphotography.com

The Homestead-“King of All Assets”

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Joseph L. Boles, Jr

ost of us are familiar with the “Homestead Exemption” that saves us money on our property taxes. It also caps the year to year increase due to the “Save Our Homes” legislation adopted a while back. Less well known is the “Constitutional Homestead”, which applies to anything that is your primary residence, (treehouse, boat, mobile home etc.) It protects our home against creditors, judgments and liens. When you die your home will pass to your beneficiaries free from the claims of creditors, except the mortgage, of course! That will still have to be paid, but your beneficiaries aren’t personally on the hook. So keep your home in your name and don’t add anyone’s name, either. You can be drowning in medical, business or credit card debt and you will always have a roof over your head so long as you pay the mortgage, taxes and insurance. (That’s why Bowie Kuhn and O.J. Simpson bought giant homes in Florida to protect them

against bankruptcy and huge judgments, or so I heard!). The really exciting part, though, is that your homestead is EXEMPT, (the value ignored), when seeking eligibility for Nursing Home Medicaid. I don’t care if its a million dollar mansion, it doesn’t count! So if anyone ever says that the Nursing Home took “Momma’s House” for her monthly bill, that is false in Florida, it never happens! We can also move your nonexempt assets (cash) to the homestead and protect them for the spouse and/or the kids by using it to pay off the mortgage, new roof, new bathroom, new appliances and the list goes on and on. (And remember the Community Spouse, the one not in the Nursing Home can have 119,229 dollars sitting in cash on the kitchen table at home and the other spouse be eligible for Medicaid). Case example: An elderly woman in poor health sold her house and moved in with her daughter’s family here in Florida. She had 200,000 dollars from the sale which she used to “pay her way” writing checks each month to the daughter for her share of utilities, water, groceries, cable, etc. She reached a point where she needed skilled nursing care. In applying for Nursing Home Medicaid, every check she wrote to her daughter was viewed as a gift so she was ineligible for five years from the date of the first check! She paid out all of her money until she reached the level of indigence where she qualified. If the woman had written her checks to FPL, Comcast or even Mastercard to reimburse her daughter it would not have been ruled a “gift” and hence no lookback period. In fact if she had given the whole amount to her daughter and purchased an

“So keep your home in your name and don’t add anyone’s name, either. You can be drowning in medical, business or credit card debt and you will always have a roof over your head so long as you pay the mortgage, taxes and insurance.” interest in the home she could have applied and received a homestead designation on her half and saved every dime! Sound complicated? Well it’s not really if you get some advice BEFOREHAND! At our office we never charge for an initial consultation so there is no excuse for remaining “uninformed”. If you have a group that needs a presentation I will come

to you, especially if you serve refreshments! I never met a microphone or an hors d’oeuvre that I didn’t like! So call 904-8244278 and ask for Suzi, she’ll give you a time and directions.

“SEE YOU SOON!” Joe Boles, Elder Law Attorney

Joseph L. Boles, Jr. moved to St. Augustine with his parents in 1967. A native of North Carolina, he attended the University of Florida after graduating from St. Augustine High School in 1970. He initially obtained a Bachelor of Design and Advertising Design from the University of Florida, and also obtained his law degree from the University of Florida College of Law. He was admitted to practice in the fall of 1984 and his areas of interest are Elder law, asset protection, estates and trusts. He is married to Jane Reynolds and they have 7 children between them: Hayley, Molly, and Kirby Catherine Boles and Kara, Willie, Emily and Bridey Masson. His office is located on the corner of Riberia and Saragossa Streets in St. Augustine. The office phone number is 904-824-4278.

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Women in Profile

Photo by Christine Cousart www.cousartphotography.com

Felicia Sumrall, Haven Hospice Certified Nursing Assistant

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Photo by Christine Cousart www.cousartphotography.com

aven Hospice Certified Nursing Assistant Felicia Sumrall was inspired to work for Haven when she witnessed care by Haven staff first-hand. “I saw the compassion this staff had for patients when they would come into the facilities, and I wanted to offer that same compassion and love for families in their time of need.”

