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COMPLIMENTARY Volume 52 Issue 3
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Feature story
Women in Business Neha Gupta
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FEATURE STORY
Woman-Owned Business
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on the rise in Maryland!
ccording to a new American Express OPEN report, the number of women-owned businesses in Maryland has grown 28 percent since 2007. That is more than three times faster than the 9 percent national average growth rate for all businesses. Also the revenue generation for women-owned businesses is up about 40 percent during the same span. This is very exciting news for all women in Maryland who have a passion to own their own business and fulfil their dreams. Neha Gupta, owner of Neha Threading Salon & Spa is a perfect example of the success that woman owned business has achieved in the last several years. Neha Gupta has been a part of the Baltimore community for several years. She opened her first Salon and Spa about 8 years ago in Pikesville. Neha is very passionate about her work and business with a fierce desire to be successful. She slowly built her clientele from scratch. She had always hoped to expand her business and add a serene spa element to the long list of services she offered at her original location. When the three story building across from her first salon went up for sale she jumped on the opportunity and after a year of planning and renovations her vision became a reality. Totaling over 6000 square feet, Neha’s is the only spa within 75 miles to have a Vichy Shower room! In March of 2013 her Pikesville location was formally inaugurated by longtime client and friend, Mayor Stephanie Rawlings-Blake drawing in several local celebrities and news crews! Since being formally inaugurated Neha and the Salon/Spa has been featured on various local TV channels WJZ, WBAL, and Fox 45. Her articles have also been published in Baltimore’s Women’s Journal and Baltimore Examiner where she was referred to as the “Goddess of Eyebrow Threading”. Neha is a very humble lady and always gives the credit of her success to the 3,000+ clients that walk through her doors each year. With business on a steady incline, Neha is constantly making sure both salon and spa service providers are keeping up with the latest trends and products. Over the last 3years Neha has seen exponential growth in all aspects of her business and hopes to expand more in the years to come. She offers a variety of services that are customized to the needs of the client, from massages, to hair coloring, full body exfoliation and manicures; Neha Threading Salon & Spa is a one stop shop for all of your beauty needs. Last year Neha opened a new location in Canton so that her clients who live in the City do not have to travel. Neha hopes to expand in the fu-
ture, including adding new locations and furthering her ambition as a force in the business world. With increases in revenue, employment and the number of women-owned firms continuing to rise dating back to, there’s a good chance Neha Gupta will not be the only woman experiencing business success in the state of Maryland.■
About Neha Gupta
Neha Gupta, a talented and well sought out threading technician who took an interest in facial threading in India over 20 years ago. After working in several salons, Neha opened her own location back in 2008. Now she is the successful owner of Neha Threading Salon and Spa in Pikesville MD and a new location in Canton an upscale community located in Baltimore City. Neha introduced a gentle touch combined with a vitalizing Indian head massage to threading. Neha has plans to expand her business to different areas in Baltimore by opening more locations in the near future where it will enable more people to experience this unique style of threading. June - July 2016
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The Dark Side of that Summer Glow by KATINA BYRD MILES, M.D
Summer is here! With the summer season, there is a common desire to exchange dreary winter skin for skin that has been kissed by the sun. Tanned skin is associated with well-being, health, and even wealth. Excessive ultraviolet exposure, regardless of the source, is dangerous. A tan is the skin’s telling sign that it has been damaged. What exactly occurs during the tanning process? UVB is absorbed by the super cial layers of the skin and causes the release of in ammatory factors. We detect this in ammation in the form of a sunburn, a tan, and premature aging. UVA penetrates deeper in the skin and also initiates in ammation. UVA is a more potent causative agent of premature aging as it causes changes in elastin, collagen, and blood vessels. Melanocytes, the pigment producing cells of the skin, provide protection against ultraviolet induced DNA damage. When ultraviolet light hits the melanocytes, they increase their production of pigment granules called melanosomes. e melanosomes travel from the bottom layer to the top layers of skin in an e ort to absorb and lter the damaging ultraviolet rays. e ultraviolet rays cause damage to the DNA within the melanocytes which translates to the formation of a tan, freckles, dyspigmentation, and skin cancer. Melanoma is the result of uncontrolled growth of melanocytes caused by mutations in the cellular DNA. It is the most deadly form of skin cancer. According to the Skin Cancer Foundation, 86% of melanomas are attributed to ultraviolet exposure. Melanoma is the most common form of cancer in ages 25-29. Mostly young females use indoor tanning salons. According to the American Academy of Dermatology, exposure to tanning beds before the age of 35, increases one’s risk of developing a melanoma by a staggering 75%. e Academy also reports that the World Health Organization has classi ed the ultraviolet light emitted from tanning devices as a human carcinogen. Tanning beds are more likely to emit UVA which penetrates deeper into the skin resulting in in ammation and melanocytic mutations. is explains the increased risk of skin cancers associated with tanning salon use.To make tanning
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By Katina Byrd Miles, MD salons even more dangerous, they are associated with addictive behavior. e lamps also emit UVA that is more potent than natural sunlight. Sunscreen and responsible sun exposure dramatically decreases one’s risk for developing a skin cancer and premature aging. Here are some guidelines to protect the skin. Sunscreen should be applied 30 minutes before going outside. A shot glass full is an adequate amount of sunscreen to be applied to the body. When outside for an extended amounts of time, sunscreen must be reapplied every two hours. e ultraviolet light emitted from the sun is the strongest between the hours of 10 am to 4 pm. Sunscreen that provides broad spectrum UVA and UVB coverage with at least a SPF of 30 is adequate. If wearing light colored or thin clothing such as a tee shirt, sunscreen should still be applied to those covered areas. Be sure to apply sunscreen to the face, neck, ears and hands, as these body parts are exposed everyday. A full body skin check is recommended at least yearly by a board certi ed dermatologist. If you have a history of extensive ultraviolet exposure, a skin check may be needed biannually. It is also recommended that those with a history of tanning salon use have a yearly exam with an ophthalmologist and a gynecologist. Yearly full body skin checks help to detect skin
JUNE 2016 | JULY 2016
cancer in the early stages. Early detection dramatically decreases the risk of dying from skin cancer. Pre-mature aging can be addressed with chemical peels, laser treatments, retinoids, and antioxidant serums. To schedule a consultation for a treatment regimen to reverse the signs of premature aging and for a full body skin check with a board certi ed dermatologist, please contact Dr. Katina Byrd Miles at 401-451-0500 (www.skinoasisderm.com). Dr. Miles trained at the Cancer Institute, Melanoma Center, at Washington Hospital Center from 2000-2002. During this two year Melanoma Fellowship, Dr. Miles conducted melanoma research and also trained extensively in the early detection of skin cancer with the use of the dermatoscope.
Dr. Katina Miles is a graduate of Howard University College of Medicine. She completed her internal medicine residency at University of Maryland at Baltimore and dermatology residency at Georgetown University. Dr. Miles is a board certified dermatologist and a Fellow of the American Academy of Dermatology. She is an expert in skin cancer detection and treatment and is a Skin of Color specialist. Dr. Miles is the founder and Medical Director of Skin Oasis Dermatology where she is ready to serve you.
By Alan Weiss, M.D.
Reversing the Slow Decline
healthy lifestyles WJ HEALTH & WELLNESS
Reversing the Slow Decline
RESTORING VITALITY AND HEALTH
RESTORING VITALITY AND HEALTH
by ALAN S. WOISS, M.D.
