New You- Health & Beauty Mid-Missouri Summer 2016

SUMMER TRIBUNE EDITION 2016

Eat Wise to Drop aSize A Womans Guide

to Financial Health

Workin’ It Out

Without the Gym

Healthy

Get Bombshell

Breasts...

WOMEN TO KNOW Emily Edgington Andrews — Unites mid-Missourians around Choral Music

SUMMER Salads K N PIges e Molly th pa Deimeke ide Ins

Traumatic Brain Injury Overcoming it and starting over...

WE LIVE BY THE WORD YES. At MU Health Care, YES is a way of life. It’s how we think – positively, with an optimism that permeates everything we do. It’s how we work – driving our nurses to be the very best. And because of that, it’s impacting how people live. Healthier. Longer. Better. At mid-Missouri’s only Academic Health Center, YES is more than a mantra, and our patients are the living proof.

Discover the difference YES can make in your career; apply today: muhealth.org/nursing

Welcome to the THE NEW YOU–Inside & Out...

Dear Friends, VOLU M E 1, I SSU E 2 Plenty of factors keep people at odds, but music is among the few that brings them together. That observation has led Emily Edgington Andrews to unite men and women of all ages and backgrounds, some of whom have never sung a single note, around choral music for the past 12 years.

Emily Edgington Andrews is our cover story for this edition, this is a story about a remarkable women and her love of music. In addition to our feature article about Emily, we have incorporated features on fitness, beauty, nutrition and health focusing on emotional, physical and financial well-being. Our objective is to create a magazine that is fun and addresses the myriad issues women face daily.

Every issue includes dedicated PINK PAGES promoting breast cancer awareness and providing resources for the Women of Missouri. In this issue, the PINK PAGES include articles on surgical treatments and side effects of treatments for breast cancer, along with resources for women of Missouri.

I am just amazed at the overwhelming response we have had to The New You Magazine - Inside and Out. I love responding directly to the questions and queries that you have, if there is a topic you would like to read about or know women we should tell other women about, please e-mail me at karen.thenewyou@gmail.com. Just as we want to inspire thousands of women, your voice inspires me!

A OGRAM M M A M MY SAVED nd a E LIF save it can R S! U O Y

I hope you enjoy this issue and those to come!

Life is Good!

The New You–Inside & Out Publisher and Founder

COLUMBIA DAILY TRIBUNE 101 4TH S TR E ET COL UMB I A , MO 65201 (573) 815-1600 thenewyoumagazine.net

PUBLISHER Vicki Russell PUBLISHER EMERITUS HJ Waters III PRESIDENT & GENERAL MANAGER Andy Waters VICE PRESIDENT OF SALES Les Borgmeyer EXECUTIVE EDITOR Michelle Cox FOUNDER/PUBLISHER Karen Hawkins MARKETING MANAGER Linda Hays DESIGN & PHOTO DIRECTOR NY Marketing & Creative PROJECT MANAGER Deborah Marshall COMMERCIAL CUSTOMER SERVICE MANAGER Susan Currier PRODUCTION TECHNICIAN Charles Davis ADVERTISING FIELD SALES MANAGER Lisa Wells CONTRIBUTING WRITERS Michelle Cox Julie Margenthaler, M.D.,FACS Terrence Myckatyn, MD, FACS, FRCs(C) Shobha Bhaskar, M.D. Dr. Michael Horwitz Christina Arylon Jessica Park Raina Childers Linda Franklin Rachel Russo CIRCULATION & DISTRIBUTION Columbia Daily Tribune

“What lies behind us and what lies before us are tiny matters compared to what lies within us” — Ralph Waldo Emerson

ADVERTISING For advertising information call (573) 815-1810 or email us at display@columbiatribune.com © 2016 by The New You–Inside & Out Magazine ALL RIGHTS RESERVED

SUMMER EDITION 2016 thenewyoumagazine.net

1

the

Contents Get Bombshell

12

...without surgery!

Breasts

on the COVER EMILY EDGINGTON ANDREWS graces the cover of this issue. Her work

as artistic director of Choral Arts Alliance of Missouri has grown the organization and used it as a vehicle to bring people together. For that she is our featured “Woman to Know” in Missouri.

SU M MER 2016 F EAT U RES BEAUTY

14

COLORING YOUR MOOD The colors we surround ourselves with can actually influence how we feel and how others respond to us.

HEALTH & FITNESS

18

SPECIALIZED CARE FOR WOMEN Common problems such as pelvic floor pain and other conditions involving the pelvis deserve specialized care.

20

WORK IT BABY! Working out without the gym.

22

CENTER YOURSELF The benefits of yoga.

FOOD & NUTRITION

30

EAT WISE TO DROP A SIZE

32

HEALTHY SUMMER SALADS Give your summer salads a fresh, colorful spin with these quick and easy salad recipes.

MEN’S VIEW

34

PINK PAGES

39

CANCER CAN’T ROB ME OF THIS DAY!

40

SURGICAL TREATMENT AND FOLLOW-UP of women with Breast Cancer.

FINANCIAL HEALTH

28

TEN MOST COMMON MYTHS when buying and selling a home.

The 5 toughest questions a woman can ask a man.

44

RESOURCE GUIDE

6 WOMEN TO KNOW IN MISSOURI Influential Voice Emily Edgington Andrews Unites mid-Missourians of all ages around choral music

10 COUGAR WOMEN OF MISSOURI 5 qualities a real cougar woman wants in her man by our resident Linda Franklin.

24 FINANCIAL HEALTH A woman’s guide to financial health with Cindy Minnis, Vice President of First State Financial

36 P INK PAGES “The Unstoppable Molly Deimeke” How she overcame a traumatic brain injury after having to start over, at a kindergarten level.

®

COVERAGE CO VERAGE $5,000 $10,000 $20,000

COST CO ST $240.00 $345.00 $555.00

MONTHLY INSTALLMENTS AVAILABLE

Nanc Nancy y Allison, Agent Gena Patton, Paatton, atto Affiliate Agent W.. Broad Broadway, way, Columbia, MO 1729 W NAllison@ShelterInsurance.com 573-445-1749 • N Allison@ShelterInsurance.com

We’re W e’re yyour We’re e’re yyour Shelter.. our Shield. W our Shelter ShelterInsurance.com ShelterInsur ance.com Shelter Life Insur Insurance ance Compan Company y • Columbia, Missouri Policy Po olicy Form Form #’s #’s L-096.4 in CO, IA, KS, KY KY, Y,, MS, MO, NV, NV V,, L-096.5 in AR, LA, NE, TN, L-096.6 in IN, L-096.7 in OK, L-096.8 8 in IL

www

Announcing a New Website for The New You– Inside & Out!

thenewyoumagazine.net

• Connect to the best beauty and health services in the St. Louis, southeastern and mid–Missouri areas

the

• Give us your feedback! Do • Subscribe to The New you have a health or beauty You–Inside & Out and topic you want to learn more continue to receive expert about? A beauty service you health and beauty advice can’t find in your area? Know with a Missouri accent all • Read features on the inspiring a woman who goes above and year long! women in your community beyond giving back to others? and profiles on businesses Share your stories with us, so and activities in your area we can share them with the women of Missouri!

newyou For the Women of Missouri

Inside & Out

4

thenewyoumagazine.net SUMMER EDITION 2016

MAGAZINE

Stay mobile this spring spring..

SAVE OVER 50% 13 WEEKS FOR $13 ON A DIGITAL SUBSCRIPTION.

573.815.1600

$14.10 for digital or $16.53 for digital + print total after tax. Pre-payment required.

Special offer available to customers who have not subscribed in the last 30 days and live within our same-day home delivery area.

Delivery will continue at the regular home delivery rates. Limited time offer. Print subscription excludes non-publishing holidays. TNY16

A Sund dd Hom ay Print eD for ju elivery st $3 .

WOMEN TO KNOW

Influential Voice

by Nate Birt

6

thenewyoumagazine.net SUMMER EDITION 2016

Emily Edgington Andrews unites mid-Missourians of all ages around choral music Plenty of factors keep people at odds, but music is among the few that brings them together. That observation has led Emily Edgington Andrews to unite men and women of all ages and backgrounds, some of whom have never sung a single note, around choral music for the past 12 years.

“It is about the people, not the performance” says Andrews, 35, a Columbia resident whose work as artistic director of Choral Arts Alliance of Missouri has grown the organization to include more than 350 singers and 10 choral ensembles. “I use music as a vehicle to bring people together.”

Ever since graduating with two music-oriented master’s degrees—one

from Truman State, the other from the University of Missouri—Andrews has made a mark on budding vocal talent in mid-Missouri. She teaches at Columbia Independent School and MU. She also conducts the Columbia Chorale; leads Columbia Youth Choirs (CYC), a youth choir program for students in grades 2 through 12; has served as conductor at Sacred Heart Catholic Church for the past decade; and directs the professional ensemble Prometheus: An American Vocal Concert as assistant conductor. >

Emily Conducting Chorale SOT 2015

SUMMER EDITION 2016 thenewyoumagazine.net

7

WOMEN TO KNOW Emily Conducting Chorale SOT 2015

Braydon

Andrews faces a demanding schedule of rehearsals, study sessions, classes and outreach on any given week. It might be daunting to some, but Andrews finds it exhilarating. The mother of two— Braydon, 21 months, and Brynn, 3 months—says her husband, Bryan, has provided an abundance of support to pursue her dreams and goals as a musician.

Baby Brynn

Emily & Bryan at Winery

“In a way, I freelance,” she explains.

“I have lots of part-time roles. I really enjoy working with so many different types of singers and age levels, and I’m also really passionate about community and the nonprofit sector.”

Turning Point Andrews never expected to begin her career teaching students in middle school and early high school, but the opportunity proved transformative. In her first syllabus, she articulated for students the values she

8

thenewyoumagazine.net SUMMER EDITION 2016

expected them to embrace as musicians.

“Kindness, respect and professionalism are the three keys to success I wrote,” Andrews recalls. She knew middle school could be tough developmentally and emotionally for kids, so she made an effort to model those principles.

She realized she had made a difference when students wrote letters to her at the end of that first school year expressing their appreciation for her class and for music. One letter from a ninth-grade boy stood out.

“He felt so safe in the classroom,” Andrews says. “It was OK for him to express the way he was feeling if he was having a bad day. He didn’t have to have this façade, this wall up. For me, it was really eye-opening the powerful effect music can have on an individual.”

Unity in Diversity An overarching focus on bringing people together to break down barriers and promote social justice has guided Andrews in her career. It’s one of the reasons she is drawn to vocal performance.

"Choral music is accessible."

Andrews says, "Anyone can participate.

It's not something you have to buy, like an instrument. It brings many different people together."

She is moved by music that teaches a lesson, such as music written about the Holocaust because of its capacity to teach tolerance against the backdrop of a tragic history of genocide.

“How can we help each other remember to be kind to one another, or maybe stand up for those who don’t have a voice?” Andrews asks. She is interested in music from all time periods, noting the text of a piece is what gives it “a true, deeper meaning” and makes it current. She once raised money to host a Truman State special performance by Robert Convery.