Rosa Shala, Income & Wealth Protection Specialist Owner of Shala Financial

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osa Shala grew up and lived most of her life in New York City. She graduated with a Bachelor of Arts degree in Economics from Columbia University. She has been married to Paul Shala for 35 years, and together they have raised three wonderful grown children: Lisa, Frank and Anna Marie. Rosa enjoys spending time with family, traveling, running, reading, and continuing to learn through various classes and semiars. She is a Toastmasters Competent Communicator and Competent Leader, and a

October/November 2016

As a certified nursing assistant, Felicia goes to patient’s homes or takes care of them in facilities. “If I am in a patient’s home, I let the families know that I am there to give them a little break, I talk to the patient if they are able, and I ask families how they feeling.” Felicia will also attend the patient by giving a bath, making up the bed or feeding a patient a meal. “I hope to bring trust, comfort and peace to patients and families. I want them to know that they are being cared for to the best of my abilities,” said Felicia who finds joy in her work with Haven patients. “At Haven, I have more oneon-one time with the patients, and my co-workers are so awesome. They made me feel like I have been working with them for years.” Felicia is also right at home in the community of St. Augustine where she has worked for over 20 years and where she has lived for almost a decade. “My favorite activities in St. Augustine are shopping, taking the kids fishing and enjoying a driving around town just looking at the nice homes.” Time with family is special to Felicia. “I love having family gatherings and just taking the time to sit down and catch up with everyone.”

member of the National Association for Female Associates. While living in New York, Rosa pursued a successful real estate career together with her husband, Paul. After relocating to Florida, she began a career in financial services and has continued to grow her business for the last 23 years. She lived in Ocala, Florida for 18 years and has resided in St. Augustine since 2014. In 2005, Rosa opened Shala Financial with the mission to help middleincome families to live debt-free and truly wealthy lives. With 95% of women being their family’s primary financial decision maker, Rosa’s passion is to empower and educate women about financial matters so they can sucessfully take care of their children and aging parents.

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Women in Profile

Photo by Christine Cousart www.cousartphotography.com

Andrea Clark, BayView Healthcare

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Photo by Christine Cousart www.cousartphotography.com

ndrea Clark took an interest in healthcare about ten years ago when looking to move from the juvenile justice profession into a career field that was a little different. Throughout her life, Andrea was familiar with the field of health through her mother, an RN BSN, and her father, a pharmaceutical sales representative. Andrea decided to start in the arena of pharmaceutical sales, which allowed her to travel as far as the greater Daytona area and to also get to know the local St. Augustine health community.

Renee DuFresne Taylor, Director of Social Services, BayView Rehab at the Samantha R. Wilson Care Center

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enee DuFresne Taylor is a nurturer, both professionally and in her personal life. Renee has a wealth of experience caring for residents in our community. She graduated with her Bachelor’s degree in psychology from the University of North Florida in 1997 and her Master’s Degree in Social Work (MSW) from Florida State University shortly thereafter. Since then, Renee has worked as a social worker across the First Coast. While working for Community Hospice, Renee had the chance to visit many skilled nursing facilities. This is when she realized her passion for working in this arena. She accepted a position at San Marco Terrace, where she formed close relationships with

After a few years in pharmaceutical sales, Andrea sought to find a field where she could have a more direct impact on improving the lives of the patients she served. During her time in pharmaceutical sales, she became acquainted with several home health liaisons and was interested in how they positively affected the patients and communities they served. For the past six years Andrea has dedicated herself to representing home health. This includes educating healthcare providers, senior communities, and patients and their family members about how home health can help them regain or maintain their independence in their home setting. She enjoys hearing about the positive impact she has made when a physician or family member tells her that a patient she has helped obtain home health services has made improvements in their health. Andrea joined BayView Healthcare in August 2016 and is excited to help BayView provide high-quality services to the community of St. Augustine and St. Johns County. Andrea currently resides in St. Augustine, with her husband, two young children, two dogs, four cats, and an ever-growing number of chickens. In her free time she enjoys spending time with her family, reading, running, and the nerdier side of pop culture. She also teaches first grade religious education classes at her church.

both residents and their families. She quickly realized she had found her niche in working with seniors. Renee has spent the majority of her 15 plus years as a social worker in hospice care and skilled nursing facilities. Her journey through health care in St. Augustine has led her to BayView Rehab at the Samantha R. Wilson Care Center, where she currently serves as Director of Social Services. At BayView, Renee serves as an advocate for residents and their families, and helps families navigate in what can be a challenging situation. “One of the things I love most about my job is the relationships I develop,” says Renee. “From working with residents, families, and community agencies, I have fostered relationships throughout St. Augustine and Jacksonville. This is fulfilling on a personal level, and hopefully also serves my residents well.” Renee’s work history shows this to be true. When working for hospice, Renee was able to use her community contacts to assist patients and their families with necessities such as assistance with paying bills, finding care for their pets, and procuring grant money to fund the various needs of patients and their families. Renee’s compassion carries through to her home life. She is dedicated to her family and friends; there is no favor she will refuse there is no one in need she will turn away. Renee’s passion for animals has led her to foster pregnant cats, take in stray dogs, and support animal charities within our community. Renee has lived in St. Augustine her entire life, and enjoys being able to contribute to her community. Renee’s true passion is her son, Coleman, who is a third grader at Hartley Elementary. She says, “He’s the light of my life.” Renee, her husband Donnie, and Coleman enjoy living in St. Augustine with all that it has to offer.