Much of my medical practice is devoted to working with people in their 40’s- 60’s who just don’t feel well and are looking for some way to restore their health and vitality. While generally not seriously ill (and I always make sure of that in my initial health evaluation) they complain of fatigue, poor sleep, achiness, loss of motivation, and other issues that they think are inevitable at their age. I let them know that vitality and aliveness are possible at almost any age. e approach is rather simple. Your current state of health is simply the result of the interface of their genetic makeup and their lifestyle, meaning their diet, amount of exercise, sleep, stress, toxicity, and other factors. And while you cannot alter someone’s genetics, altering lifestyle factors can absolutely alter how genes function and express themselves. When people (more often women) enter their 40’s their sleep patterns begin to deteriorate. Without adequate deep sleep the body cannot heal and restore itself, and chronic fatigue, aches and discomfort ensue. Approaching sleep issues comprehensively including possibly a sleep study, examining sleep habits, and using both natural and pharmaceutical interventions (as well as hormonal restoration) can make an enormous di erence in sleep and overall health. Digestive function: e gut produces 85% of the body’s neurotransmitters and the bacterial content of the gut is intimately connected to our health. Often I see people with chronic issues such as heartburn, abdominal pain, constipation and diarrhea. We have to look at chronic infections, malabsorption, and in ammation and x these. Chronic bacterial and yeast overgrowth are frequent real problems that when treated have signi cant positive e ects. en I address hormonal function. Some think that hormones decline with age. A more empowering view is that we age as our hormones decline. Addressing thyroid and adrenal issues, as well as testosterone, estrogen, and growth hormone levels as appropriate can make an enormous di erence in restoring health and vitality. Bio-identical hormone replacement therapy which uses hormones that are natural to the human body to restore and optimize health can make a dramatic di erence. Common symptoms seen in hormonal disorders include fatigue, lack of motivation, anxiety, dulled thinking, body pain and weakness, and weight gain due to fat accumulation in conjunction with loss of muscle mass. Addressing these issues is fairly simple and must be customized to each individual. Often people nd that they start sleeping better, are more able to perform at work, and are simply happier when their hormone status is optimized. Last and not least I deal with diet and exercise. Eating in a way that promotes health and well being
requires realizing that what I call the “nutritional environment” does not have our best interests in mind….just look at rising rates of diabetes and obesity. To be well you must x all nutritional de ciencies. And nally regular exercise is indispensable….if you want your body to work you have to take care of your body. is includes maintaining both strength, exibility and cardiovascular health. While this may sound complex it really is not, and there is nothing better than feeling alive and well. Dr. Weiss completed his undergraduate work at University of Virginia and is a graduate of McGill University Medical School; he completed his Internship at the University of Hawaii and Residency at St. Elizabeth’s Hospital in Boston. As head of Annapolis Integrative Medicine, Dr. Weiss specializes in preventative health, alternative approaches to wellness, and treating complex issues including CFS and Fibromyalgia.
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HEALTH & WELLNESS
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The Evolution ofofBreast Treatment The Evolution BreastCancer Cancer Treatment by HARVEY I. KATZEN, M.D., F.A.C.P
By Harvey I. Katzen, M.D., F.A.C.P.
Breast cancer remains the second most frequently diagnosed cancer in women and the second leading cause of cancer death in women in the United States. Breast cancer has also been found in men, but only about 10 percent as frequently as in women. e frequency of breast cancer detection has markedly increased due to improvements in technology and screening techniques. Breast cancer is now detected at earlier stages than in the past. e available methods of treatment have evolved signi cantly over the past 50 years. Techniques now available to treat cancer range from surgery, radiotherapy, chemotherapy, and hormone therapy to a multitude of “targeted” treatments. Carefully designed clinical trials and basic research have changed the timing and options for treatment of breast (and many other) cancers. Not only have the medications used in the treatment of breast cancer changed and become more plentiful, but even the types of surgical procedures, timing of surgery, chemotherapy, and radiation have changed. In the 1970s, the preferred surgical treatment for breast cancer was a radical mastectomy, but today the majority of women who undergo surgery for breast cancer are o ered several breast-conserving procedures. Since that time period, doctors have been looking for less impactful ways to treat breast cancer. • By 1975, the concept of “adjuvant” chemotherapy for breast cancer was being studied for the management of breast cancer patients. Adjuvant therapy is the use of therapy (chemotherapy, hormonal, etc.) in those women who do not have wide spread (metastatic) disease, but who have a high risk of developing distant metastatic disease in the future. • e initial clinical trials to determine if less radical surgery (lumpectomy vs. radical mastectomy) were under way.
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• e use of mammography as a screening tool for breast cancer was becoming a standard of care. • e FDA approved the rst selective estrogen receptor molecule (Tamoxifen) in the treatment of breast cancer. Additional studies in the 1980s demonstrated the appropriate patients to be treated with estrogen receptor inhibitor drugs. e value of adjuvant chemotherapy and local radiotherapy in speci c patients was proven to increase our ability to improve local control and longterm survival. Proof that neoadjuvant (treatment prior to surgery) therapy could make some inoperable cases operable was demonstrated by the end of the 1980s. Several major advances in our understanding of the biology of breast cancer have revolutionized its treatment. • e use of antibodies in the treatment of breast cancer. e rst humanized antibody (anti-HER2) was created and studied in clinical trials. e basis for understanding the di erences in behavior of cancers that showed “over expression” of HER2 was evident. • e introduction and use of several new chemotherapeutic compounds greatly enhanced our ability to treat breast cancer in the 1990s. A new group of chemotherapy compounds, taxanes, was studied and introduced into our armamentarium against breast cancer. is group of chemotherapy agents has greatly improved our ability to treat both early and advanced stage breast cancers. • In the late 1990s, we learned the signi cance of certain genetic variants (BRCA). is group of genetic markers has proven to be so e ective as a predictor of future cancers that some patients are recommended to undergo mastectomy (removal of the breast), hysterectomy (removal of the uterus), and oophorectomy (removal of the ovaries) based on the results of this speci c gene test. In the past twenty years, a number of new e ective chemotherapy agents have been introduced. e continued discovery of
molecular targets continues to drive more research and development of medications to “target” cancer cells and spare “normal” cells. One of the current areas of intense research is the combination of antibody-drug complexes. is will allow delivery of chemotherapy agents directly to the cancer cells with even more sparing of healthy cells in the body. Although we do not yet have guaranteed cures for advanced breast cancer, we have come a long way. Imaging techniques have become more accurate and deliver less radiation exposure. Surgical procedures have evolved from “radical” to breast conserving. Chemotherapy has evolved from prolonged to shorter periods of time with more e ective and frequently less toxic drugs. We better understand which hormone “manipulations” to use in speci c patients and how long they should be administered. Even in advanced cases of breast cancer, we are changing this disease from terminal to chronic, and that challenges us to seek new methods and new compounds to keep women (and men) with breast cancer alive for longer periods of time with improved quality of life. is challenge motivates all of us who are privileged to care for those people who have breast cancer.