The New York composer’s nine-part “Songs of Children” guides the listener through a boy’s experience in the Terezin concentration camp using poems written by real children who experienced it.

Pieces such as that one underscore the ability of music to cut through the noise of everyday life and create a lasting effect.

“Sometimes when you talk to people, they don’t listen,” Andrews says.

“It’s a way to command attention in a different way. It’s a way for them to take in without being talked to.”

In January this year, Andrews had the opportunity to bring almost a 1,000

people together through a unity concert she organized starting in 2014. The purpose of the concert was to work toward bridging the gap between two cultures, she says. Thematically, she showed this by creating a community gospel choir that sang African American gospel music. She involved Columbia Chorale, which sings music primarily from the Western European choral tradition, used some of the youth from CYC and brought the various groups together. It just so happened the university experienced tension this fall, she says, making the concert even timelier.

"We had almost 1,000 people involved—singing and in the audience— on the night of the concert,” Andrews recalls. “It was an incredibly powerful event to show that love, kindness and cohesion will ultimately help to overcome prejudice and hate."

“

Kindness, respect and professionalism are the three keys to success

”

A Place of Change Andrews plans to continue her career working alongside other musicians and community members to transform Columbia and the surrounding area into a place where people of all ages and experience levels can come together to sing.

“I have a vision that we can continue making a positive impact on our community by creating a culture of choral music that rivals that of any metropolitan area,” she says. “By working side-byside with both arts and non-arts groups in the community, there is potential for reaching countless individuals. To me, being a part of this is exciting and humbling.”

2016 CYC Good and Evil E—ConductingSUMMER Large Group

CARMINA BURANA — Emily bows

COUG AR W OMEN

Cougar

5 Qualities a real

woman wants in her man

By Linda Franklin

There are some people who might say that Real Cougar Women are complicated—but that's not really true.

We are challenging yes, but not complicated. In fact, knowing what you want makes life a whole lot easier.

I find it interesting that when a man sets goals and achieves them he is rewarded for his intelligence and his tenacity.

But when a woman does something outside the perceived comfort zone, her reward is often an unflattering label.

This judgmental behavior is merely a scare tactic designed to make us question our dreams or stop us in our tracks.

This old double standard also rears its ugly head when it comes to our choice in men. We come under an immense amount of criticism if we choose outside the normal demographic. When an older man is with a younger woman, he is applauded like a conquering hero. But when a woman chooses to be with a younger man, she falls victim to a boat load of criticism. She’s labeled a cradle robber or worse. After all, why would a younger man want to be with an older woman? It could only be for two reasons—easy sex or easy money. Neither one is true.

Don’t buy into the myth that older women are out stalking younger men to jump into bed with. They’re not.

The truth is men of all ages are attracted to Real Cougars.

These fabulous females are the ones being pursued. And why not? We are confident, independent and have a sexual energy that attracts the opposite sex like bees to honey.

The thing that is so important for women to remember is that we have choices. You get to choose the man you want to share your life with. Unlike the generations that preceded us, we don’t have to feel trapped in a relationship we’re not happy with. It’s interesting that today more woman over 50 are filing for divorce than ever before.

We’re finally understanding that it’s never too late to follow our bliss.

I have polled thousands of women and asked them what qualities they are now looking for in a man. Here are the most popular answers:

10

thenewyoumagazine.net SUMMER EDITION 2016

What A Real Cougar Looks For In A Man

A Man Who Listens - Real Cougars want a guy who looks into our eyes and actually convinces us he cares about what we're saying. That's a rarity, especially for those of us who have been with one person for a long time.

They have definitely learned how to tune out so much of what we say. We think they’re listening but they’re really not. It’s no mystery why having a guy listen is very important to us.

A Man Who Loves - Real Cougars want a man who isn't afraid to show you how much he loves you just the way you are. A man who shows you he cares. Small gestures, like making dinner or buying flowers mean a lot.

And it goes without saying, we also want someone who knows how to make our toes curl between the sheets.

A Man Who Provides - Yes, even though we are perfectly capable of providing for ourselves, we want our man to do the same. Not only do we want him to be financially independent but we want him to love what he does. A happy guy goes a long way in our book. We are so done with issues.

A Man Who Shares - A man who shares his feelings is a gem. We don’t want to have to read minds, we just want them to tell us what’s going on.

A Man Who Likes Adventure - We want a man who wants to try new things. He doesn't have to dive out of airplanes, but he does have to go with the flow and not get stuck in the past. Real Cougars love to try new and exciting things and want a man who can keep up with us. Couch Potatoes are not for us.

You can see that our idea of Prince Charming has changed a lot since we were starry-eyed young girls. Life experience has taught us what’s really important. I’d love to know what’s important to you. Drop me an email and let me know! linda@therealcougarwoman.com

SUMMER 2015 thenewyoumagazine.com

11

BEAUTY

Get Bombshell

Breasts Back in the days before breast augmentation and implants, female actresses who were blessed with nature’s gift of beauty and large bustlines, were typecast as sirens, kittens and bombshells. The full-busted famous women of the 50s, Marilyn Monroe, Jane Russell and Jayne Mansfield, to name a few, created an image that women with large busts and small body frames were to be valued. Not apparent in their acting roles or magazine images, these actresses also were intelligent women. The hidden truth—I.Q. and Barbie proportions made a powerful combination for movie screens and box office ticket sales.

12

thenewyoumagazine.net SUMMER EDITION 2016

ews to us…naturally big-busted women were not so common then. Women envied other women’s bustlines. The undergarment manufacturers caught the fervor.

“Falsies” began the era of breast enhancement, then the first padded bra emerged in the 40s. Remember the hard padded, pencil-point bra cups that looked more like a weapon? And so, the lust for big bosoms has continued to blossom with more technology, healthy living and body awareness.

N

...without surgery!

Today there are many of us women who are still at odds with self-image and want the look of a fuller bustline. While breast implants are an option, they require surgery, but women can have well-shaped curves by simply taking care of their breasts.

So what are today’s standards of a beautiful bustline? An ideal bosom has a shape that remains the same no matter what your body movements are. Size is not important. High, elastic breasts and tone are most important. Swimming is one of the best ways to tone breasts— perhaps the secret of our starlets in the 50s? But if you don’t have access to a pool, there are exercises to help you strengthen the pectoral muscles that you can do on your own.

Working out the chest can help women by lifting saggy chests and breasts and the earlier you start—the better!

Below are simple exercises that you can do without enrolling yourself in a gym.

Exercises for beautiful breasts 1. Pressure Applying pressure is the simplest exercise for your bust. Stand tall facing the wall and lean against it with your hands. Press against the wall as hard as you can as if you want to move it, keep on pushing for 10 seconds.

Relax, shake your hands. Do a set of 10 repetitions.

2. Elbows touch Stand tall, bend your arms slightly in the elbows, keep your hands on your hips. Try to touch your elbows one to the other behind your back. Do not do it in jerks but rather do it slowly stretching the muscles for 10-15 seconds. Repeat 8 times.

3. Palms Pressing Join your palms in front of your chest and press them hard against each other for 3-5 seconds. Repeat 8-10 times.

4. “Dry” Breast-Stroke If you can’t go swimming, try this effective exercise to improve the tone of your breasts. Stand tall, nestle up to the wall, squeeze the pectoral muscles and make movements, as if you are breast-stroke swimming. Do a hundred slow strokes, keeping your pectoral muscles tense all the time.

The finale for bombshell breasts and posture Posture is important to maintaining beautiful breasts. Here’s how to improve your posture.

Take a thick book, put it on your head and walk around the house for a few minutes trying to keep the book on your crown. This will help you relax the muscles effectively and give them the needed working tone. If you cannot walk this way, try standing with the book on your head. You can hold onto a chair or the wall but do not lean against the wall.

The good thing—there are effective ways to tone breasts without spending money or going through surgery.

SUMMER EDITION 2016 thenewyoumagazine.net

13

BEAUTY

your

14

thenewyoumagazine.net SUMMER EDITION 2016

There are many things beyond our control that affect our emotions and moods. But one thing we do have control over is color. The colors we surround ourselves with, in our homes and in what we wear can actually influence how we feel and how others respond to us. So next time you are shopping for a new blouse or trying to decide what color to paint your bedroom, keep these tips in mind for a quick mood adjustment.

optimistic mood. It can also increase both your concentration and your metabolism. However, yellow is also the most difficult color for our eyes to take in, so it can be off-putting when used in excess, creating frustration and even anger.

Red

Purple

Vibrant red is empowering and stimulating.

Studies have shown that the color red can actually increase a person’s heart rate and blood pressure, which is fitting considering it is most frequently associated with passion or love. The color red can also connect you with feelings of confidence and power, but it may be disruptive to others, possibly due to its long association with danger or alarm. Red is a great color to use to attract attention, but a little may go a long way.

Purple is the color of majesty, dating from ancient times when only royalty could afford the dye to create purple cloth. Purple can make you feel authoritative and is a fantastic choice on days when you need to boost your intuition or appear more sophisticated.

Pink Unlike its bolder cousin, red, pink is known for its calming and soothing properties.

Pink is a great choice to promote affection and relaxation.

Yellow Bright, sunny yellow can increase your energy and, put you into a more cheerful and

your creativity and enthusiasm, perfect for your home office, or when you need to stimulate your appetite, great for your dining room.

Brown Brown is a stabilizing color, but alone it can be a little sad. Try to combine it with other earth tones like green or blue to reduce stress and help you feel centered.

Green Green is a balancing color, helping to normalize and refresh. Since green is the easiest color on the eyes, it can actually improve vision and some claim that it can even attract money and abundance. Green also looks good on the widest range of skin types.

White

Blue Blue is another calming, relaxing color. It can also convey trustworthiness and dependability so it’s a great selection for a first date or a job interview. Blue is also a color of healing so wear it on days when you’re overly anxious or angry.

White symbolizes purity and can help to repel negative energy and make you highly approachable. White can also portray peace and serenity.

Gold & Silver Gold is the more masculine of these two metallic colors.

It symbolizes wisdom, prosperity, and go figure, wealth. Silver is more feminine, but also conveys wisdom and a little bit of mystery!

Black

Orange Orange is a passionate color, and as with yellow and red is best used in moderation.

Orange is a more casual alternative to red, but it still signals action to others. Select orange when you need a burst of energy, like at the gym, when you want to increase

Black is formal, elegant, and of course, slimming.

It can portray confidence and ambition, making the little black dress a fashion staple. But in your home, black is best left as a dramatic accent color.

SUMMER EDITION 2016 thenewyoumagazine.net

15

Look ook li like a million... millio without thoutt spending pendin di it. it Nationally ionally Recognized Re Designer igner g Resale Res ory Burch Bur featuring uring Tory Jimmy Choo Loui Louiss Vuitton Chanel Chane Kate e Spade Coach Coach Chico’ Chico’s Eileen en Fischer F J Crew ew Banana Republic R As seen on Style Network Network’ss RResale esale RRoyalty oyyalty

11575 G 11575 Gravois ravois 8842 42 88405 405 Women W Wo mennsClosetExchange.net sClosetExchange.net ~ Oppen en sseven even ddays ays a w week eek ~ We ppay ay ccash ash ffor or your your designer designer items. items.