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Women in Profile

Becky Weiss, Volunteer Chaplain at Flagler Hospital

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ecky Weiss serves as a Volunteer Chaplain at Flagler Hospital. In this capacity she provides spiritual care for patients, their loved ones and staff members at the hospital. Becky was born in St. Louis, Missouri and was raised in Springfield, Missouri where she later married and raised her two children. Becky has been in the Chaplain Program for three years.

Becky is a graduate of Missouri State where she earned a bachelor’s degree in Education. She enjoyed the variety that teaching offered. She and her husband moved to St. Augustine 20 years ago. Becky is enjoying retirement and says “it is most spiritual time of her life.” She also volunteers at Community Hospice of Northeast Florida with Cookie, her therapy dog. She and Cookie participate in K-9’s for Christ, visiting patients in the behavioral health unit and several local nursing homes. In her free time Becky enjoys reading and loves to watch the ocean.

Seka Collins, Interior Design Director at Flagler Hospital

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eka Collins is the Director of Interior Design at Flagler Hospital. In this capacity she designs for new construction and renovations of all buildings on the Flagler campus, implements all space planning and the selection of furniture and materials. Seka joined the Flagler team in November 2015. Seka received her bachelor’s degree in Interior Design from Florida State University in 2004. She moved to Jacksonville to design for the Cannon Design firm where she specialized in higher education design. Seka then moved to the large local firm Rink Design, where she specialized in high end corporate and

October/November 2016

commercial clients. She loved the variety of projects like restaurants, clubhouses and especially the design of the Student Union at UNF. Seka spent the next three years with Gresham Smith and Partners where the focus was on corporate and healthcare designs including the renovation of Wolfson Children’s Hospital second floor lobby and the Baptist Emergency at Town Center. Seka married her husband Tiegh in 2012 at the Fountain of Youth and together they are happily raising their two little ones, two and a half year old Seren and one year old Lincoln. She loves the people she works with at Flagler and looks forward to coming to work where each new day is different and exciting.

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Community

Love Your Mother Eco Fashion Show

cenes from the Love Your Mother Eco Fashion Show at VW of St. Augustine. The event, held the evening of Septemeber 24th, was a big success and raised money to benefit the Home Again St. Johns non-profit organization.

For More Information on Home Again St. Johns, please call (904) 347-4445 or visit our website at www.homeagainsj.org

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Community

October/November 2016

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Community

Photo by Christine Cousart www.cousartphotography.com

A New Step for St. Gerard Students

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

he first day of school at St. Gerard Campus High School was very exciting this September and for more than one reason. St. Gerard Campus, an accredited high school for pregnant teens and new teen mothers, welcomed the new students and returning students on September 6, 2016 to a new air condition system generously sponsored by Florida Power and Light Energy Makeover and installed by All American Air. This will save St. Gerards over $1,900 per year in energy costs, a tidy sum for a high school, residency program, nursery, pregnancy center and community outreach program that functions on donations, grants and fundraisers only. We are so appreciative of being chosen by Florida Power and Light for this energy makeover. The students also were introduced to the new science lab, courtesy of 2 grants received by St. Gerard Campus. St. Gerard was never able to have lab classes in Physics, Biology or Chemistry. The students missed out competing for science scholarships because they did not have the opportunity to attain lab credits. Since approximately

66% of the students that graduate from St. Gerard follow a career path in the medical fields, such as, nursing, medical assistants or lab technicians, a science lab was critical lab or the students had to be remediated in college. Now the students can have that “hands on” experience to enhance their science classes. One grant for $30,000 was given by the Meninak Club of Jacksonville to build the classroom. The Ward Family Foundation then granted St. Gerard Campus $35,000 to equip and stock the lab with all the necessary learning tools. This included microscopes, slides, anatomy charts, physics experiments, chemicals, desks, chairs, computers and more…. everything a state-of –the art high school lab should have. The students and teachers were very excited to get their “hands-on” all of the new and exciting equipment. If

Fashions and Holiday Wear for men, women and children by: 360 Boutique • Belk St. Augustine Celia’s Party Dresses • Gymboree Men’s Warehouse • Panama Hats Rochelle’s Clothing • Taylor Made Golf

