Woman Newspapers, Cumberland County, September/October 2015 by Woman Newspapers

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cumberland county edition

september & October 2015

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IN THIS SPECIAL ISSUE:

VIKI ZARKIN: The Fight Of Her Life

DEBRA BAER BECKER: Doing The Cancer Dance

Our Guide To Helpful Breast Cancer Apps & Blogs

Shop for p i n k.

Save money. Save liveS.

l ic e n S e to

Shop

Savings Book

Purchase a License to Shop coupon booklet at Guest Services for $5 anytime in September and October. All proceeds will benefit the Pennsylvania Breast Cancer Coalition. While supplies last.

#findyournewfavorite |

Photo: In The Moment Photography by Hollis.

Publisher’s Note What does October mean to me? Fall is the time of year when those of us living in North America are treated to a natural display rich in golds, coppers and crimsons. Then along comes October, and unless you’re living under a rock, you are inundated by a peculiar array of items in pretty pink packages all in the name of raising awareness of breast cancer. Yes, it’s Pink Month everyone! In the nearly three decades since my mother’s breast cancer diagnoses, pinkwashing has grown more pervasive - featured on everything from garbage trucks to NFL merchandise (ironic considering the NFL has, shall I say, a problematic history with women.) Some members of the pink movement wear it proudly, giving thanks for both raising awareness and money. A pink-tipped drill bit to raise awareness for breast cancer? Baker Hughes, who’s business includes hydraulic fracking, partnered with the Susan G. Komen Foundation to do their “bit for the cure.” No, seriously.

Others hate pinkification with a passion for using causemarketing to trick you into buying meaningless trinkets. I know many of the people who purchase these pink awareness products have either battled breast cancer or know someone who has. It’s their way of saying the cause is important to them. It can be gratifying and empowering to join together with others who underwent the same struggle, to do something, collectively, to make a difference. And that’s great. I also realize there is an over-awareness issue that needs to be addressed, such as how easily we can be manipulated by our cancer-related fears, and how those emotions can be packaged, marketed and sold, sometimes by the very people who claim to support us.

reading this to please think before you pink - every single time. I beg of you to put your heart and hard-earned dollars to good use. Unfortunately, we can’t always be sure every company claiming to do honorable things is actually making good on their promises. Presently, there are no regulations in place governing how companies can advertise or market their contributions (or lack thereof) to legitimate cancer causes. This means that when something has a label declaring “a portion of proceeds go to breast cancer research,” the amount could be less than a penny or already fixed which means your purchase has no effect on the total amount donated by the company. Of course, not everyone in the breast cancer movement agrees that commercial benefit is bad. According to the National Cancer Institute, the overall breast cancer death rate has dropped steadily over the past 20 years, leading many to credit the success of the awareness campaign. But in all this national pink passion, women must remember that while working to help the greater good is a wonderful thing, they also need to remain aware and vigilant on a personal level. Change bad health habits, scrutinize ingredients in the products you use, support only the causes truly worthy of your time and money, and go ahead, girl – wear pink and wear it proud if you want, even if it may have become more of a fashion statement than originally intended. This October and every month thereafter, we are united with a purpose: To be informed, to be proactive and do our part to “be aware.”

Louise Sukle Editor & Publisher

It’s no secret that there are many who think it’s enough to just slap on a pink ribbon and pat themselves on the back. I want everyone

editor & publisher Louise Sukle lsukle@womannewspapers.com creative director Julianna Sukle julianna@pressandjournal.com sales manager Dave Brown daveb@pressandjournal.com ACCOUNT EXECUTIVES Dauphin County: Tina Rinehart (717) 421-3247 tinarinehart@pressandjournal.com Cumberland County: Pam Rux (717) 433-6779 pamrux@pressandjournal.com

contributors Kathryn Baxter kathrynbaxter@gmail.com Kathryn Baxter is a writer living in Brooklyn, NY. Find her online at womannewspapers.com/Kathryn-Baxter

Brenda Tadych sumthin2say@hotmail.com Brenda Tadych is a lifelong resident of Dauphin County, currently residing in Middletown. Find her online at womannewspapers.com/Brenda-Tadych

Lisa Houserman houserman46@gmail.com Lisa Houserman writes a weekly column, Lisa’s Rants and Raves, for the Community News in western Crawford County, PA. Find her online at womannewspapers.com/Lisa-Houserman

Deb Baer Becker dbbecker2@yahoo.com Deb advocates for women’s breast health, and writes about her experience surviving breast cancer. She’s writing a book about her years as a young airman with the USAF Thunderbirds. She holds an MFA in Writing from Pacific University, and is the proud mother of two adult children and two dogs. She lives in Houston, Texas, but dreams of her native Pennsylvania’s rolling hills and cut-away fields. Find her online at womannewspapers.com/Deb-Baer-Becker

Woman Newspapers are free bimonthly publications of Press And Journal Publications. All rights reserved. For submission requirements, e-mail info@womannewspapers.com. No part of the newspapers may be reprinted or duplicated without permission. Visit us online at womannewspapers.com | (717) 944-4628 | 20 South Union Street, Middletown, PA 17057 SEPTEMBER | OCTOBER 2015 Woman Newspapers

Write on. For myself and women fighting all over the world. - Angela In honor of all victims and survivors. - Alicia I’m here because of my surviving friends: Ilene, Deb, Ang & Angela. Love you girls. - Gail I love you Mom! You’re my hero! So happy you won the battle! Love always. - Shawna-Lea Love-n-miss you my best friend. You will never be forgotten. -Unsigned My battle. 5 year survivor. - Marilyn Comments from Woman’s message boards during the 2014 Making Strides Walk 4

Woman Newspapers SEPTEMBER | OCTOBER 2015

About the messages: Woman Newspapers asked participants in the 2014 Making Strides Against Breast Cancer Walk to share why they came that day. Their comments were inspirational, hopeful and sometimes heart-wrenching. Some comments were from those who are fighting cancer or who have survived it, and some were for loved ones dealing with cancer. No matter which category describes you, whether the difficulties lie ahead or behind, Woman hopes you will share your words of comfort, inspiration, and strength at our booth, located at the finish line at this yearâ&#x20AC;&#x2122;s Making Strides walk on City Island. For information about the Making Strides Walk, see page 15

SEPTEMBER | OCTOBER 2015 Woman Newspapers

By Kathryn Baxter When I started tenth grade at a new school, a fellow student offered to show me the ropes. In those awkward moments of early adolescence, she and I grew close. Since then, we’ve never not been best friends. We have lived in different cities, states, countries and hemispheres, but we’ve always been together - if only in spirit. I recently started thinking about what it really means to me to be a best friend. She might tell you about the day we were in our school library and she learned difficult news. She might tell you that when she started crying, I sat at her feet and held her hands and knees, staring at her, giving her a place to look while she cried. I would tell you that this person, my friend, was sharing her scary pain and I didn’t know what else to do but be with her, silently. For years, we mirrored each other’s pain and fear and confusion. And joy. There was so much joy. So much love. We started calling each other a third parent. We started celebrating the anniversary of our friendship. She crocheted me a scarf. We shared mixtapes and burned playlists. I made her collages. She shared her artwork with me. I shared my writing with her. When we were nineteen, we imagined we could raise a child together, like a family – but different. By then we had witnessed so much together. Her mother left. My brother

Woman Newspapers SEPTEMBER | OCTOBER 2015

ran off. Her grandfather died. My mother lost her job and her home. My heart had been broken - again. Her heart had been broken - again. When we needed advice, when we needed to be witnessed by the one person who has been there through so much, we turned to each other. When she fell in love, her heart trembled at the thought of forever being with someone; and forever being without that someone. And she started wanting a child for real. When she told me I would be her baby’s godmother, my eyes grew large and reflected all the light she shined onto me. I started to imagine how I would aim that reflection to a new person. I thought of what we were like, teenagers, side-by-side. I think of how quickly her son will be the age she and I were when we first met. Over twenty years ago, we fell into a kind of innocent love with each other and we never fell out of that love, even when we are cities and states and countries and hemispheres apart. I feel my heartbeat, and I want her baby to fall asleep against it one day. And I count down the days to meet this brand new person coming from one of the few people I’ve known for so, so long.

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“What are you going to all of that trouble for?” your sister demands to know after she hears you making an appointment to have your tires inspected. Unlike your sister who lives in the Sunshine State, you live up north, where winters can be harsh. In order to ensure you get where you need to this winter, you are having your vehicle winterized, starting with the tires. Good tires can make all of the difference on treacherous winter roads. In order to prepare your vehicle for the rough weather ahead, you must make sure your tires are properly inflated. Tires lose about a psi of air pressure every month and every time the air temperature drops about 10 degrees. Vehicles with underinflated tires do not handle well, especially on icy roads. They also increase wear and tear and use more gas (and who needs that with the price of gas these days). If your vehicle is brand new, you may not have to worry much about the tire pressure. It probably came equipped with a tire pressure monitor that will inform you when the pressure has dropped below a certain point. If you have an older vehicle, you will definitely need to keep an eye on the tire pressure and have your tires checked regularly. You also need to keep an eye on the tread

depth. The more worn and shallow the tread on your tires, the less grip you will have on the road. Depending upon where you live and how treacherous the roads become in the winter, you might want to consider switching to winter tires. Designed specifically for icy roads, these will provide you with superior grip. Keep in mind that you will need to replace all four tires. Should you do just the back two, you will compromise your grip and your safety. To ensure this does not happen, some tire dealers refuse to sell consumers fewer than four tires, unless they need a single replacement winter tire. It is important that you winterize your vehicle. Start with the tires and work your way up. The better prepared your car is for winter, the safer you will be when out and about.

