SPRING EDITION 2016
Get Strong StayStrong A Season
For Sneezin... 5 TIPS
WOMEN TO KNOW Dr. Stephanie Perkins offers a Revolutionary Cancer Treatment for Children
to Improve Credit Scores
K N PIges e Jackie th pa Bulgin ide Ins
Heart of a Woman Heart Disease – Leading Cause of Death in American Women
Fights Cancer 3 Times and Emerges Victorious!
National Leaders in:
ȰɏԾ ԾʖʖʖQ Qɒ Q ɒ \ʝ ʝɤ ɤ E ED Dɭ D ɭɖ ɭ ɖ ʖʖɚ ɚ WWʝ ʝɞ ʝ ɞ UD Dʎ ʎʖʖʖQ ʎ Qɒ Q ɒ IIʝ ʝʢ ʝ ʢə What if you were a world- class c yclist competing for your countr y, who was suddenly taken down by a traumatic, repeat injur y? Thanks to Elizabeth’s nationally-recognized or thopedic team, she was back to competing and winning at an international level just one year af ter her injur y. Learn more about her stor y at or tho.wustl.edu/ANewYou To schedule an appointment, c all (314) 514-3500. 514-3500
West County oun t y • SSt.t. LLouis ouis • SSouth outh CCounty oun t y (S (Spring pring 2016)
the
Contents
18
Season for Sneezin
For the Women of Mid-Missouri
On the Cover SPRING EDITION
SPRI NG 2016 EDITION FEATURES
In this Spring edition of The New You Magazine, Inside & Out, we are proud to introduce a new section of Resources, that will highlight healthcare professionals and doctors to know—where a woman can get more up to date information for help!
BEAUTY
12 14
26 BEAUTY SECRETS FOR A BEAUTIFUL YOU IN THE WAR AGAINST WRINKLES...ULTHERAPY®
HEALTH & FITNESS
16
BEAUTIFY YOUR HOME
FOOD & NUTRITION
32 36
22
SEASON FOR SNEAZIN...
42
28
5 TIPS TO IMPROVE YOUR CREDIT SCORE
30
THE FRUGAL HABITS OF MILLIONAIRES
MEN’S VIEW The argument women can’t win
PINK PAGES
44
GET STRONG— STAY STRONG
FINANCIAL HEALTH
AGE-PROOFING YOUR BRAIN
MEN’S VIEW
8 Home Remedies...That Work!
20
EAT WISE TO DROP A SIZE
JACKIE BULGIN FIGHTS CANCER, Three Times, Emerges Victorious
RESOURCES
48 50
RESOURCES DOC TO KNOW ATHLETIC-MINDED PHYSICIAN Dr. Ljiljana Bogunovic Enjoys Treating Active Patients
A message from the publisher... Welcome to THE NEW YOU, With this edition, we celebrate the fifth year of publication for The New You - Inside and Out magazine. A wise friend once said to me, it is not what we do it is “why” we do it that matters. Why THE NEW YOU INSIDE AND OUT? The answer is simple to provide women with informative articles and resources that can help them feel good about who they are and help them be the best they can be --Inside and Out! None of this would be possible without the talent and dedication of THE NEW YOU team, our guest editors, top medical institutions and our advertisers who provide the opportunity for us to share the message with you. This is issue is full of special articles dedicated to Women’s Health and well being from the “Heart of a Woman” to “Getting Strong, Staying Strong” to help you be the best you can be Inside and Out. In addition, our experts will share with you an advanced technology in the war against wrinkles, Ultherapy. Another fascinating story for “Women to Know” featuring Dr. Stephanie Perkins, from Children’s Hospital in St. Louis. Dr. Perkins, has at her disposal the world’s first proton system of its kind that delivers a revolutionary form of highly accurate radiation treatment. Our “Doctors to Know” shares an engaging story about Dr. Ljiljana Bogunvic, a Washington University orthopedic surgeon in St. Louis. She is a an athletic-minded physician who is dedicated treating active patients. And finally we want to thank Jackie Bulgin for sharing her personal story and breast cancer journey. You will not want to miss this story.
A OGRAM M M A M MY SAVED nd a E LIF save it can R S! U O Y
Enjoy ... may your days be filled good health, kindness, gratitude and being the best you can be inside and out.
VOLUM E 6, I SSU E 1 THE NEW YOU PUBLISHING, L.L.C. 1260 B ar ron R oad Poplar Bluff, Missouri 573-631-9100 thenewyoumagazine.net
CEO/PUBLISHER Karen Hawkins 573-631-9100 or karen@islc.net EXECUTIVE EDITOR Michelle Cox MANAGING EDITOR Sharon Lewis DESIGN & PHOTO DIRECTOR NY Marketing & Creative SPECIAL PROJECTS EDITOR Karen Hawkins 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 ADVERTISING COORDINATOR NY Marketing & Creative ACCOUNT EXECUTIVES Karen Hawkins ADVERTISING To place an ad or request a media kit, please call Karen Hawkins at 573-631-9100 or email to karen@islc.net MARKETING/ADVERTISING AGENCY AND WEB PRODUCTION NY Marketing & Creative
“Beauty...when you look into a woman's eyes and see what is in her heart.” — Nate Dircks
Subscription Rates: $10 for one year • Frequency five issues per year • Single copies in office • Reprint requests must be made prior to the publishing of a specific issue • Reprints are $2.00 per copy • Reproduction in part or whole is strictly prohibited without the express permission of the publisher • Unsolicited manuscripts may be submitted but must be accompanied by a self-addressed stamped envelope • The New You–Inside & Out Magazine does not endorse any information contained in articles or advertisements and suggests consulting a health-care professional before beginning any therapy or medical treatment.
© 2016 by The New You–Inside & Out Magazine ALL RIGHTS RESERVED
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thenewyoumagazine.net SPRING EDITION 2016
6 WOMEN TO KNOW IN MISSOURI Dr. Stephanie Perkins offers a Revolutionary Cancer Treatment for Children Dr Perkins explains proton therapy — a type of radiation that uses protons for treatment instead of X-rays to help kids with pediatric cancer, leukemia, pediatric brain tumor and late effects of cancer radiation treatment.
10 COUGAR WOMEN OF MISSOURI Resident Cougar expert Linda Franklin discusses cougar women and why men can’t resist a confident, intelligent, ageless beauty!
24 HEART OF A WOMAN Jessica Park writes about heart disease and how it is the leading cause of death in American women.
44 JACKIE BULGIN FIGHTS CANCER, Three Times, Emerges Victorious Effective, smart, action-oriented real-estate agent and leader in the business community are only a few of the many great things about Jackie Bulgin. She shares her success, her personal life, and her victories with three personal battles with cancer.
SPRING EDITION 2016 thenewyoumagazine.net
5
Revolutionary Cancer Treatment WOMEN TO KNOW
Dr. Stephanie Perkins/Washington University Offer
W
for Children
hen Dr. Stephanie Perkins first meets her patients and their families, they are looking to her for advice and a treatment plan to immediately address and hopefully eliminate the child’s cancer. But Dr. Perkins is also thinking long-term and considering potential late side effects of the cancer treatment.
Revolutionary Treatment
Thankfully, Dr. Perkins has at her disposal the world’s first proton system of its kind that delivers a revolutionary form of highly accurate radiation treatment. This system, at the S. Lee Kling Proton Therapy Center at Siteman Cancer Center, offers proton radiation therapy as an alternative to traditional X-ray radiation therapy.