16

thenewyoumagazine.net SUMMER EDITION 2016

BOOKS, GIFTS, JEWELRY, CRYSTALS, ESSENTIAL OILS, HERBS & TEAS, FUN CLOTHING & DECOR, BOOK CLUBS, WORKSHOPS, COFFEE & CONVERSATION PLUS ON-SITE MASSAGE THERAPISTS AND TAI CHI INSTRUCTION

Heart, Body & Soul

where whe wh re your re your jour journey journey b begins... eg giins ns...

Mid Mo’s one stop sh hop for centered consciou us living If you’re interested ted in living

What’s Wh hat’s n not ot to o llove? ove?

www.heartbodyandsoul.org Energy E nergy H Healing ealing byy Imaginetics Ima aginettics

Wise W Wi sse Women Wom W om men me en Botanicals B Bot ota tan ani nic ic cal als World Class Natural Skincare developed for those unwilling to accept mediocre.

Check out what these people have to say: Crystal healing was new to me as it is to most people. At first I have to admit I was a non believer, but ever since my first healing session I am now a true believer. It is hard to describe till you try it, but after I left I have never felt more relaxed as well as in touch with my inner spirit. If you are trying to find a holistic way to heal your body this is the way to go. I have now had multiple sessions with Lynn and every time I am done I have a new experience that truly connects with me. Don’t be shy, give it a try. RC

LYNN L YNN WOBIG, CCH, ACM

I wasn’t sure what to expect. It was the most relaxing wonderful meditative session in a beautiful setting. I was able to let go of some emotion issues and my back pain and sinus issues disappeared. I was delighted that I remained uncongested for weeks afterward. So grateful I met Lynn! I’ve been back back twice twicenow nowand andlove love it! it!A.K.A.K. Columbia, Columbia, MO MO

Contact C ont nta tact Lynn Lynn att 573 573-999-3893 73-99 99-38 893 to schedule schedule a session sesssion www.facebook.com/Imaginetics

Affordable Therapeutic Essential Oils and products for healing and enhancing every individual’s life.

Connie Jacoby OWNER

660-263-1033 573-864-6122 Available at Heart Body & Soul

www.wisewomenbotanicals.net ww ww w.w .wise wisew wi wo om ome men enb botan an niccal als.neet SUMMER EDITION 2016 thenewyoumagazine.net

17

HEALTH & F ITNESS

Specialized Care for

WOMEN Women have unique health care needs that deserve specialized care. Common problems such as pelvic floor pain and other conditions involving the pelvis can be difficult to talk about. Symptoms and treatment options are often misunderstood.

“Pelvic pain is a surprisingly common problem, but it can be an uncomfortable subject to talk about,” said Sarah Hwang, MD, a physical medicine and rehabilitation physician at MU Health Care and an assistant professor of physical medicine and rehabilitation at the MU School of Medicine. “Pelvic pain can occur anywhere from the belly button to the bottom of the buttock, or it can involve pain in your lower back. It is often

18

thenewyoumagazine.net SUMMER EDITION 2016

related to a group of muscles that run along the bottom of the pelvis. Those muscles are responsible for keeping women continent of urine, holding the pelvic organs in place and are even important muscles used when walking.”

There is a wide range of treatment options for women’s pelvic pain. The Mizzou Therapy Services clinic relies on measures such as physical therapy, medication management, injections and

lifestyle changes. The clinic has one of the few physicians nationwide trained in treating these specific conditions. Hwang is one of approximately 10 physicians in the country specially trained in treating musculoskeletal problems in women, specifically with pelvic pain. She isn’t alone. She also works with a team at MU’s Female Continence and Advanced Pelvic Surgery clinic to make sure > every woman gets the help they need.

Pelvic pain can happen at any age and for a number of reasons. Once the cause of the problem is diagnosed the proper treatment makes the difference. Many conditions are easily treated with nonsurgical physical therapy, but at times surgery is the best option to correct issues such as pelvic organ prolapse.

Pelvic organ prolapse is a condition that occurs when the normal support of the vagina is lost, causing the bladder, urethra, cervix and rectum to sag. The bulging also will commonly give women the sensation of pressure or fullness in the pelvis and may cause lower back discomfort. Over time, the effects of childbirth, straining, genetics and other health issues can contribute to the development of pelvic organ prolapse. All women are susceptible to problems that can be embarrassing or uncomfortable such as prolapse, bladder control problems or bowel control problems. These problems can greatly affect your quality of life, but women should know there is hope.

“It is similar to treating muscles in other parts of your body,” said Jennifer Stone, DPT, OCS, clinical supervisor of rehabilitation services. “Many people don’t really know what pelvic muscles do, but once they understand their function, patients are empowered in their treatment.”

Patient story: Getting Back to Life Without Pain After giving birth to her son in February 2014, Carrie Clark of Columbia couldn’t alleviate her neck and back pain. When at Mizzou Therapy Services-Rangeline for physical therapy, she began talking to Jennifer Stone, DPT, OCS, about her pelvic pain, too.

“Being a new mom, I just thought the pain I was experiencing was normal after giving birth,” Carrie said.

What Carrie hadn’t known — and what many women don’t realize — is that ongoing pelvic pain can often be eliminated or significantly reduced with physical therapy. Fortunately, Carrie had connected with a physical therapist who specializes in pelvic floor disorders by meeting Jennifer.

“It is similar to treating muscles in other parts of your body,” said Jennifer, the clinical supervisor of rehabilitation services at the clinic and a certified pelvic floor therapist. “Many people don’t really know what pelvic muscles do, but once they understand their function, patients are empowered in their treatment.”

For three months, Carrie attended separate weekly appointments for both neck pain and pelvic pain at the clinic.

The therapy techniques for both areas were similar in Carrie’s treatment plan: deep muscle massage, exercises in the clinic and exercises assigned to do at home.

Jennifer said that it is common for her to see patients who have endured pelvic pain for more than 10 years. Many patients who have lived with pain for decades didn’t learn until recently that their symptoms could be treated.

For patients like Carrie, the impact is significant.

Sarah Hwang, MD, director of women’s health in the Department of Physical Medicine and Rehabilitation, is trained in treating women’s pelvic pain and is able to address other musculoskeletal problems in women, including pain during pregnancy. To find out what treatment option might be right for you, contact Advanced Pelvic Surgery clinic at 573-817-3165.

“Physical therapy has changed my life tremendously,” Carrie said. “I was in a lot of pain. It was hard for me to do my daily activities and I had a hard time taking care of my child. Once I was able to get through the day without pain, it changed the quality of my life tremendously.”

HEALTH & FITNESS

Work it Baby!

Y

Workin’ it out

You’re a woman on the go and finding the time to work out and stay healthy is a challenge. The good news is that waking up at the crack of dawn and stumbling off to a gym is not your only option. At-home alternatives for getting in the daily dose of activity may suit your lifestyle best. Forget the restrictions of a workout class or intimidating exercise machines. Instead, set your own schedule and your own terms for staying healthy and feeling great.

without the gym

Walk it off Walking is one of the most effective movements for burning fat. It is low impact, perfect for all skill levels, and the best part is that it can be done anywhere; all you need is a pair of shoes! Walking offers something for everyone, so turn your workout into time to spend with someone special.

■ Go on a walk in the morning with your spouse before you have to dive into your daily schedules and just enjoy each other’s company.

■ Do as the Europeans do and take a walk with the entire family after dinner. Spend some quality time catching up.

■ Take your dog for a walk and use it as an opportunity to explore a new park or neighborhood you’ve been dying to see.

■ Find a walking buddy or just a group of girlfriends you haven’t seen in a while and get in your girl time in You want to join a gym but the morning or as an after-work activity to unwind and vent to memberships—consider these your friend after a long day.

Take it up a notch So you’ve mastered walking, how about taking it to the next level with jogging! You’ll love the intensity boost, and it can also be done just about anywhere.

■ Take a jog around your neighborhood; meet some other families and socialize while you get a great workout.

■ Race yourself and try to beat

20

are worried about the price of tips for saving money at the gym:

■ Look for coupons online.

■ Ask a friend to join you. Gyms usually offer incentives for referrals.

Both you AND your friend will reap the benefits!

■ Ask about student discounts or senior discounts.

■ Many gyms offer great membership packages during slower seasons. Keep

thenewyoumagazine.net SUMMER EDITION 2016

your eyes peeled for your price point. Typically in June, sales start to slow because the weather is nice and people can opt to exercise outdoors. Then in December many companies are trying to meet their membership quota before the New Year and may be more willing to negotiate a price!

your previous time or distance each time–you’ll be amazed at your progress.

■ Set a big goal like being able to run a 5K or 10K. You can find training plans online that take out all the guess work by telling you exactly how far to run and when! You can find a plan for you at websites like www.Halhigdon.com

Tone it up It’s time to say goodbye to those flabby arms! Keeping a set of small weights at home is the key to your success. They are inexpensive, require minimal space, and are easy to use. Since most women want to tone rather than build bulk, small 5-10 pound weights are perfect.

■ You can get a great strength workout right in your living room—do squats, lunges, curls or abs while you watch the news or just spend time with the kids.

■ We all hate watching commercials, but instead of clicking the DVR fast forward, use the commercial break as a chance to get in a few extra reps.

■ Focusing on high repetition and low weights will allow you to tone muscle without adding bulk to your body so you look healthy, lean and feminine.

Have fun with it Working out should never be boring.

Have a little fun with it by playing sports with the family, trying something new, or challenging a friend. Time and workouts fly by when you are having a blast!

■ Playing basketball or touch football with the family is a great way to get the whole family together and to stay active.

■ Take the pedometer challenge!

Pedometers measure the number of steps you take each day; they are very inexpensive and easy to use. Have some fun and challenge your family or friends to see who gets in the most steps. A little healthy competition adds fun and accountability. Get in some extra steps by parking farther from your office, taking the stairs, or walking to the coffee shop.

■ Shake that booty! Whether it is on the dance floor at the club, in a class, or just in your living room, dancing is a creative way to get a fun cardio workout and to strengthen your core.

■ Jumping rope is an excellent cardio workout for any age and a nice throwback to those recess days when you were in grade school! Take the opportunity to double-dutch with your kids and then amp up your own solo routine for some more intense cardio.

■ Opt for pushing the lawn mower rather than hiring a service or riding a mower.

You can do it yourself—you will save money, check another thing off your to-do list, burn fat, get some sun, and enjoy the day while you do it!

Did you know you’re burning this much?

