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A Lifestyle Magazine
COMPLIMENTARY Volume 50 Issue 1
omen’s ournal
How Does the New
‘female Viagra’ Work?
Dr. Chetanna Okasi What’s Inside: Top Picks for Valentines
NEHA Salon and Spa
Experience Luxury
HEALTH & WELLNESS
How does the new
‘Female Viagra’ work? By Dr. Okasi
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As the clinical trials progressed over the course of about 8 years, so did techniques in determining desire.” “For some women, Addyi can prove to be an effective solution for a normal healthy sex life.”
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any women experience problems with sex at some point in their lives. Yet, it is a topic that many people are hesitant or embarrassed to discuss. Pain, lack of desire, lack of arousal, or failure to achieve orgasm are all signs of female sexual dysfunction. Natural changes that occur after childbirth or menopause can play a role. Additionally, illness, medications, life and relationship stress, and poor self-image can prevent women from experiencing satisfaction from sexual activity. Several years ago, the discovery of Viagra for men revolutionized the world of male sexual dysfunction and it was hoped that a similar drug would be found for women. The FDA recently approved Flibanserin (trade name “Addy”), a new female libido drug that aims to boost sexual desire in women. Although it is sometimes referred to as the “female Viagra,” it works very differently. Flibanserin was originally investigated in 1995 by a team of researchers at Boehringer Ingelheim Italia in Milan as an antidepressant. A clinical trial found it did little to alleviate depression, but did seem to have an effect on mood. It just wasn’t the mood the researchers were expecting. These early trials tipped clinicians to flibanserin’s more prominent role in sexual health, as female subjects had higher scores on the Arizona Sexual Experience Scale, a survey that asks participants to rate their satisfaction on a variety of sexual health topics, like how often participants felt sexual desire and how intense that desire was. In later trials, another group of researchers explored flibanserin as a libido-enhancer in 2008. Their subjects reported higher levels of sexual desire. In spite of these results, the FDA rejected the drug twice concluding that the reported increases in libido were not statistically significant. Regulators were wary of po-
HEALTH & WELLNESS tentially dangerous side effects like dizziness, sleepiness, nausea, and fainting. Subsequently, Sprout Pharmaceuticals did additional testing and development with thousands of women reporting significant improvement in sexual desire. Flibanserin took center stage this summer by winning long-sought approval from the U.S. Food and Drug Administration (FDA) in August 2015. So what turned FDA’s red light green? For one: the parameters of the later trials. According to Sheryl Kingsberg, a reproductive biology and psychology researcher at University Hospitals Case Medical Center in Cleveland, Ohio and Clinical Investigator on the flibanserin trials, the evaluation of sexual desire in the brain is not a particularly clear-cut measurement. As the clinical trials progressed over the course of about 8 years, so did techniques in determining desire. In more recent trials, women reported about one more positive sexual experience per month, and about 10% more of the patients who took flibanserin reported meaningful improvements compared with a placebo group. By these measures, FDA approved Addyi as the first drug meant to kindle desire. Though it’s been nicknamed the “female Viagra,” the two drugs function in very different ways—Viagra aims to enhance performance whereas flibanserin (Addyi) aims to balance chemicals in the brain that enhance sexual desire. Addyi is much less effective than Viagra so don’t expect to see a guaranteed response in every woman. Unlike Viagra that men take just when they want to have sex, Addyi is meant to be taken on a daily basis and the effects can take up to 4 weeks to notice, and may improve as time progresses. Addyi is meant only for certain women who have not yet gone through menopause and who have a low desire for sex that is causing them stress. It is not recommend-
ed for women whose low libido is due to medical or psychiatric problems or medication, or problems within the relationship. Addyi cannot be used with alcohol or certain medications. For now, FDA has cautioned users with a black-box warning. In essence, a woman taking Addyi daily would have to give up alcohol. Addyi can cause dizziness, low blood pressure and fainting. Although Addyi is available to the general public, Addyi must be prescribed by a doctor with training and certification for patient safety. Women who experience any type of problem with sex are encouraged to talk to their doctor. A thorough assessment of all possible underlying causes is essential. In most cases, doctors recommend trying other things to improve your relationship and sex life before even trying medicine. For some women, Addyi can prove to be an effective solution for a normal healthy sex life. Most importantly, women who feel healthy and happy are more likely to be happy with their sex life.■
Ellicott City: 9501 Old Annapolis Road, Ste. 305 Ellicott City, MD 21042 Laurel 8317 Cherry Lane Laurel, MD 20707 Phone numbers: 443-380-0060 410-730-7722 February - March 2016
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Volume 50 issue 1
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omen’s ournal
HEALTH & WELLNESS/BEAUTY
02 - 16 BUSINESS 20 - 24 26 - 32 COMMUNITY & ADS
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Preserving Vitality:
HEALTH & WELLNESS
Safe & Effective Bio-identical Hormone Replacement
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By Alan Weiss, M.D.
ormones to a large degree determine vitality, youthfulness, how we feel and how we look. Because of this, Bio-Identical Hormone replacement (BHRT) is a hot topic. While hormone replacement is not for everybody, for those who do choose to use them a very big difference can be made in one’s health. And this is an important issue for both men and women. Simply said, hormones are chemical messengers that are created in one part of the body and sent elsewhere to produce an effect. Without hormones, we could not live, could not function, and could not reproduce. Examples of hormones include testosterone, estrogen, progesterone, DHEA, growth hormone, and many others (like insulin!) As we age our hormone levels decline. However, another way of viewing this relationship is that as our hormone levels decline, the aging process is accelerated. Bio-identical hormone replacement is an approach to optimize the natural hormonal status of a man or woman to allow for health and well being in the safest possible way. This is done by using hormones that are chemically and molecularly identical to the hormones that are already in the human body. It is important to draw this distinction because many of the hormones that have been studied and that (legitimately) aroused concern about the safety of hormone therapy have been hormones that are synthetic and do not necessarily belong in the human body and do not promote optimal health. While there are not as many studies done on bio-identical hormone therapy, due to the enormous cost of medical studies that will only be done when the pharmaceutical companies can make huge profits out of synthetic medications, it makes intuitive sense that the hormones that belong in the human body are the ones we were born with! And there are studies that do demonstrate the safety and benefits of bio-identical hormone therapy. So, what are the uses and benefits of BHRT? Treating the symptoms of menopause with safe and effective doses of estrogen, progesterone, and in some testosterone can reduce the hot flashes, night sweats and vaginal dryness often experienced. As well, judicious use of hormones can improve heart health, cognitive function, and bone health. Men with low testosterone levels are at a higher risk of dying from many causes than are men with normal levels of testosterone. As well, low testosterone can cause fatigue,
loss of muscle mass, low libido, elevated cholesterol and can play a role in the development of diabetes and the metabolic syndrome. Optimizing testosterone levels help men experience heightened vitality and well-being. These hormones can be delivered by creams or by subcutaneous pellet insertion. Hormone pellets can provide a sustained delivery of bio identical hormones to achieve optimal health. As well, using a hormone called HCG in combination with a rigorous diet can produce significant weight loss in a short period of time.■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.