Dr. Perkins is a pediatric radiation oncologist who specializes in pediatric cancer, leukemia, pediatric brain tumor and the late effects of cancer radiation treatment at St. Louis Children’s Hospital and the Siteman Cancer Center.
She explains that proton therapy is a type of radiation that uses protons for treatment instead of X-rays. X-rays have no mass and no charge, so they have the ability to traverse through tissue unimpeded, resulting in a lot of extra movement. Protons have mass and charge, which causes them to slow down in tissue.
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“That gives us greater control on where we put the radiation and where we don’t,” Dr. Perkins says. “This is of particular interest for kids, because they are growing and developing. For example, if we have a child with a brain tumor, we know we want to radiate the tumor, but not the tissue around the tumor.” The Proton Therapy Center was first opened to treat patients in St. Louis in late 2013. Dr. Perkins said the center was the first of its kind and was much smaller and much less expensive than its predecessors.
“Our machine was the first single-room proton therapy system in the world. That’s a big deal because previously this type of machine was about the size of a football field, and most facilities don’t have that type of space.” Price was another plus for the single-room machine, which cost approximately $25 million, compared to the larger machines, which run about $150 million.
Because late side effects of cancer treatments are a research interest of hers, Dr. Perkins is excited about the opportunity this proton treatment offers her patients. “Depending on the area being radiated, late side effects can impact growth and learning in children, among other things,” she says. “If you radiate a young brain, it can lead to challenges in school as the child gets older, so you want to control it. Because more of our kids are becoming long-term survivors, these are important considerations.”
Choosing Her Profession
It comes as no surprise that Dr. Perkins is passionate about technology and about working with kids. In fact, she was first exposed to the field of oncology through a research program at St. Jude Children’s Research Hospital in Memphis when she was an undergraduate at Union University in Jackson, TN. “I became very interested in pediatric oncology then, but I didn’t really know about the field of radiation oncology
when I first started in medical school,” she says. “I’m a visual person, so a friend told me I should consider radiology. When I learned you could do radiation oncology with a pediatric focus, I knew that’s what I wanted to do. The field is very visual, with lots of physics and lots of different technology involved. All of that appealed to me.”
Her favorite part of the job? “I love walking into a room and interacting with the children,” she says. “They are so unique and so different, and I love connecting with them and learning what
they like to read and what games they like to play. I like putting a smile on their faces and reassuring the parents.”
Dr. Perkins decided at a very young age to go into medicine. Her grandfather had a heart attack when she was in eighth grade and had bypass surgery. “I spent a lot of time at the hospital and ICU and that experience got me interested in the medical field,” she says. “I was pretty sure in high school that I wanted to go to medical school, so I majored in biology and chemistry as an undergraduate.”
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> 7
WOMEN TO KNOW
“
”
I love walking into a room and interacting with the children
Her favorite part of the job?
She attended medical school at the University of Tennessee Health Science Center in Memphis, graduating in 2005 and then doing her internship at Methodist Hospital in Memphis. She moved to St. Louis in 2006 for her residency in radiation oncology.
When she graduated, there were no pediatric radiation oncology positions open in St. Louis, so she went to Vanderbilt University as pediatric radiation oncologist and a member of the faculty.
In 2012, she was recruited back to St. Louis when a position opened at Washington University. Now she is the chief of Pediatric Service within the Department of Radiation Oncology at Washington University/St. Louis Children’s Hospital and is an assistant
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professor of radiation oncology at the Washington University School of Medicine.
Family/Free Time
Dr. Perkins is married to Chad Perkins, a real estate attorney who mostly works from home. The couple has two children, Preston, 7, and Garrett, 4. Dr. Perkins loves spending time with her kids, reading, and playing the piano, which she does almost every day, and traveling. She also tries to make time to work out, which she says helps her focus and sleep better.
A Rewarding Job
Although her job involves working with children and their families during a very
difficult time, Dr. Perkins says that she finds it to be very rewarding.
“We are meeting with families who up until that day or that week have had a healthy child with no medical problems,” she says. “Within the span of a few days, they undergo a biopsy and then a team tells them that their child has cancer. It’s an overwhelming experience for the child and parents, but I don’t find it to be a sad experience. It’s our time to rally around those families and get them through the treatment ahead. It’s an honor to be able to be involved with the kids at that time and see them grow during the course of their therapy and follow-up. I’ve never regretted going into this field.”
COUG AR W OMEN
Cougar women
AND WHY MEN LOVE THEM
WHO COULD RESIST A CONFIDENT, INTELLIGENT, AGELESS BEAUTY?
By Linda Franklin
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Cougar Woman the first thing
they ask me is why are younger men
attracted
to
older
women?( What is it about the age difference that’s
such a turn on?(When you stop to think about it it’s not so hard to figure out.( Ageless beauties are far more likely to be financially independent, secure.
▲
W
hen I tell people about The Real
HERE ARE A FEW DATING FACTS FROM A RECENT SURVEY ABOUT COUGARS THAT YOU MIGHT FIND INTERESTING. ■ More
than 90% of cougars are looking for a serious relationship— a myth-busting finding which shows that cougar women aren’t all just looking for casual fun.
They( know what they want and just have that alluring je ne sais quoi that is hard to resist.
Two more things that make Real Cougars hard to
resist is how they feel about having children,( and
how they feel about game playing.( Real Cougars
■ On
a date, most cougar women either let the younger man pay for dinner or insist on splitting the check—who says cougar women are all sugar mamas?
most likely have already( had children or are
childless by choice.( So if a man doesn’t want kids—
and many do not—it’s a relief not to be pressured by a woman ruled not her biological clock.( And, when(it comes(to game playing,(Real Cougars take a
■ 45%
A relationship with a younger man has its challenges. But honestly, what relationship doesn’t? If you are fed up with your dating choices, give the younger guys a chance. You might be pleasantly surprised.
■ Emotional
of cougars have dated more than five younger men. It’s not just an experiment—dating younger men is often a lifestyle choice.
pass. Experience has taught her they don’t work; she is most comfortable telling it like it is.(
baggage is what most turn cougars off dating men their own age, so older guys need to lighten up to compete.
is a 5-carat diamond who knows the importance of taking care of her health, beauty, relationships, finances and spirituality. Linda Franklin says,“there is no stopping a woman who has a strong belief system, passion and a dream. All things are possible.” Linda’s book, helps women of all ages tap into their power and live life to the fullest. SUMMER 2015 thenewyoumagazine.com
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BEAUTY
26
beauty secrets
for a beautiful
you
HAIR 1 If you have thick tresses that get dry and frizzy, apply a conditioning hair masque and leave it on overnight, rinsing in the morning. Hair will become angelically soft.
2 Brush hair from roots to ends nightly. This distributes natural oils throughout the shaft and gives hair a healthy sheen.
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thenewyoumagazine.net SPRING EDITION 2016
3 Always rinse out conditioner with cold water to seal the cuticle and promote shine.
4 Are your roots showing? Hide them by zigzagging your part.
EYES 5 Treat your eye area gently. This is the most delicate part of your face. Cleanse with care; blot, never rub.