1 hour of housework or chores: 286 calories 30 minutes of car washing: 143 calories 1 hour of vigorous walking: 245 calories 1 hour of gardening: 330 calories 1 hour of raking leaves: 300 calories 1 hour of grocery shopping: 217 calories 1 hour of cooking for your family: 129 calories 1 hour of apple picking: 182 calories 1 hour of vacuuming: 213 calories Attending a sporting event like a Cardinals or Mizzou football game: 90-100 calories 1 hour of playing touch football with the family on Thanksgiving morning: 486 calories 1 hour of playing tennis: 425 calories

SUMMER EDITION 2016 thenewyoumagazine.net

21

HEALTH & FITNESS

Center Yourself Breathe in the benefitsof yoga! s a woman on the go—juggling career, family and a never-ending to-do list—life is hectic.

You drag yourself to the gym at 5 a.m. for spin class and squeeze in a hundred crunches when you can—you leave your gym never wanting to go back and on top of it all, results are minimal.

Wouldn’t it be nice to do something that actually makes you feel good and, as a plus, secures a few moments for yourself? You can—with yoga.

Yoga is praised to be one of the best holistic disciplines. Skeptical? It turns out that research confirms the benefits of yoga are widespread.

Beyond misconceptions of twisting into pretzel-like contortions and breathing through a “third eye,” yoga benefits both your physical and emotional well-being.

A

Physical Body Awareness: In yoga, the process of slow and gradual movements from one pose to another allows you to concentrate on one muscle or body part at a time making you incredibly aware of your body. This awareness helps you to become more comfortable in your body, to recognize your personal capabilities, and to boost confidence.

Strength: Yoga utilizes your own body weight for training, literally using every muscle in your body.

Since you are using your own weight, you will tone and define muscle without building bulk. Instead, you develop lean muscle and improve strength.

Flexibility: Can’t touch your toes? That’s okay; most people first beginning yoga can’t do it either!

Yoga helps to lengthen your muscles and tendons increasing flexibility and range of motion. The increase in flexibility helps you to avoid injuries and muscle pain; this is why many professional athletes perform yoga as part of their regular training.

Core Strength: Your core consists of your abdominals, obliques, back, and hip muscles— these muscles make up the support system for the

22

thenewyoumagazine.net SUMMER EDITION 2016

entire body. Having a strong core improves posture and also prevents injuries. During yoga, your body is the only piece of equipment you are using so you are working every muscle starting with your core.

Emotional Stress Reduction: Yoga encourages relaxation and can help reduce stress hormones in your body, like cortisol. Reducing stress can lower risks in other areas including high blood pressure, anxiety, and/or depression.

Self-Confidence: The practice of yoga is not about perfection but rather about self-focus. With discipline you become aware of yourself, your body, your capabilities, and you can reach a level of self-acceptance that just exudes confidence.

Energy: Most workouts leave you fatigued, but through consistent practice of yoga, you actually feel energized afterwards. The practice of deep breathing increases oxygen to the brain and muscles rejuvenating your body and leaving you physically and mentally refreshed.

Inner peace: Whether you are a beginner or yoga expert, you are able to reap the internal benefits of yoga.

The initial result may be a state of meditation or just a sense of calm after a yoga session, but the benefits grow over time. The peace of mind and clarity you achieve after a class transforms your body and your spirit.

Are you intrigued by yoga but aren’t sure where to start? We got the scoop from LULULEMON at Plaza Frontenac in St. Louis. Lululemon can tell you everything you need to know—the history of yoga, the content of yoga, what type of yoga is best for you, where to find an instructor, what to wear—they have all the information you need.

LULULEMON athletica is a grassroots company that creates clothing for all things active all around the world. They go straight to the source and ask real athletes what they need when it comes to clothes and performance. LULULEMON designs apparel with you and with what you’re doing in mind. “We go for quality and technicality,” LULULEMON Assistant Manager, Katie Tobben says. You are guaranteed quality, performance, and style, which make being active that much more fun!

LULULEMON also goes beyond clothing into their local community as advocates of living healthy inside and out. The staff lives and works by its founder Chip Wilson’s manifesto.

This collection of philosophical directives inspires all LULULEMON employees to create opportunities for people to live long, healthy, and fun lives. Quotes such as “Do one thing that scares you” or “Breathe deeply and appreciate the moment—living in the moment could be the meaning of life,” become normal speak and belief at LULULEMON. The entire manifesto can be found in every store and on their website.

LULULEMON Plaza Frontenac is more than a store. If you want to learn about yoga, find a good studio, instructor, or decide what type of yoga to do, the educators and staff of LULULEMON are a hub of information. They are tapped into the

yoga community in St. Louis and very willing to help. “We pride ourselves on being a yoga resource,” Tobben says.

The Plaza Frontenac store offers a variety of opportunities to learn more about yoga at events they hold throughout the year. Each week, “Sunday Funday” spotlights a different area instructor for a yoga session right in the store. It is a great opportunity to meet and experience different types and levels of yoga.

During the summer months, “Raise the Roof” draws clients to rooftop yoga sessions at the Four Seasons Hotel in St. Louis and also at the Chase Park Plaza in the beautiful Central West End. Gorgeous views of the entire city provide the perfect backdrop for these sessions.

You can learn more about their community events on Facebook at “LULULEMON athletica Plaza Frontenac.”

Tobben suggests that beginners start at a level 1 or 2 class and try to practice yoga 2-3 times per week, either in a class or at home.

Participants will start to see changes in strength, mood and energy level within 4-6 weeks—especially in tone and definition of the muscles. The key is being open to what the benefits of yoga can do. According to Katie Tobben, “The benefits are amazing if you are open and let yourself experience it…walk in and be completely open to what you can get out of it, because there’s a lot.”

If you are desperately seeking a way to de-stress, to strengthen mind and body, consider giving yourself the “gift of yoga.” To learn more about this ancient art’s place in the 21st century, to learn more about LULULEMON or to find a LULULEMON community near you go to www.lululemon.com.

SUMMER EDITION 2016 thenewyoumagazine.net

23

FINANCIAL HEALTH

A Woman’s Guide to

Financial Health

With Cindy Minnis, Vice President of First State Financial In the game of life, there is no p re d ic tin g where you will end up. But life’s financial twists and turns don’t have to be a source of constant stress. The number one thing a woman can do to be financially independent is to “create a financial plan,” advises Cindy Minnis, Vice President of First State Financial Management in Farmington, Missouri.

“Financial independence is a destination; you should have a roadmap that includes specific goals that help define what financial independence means to you: ■ age, ■ annual income amount,

24

accumulated pool of assets, average annualized rate of return on investments, ■ and an income distribution plan.”

“Once your roadmap is created, be sure to review it on a regular basis to determine if you are on track to your destination,” Cindy advises.

We cannot totally erase a preoccupation with our finances, but we can reduce stress and regrets by preparing for life’s common benchmarks.

■ ■

Starting A New Job Disregarding retirement planning when you’re first starting out is a pitfall.

If you begin investing and saving early,

thenewyoumagazine.net SUMMER EDITION 2016

these practices will become routine.

Later in life you and your bank account will be thankful! Whether it’s your first job or your fifteenth, these tips will get you on track: Invest Early The best way to build a secure retirement fund is to begin investing early. “Put together a well diversified investment portfolio (screening programs are available that can help you compare investments) and contribute the maximum percentage into your employer’s retirement plan so you will get their full match,” counsels Cindy. If your company does not offer a retirement plan like a 401(k), Cindy suggests finding other tax-advantaged

Combine Accounts Review your accounts (savings, checking, etc.) and decide where to consolidate. Even if you’re not opening a joint checking account, you might consider consolidating your savings accounts.

Create a Budget and Evaluate your Credit History.

List your creditors and monthly payments. Determine needs, wants, and long-term financial goals (buying a home, starting a family, college, retirement), and then plan your budget.

Stick to your budget and review it with your spouse each month.

Review Your Health Insurance Evaluate your insurance coverage with your insurance professional before or shortly after getting married so you can take advantage of incentives for married couples, possible multi-policy discounts and more.

Sending a Child to College Start Saving Now Even if you only have a short time to save, it's still important. A Coverdell Educational Savings Account allows you to save and avoid taxes when you withdraw funds to pay for education expenses. plans such as Roth IRAs, traditional IRAs and tax-deferred annuities. The earlier you invest in your retirement, the earlier you can retire!

major medical events. If you don’t have a savings program budgeted to cover routine medical expenses, consider how this deficit will impact your plan.

Pay Yourself First Before paying any bills or going out on the town, pay yourself first. Set up an Automatic Funds Transfer, or AFT, to deposit funds into your savings account every month or even every paycheck. It’s effortless with direct deposit. You set the savings amount and then sit back and watch the compound interest go to work for you.

Getting Married

Evaluate Health Benefits Most employers offer some type of healthcare benefits. Evaluate each plan available to you—determine the details of coverage from routine check-ups to

As a newly married couple, communicate openly and honestly about your finances and start budgeting after your big day.

Take Your Financial Picture Before starting to budget or making major purchases together, talk with your future spouse about his financial past and current financial commitments. This early conversation sets a pattern of good communication about your financial future as a couple.

Get Tax Credits The Hope Credit and the Lifetime Learning Credit are both education tax credits (see www.irs.gov for more info).

These credits can reduce your tax burden, giving you more money to pay for your child's education.

Look for Grants, Scholarships, and Loans In the event you do not have enough savings to pay for higher education entirely, which is common, a variety of grants, scholarships, and low-interest student loans are available for students.

Also, if you are an adult returning to college, you may have several grant options available. Visit your school's admissions or financial aid office to learn about the programs and determine your eligibility. >

SUMMER EDITION 2016 thenewyoumagazine.net

25

FINANCIAL HEALTH Education and Equity Weigh the possibility of using the equity in your home to help pay for college. Remember that if you have equity, the only two ways to access those funds are through Home Equity Lines of Credit (HELOC) or by selling the home.

Success Starts Here!

If you are seeking financial advice, First State Community Bank offers financial planning through First State Financial Management. A full range of services are available including checking and savings accounts, lending services, internet and mobile banking, insurance through First State Insurance Agency, and commercial banking services. Thirty-three locations throughout southeast, Central, and East Central Missouri are ready to serve you.

Find them on Facebook or find more resources at fscb.com.

Members: FINRA & SIPC FSFM is an affiliate of First State Community Bank due to common ownership. No bank guarantee. Not FDIC insured. May lose value

Newly Single If you’ve recently separated from your partner or spouse, you are going through many life changes. Revisit the basics to help you on your way to successful financial independence.

Close Joint Accounts Close joint accounts as quickly as possible so that you won’t be responsible for your ex-partner’s spending.

Update Policies and Documents Change your beneficiaries. Some documents that may need to be modified include:

26

Insurance Policies Retirement Accounts Will/Trust Documents These changes can be made by simply contacting your employer’s HR Department or by visiting with your Insurance Company or Financial Planner.

■ ■ ■

Determine Insurance Benefits You may be entitled to an insurance benefit after the loss of a spouse. If you have trouble deciding where to invest the money, visit a financial advisor or banker to help you make informed decisions.