Fabulous Sweepstakes Prizes, Door Prizes and Silent Auction Selections plus a $5,000 Grand Prize Drawing Donation: $40.00 All proceeds benefit St. Gerard High School and Maternity Home

you know of a teen that is pregnant or a new teen mother and needs her education, please have her contact Ms. Roberta at St. Gerard Campus, 904-829-5516. Not only do we offer an accredited education, but we have residency for students outside our commuting area and an on premise nursery. As the new school year moves along, with babies being born, the nursery getting filled, the students are enthusiastically tackling their studies. The next big event for St. Gerard is the 33rd Annual Fashion Show and Silent Auction. Help us “Welcome the Child” by attending our event on Saturday, December 17, 2016 at the beautiful Renaissance Resort in World Golf Village from 12 noon to 3:30 pm. Tickets sell out quickly and are still only $40 per person. Book your reservations now! There will be a gourmet lunch and fashions for men, women and children

For ticket or sponsorship information, please call: 904-829-5516 or 904-797-9437

from some of the best fashion houses in the south. The Silent Auction will have more than 150 items to bid on like gift baskets, holiday items, shows, restaurants, sports memorabilia, baby items, trips, jewelry, works of art and more. There will be sweepstakes and a grand prize drawing of $5,000. Do some holiday shopping

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and have a delightful afternoon! Contact Caroline Wolff for ticket information, sponsorship or modeling opportunities at 904-829-5516.

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


Community

The Inaugural Real Men Wear Pink Campaign is Revealed by the American Cancer Society Making Strides Against Breast Cancer of Jacksonville

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former Jacksonville Jaguars Quarterback, an artist, an actor, a doctor, the owner of a baseball team and a candy maker are part of the inaugural Jacksonville Real Men Wear Pink campaign. 28 prominent area men are putting on the pink and appealing to the community to help them raise awareness and support for the upcoming American Cancer Society Making Strides Against Breast Cancer of Jacksonville. The official list

October/November 2016

will be announced Friday night at the Real Men Wear Pink kick off at III Forks at Tapestry Park in Jacksonville at 5:30pm. All of the men have been impacted by cancer, either through someone they know, love or in some cases they are survivors themselves. Former Jacksonville Jaguars Punter, Adam Podlesh is among the Real Men Wear Pink. He was treated for cancer while he playing in the NFL but he has joined the effort because can-

cer not only impacted him, but other family members as well. “I was diagnosed with a rare salivary gland cancer in 2010. My grandfather died from lung cancer in 2006 and both my wife’s mother and grandmother are breast cancer survivors,” said Podlesh. “I want to help contribute to the end of breast and ovarian cancer. I am fighting to live in a world where my wife and daughter won’t have to worry about breast and ovarian cancer.” Starting on Friday, the Real Men Wear Pink participants will appeal to their networks, the community and share their stories with media to raise funds to help the American Cancer Society save more lives from breast cancer. Throughout the month of October, they will also incorporate the color pink in their attire and encourage the community to take action in the fight against breast cancer. The top fundraiser among the other candidates by the end of the campaign will be eligible to receive recognition during the Making Strides Against Breast Cancer Events and special prizes. Beyond the friendly competition, the Real Men Wear Campaign is an opportunity for this inaugural group to come together and bond over a joint mission, finding a cure for cancer. “Cancer is a terrible disease, but I am blessed to be in a position to fulfill my God Given Purpose of making a difference in the lives of others,” said Mel Toran, American Cancer Society Representative and a Real Men Wear Pink participant. “Rarely do you see men actively engage and outwardly demonstrate their compassion for others. Each Real Man is doing just that, which is extremely exciting and encouraging.” According to the American Cancer Society Cancer Facts & Figures 2016, an estimated 246,660 women in the United States will be diagnosed with breast cancer and an

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estimated 40,450 will die from the disease this year. Breast cancer is the second leading cause of cancer death in women, and it is the most common cancer diagnosed in women other than skin cancer. To view the complete list, visit www.makingstrideswalk.org/realmenjacksonvillefl. To attend Friday’s reveal event at III Forks at Tapestry Park at 5:30pm or for more information about breast cancer or the Making Strides Against Breast Cancer walk in Jacksonville contact Allison Gubitz, Community Manager at 904-391-3610 or Allison.Gubitz@ Cancer.org

About the American Cancer Society The American Cancer Society is a global grassroots force of 2.5 million volunteers saving lives and fighting for every birthday threatened by every cancer in every community. As the largest voluntary health organization, the Society’s efforts have contributed to a 22 percent decline in cancer death rates in the U.S. since 1991, and a 50 percent drop in smoking rates. Thanks in part to our progress,14.5 million Americans who have had cancer and countless more who have avoided it will celebrate more birthdays this year. We’re determined to finish the fight against cancer. We’re finding cures as the nation’s largest private, not-forprofit investor in cancer research, ensuring people facing cancer have the help they need and continuing the fight for access to quality health care, lifesaving screenings, clean air, and more. For more information, to get help, or to join the fight, call us anytime, day or night, at 1-800-227-2345 or visit cancer.org.