6 Line your eyes first with a pencil liner because it’s easier to make that straight line with it. Then I go back on the line with the liquid liner. It’s kind of like coloring! The result? Your eye liner will stay on, smudge-free, and well-lined.
7 Get eyeshadow to stay in place by priming lids with moisturizer and foundation.
8 Stop pencil eyeliner from smudging by applying powder shadow (in a matching or slightly darker shade) over the pencil.
9 Switch to brown mascara for a softer look for day.
FEET AND HANDS 21 Improve circulation in your legs and lower the risk of unsightly
FACE 10 To stop makeup from fading during the day, apply a primer before your foundation.
11 For lipliner that glides on, warm it up first by pinching it with your fingertips.
12 To
keep lipstick from bleeding, pat a little concealer around your lips.
13 Smile when you put on your lipstick—it’s the best way to ensure complete coverage, corners included.
veins by elevating your feet when resting.
22 Shape nails with an emery board, filing sides toward center— never straight across—and rounding off edges.
23 What works for your face works for your hands. Remove age spots with facial brightening cream.
24 The fast way to remove nail polish: Hold cotton saturated with polish remover firmly on your nail for a few seconds to let it start working, then wipe nail clean.
25 Relieve swollen feet by soaking them alternately in hot water (for 3 minutes), then cold water (for 1 minute), for a total of 15 minutes.
26 To avoid toenail fungus, keep feet dry and clean, and remove athletic socks and shoes immediately after working out.
SKIN 14 The best time to apply lotion is right after a shower or bath, when skin is still damp.
15 When drawing a bath, scatter bubbles or crystals directly under the faucet before turning on the water and drop in perfume oil while the tub is filling.
16 Beautiful skin starts from within. Include lots of vegetables, fruit and water in your diet.
17 Too much perfume? Dab rubbing alcohol with a cotton ball on your skin. The alcohol will cut the scent without altering it.
18 Microwave lotion for 5 seconds to soothe dry winter skin. 19 Help perfume last longer by dabbing petroleum jelly onto pulse points before spraying on fragrance. (Perfume evaporates faster from dry skin.)
20 Exfoliate with a body scrub once a week to slough off dead cells that make skin look dull. When skin is freshly exfoliated, lotion and oil are better absorbed.
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BEAUTY
by Dr. Terrence Myckatyn, MD
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15
HEALTH & F ITNESS
Beautify Your 1 Make An Easy, All-Purpose Cleaner This recipe will make nearly every surface gleam (especially kitchen counters, appliances, and inside the refrigerator).
Ingredients • 4 tablespoons baking soda • 1 quart of water
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thenewyoumagazine.net SPRING EDITION 2016
Home 2
8 Home Remedies
That Work! 6
Glass Cleaner
Add Shine With Vinegar
Great for: Windows and Mirrors
Use white vinegar to brighten your windows. Mix 2 tablespoons of white vinegar with a gallon of water, and dispense into a used spray bottle. Squirt on and wipe away with a clean microfiber cloth (not paper towels, which can cause streaking).
Ingredients • 2 cups water • 1/2 cup white or cider vinegar • 1/4 cup rubbing alcohol (70% concentration) • 1 to 2 drops of orange essential oil, which gives the solution a lovely smell (optional)
3 Untangle A Knotted Necklace Never waste time desperately tugging at tangled jewelry again. Loosen the knot with a little baby powder and use a pin to pull it apart.
4 Shine Copper With Ketchup Ketchup - A little will brighten up that copper.
5 Nix Furniture Nicks
7 Freshen Up Your Microwave Make the interior easy to wipe down by heating a cup of water and a chopped up lemon on high until the microwave window is steaming. Let the bowl stand for 15 minutes before you open the door and the clean all that grime with ease.
8 Lift The Worst Carpet Stains It's dish liquid to the rescue. Dissolve one tablespoon of dish liquid into two cups of warm water, and blot the stain with a clean white cloth dipped into the solution. Repeat until the stain absorbs into the cloth and disappears from the carpet. Then sponge with cold water, and blot dry with a clean cloth.
Got a scuff or a scratch on your wood furniture? Rub it with a walnut (shell removed) to mask the damage. SPRING EDITION 2016 thenewyoumagazine.net
17
9817 Clayton Road • St. Louis, MO 63124 • (314) 991-5262 Store Hours: 9:30 am to 5:30 pm Monday–Saturday
HEALTH & F ITNESS
Season for Stay Inside During the Morning If possible, avoid outdoor activities in the
During heavy pollen days, keep windows closed to
morning when the pollen count is highest.
help prevent pollen from entering your home.
Higher levels of pollen can also be found on
Before stepping indoors, rid your jacket of
warm, dry and windy days – so be prepared!
Take Care of Your Bedding
pollen with a lint brush or a good shake. Once inside, strip down and put the rest of your clothes in the
Washing your bedding in hot water every 7 to 14
hamper. That way, you’ll prevent
days can help ease allergy symptoms. The more
any allergy triggers from following
you have in your bed, the more places that
you home.
allergens can hide. Removing extra items, like
Clean the Air
throw pillows and extra blankets, can help.
Rinse Wisely
Keeping air ducts clean and replacing filters regularly can help reduce dust in your home. When
Taking a shower at the end of the day can help
driving, keep windows closed and set the air
wash off allergens that may cling
conditioner on “re-circulate” to keep out pollen.
to your body and hair. If your night’s sleep, try changing
Keep Your Pet at an Allergy-Safe Distance
your clothing before entering
If you are allergic to dog or cat dander, consider
your bedroom to reduce pollen
making your bedroom a “pet free zone”
from being brought into your bed.
to limit exposure to allergens. If
allergies interrupt a good
Eliminate Dust
20
Avoid Open Windows
you’re looking to make sure you and your pet are
SPRING CLEAN. (Try one of these website for a
happy
checklist Try cleaning your house frequently to
research what you can do
help reduce exposure to dust.
to help you both.
thenewyoumagazine.net SPRING EDITION 2016
and
healthy,
Sneezin.............
SPRING EDITION 2016 thenewyoumagazine.net
21
HEALTH & FITNESS
stay
O
ur muscles are made for more than flexing – you literally couldn’t get out of bed without them. But, with age, our bodies lose muscle naturally, which can make everyday activities difficult. Because women typically have less lean mass than men, we’re more susceptible to losing strength. Unfortunately, we’re also less inclined to do strength training, even though building and keeping muscle is an important part of a healthy lifestyle.
According to fitness instructor Nicky Zimmermann with Boone Hospital’s WELLAWARE fitness center, getting strong now keeps you strong later. In our 30s, everyone starts losing muscle tissue. After menopause, women also lose bone density. Weight bearing exercise increases lean mass and bone density, lowering your osteoporosis risk or preventing fractures if you have osteoporosis. Strength training improves your whole body. It can reduce body fat; increase metabolism; improve flexibility, range of motion, posture and balance; reduce pain and risk of injury; lower high blood pressure and improve blood glucose levels in type II diabetes patients. Regular exercise alleviates anxiety and depression. And making progress boosts confidence and self-esteem. Don’t worry about “bulking up.” Estrogen and lower testosterone make women build muscle differently and more slowly than men. Increased lean mass, however, can make you look trim; five pounds of muscle occupy less space than five pounds of fat. 22
thenewyoumagazine.com WINTER HOLIDAY EDITION 2015
You can find strength training exercises that fit your abilities, goals and lifestyle, including: I Bodyweight exercises, like push-ups, lunges
and squats, don’t require equipment and can be done anywhere. I
Resistance bands are light, but add a real
challenge. Try resistance band routines or use them in bodyweight exercises. I Exercise
machines help you work out with
correct posture and form and easily measure weight loads. Use several machines to work all major muscle groups. I
Free weights , like dumbbells and barbells, are easier
for beginners because you can start at a low weight.
