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A Lifestyle Magazine
COMPLIMENTARY Volume 56 Issue 1
omen’s ournal
Revamp Your Skincare Regimen
WojoTalk.com WojoTalk.com
dry eye disease Are you at Risk?
Myths About Menopause! Great Recipes to Try
Featuring Georgetown Pain Management & Medical Director
Netsere
Dr. Tesfayohannes
Contents
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HEALTH & WELLNESS
Submitted By Dr. Net Tesfayohannes
Georgetown Pain Management 7500 Greenway Center Dr., Suite #940, Greenbelt, MD 20770
Phone: (301) 718-1082 / Fax: (301) 718-1084 / www.gtpain.com January - February 2017
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Brie & Vegetable Strata Ingredients: Prep time: 30 minutes/Cook time: 45 minutes/Serves: 12 1 large onion, halved and thinly sliced 1 large sweet red pepper, chopped 1 large Yukon Gold potato, peeled and cubed 2 tablespoons olive oil 1 loaf sourdough bread (1 pound), cubed 1 round Brie cheese (8 ounces), rind removed, cut into 1/2-inch cubes 1 cup (4 ounces) shredded Parmesan cheese 8 Eggland’s Best Eggs (large) 3 cups 2% milk 2 tablespoons Dijon mustard 4
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1 teaspoon seasoned salt 1 teaspoon pepper PREPARATION: 1. In a large skillet, saute the onion, red pepper and potato in oil until tender. 2. In a greased 13-in. x 9-in. baking dish, layer half of the bread, onion mixture, Brie and Parmesan cheese. Repeat layers. 3. In a large bowl, whisk the remaining ingredients; pour over layers. Cover and refrigerate overnight. 4. Remove from the refrigerator 30 minutes before baking. 5. Bake, uncovered, at 350°F for 45-50 minutes or until a knife inserted near the center comes out clean. 6. Let stand for 10 minutes before cutting. ■
Intimacy & Chronic Illness:
Redefining “Normal”
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reating and sustaining both emotional and physical intimacy (closeness and affection with another person) in any relationship can be difficult. For people living with a chronic disease, such as rheumatoid arthritis (RA) - an autoimmune disease of the joints that impacts 1.6 million people in the United States it can be even more challenging. In fact, a study of those living with RA revealed that more than half feel that their disease places limitations on intimacy and more than a third say that living with RA has strained their relationship with their partner. For many people, browsing the self-help section of a book store, an internet search, or picking up a women’s magazine can help provide some suggestions for how to build or repair intimacy. However, for those with RA, help and advice is more limited and there’s a real need for support for those with a chronic disease looking to address intimacy challenges. So, let’s start here. The best first step to addressing any challenge is to take a look at it from a higher perspective and evaluate the bigger picture. When we step back and look at relationship “issues,” the first thing we realize is that when it comes to relationships, “normal” doesn’t exist. There is no one way to define a healthy relationship. Once you’ve accepted that there is no “normal,” you can start to focus on redefining your relationships in the face of a chronic disease, like RA. Here are a few tips that may help address intimacy with RA: Focus on self-love. The old adage “you must love yourself first before someone else can love you” rings true. While it can be difficult to love yourself when it feels like you are fighting against your body, it is even more important to exercise healthy self-love behaviors when dealing with a chronic disease. Focus on things that you love about yourself, practice positive affirmations, and take the time to do things that make you feel good. Communicate with your partner. An open dialogue is a critical component to intimacy - both physically and emotionally. Communicating openly and honestly paves the way for a feeling of closeness that comes from shared expectations and understanding. It’s also important to know that intimacy doesn’t require physicality, and if there are times you can’t be physical due to RA symptoms such as fatigue or swollen joints - that’s okay as long as you are open and honest with your partner. Make sure the intimacy in
HEALTH & WELLNESS your relationship is maintained by enjoying shared interests or hobbies - have pillow talks or compliment one another out of the blue! Work as a team. There are times in every relationship when each person faces his or her own challenges. You and your partner are in this together. You are each other’s advocates. Maintaining a healthy and successful relationship is all about balance and understanding that challenges come in all shapes and forms. Living with RA is no exception. Talk to a professional. If your RA symptoms are inhibiting your relationship, talk to a professional. The right professional probably has some good ideas of how to address the impact on intimacy. If you don’t feel comfortable talking to your rheumatologist, try speaking with someone who specializes in intimate relationships such as a relationship counselor or sex therapist. If you have a chronic disease like RA, it’s important to remember that it does not define you and there are steps you can take to better manage lifestyle challenges as a result of your condition. With a little research and communication a professional, there are ways to prioritize your health, but not sacrifice your relationships and ability to enjoy life with the people closest to you.■
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 January - February 2017
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By Alan Weiss, M.D.
The Gastrointestinal Tract:
Health
The Surprising Key to
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HEALTH & WELLNESS
e live in a day where the medical system and physician training fosters viewing the human body as composed of seemingly unrelated parts. One doctor looks at one part while another looks at another part. What is very surprising is how connected the various parts of the body are. There is no better example of this then the profound effects that the gastrointestinal tract has on overall health. In many of my patients who have chronic illnesses I very commonly find that when they also have gastrointestinal symptoms, such as reflux, pain, or chronic diarrhea; it is only when their GI symptoms are treated and resolved that they begin to get better. The GI tract is not just a tube. We all know how critical the GI tract is for digestion and absorption of nutrients. People are often unaware that up to 80% of the body’s immune tissue that protects us from infections is located in the intestinal wall. As well there are ten times as many microorganisms (bacteria) in the intestines than there are cells in the human body. These bacteria are critical to achieving optimal health. The body uses these bacteria to produce Vitamin K, to optimize the immune system, and to produce hormones. Disruption in the healthy bacterial balance can often result in disease. Diseases that can result from bacterial gut imbalances include inflammatory bowel diseases, rheumatoid arthritis, and even cancer. I have patients who experienced significant reductions in mood disorders (depression and anxiety) after treating gut imbalances and eliminating foods they were sensitive to. Food intolerances and allergies are another topic of gut health that is underappreciated. Many very young children with colic, chronic ear and sinus problems and rashes often suffer from undiagnosed food allergies. The most common sources of food allergy is dairy and wheat, as well as allergy to a wheat protein called gluten which can result in Celiac Disease. The health effects of these food allergies can often extend beyond the GI tract. For instance, even in the absence of significant GI symptoms, Celiac disease can cause thyroid illness, osteoporosis, and neurological problems. Another example is a deficiency of stomach acid, which is critical for digestion. Most people know of acid reflux, but probably as common is a low level of stomach acid. This can result in chronic bloating, bacterial and yeast overgrowth, as well as poor absorption of food an nutrients, which can in turn result in osteoporosis, neurological issues, rashes, and muscular weakness. There are many more examples of the wide-ranging effects of GI problems such as histamine intolerance and leaky gut syndrome.