The state of girls by susan kreidler, girl scouts in the heart of pennsylvania-acting ceo

I know the environment in which many girls are growing up today. At the youngest ages, they face both personal and societal obstacles that keep them from reaching their full potential. It is our community’s responsibility to provide enriching, fun and safe experiences for girls to explore their talents and grow their confidence. I believe that our community needs to ensure that every girl has the opportunity to become a healthy and productive woman who can be a leader in her own life and the world at large, but there are several challenges that Pennsylvania girls have to overcome . Research shows that Pennsylvania girls are ranked 25th in the country for economic well-being. More specifically, about 20% of Pennsylvania girls are living in poverty, which can be a contributing factor into significant physical, emotional, and at-risk behavioral issues. On top of this issue, girls frequently struggle with relational bullying at school that can affect their emotional well-being. Thirty-four percent of high school girls had self-reported symptoms of depression during the past year. And when the school bell rings at the end of the day across the nation, some 15 million children are found without supervision or

on the street after school, according to the Afterschool Alliance. While these facts are frightening, data does not have to be destiny. Girls are looking for opportunities to lead and succeed. With the help of inspiring role models and enriching extracurricular activities, we as a community can encourage girls to take the lead, explore avenues they didn’t think were possible, and believe that they can do anything. Girl Scouts offers a wide range of programs that brighten a girl’s future while she has fun tackling new adventures with her friends. Give back to your community by investing time and talents in girls. For more information about Girl Scouts, please visit www.gshpa.org or call 800-692-7816.

SEPTEMBER | OCTOBER 2015 Woman Newspapers

Recycle. Reuse. Reduce. Rebuild. by bill wood, executive director of habitat for humanity of the greater harrisburg area

After ten years working in field of building material reuse, I sometimes feel like my own message is a bit recycled...but then again, that’s really the point of what I do! According to the the Department of Environmental Protection, construction and demolition waste comprises 17.5% of Pennsylvania’s waste stream. Rates like this fluctuate from state to state, but the one constant is that they are too high. Every day, reusable materials like cabinets, doors, and lumber are disposed of during remodels and demo jobs. Due to my background in material reuse, I’m often called to advise contractors on what they can do with materials that are left over from projects. When building materials are reused, we conserve rapidly dwindling landfill space, and preserve the energy that was used to fell a tree, transport it to a sawmill, mill it, and ship it to

your local lumber yard. While large-scale salvage projects can reuse tons of material, small acts make a great impact as well. Removing a kitchen cabinet delicately, for reuse, is not difficult at all, and it can teach a homeowner much about how cabinets are installed, offering some “hands-on” training for the next phase of the kitchen remodel. Turn on HGTV and you’ll see tables and headboards made from old doors, patio candelabras made from light fixtures, and so much more. Working on a salvage of a home about 6 years ago, a coworker of mine asked if she could have two sets of wooden blinds that had been custom-built for this particular home. I hadn’t seen much value in these shutters, so I told her they were hers. Later that month, she brought in some pictures...the shutters now opened and closed over her wall-mounted flat-screen TV so that she could completely close the screen off from her bedroom when not in use. Why didn’t I think of that?! In summary, don’t be ashamed to stop and pick through the trash for that mid-century modern chair frame, or to tell your neighbors not to throw out their old cabinet set. Somebody can use it!.

green

IS THE NEW COLOR OF CLEAN.

DON’T DUMP IT! DONATE IT! 800 Paxton St, Harrisburg (Former Troegs Brewery) (717) 480-5083 harrisburghabitat.org/restore Store Hours: Wed-Sat 10-5 Donation Hours: Wed-Sat 10-4 Enabling housebuilding through sales of new, used and surplus donated goods. Donations collected free of charge. Tax receipt provided.

YOU DON’T HAVE TO LIFT

A HAMMER TO HELP

What is mildew and how can I get rid of it? by dave yeisley, owner, the clean authority of central pennsylvania

We care about your home as much as you do and now we want to do our part to care for our earth. In addition to over 30 years of housecleaning experience and a national reputation, The Cleaning Authority has made a commitment to environmentally responsible housecleaning.

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Call 800-845-0565 For A Free Estimate Today! Clean.TheCleaningAuthority.com

Woman Newspapers SEPTEMBER | OCTOBER 2015

Mildew is a type of fungus that can be found growing on a multitude of surfaces where moisture and temperature levels are high. Mildew can typically be identified by its color (pinkish-orange to black). Most mildew is caused by an overgrowth of mold. A professional cleaning service will be able to impede the growth of mildew by removing the built up food sources that it lives on, such as soap, skin, hair etc. However, as long as humidity is present, mildew will grow in the area. To stop the growth of mildew, the area must be kept dry or in many cases, it must be chemically treated. Chlorine bleach is a good sanitizer to use on an infected area. To reduce pungent odor of the bleach, dilute it up to 50% with water. The most practical application would be to lightly spray the mildew affected area. It is not necessary to apply bleach to uninfected areas. Leave the

bleach in contact with the surface area for at least an hour. Rinse any area that you will touch in later use. Repeat the application on a biweekly basis or when mildew reappears. Life’s too short to clean your own home! To get a free in-home estimate and learn how to earn discounted cleans call us at 717.695.9830 or check out our website Harrisburg.TheCleaningAuthority.com

Decorate like a pro: Foolproof tips to give your home style submitted by interior furniture resources

Decorating your home should be fun! With the proper strategy, making your furniture, fabrics and accessories work together in harmony is easier than you might imagine. Using these pro tips, you can reinvent your space to make it exactly what it should be; a pleasing reflection of you. Let’s get started! Defining the purpose of each area in your home before picking up a swatch or paintbrush will ensure that the end result meets all of your needs. Will this space be used for relaxing, entertaining or working? How would you like your finished space to feel; calming or energizing, intimate or engaging, rustic or sophisticated? Answering these questions will assist you in forming a well thought-out plan before you begin. You’ll want to make your major selections first; furniture, window treatments, and floor coverings. After that, you can coordinate everything else you need, from paint colors and lighting to artwork and accessories! Decorate your home with items that not only look and feel great, but are also comfortable and personally meaningful. You want to express who you are! Feel free to mix old with new, classic with modern or rustic with sophisticated. Be cautious about following trends. These change frequently and may not truly reflect your personal style. Wall décor is a great way to add visual interest and make your room feel complete. Giving thoughtful

consideration to this aspect will make all the difference. Options include artwork, mirrors, sculptures, sconces, shelves and more. Selecting properly sized and shaped artwork for your wall will ensure that your space is not overwhelmed and your artwork gets the attention it deserves. Need to make your space feel larger? Adding mirrors can do just that. For the finishing touches accessories are key. This is where you can really express yourself, using bold, vibrant colors if you choose. Eclectic pieces or a trio of vases of different heights can instantly become your focal point. Draw from the colors of your larger elements for inspiration, such as throw pillows and window coverings, or introduce a complementary color if the majority of your color choices are monochromatic. If using metallic finishes, you can draw from other components within your room such as curtain rods and drawer pulls. Choosing the right paint color is important. After you’ve completed the steps of selecting your furniture, artwork and accessories, you are ready to select your paint. Take smaller items such as a seat cushion or throw pillow with you to the paint color kiosk to compare shades and find complementary hues. Keep in mind the “feel” that you have chosen for your room. Typically cooler colors offer a more relaxed feel, while warmer colors make your room more intimate. By planning ahead and incorporating your personal sense of style, your next home project can be a complete and personally gratifying success story.

SEPTEMBER | OCTOBER 2015 Woman Newspapers

Future financial security through sound planning by karen minnich, financial advisor, ambassador advisors

As a woman, you have financial needs that are unique to your situation in life. Perhaps you would like to buy your first home. Maybe you need to start saving for your child’s college education. Or you might be concerned about planning for retirement. Whatever your circumstances may be, it’s important to have a clear understanding of your overall financial position. The first step to creating and implementing a financial plan is to develop a clear picture of your current financial situation. If you don’t already have one, consider establishing a budget or a spending plan. The second step is to set and prioritize financial goals. Start out by making a list of things that you would like to achieve. It may help to separate the list into two parts: shortterm financial goals and long-term financial goals. Once you have established your financial goals, you’ll want to prioritize them. Setting priorities is important, since it may not be possible for you to pursue all of your goals at once. You will have to decide which of your financial goals are most important to you and

which goals you may have to place on the back burner. After you have determined your financial goals, you’ll want to know how much it will take to fund each goal. And if you’ve already started saving towards a goal, you’ll want to know how much further you’ll need to go. Although you can certainly do it alone, you may find it helpful to work with a financial professional to assist you in creating and implementing a financial plan. A financial professional can help you accomplish the following: • Determine the state of your current affairs by reviewing income, assets, and liabilities • Develop a plan and help you identify your financial goals • Make recommendations about specific products/services • Monitor your plan and update as needed.

Sometimes life can get messy! Navigating money management can be like walking in mud. Don’t go it alone. Let us walk with you through the mess and equip you and your family with the tools necessary to make sound investment decisions about saving for retirement, higher education and that unforeseen “rainy day”.

Invested in changing lives.

Karen Minnich Financial Advisor 1755 Oregon Pike, Suite 100 Lancaster, PA 17601 717-560-8300 x 131 717-413-5361 (cell) kminnich@ambassadoradvisors.com www.ambassadoradvisors.com

Ambassador Advisors is a Registered Investment Advisor. Securities offered through American Portfolios Financial Services, Inc.of Holbrook, NY, 631.439.4600 (APFS), member FINRA, SIPC. Investment Advisory Services offered through Ambassador Advisors, LLC. Ambassador Advisors is not owned or operated by APFS.

Avoid the pitfalls and capitalize on the opportunities Take advantage of current market conditions to purchase a home with minimal down payment at a great interest rate. “I take the most pride in working with first time home buyers!”