First, talk to your physician before starting a new exercise program. Heidi Salter, another fitness instructor at WELLAWARE fitness center, recommends beginners strength train 2 or 3 days a week. An exercise professional can provide an orientation or personal training to assess your fitness level, show you how to use equipment, demonstrate proper form and technique, and plan workout routines. Do 1 to 3 sets of 8 to 12 reps of an exercise, using a weight you can lift at least 8 reps in correct form. If you can do more than 15 reps, increase the weight or resistance. Rest 30 to 90 seconds between sets. Learn your normal ranges of motion in major areas, like your legs, back, core, chest, arms and shoulders. Work major
strong By Jessica Park Boone Hospital Center
muscle groups first. Work both sides of your body and opposing muscle groups. Proper form improves the effectiveness of an exercise and reduces risk of injury. Use a mirror or ask a friend to check your form. Use slow and controlled movements on the way up and the way down. Exhale during concentric moves, when the muscle is shortened, and inhale during eccentric (lengthening) moves. While soreness a day or two after working out is common, you shouldn’t be in pain during your workout. If anything hurts, stop. Rest days and adequate sleep give your body time necessary to recover between workouts. Stay hydrated before, during and after workouts, and eat adequate protein to repair and grow muscle cells. As your body adjusts, periodically change exercises, order or intensity. Stay motivated by setting new, specific goals. Track progress in a notebook or app. Don’t fixate on the scale or mirror to measure progress – intrinsic rewards, like more confidence and self-esteem, help you stick with a workout program.
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23
Heart Woman of a
HEALTH & FITNESS
by Jessica Park Boone Hospital Center
Heart disease is the leading cause of death in American women
I
24
n movies, men get heart attacks, women get their hearts broken. But reality is harsher – according to the American Heart Association, 1 in 3 women in the United States die of heart disease each year, making it the leading cause of death. (By comparison, 1 in 31 American women die annually of breast cancer.) thenewyoumagazine.net SPRING EDITION 2016
And yet, heart disease can’t shake the image of an “old man’s disease.” More than half of women who die suddenly from coronary artery disease weren’t receiving treatment or didn’t report symptoms, and women are less likely than men to survive their first heart attack. Most women develop heart disease due to atherosclerosis, a condition caused when plaque builds up inside the arteries, narrowing them and restricting blood flow. If a blood clot forms in the arteries, it can result in a heart attack or stroke.
Heart disease in women also commonly appears as congestive heart failure, arrhythmia, and heart valve problems. Like men, women’s main risk factors for heart disease include congenital heart conditions, family history of heart disease, aging, obesity, diabetes, overeating, physical inactivity and smoking. Hormonal changes are another risk factor for women. Women who take birth control pills may have higher blood pressure and face increased risk of heart disease if they also smoke. Changes during menopause have also been linked to increased heart attack risk.
Women tend to experience different symptoms of coronary heart disease and heart attacks than men. Most people think of chest pains and cold sweats as heart attack symptoms, but women usually experience back pain, jaw pain, shortness of breath, nausea and vomiting, or fatigue, sometimes weeks before a heart attack occurs. It’s easy to mistake these symptoms for other conditions, such as a toothache or upset stomach.
symptoms, but learning to recognize them and seeking medical attention immediately can make a critical difference.
Apart from misperceptions of heart disease, another reason women may ignore symptoms is a tendency to put their family’s health care needs ahead of their own. Also, some health care providers may fail to recognize symptoms of heart disease more commonly experienced by women.
The best way to prevent heart disease is through self-care. The American Heart Association reports that up to 80% of heart disease is preventable through lifestyle changes Even if you’ve been diagnosed with heart disease or take prescriptions to manage cholesterol or high blood pressure, healthier lifestyle changes can still make a difference.
It’s important to advocate for your own health, just as you would for your family. Schedule annual examinations with your physician. Discuss your health history, risk factors, and when you should be screened for indicators of heart disease.
Finally, trust your intuition. If you’ve been experiencing these symptoms and strongly feel like something is wrong, seek emergency medical help immediately.
Eat a healthy, balanced diet. Lose weight or maintain a healthy weight.
Get regular exercise – the AHA recommends 40 minutes of physical activity, three times a week.
Stop smoking.
Keep track of your blood pressure, cholesterol, blood glucose and weight.
Research is still being done to learn why women experience different
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FINANCIAL HEALTH
5 Tips To Improve Your Credit Score
What is a credit score?
Your credit score is a 3-digit number that reflects the information on your credit report, a document that details your personal history with handling borrowed money. The purpose of your credit score is to help lenders evaluate how risky a borrower you are. The most commonly used credit scoring algorithm in the U.S. is produced by the Fair Isaac Corp. FICO scores range from 300 to 850: the higher the score, the better.
Every lender sets its own standards for what constitutes a “good” FICO score. But, in general, FICO scores fall along the following lines:
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28
300-629
630-689
690-719
720 and up
Bad credit
Average credit
Good credit
Excellent credit
To build and maintain a good score, it’s essential to start using credit responsibly as soon as you can. This means paying your bills on time, keeping the balances on your cards low, and applying for new credit sparingly.
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1
4 Co-signing
Pay Bills On Time
One of the first things a lender wants to know is if you pay your bills on time. It's so important it makes up a third of your credit score. Avoid late payments to keep your score up. This is even more important than keeping your debt levels low. In fact, the most important thing you can do for your credit is make your credit card and loan payments on time. (Missing other bills, like for utilities, generally isn’t reported to the credit bureaus, but unpaid accounts could be sent to a debt collector, and collection accounts hurt your credit.) A single missed payment could knock dozens of points — even 100 points — off your score, so pay close attention to due dates.
2 Watch Credit Card Balances
One of the most influential factors in credit scoring is your revolving credit balances relative to your credit limit. You may be able to afford to spend much or all of your available credit and pay the bills in full, but that doesn’t mean you should.
On average, Americans use 24% of their available credit, which isn’t a bad place to be, but the lower you can get that credit utilization rate, the better. If you have low credit card limits and want to use your cards for a lot of purchases, consider paying your bill more frequently so the balance doesn’t creep up.
3 Pay Off Debt
5 Identity Theft You may not be able to prevent it, but the longer identity theft goes unchecked, the higher the chances it will hurt your credit score. A fraudster may open up accounts in your name or run up a huge balance on a stolen credit card, and if you don’t stop it before the activity is shared with the credit bureaus, you’ll also have to deal with getting that information off your credit reports. Identity theft is extremely common, so the best thing you can do is monitor your financial accounts closely and act quickly to cut off a fraudster as soon as you notice anything suspicious.
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Experts say your credit card balance should never exceed 30% of your credit limit, and ideally it should stay below 10%. That means no more than $3,000 should ever be put on a card with a $10,000 credit limit.