Seek Financial Help Seek the advice of a trusted financial advisor to review your new financial needs and revisit your retirement plan— be sure you are allocating enough resources to meet your future needs.

Becoming an Empty Nester You’ve raised your children and now they’re venturing out on their own. If you're becoming an empty nester, reevaluate your financial plan.

Pay Down Debt As you prepare for retirement, consider paying down outstanding debt.

Concentrate on high interest debt first and then focus on paying off the debt with the lower rates to maximize future savings.

Boost Retirement Savings If you do have extra cash, boost your retirement savings. “The first thing you need to do is determine how much income you want in retirement—this will help determine an annual amount you need to be saving,” recommends Cindy Minnis of First State Financial Management. “If you are approaching retirement and are not as close to your financial goal as you would like, you could reduce your income goal, push back your retirement age a few years, or consider a combination of both.” Be sure

thenewyoumagazine.net SUMMER EDITION 2016

you are taking advantage of increased contribution options if you are over 50.

Review Your Life Insurance Make appropriate changes on life insurance policies including coverage on children who are now out of the home.

You may find it beneficial to contribute less to children’s policies or to transfer this responsibility to your child.

Retiring Review Your Assets Evaluate all assets, loans, retirement plans, insurance policies, etc. Be sure you set aside time to meet with your financial advisor to confirm that you have a realistic and complete financial picture.

Estimate Retirement Income Needs Know early on what you will need to maintain your lifestyle during retirement. Talk to your financial advisor. Check out available calculators and online tools to help in this process.

Determine Your Retirement Income Determine how you will fund your retirement on a monthly or annual basis.

Although some plans and investments will come in one lump sum, it may be a better choice to distribute income in small increments, through options like an annuity.

Have a Safety Net From medical bills to car repairs, a cash reserve is a great way to maintain continuity of your long-term investments.

Try a money market account or plan on having FDIC insured certificates of deposit (CD’s) to complement your longterm investments.

THE KEY TO YOUR FUTURE HOME

1515 Chapel Hill Rd. I Columbia, MO 65203 (573) 446-6767 I (800) 944-1564 houseofbrokers.com

SUMMER EDITION 2016 thenewyoumagazine.net

27

FINANCIAL HEALTH

Myths

Ten Most Common

When Buying and Selling a Home

by Wanda Northway

Buying or selling a house is not something most of us do every day. You may do it once a decade, or even once in a lifetime. Despite the fact that most of us enter the world of real estate only rarely, we all think we know how it works, based on the experiences of friends and family members, stories we have heard and things we have read.

But for everything we believe we know about the industry, there are a number of myths that circulate about how real estate actually works. Buying into those can hurt your chances of buying or selling the right home at the right price.

In recent years, technology has radically changed the way homes are bought and sold, and yet some aspects of real estate are the same as they were when your parents bought their last home. If a long time has passed since your last transaction, you may be surprised at how much has changed.

28

thenewyoumagazine.net SUMMER EDITION 2016

The Internet has made much more information available to consumers, but not all the information is equal, or even accurate.

The danger with believing everything you hear or read is real estate myths can cost you money when it's time to buy or sell a home.

Here are TEN of the most common ones that can trip up buyers and sellers: SET YOUR HOME PRICE HIGHER THAN YOU EXPECT TO GET. Listing your home at too high a price may actually net you a lower price.

That's because shoppers and their real estate agents often don't even look at homes that are priced above market value. It's true you can always lower the price if the house doesn't garner any offers in the first few weeks. But that comes with its own set of problems. "Buyers are highly suspicious of houses that have sat on the market for more than three weeks," says Nela Richardson, chief economist for the brokerage Redfin. In areas such as San Francisco where multiple offers are common, sellers will actually price their homes for less than they expect to get, in the hopes of getting multiple offers above asking price. However, if you do this in a declining market, the danger is that all the offers will come in at the asking price or lower.

PASS ON FIRST OFFER & WAIT FOR SOMETHING BETTER. When the first offer comes in and it’s below asking price, many sellers make the mistake of passing in the hopes that they can land a better offer later.

The problem is, the first offer is sometimes the only offer and weeks later the homeowners are kicking themselves for their mistake. If a home stays on the market for more than a month or two, buyers start to sense weakness. As those “days on market” numbers tick up, buyers will make increasingly stingy offers, betting on the possibility that you might be desperate to sell. Take every offer seriously and don’t reject the first one assuming something better will come down the road.

YOU CAN GET A BETTER DEAL AS A BUYER IF YOU DO NOT USE A REAL ESTATE AGENT. That's a completely false premise. If the house is listed with a real estate agent, the total sales commission is built into the price. If the buyers don't have an agent, the seller's agent will receive the entire commission.

YOU CAN SAVE MONEY SELLING YOUR HOME YOURSELF. Some people do successfully sell homes on their own, but they need the skills to get the home listed online, market the home to prospective buyers, negotiate the contract and then deal with any issues that arise during the inspection or loan application phases. It's not impossible to sell a home on your own, but you'll find that buyers expect a substantial discount when you do, so what you save on a real estate commission may end up meaning a lower price. It's not impossible to sell your home on your own for the same price you'd get with an agent, but it's not easy.

THE MARKET WILL ONLY GO UP. In recent years, homebuyers and sellers have experienced a time of increasing home values, then a sharp decline during the economic downturn and now another period of increasing values. They think that the market only goes up, they do not think about when a correction will come. The recent recession should have reminded everyone that real estate prices can indeed fall, and fall a lot.

SHOULD YOU RENOVATE YOUR KITCHEN & BATHROOM BEFORE YOU SELL? If your kitchen and baths work, a major remodel could backfire. Prospective buyers may not share your taste, but they don't want to redo something that has just been renovated. You're better off adjusting your price, most buyers want to put their own spin on things.

YOU WILL EARN BACK WHAT YOU SPEND ON RENOVATIONS. If you fix the heating and air conditioning system or roof, you will sell your house more quickly, but you probably won't recoup what you spent. According to Remodeling magazine's 2015 Cost vs. Value

Report, the only renovation that is likely to net you as much as you spent is a new front door. You're likely to recoup only 67.8 percent of what you spent on a major kitchen remodel and 70 percent of what you spent on a bathroom remodel on a mid-range home. "Very few things will bring you great returns," says Sabrina Booth, an agent with Redfin in Seattle. "If you're going to do these projects, it's better to do them for your own enjoyment."

ALL THE PROPERTIES LISTED IN THE MULTIPLE LISTING SERVICE SHOW UP ON LINE. Your agent must choose to let the listings show up online. Most do, but it never hurts to verify that yours will.

AN OPEN HOUSE WILL SELL YOUR PROPERTY. Homes rarely sell to buyers who visited them during an open house. Agents like open houses because it enables them to find additional customers who are looking to buy or sell homes. If you or your agent choose not to have an open house, it probably doesn't hurt your sale chances – although holding a broker's open house for other agents may be worthwhile.

THE AGENT WHO SHOWS YOU HOMES OR LISTS. YOUR HOME REPRESENTS YOUR INTEREST. Maybe and maybe not. In about half the states in the U.S., agents may be "transaction brokers" who don't have a fiduciary duty to either the buyer or seller. In many states, a customer has the option of signing an agreement for the agent to represent him as a options and do some of your own research. Most brokerages require buyers and sellers to sign a form indicating that they understand whom the agent represents.

Wanda Northway REALTOR ®, MRE, GRI, CRS, ABR, e-Pro, SRS 573-446-6507

FOOD & NUTRITION

e s i Eat W to Drop a Size

by Carie Carda, MD

In our eat-and-run, massive-portion-sized world we live in, maintaining a healthy weight can really be tough and losing weight even tougher. You have tried every diet and failed to lose weight or to keep it off, you may believe diets just don’t work for you. You are probably right: most diets do not work- not in the long term.

If you want to lose weight and keep it off, you have to make healthier choices. Adapt to a healthy lifestyle changes and develop new eating habits. In doing so, you will not only lose weight but you will keep it off, you will improve your outlook, your mood and have more energy.

TRAIN YOUR BRAIN TO CRAVE HEALTHIER FOODS ... we were not born to crave french fries, bread and donuts. This conditioning happened over time as we were exposed to more and more unhealthy choices.

A recent study showed that it is possible to reprogram your brain’s food cravings so that you desire healthier foods instead of highcalorie diet busters. After six months, brain scans revealed increased reward and enjoyment of healthy, low-calorie foods, and a decrease in enjoyment of unhealthy, highcalorie foods.

30

thenewyoumagazine.net SUMMER EDITION 2016

LET’S GET STARTED WITH A HEALTHY WEIGHT LOSS

■

Stay busy - you don’t want to eat because you bored.

■

Eat vegetables to help you feel full.

■

Don’t skip meals.

■

Increase fiber intake. Most Americans get only half of the daily fiber they need. 25 grams for women, while men need 38 grams.

■

Exercise - start with a brisk walk 30 minutes a day.

■

Reduce stress.

■

Keep a food journal - writing down everything you eat - can help you stay focused.

■

Eat several mini meals a day.

■

Drink plenty of water. Before you tear into a bag of chips drink a glass of water.

■

Stock your kitchen with healthy foods. tempting foods out of your home.

Get

TRY THIS HEALTHY WEIGHT-LOSS FOOD GUIDE

FOOD LIST Protein:

rvings Daily Se 2 s n i e t o r P le 3 Vegetab 2 Fruit 2 Fats 1 s n i a r G

1 Serving Size- Protein to be weighed raw.

You should remove all visible fat before cooking. Bake, broil or grill.

–2 eggs –4 oz pork –4 oz –Scallops –2 oz of cheese –4 oz ground beef –4 oz turkey –4 oz cottage cheese –4 oz shellfish –4 oz lamb –4 oz chicken (white) –4 oz fish

Vegetable: Serving Size - 6 ounces and may be broiled, boiled, grilled, raw, roasted, steamed.

–Broccoli –Garlic –Spinach –Brussel Spouts –Green Beans –Squash –Cabbage –Mushrooms –Turnip Greens –Celery –Mustard Greens –Zucchini –Collard Greens –Peppers –Cucumbers –Snow & Snap Peas Fruit:

eaten raw, baked, broiled.