February - March 2016
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HEALTH & WELLNESS
Go Wild onValentine’s Day with Natural Hormones!
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ou have been together a long time. Remember the electric passion? The tingling? Want to experience it again? Hormones help both men and women to renew their desire for sex and to enjoy it to the climax. “It’s like a 20-year time reversal,” says client Sean, age 42. “I thought it was gone but it’s like my wife and I are kids again. The intensity is unbelievable.” Mismatched Desire In the early stages of a sexual relationship, you just make love a lot, and both of you are happy. The problem of “mismatched desire” tends not to emerge until later. New Day Vitality Hormone Center (NewDayVitality. com) can help if the problem is low sexual drive, which is the biological urge to have sex. In both men and women, sex drive can be triggered by the hormone testosterone. With careful monitoring and supplementation with bioidentical hormones, we can usually increase sex drive to match your partner. “Even if Brad Pitt wanted me, I couldn’t stand the thought of sex…it was disgusting,” remembers Stacey. “This therapy enabled me to really enjoy sex again with my husband who I truly love.” Vaginal Lubrication But what if sex hurts due to vaginal dryness? The tissue lining of the vagina is healthy, elastic and moist in our youth. Estrogen feeds these lining cells and they secrete natural lubricant. When we no longer have adequate amounts of estrogen, we get dry and lose elasticity. Bioidentical hormones are remarkably effective in increasing vaginal lubrication. With the correct amount of
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natural hormone supplementation—based on your symptoms, age and lab tests—you can be back in the saddle in no time. Erectile Dysfunction “As a man’s heart opens during orgasm, he is able to feel the depth of his love and reaffirm his commitment to her.” — John Gray in Mars and Venus in the Bedroom Nearly every man reaches a point where his testosterone no longer drives his sex life as well as he (and his woman!) might like. While Viagra-type drugs can be effective in some men for their limited erection-building function, it’s quite common for middle-aged men with a normal age-related decline in testosterone to also suffer a loss in sexual desire-low libido. There’s no doubt that replacing testosterone can re-light the fires of sexual desire and also restore erectile ability.■ For more vital days and romantic nights, contact New Day Vitality Hormone Center at 410-793-5212 for a free consultation.
Neha Salon and Spa Experience Luxury Neha’s Salon and Spa offers 5 star spa luxury right in your neighbor. We have everything you envision for your personal rejuvenation from head to toe. Neha Gupta has been part of the Baltimore community for over 18 years. Over the years, Neha and her professional staff have expanded their offering of cutting edge wellness treatments and beauty services; supported by the highest quality of products such as Biotique and Bioelements skincare lines. The services include eyebrow threading, hair, massage therapy, facials, manicures/pedicures, spa packages, couples packages, spa parties, makeup for all occasions, henna tattoo and more! Each treatment offers specialized services, customized to meet the client’s individual needs. At Neha Salon and Spa whether you are coming in for a facial, body treatment, shampoo and style, an amazing cut and color, extensions, highlights, Brazilian Blow-Outs or any haircare service, our goal is to provide exceptional service.
Specials
Spa Parties For 5-10 People. Spend the day at Neha’s Spa. You can reserve the Spa Level for you and your friends to be pampered with Facials, Body Treatments with our Vichy Shower, Massages and/or Spa Manicures and Spa Pedicures. We provide light refreshments and a glass of champagne for each guest. For more info, please go to www.nehathreading.com Pikesville Location: 1501 Reisterstown Road Pikesville MD 21208 Phone: 410-653-BROW (2769)
Canton Location: 2931 O’Donnell Street Baltimore, MD 21224 Phone: 410-675-BROW(2769)
E-Mail : neha@nehathreading.com / www.nehasalonandspa.com
Gift Certificates Available
NEHA THREADING
salon ● spa ● wellness February - March 2016
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HEALTH & WELLNESS
By Janet V. Johnson, M.D.
LET’S GET PHYSICAL!
Making Physical Activity a Part of Your Family Life o improve your overall health and fitness, and reduce your risk for many chronic diseases regular physical activity helps. The 2008 Physical Activity Guidelines for Americans are now more flexible than ever, giving individuals the freedom to reach their physical activity goals through different types and amounts of activities each week. The 2008 Physical Activity Guidelines for Americans do not include guidelines for children younger than 6 years old. Physical activity in infants and young children is, of course, necessary for healthy growth and development. Children who are younger than 6 years old should be physically active in ways which are appropriate for their age and stage of development. Physical activity guidelines for children younger than 6 are included in Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs (3rd Ed.)
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1. Benefits of Regular Exercise Everyone can benefit from regular exercise. Children who are active will: • have stronger muscles and bones • have a leaner body because exercise helps control body fat • be less likely to become overweight • decrease the risk of developing type 2 diabetes • lower blood pressure and blood cholesterol levels • have a better outlook on life Make sure your child or adolescent is doing three types of physical activity: Aerobic Activity, Muscle Strengthening and Bone Strengthening. To meet the guidelines for aerobic activity, basically anything counts, as long as it’s done at a moderate- or vigorous-intensity for at least 10 minutes at a time for about 60 minutes a day. Many of the physical activities fall under more than one type of activity. For example, if your child is on a basketball team and practices with their teammates daily they are not only doing vigorous-intensity aerobic activity but also bone-strengthening. It’s easy to fit each type of activity into your child’s schedule – all it takes is being familiar with the Guidelines and finding activities that your child enjoys. 2. Stick With It There are many things you can do to get and keep your child active physically, that can help shape their behavior and attitude toward physical activity. Know the guidelines. Choose physical activities
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you and your child enjoy and that match your child’s abilities, it will help ensure that you both stick with them. Encourage them to be physically active for one hour or more each day, with activities ranging from informal, active play to organized sports. Here are some examples. • Physical activity should be a part of the family’s daily routine such as taking family walks or playing active games together. • Set a positive example by leading an active lifestyle yourself. Run, swim, jog, or dance. • Be positive about the physical activities in which your child participates and encourage them to be interested in new activities. • Make physical activity fun. Fun activities can be anything which your child enjoys, structured or non- structured sports. Activities such as walking, running, skating, bicycling, swimming, playground activities or free-time play. • After dinner, encourage your child to find fun activities with friends and family, such as walking, playing chase or riding bikes. • Be safe! Always provide protective equipment and ensure that the physical activity is developmentally and age-appropriate. 3. Children with Disabilities Physical activity is important for all children. If your child has a chronic health condition or other symptoms be sure to talk with the doctor about the types and amounts of physical activity that are right for them. They can tell you more about the amounts and types of physical activity that are appropriate for your child’s abilities.■ Loving Care Pediatrics: Dr. Johnson and Staff accepting new patients, birth to age 21 International Travel Vaccination Center 3311 Toledo Terrace Suite C-201, Hyattsville, Maryland 20782 Office: (301) 403-8808 / Fax: (301) 403-1341
Let Your Eyes Shine & Your Skin Glow!