When you co-sign a loan for a relative or friend, remember that any missteps (like late or missed payments) will dent your score too, not just theirs.
Pay off debt rather than moving it around. Also, don’t close unused cards as a short-term strategy to improve your credit score. Owing the same amount but having fewer open accounts may lower your credit score.
Tips for Effective Financial Management
I Make sure your mortgage payment, including taxes and insurance, represents no more than 28% of your gross monthly income. I Review the cost of your health care insurance and make sure you are getting adequate coverage at the best price. I Make wise purchasing decisions by determining what you “need” compared to what you “want.” This will help you make ongoing decisions to keep your finances in check. I Guard against impulse shopping, especially for costly purchases such as vehicles, major appliances, furniture, jewelry and the like.
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FINANCIAL HEALTH
The Frugal { Habits of } Millionaires By 360 degrees of Financial Literacy American Institute of CPAs
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{
}
The word “millionaire” typically conjures up images of a lavish, jet-setting lifestyle, but behind the scenes, that may not always be the case. Like Warren Buffett, who famously still lives in the relatively modest house in Omaha, Nebraska, that he bought in 1958 for $31,500, many millionaires (and billionaires) live a modest, if not downright frugal lifestyle–a lifestyle that may have helped them become millionaires in the first place.
We’ve all heard the saying “It takes money to make money.” So how can you find extra dollars to save and invest? If you're looking to improve your financial position, consider putting some of these habits into practice.
Cultivate A Frugal Mindset Many people equate being frugal with being cheap, but that’s not really correct. Being frugal means carefully watching your dollars and not spending more than you need to – a trait many millionaires employ. To help cultivate a frugal mindset, get in the habit of asking yourself this question: “With a little extra effort and/or sacrifice on my part, is there any way I can save money here?” Having a frugal mindset can really help when it comes time to playing the role of American consumer, where temptation is everywhere.
Buy Wisely And Sparingly We all need “stuff” now and then; the key is not overdoing it or overpaying for it. Try to buy mostly what you really need, not what you really want. Money you save can then be used to build your savings and investment accounts. Don’t let the price tag of your car, home, or designer suit define your character. For example, a reliable car that safely gets you from Point A to Point B may be completely sufficient for your needs. According to the book The Millionaire Next Door, the top car brand among millionaires is Toyota, not Mercedes or BMW. Even Mark Zuckerberg, the billionaire founder of Facebook, has been spotted driving an Acura TSX, an entry-level luxury car whose base price is about $30,000. The bottom line? As you move up the net worth ladder, avoid the temptation to elevate your “status” by overspending on luxury goods.
You can be smart about everyday consumer purchases, too. You might be surprised to learn that many millionaires clip coupons, buy in bulk, wait for sales, scour eBay and Craigslist for deals, limit clothing purchases, fly coach, avoid credit cards, and save half their restaurant meal for lunch the next day–habits that can free up cash for the occasional splurge.
Shun Debt Debt is bad. Well, mostly. At times taking on debt is necessary, for example when buying a home or attending college, because without it, many people won’t have saved enough money. But generally speaking, you should be leery of taking on debt for things that cause you to live beyond your means. Remember, every dollar you borrow today is a dollar you'll have to pay back tomorrow, with interest. People who turn a modest financial base into wealth often do so by living frugally, saving regularly, investing wisely, and avoiding debt. By contrast, people who end up in a perpetual cycle of debt are often those who spend and borrow excessively to support an unsustainable lifestyle.
Take Action What do CEOs Tim Cook (Apple), Ursula Burns (Xerox), Robert Iger (Disney), and Indra Nooyi (PepsiCo) have in common? They’re all up by 5:00 a.m., hitting the gym, reading, working. As Benjamin Franklin famously quipped: “Early to bed and early to rise makes a man healthy, wealthy, and wise.” And indeed, many millionaires and leaders aren't couch potatoes. They don't sit around waiting for things to happen; they make things happen–by getting up early, working hard, looking for opportunities, constantly educating themselves, taking calculated risks, networking, staying active, and generally trying to improve themselves day in and day out. And with the explosion of information online 24/7, learning new things has never been easier.
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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 chooses. 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.
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LET’S GET STARTED WITH A HEALTHY WEIGHT LOSS
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Stay busy - you don’t want to eat because you bored.
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Eat vegetables to help you feel full.
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Don’t skip meals.
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Increase fiber intake. Most Americans get only half of the daily fiber they need. 25 grams for women, while men need 38 grams.
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Exercise - start with a brisk walk 30 minutes a day.
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Reduce stress.
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Keep a food journal - writing down everything you eat - can help you stay focused.
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Eat several mini meals a day.
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Drink plenty of water. Before you tear into a bag of chips drink a glass of water.
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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 –Salsa –Salt & Pepper –Soy Sauce –Spices
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Let us do OUR JOB. So YOU focus on yours. Our CPA firm is in the business of providing accounting services to our clients. Measurement, analysis, and communication of economic events are our basic role and are also a concise definition of accounting.
Crouch, Farley & Heuring, PC Financial Measurement, Analysis and Communication
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FOOD & NUTRITION
YOUR
BRAIN
If you’re hoping to keep your wits about you for a long, long time, have supper early, make your own salad dressing, and add these smart foods to your diet. Feeling a bit less sharp these days? If you are having memory issues you may be able to improve your cognitive abilities with a simple change your diet. Research is showing that you can increase your chances of maintaining a healthy brain well into your old age if you add these “smart” foods to your daily eating regimen.
Blueberries Blueberries help protect the brain from oxidative stress and may reduce the effects of age-related conditions. Try snacking on blueberries or even strawberries on a regular basis.
Wild Salmon Deep-water fish, such as salmon, are rich in omega-3 essential fatty acids, which are essential for brain function. Try eating fatty fish twice a week.
Nuts and Seeds Nuts and seeds are good sources of vitamin E.
Higher levels of vitamin E correspond with less cognitive decline as you get older. Try adding an ounce a everyday.
Whole Grains Whole grains, such as oatmeal, whole-grain breads, and brown rice can reduce the risk for heart disease. If you promote cardiovascular health, you're promoting good flow to the organ system, which includes the brain. Try 1/2 cup of whole-grain cereal, or 1 slice of bread twothee times day,
Beans Beans are "under-recognized" and "economical," says Kulze. They also stabilize glucose blood sugar levels. The brain is dependent on glucose for fuel, and since it can't store the glucose, it relies on a steady stream of energy — which beans can provide. Try 1/2 cup every day. Make Your Own Salad Dressing Having a healthy salad a day — with a dressing made from olive oil — may just keep the neurologist away. “Make a vinaigrette with virgin olive oil, vinegar and herbs,” advises Christy Tangney, PhD, a professor of clinical nutrition at Rush University Medical Center in Chicago. Olive oil is the key here. It’s rich in monounsaturated fats and alpha-linolenic acid (an omega-3 fatty acid), both of which are good for your brain. Dark Chocolate My personal favorite. Dark chocolate has powerful antioxidant properties, contains several natural stimulants, including caffeine, which enhance focus and concentration, and stimulates the production of endorphins, which helps improve mood. You have to do this one in moderation Try One-half ounce to 1 ounce a day will provide all the benefits you need.