Harvey I. Katzen, M.D., F.A.C.P. earned his medical doctorate at George Washington University School of Medicine in 1975. He completed his internship and residency at George Washington University Hospital in Washington, D.C. Dr. Katzen established the first in-patient oncology units at Greater Southeast Community Hospital and Southern Maryland Hospital, where he has served as the Chief of Oncology. He is an active participant and member of a Clinical Pathway Committee for treatment of oncology patients. He currently serves as an associate clinical professor at George Washington Hospital. Dr. Katzen has been recognized as a Top Doctor by US News and World Report and Washingtonian Magazine. He is a member of the American Society of Clinical Oncology, the American Society of Hematology and the Southern Association of Oncology.
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Ways to Avoid Childhood Obesity
By Frederick Corder, M.D.
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hysical activity has been highlighted internationally as a beneficial intervention for weight control and the improvement of physical and mental health. This review highlights findings from recent literature to guide office-based promotion of physical activity for obesity treatment and prevention. Children worldwide participate in far less than the current physical activity recommendations. Family-based activity provides children with positive role modeling as well as motivational support for maintaining an active lifestyle. The integration of physical activity into daily life can be an effective alternative to sports and structured exercise programs. Decreasing sedentary behaviors is also a positive contribution, although its link to physical activity levels is still unclear. Some families may see neighborhood safety and access to recreational facilities as barriers to keeping their children physically active. Research in the field of pediatric obesity and overweight treatment and prevention continues to find challenges and solutions. Promotion of physical activity by the pediatric provider is demonstrated by current evidence to be a positive intervention against this global problem. Childhood obesity is a national epidemic. Nearly 1 in 3 children (ages 2-19) in the United States is overweight or obese, putting them at risk for serious health problems. As parents, caregivers, brothers and sisters, leaders in schools, communities and healthcare, we can work together to create a nation where the healthy choice is the easy choice. Learn the facts, our approach to solving this epidemic and how you can help be a part of the change. HEALTHY TIPS: 1. Plan outdoor activities Set aside one day a weekend to do something active as a family: swimming in the summer, sledding or hiking in the winter, or biking in the spring and fall. Taking along a picnic lunch and splurging on some healthy snacks after a good workout will help the day go by without a complaint. 2. Take classes together Ask around at fitness clubs and community centers in your area about yoga or aerobics classes offered to parents and kids together. If your little one is too young to participate, look for classes that help you burn calories with your
HEALTH & WELLNESS baby by incorporating them into your yoga moves or pushing them along during stroller workouts. 3. Redo your family room Too often, family rooms are the center of laziness in a home: a comfy couch, a video-game console, a shelf full of DVDs, and nothing to encourage fitness or physical activity. There are ways to add in subtle reminders, however, without overhauling your entire room or dragging in a giant piece of workout equipment.
‘Children worldwide participate in far less than the current physical activity recommendations.” 4. Make chores fun Instead of relegating each member of the family to doing separate chores by themselves, turn chores into a game you can all do together. Race to see how fast you can get the house cleaned, and then try to beat your old time the next week. Play music while you’re doing laundry, and enlist the kids to sing and dance while helping to fold and put clothes away. Take the dog for walks together, and squeeze in some running, roller-skating, or jump rope while you’re at it. 5. Make over your meal plan This isn’t necessarily a fitness tip, but it’s also worth mentioning: Families that eat healthier also tend to have other healthy habits, such as regular physical activity. If you want to slim down after having a baby or just want to eat better overall, get your entire family involved and you’re more likely to succeed. Take kids to the farmers market, let them pick their own fruits and vegetables, and involve them in the food preparation. They’re much more likely to enjoy their meals and to clean their plates.■ Frederick Corder, MD FAAP Dr. Corder attended medical school at Howard University College of Medicine and graduated in 1977. He is board certified by the American Academy of Pediatrics. Dr. Corder was formally the Chief Health Officer for Prince George’s County and the medical Director of several health plans. Dr. Corder has been in Pediatric practice for over 35 years. Dr. Corder, his wife Dr. Marilyn Corder ad their daughter Adrienne Corder started the Corder Pounders Youth Fitness program and the Family Fitness Center. Bowie, MD • (301) 805-2229/Cheverly, MD • (301) 341-7494 Children’s Medical Center Washington, DC • (202) 291-0147 June - July 2016
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gym-free Fitness Ideas Anyone Can Do
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isiting a gym to lift weights or take a class is great for your health. However, busy schedules, tight budgets and simply not feeling like the gym environment is for you are reasons that frequently cause people to stop going. Fortunately, being fit doesn’t require the gym! Tavis Piattoly, a sports dietitian, expert nutritionist and co-founder of My Sports Dietitian, offers some no-fuss ideas for staying healthy without the gym. Inside the home Stuck inside? No problem. Try some squats or, if mobility is an issue, squat to a chair. Push-ups are another classic, highly effective option. If regular push-ups aren’t an option, do them from your knees or against the wall. Other amazing exercises: lunges around the house, shoulder presses with dumbbells, jumping rope, jumping jacks, running in place, planks and sit-ups. Outside in nature Being out in the fresh air is a great escape that offers loads of fitness possibilities. Try hiking, paddle boarding, kayaking, skiing, fishing, mountain biking or whatever else peaks your curiosity. Simply taking a walk around the yard or block is beneficial, too. At the office Overcome the sedentary office lifestyle by making time for fitness. Try taking the stairs every day and park far away so you walk to the door. Then, use a 5-minute break every hour to do something active such as chair squats or seated leg raises. Set an automated alert so you don’t forget.
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Group fitness Fitness can be more fun when you do it with friends or family. Play tag, organize relay races or create an obstacle course outside. Other enjoyable group fitness activities include hiking, swimming, basketball, soccer, Frisbee and bike rides. When out and about A busy schedule packed with errands still presents the opportunity for fitness. For example, walk or run the parking lot while kids are taking dance or music classes rather than passing the time on your smartphone. Nutrients A healthy balance of nutrients keeps blood sugar levels from crashing and gives you a steady source of energy. Piattoly especially recommends taking a Nordic Naturals supplement daily to get the omega-3s you need for optimal health. Extensive research has documented the health benefits of the two main omega-3s (EPA and DHA), which include not only support for a healthy heart, but also brain and cognitive function, joint mobility, eye health, pregnancy and lactation, healthy skin and hair, and a normally functioning immune response. Balanced meals To support fitness efforts, it’s important to eat well and regularly. The best foods for sustained energy are balanced meals of complex fiber carbohydrates, healthy fats and lean protein. Piattoly suggests eating every three to four hours. Some ideas to include in balanced meals: whole grain breads and crackers, chicken breast, legumes and fresh fruit and vegetables.■
HEALTH & WELLNESS
What Makes you feel Fulfilled? Uncovering the Secret to Living your best life
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t’s not money. It’s also not how many vacations you take, or whether or not you have pets, or if you own a big house. So what, then, is the secret to living a fulfilled life? The highly debated answer to this question might surprise you. Nearly 2 million people around the world have spoken through a global survey conducted by Abbott, the global healthcare company. Most people feel the key to living a full life is family, followed by success, giving, and health. Interestingly, family outranked the next-closest factor by more than 20 percent. If you think money is keeping you from living a full life, you’re not alone. An eye-opening 44 percent cited money as the top barrier to living a full life, followed by time, work and priorities. Meanwhile, attitude was the top reason people thought others live fulfilling lives, followed closely by health. “We uncovered the passions and obstacles that people have as they try to live their best lives. We set out to get people talking about what it means to live fully and how they can get the most from their lives,” says Elaine Leavenworth, senior vice president, chief marketing and external affairs officer, Abbott. “Ultimately, we want to help people live the fullest, healthiest life possible. Understanding more about what everyone values the most and what gets in their way will help us serve them better.” When asked to rank how fulfilled they are on a scale from 1-100, the
global median for people around the world was 68. Those who listed family or spirituality as a top factor for living fully often rated themselves higher on the fulfillment scale. In contrast, people who listed success as a top factor for living fully tended to rate themselves lower on the fulfillment scale. “These results reflect a dynamic that has been ingrained in humans for much of history. There’s always a sense of tension between what we value as a society and what might actually be possible for individuals,” says Eric Hed-
berg, Ph.D., sociologist and assistant professor, Sanford School of Social and Family Dynamics, Arizona State University. “Around the world, most societies value family and success; these are core needs of any human being. However, not every society provides the same opportunities to achieve those goals. Instead of accepting barriers to fulfillment, it’s important for individuals to refocus on what they can do to change these conditions.” To learn more about the survey, visit www.LifetotheFullest.abbott.■ June - July 2016
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HEALTH & WELLNESS
Mother Knows Best
Mother Knows Best
New Options Let Women Choose the Pregnancy New Options Let Women Choose the Pregnancy and Delivery That’s Right forRight Themfor Them andPlan Delivery Plan That’s “When a woman feels empowered giving birth, she then feels empowered to take care of the baby,” says Nancy Prothero, C.N.M. “A good birthing experience starts the family o on the best possible path.” Creating this type of birthing experience has long been a hallmark of Carroll Hospital and Carroll Health Group OB/GYN. But with the recent addition of Prothero and her team of fellow certi ed nurse midwives, the two organizations are taking the idea of patient empowerment to the next level.