–Apple –Peach –Banana –Pear –Blackberries (1/2 Cup) –Raspberries (1/2 Cup) –Blueberries (1/2 Cup) –Strawberries (8 medium per serving) –Grapefruit (1/2 Cup) –Tangerine/Clementine –Orange

Grains:

–Grits (1 oz dry) –Fiber One (1 oz) –Oatmeal (4 oz dry) –Oat Bran (4 oz dry) –Oat Bread 2 slices –Rye Bread 2 slices –Flaxseed Bread 2 slices

Fats:

–Oil (1 Tbsp) –Butter (1 Tbsp) –Margarine (1 Tbsp) –Mayonnaise (1 Tbsp) –Salad Dressing (1 Tbsp) –Nuts (.5 ounces)

Free Foods:

–Capers –Cinnamon –Lemon Juice –Iceberg –Mustard –Tomatoes

–Vinegar –Salsa –Soy Sauce –Salt & Pepper –Spices

SUMMER EDITION 2016 thenewyoumagazine.net

31

FOOD & NUTRITION

Healthy

SUMMER Salads Strawberry Avocado Salad

INGREDIENTS

INGREDIENTS

• 2 tablespoons white sugar • 2 tablespoons olive oil • 4 teaspoons honey • 1 tablespoon cider vinegar • 1 teaspoon lemon juice • 2 cups torn salad greens • 1 avocado - peeled, pitted and sliced • 10 strawberries, sliced • 1/2 cup chopped pecans

• 1 salmon fillet (6 ounces) • 2 tablespoons reduced-fat balsamic vinaigrette, divided • 3 cups fresh baby spinach • 1/4 cup cubed avocado • 1 tablespoon chopped walnuts, toasted • 1 tablespoon sunflower kernels, toasted • 1 tablespoon dried cranberries

PREPARATION

1. Drizzle salmon with 1 tablespoon vinaigrette. Place on a broiler pan coated with cooking spray. Broil 3-4 inches from the heat for 10-15 minutes or until fish flakes easily with a fork. Cut salmon into two pieces.

1. In a small bowl, whisk together the sugar, olive oil, honey, vinegar, and lemon juice. Set aside.

2. Place the salad greens in a pretty bowl, and top with sliced avocado and strawberries. Drizzle dressing over everything, then sprinkle with pecans. Refrigerate for up to 2 hours before serving, or serve immediately.

32

Balsamic-Salmon Spinach Salad

thenewyoumagazine.net SUMMER EDITION 2016

PREPARATION

2. Meanwhile, in a large bowl, toss spinach with remaining vinaigrette. Divide between two plates.

Top with the salmon, avocado, walnuts, sunflower kernels and cranberries. Yield: 2 servings.

Fresh, easy, and pretty enough for a party–these colorful salads top our list of go-to recipes for summer meals.

Give your summer salads a fresh, colorful spin with these quick and easy salad recipes.

A few steps and a handful of creative ingredients will wow party guests or add a burst of flavor to any weekday lunch—preferably one eaten al fresco.

Chicken Waldorf Salad

Leftover cooked chicken makes this chicken Waldorf salad, loaded with apples, grapes, celery and walnuts, a snap to assemble. If you use rotisserie chicken, keep in mind that it’s salty and omit the salt in the dressing. Serve over watercress, with a chunk of whole-grain baguette.

INGREDIENTS • 1/3 cup low-fat mayonnaise • 1/3 cup nonfat or low-fat plain yogurt • 2 teaspoons lemon juice • ¼ teaspoon salt • 3 cups chopped cooked chicken breast • 1 medium red apple, diced • 1 cup halved red or green grapes • 1 cup sliced celery • 1/2 cup chopped walnuts, toasted if desired

PREPARATION 1. Whisk mayonnaise, yogurt, lemon juice and salt in a large bowl. Add chicken, apple, grapes, celery and 1/4 cup walnuts. Stir to coat well. Serve topped with the remaining 1/4 cup walnuts.

Cranberry Spinach Salad

INGREDIENTS • 1 tablespoon butter • 3/4 cup almonds, blanched and slivered • 1 lb spinach, rinsed & torn into bite-size pieces • 1 cup dried cranberries • 2 tablespoons toasted sesame seeds • 1 tablespoon poppy seeds • 1/2 cup white sugar • 2 teaspoons minced onion • ¼ teaspoon paprika • ¼ cup white wine vinegar • ¼ cup cider vinegar • 1/2 cup vegetable oil

PREPARATION 1. In a medium saucepan, melt butter over medium heat. Cook and stir almonds in butter until lightly toasted. Remove from heat, and let cool.

2. In a medium bowl, whisk together the sesame seeds, poppy seeds, sugar, onion, paprika, white wine vinegar, cider vinegar, and vegetable oil. Toss with spinach just before serving.

3. In a large bowl, combine the spinach with the toasted almonds and cranberries.

SUMMER EDITION 2016 thenewyoumagazine.net

33

MEN’S VIEW

The 5 Toughest Questions a Woman Can Ask a Man

W

hat makes these questions so difficult is that every one is guaranteed to explode into a major argument if the man answers incorrectly (i.e tells the truth). Therefore, as a public service, each question is analyzed below, along with possible responses. (Please note: The following questions are for entertainment value only—not to to be taken literally— so don’t take it out on your man...or us!)

What are you thinking about?

The proper answer to this, of course, is: “I’m sorry if I've been pensive, dear. I was just reflecting on what a warm, wonderful, thoughtful, caring, intelligent woman you are, and how lucky I am to have met you.” This response obviously bears no resemblance to the true answer, which most likely is one of the following: ■ Baseball.

■ Football.

■ How fat you are.

■ How much prettier she is than you.

■ How I would spend the insurance money if you died.

(Perhaps the best response to this question was offered by Al Bundy, who once told Peg, “If I wanted you to know what I was thinking, I would be talking to you!”)

Do you love me?

The proper response is: “YES!” or, if you feel a more detailed answer is in order, “Yes, dear.” Inappropriate responses include: ■ I suppose so.

■ Would it make you feel better if I said yes?

■ That depends on what you mean by love.

■ Does it matter?

■ Who, me?

34

thenewyoumagazine.net SUMMER EDITION 2016

Do I look fat?

The correct answer is an emphatic: “Of course not!” Among the incorrect answers are: ■ Compared to what?

■ I wouldn’t call you fat, but you’re not exactly thin.

■ A little extra weight looks good on you.

■ I’ve seen fatter.

■ Could you repeat the question? I was just thinking about how I would spend the insurance money if you died.

Do you think she’s prettier than me?

Once again, the proper response is an emphatic: “Of course not!” Incorrect responses include: ■ Yes, but you have a better personality.

■ Not prettier, but definitely thinner.

■ Not as pretty as you, when you were her age.

■ Define 'pretty'.

■ Could you repeat the question? I was just thinking about how I would spend the insurance money if you died.

What would you do if I died?

A definite no-win question. (The real answer, or course, is “Buy a Corvette.”) No matter how you answer this, be prepared for at least an hour of follow-up questions, usually along the these lines: She....Would you get married again?

He.....Definitely not!

She....Why not - don’t you like being married?

He.....Of course I do.

She....Then why wouldn’t you remarry?

He.....Okay, I'd get married again.

She....You would? (With a hurtful look on her face) He.....Yes, I would.

She....Would you sleep with her in our bed?

He.....Where else would we sleep?

She....Would you put away my pictures, and replace them with pictures of her?

He.....That would seem like the proper thing to do.

She....And would you let her use my golf clubs?

He.....She can't use them; she’s left-handed.

SUMMER EDITION 2016 thenewyoumagazine.net

35

The Unstoppable Molly Deimeke P I N K PA G E S

How she overcame a traumatic brain injury

H

air stylist Molly Deimeke was ecstatic in February 2015 when she passed a certified educator test for John Paul Mitchell Systems.

Although she has aced the yearly certification exam many times, the 2015 test marked a milestone because it was her first test after a traumatic brain injury in May 2014.

“I lost my ability to read,” Deimeke said. “I had to start over, at the kindergarten level. The test was harder for me than it’s ever been. Before the accident, I would cram a week before. This time, I studied every day, beginning in December and all the way through January.”

1

36

thenewyoumagazine.net SUMMER EDITION 2016

Kristel Kronk, MS, CCC-SLP, speech language pathologist at Mizzou Therapy Services, helped Deimeke, 32, of Martinsburg, Missouri, regain her ability to read and speak coherently. It took a team of experts in speech therapy, physical therapy and occupational therapy to help Deimeke recover motor skills and cognitive function that she took for granted before her accident. Deimeke attended appointments twice weekly for four months before her physician cleared her to drive again. She then returned to styling hair and teaching other hair stylists.

“Speech therapy was the hardest for me,” Deimeke said. “Physical therapy was the easiest for me because I enjoyed it but balance was the hard part.”

Becky Edwards, MPT, MHA, clinical supervisor and Rock Steady Boxing Coach of7Mizzou Therapy Services-Business Loop, said difficulty with balance is a common problem for those who have sustained a traumatic brain injury or have been diagnosed with a neurological condition such as Parkinson’s disease or multiple sclerosis.

“When you hit your head, it can cause damage to the inner ear and affect your balance, known as vestibular dysfunction,” Edwards said.

A self-described risk taker who loves to travel, Deimeke was overseas in Laos when she fell off a double-decker truck serving as a taxi. She fell approximately 10 feet onto the street and then rolled 20 feet down a hill, witnesses later told her. Deimeke injured the left temporal lobe, which controls language and memory.

Deimeke doesn’t remember her injury or much of her early treatment, which included surgery in Thailand to stop her brain bleed and a long hospital stay in St. Louis before returning to her family home in Martinsburg, Missouri. Deimeke does recall, however, all of her experiences in Columbia at Mizzou Therapy Services and the7 Physical Medicine and Rehabilitation Clinic7 with her physician,7Peter Hwang, MD. “If I wouldn’t have done the therapy, I would have stayed in a weird childhood place,” she said. “I didn’t know at that time I had to go through all of these steps to heal me but they guided me through the steps I needed to take here.”

>

SUMMER EDITION 2016 thenewyoumagazine.net

37

2

P I N K PA G E S Deimeke joined a7 support group for brain injury survivors7 and said it helped her move forward. At a support group meeting, she became fast friends with the group’s facilitator, Dina McPherson, a fellow brain injury survivor. They chat like old high school friends about their lingering TBI effects, such as losing their sense of smell and tricks to spice up foods since their sense of taste is diminished.

“You never heal 100 percent from a brain injury,” McPherson said. “People learn to adjust as best they can, but both the brain and the person will never be exactly as they were before the injury.”

Deimeke said she is grateful to be alive and is thankful for her outstanding rehabilitation care and ongoing support through the brain injury support group.

“Hearing someone else has struggled with something that you are struggling with really helps you to see that you are not alone and gives you

38

hope,” Deimeke said. “Now I want to teach other people by telling my story.”

It’s been two years since the accident, which led to brain surgery, six weeks of in-patient hospital care, four months of outpatient physical, occupational and speech therapy and two years of natural brain healing, but Deimeke’s dedication and hard work never wavered.

thenewyoumagazine.net SUMMER EDITION 2016

She is a now a national color educator for John Paul Mitchell Systems and a traveling hair and make-up artist.

Deimeke is taking her talents and creativity mobile — giving her the opportunity to do the work she loves all while sharing her story and educating others about traumatic brain injuries.

Cancer

Can’t Rob Me oday is another new day and I can choose to use it in many ways. I did not choose to have cancer, but I can choose how I am going to respond and what I plan to do with today. Today is mine to make choices. This day can be a new beginning for me, if I so choose.

T

Today can be the day that I decide to exchange those things which weigh my spirit down for a lighter load of faith and trust. I can change my perception of cancer as a “robber” of my health and my future and exchange it into a vehicle to transport me into a life rich in understanding.