Community

It’s About More Than Just Riding a Horse… Once in the arena they matched us to a horse they felt was right for us and let us ride around for a while to learn our horse. I thought I was pretty good, turning right and left, stopping and backing up! And then out the back gate and off on our ride… so far so good! During the ride a deer ran across the path in front of us; neat! We finally got back to the arena and got off. on our way to the car when I started thinking more of the children that were in the other area before our ride.

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By Mary Rigsbee Haven Horse Ranch

esterday I saw a discount for a “Riding Experience at Haven Horse Ranch”. I thought, why not, it might be fun. I got a friend together and set up the ride. We first sat with Jarett for our orientation. He explained how to hold the reins, handle our horse and what to expect on the ride. As we were walking down to the barn, I glanced over and saw some children on horses with people walking beside them. Some were sitting backwards while others were putting rings on hooks beside the horse. They seemed to be having fun so I didn’t give it much more thought and continued on my way.

muscles and help with hand/eye coordination. The happiness sometimes produces the will to speak those first words, “walk on,” to the horse. Youth with anger issues come to the ranch to resolve them and become better people. The ranch starts them off by learning the ropes: cleaning stalls, brushing the horse, cleaning their hooves, and saddling them

properly. Once they get that down, they are taught how to ride them. They get this 1,100 pound animal to cooperate by being in charge and communicating properly. They learn that “it is not all about them” and to take responsibility for their actions and the actions of the horse to work together as one. Most turn their lives around and stay out of trouble as a result their experience at the ranch. Haven Horse Ranch is so much more than just a place to take a trail ride. Haven Horse Ranch is a place where lives are made richer and more productive; a place where miracles happen. As this organization is a non-profit organization. If you would like to support their programs or make a donation please go to: www.havenhorseranch.org for more information or call the ranch at 904-813-5710.

Mr. Ric was sitting in the barn so I asked if he had a minute to talk. I said I noticed the children as we were going to the arena and wondered what they were doing. He explained the amazing purpose of the ranch: Equine Assisted Therapy. The ranch has been utilizing Equine Therapy for many years to teach children life’s principles while learning how to safely have fun with one of God’s beautiful creatures. Many children have disabilities or issues that prohibit them from leading a “normal” life as most people define it. Some can’t walk, or talk, some can’t get the message from their brain to their bodies for fluid motion, and some have anger issues that make it hard for them to co-exist with the main population. Utilizing the horse’s gait and their gentleness and sometimes stubbornness, they help individuals learn how to overcome problem things. The gentle motion of sitting in a saddle on a moving horse whether facing front or backward can help muscles strengthen and move properly. Learning to lean sidewise and place the ring n the hook helps them strengthen those long unused

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


Community

October/November 2016

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Community

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Photo by Kathe O’Donnelly

o you know a woman who has played a leading role in creating or nurturing the arts community in St. Johns County? Or, perhaps you know of a graduating high school woman (public, private or homeschooled) who intends to further her education in the arts and could use some help pursuing that dream. The St. Johns Cultural Council has awards of recognition for both such women. The Cultural Council is currently seeking nominations for the Dr. Gail Pflaster ROWITA Awards (Recognizing Outstanding Women in the Arts) and the Jr. ROWITA Fellowships. The Dr. Gail Pflaster ROWITA award recognizes women who have made significant contributions to the arts community in St. Johns County over the course of their lifetime.

Cassia Wang recipient of a $1000 Jr. ROWITA Fellowship in the performing category.

Lifetime achievement and the candidate’s impact in St. Johns County are the main criteria for the selection of the award. Artists of all disciplines, including literary, visual, and performance are eligible, as are women who have demonstrated exemplary support of the arts. Community members are encouraged to submit their nominations for this award before the December 1, 2016 deadline. The Jr. ROWITA Fellowships are available to graduating St. Johns County high school women (public, private or homeschooled) who are entering arts based programs of higher education to advance their creative development. Fellowship awards are a monetary award that can be up to $1000. Applicants must have either applied or been accepted into in a BFA program, a summer institute/intensive, or an arts workshop in order to be considered. The application deadline for the Jr. Fellowships is the last day of February. The ROWITA Recognition Ceremony, which is free and open to the public, will take place during Women’s History Month on March 19, 2017 at 5:00 pm at the Limelight Theatre.

Photo by Kathe O’Donnelly

Call for Recognizing Outstanding Women In The Arts (ROWITA) and Jr. ROWITA Fellowship Nominations

ROWITA 2016 award winners Elyse Brady, Joy D’Elia ROWITA chairperson, Rosamond Parrish, Shirley Williams-Collins, Jan Tomlinson Master and Andrew Witt SJCC Executive Director, JoAnne Nance, Tommy Bledsoe SJCC Board Member, Caren Goldman, Manilla Clough.