“More experts means more options for women. If you want to see a physician, a midwife or a nurse practitioner, it is completely your choice,” says Eileen Garavente, M.D., medical director of women’s services for Carroll Health Group. “All our providers deliver the same superior level of care.” What is a Certi ed Nurse Midwife? Certi ed nurse midwives (C.N.M.s) are advanced-practice registered nurses who specialize in low-risk pregnancies and deliveries and can provide a full range of women’s health care services, including wellness care and menopause management. Many women turn to C.N.M.s for their unique approach to obstetrics. “We have nursing backgrounds, so we provide a level of emotional support and hand-holding that many patients like,” says Prothero. “We also believe it’s a woman’s choice how the birth should go, so we talk about all the options and support the patient in whatever she chooses.” “Some people think of midwifery as a home-birth or antiepidural approach, but that is not true,” adds Dr. Garavente. “C.N.M.s are evidence-based practitioners who have a very holistic yet scienti c basis for educating women on how to have the pregnancy and delivery experience they’ve always wanted.” A Collaborative Approach to Care At Carroll Hospital and Carroll Health Group OB/GYN, the obstetricians, midwives and nurses work side-by-side to provide specialized care tailored for mother and baby. is approach reduces complications and encourages earlier bonding, among other bene ts. “We believe pregnancy should be timed around a due month, not a due date,” says Prothero. “We know that the best way to get the best outcomes is to let nature take its course.” Achieving the best outcomes also means having the right specialists on board to assist when unexpected issues arise. “We have a very experienced maternal-fetal medicine team at the hospital to consult all of our high-risk patients,” says Michael Vietz, M.D., a Carroll Health Group OB/GYN specialist and chief of OB/GYN at Carroll Hospital. “We also have a level-two neonatal unit that’s manned 24/7 by a pediatrician. So we are ready to handle almost any scenario.” e private, all-in-one suites inside the hospital’s Family Birthplace also allow for a more seamless and collaborative birthing experience. “Everything from labor to recovery happens in one room, which creates a continuity of care between you and your nurses,” says Prothero. “We have all the pieces in place for you to have a safe and healthy baby in a way that’s good for your family.” Know your options: visit CarrollHealthGroup.com to nd a women’s health specialist who’s right for you.
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The“Liquid “Liquid Facelift” The ThroughCombination CombinationTherapy Therapy Facelift”Through Cosmetic options have undergone a paradigm shift in the treatment of facial aging with a new emphasis being placed on prevention and less invasive approaches. We introduce a new approach to looking younger: the “Liquid Facelift” and combination therapies. When noninvasive treatments are introduced early we can actually slow down the again changes thus preventing or delaying more invasive surgeries. For many of us preventing the taut skin and surgical look are desirable goals. e e ects of aging occur gradually and we nd ourselves wishing for aesthetic enhancements before we are ready for a surgical facelift. e “Liquid Face Lift” is accomplished through a combination of Botox, dermal llers (Restylane or Juvederm), and medical-grade skin care. Botox lifts the eyebrow area and eliminates unwanted frown lines by relaxing the underlying muscles. e art of Botox comes from having specialized training and experience that allows the Botox placement to be individualized. Dr. Pacheco's experience dates back to the early years of Botox when it was rst FDA-approved for use around the eyes in 1989. Dermal llers such as Restylane and Juvederm, add or restore volume to the lips and smooth nasolabial, marionette and jowl folds. Restoring volume is one of the most e ective and natural ways to look younger and refreshed. Dermal ller treatments are quick
and results are immediate. e e ects of dermal llers are even more dramatic when used in combination with Botox. What sets us apart? Botox and dermal ller treatments are personally administered only by Dr. Pacheco, a fellowship trained, Oculoplastic Surgeon. A topical anesthetic cream is applied prior to both dermal llers and Botox o ering our patients a pain-free experience. Treatments can be performed in less than 30 minutes and do not require any downtime. Dr. Pacheco is trained and is a trainer in the advanced uses of Botox and Restylane. ese advanced uses include: Botox in the perioral, neck and bunny line areas, and dermal llers for crow's feet, undereye dark circles and brow lifting. Worried about facial skin laxity and sun damage from sunbathing and years of recreational boating? Combine ermage, Fraxel laser treatment, or IPL Photorejuventa.tion into your treatment plan. ermage, known as the “mini-face lift” is the rst non-surgical, FDA-approved procedure that can tighten and lift brows, cheeks and neck through the use of radio frequency waves with no interruption to normal activities. Considered a leading physician in the ermage eld, Dr. Pacheco was recently invited to speak to other physicians on behalf of ermage at a conference in Vienna, Virginia. When skin
texture, wrinkles, sun and brown spots, acne scars, and melasma are the primary concern, Fraxel laser treatments repair and resurface the skin a fraction at a time (3 to 5 sessions). IPL (Intense Pulsed Light) can also treat sun damage in a gentler, non-invasive way using pulses of light that minimize brown spots and pore size, treat broken capillaries, veins, and rosacea changes with no down time. Optimal results may require a combination of therapies. As an Oculoplastic Surgeon on the faculty sta of e Wilmer Eye Institute at Johns Hopkins since 1990, Dr. Pacheco is uniquely quali ed to develop a treatment plan customized just for you. For seventeen years, she has trained medical residents, fellows and colleagues in the art of her subspecialty. Since opening the Center for Eye & Laser Surgery eight years ago, she has been committed to providing patients with the highest quality, scienti cally-based, surgical and non-surgical technology for facial rejuvenation. Let us show you the latest options available to restore your natural beauty. With the focus on volumetric enhancement and combination therapies, a non-invasive rejuvenation of the skin is possible. ousands of patients have bene ted from her extensive expertise. When the time is right for you, let's meet to develop a plan that achieves exceptional results without the need for invasive procedures.