HEALTH & WELLNESS
O
ver the years the delicate skin around the eyes can become puffy and wrinkled, causing the eyes to appear tired. Eyelid surgery can have dramatic rejuvenating effects simply by removing the excess skin and trimming or repositioning the fat around the eyes, restoring a more youthful look. Thanks to incredible advances in technology, from lasers and noninvasive treatments, to injectable options, and to newer surgical approaches, a new palate of possibilities is now available to accomplish the total rejuvenation with your eyes and skin. Winter is the perfect time to pamper your skin with our state-of-the art light based skin rejuvenation treatment, Broad Band Light IPL – Forever Young BBL™. IPL/BBL rejuvenates skin by changing it at the DNA molecular level, as stated in a recent University of Stanford study. Continual BBL™ treatments will improve your skin tone and texture, and keep it ‘Forever Young’. This exciting new technology simply keeps your skin beautiful forever. In addition this treatment will tighten pores and reverse the years of sun damage, broken capillaries, and helps treat acne. What is more exciting is there is no downtime to this revolutionary treatment and you will see positive changes after your first treatment. Dr. Elba Pacheco is a board certified Oculofacial Plastic Surgeon and she takes a very unique and individualized comprehensive approach to each patient. As with the restoration of a beautiful piece of art, facial rejuvenation is
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Actual Adoro Patient
No downtime to this revolutionary treatment...”
achieved when Dr. Pacheco visualizes the way your face has changed over time and designs a customized plan for you. Dr. Pacheco asks all her patients to bring a portrait of themselves from their younger years as she uses this photo to help in the process of total rejuvenation. Let Dr. Pacheco show you what the possibilities are to turn back the clock and restore that glow and shine to your face and eyes. “OPEN YOUR EYES TO THE POSSIBLITIES” and call today to schedule a personalized consultation. Together we can explore what treatment plan is right for you!■
February - March 2016
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HEALTH & WELLNESS
Cervical Cancer
Screening and Prevention
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By Kashif Ali, M.D.
n the past 40 years, there has been a significant decrease in both the number of cases and the number of deaths associated with cervical cancer. In the 21st century, cervical cancer is one of the fewNmalignancies that is now considered a preventableNdisease. This is possible through early detection programs and/or vaccination. Despite all of this, 12,280 women were diagnosed with cervical cancer in 2007 and 4,021 deaths occurred as a result of this disease. Although this still seems like a large figure for a highly preventable cancer, it is far less than what we have seen in the past and is no longer one of the most common cancers in women in the United States. By contrast, there will be an estimated 226,870 cases of breast cancers diagnosed, leading to 39,510 deaths in 2012. Unfortunately, cervical cancer still remains a significant problem in parts of the world that are less economically fortunate. Due to this, worldwide, cervical cancer still remains one of the most common cancers in women accounting for 275,000 deaths in 2008. We have known for many years that there is a link between various degrees of sexual activity and cervical cancer. Recently we have been able to identify that up to 99% of cervical cancers are associated with certain types of the human papilloma virus (HPV). î “is virus is considered a sexually transmitted disease. There are also other factors that can increase your risk for cervical cancer. These include: smoking, HIV infection, extended birth control use as the only means of contraception, and having given birth to over three children. Symptoms of cervical cancer include abnormal vaginal discharge or bleeding. It is widely accepted that cervical cancer screening has successfully decreased the development of cervical cancer and mortality associated with it. Recent advances in the link between HPV and cervical cancer has helped us further this cause. HPV is a sexually transmitted virus to the genital area. There is a strong association between HPV and development of cervical cancer. One study showed the presence of HPV in 93% of tumor specimens. HPV 16 was present in 50% of the specimens, HPV 18 in 14%, HPV 45 in 8%, and HPV 31 in 5%. HPV 16 was the predominant type in all countries except Indonesia, where HPV 18 was more common.
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Based on this information, recent research has shown the benefits of HPV vaccinations. However, only certain age groups qualify for this vaccination. Ideally the vaccine should be administered before there is any exposure to genital HPV through sexual intercourse. î “e benefits of this vaccine decrease with increasing numbers of sexual partners. Routine HPV vaccination is recommended for females aged 11 to 12 years. Of note is that girls as young as 9 years of age may start the HPV vaccination series. HPV vaccination is also recommended for females aged 13 to 18 years to catch up on a missed vaccine or to complete the vaccination series. Although it is still safe to receive this vaccine after the age of 26, there is no evidence thus far of any benefit in this age group. Therefore, as it now stands, the HPV vaccine is not routinely recommended after the age of 26. Based on what we know so far there is also no benefit to men receiving this vaccination. These recommendations may change in the future as more research is done.
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HEALTH & WELLNESS
In the United States, breast cancer is the most common cancer among women of all races.�
Based on the advances in cervical cancer screening, review of years of data on this subject, and recent information regarding the role of HPV in cervical cancer, the screening guidelines were recently updated. In March 2012, the American Cancer Society released these new guidelines for cervical cancer screening. The whole idea behind cervical cancer screening is to detect cervical cancer in its earlier stages in patients who do not yet show signs of cervical cancer. In recent years, due to this early detection, physicians have been able to diagnose and treat cervical cancer at much earlier stages thus increasing the potential for cure. At the present time, there are two different types of screening modalities utilized: a pap smear and the HPV test. A pap smear is a method for detecting cells suspicious for turning into cancer or for detecting cervical cancer in its early stages. The HPV test can detect the certain strains of viruses that are known to eventually develop into cervical cancer. The latest screening guidelines from the American Cancer Society now recommend that all women should begin cervical cancer screening at the age of 21. The most drastic change is that yearly pap smear are no longer required, since we now know that it can take years for cervical cancer to develop. More frequent testing can in turn lead to further unnecessary procedures. Women between the ages of 21 and 29 should undergo a pap smear every 3 years. In this age group, the HPV test should be performed only if the pap smear shows any abnormalities. A pap smear along with the HPV test should be performed every 5 years for women between the ages of 30 and 65. In this age group, if the HPV test is not done, then a pap smear should be done every 3 years. If a woman has had normal screening results, she no longer needs screening for cervical cancer after the age of 65. Despite what we know of the benefits of the HPV vaccine for prevention of cervical cancer, the screening recommendations remain the same in a woman who has received this vaccine. This means that a woman who has received this vaccine must still continue to have screening the same as any women who never received such vaccine.
Despite the less frequent testing recommended in these new guidelines, women who are in the high risk category still need to be screened more often. The high risk category includes women who have had exposure to an agent called DES, those who have an HIV infection, those who have had a history of an organ transplant, and those who participate in excessive promiscuous sexual activity with multiple partners. Dr. Kashif Ali earned his MD degree from Ross University School of Medicine. He completed his residency in Internal Medicine at Seton Hall University in New Jersey. While at Seton Hall University, he became the Chief Resident and then went on to complete his training in Hematology and Oncology. During this training he was appointed Chief Fellow. Dr. Ali is presently board certified in Internal Medicine, Hematology and Oncology.