Applications for both awards are available at www.stjohnsculture.com. Nominations should be e-mailed to sjcc@historiccoastculture.com as attachments in pdf, word, and jpg formats. If help is needed with online submissions, call the St. Johns Cultural Council at 904-808-7330. The Cultural Council encourages submitting all applications by email but if you are unable to submit digitally please mail or bring your nomination to the St. Johns Cultural Council, 15 Old Mission Avenue, St. Augustine, FL 32084.

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St. Johns County Cultural Council The St. Johns County Cultural Council is the designated Local Arts Agency for St. Johns County. We are a clearinghouse of information for artists, arts organizations, businesses, and the general public. Services provided include: • Arts information and artist referrals through the office • Weekly events e-newsletter sent to over 4,000 subscribers • Art exhibits in the St. Johns County Administration Building (Art in Public Places)


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Fashion & Beauty

Love Your Mother Recycled Fashion Show t all began in a small warehouse on the outskirts of St. Augustine. I believe the year was 2007. I was fully entrenched in the downtown retail scene, running a store and an art gallery/photography studio when Kristy Weeks of Panache asked if I’d like to photograph and be involved in a fashion show that involved recycled materials. Little did I know that it would turn into the big event that it is today. On September 24th, 2016, we unleashed our 9th production of this fantastic show at Volkswagen St. Augustine who kindly sponsored and donated their wonderful space for this great event. For the second year we raised funds for Home Again St. Johns, a non-profit who tries to find solutions for individuals who have found themselves homeless. The goal is to end homelessness in St. Johns County! This year we raised approximately $68,000 with ALL of the proceeds going directly to this organization. Kristy Weeks is the driving force behind this project and is a true benefactor. To find out more information, you can go to www.loveyourmotherstaug.com

Christine Cousart

Owner, Cousart Studios

Here are some of my favorite photos from this years show.

Cousart Studios of Fine Art & Photography 320 Hightide Drive #101 Saint Augustine, FL 32080 www.cousartphotography.com 904.687.7700 Christine Cousart has lived in St. Augustine since 2004 and says that it is the closest to the life she had when growing up in New Zealand. She owns 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

October/November 2016

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Fashion & Beauty

Why Use a Professional Hair Colorist?

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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

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HAIR DESIGNER • COLOR SPECIALIST • MAKEUP ARTIST By Appointment Only • On Location Available

904-334-6888 • Hairbylisaharris.com 5543 a1a South • Suite #101 • Saint Augustine Beach, FL 32080


Food & Entertainment

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Food & Entertainment

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Food & Entertainment

October/November 2016

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Food & Entertainment

Music at Grace presents RareSong Three

areSong brings to the First Coast the music of its founding. In our 2015-2016 Spanish concerts presented at Jacksonville’s St. Mark’s Evangelical Lutheran Church, St. Augustine Cathedral-Basilica, and St. Paul’s by the Sea in Jacksonville Beach, we presented the music that Pedro Menéndez de Avilés left behind in his voyage of conquest. For 2016-2017, we turn to the English music that Sir Francis Drake left behind in his voyage to conquer St. Augustine and to conduct other piratical adventures. We find that while Drake and other adventurers were expanding England’s domain abroad, the homeland was being musically invaded by Italians in the form of madrigals and instrumental fantasies and soloistic ornamentations. This year’s program, entitled “An Italian Conquest in Imperial England”, presents this invasion and its assimilation in the flowering of Elizabethan and Jacobean Renaissance music. RareSong Three consists of members of RareSong who concentrate on both solo and small ensemble music: Patricia DeWitt (recorder, viola da gamba, soprano) holds a Ph.D. in musicology from the University of Michigan, is an early music specialist and organist and a retired college administrator. Peter DeWitt (harpsichord, recorder, tenor) is a retired theory and organ professor (DMA, University of Michigan) and composer, and an active supply organist in the First Coast. Marcy Brenner (viola da gamba), an Oberlin music graduate and freelance musician, performed and studied early music while living in Austria.