“GI tract is for digestion and absorption of nutrients.”
So where does one begin? It is important to bring to your physician’s attention any chronic symptoms you have and ask if they can be connected to other health issues. It is useful to do food allergy testing, cultures for infections, and measurement of stomach acid. Hunting for hidden bowel infections can often pay off handsomely in health benefits. Use of probiotics, which can restore normal bacterial balance, and prebiotics which can nourish and return to health the intestinal cells and membrane, can often make a big difference.■
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. January - February 2017
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HEALTH & WELLNESS
High-Tech Habits Linked to Dry Eye Disease
Are You at Risk?
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early nine in 10 (89 percent) of eye care professionals (ECPs) who participated in the National Eye C.A.R.E. (Current Attitudes Related to Eye Health) Survey believe our modern, multi-screen lifestyle (i.e., everyday use of mobile, tablet and computer screens) is partly responsible for an increase in dry eye disease (DED). The survey was conducted online by Harris Poll in July 2015 on behalf of Shire. The survey included more than 1,000 ECPs (optometrists and ophthalmologists) and more than 1,200 adults with dry eye symptoms (U.S. adults diagnosed with dry eye disease or experiencing dry eye symptoms who have used artificial tears in the past month). While women ages 50 and older are still most likely to be affected by DED, ECPs surveyed also report that use of modern technology is changing the face of the condition, saying that they are seeing an increased number of younger patients aged 18-34 with dry eye symptoms now vs. 10 years ago (76 percent). “Many adults aren’t familiar with key symptoms of DED and wait years between symptom onset and seeking medical advice,” explained Marguerite McDonald, MD, FACS, board-certified ophthalmologist, Ophthalmic Consultants of Long Island. “It’s important that all adults talk to an ECP right away if they notice changes in their eyes. While age and female gender continue to be significant risk factors for DED, our screen-dependent lifestyle has led to a noticeable shift, with more young adults presenting with dry eye symptoms than in years past.”
Don’t ignore dry eye symptoms DED is an inflammatory disease of the ocular surface that is often chronic and may be progressive. The disease is commonly associated with dryness and overall eye discomfort, as well as stinging, burning, a gritty feeling or episodes of blurred vision. Based on the survey results, adults with dry eye symptoms (64 percent) rank sight as the sense that’s most important to them, yet most (55 percent) say that they did not give much thought to their eye care until they started experiencing dry eye symptoms. Adults with dry eye symptoms who participated in the survey said they typically waited two years between symptom onset and seeking medical advice. This may be because about half (49 percent) dismiss them as a normal part of aging, and approximately one in three (32 percent) don’t understand that there is a potential risk for long-term damage to their eyes. But, nearly three in five (57 percent) say they wish they had spoken to an ECP sooner. More possible impacts Adults with dry eye symptoms who participated in the survey said dry eye symptoms impact them in various ways throughout their day. Specifically, most people with dry eye symptoms surveyed say that those symptoms impact their ability to spend time in front of a screen (75 percent), participate in hobbies (68 8
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percent), and work (54 percent) - and many say that symptoms cause annoyance (57 percent), fatigue (46 percent), and/or frustration (42 percent). In addition, 43 percent say their dry eye symptoms often keep them from what they want to be doing. More Information About Dry Eye Disease An estimated 30 million Americans report symptoms consistent with dry eye*. According to data presented at the 2016 American Society of Cataract and Refractory Surgery, approximately 16 million have been diagnosed with DED by a health care professional. *Based on a dry eye prevalence of 14.5% from the 2014 BOSS (Beaver Dam Offspring Study) of self-reported symptoms and the 2014 U.S. Census estimate of adults ages 25 to 84 years.■
Dr. Renee Bovelle
“Your Best Vision is Our Focus”
12200 Annapolis Rd., Suite 116, Glenn Dale, MD 20769 301-805-4664 / www.EnvisionEyeAndLaser.com
HEALTH & WELLNESS When it’s not just the flu: “Too often, children with Kids with Type Type 1 diabetes end up in 1 Diabetes Often the emergency room with soaring blood sugar levels.” Misdiagnosed Due to the Rapid Onset of Common Symptoms
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t is a common scenario: your child is nauseous, vomiting and very tired. It could be the flu, and that’s probably all it is. But it could also be Type 1 diabetes, a condition where the body does not produce a hormone, insulin, which it needs to get energy from food. Unfortunately, Type 1 diabetes is often not considered until your child is severely ill. About one in every 600 children in the United States develops Type 1 diabetes. While the disease accounts for only about 10 percent of diabetes cases in the country, it’s one of the most common chronic diseases in children. Too often, children with Type 1 diabetes end up in the emergency room with soaring blood sugar levels. This serious condition is called diabetic ketoacidosis, or DKA. It occurs when the cells of a person with diabetes do not receive the glucose they need for energy, and start to burn fat and muscle instead. When this happens, leftover molecules called ketones are produced, and ketones begin to poison the body. This, in combination with extreme dehydration, can lead to diabetic coma, or even death, if not caught and treated in time. DKA can cause emotional burden on caregivers and family members, as well as a financial burden on the family and healthcare system. And it’s all too common: based on a recent survey performed by the T1D Exchange, 41 percent of people with diabetes were in DKA when they were diagnosed. The good news, however, is that DKA is completely preventable. A simple urine test or finger prick are used to diagnose the condition. Symptoms of Type 1 diabetes that most often go undetected can come on quickly, and should be brought to a doctor’s attention as soon as possible. Early symptoms may include increased thirst or a very dry mouth; frequent urination; extreme hunger; and unintended weight loss. Furthermore, a child may be in