February - March 2016
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COLLEGE PARK, MD 20740 – 10260 Baltimore Avenue (across from Ikea) • 301-313-0555 Lanham, MD 20706 – 9300 Woodmore Centre Drive (near Wegmans) • 301-364-3400 LAUREL, MD 20707 – 14720 Baltimore Avenue • 301-497-9977
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By Haddis T. Hagos, M.D.
HEALTH & WELLNESS
Genicular Neurotomy, a Novel
Approach to the Management of Knee Pain
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nee pain is a common complaint among many patients. It is one of the most common reasons that patients seek medical attention from a physician (general practitioners, orthopedists, rheumatologists, and pain management specialists). The cause of knee pain arises from several factors. These include factors originating from inside the knee joint, those from around the joint, and that referred from nearby structures like the hip, femur bone and tibia and fibula bones. Some of the common causes of knee pain from inside the joint include arthritis, infection, fracture, tumor, chronic dislocation of the patella, joint instability, foreign body, patellofemoral syndrome, and hemarthrosis, which is blood formation in the joint. Causes of knee pain attributable to structures around the knee joint includes bursitis, tendonitis, joint instability, muscle strain, muscle sprain, infection around the joint which does not involve the joint space, and adhesive capsulitis (frozen joint). Knee pain can also be caused from systemic disease and some of the most common cases of these are rheumatoid arthritis, gout, Reiter’s syndrome, collagen vascular disease, among others. Though less common, knee pain can also be caused from other areas of the body. These include lumbar radiculopathy (commonly referred to as sciatica), lumbar spondylosis (degeneration in the spinal discs), fibromyalgia, myofascial pain syndrome, inguinal hernia, nerve entrapment, and pelvic tumors. Knee pain can be acute or chronic. When the pain is acute in the absence of trauma, it warrants seeking medical attention as some conditions associated with acute knee pain can cause serious damage to the joint, such as bleeding into the joint especially in patients on blood thinners. On the other hand, the prevalence of chronic knee pain has increased over the years. Osteoarthritis of the knee is a common disorder among older adults. Chronic osteoarthritis of the knee is often not effectively treated with our current pharmacological and interventional treatments. As an alternative to current treatment options, a new technology has been developed to effectively treat knee pain: Genicular Nerve Radiofrequency Ablation. Genicular Nerve Radiofrequency Ablation is a new cutting edge treatment currently used to treat osteoarthritis of the knee in patients who have not been effectively treated by current treatment management, those who want to delay surgery, and those who have had knee surgery and failed to have relief of their pain. The procedure is performed in two stages. These include a diagnostic Genicular Nerve block and the Genicular Nerve Ablation. The Genicular Nerve block is a test injection that consists of injecting a small amount of local anesthetic to the Genicular Nerves. If the patient has
sufficient response to the test with significant pain relief, then this justifies going forward with the Genicular Nerve Ablation. The nerve radiofrequency ablation is the therapeutic treatment in which a specialized type of radio wave is applied to the nerves to effectively relieve the pain, provide long term relief and restore function to the patient. The radiofrequency ablation works by shocking the nerves that supplies pain to the knee and stop them from sending signal to the brain. While this is a neuro destructive procedure, the nerves do grow back. The same technology has been used for years in treatment of neck and back pain with excellent success. One of the advantage of this procedure is the fact that it is performed outside of the knee joint. This procedure is indicated for a number of conditions including osteoarthritis, degenerative joint disease, chronic knee pain, patients who have undergone total or partial knee surgery, patients who are not candidates for knee replacement, and those who want to avoid surgery totally. If you or someone you know suffers from any of the above conditions, contact our office to further discuss this treatment option. The doctors at the Pain Management Associates provide the option of sedation for our patients’ comfort.■Dr. Foster joined our practice six months ago. She graduated from Boston University medical school, did her residency in Anesthesiology and pain medicine at the University of Maryland. Dr Foster is married and a mother of two children. Dr. Haddis Hagos is an interventional pain physician who has been in practice for over 20 years. He is board certified by the American Board of Anesthesiology in pain management. 7300 Hanover Drive, Ste. 204 Greenbelt, Maryland 20770 / 7500 Greenway Center Drive, Ste. 940 Greenbelt, Maryland 20770 Phone: (301) 220-2333 February - March 2016
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HEALTH & WELLNESS
reasons you’re not sleeping
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Sleep is a serious and growing public health concern.”
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ossing, turning and constantly waking - it can be maddening when you don’t get the sleep your mind and body so desperately needs. If you constantly struggle to fall asleep and stay asleep, you’re in good (albeit tired) company. Millions of Americans across the country are chronically sleep deprived. In fact, the Centers for Disease Control and Prevention state that insufficient sleep is a serious and growing public health concern. What most people don’t realize is their lack of quality rest is often connected to bad sleep habits. Are you guilty of any of these top five mistakes that reduce your body’s ability to sleep all night? Learn what they are and how to make simple corrections for a more rejuvenating rest. Mistake 1: Sleeping on an old mattress An old, unsupportive mattress inhibits quality sleep, yet the cost and time it takes to purchase a new mattress deters people from upgrading. Fortunately, the mattress industry is evolving so it’s easier than ever to get a new mattress. For example, order GhostBed at www.ghostbed.com and it’s delivered in a compact box. Once open, it expands into a lush three layer, 11-inch mattress. With a 101-night free sleep trial and 20 year warranty, it’s the easiest way to try out a new mattress without visiting different stores. Mistake 2: Using electronics at bedtime Tablets, cell phones, smartphones - digital devices make it easy to stay connected, but they mess with the brain’s ability to fall asleep. Light omitting devices disrupt the body’s natural circadian rhythms. That means when you’re check-
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ing your phone right before bed, you’re causing your brain to think it’s time to wake. The best solution is to avoid digital devices for at least an hour before bed. Instead of TV or tech, take a bath, read or do some gentle yoga to get your body into sleep mode. Mistake 3: Ignoring phantom noise pollution Ticking clocks, beeping phones and buzzing electronics may not seem loud, but this phantom noise pollution is secretly robbing you of a good night’s rest. To encourage your body to get into REM sleep, try to eliminate as much noise as possible from the bedroom. If you’re left with other disruptive noises, such as a snoring partner or outside traffic, invest in a white noise machine or earplugs to block it out. Mistake 4: Keeping the bedroom too warm If you crank up the heat and grab an extra blanket at bedtime, you might be disrupting your sleep patterns. The National Sleep Foundation identifies temperature as a key factor to sleep, recommending a cooler sleeping environment. So turn down the thermostat, reduce blankets and rethink your mattress. GhostBed keeps sleepers cool because it is made with premium latex that allows for increased air flow, and gel memory foam instead of conventional memory foam. Mistake 5: Allowing inconspicuous light You flip off the light switch when it’s time for shuteye, but your room is probably not completely dark. Even subtle glow from a nightlight, phone or muted TV disrupts those crucial circadian rhythms, causing your body to think dawn is near, which in return triggers you to get up. Try to remove or block all light in your room, and if there’s some you just can’t eliminate, an eye mask is a helpful alternative.■