Music at Grace presents

RareSong Three

“An Italian Conquest in Imperial England” Featuring music by several Renaissance Masters including Thomas Morley, John Bull, William Byrd, and Hieronymus Praetorius

Marcy Brenner, viola da gamba Peter DeWitt, harpsichord, recorder, tenor Patricia DeWitt, recorder, viola da gamba, soprano

SATURDAY, OCTOBER 29th at 5:00 pm Grace United Methodist Church 8 Carrera St • St Augustine, Fl 32084

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Food & Entertainment

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Behind the Scenes, Limelight is Doing More Than Producing Live Shows By Renee Unsworth

imelight Theatre is celebrating 25 years of community theatre in St. Augustine and St. Johns County during its 2016-17 season, which opened in September with the musical Oklahoma!, and continues with six more month-long productions on two stages, including I Ought To Be In Pictures, which was the first show staged by Limelight 25 years ago. But Limelight isn’t just staging shows, or producing children and family plays. Limelight is partnering with schools and providing career-building skills back stage for local students from St. Johns County Center for the Arts and Flagler College. Flagler College student Alison Zador recently costumed Junie B. Jones The Musical, and is the costume director for upcoming shows including School of Rock (Nov. 3-6), Cotton Patch Gospel (Dec. 1-31), and Elf Jr. The Musical (Dec. 9-11). She also is a teaching artist for the Limelight’s KidzfACTory program. Alison returned to St. Augustine in August from a paid internship as a costume designer for Stagedoor Manor, an elite musical theatre camp held in New York’s Catskills Mountains. She costumed six productions in nine weeks. For her portfolio which she used to interview for the job, she used photos from Limelight Theatre and Flagler College shows she previously costumed. “The experience was incredible. It was hard work, and some of the shows sounded impossible to pull together in two and a half weeks,” Zador said. “Catch Me If You Can had a cast of 22 women and each had at least five costume changes, and it was a premiere which meant we had none of the specialty costumes in stock. But the magic of Stagedoor is that everything always comes together, and it’s always high quality productions.”

October/November 2016

Flagler College student Rylee Kuberra was the director for Junie B. Jones The Musical and played the lead in Tilly the Trickster, both staged by Limelight’s KidzfACTory program. The shows are considered Theatre for Young Audiences, which are family-friendly, educational musicals with limited cast sizes and abbreviated running times. Rylee also is a KidzfACTory teaching artist who conducts acting and musical theatres at Florida School for the Deaf and Blind. Limelight also is home to St. Augustine’s only training center in St. Johns County, with improv hangouts, workshops, and live shows — giving a sense of community to those wanting to perfect their acting skills or for those who need a boost in public speaking for their jobs, or everyday life. Amy Angelilli leads the improv events. She’s a member of the Applied Improvisation Network and has presented at the 2015 and 2014 Applied Improvisation Network World Conference. “Students explore the basic concepts of improvisation in a warm, safe and supportive environment,” Amy explains. “The classes are designed to build self-confidence and explore creativity using the fundamentals of improvisation.” For Amy, the goal is this for her improv students: “Learning the art of accepting the unknown sans script — on and off the stage.” Limelight Executive Director Beth Lambert started the KidzfACTory program nearly 15 years ago. Since that time, more than fifty live plays starring area children have been staged, with hundreds of students participating in the education. The best part? The children learn how to be comfortable on stage and in front of an audience, and they are a part of what happens behind the scenes. Many help with set painting, props, stage management, lights, sound, and other duties. Izabella Unice started as a KidzfACTory student nearly 10 years ago, and now is an assistant stage manager, actor, and choreog-

Junie B. Jones The Musical rapher for KidzfACTory and Limelight Main Stage shows. At age 15, she also is a stage manager for musicals at St. Augustine High School. She’s a sophomore in the St. Johns County Center for the Arts at the school. She was previously seen in Hello Dolly, and has worked backstage for Beyond Therapy, The Grapes of Wrath, and Laundry & Bourbon. She was choreographer for Junie B. Jones The Musical in October. Through the years, many students have moved on to arts careers, and sometimes they even come back to director or choreograph a Limelight show. KidzfACTory alum are working in New York, Atlanta, and in big and small cities all over the U.S.

THE 25th SEASON

Member of the Applied Improvisation Network “As in past years, the season is built around famous playwrights, your favorites, and new plays presented for the first time in Florida,” explained Scott Bartosch, the President of Limelight’s Board of Directors. Other shows on stage during the 25th season are Cotton Patch Gospel (musical), Hedda Gabler (drama), The Mystery of Irma

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Vep (comedy), I Ought To Be In Pictures (comedy), The Nance (drama/comedy), and The 25th Annual Putnam County Spelling Bee (musical). “Our Silver Anniversary season will feature I Ought To Be In Pictures, the very first play presented by Limelight 25 years ago,” Bartosch said. Co-founded by Anne Kraft and Jean Rahner, the Limelight Theatre staged its first production on August 28, 1992, in the Monson Bayfront Inn. It provided entertainment at this location for almost two years. In 1994, the Limelight became a nonprofit. In 2001, Limelight purchased a 10,000 square foot building at its current locations in uptown St. Augustine, 11 Old Mission Ave. It was converted into a 125-seat theater called the Matuza Main Stage. In 2006, the Limelight applied for and received a Cultural Facilities Grant of $398,000 from the State of Florida. The money was used for capital improvements including a new roof, new air-conditioning, heating, sound and lighting systems, lobby and restroom renovations, and a black box space that seats 75-90, called the Koger-Gamache Studio Theatre.