n eo t rg rtis Su A d on eli ti Ey na p ve To eju R &
at 25 Years on the Johns Hopkins Faculty
410-647-0123 692A Ritchie Highway, Suite 2B Severna Park, MD 21146 www.myeyelids.com
Elba Pacheco, M.D. Board Certified & Fellowship Trained Cosmetic & Reconstructive Eyelid Surgeon
Cosmetic and Reconstructive Eyelid Surgery • Thermage CPT® • Liposonix® • Fraxel® Dual Forever Young BBL Photorejuvenation • Botox® Dysport® • CO2 Laser Resurfacing • Juvederm® Kybella™, Restylane® Silk, Lyft • Perlane® • Voluma® Glycolic Peels • VI Peels® Medical Skin Care • Permanent Make-Up
JUNE 2016 | JULY 2016
wjwomen.com June - July 2016
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HEALTH & WELLNESS
Mammograms for Early Detection of Breast Cancer
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ennifer was my last appointment of the day and she was late. Late meeting at work, had to pick up the kids, almost forgot she had even her annual GYN appointment. She apologized, and of course I could still see her. As a working mother myself, I empathized. During her visit, we reviewed her uneventful medical and family history, and her physical examination was normal. We discussed follow-up plans. Her Pap smear results would be available next week, and I would send her to get a mammogram since she recently celebrated her 40th birthday. She disapproved saying, “I don’t need a mammogram. I don’t have breast cancer. No one in my family has ever had breast cancer, or any type of cancer.” She gave more reasons: Too busy with work, school, and family; mammograms were painful; mammograms are for older women, etc. I had a rebuttal for each reason, so we went back and forth. Finally, I handed her the form and insisted, “Humor me. Get it done, and then I’ll leave you alone.” Jennifer and her husband came to my office the following week, both in tears. The mammogram was abnormal, and a follow-up biopsy confirmed that she had breast cancer. She underwent surgery and radiation. Luckily, the cancer was detected very early, and her prognosis was excellent. She is grateful to me for insisting on the mammogram. And I am grateful that she listened. Counseling my patients about breast cancer screening is perhaps one of the most important things I do at my practice. Breast cancer is the most common cancer in women and accounts for 27 percent of all new cases of cancer diagnosed in women. A woman’s lifetime risk of developing breast cancer is 12 percent, or 1 in 8. That means one out of every eight patients that I see will have breast cancer at some time in her life. While prevention of breast cancer is not possible, early detection of disease usually translates to a better outcome. As an OB/GYN, I am aware that I can make a difference in my patients’ lives by emphasizing screening guidelines aimed at early detection of breast cancer. The American College of Obstetrics and Gynecology currently recommends self-breast exam, clinical-breast exam, and breast imaging (usually mammogram) beginning at age 40.. Many women do not feel confident about doing self-breast exams for fear that they are not doing it correctly. The key is to start at a younger age and get used to the normal feel
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and look of both breasts. Once an awareness of what feels and looks normal is established, then abnormal changes are easier to detect. For women still having menstrual cycles, they may experience changes in breast texture during the menstrual cycle. Any persistent abnormal findings should be reported to a health provider. The clinical breast exam is accomplished during a woman’s yearly GYN visit. It is important to have this breast examination by a health care professional at least once a year as a simple and effective strategy for early detection of breast cancer. As an OB/GYN, I get a lot of questions about breast cancer. Here are a few: Q: What exactly is breast cancer? Cancer is a term used to describe when cells in any part of the body start to grow abnormally. The cells grow uncontrollably forming a lump, or tumor. In the breast, some tumors are benign, not harmful, and do not spread. Breast
“
HEALTH & WELLNESS
cancer typically refers to tumors that are harmful, grow in size, invade the entire breast, and spread to other parts of the body. Q: Who can get breast cancer? Every woman can get breast cancer. Q: How harmful is breast cancer? Breast cancer is the second leading cause of cancer death in women. The breast cancer survival rate is lower among women whose cancer was detected at a later stage of disease. Survival is also lower in women diagnosed before age 40. Younger women with breast cancer tend to have more aggressive tumors that are less responsive to treatment. African-American women also have lower survival rates than Caucasian women. Q: Is the risk higher for some women? While every woman is at risk for breast cancer, some patients are at higher risk and may require enhanced screening. Known risk factors for breast cancer are increasing age, family history, older age at first full-term pregnancy, early onset of menstrual cycles, late menopause, alcohol consumption, physical inactivity, and breast density. For older women in menopause, additional risks include obesity and use of hormone replacement therapy. There is absolutely no scientific evidence that links underwire bras, breast implants, antiperspirant use, and medical abortion to breast cancer. Keep in mind that having a risk factor, or even several, does not mean that you will get breast cancer. Most women who have one or more risk factors never develop the breast cancer. More important, many women diagnosed with breast cancer have no risk factors. For example, even if no family member has ever had breast cancer, the disease can still occur. Q: What are the signs and symptoms of breast cancer? Typically, early breast cancer does not cause signs or symptoms. However, all breast changes including lump in the breast or underarm, nipple discharge or other nipple changes, skin color or skin texture changes, or breast pain should be reported to a doctor. Q: I don’t have health insurance. Can I still get screened for breast cancer? The new health care laws give almost every woman access to cost-free or inexpensive preventive health care screenings. Women are encouraged to be proactive, and apply for coverage. If you missed the deadline for applying for health insurance last year, open enrollment begins again on November 15th. Some local imaging centers offer reason-
While every woman is at risk for breast cancer, some patients are at higher risk and may require enhanced screening.” able- or reduced-priced mammograms. The Howard County Health Department Breast and Cervical Cancer Prevention Program also offers screening at no cost to qualified applicants. Q: I am afraid. How can I prevent breast cancer? Breast cancer is scary. Yet, we do not have to be scared or intimidated. Every woman should pay close attention to her own body. Be proactive. Talk to a doctor about breast cancer screening. Early detection is the key.■
Ellicott City: 9501 Old Annapolis Rd, Suite 305 Ellicott City, MD 21042 Laurel 8317 Cherry Lane Laurel, MD 20707 Phone numbers: 443-380-0060 410-730-7722 June - July 2016
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BUSINESS
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Our hashtag pick
Sheryl Sandberg’s #leanintogether
BUSINESS
Sheryl K. Sandberg is an American technology executive, activist, and author. She is the Chief Operating Officer of Facebook. In June 2012, she was elected to the board of directors by the existing board members,becoming the first woman to serve on Facebook’s board. Before she joined Facebook as its COO, Sandberg was Vice President of Global Online Sales and Operations at Google and was involved in launching Google’s philanthropic arm Google.org. Before Google, Sandberg served as chief of staff for United States Secretary of the Treasury Lawrence Summers. In 2012, she was named in the Time 100, an annual list of the 100 most influential people in the world according to Time magazine.As of June 2015, Sandberg is reported to be worth over $1 billion, due to her stock holdings in Facebook and other companies.
Lean In: Women, Work, and the Will to Lead Sandberg released her first book, Lean In: Women, Work, and the Will to Lead, co-authored by Nell Scovell and published by Knopf on March 11, 2013. It is about business leadership and development, issues with the lack of women in government and business leadership positions, and feminism. Lean In is a book for professional women to help them achieve their career goals and for men who want to contribute to a more equitable society. The book looks at the barriers preventing women from taking leadership roles in the workplace, barriers such as discrimination, blatant and subtle sexism, and sexual harassment.■
June - July 2016
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TRAVEL COMMUNITY
Where to Spa Near and Far “Sanctuary Camelback Mountain Resort & Spa. The New Spirit of Luxury. Scottsdale, AZ”
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TRAVEL
A Family-owned Operation. Certified Sustainable. Estate Grown.