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RASPBERRY, AVOCADO & MANGO SALAD
CHICKEN CORDON BLEU BURGER
Makes: 4 Servings
Makes: 4 Servings
Ingredients
Ingredients
• 1 1/2 cups fresh raspberries, divided • 1/4 cup extra-virgin olive oil • 1/4 cup red-wine vinegar • 1 small clove garlic, coarsely chopped • 1/4 teaspoon kosher salt • 1/8 teaspoon freshly ground pepper • 4 cups mixed salad greens • 4 cups baby spinach • 1 ripe mango, diced • 1 small ripe avocado, diced • 1/2 cup thinly sliced red onion • 1/4 cup toasted chopped hazelnuts, or sliced almonds, optional
• 1/4 cup low-fat mayonnaise • 1 teaspoon Dijon mustard • 5 tablespoons finely chopped shallot, divided • 1 1/2 teaspoons finely chopped fresh thyme, divided • 1 pound ground chicken • 1/3 cup finely diced ham • 1/4 teaspoon salt • 1/4 teaspoon freshly ground pepper • 4 slices Swiss cheese • 8 small slices pumpernickel bread or 4 large slices, cut in half, toasted • 12 large leaves spinach, tough stems removed
Directions
1. Preheat grill to medium-high (or see Stovetop Variation).
1. Puree 1/2 cup raspberries, oil, vinegar, garlic, salt and pepper in a blender until combined.
2. Combine mayonnaise, mustard, 1 tablespoon shallot and 1/2 teaspoon thyme in a small bowl. Set aside.
2. Combine greens, mango, avocado and onion in a large bowl. Pour the dressing on top and gently toss to coat. Divide the salad among 5 salad plates. Top each with the remaining raspberries and sprinkle with nuts, if using.
3. Place the remaining 4 tablespoons shallot, remaining 1 teaspoon thyme, chicken, ham, salt and pepper in a medium bowl. Gently combine without overmixing. Form into 4 patties, about 3/4 inch thick.
3. To toast chopped or sliced nuts, heat a small dry skillet over medium-low heat. Add nuts and cook, stirring, until lightly browned and fragrant, 2 to 3 minutes.
Directions
4. Oil the grill rack (see Tip). Grill the burgers, turning once, until an instant-read thermometer inserted in the center registers 165°F, 4 to 5 minutes per side. Top each burger with cheese and cook until melted, 1 to 2 minutes. 5. Assemble the burgers on toasted bread with the herb mayonnaise and spinac Stovetop Variation: Coat a nonstick pan, preferably cast-iron (or a grill pan), with cooking spray and heat over medium-high heat for 1 to 2 minutes. Add burgers, reduce heat to medium and cook, turning once, until an instant-read thermometer registers 155°F (for pork and bison) or 165° (for beef or chicken), 4 to 5 minutes per side.
Nutrition Per Serving: 229 calories; 16 g fat (2 g sat, 12 g mono); 0 mg cholesterol; 21 g carbohydrates; 3 g protein; 8 g fiber; 82 mg sodium; 613 mg potassium. Nutrition Bonus: Vitamin C (70% daily value), Vitamin A (60% dv), Folate (36% dv), Potassium (16% dv).
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FOOD & NUTRITION
FAJITA" BURGERS
Makes: 4 Servings
Ingredients • 1 pound 90%-lean ground beef • 3/4 cup chopped fresh cilantro, divided • 1/2 cup finely chopped red onion • 1/4 cup chopped scallions • 2 teaspoons minced garlic • 1 tablespoon chili powder, preferably New Mexican • 1 teaspoon ground cumin • 1/2 teaspoon dried oregano, preferably Mexican • 1/2 teaspoon freshly ground pepper • 1/4 teaspoon salt
• 1/3 cup reduced-fat mayonnaise • 1 tablespoon lime juice • 1 tablespoon chopped chipotle chile in adobo, (see Ingredient Note) • 1 /2 cup shredded Monterey Jack cheese • 4 French rolls, preferably whole-wheat, split and toasted • 2 roasted Anaheim or poblano peppers, (see Tip) • 1 cup shredded green cabbage • 4 slices tomato • 4 thin slices red onion
Directions 1. Preheat grill to medium-high. 2. Place beef, 1/4 cup cilantro, onion, scallions, garlic, chili powder, cumin, oregano, pepper and salt in a large bowl. Gently combine, without overmixing, until evenly incorporated. Form into 4 equal patties, about 1/2 inch thick and oval-shaped to match the rolls. 3. Combine the remaining 1/2 cup cilantro, mayonnaise, lime juice and chipotle in a small bowl. 4. Peel the roasted peppers, halve lengthwise and remove the seeds. 5. Oil the grill rack (see Tip). Grill the burgers until an instant-read thermometer inserted in the center registers 165°F, about 6 minutes per side. Top with cheese and cook until it is melted, about 1 minute more. 6. Assemble the burgers on toasted rolls with the chipotle mayonnaise, half a roasted pepper, cabbage, tomato and onion. 7. To oven-roast peppers: Preheat oven to 450°F. Place a wire rack on a large baking sheet. Arrange whole bell peppers on the rack. Roast peppers in the center of the oven, turning occasionally with tongs, until blackened in places, 30 to 40 minutes. Transfer the peppers to a large bowl and cover with plastic wrap. Let steam for 10 minutes. Uncover and let cool. With a paring knife, remove stems, skins and seeds. If serving as antipasto, combine accumulated juices with peppers.
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SPINACH SALAD WITH STEAK & BLUEBERRIES
Makes: 4 Servings
Ingredients • 1 cup fresh blueberries, divided • 1/2 cup chopped walnuts, toasted (see Tips) • 3 tablespoons fruity vinegar, such as raspberry vinegar • 1 tablespoon minced shallot • 1 teaspoon sugar • 1/2 teaspoon salt, divided
• 3 tablespoons walnut oil or canola oil • 1 pound sirloin steak or strip steak (1-1 1/4 inches thick), trimmed • 1/2 teaspoon freshly ground pepper • 8 cups baby spinach • 1/4 cup crumbled feta cheese
Directions 1. Preheat grill to medium. 2. Pulse 1/4 cup blueberries, 1/4 cup walnuts, vinegar, shallot, sugar and 1/4 teaspoon salt in a food processor to form a chunky paste. With the motor running, add oil until incorporated. Transfer the dressing to a large bowl. 3. Sprinkle steak with pepper and the remaining 1/4 teaspoon salt. Oil the grill rack (see Tips). Grill the steak about 5 minutes per side for medium-rare, 6 minutes per side for medium. Let rest on a clean cutting board for 5 minutes. 4. Add spinach to the bowl with the dressing; toss to coat. Divide the spinach among 4 plates. Thinly slice the steak crosswise. Top the spinach with the steak, feta and the remaining blueberries and walnuts.
Tips & Notes • To toast chopped nuts, place in a small dry skillet and cook over medium-low heat, stirring constantly, until fragrant and lightly browned, 2 to 4 minutes. • To oil a grill rack, oil a folded paper towel, hold it with tongs and rub it over the rack. (Do not use cooking spray on a hot grill.)
Nutrition Per Serving: 392 calories; 26 g fat (5 g sat, 7 g mono); 68 mg cholesterol; 11 g carbohydrates; 1 g added sugars; 29 g protein; 3 g fiber; 494 mg sodium; 748 mg potassium. Nutrition Bonus: Vitamin A (114% daily value), Zinc (36% dv), Vitamin C (35% dv), Folate (34% dv), Magnesium (26% dv), Iron & Potassium (21% dv)
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Your Home by the River Waterfront Community
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Please call 573.472.7330 to schedule your annual screening mammogram appointment. For additional information, please visit www.missouridelta.com.