- Tony Lentini, Branch Manager (NMLS#144594)

Your #1 source for FHA loans www.tlmortgagegroup.com Email: TLentini@primeres.com Call: 717-412-1712 ext 101 or 570-640-4590 250 East Park Drive, Harrisburg, PA Primary Residential Mortgage Inc. NMLS ID #3094 • Equal Housing Lender

Planning for the future is not always a walk in the park on a sunny day.

Woman Newspapers SEPTEMBER | OCTOBER 2015

Hello, beautiful Visit Woman on the web www.womannewspapers.com

MY SUCCESS STORY by Gretchen Hersh

Investing in myself Hi, my name is Gretchen Hersh. I am an empty-nester who has lived in York County all of my life. There are just two employers on my resume due to my loyalty and hard work ethic. In November of 2011, I was laid off of my healthcare job of nine years. Despite having an outdated resume, I had an eye for detail in addition to many years of experience working with the public. With countless people also searching for jobs, many of whom had a college degree, I began to question my chances of getting hired. My first step involved going to the nearest Career Link location. It was here that I was referred to Dress for Success South Central PA. I also learned about the potential opportunities available at the Going Places Network Workshop. I decided to participate in the six week workshop, and take advantage of any advice that would help me during the job seeking process. The workshop classes had quality speakers who covered topics ranging from writing a resume, networking for a job, how to dress for an interview or job fair, and much more. The instructors provided scenarios in which the participants could practice and apply the skills

taught within each session. For example, we were asked to answer questions such as “Tell me about yourself ”. The mock interviews made you feel as if you were talking to a future employer. Following the interview, the interviewers provided feedback that was both positive and helpful. After a successful interview for a volunteer position at Crispus Attucks, I started working 20 hours a week bringing their database to current. The volunteer opportunity allowed me to meet new people and put my skills into practice while I continued to keep my eyes open for any leads on a new job. Eight months had passed by and I was still looking for a job. Every day I would search online, submitting applications and going to interviews. I considered each interview as a chance to practice the skills that I learned during the workshops. While having breakfast with a friend, she suggested that I give my resume to a local doctor’s office. About a week later, I was contacted by a therapy center manager. She said they had received my resume from the doctor’s office. My first interview was the next day, which was followed by a second interview a week later. August 2 was my third anniversary working as a receptionist. My job responsibilities include patient registration and check out, organizing the electronic chart, obtaining insurance benefits, and following up on unpaid insurance claims.

Currently, I am a member of Dress for Success South Central PA’s Professional Women’s Group. When one of the ladies is promoted or reaches an accomplishment everyone rejoices. The encouragement is contagious and spreads to each new member. In conclusion, I invested a lot of time and effort into finding a new job after being laid off in 2011. I am grateful for all of the advice and support that I received. Working at the therapy center has given me a job that not only pays the bills but also provides me with purpose and enjoyment.

MY SUCCESS STORY is a regular feature sponsored by

AND

The mission of Dress for Success South Central PA is to promote the economic independence of disadvantaged women by providing professional attire, a network of support and the career development tools to help women thrive in work and in life.

DRESS FOR SUCCESS South Central PA Harrisburg 717-232-1333 York 717-764-3330 Lebanon 717-270-5337 southcentralpa@dressforsuccess.org To learn more about upcoming events: www.dressforsuccess.org/southcentralpa

Our 9th Annual Gala

BETTING ON SUCCESS before

10/23/15 Dinner, cocktail hour, live auction, casino-style table games and dancing. Register online.

Gretchen Hersh

Where to find a WEST SHORE LOCATIONS • Camp Hill: 2020 Salon, American Home Medical, A Special Touch, BodyLogic, Camp Hill Café, Center for Women’s Health, Central Pa. OB/GYN Inc., Christian Life Assembly Pastoral Care, Cornerstone Coffeehouse, CPRS Physical Therapy, Drexel Group, Face To Face Cosmetics, Family Development Services, Foos OB/GYN, PC, Franklyn Studio, Fredrickson Library, Gable Associates, Genevieve’s Beauty Salon, Giant Foods, Gold’s Gym, Hair Care Center, Hanger/Teufel, Hard Bean News & Coffee, The Healthy Grocer, Herd Chiropractic Clinic, Heritage Cardiology Associates, Highmark, Holy Spirit Hospital, Individual & Family Services, Kenneth & Co. Beauty Clinic, Kosmetique Salon, Mirage Hair Design, Momentum Business Solutions, Orthopedic Institute, Dr. Ida Page, Pennsylvania Bakery, Premier Vein Specialists, Prescriptions for Enlightening Paths, Stephen Rydesky Jr., DMD, Trindle Bowl, Urology Assoc. of Central PA, WatersEdge, Woods at Cedar Run, YMCA • Enola: CA Nails, The Goddard School, East Pennsboro Library, Summerdale Diner, Synchrony ChiroCare • Lemoyne: Adult Medicine & Aesthetics, Baby Bug n Me, Conforti Physical Therapy, First Choice Rehabilitation, Gunn Mowery Insurance Group, Infinity Hair Salon, Internists of Central PA, Nail Touch, Paper Lion Gallery, Partners in Women’s Healthcare, Polished, Style Unlimited, Womb With A View • Mechanicsburg: ABC Lanes West, Allstate Insurance, Art Depot, Autobody by Lucas, Beaudry Oral Surgery, Bethany Village, Bowmansdale Family Practice, Brewhouse Grille, Brothers Restaurant, Center for Independent Living of Central PA, Central PA Oral & Maxillofacial Surgery, Colour Forte, Community Health Resource Library, Cost Cutters, Cumberland Valley OB/GYN, Delta Development, Enterprise Sales, Executive Offices at Rossmoyne, Farrell Plastic Surgery, First Choice Rehabilitation, Gettysburg Pike Animal Clinic, The Goddard School, Great Lengths, Hair Image, The Hair Loft, Healthy Inspirations, Hetrick Center, Hoover Rehabilitation Services, Huntington Learning Center, JC Penney Salon, Jones, Daly, Coldren & Assoc., Juice-N-Java Café, Kids Kutters, Madden Physical Therapy, Majors Select Collision Group, The Mane Difference, Meadwood Sr. Citizen Apts., Mechanicsburg Mystery Bookshop, Mechanicsburg Public Library, Merry Maids, McCafferty Ford, My Gym Children’s Fitness Center, Naturelle Nail, Oakwood Breast Cancer Center, Passiton, Quest Diagnostics, Ramada Inn, Rich Connor Associates, Sahara Tanning, Sass Hair Salon, Shepherdstown Family Practice, Sherry & Co. Family Hair, Stratis/Gainer Plastic Surgery, Studio 7 Nail Salon, Styles Boutique, Sue Witters Beauty Salon, Tressler Counseling & Ed. Services, Twin Ponds West, Vanessa’s, West Shore Surgery Center • New Cumberland: A Heavenly Touch Beauty Spa, Bridge St. Coffee, New Cumberland Library • Wormleysburg: Susquehanna Surgeons, Ltd., Your Crowning Glory

EAST SHORE LOCATIONS • Elizabethtown: Now Wear This • Harrisburg Area: A Physical Therapist, AARP Sr. Employment, Affordable Dentures, All About Faces Community Dermatology, Arthritis Foundation, Associated Cardiologists, Auditor General’s Childcare Center, Bakare & Associates, Barbara Sullivan’s Classic Hair Design, Baturin & Baturin, Beauty Bar, Belco Federal Credit Union, Blue Mountain Family Practice, Broad Street Market, Bronstein Jeffries Professional Associates, Café Fresco, Capital Region Sleep Disorder Center, Casual Cut, CAT, Central PA Oral Surgeons, Central PA Surgical Associates, Central Penn Fitness, Chartwood Dental Center, Colonial Park Animal Clinic, Colonial Park Diner, Cost Cutters, CPRS Physical Therapy, Crown Plaza Hotel, CVS, Dauphin County Department of Aging, Dr. Zuckerman, Dress For Success, East Shore Public Library, Exit Realty Capital Area, Felicita, First Choice Rehabilitation, First Impressions, Giant, HACC, Hair Biz, Harrisburg City Hall, Harrisburg Mall, Harrisburg Uro-Care, Harrisburg Visitors Center, Hildebrand Learning Center, Hilton Towers, Holiday Inn Express, Homeland Center, Innovations, Jan L. Brown & Associates, Jan’s Beauty Salon, Jewish Family Services, Karns, Kindred Place, Kline Pediatric Center, Kmart, La Piazza, Labor & Industry Building, Leber & Banducci Plastic Surgery, Mangia Qui, Manor at Oakridge, Mazzetti & Sullivan Counseling Services, Memorial Eye Institute, Mia Testarossa, New Passages, Noah’s Animal Hospital, Orbit Salon, PA Mentor Network, Party City, Pasquale’s Restaurant, Peachtree Restaurant & Lounge, PHEAA Building, Pheasant Hill Estates, Pinnacle Community Hospital, Premier Eye Care, Promenade Restaurant, PSECU Childcare Center, Quest Diagnostics, Rhoads & Simon LLP, Rite Aid, Sam’s Club, Silvers Dental Care, Social Security Administration, Sterling Life Insurance, Susquehanna Harley Davidson, Sutliff Chevrolet, Sweet Arrow Springs, The Goddard School, Tristan Associates, Watkin Freshman & Nipple Associates, Weber Vision Care, Weis Market, West Hanover Winery, What If Café, WomanCare Resource Center, Women First, YMCA • Hershey: Cocoa Urology Associates, Dafno’s Italian Grille, Edward M. Mimnaugh Veterinarian, Emerald Springs Spa, Heritage Cleaners, Hershey Dental Associates, Hershey Endoscopy, Hershey Grille, Penn State Hershey Med Center, Hershey Ortho & Spine Rehab, Karns, Leo Frittelli Salon & Day Spa, Hershey Public Library, Merle Norman Cosmetics, Mohler Senior Center, Nestico Druby, Tristan Associates, What If Café • Highspire: Days Inn, Chubb’s Market, Highspire School Apts., Highspire Senior Center • Hummelstown: Gold’s Gym, Hilton Garden Inn, Soda Jerk, Woodward & Assoc. • Middletown: Hairacy, Hardee’s, The Hetrick Center, Karns, Loretta’s Beauty Salon, McDonald’s, Middletown Area School District, Middletown Home, Middletown Library, Middletown Pharmacy, Penn State Harrisburg, Press And Journal Publications, Sharp Shopper, • STEELTON: Daniel Kambic MD, Dauphin County Housing Authority, Steelton Pharmacy