DKA and should go immediately to the emergency room if he or she is experiencing: * Nausea, vomiting or abdominal pain * Difficulty breathing * Fruity odor on breath * Extreme fatigue * Dry or flushed skin * Difficulty paying attention, or confusion Education and awareness can lead to proper diagnosis of diabetes and potentially save a life. For more information about the Omnipod System and how to better manage diabetes, visit www. myomnipod.com and talk with your doctor.■ 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 – T: 202-291-0147 January - February 2017
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HEALTH & WELLNESS
Rosacea, a Common Skin Condition
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nyone who deals with the redness, bumps and inflammationi,ii of rosacea, may understand the frustrations that come with this common skin disorder. As with many diseases, doctors and researchers still don’t know the exact cause of the inflammation and how it affects the skin on a person’s face. Facts about Rosacea Rosacea is a chronic, inflammatory skin condition affecting the face. While the exact cause of rosacea is unknown, it affects an estimated 16 million Americans (about one in 20) and 40 million people worldwide, according to the National Rosacea Society (NRS). With varied symptoms, it can be challenging for sufferers to manage. Additionally, statistics show that rosacea is more common in women, but symptoms tend to be more severe in men. According to a NRS survey of more than 2,000 patients, both men and women experienced rosacea symptoms on their chin, cheeks and forehead. Symptoms of rosacea may include: • Redness or a flushed appearance on the skin of the face • Persistent redness • Bumps that may contain pus or be solid • Visible blood vessels • A stinging or burning sensation • Irritation of the eyes • Facial swelling • Thickening of the skin, most commonly seen on the nose To help manage rosacea, a proper skin-care regimen and an appropriate treatment plan can be used. 10
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Treatment Options While there is no cure for rosacea, it can be treated and managed effectively. The NRS notes that treatments may include various oral and topical medications to treat the bumps and blemishes often associated with rosacea, and a topical therapy to reduce facial redness. Additionally, treatments may also include lasers, intense pulsed light sources or other medical and surgical devices to remove visible blood vessels or reduce extensive redness. Biomarkers in Rosacea A biomarker is a biological substance whose level in the human body can be indicative of a particular disease or condition. In patients living with rosacea, cathelicidins and serine proteases are thought to be biomarkers involved in the disease. Proteases are enzymes that break down proteins into peptides, and cathelicidins are a type of peptide. It is important for people who think they have rosacea to talk to a dermatologist about their symptoms because without proper medical treatment, rosacea can worsen over time and may become more difficult to treat.■
By Kashif Ali, M.D.
HEALTH & WELLNESS
The Effects of Genetics on Breast Cancer: An Update
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n the United States, breast cancer is the most common cancer among women of all races. Unfortunately, it is also the second leading cause of cancer death in this gender population. It is estimated that in 2012, About 227,000 new cases of invasive breast cancer and about 63,000 new cases of non-invasive breast cancer (an early form of breast cancer) will be diagnosed in this country. This will lead to about 39,500 deaths from breast cancer. In their lifetime, about 1 in 8 (12%) women in the US will develop invasive breast cancer. This is a very chilling statistic, which makes early screening and detection only that much more important. Breast cancers that are discovered at earlier stages have a much higher change of cure and survival. Up to 10% of breast cancers are thought to be hereditary. These cancers are a result of genetic information passed from a parent to their offspring. Genetic information is passed through chromosomes. During conception, half of the chromosomes are obtained from the mother and half from the father. The genetic information in these chromosomes is encoded in DNA. This DNA contains the instructions for building proteins that make up your body and help with all its functions. Unfortunately, if there is an error, or mutation, in this DNA, that mutation will appear in all the cells produced by that particular DNA. Most inherited cases of breast cancer are associated with two abnormal mutations in the DNA: BReast CAncer gene one and BReast CAncer gene two, abbreviated BRCA1 and BRCA2. It is a fact that everyone has BRCA1 and BRCA2 genes, since the normal function of the BRCA genes is to repair cell damage and keep breast cells growing normally. This prevents us from developing cancer. But the problem is that when these genes contain abnormalities or mutations, the breast cancer risk increases, since this leads to irregularities with the normal repair mechanism in breast cancer tissue. Abnormal BRCA1 and BRCA2 genes may account for up to 10% of all breast cancers, or 1 out of every 10 cases. Women having these particular abnormal genes can have up to an 80% risk of being diagnosed with breast cancer during their lifetimes. Breast cancer in these women is more likely to occur at a younger age, be more aggressive with a higher chance of spreading, and occur in both breasts. Apart from breast cancer these women are also much more likely to develop cancer of the ovary (2nd most common after breast), pancreas, cervix, uterine, colon, stomach, gall bladder, bile duct, thyroid, and a type of skin cancer called melanoma. We all have 23 pairs of chromosomes, for a total of 46 chromosomes, half of which come from our mother and the other half from our father. The BRCA1 and BRCA2 mutations are passed onto children in a autosomal dominant pattern. This means that even if one parent is carrying a mutation on even one of their 46 chromosomes, half of their children will be affected.