Food & Entertainment 25th Season Shows

Cotton Patch Gospel December 2-31, 2016 Musical Preview: December 1 Terrific Tuesday: December 6 Presented in a setting of rural Georgia with country music songs by Harry Chapin. Herod is the mayor of Atlanta and, inevitably, Christ is lynched by local thugs only to rise again. Hedda Gabler January 27-February 19, 2017 Drama Student/Teacher Night: January 25 Preview: January 26 Terrific Tuesday: January 31 Henrik Ibsen’s great social drama of a caged woman in the late 19th century explores her tormented desire for escape and her yearning for individual and spiritual freedom. The Mystery of Irma Vep March 10-April 2, 2017 Comedy Preview: March 9 Terrific Tuesday: March 14 A sympathetic werewolf, a vampire and an Egyptian princess brought to life when her tomb is opened make this a comedy that has everything! Two actors play all the roles!

Becca Cunningham created the poster art for all seven shows in Limelight Theatre’s 25th Season. The posters will be unveiled during opening night of Oklahoma on September 21. Becca is a freelance watercolor illustrator and surface pattern designer living in Brooklyn, N.Y. Limelight patrons may remember her as Toto in Limelight’s 2008 production of Oz. Becca is a graduate of the St. Johns County Center for the Arts at St. Augustine High School. She gathers inspiration for her work from flora, fauna, and her beautiful hometown of St. Augustine. Having the opportunity to create posters for Limelight brought together her love of watercolor and theatre. Website: www.rebeccatcunningham.com

NEW LOGO

Celebrating 25 years, Limelight Theatre has a new logo and redesigned website created by Design Extensions, a digital marketing agency that was established in St. Augustine in 1999. The company specializes in branding, web design and development, printing, and online marketing services (designextensions.com). The logo features two lions named Pounce de Leon and Pawdro Menendez. The lions are a nod to St. Augustine’s own beloved lion statues at the Bridge of Lions. Limelight has carved out its own history in the Ancient City, bringing live theatre to the community for 25 years.

Limelight Theatre is located at 11 Old Mission Ave., in uptown St. Augustine. Free parking is available street side and onsite. Go to limelight-theatre.org or call 904-825-1164

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I Ought To Be In Pictures April 21-May 14, 2017 Comedy Student/Teacher Night: April 19 Preview: April 20 Terrific Tuesday: April 25 This was Limelight Theatre’s FIRST show, on stage 25 years ago! The Neil Simon play tells the story of a 19-year-old New Yorker who moves to Hollywood to become an actress and find her father, a screenwriter. The Nance June 2-25, 2017 Drama/Comedy/with music Preview: June 1 Terrific Tuesday: June 6 The Nance recreates the naughty, raucous world of burlesque’s heyday and tells the backstage story of Chauncey Miles and his fellow performers. The 25th Annual Putnam County Spelling Bee July 21-August 20, 2017 Musical Preview: July 20 Terrific Tuesday: July 25 An eclectic group of six students vie for the spelling championship of a lifetime.


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”?

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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.

October/November 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)

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Food & Entertainment

North Florida Women’s Chorale Holiday Concert

he North Florida Women’s Chorale is excited to present its annual Christmas performance on Friday, December 30th, at 6 pm. The Cathedral Basilica in St. Augustine, 38 Cathedral Place, will host the concert. The chorale is under the directorship of Kerry Fradley, also the founder and director of the St. Augustine Youth Chorus. Kerry is committed to her passion for leading the chorale in remarkable musical compositions. The chorale’s accompanist, Kathleen VandeBerg, provides her boundless expertise and experience of choral performance to enhance each member of the chorale’s devotion to performing wondrous music for their audiences. Featured in the concert will be a major work, Magnificat, by a popular young Norwegian composer Kim Andre Arnesen. His talent has created a Grammy nominated masterpiece for treble choir, string orchestra, and organ. The Gramophone magazine review of April, 2015, describes Arnesen’s Magnificat as “warmly compassionate music which positively glows with its soaring, beautifully arched melodic lines…..” In addition to the Magnificat, the program will also include familiar and beloved carols and songs of the holiday season. An enjoyable portion of the concert is a joyous Christmas carol sing-along with those in the audience.

The concert is free and open to the public. For further information, go to womenschorale.org.

October/November 2016

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