Our focus
MEN’S VIEW
The Argument When it comes to fighting and disagreeing with men, women frequently make a critical mistake which ends up causing them to feel hurt and lonely. When I see a female client for relationship advice, I frequently encounter this scenario. During a routine conversation, there is a disagreement between the woman and her husband/boyfriend. It starts out in a logical manner – with two competently speaking adults simply talking about a problem or disagreement. Then at some point in the discussion, the woman gets her feelings hurt and responds in an emotional manner. All of a sudden, the entire dynamic of the conversation has changed and the man feels he has been betrayed.
When a man feels he’s been betrayed While the discussion was logical and factual, it had the similar feel of a business meeting where everyone has the main goal of finding the answer to the problem. No one would dare interject their feelings into such a discussion for fear they would be viewed as weak and childish. In the business world, accomplishing the task is the primary goal, not making everyone feel good. This is how a man views a discussion that is logical and factual. He believes that if her idea is so good then she should be able to prove it. “She wants to prove her point so I’ll prove mine. May the best man win,” is how he thinks, but has no idea that she only wants to be heard and feel he understands – or is at least that he is trying to understand.
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Women CAN’T Win A woman in pain makes him feel powerless When women interject their feelings into a discussion that has become competitive, it makes men feel as though they are being blamed for being logical; which causes them to react in anger. Men say to themselves, “She asks me to prove my point and when I do she gets her feelings hurt!” He has been blindsided by the one thing that makes him feel powerless – a woman in pain. The man feels tricked by a woman initially acting strong only to pull the feelings card out when she starts to lose the argument; so now he feels entitled to punish her. This is really how most men think in an all-too-common scenario like this one. If you are a woman, a practical rule when discussing a topic is that if you want to debate, prove or compete with your boyfriend/husband, then stay in that role throughout the discussion. If you want to be understood or nurtured, then right from the start and all the way through the conversation, relate to him by sharing how you feel about the subject.
Don’t switch from logical to soft and vulnerable Don’t switch to becoming a soft, feeling and vulnerable woman after you have presented yourself logically. All that will do is encourage him not to discuss things with you in the future. He’ll be afraid of you dropping the feelings bomb. Most of the time I would suggest that you start off softly by speaking to him about how you feel concerning the issue so he can recognize your feelings. This will signal to him that you are not trying to be competitive. On the occasions that you do need to prove your point, hold your ground regardless of how you feel. Remember, it doesn’t matter as much which way you relate to him, the most important thing is to be consistent and not combine the two.
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P I N K PA G E S
Emerging 44
thenewyoumagazine.net SPRING EDITION 2016
JACKIE BULGIN LEADS ONE OF THE MOST SUCCESSFUL real estate teams in central Missouri – Jackie Bulgin & Associates in Columbia, MO. Her clients and colleagues know her as an effective, smart, action-oriented real-estate agent and leader in the business community. But Jackie’s determination and
Jackie and Steve Schopp
inclination toward success also served her well in her personal life, carrying her through not one, but three personal battles with cancer. >
Victorious by Michelle Cox
Having grown up at the Lake of the Ozarks, Jackie first came to Columbia, MO, to attend college at the University of Missouri. She received her undergraduate degree in mathematics and psychology education and taught at Columbia Hickman High School and Quincy, Illinois High School for 10 years. Eventually, Jackie returned to college to work on her graduate degree and she was teaching mathematics at the university when she met her second
husband, Lawrence Bulgin. Lawrence was a builder and developer and he wanted his wife to work with him, so he encouraged to obtain her realtors license. “He had a construction company and already had his realtor’s license, so I got my license in 1979 and we started Bulgin Real Estate, which was a ‘mom and pop’ construction company and development company,” Jackie says. “We built houses, developed land and the real estate company to market the properties.”
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Jackie and her husband Lawrence
Cancer Makes Its Appearance The couple expanded the business in the years following their marriage, adding a condo development, office park, mini warehouse and a car wash. Jackie faced her first bout with cancer during this time, which involved cancer of the cheek in 1984. In 1990, she and Lawrence decided to merge their real estate company with House of Brokers Realty, which is a locally-owned real estate brokerage company that had been in business since 1981. Jackie is one of six owners of the company along with Bev Curtis, Carol Denninghoff, Gary Meyer, Wanda Northway and Jeff Radel. About 10 years after the merger, Jackie learned that she would follow in the footsteps of her mother, a breast cancer survivor, and her late aunt, who died of breast cancer when Jackie was young. Jackie’s cancer was discovered in 2001. “My mother was a breast cancer survivor and she had a very aggressive
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form of cancer, so that put me into early mammograms,” Jackie says. “I went for my yearly checkup Paul Jones (dad) Ella Jones (mom) Paula Elam (daughter) and the cancer did me, so I didn’t tell anyone about it until I not show up on the mammogram or on was completely done with treatment.” the sonogram, but a very observant nurse saved my life.” Sadly, in October of 2003, Lawrence was diagnosed with Glioblastoma brain The nurse noticed some dimpling on cancer. He underwent radiation treatment Jackie’s left breast and she ordered a and was scheduled to start chemotherapy biopsy. The biopsy showed cancer, and after the first of the year, but he collapsed Jackie opted for a double mastectomy. and died suddenly in December. She underwent chemotherapy and radiation, and then did re-construction in 2002. All the while, she kept her cancer battle very private. Thanks to her team, she would schedule her chemotherapy treatments on Fridays so that she could suffer the worst effects of the treatment over the weekend and be back on her feet and back at work by Tuesday. “At the time, I didn’t want people to know what was going on because I didn’t want them to ask me how I was feeling. I just thought that would be a negative for
“When he died, my whole world turned upside down and my work became extremely important to me,” Jackie says. “I had always been very involved in work, but it was even more important to me then – it’s where I put all my energies.” Jackie and Lawrence had closed the building company a couple of years before he died, and she sold off some of the other parts of their business so she could focus more on real estate.
Unfortunately, in 2012, Jackie faced cancer yet again. She was diagnosed with cancer inside her mouth on the jaw bone. The required extensive radiation which resulted in the removal of a portion of her jaw. Her jaw was reconstructed in a twostep process; first by taking some bone from her leg and moving it to her jaw, then by placing a titanium plate in her jaw. In addition to all this, the extensive radiation burned the inside of her mouth, her taste buds and salivary glands. “I couldn't talk very well and it was a very rough five months,” she says. “I had wonderful support from my family and physicians, and my team again, picked up work for me and kept things going during that time. I couldn’t have done it without all that support.” Jackie said that when she first learned of her jaw cancer, she felt alone. “I thought , ‘I’m the only one in the world who has this.’ But then I found out the surgeon in Columbia does 60 to 70 of these surgeries a year. Now I’m very grateful to be a three-time cancer survivor.”