The BRCA mutation is detected through a blood test collected at your doctor’s office or a lab. Possible women who qualify for BRCA mutation testing include those with a personal or family history of: • Breast cancer diagnosed at age 50 or younger • Ovarian cancer at any age • Two separate breast cancers in the same person, or two family members with breast cancers on the same side of the family • Male breast cancer • Triple negative type of Breast Cancer (meaning breast cancer carrying no receptors to target) • Pancreatic cancer and a breast or ovarian cancer in the same person, or on the same side of the family • Ashkenazi Jewish ancestry with breast, ovarian, or pancreatic cancers • Two or more relatives with breast cancer, one under age 50 • Three or more relatives with breast cancer at any age • A previously identified BRCA mutation in any member of the family Women who carry a BRCA mutation tend to have breast cancers that are triple negative. Triple negative breast cancers are: Estrogen receptor-negative, Progesterone receptor-negative, and HER2/neu-negative. This means there is no receptor on the outside of the cancer cell to target during treatment. These cancers also tend to be more aggressive and have a high chance of metastasis (meaning spread to other parts of the body). To bring some positive light to this discussion, a recent study at the M. D. Anderson Cancer Center showed that triple-negative breast cancer patients with BRCA mutations experienced a significantly lower chance of the cancer coming back after completing treatment. Also a new class of drugs, called PARP inhibitors, have shown promise in BRCA mutations and/ or triple negative breast cancers. Even women who were treated with and failed multiple prior chemotherapies responded favorably to these new agents. In conclusion, it is imperative that women at risk for carrying the deleterious BRCA mutations be identified prior to the development of a BRCA-associated cancer. In the event that this mutation is detected after the development of cancer, then she be treated with the most up-to-date, new, and robust treatments that oncologists have to offer at this time.■ Dr. Kashif Ali earned his MD Degree from Ross University School of Medicine. He completed his residency in Internal Medicine at the 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. Dr. Ali is available to see patients in Hematology and Oncology. January - February 2017
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HEALTH & WELLNESS
Exercise & Breast Cancer
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pproximately 11.1 million cancer survivors are alive in the United States. Healthcare provider continue to support survivors with activity prescriptions based on evidence as to whether exercise during or after treatment results in improved health outcomes? Current evidence on exercise demonstrates significant improvement in baseline fatigue, physical functioning, and cardio-respiratory fitness; Preliminary evidence suggests exercise also contributes to improvements in body weight and composition, metabolic risk factors, and immune function. Additionally, exercise may also influence disease-free and overall survival in selected populations with a diagnosis of cancer. The specific benefit from physical exercise both during and after treatment may vary related to the stage of the disease, the nature of the medical treatment provided and lifestyle of the cancer survivor. As such, a robustly designed Progressive Resistance training (PRT) regimen throughout
the various phases of breast cancer treatment is warranted to ensure that exercises are individualized and specifically designed based on the stage, complexity, and patient needs as determined by the history and physical exam to effectively manage symptoms, dysfunctions, decrease pain level, prevent seroma formation and promote wound healing for optimal improvement in upper extremity strength and function at the appropriate timing. Current evidence suggests many health benefits from physical activity during and post cancer treatments. Dr. Diallo of EZ Rehab Solutions, a comprehensive outpatient physical therapy practice in Greenbelt, Maryland recommends that breast cancer survivors visit their physician and therapist to help prescribe, design and train on simple exercises to reduce pain, decrease upper extremity and trunk stiffness, and improve overall upper body function. Please visit www.ezrehabsolutions.com to contact us with questions on how to help you or your loved one with breast cancer.â–
Dr. Diallo, the Owner and Director of EZ Rehab Solutions provide courteous, professional and effective services to treat various maladies and dysfunctions. He also specializes in providing patient education seminars, and wellness programs related to Back Pain and Sciatica. 301.446.1724
Host a livestream show on Wojotalk 200.00 per month with 4 hours a month or 300.00 with 8 hours per month. Free qtr page ad in magazine to promote your show and web advertising Contact us at Info@wjwomen.com 12
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The surprising truth about common
Menopause Misconceptions
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early all women will go through menopause at some point in their lives. Often with this comes a loss of intimacy, one of the biggest - yet least discussed - side effects of menopause. While to some this may seem inevitable, menopause does not need to signify the end of a woman’s sex life. Women going through menopause don’t have to live with uncomfortable and discouraging symptoms, and will find relief in some key facts about this important stage in life. Myth: Women experience menopause in their fifties. Fact: Menopause actually affects a broad age range of women. While the average age of menopause for U.S. women is 51 years, perimenopause - which refers to the time during which a woman’s body begins to transition in preparation for menopause - can begin as early as mid-30s. Additionally, early onset of menopause can occur as a result of chemical and surgical interventions, such as chemotherapy or hysterectomies. Myth: Hot flashes and mood swings are the most common menopause symptoms. Fact: While nearly every woman will experience menopause at some point in her life, not all of them will experience it the same way. According to the North American Menopause Society (NAMS), as a woman transitions into menopause, lower estrogen levels not only cause hot flashes but have several other effects on the body such as vaginal dryness, which can undermine sexual motivation and drive. In fact, according to a 2015 Toluna Quick Survey Study of 1,000 postmenopausal women, 75 percent suffer from vaginal dryness to some extent, and 90 percent who responded they suffer from vaginal dryness to a moderate-large extent said the dryness negatively affects their life. This is because peri, menopausal and postmenopausal women often experience VVA (Vulvo Vaginal Atrophy), also known as GSM (Genitourinary Syndrome of Menopause) - characterized by lesser known symptoms of vaginal dryness, burning, itching, incontinence and painful intercourse. Myth: Menopause symptoms impacting a woman’s intimacy are permanent. Fact: Symptoms that affect intimacy can be frustrating for both a woman going through menopause and her partner. However,
HEALTH & WELLNESS