This understanding will strengthen me and make me valuable to others who will walk the same path after me.

I Can Choose ■ To see cancer as a “challenge” instead of as a defeat.

■ To demystify cancer by learning about my disease rather than cowering in fear of the unknown.

■ To give up concentrating on the “things I can’t control” and replace them with thoughts of “what I can control.”

■ To respond with a spirit of “I can” instead of “I can’t.”

■ To ask for help and not try to face the challenge alone.

■ To face my fears with a plan for steps of action against them.

■ To look for the blessings in the events of today instead of focusing on losses.

■ To add to my life the things I have always wanted to do but postponed until the right time.

Today is the Time ■ To use my spiritual faith as a vehicle to understand why and give me hope.

■ To let go of anger, bitterness and resentments which only slow down my recovery.

■ To see my cancer experience as a new tool for personal growth.

■ To offer my support and share what I’m learning with others who may need my help.

Therefore, I Choose for Today Peace and not anxiety, Good and not evil, Love and not hate, Gain and not loss.

When today becomes tomorrow, this day will be gone forever leaving in its place what I choose today.

I, alone, can choose to use today wisely.

Cancer Can’t Rob Me of This Day! Judy C. Kneece, RN, OCN

SUMMER EDITION 2016 thenewyoumagazine.net

39

P I N K PA G E S

Surgical Treatment and Follow-Up reast cancer is a life-changing diagnosis. However, I always tell my patients that we want to change their lives as little as possible and still affect a cure. Breast cancer research has led to improvements in the treatment of women with breast cancer. In recent years, a movement toward less invasive surgery, increased use of endocrine (hormonal) based therapies, the development of additional chemotherapy regimens, and the introduction of targeted treatments has produced an overall increase in the breast cancer survival rate. There is reason for optimism as we care for women with breast cancer! The purpose of this article is to provide a brief overview of the approach to diagnosis, treatment, and follow-up of women with breast cancer.

In future articles, we will discuss specific topics in more detail and present the latest research on emerging treatments.

B

Initial Diagnosis

Julie A. Margenthaler MD, FACS Associate Professor of Surgery Washington University School of Medicine Siteman Cancer Center

40

Most women are diagnosed by an abnormal mammogram finding or by palpating a lump in the breast. Needle biopsy has become the most common method to make the diagnosis of breast cancer. Once the diagnosis is made, an extensive evaluation is performed to determine the type and extent of the breast cancer. Additional imaging, such as ultrasound or breast MRI, may be recommended by your physician to better characterize the size and location of the tumor and to evaluate whether the surrounding lymph nodes appear to be enlarged, a feature suggesting that cancer has spread to the lymph nodes.

The most common first site for breast cancer to spread is to the axillary (armpit) lymph nodes, and this information is critical in determining the stage of the cancer. A breast surgeon will perform a thorough physical examination to help determine surgical options and evaluate any symptoms suggestive of metastatic disease. The medical oncologist may order additional

thenewyoumagazine.net SUMMER EDITION 2016

blood tests such as a complete blood count or blood work to examine liver function and bone metabolism. Specific studies of the biopsied tumor will be performed to determine the type of breast cancer (e.g., ductal versus lobular; in situ versus invasive), as well as the estrogen/progesterone receptors and HER2neu status. In women who are found to have cancer in the lymph nodes or who have concerning physical examination symptoms/findings, CT scans and a bone scan may be performed to determine if the cancer has spread outside of the breast and axillary lymph nodes. In combination with a woman’s current health status and previous medical diagnoses, these multiple studies and evaluations are used to determine the most appropriate treatment.

Initial Treatment Stage 0, ductal carcinoma in situ (DCIS), non-invasive breast cancer.

DCIS is an early form of breast cancer that is still contained inside the milk ducts and has not acquired the ability to spread to the lymph nodes or the rest of the body.

Surgical removal with lumpectomy and subsequent radiation therapy is the primary treatment for most women with DCIS. However, if the DCIS is very extensive throughout the breast, it may require complete mastectomy. The fact that the DCIS is still contained in the milk ducts does not change the fact that all of the cancer needs to be removed, either by lumpectomy if the area is small enough, or by mastectomy. For those women who are unable to undergo a lumpectomy, or who choose mastectomy, radiation therapy is usually not necessary unless the cancer is very close to the edges of the breast tissue removed. If the DCIS is positive for estrogen receptor and/or progesterone receptor, treatment with tamoxifen (an anti-estrogen medication) is also typically recommended.

Chemotherapy is never necessary for women with Stage 0 DCIS.

of Women with Breast Cancer Stage I, II, or III Invasive Breast Cancer Once the cancer has invaded into the fatty tissue of the breast it has the potential to spread to the axillary lymph nodes and to the rest of the body. The focus is to “treat for cure� by working to eliminate the cancer from the breast and the surrounding area with surgery and radiation (local control) and to destroy any cancer that has potentially spread outside of the breast with chemotherapy and/or endocrine therapy (systemic control). Treatment often begins with surgical removal of the tumor.

Individual preference is an important consideration. However, it is very important to understand that previous studies of women with Stage I and II breast cancer have shown that there is no difference in survival in women who undergo mastectomy with those who undergo lumpectomy and radiation therapy. The risk of recurrence in the breast and chest wall is equal between these two treatments and is approximately 5-10%.

The most important factor in determining stage and survival in women with invasive breast cancer is the absence or presence of cancer in the

screening mammography, nearly 80-85% of women with breast cancer are diagnosed prior to the spread to the axillary nodes and removal of all would be excessive.

This approach led to the development of a technique called sentinel lymph node biopsy. The idea is every breast cancer will travel to one or a few lymph nodes first before spreading to the rest of the axillary lymph nodes. If the sentinel node is negative, the rest will be negative as well and there is no need to biopsy any others. The risk for nerve injury and lymphedema (arm swelling) is very low with a sentinel lymph node biopsy which is a huge benefit to all women with breast cancer. Removal of the sentinel lymph node(s) is the preferred method for sampling the lymph nodes to determine if cancer has spread. Sentinel lymph node removal is not used for women who have enlarged,

can be given in the adjuvant setting (after surgery) or in the neoadjuvant setting (before surgery). Most women receive chemotherapy after surgery.

However, for some women, neoadjuvant chemotherapy can be very useful. Those who benefit from neoadjuvant chemotherapy include women who desire breast conserving lumpectomy but the surgeon feels the tumor is too large to perform this initially, women

Tumor Characteristic

Good Prognostic Feature

Poor Prognostic Feature

Small (<2 cm) Negative I Positive Positive Negative Absent <10% Clear (generally >2 mm)

Larger (>2 cm) Positive III Negative Negative Positive Present >10% Positive

Size Lymph Nodes Grade Estrogen Receptor Progesterone Receptor Her2neu Lymphovascular Invasion Ki67 Surgical margins axillary lymph nodes. In the past, the only method available to determine this information was to remove all of the axillary nodes (called an axillary lymph node dissection). However, because of

obviously involved axillary lymph nodes; those women still require an axillary lymph node dissection.

Chemotherapy is necessary for many women with invasive breast cancer. It

who have large, aggressive tumors, and women who have enlarged axillary lymph nodes. There are multiple chemotherapy regimens now available and the treatment choice is based on >

SUMMER EDITION 2016 thenewyoumagazine.net

41

P I N K PA G E S

many factors including a woman’s age, overall health status, type of breast cancer, and number of positive lymph nodes.

A woman’s age, tumor size, number of positive lymph nodes, and disease stage are used to predict the likelihood of recurrence. Tumor gene analysis is a

newer tool also used to help predict the likelihood of recurrence for women with early stage breast cancer. One example, Oncotype Dx assay, may be used for women with Stage I or II, estrogen receptor positive breast cancer with no positive lymph nodes. The expression of 21 genes is examined in the tumor sample, and this information is used to predict tumors more likely to recur and, consequently, to identify women with early stage breast cancer who may benefit from chemotherapy.

An example of a targeted treatment is Herceptin (trastuzumab) which is used in combination with chemotherapy to treat tumors which show overexpression of the HER2/neu gene.

Approximately 25-30% of all breast cancers show over-expression with an associated higher likelihood for

42

recurrence. Herceptin reduces the likelihood of recurrence and has been a major advancement in the treatment of women with HER2/neu positive tumors.

Radiation therapy follows chemotherapy and surgery to eliminate the tumor from the breast and the surrounding area.

Studies among women with four or more positive lymph nodes have shown that radiation improves survival and thus is always recommended for these women, regardless of whether a lumpectomy or mastectomy was performed.

Radiation therapy is strongly considered on a case-by-case basis for women who have fewer positive lymph nodes.

Women who undergo lumpectomy for small tumors with no positive lymph nodes may have the option of partial breast radiation, which focuses the radiation on the area of the cancer, rather than the whole breast, and is typically performed in twice-daily fractions over a 5 day period.

Endocrine therapy with tamoxifen or an aromatase inhibitor (letrozole, anastrozole, exesmestane) is used for women with estrogen receptor positive tumors and is currently prescribed for five years. These types of therapies block the production of estrogen and have been proven to reduce the likelihood of breast cancer recurrence. Tamoxifen is generally prescribed for pre-menopausal women, and aromatase inhibitors are generally prescribed for post-menopausal women.

Stage IV, Metastatic Breast Cancer Stage IV disease means that the breast cancer has spread outside of the breast and axillary lymph nodes to

thenewyoumagazine.net SUMMER EDITION 2016

other areas of the body. The most common sites for spread are the bones, liver, lungs, and brain. The focus for women diagnosed with Stage IV breast cancer is to treat and stabilize the cancer for as long as possible. Sadly, metastatic breast cancer is not curable, but can be treated for many years. The focus of the initial treatment is to treat the cancer that has spread rather than immediately focusing on the cancer found in the breast.

Follow-up and Surveillance The American Society of Clinical Oncology has published follow-up guidelines for women who have completed treatment for breast cancer.

These recommendations are considered voluntary and individual follow-up for each specific patient is determined by the woman and her oncology team.

■ Mammography, if bilateral mastectomy was not performed, is recommended within 6 months following completion of radiation therapy.

■ Ongoing follow-up with physical examination and evaluation of symptoms suggestive of recurrence is recommended every 3-6 months for the first 3 years, every 6-12 months for years 4 and 5, and annually thereafter.

■ Blood work, including tumor markers, is not routinely recommended unless a woman has symptoms suggestive of recurrence such as abdominal or bone pain, new breast lumps, continual headaches, or shortness of breath.

■ Routine CT scans, bone scan, and PET scans are not routinely recommended unless a woman has symptoms suggestive of recurrence.

■ Annual gynecologic follow-up is recommended for every woman and is especially important for women taking tamoxifen, as an increased chance for uterine cancer is a proven risk.

■ Young women who have undergone chemotherapy or ovarian removal and postmenopausal women should consider regular evaluation of their bone health, including bone density testing. Women taking an aromatase inhibitor are at an elevated risk for osteoporosis.