THIS IS ONLY A PARTIAL LISTING - FOR HELP IN FINDING A LOCATION NEAR YOU,CALL SARA AT 717-944-4628

SEPTEMBER | OCTOBER 2015 Woman Newspapers

Pros and cons of a reverse mortgage By Jan L. Brown, Attorney at Law

Sometimes the “solution” to a problem creates a new, bigger problem. That is what some people are discovering after buying reverse mortgages. Has anyone not seen celebrities promoting reverse mortgages as the solution for seniors who want to stay in their home but are financially strapped? It sounds good but is it actually as good as it sounds? A reverse mortgage is a loan to the homeowner, age 62 and older, based on the equity in the home. The loan does not have to be paid back until the homeowner dies or moves out of the house. At that time, the reverse mortgage lender recovers the costs of the loan plus interest, premiums and other fees. The loan amount increases over time so the longer someone stays in their home, the larger the loan payoff amount. If the homeowner does not maintain the home, i.e. pay taxes, insurances, maintenance, etc., the house can be foreclosed upon and therein lies the problems that our clients and their families are now seeing. Take for instance, Mr. Lewis who purchased a reverse mortgage. He now needs money for a new roof, an expense he had not anticipated.

Between taxes, insurance, repairs and life expenses, he can no longer afford to maintain the house as required by the reverse mortgage lender and is facing his home being foreclosed upon. Reverse mortgages sound simple but the costs, interest, fees and requirements are quite complicated and expensive. Some families, like the Dunlops, are surprised by the high costs of reverse mortgages. Mrs. Dunlop’s family was shocked to discover the costs of their mother’s reverse mortgage. When their mother, who purchased a reverse mortgage, passed away her house was sold, and the children were stunned to see the impact of the interest, costs and fees of the reverse mortgage. The house sold for $180,000 and the payoff amount to the reverse mortgage company was over $143,000, including over $15,000 in closing costs and fees. According to her children, Mrs. Dunlop believed the majority of the home proceeds would go to her children when she passed away. However, even though Mrs. Dunlop only had the loan for 5 years, 80% of the home proceeds were needed to pay off the loan. These examples are not to say that a reverse mortgage is never a good solution. Receiving income or money from the equity in your home can be helpful but in some situations a reverse mortgage is merely a short term BandAid and only putting off a much larger problem that soon presents itself. Reverse mortgages

The Law Office for Older Persons Their Families

Jan L. Brown & Associates Attorneys-at-Law

Attorney Jan L. Brown

Practice Exclusively In: •E state Planning & Probate: Wills, Trusts, Powers of Attorney, Tax Planning, Special Needs Trusts

Attorney Jacqueline Kelly

need to be carefully examined along with other options that are available. A home equity loan, a line of credit or a personal loan should be considered. The law requires “counseling” before purchasing a reverse mortgage but that “counseling” is not always effective, especially for people who are easily influenced, overwhelmed by financial information or desperate for money. If someone is financially strapped and needs money to stay in their home or pay bills, all options should be carefully reviewed and analyzed with a trusted advisor before taking any action. Otherwise, the “solution” can end up causing a bigger problem or a nasty surprise.

Jan L Brown and Associates is a law firm founded in 1993 to help families. The firm has over 43 years of combined experience and practices exclusively in the areas of estate planning, probate and elder law. Estate planning includes Wills, Powers of Attorneys, Living Wills, Trusts, Tax Planning , Special Needs Trusts and Guardianships. Elder law addresses the legal issues of seniors, their families and those who care for them including obtaining benefits, such as Medicare, Medicaid and VA benefits and protecting assets from nursing home care costs. The information presented is for educational purposes only and should not be taken as legal advice as every client and situation is different and requires specific review and analysis. If you would like an appointment, please call (717) 541- 5550.

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Attorney Christa Aplin

Members of the National Academy of Elder Law Attorneys

Woman Newspapers SEPTEMBER | OCTOBER 2015

Tina Rinehart (717) 421-3247 tinarinehart@pressandjournal.com Dauphin Co. Senior Account Excecutive

Pam Rux (717) 433-6779 pamrux@pressandjournal.com Cumberland Co. Account Excecutive

Women’s long-term care considerations submitted by sarah j. leer, chfc®, polaris advisors

Today, as our longevity has increased overall by 20 years, women generally are expected to live five years longer than men. A newborn girl today has a life expectancy of approximately 80 years, compared to almost 75 years for a newborn boy, according to the most recent data compiled by the National Center for Health Statistics. Traditionally, women have been the caretakers of both the older and younger generations of their families. As more and more women enter the workforce, providing care for family members becomes increasingly difficult, as doing so may require a leave of absence from work. Such income disruptions greatly affect a woman’s ability to save money, plan for retirement, and maintain financial security. In addition, older married women provide care for their elderly husbands. But, who will help the women when they require assistance? Even though younger family

E SEP T EMB

members may be more than willing to help, the costs of health care often exceed the amount of disposable income available to the average family. Perhaps, women and their family members need to look toward the future and start the long-term care planning process. Sarah J. Leer, ChFC® is a registered representative of and offers securities, investment advisory, and financial planning services through MML Investors Services, LLC Member SIPC, 5001 Louise Drive Suite 300, Mechanicsburg , PA 17055 (717) 7913300. Polaris Advisors is not a subsidiary of or affiliate of MML Investors Services, LLC or its affiliated companies. LTCWOM01-CC Copyright © 2015 Liberty Publishing , Inc. All rights reserved.

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ravel the world of rehabilitation as we highlight exciting stops along the way such as patient success stories, the latest technologies and individualized programs to keep you on schedule. You’ll gain valuable tips on how HealthSouth rehabilitation makes a difference in helping patients reach their destination of independence. To learn more, call 717 691-3700.

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SEPTEMBER | OCTOBER 2015 Woman Newspapers

How do I know if I have a hearing loss? Hearing Aids Worth Wearing The Hearing Aid Company with Superior Technology …and Heart. ™

by kelly forbes, his-a,

zounds hearing mechanicsburg

Sam Thomasson describes the day his daughter Kate was born as the happiest of his life. When Kate was a toddler she lost most of her hearing due to a sudden illness. Through the years, it became clear that the costly traditional aids that were fitted for Kate were ineffective, causing discomfort as well as affecting her speech development. Sam decided that something had to be done to improve Kate’s life. An accomplished electrical engineer who worked on products from computer chips to pacemakers, he began pouring over design specifications of the leading hearing aids. He installed an electronics lab in their home and worked nights and weekends—with Kate often at his side—to develop hearing aids that would solve issues like feedback, background noise and poor sound quality. When Kate was 16, she put on the first Zounds® prototype, which immediately transformed her life. She could finally hear high pitch sounds, enjoy music and speak more clearly. Sam’s team of dedicated engineers have amassed 52 ground-breaking patents with state-of-the-art technology— only found in Zounds® hearing aids.

Zounds® Founder and CEO, Sam Thomasson and his daughter, Kate

Ask about our RECHARGEABLE aids! • Background noise reduced by up to 90% • Amazing voice/sound clarity • Caring staff, integrity, excellent service

What our customers are saying… “I will recommend Zounds hearing aids, to everyone. I am totally pleased with my new hearing aids, and the way they perform! The cost was very reasonable, as compared to other aids I have tried, the performance is much better. You and your fellow workers are very friendly, outgoing, and professional, making a customer feel like family! Thank you and your office for the amazing opportunity to be able to hear again!”

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Woman Newspapers SEPTEMBER | OCTOBER 2015

Hearing loss can happen as part of the aging process or be a result of noise exposure over time. It can start at a younger age than most people think…generally in our late 40s or early 50s. We just may not notice it that early because it is gradual and it takes awhile before we really feel the effects of it in our lives. If we start to have vision challenges we usually know it—if you can’t read the menu at a restaurant anymore it’s pretty hard to deny you need to see the optometrist. With hearing challenges it’s more difficult because we may be unaware of what we are missing. Nearly 35 million people in the U.S. have some type of hearing loss. You should suspect hearing loss if you experience any of these signs: • Difficulty hearing people talk in noisy environments such as restaurants, shopping malls, social or family gatherings, etc. • People seem to “mumble” all the time. • Family, friends, or colleagues often have to repeat. • Trouble following conversations. It’s not that you can’t hear, you just can’t understand what they said. • Trouble hearing children and women. • Understand better if you can see the person’s face to read their lips. • You have been told that your TV is too loud. • Responding inappropriately in conversations. • Have ringing in your ears. • Family history of hearing loss.

• Take medications that can harm the hearing system (ototoxic drugs). • Have diabetes, heart, circulation or thyroid problems. • Have been exposed to very loud sounds over a long period or single exposure to explosive noise. Effects of Hearing Loss Listening can become a chore, rather than a pleasure. The amount of concentration needed to understand is tiring. It can have a negative impact on your ability to learn, socialize, and enjoy life. Hearing loss can cause frustration among friends and family members. The lack of understanding can cause annoyance and embarrassment. You may also be missing important information — doctor visits, meetings, phone calls, etc. Hearing and understanding words keeps our brain stimulated and helps maintain our cognitive abilities. Studies have shown the risk of dementia was three times greater in participants with moderate hearing loss and five times greater in those with severe hearing loss. Hearing Health Is Commonly Overlooked Hearing loss usually has to get more severe before we perceive how it is really affecting our lives and costing us precious interaction with others. Unfortunately, the longer we wait to seek help for hearing loss the more challenging it is to recoup what we have lost. The sooner a loss is detected, the more it can be helped. Fewer than 15% of physicians today ask their patients about hearing loss. It is essential to have your hearing checked annually, especially after age 50. For a free hearing test and review of your audiogram, call Zounds Hearing at 717-590-7503.

ight f e h t h is in f lp e h n a c u Yo against breast cancer. ÂŠ2014 American Cancer Society, Inc.