women who experience these types of symptoms do not need to live with them for the rest of their lives. CO2RE(R) Intima - a simple, quick and effective procedure - is one of the latest innovations in vaginal therapy, helping women with their intimate wellness, particularly with issues surrounding menopause. The procedure delivers both immediate and long-lasting relief in a painless, non-surgical treatment. CO2RE Intima can help treat these symptoms and get a woman’s sex life back on track. Visit www.co2reintima.com to find a physician in your area and to see if treatment is right for you. Myth: After menopause, a woman’s sex life is never the same. Fact: Many women remain sexually active beyond midlife and into older age. Some women enjoy their sex lives even more once they are postmenopausal as they no longer need to worry about pregnancy. Additionally, menopause may come at an age when many women are becoming “empty nesters” after sending children off to college, an opportunity for them to reconnect with their partners and reinvigorate their sex lives. If you’re experiencing symptoms of menopause that may be preventing you from enjoying your sex life, visit www.co2reintima.com to learn more about CO2RE Intima treatment and how it can help restore vaginal health. Myth: All vaginal rejuvenation treatments are for aesthetic purposes. Fact: While some women may think that vaginal laser treatment is strictly for cosmetic purposes, in fact, it can help restore women’s intimate wellness by offering a number of functional and clinical benefits. CO2RE Intima is designed for women who want to relieve the signs of childbearing and aging in their vaginal area. This includes post-child bearing and peri and menopausal women, women who desire enhancement in sexual functioning and a better sexual experience, women who seek vaginal cosmetic improvement and women who want to feel more confident about their feminine health. Rather than an ending, menopause should signify a new beginning in a woman’s life and opportunities for renewed intimacy. Don’t let menopause interrupt your sex life. Now that you know the facts and what CO2RE Intima treatment can offer, you can feel confident about your feminine health throughout your menopausal journey.■ January - February 2017
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Prevent Gum Disease with Laser Dentistry By Dr. Brenda Howard, Cosmetic Dentistry
How are your gums? Are they red, swollen or bleeding? They should not be. They should be firm, tight, pink or brown if yours have melanin pigmentation and they should not bleed. If they are the former, they are diseased and you are in jeopardy of losing your teeth. The loss of teeth has many deleterious results. You are unable to chew your food well, which has a negative effect on digestion. Your jaw joint is not properly supported and you may develop pain in this area. Your facial muscles are no longer supported causing you to look much older than you should. And if this is not enough, there is now evidence linking periodontal (gum) disease to heart disease, low birth weight babies, diabetes and arthritis. So the unhealthy bacteria in your mouth, has an impact on your total health. If you are in need of an exam and consultation to discuss the state of your dental health, give our office a call for a complimentary consultation. We have advanced training in taking care of your teeth and gums and would love to offer our expertise.
Call Blissful Dental today 301-552-2662 Along with the usual dental treatments, we offer : Laser treatment for gum disease Implant replacement for missing teeth Sleep apnea care Don’t let your 2015 Ins. benefits expire. Utilized by the end of the year or you lose them. 9821 Greenbelt Rd #205, Lanham, MD 20706
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HEALTH & WELLNESS
How Youth Team Sports are Shaping kids’ & teens’ Values On & Off the Field
uations and make quick decisions. By being part of a team, young people experience a sense of belonging while building valuable friendships. What’s more, when parents and caregivers gather to watch games, it can strengthen communities and provide a sense of unity.
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hether it’s a neighborhood scrimmage or a national championship, experts agree that the benefits of belonging to a team are significant, and they range well beyond physical exercise. These important experiences teach lessons that help shape kids and teens’ outlooks about themselves, working with others and the world around them. Based on observations from participating Clubs around the country, here are the top life lessons instilled by being part of a team and how participation can help kids and teens feel a sense of belonging and acceptance. Teamwork: By working together on a team, kids and teens can learn not only how to lead, but also how to follow directions. The ability to work well with others will help them at home, at school and at game time. Young people also experience the satisfaction of working together toward a common goal, which is an essential skill to learn for successes down the road. Sportsmanship: Whether in sports, with family and friends, or at the workplace, it’s important to know how to properly handle winning and losing. Kids and teens who learn that it’s okay to lose - and how to act when they do, gain an important skill to help them throughout their life. Through sports, they can learn to play fair, act with humility and handle both victory and defeat with grace, style and dignity. Strong character: By mastering athletic skills, players gain self-confidence that carries through to the real world. By practicing regularly they learn discipline and responsibility. By playing in a fast-paced game, kids and teens learn to handle stressful sit-
Healthy lifestyles: Three out of 10 youth are overweight or obese, according to the Centers for Disease Control and Prevention. Finding fun ways to keep kids and teens active will help fight this growing epidemic. Team sports provide a great opportunity for young people to get moving. Because it’s fun, they often don’t even realize its exercise. By promoting an active lifestyle from an early age, caregivers can help today’s youth learn healthy habits that can have a lifelong impact.
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By being part of a team, young people experience a sense of belonging while building valuable friendships. Practice makes perfect: No one throws a perfect spiral or hits a three-pointer the first time they try. To improve at sports, you need to practice. Sports teach kids and teens that if they want something, they have to work for it. Practice and proper preparation are key skills throughout life - whether for a big game, big test at school or any of life’s big challenges. Want to help encourage kids and teens in your community to play team sports and learn these important life lessons? Go to the Boys & Girls Clubs of America.■ 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 January - February 2017
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HEALTH & WELLNESS
By Haddis T. Hagos, M.D.
The Role of Radio Frequency Ablation in Chronic Neck Pain After Whiplash Injury
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
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Natural Medicine Your Solution To Wellness By Veda Johnson, ND
What is Naturopathic Medicine? It is a form of medicine that focuses on the prevention of illness and treatments that stimulate the body’s ability to heal itself and create optimal health. Improved wellness is achieved with therapeutic methods and substances that balance centuries old natural remedies with frontline advances in medical science. I became a Naturopathic Doctor to aid in the body’s natural healing process by discovering the root cause instead of just treating symptoms. There are times when a cause cannot be found and the condition cannot be abated. However, the goal still remains the same and that is to bring about an increase in wellness, a decrease in symptoms, and/or the reversal of the condition. Did you know that many chronic illnesses can be reversed simply by a diet change? Simply implementing diet lifestyle changes can decrease blood sugar levels, decrease high blood pressure readings and stopped or minimized eczema. These are just a few examples:
What conditions can be treated with Naturopathic Medicine? Conditions/Chronic Illnesses such as (but not limited to): • • • • • •
Asthma Autoimmune Conditions Cancer Chronic Fatigue Diabetes II Digestive/Stomach conditions Eczema Female Hormonal Conditions
• • • • •
• • • • • • •
Food Allergies and Sensitivities Herpes High blood pressure High Cholesterol Insomnia Neuropathy Psoriasis
We see all facets of general family health from infancy to geriatric care. We accept Flex Spending and HSA plans. We also have our own in-house payment plan
Call and Schedule a Free 15 minute consultation and Get the Gift of Health 301-552-2621 DR. VEDA Johnson is a licensed Naturopathic Doctor with over 30 years of experience in various allied health professions. A graduate of the Southwest College of Naturopathic Medicine in Tempe, Arizona. A native Baltimorean that loves family, cooking and reading. As an avid Teacher/Learner she is an adjunct Professor of Genetics at the Notre Dame of Maryland University.