By Vernise L. Burs PT, CSCI
100 Calories in LESS than 30 Minutes
Burn
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et’s get up and be active! Plain and simple inactively contributes to weight gain and even obesity. Obesity is a risk factor for Type 2 diabetes, hypertension, arthritis, cancer, stroke, heart disease and even death. According to the Center for Disease Control and Prevention (CDC) in 2011, there was 128,932 stroke related deaths; 596,577 heart related deaths and 576,691 cancer related dates. Get to know your BMI. Body mass index (BMI) is a mathematical equation that is based upon your weight and height; it is used to determine your health status. A BMI of 18.5 to 24.9 is normal weight, 25 to 29.9 is over-weight, 30 to 34.9 is mild obesity, 35 to 39.9 is moderate obesity and 40 or greater is severe obesity. What is your BMI? We can minimize our risk for various medical conditions by getting up out of our seats to move! DID YOU KNOW 20 MINUTES OF BRISK WALKING BURNS 100 CALORIES AND 30 MINUTES BURNS 150 CALORIES? Below are 15 easy ways to burn 100 calories in less than 30 minutes! • Brisk walking: 20 minutes • Biking: 23 minutes casual cycling • Cardio dance class: 15 minutes • Elliptical: 8 minutes • Squats: Perform 20 repetitions
HEALTH & WELLNESS
• March/Jog in place: 1 minute • Push-ups: 10 repetitions • Pilates: 24 minutes • Rowing machine: 13 minutes • Running stairs: 6 minutes • Swimming: 15 minutes moderate intensity • Walking stairs: 11 minutes • Water aerobics: 23 minutes • Yoga: 20 minutes • Zumba: 11 minutes Don’t Be A Statistic! GET UP AND MOVE. JUST MOVE! I challenge you to do 1 to 3 different exercises 3 or more times this week. JUST MOVE! I dare you. JUST MOVE! However, if you have mobility issues, physical limitations and previous sports injuries that are keeping you from being as active as you desire there are solutions. Make an appointment with our office for an evaluation. Most insurances are accepted, as well as Health Savings Plans.■
2530 N. Charles Street, Suite 102 Baltimore MD 21218 / (410)889-7872
February - March 2016
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THE WEIGHT LOSS COACH Get slim and tone in 30 days Enjoy our delicious food or enjoy your own food!
Weekly program $80
Stay slim and trim full body wrap $125 Vitamin detoxification body-rub $50 Baltimore, DC and Virginia location
1-877-333-4561
Women’s Wellness Group Meeting Every Wednesday Night
Talk to medical professionals about your health ● Feeling sluggish, and tired? Wake up feeling energized ● Stubborn areas of fat? Shrink tummy fat without surgery ● Loose skin and wrinkles? Look younger Spider Veins? ● Love your legs again Attend a free seminar to find out how we may be able to help ...
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Top Valentine Activities and Gifts Relache Spa at the Gaylord National Resort Share the Spa Romantic Treatments & Programs: A Moment Together - 50/80 minutes - Escape and share a quiet moment together in one of the Relâche Spa Suites. Enjoy it side by side with someone special, and choose Swedish, Aromatherapy or Deep Tissue massage in your own secluded haven. Couple’s Facial - 50 minutes - Escape and share a quiet moment together in one of the Relâche Spa Suites. Enjoy it side by side with someone special, and let the spa’s aestheticians customize a hydrating facial leaving you and your loved one with a glow. www.marriott.com/hotel-info/ wasgn-gaylord-national-resort 201 Waterfront Street National Harbor, MD.
The Red Bloom Wellness Spa Beauty + Wellness = Love Give your special Valentine the best of both beauty treatments and wellness. Red Bloom Spa offers a range of holistic treatments to promote health and healing delivered through holistic therapies by highly skilled therapists. Treatments include: massages, facials, manicure and pedicures. Wellness: Raindrop therapy and acupuncture. Visit www.theredbloom.com for the complete list of services and to book. 7215 Arlington Rd. Suite 201, Bethesda, MD.
Urban Petals’ F lower Club Gifts that Keep Giving Give beauty and promote care with a subscription to Urban Petals’ Flower Club. Members receive a bi-monthly delivery of loose blooms along with an instruction video detailing how to arrange the flowers from owner Sarah von Pollaro. A portion of sales goes to von Pollaro’s Brighten Lives initiative, which hosts therapeutic flower-arranging classes at shelters and family centers. Urban Petals also offers private parties and floral arranging workshops. Visit urbanpetals.com for more details.
February - March 2016
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Your Business Card ad could be here for $100 For more information, contact the Women’s Journal at 866-517-5049
New Year Goal: Take Charge of YOUR Money!
Are you ready to “take charge” of your money? Here are some tips to help you get started. Cheers to the New Year and to your new financial goals! Understand Where You Are Now - Find your starting point. Take stock of your financial situation, which entails identifying of all your income resources and outstanding debt. Taking stock also means that you calculate your net worth: What You Own – What You Owe = Net Worth Once you calculate your net worth, you’ll have an idea of what your current financial picture looks like. As you are paying off debt, your net worth should increase each year. Review your net worth once a year to monitor your progress. Know Where You Want to Go - Put your goals in writing and separate them into short-, medium-, and long-term goals. Most importantly, make each goal a “S.M.A.R.T.” goal, which means it should be Specific, Measurable, Adjustable, Realistic, and Time-Oriented…S.M.A.R.T! Discover Where Your Money Goes - Identify where your money is going by tracking your expenses for up to 4 weeks. Carry a pad and pen with you or keep all of your receipts from each week. At the end of the month, look at where you are spending your money. Look at cash, checks, and automatic transfers from your account. Tracking your spending helps you locate spending “leaks” – areas where money is leaking from your pocket – so you can plug them. Create Your Spending Plan - You know where you are, where you want to go, and where your money is going. Now it’s time to create your spending plan (or adjust your old one) and take charge of your money. Making a spending plan is easy. Just subtract all of your expenses from your income. Make Saving a Habit for Life - Make saving a priority rather than an afterthought. As you take charge of your money, saving money should be considered an expense, just like other bills. Save for something specific, like your emergency fund, a yearly vacation, a home purchase, or retirement and have money automatically transferred into an Andrews Federal savings account. Live Within Your Means - If your expenses exceed your income, you charge more each month than you pay off, or you’re not saving toward your goals, you are, in fact, living beyond your means and cheating yourself out of making the most of your money. At Andrews Federal Credit Union, we have a site dedicated to protecting our members from being victims of potential fraud. Visit www.andrewsfcu.org to find out more information on how to protect yourself this holiday season, and all year long.
Andrews Federal Wants to be Your Financial Partner
Did you know you don’t have to be active or retired military to become a member of Andrews Federal Credit Union. In fact, if you live, work or worship in Washington, D.C., you are eligible to join today! View our entire list of eligibility requirements by visiting andrewsfcu.org/join. For more information, call 800.487.5500 or visit your nearest Andrews Federal branch location.