This walk gets us to the finish line faster. When you walk and fundraise in the Making Strides Against Breast Cancer walk, you help the American Cancer Society make the greatest impact and save more lives in more communities, through groundbreaking research and programs like clinical trials matching and free rides to treatment. Walk with us, because you can help us finish the fight. Form or join a team today.

Making Strides Against Breast Cancer of Harrisburg Saturday, October 17, 2015

Check-in begins: 7:30 a.m. Walk start: 8:30 a.m.

City Island

MakingStridesWalk.org/Harrisburg

SEPTEMBER | OCTOBER 2015 Woman Newspapers

ey, cancer!

I found out that I had breast cancer in a dream. It was 2009,

and I lived in Maine. On a snowy January morning I woke up sobbing. The dream had no imagery, just a voice, distinctly male, which said, “Debby, you have breast cancer,” and then grief, despair, and anxiety filled my whole being, and I woke up shaking and afraid. I was alone. The Hubster was traveling. I told my daughter about the dream. And whose voice was that? God? It would be so boring if it turned out that God really is a man. I’d rather think that God is a lovely and soft and nurturing grandmother. Momma-God. The dream haunted me until I went to see my doctor, and that began my cancer journey, from mid-January of 2009 right up to today. I’m a six-year breast cancer survivor. I survived a Stage IIB lobular invasive cancer tumor in my left breast, with one infected lymph node; an estrogen positive cancer. It took a whole team of dedicated women to save me, brave women who said, “We are not afraid of cancer.” But I was scared shitless of cancer. Cancer was the monster that slept beneath my bed. Too, I internalized the narrative from movies like “Love Story” and “Terms of Endearment” and “The Doctor,” terribly sad stories that show when people get cancer they die. After my double mastectomy surgery, while I was lying in my hospital bed, I asked my oncology surgeon Lisa, “Is it gone? Is the cancer really gone?” I needed her reassurance like a child needs to know that her Mom has checked twice to make sure there’s no bogeyman in the closet. Lisa leaned in close, put her hand on my shoulder, and said, “Yes, Deb. Your cancer is gone. The chemotherapy vaporized the tumor, I removed all of your breast tissue, and I took all nine lymph nodes under your arm. We kicked Cancer’s ass.” I’ve lived anxious moments over these six years of survivorship looking over my shoulder, worrying that the cancer will come back. I’m more of an Eeyore than a Tigger. We can’t all be Tiggers. I’d get a twinge, or a burning sensation in my chest, around the surgery and radiation site, and worry, “Is it back?” Hypochondria aside, I kept a lot of these worries to myself. Okay, I told my therapist who helped me learn how to cope with the worry and anxiety. We all have to accept the risks that come with our human existence. Every six months I’d show up for my oncology medical exam nervous, worried, teary, anticipating the worst news. My therapist calls it negative anticipation, catastrophizing, and maybe even a little fortune telling. I’d had an aggressive cancer, I’d remind myself. And every time I left the exam with great news— cancer free!—I was elated. The Hubster and I would pop corks and drink sparkling wine bubbles to celebrate. “See, Honey?! I told you, you’re really healthy,” my darling Hubster would say, and we’d hug and kiss and make love like people who’d survived a plane crash. But every time another exam approached, I’d do this same dance. I was cured, but I was still dancing with cancer. Maybe I’d been dancing with cancer all of my life. The fear of a recurrence is something with which all cancer survivors struggle. We all have to find ways to cope. Individual and/or group therapy, Yoga, exercise, volunteering, loving your family, wearing a pink hair tattoo—whatever it takes to smooth over our nubby nerves. At my six-years cancer survivor checkup, I met a nurse who didn’t like my teary, anxious worked-up state of mind. She was a stiff little woman, ten years my senior, barrel-chested, with tightly permed hair. She said, “I see a lot of women like you who are worried about recurrence, and you shouldn’t be.” “Why?” I said, “That’s why I’m here, right? I’m here to find out if the cancer has come back, right?” Then she told me a story about this patient that she had, a nervous woman who spent her whole five years of survivorship afraid that the cancer would come back. “All that time she had to live and all she did was worry. She ended up getting killed in a car accident,” said Nurse Ratched. She leaned in too close to my face and said, “I’m telling

you this so you don’t waste your life.” I felt embarrassed and defensive. That reminds me of a time when I was young and really afraid of flying, and someone told me, “Cowards die a thousand deaths, but heroes only die one.” Yes, I was struggling with fear, but I knew I was getting on that plane. Solid information helped dissolve much of my fear of a cancer reoccurrence. I learned that as our years of cancer-free survivorship increase, our chances of a cancer reoccurrence decrease, even if we had an aggressive breast cancer. And I’ve been promoted to annual checkups. While I do feel safer from cancer now, I’ll probably always be vulnerable to the worry that it could come back and X my eyes out; cancer is such a creepy disease. Finally, I’ve found faith in Momma-God, and reassurance in that dream, a message sent to save me.

let ’s dance

By Debra Baer Becker

Woman Newspapers SEPTEMBER | OCTOBER 2015

We offer hope.

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Numbers don’t lie by mickey minnich, founder vickie’s angel foundation

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Vickie’s Angel Foundation offers a temporary financial bridge to allow cancer patients to focus on beating the disease.

F O U N D AT I O N Benefiting Families Fighting Cancer

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Vickie’s Angel Walk October 10th, 2015 New Cumberland

100% of all monies raised go to help families fighting cancer. Please Help!

511 Bridge Street, New Cumberland Phone: 717-774-3800 vickiesangelfoundation.org

A recent survey conducted by the Association of Oncology Social Work (AOSW) shows that more than one half of cancer patients indicate cancer costs negatively impact their focus on recovery. I know the stressors firsthand and understand the negative impact they can have on family, caregivers, and most importantly the patients. Cancer patients face physical, emotional, psychosocial, employment and financial challenges as a result of their cancer diagnosis and treatment according to Donatus U. Ekwueme, PhD, a senior health economist at CDC’s Division of Cancer Prevention and Control. “With the number of cancer survivors expected to increase by more than 30 percent in the next decade – to 18 million Americans – medical and public health professionals must be diligent in their efforts to help reduce the burden of cancer on survivors and their families,” he stated. Studies have also indicated that employment disability accounted for about 75 percent of lost productivity among cancer survivors.

For a patient who receives a diagnosis of cancer, the financial impact can be significant. The extent of the resulting financial burden is determined by many factors, including household income, socio-economic status, insurance status, and extent of disease. Treatment-related costs can be substantial, including costs of chemotherapy, radiation, and surgery, as well as home health care and travel to treatment centers.1 Patients who are employed may experience loss of productivity at work or total loss of employment and benefits. Additionally, household finances may suffer if the patient’s family members take time away from work to help with their care. Other less apparent causes of financial burden include child care, domestic help, medical equipment, special foods, and nutritional supplements.1 With treatment plans and insurance coverage always changing, it’s important to stay educated about the potential costs of care. Financial assistance is available through nonprofit foundations and can help ensure that patients continue to receive competent care. Vickie’s Angel Foundation helps families who have difficulties paying their bills during the challenging times of fighting their cancer. 1 Brooks J, Wilson K, Amir Z (2011) Additional financial costs borne by cancer patients: A narrative review. Eur J Oncol Nurs 15:302–310.

Woman First Obstetrics & Gynecology , PC

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SEPTEMBER | OCTOBER 2015 Woman Newspapers

p powerful

In her own words:

I BECAME A

by Viki Zarkin

I used to have dreams that I had cancer and in them I would wonder how I would ever be able to get through chemotherapy. Would I be strong enough? Or would I give up because it was just too hard, too painful, too draining? The idea of living through cancer and treatment seemed so impossible that I would wake up in a cold sweat. As you may have guessed, those midnight dreams did come true. In January of 2011, I was diagnosed with Stage IV metastatic breast cancer, and, boy, was I in for the fight of my life!

When you have cancer, everyone tiptoes around you...even you. After my diagnosis, I would walk out my front door and I feel like there was this giant arrow pointed directly at me that everyone could see. Today we pretend we are a modern society and no one whispers about cancer anymore. But the shame is still there - at least that’s what it felt like for me. Somehow, I was contagious, an outcast. Because I am such a private person, the trauma caused me to retreat rather than to lean on others. I closed myself off from everyone but my family and dug in for the fight. I found my strength in myself. I was determined to beat cancer no matter what my doctors said, and believe me, they said plenty and it was never positive: “Go home and die. The treatments won’t work on you.” I found strength in asking questions. My cancer was very aggressive, but so was my motivation. I took control. I began making good decisions based on my research, based on what I determined I needed. It seems to me that doctors have been scaring women with big words and intimidating demeanors for generations and we must understand it is OK to question them. I am still here today because I questioned. We may not be able to control cancer but we can control our ability to make our own decisions regarding our health and body.