Office Hours Tuesday- Wednesday: 9:00 am –5:00 pm Thursdays: 9:00 am -7:00 pm Fridays: 8:30 am- 1:00 pm Saturday: By Appointment Only Closed Sundays & Mondays
9811 Greenbelt Road, Suite 20 Lanham, MD 20706 301-552-2621 Website: atnwellnesscenter.com
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For more information, contact the Women’s Journal at 866-517-5049 January - February 2017
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HEALTH & WELLNESS
smart steps
to Preserving Brain Health
E
veryone knows aerobic exercise gets the heart pumping and lifting weights keeps muscles strong. But when it comes to keeping the brain healthy, most people are unsure what to do. As you age, brain health and maintaining memory functions becomes a top concern. Turns out, these issues may begin sooner than you think. “We tend to think about memory decline as an older person’s issue, but that’s not the case at all,” says Dr. Aimee Gould Shunney, a licensed naturopathic doctor specializing in women’s health and family medicine. “There was a study published in 2012 in the British Medical Journal that examined cognitive function in people age 45 to 70. The researchers did not expect it, but they found evidence of cognitive decline in the 45-yearold participants as well as the older participants.” She notes there are two basic pathological processes that cause degeneration of the brain: oxidative stress and inflammation. Basically, the standard American diet and lifestyle contribute to those processes. So who is this really an issue for? Men and women of all ages. No matter your age, you can take charge of your brain health by following these five smart steps from Dr. Shunney: Healthy eating “A Mediterranean-type diet that focuses on whole foods, good fats and foods high in antioxidants is a great place to start,” says Dr. Shunney. She encourages her patients to focus on getting omega-3 fats from fish and monounsaturated fats from olives, olive oil, nuts and seeds. She also recommends increasing fruits (especially berries) and beans (they’re packed with antioxidants). What’s more, research shows a little cocoa, coffee and red wine can act as antioxidants and are beneficial in low to moderate amounts. Supplements In addition to a quality multivitamin, Dr. Shunney recommends an omega-3 supplement. “Getting enough omega-3s
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is one of the most important measures we can take,” she says. “DHA is the dominant omega-3 in the brain. Just like we need to make sure babies have enough DHA to grow their brain, we need to make sure older people get enough DHA to keep their brains healthy.” She suggests Omega Memory by Nordic Naturals. It’s a DHA-dominant omega-3 formula that also includes other brain healthy ingredients: curcumin, phosphatidylcholine and huperzine A. Learn more at www.nordicnaturals.com. Regular sleep Poor sleep is a risk factor for cognitive decline. “Studies show both sleep deprivation and sleeping too much impact cognitive performance,” Dr. Shunney says. “A good goal is to go to bed around the same time each night, sleep for 7-8 hours, and get up around the same time every morning.” Thinking activities “I recommend anything that keeps your mind working,” says Dr. Shunney. “Activities that require things to be arranged or puzzles that have to be put together. Crossword puzzles, word games and board games are all great.” She also notes some activities to avoid: “It’s important to limit certain activities. The constant scanning of social media and newsfeeds eliminates creativity and keeps us on edge. Limit the time you spend doing that and instead do things that cause you to explore and think and put ideas together on your own.” Socialize “Social isolation has been linked with cognitive decline,” says Dr. Shunney. “In one study, people who were lonely experienced cognitive decline at a 20 percent faster rate than people who were not lonely.” Make time to take a foreign language class, join a Toastmaster’s Club, take a watercolor class - anything that connects you regularly to other people.
Full Service Pharmacy & Compounding Service Providing Fast & Friendly Prescription Service • Electronic RX from your doctor • Extended Supply • Diabetic Supplies • Compression Support • Specialty Compounds
(301)577-1212 Fax (301)577-1099 8313 Annapolis Rd New Carrollton, MD. 20784 M-F 9am-6pm Sat. 10am - 1pm
Website: www. thefamilychoicepharmacy.com Email: familychoicerx@verizon.net
January - February 2017
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Why Total Body Care? Let’s start by answering what Total Body Care means to us. Our bodies work hard for us every day. We may not always realize it, but the fact of the matter is that hard work, day in and day out, can take its toll. It’s our responsibility to stop, check in and tune up. That pause, that momentary break of the daily grind is important, essential really. That pause is us practicing total body care… to make life even more livable. Why Massage Envy So why Total Body Care with Massage Envy? Because it’s our belief that the every day stuff doesn’t have to hurt, or take such a toll; it’s not something that we have to just deal with. Regular massage care does more than just provide temporary relief or momentary relaxation. And facial care isn’t just skin maintenance. They take care of our bodies in more ways than we sometimes realize, with proven, lasting effects. Treating your body well shouldn’t be a luxury. At least, we don’t think so, because the good life should actually feel that way. So think of us as your partner in managing the side effects of this wonderful thing we call living. 20
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Whatever the reason, join us at Massage Envy and we’ll help you manage the side effects of this wonderful thing we call living. MassageEnvy.com
59
$
FIRST
69
99 MASSAGE $ SESSION
FIRST
FACIAL 99 SESSION
College Park:10260 Baltimore Ave. (Across from IKEA) / (301) 313-0555 Woodmore Center – 9300 Woodmore Centre Dr. (near Wegmans) / 301-364-3400 M-F 8a-10p | S 8a-6p | Su 10a-6p
Healthy Meals
Skillet Chickpeas & Broccoli Rice
INGREDIENTS Prep time: 10 mins / Cook Time: 25 mins / Servings: 5 12 oz broccoli florets 2 15.5oz can chickpeas 1 large clove garlic or 2 small cloves, minced 1 tablespoon tomato paste 1 cup greens of choice (I used kale/spinach!) 2 teaspoon salt 1 teaspoon pepper 4 tablespoon extra virgin olive oil 2 tablespoon lemon juice 3 Eggland’s Best eggs (large)
1. 2. 3.