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Why is Telemedicine Hot Now?
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elemedicine is a significant and rapidly growing component of health care in the United States. Over half of all U.S. hospitals now use some form of telemedicine. There are currently close to 1 million Americans currently using remote cardiac monitors and the Veterans Health Administration delivered over 1,000,000 remote consultations using telemedicine. Around the world, millions of patients use telemedicine to monitor their vital signs, remain healthy and out of hospitals and emergency rooms. Consumers and physicians download health and wellness applications for use on their cell phones. Telemedicine has made a big impact in rural areas where visits to doctors are difficult, and is expanding partly because broadband network coverage is improving, patients and doctors are more comfortable with telemedicine technologies, there is pressure for increasing cost savings, and a shift in paradigm that favors telemedicine. This new paradigm says that the patient’s total health status is now the focus, as evidenced by new policies issued by insurers, Medicare and state governments.
Quality healthcare is now viewed to be based on a longterm relationship between patient and physician, about both long term health efficiencies and acute issues. Remote encounters are usually more efficient and convenient for both patient and physician. Medicare and states are holding hospitals responsible for readmission rates, which requires the doctor and the patient to have an ongoing relationship, and telemedicine facilitates that relationship. Incentives play a big role, but better healthcare outcomes and better use of medical resources are key drivers. The VA medical system has made significant investments in its adoption of telemedicine, and today is considered to be one of the world leaders in telemedicine. The direct primary care movement (e.g, www.dpcare.org) advo20
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“Telemedicine has made a big impact in rural areas where visits to doctors are difficult, and is expanding partly because broadband network coverage is improving.”
cates are working to move primary care doctors from the pay-for-procedure compensation system to payments that are outcome-based. Direct primary care is growing very fast now as both plan sponsors and doctors come to believe that it offers major advantage in both quality of care and overall healthcare cost. ■■■■Key factors for Growth: • Government support, funding will increase • Practice management systems will have telemedicine capabilities • Consumer demand will make telemedicine mainstream • Travel to the medical offices, regional medical centers and hospitals can be difficult, particularly if the patient is elderly, lives in a remote or rural areas, or have traumatic injuries • Reduction in hospital readmissions • Mitigation of distance, mobility and time constraints • Saves the patients, providers and payers money when compared with traditional approaches to providing care. ■■■■Future of Telemedicine: The global telemedicine market is expected to grow from $11.6 billion in 2011 to $27.3 billion in 2016. 1. Source: BCC Research Worldwide revenue for Telemedicine devices and services is expected to reach $4.5 billion in 2018, up from $440.6 million in 2013 2. Source: IHS The number of patients using Telemedicine services will grow to 7 million in 2018, up from 350,000 in 2013. 3. Source: IHS Telemedicine could potentially deliver more than $6 billion a year in healthcare savings to U.S. companies.
BUSINESS 4. Source: Towers Watson Although many physicians may be hesitant to adopt telemedicine the evidence is clear telemedicine is not going away. Telemedicine companies that threaten the existing primary care infrastructure by competing with physicians are not favorable but, companies like Click It Clinic that work with physicians make telemedicine much more attractive to doctors. Click It Clinic works with independent physicians, ACOs, IPAs and large physician networks to integrate telemedicine into their practices and also provides on call coverage for physicians throughout the country. With the right app, the proper training and call coverage support, Click It Clinic is helping to put the future of healthcare back where it belongs, back in the hands of doctors. ■■■■Privacy and Security Concerns: Telemedicine technologies can create, large volumes of electronic health information, and create some additional operational challenges for organizations in meeting their existing privacy and security obligations under HIPAA as well as any relevant state privacy laws. These organizations will definitely need to update their security risk analyses as well as modify and adapt their data privacy and security practices to respond to the specific risks and compliance challenges of using Telemedicine technologies. Consequently, existing policies and practices should be reviewed carefully, and will likely need to be modified or adapted to ensure effective and reliable verification and authentication of the identities of patients and providers involved in a Telemedicine encounter. In addition, Telemedicine interactions typically involve providers from multiple organizations. Organizations operating Telemedicine programs will need to address questions like shared responsibility for securing and managing the health information generated through a Telemedicine encounter – including responsibilities Privacy and Security considerations related to data breach notification and reporting—to confirm compliance with privacy and security requirements. Telemedicine transmissions also may be vulnerable to interference, signal errors or transmission outages that can result in interrupted communications and the alteration or loss of important clinical information which would potentially be a HIPAA violation. The additional risks of Telemedicine programs require a health care organization’s privacy and security professionals to participate from the start in the design and implementation of Telemedicine programs, and assume responsibility for actively monitoring operations. Telemedicine technology brings new privacy and security issues that could raise concerns about protection of privacy, confidentiality, and security of sensitive patient information.
■■■■They are: A lack of uniform confidentiality and privacy legislation at the state level in terms of the transfer of health information in telemedicine encounters. Telemedicine consultations can take place over state lines, the potential for confusion over which state’s standards should be employed could arise. A long-distance telemedicine consultation typically involves a clinician-patient session that can be videotaped (most are) in its entirety, and this record is maintained as part of the documentation of the consultation. As a result, practitioners have less discretion to remove sensitive items that they might otherwise not record. From the patient perspective, the patient may not be able to “see” who else is viewing the session along with the clinician on the other side of the long distance consultation. The use of telemedicine equipment usually adds additional personnel to the typical provider-patient encounter. For instance, a technical outsider, like an engineer, may be privy to the consultation. From a technical standpoint, there is a higher volume of data and complexity involved in the various communication mediums used during a typical telemedicine consultation. That could make securing the data more problematic. It is now more important and necessary to conduct regular HIPAA/HITECH Risk Assessments under the fast evolving telemedicine landscape. ■■■■Conclusion: However, in this day of ever increasing data breaches, it is imperative that both physicians and patients insist that their telemedicine organization at least meets the minimum standards mandated by HIPPA Privacy and Security Rule. In addition to the importance of HIPPA compliant telemedicine providers, it is just as important that the organization’ s Telemedicine technology companies and business associates be HIPAA compliant. Privacy and Security concerns notwithstanding, Telemedicine enables outcome-based medicine: doctors can maintain the conversation with the patient in a manner that is far more efficient and effective than traditional encounters; they can serve more patients well. Patients can get attention faster and more conveniently when they need it. This is why telemedicine is likely to continue to boom in the years ahead.■ Robert Campbell, CEO of Med Cyber Security. Med Cyber-Security provides cost-effective, cyber security privacy and security consultations HIPAA covered organizations such as healthcare providers, business associates and telemedicine organizations. To learn more, contact Med Cyber-security for a free consultation. 301-266-2457, email: rc@medcybersecurity.com. February - March 2016
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Avoiding Conflicts When It Comes to Distributing BUSINESS
Trust Assests
By Sanford M. Fisch, CEO & Co-Fpunder of the American Academy of Estate Planning Attorneys compliments of SinclairProsser Law, LLC