Viki Zarkin proudly wears the title of “Powerful Patient.” Speaking of titles, she also holds the title of loving wife, devoted mom, grateful daughter, and most recently, fundraiser and motivational speaker. Being a parent on a good day can be challenging. Being a mom living with Stage IV cancer can be a whole different story. Viki’s children gave her the will to stand up for herself. She educated herself about her condition, advocated for her needs, retained control of key decisions and slowly but surely, regained her power. 18

Woman Newspapers SEPTEMBER | OCTOBER 2015

My lifesaving chemotherapy continues to this day. Every four weeks I make the trek to Johns Hopkins Medical Center in Baltimore. In my dreams all those years ago, I wondered if I could take it, and the answer is, “Yes, I can!” I can also take surgeries, nausea, the infections, and all the rest. I believe I’m here today because I didn’t take no for an answer. When that doctor told me there was nothing he could do for me, I stood up and told him to do it anyway. I had too much to live for. And I still do. Now I walk out my door feeling like my life’s in front of me. I let my friends into my life and they are gracious and giving. My greatest gifts are my family, my friendships, and the strangers that are kind to me for no apparent reason at all. Today, I am more open to new suggestions, ideas and adventures. I will never forget how it felt when I blocked everyone out of my life because I was so focused on getting well. Part of my ongoing survival journey was to include the power of friendship. It was only then that I truly came into my own. When reality hit, I did what was needed because if I didn’t, I would die. I’m glad to say that it has turned out that in life, I am much stronger than I was in my dreams.

patient

Name: Viki Zarkin Husband: Jere Children: Dell and Isabella Residence: Harrisburg Diagnosis: stage IV metastatic breast cancer Treatments: chemotherapy, radiation and surgeries Blog: stage4mom.com

“I’m the luckiest girl around. I just happen to have cancer”

SEPTEMBER | OCTOBER 2015 Woman Newspapers

Speak up

Talking about side effects more vital than ever with advanced breast cancer Women with advanced breast cancer have different physical and emotional needs from those with early stage breast cancer, differences that are critical in the management of their disease. Advanced breast cancer, which includes Stage IV metastatic disease, occurs when the cancer has either spread to the lymph nodes or to other tissue in the breast or beyond into distant organs and tissues. Unlike women who have early stage breast cancer, those with advanced disease may stay on a treatment for the rest of their lives. There is not a single treatment approach that works the same way for everyone living with advanced breast cancer. Some people may receive a combination of therapies, while others may receive only one therapy at a time. One of the many decisions you will make about your cancer treatment is choosing a doctor, a team and a cancer center that has the expertise and personal touch that makes you feel comfortable and respected. It’s critical to feel confident and trust the people who are treating you and to be able to communicate with them. A recent survey(1) suggests that open and honest communication between women with advanced breast cancer and their healthcare providers is vital to help determine the best treatment plan to meet individual needs. The survey uncovered nine out of 10 doctors (90 percent) wish they could do more to help patients manage their side effects. A total of 73 percent of patients agree that they want more information on how to prevent or minimize side effects. “Side effects to treatments are something that I and many other women living with advanced breast cancer deal with daily,” said Shirley Mertz, President, Metastatic Breast Cancer Network. “It is so important to share them with your doctor or nurse because you can learn valuable tips on how to manage them.” Communication gaps still exist between doctors and their patients when it comes to side effects. Almost one in five (19 percent) patients said they haven’t spoken to their doctor about side effects because they didn’t want to have to stop treatment because they were afraid to run out of options. “It concerns me that women would not share their experiences with side effects with their physicians,” said Adam Brufsky, M.D., Medical Director of the Women’s Cancer Center, University of Pittsburgh Medical Center. He emphasizes how important it is for patients, their family and oncologists to have a meaningful and honest two-way conversation. If physicians have a thorough understanding of patients’ full experiences, they can better work with them to manage their disease and potential side effects in hopes of improving quality of life for them and their families. Source: BPT. For information about how to improve dialogue between patients and health care providers and more information about advanced breast cancer visit AdvancedBreastCancerCommunity.org. (1) Make Your Dialogue Count survey, commissioned by Novartis Oncology, was conducted online by Harris Poll in 2014 to better understand the treatment dialogue that takes place between advanced breast cancer patients (n=359), caregivers (n=234) and oncologists who treat the disease (n=252).

NEW CASES OF MBC: The number of new cases each year of metastatic breast cancer (MBC) is unknown but consists of those initially diagnosed stage IV and those who had early stage breast cancer and have a metastatic recurrence: •A pproximately 6-10% of new breast cancer cases are initially Stage IV or metastatic. This is sometimes called “de novo” metastatic disease, meaning from the beginning. [NCI SEER data analysis 2000-2005] [ACS Breast Cancer Facts & Figures] • I t is estimated that 20-30% of all breast cancer cases will become metastatic. [O’Shaughnessy, J. “Extending Survival with Chemotherapy in MBC” The Oncologist 2005:10]

Woman Newspapers SEPTEMBER | OCTOBER 2015

LIVING WITH MBC: The number of people living with metastatic breast cancer in the US is estimated to be over 155,000, but no statistics are currently collected. Source: mbcm.org

Understanding breast cancer prevention submitted by pinnaclehealth breast care center

A woman’s life can get complicated sometimes, but preventing breast cancer doesn’t have to be. With a better understanding of your family history and risks, important screenings can be easier to incorporate into your busy life. Research Your History A little research goes a long way. Learn and document your family’s medical histories on both your mother’s and father’s sides. Many cancers have a hereditary link. Assess Your Risk Family history is just one factor in cancer risk. Lifestyle, ethnicity, previous use of hormones like birth control pills, being overweight, vitamin D deficiency, dense breast tissue and even your history of pregnancies can affect your risk for breast cancer. If you smoke or regularly drink alcohol, you also increase your risk for breast cancer, and both can impact your overall health significantly. During regular annual exams, both your gynecologist and primary care provider will want to know about these factors to help assess your risk. If you are considered to be high risk, they may

recommend a consultation with a breast surgeon or high-risk breast clinic. Prevention and Early Detection Several healthy lifestyle changes can help prevent not only cancer, but other chronic diseases as well: Eat more fruits and vegetables, limit or remove processed foods from your diet, supplement your diet with Vitamin D and maintain a healthy weight through frequent exercise. Two of the best things you can do: Don’t smoke and limit alcohol consumption. Screening Tests All women should have annual screening mammograms beginning at age 40. High-risk women may be told to have them earlier. If you have very dense breasts, your doctor may recommend tomosynthesis (3D mammography) or MRI in addition to the digital screening mammogram. Mammograms are crucial to finding breast cancer early, which reduces your risk of dying from the disease by 25-30% or more. Mammograms take about 20 minutes, and appointments are usually easy to schedule. With passage of the Affordable Care Act, all health insurance covers annual screening mammograms at no cost to you. By getting mammograms as

recommended, keeping regular appointments with your doctor, discussing any concerns and having an open dialogue, you can take control of your breast health. Know Your Body Breast self-exam (BSE)—regularly examining your breasts on your own—can be an important way to find a breast cancer early. BSE should be used along with regular mammograms, as not all changes can be felt or seen. When examining your own breasts each month, look for: • Dimpling, puckering or bulging of the skin • A nipple that has changed position or an inverted nipple (pushed inward instead of sticking out) • Redness, soreness, rash or swelling • Any signs of fluid coming out of one or both nipples (this could be a watery, milky or yellow fluid or blood) • Any unusual lumps or bumps in arm pits The more you examine your breasts, the more you will learn about them, making it easier for you to notice if something has changed. You know your body best, so if you notice anything different or unusual, consult your doctor. See our ad on the back cover of Woman

Bringing comfort to breast cancer patients by simsola bello-teye, bs., mha, ache health care administrator

Being a breast cancer patient is very difficult and trying. Knowing they could have health care at home might be helpful and comforting. Home health care is professional healthcare that is provided to the patient in their home and is, in general, recommended by a medical doctor, hospital, social worker, or family member. There may be a need for home health care services after a patient has gone through surgery or during chemotherapy treatment. Patients might also require home health care if the cancer has progressed. It is understandable that many patients don’t want to be separated from family, friends and familiar surroundings. Most cancer patients usually feel more relaxed, content and safe being cared for at home. To obtain home health care, the patient must be under the care of a doctor who will prescribe and help manage a treatment plan. You must have a need for skilled healthcare services and you must be a home-bound patient.

Services that breast cancer patients may be able to receive from a home health care provider include: • Nursing care • Physical therapy • Personal care • Wound care/dressing changes • Medication administration/management • Blood/urine collection for laboratory procedures • Errands and meal preparation • Medical equipment and other supplies. In order to help get ready for upcoming changes, patients and their families are encouraged to ask the home care agency questions to make the transition easier. Bello Nurses offers many solutions to keep you at home while delivering the help you need. Please call us at 717.540.1700 for an in home assessment.

Helping hands. Caring hearts.

Services to fit your unique needs.

Unskilled Home Care:

Skilled Home Healthcare:

• Supervision • Companionship • Bathing & Personal Care • Meal Prep & Feeding Assistance • Housekeeping & Personal Errand Assistance

• Skilled Nursing Care • Certified Home Health Aides • Physical Therapy • Occupational Therapy • Speech & Swallowing Therapy • Medical & Clinical Social Workers

24 hour caregiving www.bellonurses.org Email: administrator@bellonurses.org 915 N. Mountain Rd, Harrisburg, Suite A

717-540-1700 We are serving the following areas: Perry, Dauphin, Cumberland, Lebanon, York, Lancaster and Berks.

SEPTEMBER | OCTOBER 2015 Woman Newspapers

Keep abreast Yes, there seems to be an app for everything and breast cancer is no exception. Mobile phone applications can provide convenient reminders as well as tools to guide cancer patients, survivors, and caregivers through treatment and keep life more organized.