4. 5. 6. 7.
PREPARATION: Preheat oven to 350 degrees F. Add broccoli florets to a food processor and pulse until it resembles rice. Heat 2 tbsp extra virgin olive oil in a large cast iron skillet over medium heat. Add greens, broccoli, chickpeas, and tomato paste. Stir to combine. Then add in garlic, salt, pepper, lemon juice, and remaining olive oil. Stir to combine. Cook for about ten minutes or until broccoli is tender. Break three Eggland’s Best eggs over mixture. Do so carefully so that the yolk stays in tact to the membrane. Place skillet in the oven and bake for 15 minutes. Remove and garnish with fresh herbs of choice.■ January - February 2017
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Healthy Meals COMMUNITY
Upside-Down Chicken Pie INGREDIENTS Prep time: 20 mins / Cook Time: 25 mins / Servings: 8
Filling 2 cups chopped cooked chicken 1/2 cup chopped celery 1/4 cup chopped onion 1 (12-ounce) package frozen vegetable combination (broccoli, carrot and water chestnuts), thawed 2 (10 3/4-ounce) cans condensed cream of chicken soup 1/4 teaspoon pepper 1/2 cup shredded Cheddar cheese Topping 1 cup milk 2 Eggland’s Best Eggs (large) 2 tablespoons Land O Lakes® Butter, melted 1 cup all-purpose flour 1/4 teaspoon salt
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PREPARATION: 1. Heat oven to 425°F.
2. Combine all filling ingredients except cheese in 12-inch skillet. Cook over medium-high heat, stirring occasionally, 10-14 minutes or until mixture comes to a boil. 3. Combine milk, eggs and butter in bowl; beat at medium speed 1 minute. 4. Add flour and salt; continue beating until smooth. 5. Pour hot chicken mixture into ungreased 13×9-inch (3-quart) baking dish. Top with cheese. 6. Pour topping mixture carefully over cheese. 7. Bake 25-30 minutes or until puffed and lightly browned. Serve immediately.■
Healthy Meals
Eggs Benedict with Jalapeno Hollandaise Ingredients: Prep time: 5 minutes/Cook time: 10 minutes Serves: 4 1 tablespoon white vinegar 4 Eggland’s Best Eggs (large) 1/4 cup butter, cubed 1 cup milk 1 package hollandaise sauce mix 2 tablespoons chopped seeded jalapeno pepper 2 English muffins, split and toasted 4 slices Canadian bacon, warmed 4 slices tomato 1 medium ripe avocado, peeled and sliced
PREPARATION: 1. Place 2-3 in. of water in a large skillet with high sides; add vinegar. Bring to a boil; reduce heat and simmer gently. Break cold eggs, one at a time, into a custard cup or saucer. Holding the cup close to the surface of the water, slip each egg into water. Cook, uncovered, until whites are completely set and yolks begin to thicken (but are not hard), about 4-5 minutes. 2. Meanwhile, in a small saucepan, melt butter over medium heat; whisk in milk and sauce mix. Bring to a boil. Reduce heat; simmer, uncovered, for 1 minute or until thickened. Stir in jalapeno. Set aside and keep warm. 3. With a slotted spoon, lift each egg out of the water. On each muffin, half layer the Canadian bacon, tomato, avocado and an egg; spoon sauce over tops. Serve immediately.â– January - February 2017
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BUSINESS
Where There is a Will, There’s Peace of Mind
W
hat’s the state of your estate? There are compelling reasons for having an estate plan, and three core documents you’ll need to create one: a power of attorney, a living will or health care proxy, and a will. Power of attorney A power of attorney is the document designating someone to make financial decisions for you, whether you’re out of the country for a long period, have a physical injury preventing you from conducting business in person, or are mentally incapacitated. A power of attorney can be “springing” - going into effect upon your incapacity - or “durable,” meaning it goes into effect immediately. The challenge with a springing power of attorney is it can be subject to disagreement and dispute between the holder of the power and another family member. One solution is to require the incapacity be certified by a physician, although even those findings can be disputed. With the durable power of attorney, there’s no basis for contesting whether the holder of the power can act. The risk is the holder has the immediate right and ability to access and take action with respect to the financial assets subject to the power. One possible strategy? Limit the power to specific assets. This won’t help if the grantor if the power is totally incapacitated and the holder may need access to all of the grantor’s assets. A durable power of attorney is arguably less problematic, provided you are comfortable with the person you’re choosing. The holder of the power has a legal obligation, as a fiduciary of the grantor, to act in the best interests of the grantor and not in his or her interests. Living will and health care proxy A “living will” ensures your health care wishes are acted upon if you are unable to make such decisions. It lets you describe the types of treatment you do or don’t want under specific circumstances. For example, if you have a terminal illness, you may not want extraordinary measures taken to save your life. The challenge is it’s almost impossible to anticipate all possible scenarios to indicate what health care treatment you’ll want. An alternative to a pure living will is a “living will and health care proxy,” wherein you designate an individual to make health care choices for you. The living will portion describes in general terms your health care philosophy, and the health care proxy allows you to name an individual to make health care choices for you consistent with that philosophy. The choice of such an individual is important, and you should make sure you are comfortable he or she understands and will act consistent with your wishes. 24
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You should have a living will drawn up as part of your basic estate planning. Again, the alternative is a costly legal process for someone - maybe not of your choice - to get appointed as your proxy to make health care decisions on your behalf. Last will and testament A “last will and testament” serves several important purposes, including determining how your assets are distributed, who’ll care for your minor children and who’ll invest and distribute property held in trust for your children, grandchildren or other beneficiaries. The basic function of a last will and testament is to ensure your assets are distributed as you’d want. Absent a will, your assets will be distributed in accordance with applicable state law. You’ll also designate the legal guardian, and possible successors, for any minor children who survive you and your spouse. This is one of the most important and difficult decisions for parents - so difficult that it sometimes can hold up the entire estate plan. But agreement by the parents is important and avoids the possibility of someone else being court-appointed who may or may not share your child-rearing views. Think you don’t have a large enough estate to warrant setting up trusts for your beneficiaries? Consider even the most basic estate when you own a house, have retirement assets and maybe additional investments or property. Given the total value of these assets, you’d probably want to hold them in trust for minor heirs. If there’s life insurance, a trust for younger beneficiaries will almost certainly make sense. Although federal estate tax is no longer a significant consideration for most individuals, you may want to consider the cost of state estate tax. The state exemption is sometimes less than the federal exemption, and state estate tax can take a meaningful bite out of what you expect to leave to your beneficiaries.■ About Our Firm Our firm is dedicated to providing you with quality estate planning resources, so you can become familiar with all of the existing options. When you visit or call our office, we want you to feel comfortable discussing such an important issue concerning both you and your family. We want to arm you with the information you need to make an informed decision about your family’s future. 410.573.4818/301.970.8080.