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areful estate planning may help avoid later conflicts and challenges among the beneficiaries and heirs of a person after their death. It is not always easy for a person to discuss these matters with adult children. While communicating with one’s children ahead of time and expressing wishes about distribution of assets may be the ideal way for an individual to handle the situation, realistically families don’t always follow this practice. Far too often after a parent passes away, the children end up challenging the parent’s decisions. An experienced and knowledgeable estate planning and trust attorney can help an individual prepare for a discussion of theirintentions with their children first before the trust agreement is drafted. A trust challenge can be a long and costly process delaying the distribution of assets to the beneficiaries and legal costs can ultimately reduce the value of the estate. thus, it is a smart planning strategy for the individual to try and resolve any anticipated disputes prior to the creation of the trust. The chances of a beneficiary or heir challenging the trust after the decedent’s death can be reduced when all parties to the trust are aware of the parent’s intentions. Of course, there may still be situations that arise after a parent’s death where family members may not agree on all financial decisions made by the trustee. A typical example of this is when the deceased parent’s house is the major asset of the estate, and it needs to be sold in order to distribute the sale proceeds to the children. Typically, the house is appraised and sold at
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both parent and children to have such a conversation, everyone benefits in the end by avoiding conflicts, challenges and delays later when it comes time for the trustee to administer the trust and distribute the assets.■
market value depending on real estate market conditions. One or more beneficiaries may be unsatisfied with the proposed sales price or terms. However, choosing a trustee that has the beneficiary’s best interests at heart and has the mutual respect and trust of the beneficiaries will make a big difference in how the conflict gets resolved. While many people prefer to appoint a surviving spouse or child as the trustee to administer the trust, the size of the estate and type of assets may require the selection of co-trustees, a neutral third party or a professional financial planner or trust manager to act as the trustee. Since every person’s financial situation is unique, the attorney will be able to guide the individual in choosing the best suited person or entity to act as trustee. From a financial and practical sense, the best way for a parent to avoid major conflicts between their beneficiaries after their death is for the elderly parent to consult with an experienced estate and trust attorney who can help them sit down with their children and discuss their estate planning choices. This way everyone is aware of what to expect later and any concerns or disagreements can be addressed upfront. Even though it may be difficult or unpleasant for
SinclairProsser Law, LLC focuses its practice on estate planning & administration, including the interaction of retirement plans & elder law. An established member of the American Academy of Estate Planning Attorneys & the National Academy of Elder Law Attorneys, Colleen Sinclair Prosser, Nicole Livingston, Jon J. Gasior & Victor A. Lembo offer years of knowledge & experience in matters associated with protecting estates & families from issues arising from death and disability.
March 2016 SEMINAR SCHEDULE waldorf Tue., March 1st @10:00 – 11:30 a.m. (Continental Breakfast) Hilton Garden Inn Waldorf 10385 O’Donnell Place chESaPEakE BEach Wed., March 2nd @10:00 – 11:30 a.m. (Continental Breakfast) Rod ‘N’ Reel Waterfront 4160 Mears Avenue Bowie Thurs., March 3rd @7:00 – 8:30 p.m. (Refreshments) Comfort Inn US 50, US 301 @ MD 3 annaPoliS Fri., March 4th @10:00 – 11:30 a.m. (Continental Breakfast) Double Tree Hotel Annapolis 210 Holiday Court EdgEwatEr Sat., March 5th @10:00 – 11:30 a.m. (Continental Breakfast) Historic LondonTown & Gardens Pavilion 839 Londontown Road
For more info: 410-573-4818
ASSURANCE THROUGH
INSURANCE By Michelle Reese - Wiseman
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s a funeral care provider I am often asked the question “What made you choose this profession.” Which is usually followed up by the statement “I could never do what you do.” I smile on the inside and quietly thank God for the gift of science which He has innately place on the inside of me. My answer to the question is always the same, I didn’t choose it, it chose me. And yes I absolutely love it! The reward of my gift is educating the community up close and personal. There are many options related to end of life decisions. I believe education relieves apprehension which allows you to “Live from a Position of Power” (Pamela Reaves). Several times a year, I am honored to speak to brave people who wish to be empowered and take control of their lives, even to the very end. Lately, the concern has centered on LIFE INSURANCE. Life insurance can be pretty confusing given the number of misleading TV and radio commercials vying for your attention. Please allow me to clarify some of your concerns and arm you with the facts related to funding funerals with life insurance products. The goal of life insurance is to ensure you and your families are protected against financial devastation in the unfortunate event of death. There are a plethora of insurance products on the market. Some of the most popular are: • • •
Whole Life / Permanent (Traditional, Universal, Variable) – Pays a death benefit when you die- even if you live to 100. Term Life – The simplest form of insurance which only pays if death occurs during the term of the policy, which is usually one to 30 years. Final Expense- Is usually a Whole Life product specifically designed to cover funeral cost.
Although any coverage you might have is good, out of the three listed Term Life insurance may not be your best option for end of life coverage. Here is why: We’ve all heard the commercials where the announcer is boasting their ability to offer a 45 year old male, with high blood pressure a 20 year, $50,000., TERM life policy for under $40.00 a month. Sounds good right? Well, at the end
BUSINESS of the term, the male will be 65 years of age. The problem: the older you are the more you’ll pay for insurance because you become a high risk factor. That same $50,000.00 term policy, upon renewal, might now cost you four or five times the original amount IF you’ve managed to remain healthy. Remember, high blood pressure made you a high risk from the start. The pro is you have coverage for a period of time. The con is with age health is likely to decline which makes being able to qualify or afford coverage a huge problem. Whole Life Insurance is great and used by many to amass great wealth. Others plan for it to be used as an inheritance. If you are planning to fund your funeral with it please know, traditional life insurance policies can take as long as 6 to 8 weeks to pay out. Most funeral homes will transfer the policy into a “FUNERAL ASSIGNMENT”. A funeral assignment allows you the benefit of a FINAL EXPENSE policy however, be prepared to incur a fee of up to 6% of the total funeral contract. Fees are paid to third parties, on your behalf, for speedy verifications and quick pay out. Final Expense Insurance policies are designed to fund funerals. Once the benefactor and the amount of the policy is verified your funeral cost can be paid out to the funeral provider within 24/48 hours. You should not be charged a fee for using a Final Expense policy that has been assigned directly to the funeral care provider from your insurance agency. Final Expense policies are not intended to leave inheritance funds. Please be sure to adjust your life insurance policy should you have a major life change, i.e., marriage, divorce, new birth. Failing to do so might prove to be costly. Finally, to the person who think to themselves I DON”T CARE what happens to me after I’ve passed. They can just put me in a pine box. To you I say, “The pine boxes are among some of the most expensive offerings.” Get Insured!■ Wiseman Funeral Home, established in November 2008, is a full service funeral care provider, specializing in earth burials, cremations, memorial services, national and International shipping and receiving of human remains. The company is well versed in the practice of funeral pre-planning as well as funeral trust and Medicaid spend downs. We are available to you 24 hours a day, 7 days a week. We serve you professionally with utmost respect. Contact
7531 Old Alexandria Ferry Road, Clinton, Maryland 301-899-2005 michelle@wisemanfuneralhome.net February - March 2016
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BUSINESS
Expert Advice for Surviving Severe Weather Are you Prepared for Harsh Winter Weather? cy kit. The kit should include a weather radio, flashlight(s), batteries, first aid kit, money, medications, heavy clothes and five days of non-perishable food and water. The Importance of Power “The number one issue you face in an emergency situation is access to reliable power,” Honore says. “When you lose power, it sets our society back at least 100 years.” In today’s world, many of the things people need to survive are tied to power. A loss of power cuts off communication, makes it difficult to attain food and water, creates sanitation issues and hinders temperature controls such as heating and air conditioning. “Because power is so important, I recommend homeowners invest in a dependable standby generator,” Honore says.