BREAST CANCER: BEYOND THE SHOCK This app, along with the social network that supports it, aims to get you through those early, emotional weeks and help shape your treatment, life, and attitude moving forward. Free for iOS

Breast Cancer Diagnosis Guide Besides a thorough glossary of terms, this app can connect you with detailed medical illustrations and upto-date research information.Â Free for iOS

MED HELPER Keeps track of your appointments, reminds you to take medication and organizes information on what meds you take. Free for iOS, $3.99 for Android

YOUR MAN REMINDER If a phone app is going to give you a reminder to perform your monthly selfexam, why not have a little fun with it? Free for iOS and Android

CareZone | Family Organizer A journal feature in the app lets you share news with other members of your network. A medication schedule lets you see who needs to take medication and when. Free for iOS and Android

TweetCaster PINK for Twitter The popular Twitter interface app teamed up with the Feel Your BoobiesÂŽ Foundation to manage your Twitter profile and social activities and help raise funds for breast cancer awareness at the same time. $9.99 for iOS, $10.00 for Android

Woman Newspapers does not endorse the content, operators, products, or services of listed applications and websites.

Woman Newspapers SEPTEMBER | OCTOBER 2015

move

Improve the way you

Whether you’re recovering from an injury or trying to prevent one, we’re committed to helping you achieve your goals!

• Orthopedics & Wellness • Aquatic Therapy • Sports Medicine

Conforti Physical Therapy & Fitness Center

110 North 7th Street, Lemoyne 717-731-6094 920 Century Drive, Mechanicsburg 717-591-1331

www.ConfortiPT.com

What can PT do for breast cancer recovery? by jeff c. conforti, dpt, conforti physical therapy

Ask the physical therapist: Question: I recently finished radiation and chemo treatments following surgery for breast cancer but now notice I am very tired and am losing function in my shoulder and arm. My doctor has suggested physical therapy. Can PT help me? Answer: PT is very appropriate for this situation, as your physician has recognized. You are experiencing some of the common after effects of the surgical and post-surgical treatments you had. Oftentimes, patients develop fatigue, weakness and loss of endurance, all of which adversely impact daily functioning. Furthermore, when lymph node dissection and radiation are part of the treatment, there can be significant lymphedema and soft tissue tightening, causing loss of mobility and strength at the shoulder, and again, this adversely impacts daily activities. PT treatment would consist of an evaluation of the shoulder to rule out other

Taking care of your mental health by christopher meehan, director of development, catholic charities

Sometimes life isn’t easy. Your workload seems unbearable. You find yourself arguing more and more with your spouse or your children. Your finances are out of control. You feel like the stress in your life has you at your breaking point, and you just don’t know what to do. And if you are dealing with a physical ailment, life can be even more challenging. Everyone at some point in the life experiences what seem to be overwhelming difficulties. Regardless of the cause of this difficulty, these feelings of helplessness need to be addressed. If not, the results could be devastating. Behavioral health issues can lead to declining physical health, job loss, divorce, broken families, physical abuse, drug or alcohol abuse, even suicide. Fortunately, there is help available. In many cases, counseling services from a skilled therapist can prove extremely valuable by assisting individuals in finding alternatives and solutions to confusing and complex personal issues. The help of a professional counselor can be a valuable for resource for individuals, couples, and families. Skilled therapists can

assist individuals and families as they navigate their way through an array of issues, untangle their emotions, and identify and strengthen positive behaviors. The demands of life can be challenging, and often times we think the answer is simply to “tough it out.” While that sounds like a simple answer, sometimes it’s not that easy. There is nothing wrong with talking to someone. It doesn’t make you less of a person, and it doesn’t mean you’re weak. In fact, seeking help can be the first (and smartest) thing you can do to getting your marriage, your family, your job (i.e., your life) back on track.

Help is available for individuals, couples, or families. All information will be strictly confidential. For more information, contact a counselor office today.

potential causes of dysfunction. Treatment would generally consist of gentle massage for lymph movement, manual therapy (most likely myofascial release) to reduce soft tissue and joint tension, and then gentle exercise to improve strength, function and mobility of the shoulder and upper extremity. An exercise program geared at a tolerable level can be developed and progressed to address the lack of endurance and general loss of strength. Aquatic therapy, cardio training and gentle strength training would be best. If you have any specific questions, please contact Jeff C. Conforti, DPT at 731-6094, or check our website.

Catholic Charities Diocese of Harrisburg, PA

PROVIDING

HELP.

CREATING

HOPE.

Behavioral Health Counseling Residential Programs Immigration and Refugee Services Youth And Family Services f

717-657-4804 www.cchbg.org SEPTEMBER | OCTOBER 2015 Woman Newspapers

Restoring quality of life through therapy by deborah jackson, m.s. ccc-slp. speech language pathologist, spring creek rehabilitation & health center

It may be difficult for some adults to find enjoyable, meaningful activities if they experience physical challenges that limit their abilities. Physical, occupational and speech therapies can restore a person’s level of functioning to its highest level and sometimes prevent life-long disability. These therapies are also an important part of rehabilitation and treatment of patients with chronic conditions or injuries commonly experienced by older adults. Physical Therapy Physical therapy works to improve a patient’s movement and function adversely affected by aging, injury, disease, developmental disabilities or environmental factors. The goal is to develop, maintain and restore maximum movement and functional ability. Occupational Therapy An Occupational Therapist works with patients who have a permanent or temporary impairment in their physical or mental functioning that adversely affects their ability to

perform routine daily living tasks. The goal of this discipline is to increase a patient’s ability to care for him- or herself with the greatest level of independence. Speech Therapy Speech therapy has multiple focuses which include, but are not limited to: increasing communication, swallowing function and functional ways to manage cognitive deficits. Treatment may include articulation, augmentative communication, expressive and receptive language, oral motor, cognition, executive functioning, memory, voice, swallowing, assistive technology, literacy skills, fluency and basic functional communication for reading, writing and daily living. Individualized treatment plans should be designed by therapists in consultation with patients and their families to obtain the best possible outcomes with the shortest length of time possible. A qualified therapy team constantly strives to help each patent meet their individual goals. If you are planning surgery or have had an illness and believe you may need inpatient care, let Spring Creek show you how therapy can get you back to the best you can be. To contact us please call 717-565-7000 or visit our website at www.SpringCreekCares.com

Come see for yourself...

Let Spring Creek’s dedicated, highly trained staff

help you Bridge the Way...

Tours given daily www.SpringCreekCares.com

SERVICES OFFERED: • Short-Term Rehab • Therapy: Physical, Speech and Occupational • Onsite Wound Clinic • Alzheimer’s Community • Respite Care • Specialized Respiratory Services: Including Ventilator and Tracheostomy Support • Hospice Care • Long-Term Care

1205 S. 28th St., Harrisburg, PA (717) 565-7000

Treatment option for It’s a medical fact: Testosterone levels decline fatigue/low sex drive in men as they age

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• Low sex drive (libido) • Erectile dysfunction • Fatigue and poor energy level • Decreased muscle mass • Hair loss • Difficulty concentrating • Depression • Irritability • Low sense of well-being

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Woman Newspapers SEPTEMBER | OCTOBER 2015

by dr. matt boland

It’s common for men to say “I knew this would happen someday.” But when it actually occurs, it often “hits like a ton of bricks.” Usually, their next comment is, “I’m too young for this!” So, what is this condition? It’s called Andropause, which is the time in a man’s life when his production of testosterone rapidly declines. This usually occurs around age 50, but it can affect some men at even a younger age. Andropause is similar to menopause, the decline in production of estrogen that occurs in women. The most common complaints include a drastic decline in libido and sexual function, fatigue, irritability, as well as a decline in brain function and muscle strength. Usually, these symptoms develop gradually over a period of years. Then, one day, it becomes very apparent that something is wrong . . . and something has been wrong for a long time. Is there a solution? Can something be done? The answer is: YES! Testosterone Replacement Therapy can improve libido and brain function, as well as help to reverse age-related muscle decline. Furthermore, testosterone has proven to benefit a man’s heart function. Studies have

shown that men with higher testosterone levels have significantly fewer heart attacks and less incidence of congestive heart failure. It’s important to keep in mind that neither Andropause (men) nor Menopause (women) is a disease. They are natural parts of aging. Everyone will experience this. But not every person needs treatment when they enter this phase of life. But for those who are suffering from complications related to Andropause, natural Testosterone Replacement Therapy can reverse the signs of Andropause and improve the quality of life. Many types of treatment are available, from pills to patches to injections. Some methods work better than others, and also have less negative side effects. For most men, a comprehensive program including testosterone injections is the treatment method of choice.

Breast cancer increasing among African-Americans Breast cancer incidence rates increased slightly among African American women from 2006 to 2010, bringing those rates closer to the historically higher rates among white women, according to a new analysis by American Cancer Society researchers1. The explanation behind the rise is unclear. Incidence rates In the latest time period (2006-2010), incidence rates increased for estrogen receptor-positive (ER+) breast cancers in the youngest white women, Hispanic women in their 60s, and all but the oldest African American women. In contrast, estrogen receptor-negative (ER-) breast cancers declined among most age and racial/ethnic groups. In every age group, white women have the highest rates of ER+ breast cancer and African American women have the highest rates of ER- breast cancer. These differences may reflect racial variations in the prevalence of risk factors that differ by ER status. For example, reproductive history and obesity appear to be more strongly associated with ER+ breast cancer, whereas lower socioeconomic status is associated with an increased risk of ER- breast cancer. Historically, white women have had the highest breast cancer incidence rates among women aged 40 years and older. However, incidence rates are now converging among white and African American women, particularly among women aged 50 years to 59 years. While the oft-quoted statistic is true that a woman living in the United States has a 1-in-8 lifetime risk of being diagnosed with breast cancer compared to a 1-in-11 risk in the 1970s, some of that increase is due to increased detection as a result of widespread mammography screening and because women now have a longer life expectancy. Lifetime risk reflects the average probability of being diagnosed with breast cancer from birth to death. Mortality rates Breast cancer death rates have dropped by 34% since 1990 in all racial/ethnic groups except American Indians/Alaska Natives. Nevertheless, survival disparities persist by race/ethnicity, with African American women having the poorest breast cancer survival of any racial/ethnic group. Screening In 2010, two in three (67%) of U.S. women 40 and older reported having a mammogram within the past two years. The mammography screening rate peaked in 2000, declined slightly, and has been stable since 2005. The report also finds that in general, those states with higher rates of mammography screening had fewer late stage breast cancers diagnosed among non-Hispanic white women. Despite similar overall screening rates, African American women have remained more likely to be diagnosed with regional and distant stage breast cancers compared with white women, which the authors say may reflect differences in the quality of mammography screening and delayed follow-up for abnormal mammography findings. The researchers conclude the report by saying: â&#x20AC;&#x153;Continued progress in the control of breast cancer will require sustained and increased efforts to provide high-quality screening, diagnosis, and treatment to all segments of the population.â&#x20AC;?