5
things life insurance
BUSINESS
Companies don’t Always Tell You
L
ife insurance isn’t the answer to all of life’s financial challenges, especially if you buy a policy without fully understanding how it works, or what life insurance can and can’t do for you. Here are five things your life insurance company won’t always tell you about life insurance: 1. Not everyone needs life insurance. While most people can probably benefit from having life insurance, it’s not for everyone. For example, most financial experts agree the majority of people don’t need to buy life insurance for their kids. The purpose of life insurance is basically to: replace lost income (most kids have no income); pay final expenses (they’re likely to be manageable); or accrue cash value. You may think a whole life policy could give your child money toward his or her education once the policy matures. However, there are other ways to save for a college education that offer tax benefits a whole life policy doesn’t. Likewise, if you’re a young worker with no dependents and no debt, you might not need life insurance right now. You could put what you’d spend on premiums into your retirement savings. Or, if you’re older with no dependents and already have a legacy set aside for your descendants, you might choose other types of investments. However, anyone who has debt and dependents could probably benefit from having life insurance protection. 2. Online tools can help you figure out how much life insurance you really need. Years ago, people relied on their insurance agent or company to advise them on how much life insurance to buy. The internet has made it easy to know exactly how much death benefit you really need. Online tools and “robot advisors” have become very useful resources for helping consumers figure out how much life insurance is appropriate for their unique circumstances. A quick web search for “life insurance calculator” will yield numerous results, including calculators not provided by insurance companies or anyone in the insurance industry. For example, personal finance websites Yahoo Finance and Nerd Wallet both offer life insurance calculators. 3. No single “best” type of policy fits everyone. Life insurance comes in three basic types: term (the cheapest kind, it has an end date), whole (costs more, has no end date, accrues cash value and premiums are fixed) and universal (also
permanent and accrues, but with premiums that can vary). Insurance agents are happy to sell you any kind of policy, but of course their commission rewards are greatest when they can sell you more expensive policies. Each type of life insurance has advantages and drawbacks for different people, depending on a lot of factors like your age, health, why you need life insurance, and how long you need it. To ensure you’re getting the best value, understand the policy and how it works for you before you buy. 4. Your term life policy doesn’t (always) have to end. Term life is cheapest because it has a definitive end date. Term life aims to provide insurance for when you most need it, such as until your kids finish college. However, most term policies sold today are convertible - at the end of the initial term you can either continue with a new term (at a higher rate), or convert the term policy to whole life (also at a higher rate). 5. You may be able to sell your term policy for cash. If you’re a senior and you own a convertible term policy that will soon expire, you may think your choices are limited simply because there was no “cash value” built up in the policy over the years. Your life insurance company is unlikely to tell you otherwise and, in fact, many insurers prevent their agents from informing you of any alternatives to either letting the policy expire or converting it to a more expensive new policy. But the truth is that you may be able to unlock the value in your policy by selling it to outside investors for a lump-sum cash payment.■ 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. 7531 Old Alexandria Ferry Road, Clinton, Maryland 301-899-2005 / michelle@wisemanfuneralhome.net
January - February 2017
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SBBK stands for Small Business Bookkeeping We are an independent accounting & bookkeeping consulting firm that specializes in recording and reporting the financial effects of your business. SBBK establishes partnerships to provide great bookkeeping services. We are the liaison between your business operations and Certified Public (tax) Accountants. The master key to proper tax preparation is through a good bookkeeper. SBBK will assist you in keeping a proper set of books throughout the year. If you’re current, behind or just need an overview reconciliation of your books, we can help. You should never be behind in the record keeping of your books but just in case you are we offer solutions: Data Entry ● A/R ● A/P Budget Performance ● Administrative Organizing ● Payroll processing Software Set-up & Training and more Contact: accounting@mysbbk.com Phone: (301) 982-1000 *Fax: (240) 554-2808 / www.MySbbk.com 26
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Call 1(866)730-0545 $99 charge for parts and installation. 36-Month Monitoring Agreement required at $27.99 per month ($1,007.64). 24-Month Monitoring Agreement required at $27.99 per month ($671.76) for California. Form of payment must be by credit card or electronic charge to your checking or savings account. Offer applies to homeowners only. Local permit fees may be required. Satisfactory credit history required. Termination Fee applies. Certain restrictions may apply. Offer valid for new ADT Authorized Premier Provider customers only and not on purchases from ADT LLC. Other rate plans available. Cannot be combined with any other offer. The $27.99 Offer does not include Quality Service Plan (QSP). Quality Service Plan (QSP) is ADT’s Extended Limited Warranty. Certain packages require approved landline phone.
January - February 2017
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Russian Hair Wigs Available
7219 Hanover Pkwy., Ste C, Greenbelt, MD
301.806. HAIR / 301. 441.1101 / 240. 350.4205