The Vegan Vine Wines was founded in 1992 by Bill and Brenda Murphy grown and produced by Clos LaChance Winery. Clos LaChance Winery is open to the public for wine tasting, tours, picnicking and bocce ball. The winery is a stunning Old-World-inspired facility located in San Martin, California, only 30 minutes South of San Jose and 45 minutes North of Monterey. The Vegan Vine Wines has partnered with former NBA champion, talk-show host and health/wellness activist John Salley. Mr. Salley has taken an ownership position in the brand with the goal to educate the vegan and wine drinking community. The winery is a perfect place for a fun and relaxing getaway. June - July 2016
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4
ways
HOME IMPROVEMENT COMMUNITY
“ T
to get the character of historic window architecture in a new house
Windows are so much more than white rectangles and can really make or break the home’s design.”
he saying, “The more things change, the more they stay the same” rings true with architectural styles. We have smarter ways of building and the layouts have evolved with lifestyle changes, but historical and authentic design is only growing in demand. “Post-war in the mid to late 20th century, many homes began losing that historical European influence due to the need for mass produced, affordable housing,” says Deryl Patterson, an award-winning residential architect, and president and founder of Housing Design Matters, Inc. “Fast forward 30 years, and homebuyers began demanding those historical styles again - with the convenience and functionality of a new home.” “One of the features often overlooked when designing a ‘new old house’ is the window style,” says Mark Montgomery, vice president of marketing for Ply Gem Windows. “Instinctively, people realize the curb appeal of a home is not quite right when the windows do not fit the architectural style, but they can’t point out what’s wrong. Windows are so much more than white rectangles and can really make or break the home’s design.” For homebuyers who want an authentic older home look, the exterior must be designed in a specific manner, down to every little detail, especially the window architecture. Montgomery advises buyers to consider the color, grilles (decorative pattern that can simulate the look of separated glass panes), operating style and shape for historically-influenced design that complements the home’s style. To get the look, here are four examples of how history influenced window architecture in home design:
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HOME IMPROVEMENT 1. French Country: This is a very elegant style, focusing on vertical proportions. Windows are a defining characteristic that should emphasize this. A 3-foot by 6-foot window with a two-over-two window grille pattern is a classic combination. The single vertical mullion (a post that separates two windows) in the window further reinforces its striking proportions. 2. Modern Tuscan: Windows play a vital role in the design. Imagine them as geometric forms, creating interesting patterns across the front of the home. Consider combinations of single hung and fixed glass windows. The windows should be relatively free of grilles - perhaps a simple single vertical or cross pattern - to keep the style fresh. If the budget allows, consider upgrading to a Ply Gem MIRA Series window and using one of the bold, saturated tones, available in nearly 50 different colors. 3. Craftsman Bungalow: This style was developed from the British Arts and Crafts movement and features double-hung or casement windows. In Craftsman-style homes, the exterior trim traditionally contrasts with the window
frame color, and the windows include grille patterns that create vertical proportions. 4. Prairie: A bold departure from the typical European-influenced styles, windows in modern Prairie architecture are typically tall casements in warm tones, providing the perfect complement and contrast to the horizontal lines of the style. A Prairie-style grille pattern is essential to complete the look. To find the window style that best fits your “new old house,” Patterson recommends researching the options. “One of the best ways to find inspiration is to drive through older, historical neighborhoods. If you don’t live close to such neighborhoods, old travel magazines and history books are also great resources,” she says. Websites like www.plygem.com also help provide inspiration and take the guesswork out of architectural styling and color selection through historically accurate visual renderings, window design specifications and suggested style and grille patterns.■
June - July 2016
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HOME IMPROVEMENT COMMUNITY
five interior design trends to
step up your style game
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Given the pace of today’s technology driven life, more and more people are turning to their home as a haven...”
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HOME IMPROVEMENT
Adding an outdoor project like a wood deck or pergola can add resale value to your home.”
A
s the temperatures continue to warm up outside, you may be ready to embrace the adage “out with the old and in with the new” when it comes to your home’s interior design. Whether you’re a first time homebuyer looking for ways to upgrade your starter home or a seasoned homeowner seeking a refresh, these tips will give you ideas to work with on any budget. 1. Design for social connection. Given the pace of today’s technology driven life, more and more people are turning to their home as a haven, a place where they can unplug from screens and reconnect with family and friends. “An easy way to accomplish this is to design your home to encourage personal interaction,” recommends interior designer Brian Patrick Flynn. “Group comfortable furniture in ‘conversation zones’ and banish TVs to smaller rooms, freeing up larger living spaces for screen-free entertaining and relaxing.” 2. Get outside. As lines are continually blurring between indoor and outdoor living areas, it’s just as important to consider your outdoor oasis as it is your standard living room. Adding an outdoor project like a wood deck or pergola can add resale value to your home. There are many options to accessorize your outdoor space with furniture, lighting and rugs. Build a comfortable spot that bridges the gap between inside and out, and you’re certain to spend more time outside creating memorable experiences. 3. Go natural. Many residential designers today are embracing a classic, modern style that is characterized by white, neutral tones and light wood in its natural state. This look is DIY-friendly, since the only skills required involve a light sanding and a quick coat of clear sealant. “What I like most about this trend is how tranquil unstained wood can feel when used in an all white space,” says Flynn. There’s a reason for that tranquility - studies show people have reduced signs of stress and increased relaxation in rooms with natural elements like wood.
4. Less is more. If you own a home with strong architectural features, it often works best to decorate with practical pieces that keep the overall space comfortable and sparse, allowing the unique aspects of your home to shine through. If you have soaring ceilings or large windows that allow for an abundance of natural light, try incorporating low-slung, minimalistic furniture with comfortable upholstery. The best part? If you’re purchasing fewer pieces, that means you’re likely to save more money in the long run. 5. Don’t play it safe. It can be tempting to stick with what you know, but when it comes to interior design, that’s a recipe for lackluster beige walls. When it comes to paint, try new neutrals like grey-green, brown-grey, olive or muted blue-grey. Feel like a bigger project? It’s easy to give a room its focal point with a wood feature wall. “I like playing with lines through wall and ceiling cladding,” Flynn says. “While the look of horizontal shiplap continues to grow in popularity, I also like more of an unexpected look, such as installing planks vertically on walls.” From adding an accent wall to rearranging furniture, these are just some of the easy changes you can make to give your home a whole new look. For more interior design inspiration, visit woodnaturally.com.■ June - July 2016
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ENTERTAINMENT COMMUNITY
4
T
wine buying tips for weddings
raditional wedding rules have fallen by the wayside - food trucks are in, having a hashtag is a must, bridesmaids no longer wear the same dress and groomsmen are sometimes in sneakers. Couples are actively seeking ways to differentiate themselves and get creative. All that aside, there is one thing that remains constant - weddings must have wine. Without wine, there is no glass to raise during the toast to the bride and groom and nothing to drink when the bar closes during dinner. Wine is the first thing guests are offered when they take a seat, and - you know that they say - it’s important to make a good first impression. Choosing the right varietals for your wedding does not have to be a stressful endeavor. Whether you’re a novice wine drinker or a connoisseur, follow these four tips and you’ll please a crowd without spending a fortune: Say “cheers!” with a sparkling wine. People love a good toast, and nothing washes down a teary maid of honor speech like a glass of sparkling. Riondo Prosecco is an accessible option that’s ideal to enjoy any day of the year, but perfectly suited for special occasions. You’ll get six pours out of a bottle, so plan accordingly!