I
t’s out there - that next bout of severe weather is on its way. No matter where you live in the United States, the potential for severe weather always exists and sometimes it comes without much warning. “None of us really knows what the weather holds,” says LT. General Russel L. Honore, U.S. Army (Ret). “That’s why it’s important to be prepared for any eventuality. You have to be able to be your own first responder if the situation calls for it.” There are few who understand the power of severe weather and natural disasters better than Honore. The commander of Joint Task Force Katrina, Honore is now a nationally recognized emergency preparedness expert. Each day he dedicates himself to helping Americans prepare for serve weather or natural disasters in order to create a “Culture of Preparedness,” and help people be self-sufficient in instances of disaster. Why you Should be Prepared When Hurricane Katrina struck, 2.6 million people lost power, many for nearly a month. Today’s hurricanes, as well as winter ice storms and blizzards can also cause extended outages that can leave the unprepared equally trapped and powerless in their home. Honore says it’s essential all families develop an emergency plan. This plan should include a safe place in your home where you can find shelter and a safe location if you are away from home or you are forced to evacuate. Each family member should also have a cell phone so they can communicate with each other and every home should contain an emergen-
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Unlike portable generators, a standby generator automatically turns on when power is lost. A standby generator, which is permanently connected to your house like a central air conditioning unit, has the ability to power everything in your home including your heat and air conditioning systems, refrigerator, lights, computers, television and other technologies. Each of these modern-day necessities are indispensable during an emergency. And best of all, because the standby generator connects to your home’s existing fuel lines, you’ll never need to worry about refueling it to keep the power up and running. “I’ve personally been through this process,” Honore says. “I have a Kohler standby generator connected to my home and I recommend everyone make having an automatic backup power supply part of their emergency preparedness plan.” Next Steps To learn more about automatic standby generators, visit KohlerGenerators.com. You’ll have the chance to watch informative videos explaining standby power and how it works. Start your research today so when the next big storm arrives, you’ll be ready.■
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The Women’s Journal Newspaper is published bimonthly and is available free of charge, by subscription, display stands in approved private and public establishments and authorized distributors only. Trademark and U.S. Copyright Laws protect The Women’s Journal Newspaper. No part of this paper may be reproduced without the written permission of the publisher. The Women’s Journal Newspaper is not responsible for any editorial comment (other than its own), typographical errors from advertisements submitted as camera ready or any reproductions of advertisements submitted as camera ready. If an advertisement does not meet our standards of acceptance, we may revise or cancel it at any time, whether or not it has been already acknowledged and/or previously published. The advertiser assumes sole responsibility for all statements contained in submitted copy and will protect and indemnify The Women’s Journal Newspaper, its owners, publishers, and employees, against any and all liability,
loss or expense arising out of claims for libel, unfair trade names, patents, copyrights and propriety rights, and all violations of the right of privacy or other violations resulting from the publication of this newspaper or its advertising copy. The Publisher shall be under no liability for failure, for any reason, to insert an advertisement. The Publisher shall not be liable by reason of error, omission and/or failure to insert any part of an advertisement. The Publisher will not be liable for delay or failure in performance in publication and/or distribution if all or any portion of an issue is delayed or suspended for any reason. The Publisher will exercise reasonable judgment in these instances and will make adjustments for the advertiser where and when appropriate. The Women’s Journal Newspaper assumes no responsibility for unsolicited material or reproductions made by advertisers.This newspaper will be published by the 15th of every other month. Representations by The Women’s Journal™ READERSHIP 250,000 February - March 2016
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COMMUNITY
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Vegan Gluten Free
Sweet Potato Loaf Ingredients 2 cups gluten-free all purpose flour 2½ tsp. organic cinnamon 1 tsp. baking soda ¼ tsp. baking powder ¼ tsp. sea salt 1¾ cups coconut sugar ¾ cup vegetable oil 3 large eggs *( golden flax seed can be used as an egg replacer) 1 tsp. almond extract 3 cups sweet potatoes, cooked, peeled and grated (about 8 sweet potatoes) Preparation 1. Preheat oven to 350 degrees F. 2. Spray loaf pan with nonstick baking spray. 3. In a large bowl, combine flour, cinnamon, baking soda, baking powder and sea salt. 4. In a separate large bowl, beat coconut sugar, oil, eggs and almond extract. Add sweet potato; mix well. Combine with dry ingredients and mix well. 5. Transfer batter into baking pan. Bake for 1 hour. 6. Remove from oven, cool for 15 minutes, serve and enjoy.■ February - March 2016
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COMMUNITY
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Vegan Chocolate Mousse Ingredients
1 can chilled, full fat coconut milk 2 tbs Chatfield’s carob powder 2 tbs organic agave nectar 1/4 teaspoon vanilla extract raspberries or strawberries on top
Preparation 1. Chill the can of coconut milk overnight (at least 8 hours) to cause the cream and liquid to separate. 2. Remove can of coconut milk from refrigerator, turn upside down, and pour off the clear liquid at the top. 3. Scoop the cream into a bowl and whisk till it turns to a whip. 4. Blend the coconut cream, cocoa powder, vanilla extract and agave nectar until completely smooth. Refrigerator 1 hour. Top with raspberries or strawberries and delight.■
Learn to prepare healthy food that taste good. Take a Cooking Class ...It’s Fun!
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www.gocookvegan.com Register@gocookvegan.com www.facebook.com/gocookvegan February - March 2016
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Featuring: An age appropiate pre-school curriculum, Ages 2 - 12 Years Pre-school age children & Full Day Kindergarten Pre-Math Pre-Reading young achievers academy Spanish/Sign Language early learning center Music & Art Kids Science 6801 Annapolis Road, Landover Hills, MD 20784 Pre-Academic Skills 301-773-6100 Field Trips Hours of Operation: 6:30 AM - 6:30 PM Computers Language Development Breakfast & PM Snacks Social Interaction Gymnastics Much More Spanish inclusion program
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Take a Cooking Class ...It’s Fun!
GoCooK VEGAN Learn to prepare healthy food that taste good
Cooking Classes $35 NEW LOCATION
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Classes also available in DC & MD
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