Passionate About Business Through it all, Jackie remained committed to her business and her clients. “I really love my job and working with people,” Jackie says. “I look forward to work everyday. It’s just fascinating because there are never two days that are the same, never two clients that are same.” Jackie says it’s a joy to help people select a home. “You become a part of their lives because it is one of the biggest investments they will make in a lifetime. Whether someone is buying their first home, upsizing or downsizing, it’s exciting to be a part of a milestone in their lives.” Not surprisingly, Jackie is surrounded by others who are similarly passionate about the business. The House of Brokers continued to grow, and currently has 85 agents. Jackie’s team has three agents in addition to her partner, Shannon O’Brien and associates, Nicole Waldschlager and Debbie Fischer. Jackie says her passion for real estate and her entrepreneurial spirit come from her parents. Her father was a builder at the Lake of the Ozarks, and
her mother led a craft novelty business. “They were always self-employed and had a great work ethic,” she says.
Family and Community In addition to a passion for her work, Jackie considers herself blessed on the family front. She has a daughter, Paula Elam, and a stepson and daughter-in-law, Trevor and Denise Bulgin, all of Columbia. Her stepdaughter, Melinda Schumacher and her husband Rick, and their four children live in Olathe, KS. During her spare time, Jackie is active in her community. She has been extensively involved in and was a charter member of the Regional Economic Development Inc., and she served on the Columbia Planning & Zoning Commission from 1979 to 1984. She also served on the Governor’s Council for Affordable Housing and as a past treasurer, secretary, vice president and on the Board of Directors of the Columbia Board of Realtors. She continues to do some volunteer work for Phoenix Programs, a organization that serves individuals suffering from addiction. And she contributes to Honor Flight Network because her father was a World War II veteran.
Remaining Vigilant Because Jackie’s mother and aunt had experienced breast cancer, she was vigilant from a young age about getting checkups. Her daughter, Paula, has regular check-ups and recently had something show up that required an MRI. For now, her doctors are watching it. And her step-daughter, Melinda, lost her mother to breast cancer and her father to the brain tumor, so she’s also dedicated to getting screened. My family and I are eternally grateful to my nurse and for her skills and expertise in finding my “needle in a haystack” tumor. Please tell everyone you know, breast exams can save a woman’s life, I know because it saved mine.
“
I could not have done it without all the support
”
Paula Elam and stepson, Trevor Bulgin
RESOURCES
BREAST CANCER RESOURCE GUIDE American Cancer Society
Cancer MICA
Provides facts, risk factors and prevention of cancers. Information on volunteer opportunities and research funding.
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 Institute for Cancer Research (AICR) Diet, Nutrition & Cancer Prevention
American Social Health Association National HPV & Cervical Cancer Prevention Resource Center
CDC - Cancer Prevention & Control 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 Missouri’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.
Division of Cancer Prevention & Control conducts, supports and promotes efforts to prevent cancer and to increase early detection of cancer.
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.
The Breast Cancer Foundation of the Ozarks 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.
Kansas City Cancer Information Project
This is the Behavioral Risk Factor Survey where you can produce tables based on cancer and other disease specific 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.
Cancer Inquiry
Living Beyond Breast Cancer
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.
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.
BRFSS Data
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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.
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RESOURCES DOC TO KNOW
D
Athletic-Minded Physician
EnjoysTreating Active
r. Ljiljana Bogunovic understands the need and desire to get out and move, and she applauds that drive in her patients. That’s why she chose sports medicine as her clinical specialty.
Dr. Bogunovic is a Washington University orthopedic surgeon in St. Louis, MO. Her clinical interests include sports-related injuries of the shoulder, hip, knee, foot and ankle in adolescents and adults, with a particular interest in sports medicine and women’s sports health.
“I’m pretty active. I played sports in college and continue to participate in athletics today,” she says. “I like taking care of athletes because they have a strong desire to get back [to sports].”
She is drawn to the unique approach necessary when treating athletes, even of the weekend warrior variety.
“It’s a completely different mentality,” she says. “You want to keep them safe, but you can’t say, ‘don’t do this and don’t do that’ to an athlete. …you work with them to see what they can do and how to do it without injury.” A rugby player and downhill skier
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in college, Dr. Bogunovic continues to participate in multiple sports, which is why she can relate so well to her patients who don’t want to be sidelined with injuries. She has done triathlons, marathons
and several Tough Mudder events, which consist of a 9-mile obstacle course. She’s also a self-admitted “addict” when it comes to CrossFit, participating in the classes five to seven times a week.
“I guess because I like to push myself, I also like to help people push their limits,” she says. “In sports medicine, it’s more than just helping people get back to activities of daily living. I help them return to the quality of life they want.”
Originally from southeastern Wisconsin, Dr. Bogunovic completed an undergraduate degree in biology with a concentration in
thenewyoumagazine.net SPRING EDITION 2016
physiology at Cornell University in New York. Her grandfather was a physician so she had a lifelong interest in the medical profession. She went to medical school at Weill Cornell Medical School and first came to St. Louis to do her residency in orthopedic surgery at Washington University School of Medicine in 2009. Dr. Bogunovic applied to the Washington University program because she knew it had a reputation for being one of the best orthopedic residency programs in the country.
Dr. Bogunovic did a fellowship in sports medicine at Rush Orthopedics in Chicago, IL. This fellowship focused on orthopedic treatment of sports injuries of the shoulder, hip and knee. “I had additional interests in treating sports injuries of the foot and ankle, so, I did a traveling mini fellowship to observe and get additional training in this area.” She studied and trained with Dr. Eric Giza at University of California-Davis, with Dr. Richard Ferkel at Southern California Orthopedic Institute and with Drs. Martin Sullivan, Kim Slater and Andrew Wines in Sydney, Australia.
Patients
Now back in St. Louis, Dr. Bogunovic reflects upon her educational journey. “I originally came here for my residency, but I was thrilled to come back [as a faculty member] and have the opportunity to be part of one of the best orthopedic departments in the country.”
Dr. Bogunovic’s practice will primarily focus on patients and athletes who have lower extremity injuries, as well as female athletes. She will be treating a broad range of disorders from rotator cuff tears and ankle sprains to ACL tears and hip impingement. One of the other areas that interest Dr. Bogunovic is arthritis – specifically, preventing it through the research and the treatment of cartilage injuries in younger patients. She goes on to explain that one of the biggest challenges in the field of sports
medicine is the treatment of cartilage injuries and the prevention and possible reversal of degenerative joint disease.
“We are working to find ways to restore cartilage defects and injuries in patients who are too young for a joint replacement.”
In her spare time, Dr. Bogunovic enjoys spending time with her family in Wisconsin, working out at the local CrossFit gym, snow skiing, water skiing and volunteering for the St. Louis Bulldog Rescue.
“I’m pretty active. I played sports in college and continue to participate in athletics today.”
Dr. Bogunovic sees patients at Washington University Orthopedics in Chesterfield, MO. She will also begin seeing patients in South St. Louis County in the spring of 2016 at the new Center for Advanced Medicine – South County, located at I-55 and Butler Hill Rd. To schedule an appointment with Dr. Bogunovic, please call (314) 514-3500. To learn more about her practice please visit ortho.wustl.edu/ANewYou.
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THE PROMISE You hold them in your arms and promise to never let them go. Every night you carr y their dreams. Every day you lift up their courage. As they grow your strength never wavers. But when the day comes and you can’t carr y them alone, that ’s when we stand by your side with exper t pediatric care, research and education ser vices, and treatments sized just for kids. So you can always
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keep your promise.
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