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Good things come in threes. In addition to a sparkling, you’ll want a red and a white option that are familiar and food-friendly. You can’t go wrong with a Merlot - look for labels from the Napa region. For a white, Terlato Friuli Pinot Grigio is exceptional and ideal for food pairing. Wine math: What you didn’t learn in school. Running out of wine mid-wedding isn’t an option, so it’s important to do the math. You should anticipate getting about 5 glasses per bottle and assume that each guest will drink one glass per hour. Follow this rule and the wine will flow all night long, keeping you and your guests happy. Don’t break the bank, but stay away from the cheap stuff. Choosing an excellent wine doesn’t mean paying top-dollar, but buying too cheap can mean sacrificing quality. There are countless high-quality, delicious, wines available for $10-$20 per bottle, so leave the cheap stuff on the bottom shelf!■
Summer B Nights Live: 3 ways to get the most out of your summer “Summer should be a time to push the limits of fun with friends and family by breaking out of the comfort zone.”
ENTERTAINMENT
righter skies. Longer days. Warmer nights. As summer sets in, the time is right to make the most of every sun-kissed day and embrace each sizzling night through noholds-barred fun and good times all season long. From barbecues and trips to the beach, to hanging out poolside and going on bike rides, there is no shortage of activities in which to participate. Yet despite the endless possibilities summer brings, people are creatures of habit and often slip into a rut, going back, time and time again, to tried-and-true activities. Summer should be a time to push the limits of fun with friends and family by breaking out of the comfort zone, trying new things and making 2016 a summer to remember. Make the most of the season this year with these tips. Find new places to kick back. It’s patio season! As fun as it might be to kick back in the yard with the usual drinks, seize the energy of summer though new adventures in food and drink! There’s no better time to gather the crew, explore fresh seasonal menus at local restaurants and discover tantalizing summer drinks and fare with friends. “Patios were invented for summer nights and are the perfect backdrop for kicking back with some craft beers or trying a new refreshing cocktail while living it up with friends,” says Mike Johnson, vice president of operations at RA Sushi, which has 27 locations across the U.S. and is launching a new craft beer menu this summer, featuring local breweries. Go for an experience. Whether learning to water-ski at the lake a decade ago or watching an impromptu movie marathon under the stars, the fondest memories of summer usually include experiencing something new with friends or family. Have you ever painted while sampling wines or learned to roll sushi while enjoying sake? It’s time to make new memories by trying something out of the ordinary. Celebrate every day. There are more than 90 days of summer and each deserves to be celebrated to the max. Whether it’s organizing a sushi rolling class for friends at RA Sushi on June 18 for International Sushi Day, or seizing a spontaneous moment to live it up, summer is the perfect time of year to live life to the fullest. Summertime is pure magic and loaded with opportunities to indulge in passions, be bold, embrace the unexpected, discover new things and, most importantly, live every minute to the fullest.■ June - July 2016
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FOOD COMMUNITY
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10
FOOD
heart-healthy foods you’ll want
W
to actually eat
hat does oatmeal, beans and skinless chicken have in common? They are all heart healthy foods, yet don’t do a whole lot to tantalize the taste buds. Fortunately, eating for heart health doesn’t mean a life sentence of bland foods or boring flavors. By thinking beyond the oatmeal box, you can reinvent your meals while keeping heart health top of mind. This is important for everyone because heart disease - which includes stroke and other cardiovascular diseases - is the No. 1 cause of death in the United States, according to the American Heart Association. Mindful eating is one of the best ways to maintain heart health. With these 10 hearthealthy foods, you won’t mind sitting down to a wholesome meal that supports the hardest working muscle in your body. Berries Munch on blueberries and strawberries your heart will thank you. By eating three or more servings of these berries a week, women can reduce their risk of heart attack by 32 percent, according the journal Circulation. Sprouted grain English muffins Ezekiel 4:9 Sprouted Grain Flax English Muffins are made with heart healthy flax seeds loaded with omega 3 and 6 essential fatty acids. Just pop them in the toaster for a rich nutty taste that excites the taste buds! Sprouted to maximize nutrition and digestibility, each muffin provides an impressive amount of plant protein, too. Learn more at www.foodforlife.com. Potatoes Spuds get a bad rap for being a starch, but they actually are a positive part of a hearthealthy diet. Rich in potassium, potatoes can help lower blood pressure. Remember to avoid frying potatoes and try baking or boiling instead.
Tofu Looking for a great meat alternative? Because tofu is made from soy protein, it is believed to help lower levels of bad cholesterol (LDL), making it fantastic for heart-healthy eating. Explore new recipes or use it as a substitute in current favorites. Red wine Say cheers to good heart health with a glass of red wine. The Mayo Clinic notes alcohol and antioxidants in red wine may help prevent heart disease by increasing levels of the good high-density lipoprotein cholesterol (HDL) and protecting against artery damage. Spinach Popeye was right - spinach is an amazing food that packs a heart-healthy punch. Full of vitamins, fiber and carotenoids that act as antioxidants, spinach is a mean, green superfood. Add to sandwiches, salads and smoothies regularly. Dark chocolate Have a sugar tooth? Indulge it while bettering your heart. A square or two of dark chocolate may be good for your heart, just make sure the bar is 70 percent cocoa or higher. Salmon It’s easy to cut down on red meat consumption with versatile salmon. Its meaty consistency is satisfying while offering endless options for grilling, steaming or baking. Loaded with omega-3 fatty acids, salmon will make your heart jump with joy. Tomatoes Packed with lycopene, vitamin C and alpha- and beta-carotene, tomatoes are a smart addition to any heart-healthy meal. Eat them fresh or sundried to enjoy the many benefits. Plus, because they’re low in calories and sugar, they make an ideal guilt-free snack.■ June - July 2016
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FOOD COMMUNITY
The next generation of an
American Classic
“ I
April is National Grilled Cheese Sandwich Month, and April 12 is National Grilled Cheese Sandwich Day.”