Survivorship care plans have recently been advocated to be included in the follow-up of all people with cancer. The plan, written by a member of the oncology team, includes a summary of the diagnosis, screening evaluations, treatments, side effects experienced, and contact information for the oncology team members. The plan also includes information about the long-term effects of treatment, recommendations for continued surveillance, and promotion of healthy lifestyle choices. One goal is to increase the cancer and medical literacy of people who have been diagnosed as they

plan their medical follow-up as cancer survivors.

All breast cancer survivors should ask the question at each follow-up appointment, what are the new advancements in breast cancer treatment?

This simple question reminds your health care team to constantly evaluate your survivorship plan.

Summary Breast cancer is the most common cancer in women. As a result, all of us have likely been touched by this diagnosis, either personally or in a friend and/or relative. It is a scary diagnosis, but we are fortunate to have many effective treatments and most women are cured of their breast cancer. Future research strives to provide a cure for all!

The Highest Quality in Women’s Health Care

WOMEN’S HEALTH ASSOCIATES

PINK PAGES RESOURCE GUIDE Cancer MICA

Diet, Nutrition & Cancer Prevention

The cancer MICA allows the user to create tables showing cancer incidence by year, age, sex, race, cancer site, stage, grade, and geographic area down to county (with some restrictions to protect confidentiality; see below). This MICA provides the user with valuable cancer incidence data. It is intended to be used by the general public, as well as researchers, local public health agencies, and others.

American Social Health Association

CDC - Cancer Prevention & Control

National HPV & Cervical Cancer Prevention Resource Center

Division of Cancer Prevention & Control conducts, supports and promotes efforts to prevent cancer and to increase early detection of cancer.

American Cancer Society Provides facts, risk factors and prevention of cancers.

Information on volunteer opportunities and research funding.

American Institute for Cancer Research (AICR)

Avon Breast Cancer Crusade Funding access to care and finding a cure for Breast Cancer Breast & Cervical Cancer: Find out about the free breast and cervical cancer screening services available through the Missouriâ&#x20AC;&#x2122;s Show Me Healthy Women program. Guidelines for eligibility, services provided and the list of providers in Missouri is included. Excluding all cancers of the skin, breast cancer is the most common cancer among women in Missouri and accounts for nearly one-third of all cancers diagnosed in women. According to the Surveillance, Epidemiology and End Results (SEER) program, an average of 3,951 cases of breast cancer per year were diagnosed among Missouri women between 1996 and 2000. The American Cancer Society estimate of new breast cancer cases for Missouri women in 2004 are 4,680. The American Cancer Society 2004 estimate of breast cancer deaths for Missouri women is 870.

CDC: The National Breast & Cervical Cancer Early Detection Program: At-A-Glance The NBCCCEDP provides funding for breast & cervical cancer screening services to low income and underinsured women.

NCBBEDP operates in all 50 states, District of Columbia, 6 U.S. territories and 12 American Indian/Alaska Native organizations.

Intercultural Cancer Council The Intercultural Cancer Council (ICC) promotes policies, programs, partnerships, and research to eliminate the unequal burden of cancer among racial and ethnic minorities and medically underserved populations in the United States and its associated territories.

Kansas City Cancer Information Project The Breast Cancer Foundation of the Ozarks

BRFSS Data

The KcCancer.info website is a joint production of The Kansas City Cancer Coalition and The Kansas City Cancer Information Project. This resources is unique, designed for Kansas City area cancer patients and their families, where content is managed by representatives from every sector within the Kansas City cancer community.

This is the Behavioral Risk Factor Survey where you can produce tables based on cancer and other disease specific data.

Living Beyond Breast Cancer

Provides local resources and support for individuals and their families in the local area who are and have been affected by breast cancer and are concerned with women's health issues.

Cancer Inquiry Investigates, through a team effort, concerns initiated by the public about perceived high rates of cancer in a community or neighborhood. Informs public that cancer is more common than most people realize; contrary to public perception, cancer is not usually caused by pollution or other environmental factors; and most of the causes of cancer that we know about are related to lifestyle.

44

thenewyoumagazine.net SUMMER EDITION 2016

LBBC offers educational information to women affected by breast cancer. Programs include conferences, teleconferences, newsletters, Survivors' Help Line (888-753-LBBC), website (lbbc.org), young survivors' and outreach programs.

MammaCareÂŽ The only scientifically validated system for teaching physical examination of the breast.

Missouri Cancer Consortium

National Ovarian Cancer Coalition

The Missouri Cancer Consortium is a leader in cancer control in Missouri. Members are groups and individuals. They come from all walks of the cancer fight. New members are always needed and welcome. The work of cancer control and the Missouri Cancer Consortium is comprehensive.

The web site for the National Ovarian Cancer Resource Center takes you through some of the issues most commonly faced by cancer patients.

National Alliance of Breast Cancer Organizations (NABCO) NABCO provides information to medical professionals and their organizations and to patients and their families, and advocates for beneficial regulatory change and legislation.

Native American Cancer Research This is a community based, American Indian, non-profit resource.

We seek to help reduce cancer incidence and mortality in Native Americans.

R.A. Bloch Cancer Foundation, Inc R.A. Bloch Cancer Foundation is dedicated to help all cancer patients in the process to successfully conquer their disease.

National Breast Cancer Coalition - NBCC Susan G. Komen Breast Cancer Foundation

The National Breast Cancer Coalition Fund is a grassroots organization dedicated to ending breast cancer through the power of action and advocacy.

To eradicate breast cancer as a life-threatening disease by advancing research, education.

National Cancer Institute

WISEWOMAN

National funding for cancer research. Provides credible, current, comprehensive cancer information for public and professional use.

(Well-Integrated Screening and Evaluation for Women Across the Nation) funding expands the prevention services provided for women participating in the National Early Breast and Cervical Cancer Control Project (NBCCCEDP), known in Missouri as the Show Me Healthy Women program. WISEWOMAN is a CDC-funded program that helps underinsured, low-income women gain access to health screenings and lifestyle education that can reduce the risk of heart disease and stroke. To be eligible for WISEWOMAN services, women must be participants in the Show Me Healthy Women breast and cervical cancer control project and be 40-64 years of age.

National Cervical Cancer Coalition Enhance awareness of cervical cancer prevention, the Pap smear and proper follow-up, HPV, new technology and treatment options.

National HPV & Cervical Cancer Public Education Program You Need to Know, National HPV & Cervical Cancer Campaign.

Women's Cancer Network

National Coalition for Cancer Survivorship

Physicians dedicated to preventing, detecting and conquering cancer in women.

The only survivor-led advocacy organization working exclusively on behalf of people with all types of cancer and their families, is dedicated to assuring quality cancer care for all Americans.

Y-ME National Breast Cancer Organization: Through peer support no one faces breast cancer alone.

SUMMER EDITION 2016 thenewyoumagazine.net

45

PINK PAGES MID-MISSOURI RESOURCES Mid-Missouri Breast Cancer Awareness Group Breast cancer patients and survivors can gain insight and strength to better cope with their disease and life changes through interaction with others undertaking similar journeys. The Mid-Missouri Breast Cancer Awareness Group meets monthly from 6 to 7 p.m. on the second Wednesday at various locations.

The Harris Breast Center also has a longstanding commitment to being a leader in technology.

The center is ACR accredited with licensed, certified, professional and well-trained radiology staff, technologists and associates ready to attend to patient needs.

To schedule your next mammogram call 573.815.8150.

Group Liaison and Contact Information: Kathy Windmoeller 573-999-4195 573-443-0622 This support group meets in various locations. Please contact Kathy Windmoeller to confirm the location.

Mid-Missouri Ellis Fischel Cancer Center Ellis Fischel Cancer Center’s team of physician specialists and other trained professionals work together with a common goal: to provide the latest cancer treatments and improve quality of life for thousands of people each year. Named after Dr. Ellis Fischel, a physician who envisioned a statewide plan for controlling cancer, the hospital was dedicated on April 26, 1940, as the first cancer center west of the Mississippi River.

At Ellis Fischel Cancer Center we are dedicated to providing comprehensive cancer care, which means we diagnose and treat all types of cancers.

573-882-2100 One Hospital Drive, Columbia, MO 65212

Mid-Missouri Harris Breast Center Boone Hospital’s Harris Breast Center is conveniently located inside the hospital’s Outpatient Services wing.

With convenient parking and registration, the Harris Breast Center combines the ease of a freestanding center with the technology, expertise and resources of a hospital-based provider.

Choosing the Harris Breast Center gives our patients the best of both worlds.

46

thenewyoumagazine.net SUMMER EDITION 2016

Mid-Missouri American Cancer Society Find Support & Treatment Learn about making treatment decisions, coping with side effects, handling financial matters, caregiving, and living well after cancer. The American Cancer Society also has programs and services to help you manage cancer treatment and recovery and find the emotional support you need. And best of all, our help is free. http://www.cancer.org/index 1-800-227-2345

Susan G. Koman: For the Cure Whether you need information, assistance, emotional support or just someone to talk to, we can help. Learn more through the links below, by calling the Komen Breast Care Helpline at 1-877 GO KOMEN (1-877-465-6636) or by contacting a local Affiliate.

9817 Clayton Road • St. Louis, MO 63124 • (314) 991-5262 SUMMER EDITION 2016 thenewyoumagazine.net

Store Hours: 9:30 am to 5:30 pm Monday–Saturday

47

Come visit us before we fill up!

Take the next step toward your dreams...

A c h ie ve M ORE !

Two Columbia locations - Forum Shopping Center - Parkade Center

Programs offered online, state wide & on the main campus in Fayette.

www.centralmethodist.edu

48

thenewyoumagazine.net SUMMER EDITION 2016

Managed by Sugar Creek Realty.

1408 Business Loop 70 West â&#x20AC;˘ Columbia, Mo (573) 875-2538 â&#x20AC;˘ TerraceRetirement.com

Inside & Out For the Women of Mid-Missouri

Advertise tise se s With Us e in ut Ma ou â&#x20AC;&#x201C; Inside & Out Magazine, 5-18 t 573-815-1810. sizes and eficial for t will be highly beneficial e can help you choose c

Outt ccovers topics nd fitness, food and health and ow in Mid-Missouri, ncer resources and breast cancer general resources forr the community. ns you can ns, vertis capabilities maximize your advertising with preferential placement of plac ated section of the

UPGRADES ARE HERE, POPLAR BLUFF.

ARE YOU

?

We had a baby.

Itâ&#x20AC;&#x2122;s a Boone.

Residential

Business

See the newest addition to the Boone family at the corner of Nifong and Forum.

Now open and taking patients, Boone Hospital Nifong Medical Plaza offers the care you know and trust in a second, convenient location.

PRIMARY CARE | LAB | THERAPY | IMAGING | PHARMACY | CONVENIENT CARE CLINIC Residential

Business

1.877.554.9688

1.866.460.9283

newwavecom.com

Stop by to seeBoulevar your new full-service clinic, or check us out online at 3 0 0 0 Wes t wood d

newwavebusiness.com

boone.org/Nifong