t’s not always easy for parents to remember what it was like to be a kid. It’s hard to understand why a bug can be so fascinating, or how toy trucks or dolls can entertain one for hours. But if there’s one thing that can take you back to your childhood, it’s food. For example, imagine a grilled cheese sandwich - how the toasted, buttery bread dissolves on your tongue, while the ooze of the cheese cools in your mouth - everything about it has the unmistakable taste of childhood. And just like you, the grilled cheese sandwich has grown up. New frontiers The grilled cheese is the type of sandwich that takes you from childhood to adulthood, and it’s the type of recipe that matures as you do. Gone are the days of American cheese and floppy bread. There are so many twists on the grilled cheese that it’s easy to indulge in the ooey-gooey goodness while still working in some healthier menu items like vegetables and more sophisticated flavor profiles for your grown-up palate. The foundation of such a sandwich begins with the right kind of bread. Ideally, it should be thick sliced, have a soft texture and a rich flavor. Bread that meets these expectations can now be conveniently found in the grocery aisle with the new Sara Lee Artesano Bread, which has the distinct golden crust and creamy character found in bread made from scratch. With two perfect slices of bread, a whole world of grilled cheese possibilities opens up. To better illustrate what these sandwiches might look like, here are three tips to inspire your next grilled cheese adventure:
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FOOD
1. The veggie-centric grilled cheese. Leafy greens pair beautifully with an earthy, salty cheese like Gruyere. These veggie-based sandwiches are about to go mainstream this year, as showcased in the Farm-to-table Grilled Cheese that features arugula alongside a broken egg yolk, adding a veggie focus to an otherwise indulgent sandwich. 2. The Hawaiian grilled cheese. To really create a luau for your taste buds, combine a sweet, buttery cheese like Havarti with a tangy barbecued meat. Further tropical flavors of the Hawaiian Islands can be found in the barbecued-pork and pineapple magic of the Aloha Pork Grilled Cheese, which mixes sweetness and spice all in one. 3. The spicy and pickled grilled cheese. It’s true, you can pickle almost anything. Onions, cabbage and other items are pure magic after the fermentation process, as showcased in the Zesty Grilled Cheese sandwich that utilizes red onion and spicy, artisan pickles. Pair this with a mild, creamy Fontina cheese to mellow out that added zing. Some people might think eating a grilled-cheese sandwich is a nostalgic throw back to childhood. In some ways it is. But with the right kind of bread, the possibilities for a grilled cheese are truly endless. All it takes is a couple of buttered slices of Sara Lee Artesano Bread and a little imagination to turn your favorite childhood meal into a bold, culinary creation.■June - July 2016
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FOOD COMMUNITY
Chickpeaburger
Spicy BBQ • • • • • • • • • • • • • •
Ingredients - yield 7-8 patties 1 cup dry/uncooked chickpeas (or 2 & 1/4 cups cooked chickpeas) + kombu (optional) 1/2 cup dry brown rice (or 1 & 1/4 cup cooked rice) 3 tbsp sunflower seeds + 1 tbsp pepita seeds, toasted 2 large garlic cloves, minced 1/2 cup diced red pepper 1 jalapeno, seeded and diced 1/4 cup diced red onion 1 small carrot, grated 1/4 cup minced fresh parsley 3 tbsp BBQ sauce 1/4 cup breadcrumbs, or more as needed (use GF breadcrumbs if necessary) 2-3 tbsp ground flax 1/4 tsp red pepper flakes Fine grain sea salt, to taste (I used 1 tsp + Herbamare)
Preparation Finely chop the garlic, peppers, onion, and parsley. Grate carrot. Stir in half the salt. Set aside. Add the cooked chick28
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peas and rice into a large bowl. Make sure your rice is HOT as it helps it stick together and bind. Do not use cold rice. With a potato masher, mash very well, leaving some chunks for texture. You can also pulse in a food processor. With a wooden spoon, stir in the chopped vegetables into the mashed chickpea/rice mixture. Now stir in the seeds, BBQ sauce, breadcrumbs, and ground flax. Add the salt and red pepper flakes to taste Mix it all up: Preheat a large skillet over medium-high heat. Form 6-8 patties and pack dough together tightly. Spray the preheated skillet with oil. Cook the patties for about 4-5 minutes per side over medium-high heat (time will vary based on your temp). Burgers should be browned and firm when ready. You can also try grilling the patties (try pre-baking patties for 15 mins in the oven at 350F before grilling). Note: To toast seeds: Preheat oven to 300F. Toast sunflower and pepita seeds for about 12 minutes, or until lightly golden in colour.■
FOOD Roasted Butternut Squash with Kale and Almond Pecan Parmesan move seeds & guts with a grapefruit spoon or ice cream scoop. Chop two halves into 1-inch chunks and place into casserole dish.
• • • • • •
Ingredients - yield 4 servings 0.9 kg -1.13 kg (2-2.5 pound) butternut squash 2 lg. cloves garlic, minced 2-3 tbsp finely chopped fresh parsley 1/2 tbsp extra virgin olive oil 1/2 tsp fine grain sea salt 1 cup de-stemmed and roughly chopped Lacinato kale
Almond Pecan Parmesan “cheese”: • 1/4 cup almonds* • 1/4 cup pecans • 1 tbsp nutritional yeast • 1/8th tsp fine grain sea salt • 1 tsp extra virgin olive oil Preparation Preheat oven to 400F and lightly grease a casserole dish with oil. Peel the squash. Thinly slice off the bottom and top and then slice through the middle lengthwise to make two halves. Re-
Add minced garlic, parsley, oil, and salt into casserole dish and stir until well combined with the squash. Do not add the kale yet. Cover casserole dish with a lid (or tin foil with a few holes poked) and bake at 400F for about 45 minutes. Meanwhile, process the parmesan ingredients together until chunky (or just chop by hand and mix in a bowl). Make sure to leave lots of nut pieces for texture. I used a mini processor and it worked great with minimal clean up. After about 45 mins (or when squash is just fork tender), remove from the oven and reduce heat to 350F. Stir in the chopped kale and sprinkle the parmesan all over the squash. Bake for another 5-8 minutes, until the nuts are lightly toasted. Watch closely so you don’t burn them. Remove & serve!■
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FOOD COMMUNITY
Glazed
Lentil Walnut Apple Loaf
Ingredients - 1 large loaf or various mini loaves • 1 cup uncooked green lentils • 1 cup walnuts, finely chopped and toasted • 3 tbsp ground flax + 1/2 cup water • 3 garlic cloves, minced • 1.5 cups diced sweet onion • 1 cup diced celery • 1 cup grated carrot • 1/3 cup peeled and grated sweet apple (use a firm variety) • 1/3 cup raisins • 1/2 cup oat flour • 3/4 cup breadcrumbs • 2 tsp fresh thyme (or 3/4 tsp dried thyme) • salt & pepper, to taste (I use about 3/4 tsp sea salt + more Herbamare) • red pepper flakes, to taste Balsamic Apple Glaze: • 1/4 cup ketchup • 1 tbsp pure maple syrup • 2 tbsp apple butter (or unsweetened applesauce in a pinch) • 2 tbsp balsamic vinegar 30
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Preparation Preheat oven to 325F. Rinse and strain lentils. Place lentils into pot along with 3 cups of water (or veg broth). Bring to a boil and season with salt. Reduce heat to medium/low and simmer, uncovered, for at least 40-45 minutes. Stir frequently & add touch of water if needed. The goal is to overcook the lentils slightly (see pictures in post). Mash lentils slightly with a spoon when ready. Toast walnuts at 325F for about 8-10 minutes. Set aside. Increase oven temp to 350F. Whisk ground flax with water in a small bowl and set aside. Heat a teaspoon of olive oil in a skillet over medium heat. Sautee the garlic and onion for about 5 minutes. Season with salt. Now add in the diced celery, shredded carrot and apple, and raisins. Sautee for about 5 minutes more. Remove from heat. In a large mixing bowl, mix all ingredients together. Adjust seasonings to taste. Grease a loaf pan and line with parchment paper. Press mixture firmly into pan. Whisk glaze ingredients and then spread half on top of loaf. Reserve the rest for a dipping sauce. Bake at 350F for 40-50 minutes, uncovered. Edges will be lightly brown. Cool in pan for at least 10 minutes before transferring to a cooling rack. I usually wait until loaf is cool before slicing.■
June - July 2016
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