Reasons are unclear for converging incidence rates among white and African-American women

1 The finding is published in Breast Cancer Statistics, 2013 published in CA: A Cancer Journal for Clinicians, a peer-reviewed journal of the American Cancer Society. The report and its consumer version, Breast Cancer Facts & Figures 2013-2014, are published biennially and provide detailed analyses of breast cancer incidence, mortality, and survival trends, as well as information on early detection, treatment, and factors that influence risk and survival.

SEPTEMBER | OCTOBER 2015 Woman Newspapers

haven’t hit a birthday that made me feel “old” yet, and I don’t expect this next one to be The One either. It can take its time getting here all the same. Whether I’m ready or not, my countdown has begun. T-minus half a year and counting and the Big 5-0 will be upon me. Autumn has ushered out yet another swimsuit season. I confess, swimsuit shopping was unusually painless this year. Early last spring, in the department store dressing room with three mirrors surrounding me - no hiding anything - I was pleasantly surprised! My booty nicely filled out the back. I reasoned that some leg and abdominal exercises could take care of the excess thigh baggage and the belly pouch and pumping some iron should take care of the saggy upper arms. The important thing was that I’d come to terms of endearment with my body. I think Shirley Maclaine would call this sage-ing while age-ing , even though I’m still thorougly scrutinizing everything looking back at me in the mirror. Yes, my eyelids are a little too hooded, but nothing I’d bother correcting with surgery or Botox. I have my fair share of crow’s feet, but they’re only visible when I smile. My skin is otherwise healthy. Less firm and more wrinkled than in the previous decade of my life, but maybe I can still pass for 45. I’ve got no complaints about my hair. It’s naturally wavy and requires low daily maintenance. I don’t find the natural salt and pepper coloring attractive on me, so I solve that with a trip to the beauty shop every two months or so. My breasts are healthy, although gravity has a firm hold and they are going downhill, literally. In my younger, thinner days - six inches and three cup sizes ago - it was all about the underwire bra. Those things brutalize me now. The underwire jams into my armpit and leaves a mark on my belly roll after sitting. Soft band is my preference these days (but I do have one fabulous black underwire bra that lives up to its advertising of “stunning support.”) I perform breast self-exams. At least, I do when I remember. “Please don’t let me find anything. No lumps. No bumps,’” I murmur to myself. The temptation to avoid examining myself has been with me ever since a cyst was found when I was only in my 20s. As it turned out, the cyst was benign and the girls are still healthy, but a nagging thought resurfaces with every exam: Did my luck finally run out? It’s only a fleeting thought. Logic returns to overcome my fear and I examine the entire area. All things considered, I think I look and feel pretty damn good for someone rounding 49 and gliding oh-soslowly into 50. That’s a comfortable place to be at any age.

At my age

By Brenda Tadych

Woman Newspapers SEPTEMBER | OCTOBER 2015

Are you or loved one recovering from surgery or an illness and in need of intensive short term rehabilitation?

Now offering intensive short term rehab services Serving from the heart and caring for our community since 1926

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Middletown Home

999 W. Harrisburg Pike Middletown, PA 17057 717-944-3351

www.middletownhome.org

FREE Cable, WI-FI & Telephone for Personal Care & Independent Living Residents

A sense of dignity by paige faulk, lsw, family & community liaison, the middletown home

Have you seen the documentary, “The Thin Edge of Dignity”, written by Dick Weinman? This film focuses on his life as a resident in an assisted living facility in Oregon. Mr. Weinmans’ documentary is thought-provoking. He shines light on a very sensitive subject that affects many older adults in long term care communities across this great country of ours. Are older adults living with a sense of purpose and with dignity? Mr. Weinman states that facilities are structured on “a synchronization of time”. He says that there is a rigid time structure in assisted living facilities, “shuttling residents to their place” throughout the day, every day. He recognizes that structure is needed to run a facility, but is it too much structure? In his own words about his fellow residents, he says, “Where’s the energy? Where’s the longing to explore?” Now in a wheelchair and unable to take care of his ADL’s (activities of daily living), he still is the same person he was before the accident. He still has a zest for life and a desire to continue to learn, volunteer in the community, etc. Mr. Weinman is not interested in the

activities offered to him where he resides. He chooses to meet friends out for coffee, a movie or a concert. He was a college professor. Now he volunteers his time by reading to third grade students at a local elementary school. It begs the question, why aren’t other residents doing the same thing? Are residents living their lives the way that they want? Are we asking residents the “right questions” upon admission and beyond? Are we continually focused on striving for person-centered care? If not, why not? I had lunch recently with a friend of mine. He is an intelligent, kind and caring individual. He was married to his beloved wife for 59 years. She passed away recently. He is heart-broken. His life is very different now without her presence. He told me that his pastor has told him to make sure not to isolate himself….that it is important for him to mingle with others. He still lives in his home that he and his wife bought in 1974. My friend is almost 90 years old. He is at yet another milestone in his life. Where to now? What’s the next step? Ideally, my friend will answer these questions himself, on his own terms. He will answer these questions based on his own preferences. He will answer these questions with the hope of preserving all of his dignity. If you have 20 minutes to spare, please watch Mr. Weinman’s documentary.

IBD: A treatable autoimmune disease by kevin c. westra, d.o., a.g.a.f, f.a.c.p.

Inflammatory bowel disease, better known as IBD, is a chronic inflammatory condition of the gastrointestinal tract. The keyword is chronic as most patients diagnosed with IBD have the disease throughout their life. IBD affects an estimated 1.6 million Americans and tends to run in families. The onset of IBD is highest among teenagers and young adult’s ages 15 to 25 years and affects men and women equally. There are two types of IBD: Ulcerative colitis and Crohn’s disease. Ulcerative colitis is limited to the colon, otherwise known as the large intestine. It involves only the very superficial layer of the large intestine. The onset of symptoms may be gradual or sudden and include bloody diarrhea, abdominal pain and weight loss. On the other hand, Crohn’s disease may affect any part of the gastrointestinal tract extending from the mouth to the anus. Another important distinction of Crohn’s disease includes its involvement of the full thickness of the bowel, most commonly the

end of the small intestine extending into the large intestine. Crohn’s symptoms depend on anatomical location with large intestinal involvement producing symptoms similar to ulcerative colitis whereas small bowel disease produces predominately pain without diarrhea or bleeding. Both of these diseases have the potential for extraintestinal inflammation such as skin, eye and joint abnormalities. Both illnesses have another strong feature in common: There is a significant abnormal response by the body’s immune system. In people suffering from IBD, the immune system reacts inappropriately, and can do harm to your gastrointestinal tract and produce the symptoms of IBD. Thanks to significant advances in medical therapy, we now can combat the abnormal immune response. On occasion, surgery is required, but most IBD patients can live nearly normal and productive lives.

SPECIALISTS IN THE DIAGNOSIS AND TREATMENT OF DIGESTIVE AND LIVER DISEASE

New patients are always welcome! John P. McLaughlin, D.O., F.A.C.G., F.A.C.P. Kevin C. Westra, D.O., A.G.A.F., F.A.C.P. Michael A. Veliuona, M.D. Mark C. Friedman, M.D. Nicholas A. Katzen, M.D. Nicholas A. Mahoney, M.D. Cortni J. Tyson, M.D. Michelle R. Kostelac, PA-C Lisa C. Brenize, MSPAS, PA-C We participate with most insurance companies 4760 Union Deposit Road • Suite 100 • Harrisburg, PA 17111 717.545.9811 • 717.545.1873 (fax) Please visit our website at www.HbgGastro.com

SEPTEMBER | OCTOBER 2015 Woman Newspapers

Answers to common salt therapy questions by deanna davis, owner, hygea wellness co.

How can someone get the most out of a salt room therapy session? Taking deep breathes in through the mouth and exhaling through the nose in a quiet, dark room with no distractions will allow you to relax and destress the mind and the body. Try alternating nasal cavities when you exhale for a deeper experience. Some who practice yoga would agree this is one of the best ways to calm the mind and the nervous system. How long does a session last and how frequent are sessions? I recommend a minimum of one 45-minute session to fully appreciate the benefits. How often you come would depend on what issue you are trying to relieve: • Occasionally when you just want to relax. • Once every 2 to 4 weeks to de-stress and for general overall wellness. • Weekly for anxiety or emotional issues and seasonal allergies

• 2 to 3 times a week for asthma, inflammation in the body or chronic allergies. • On the days they occur for migraines and headaches. In what ways can salt therapy improve someone’s condition? Some clients claim a noticable diminishing of fine lines on the face. Some parents of collicky babies believe salt sessions help the child sleep though the night. People suffering from headaches, sinus and breathing issues and chronic aches and pains may find relief. Why do you think salt therapy works? Salt is comprised of many minerals that are believed to restore and re-balance the body helping it work better in healing itself. Relaxation reduces stress, and stress is hard on the body. It contributes to high blood pressure, fatigue, hypertension, anxiety, irritability, and social problems. Simply taking time to relax, be it a salt therapy session, exercise, a massage, or just reading a book, is good for your health.

2321 Market St REAR, Camp Hill 717-412-0447

These statements have not been evaluated by the Food and Drug Administration. These products and services are not intended to diagnose, treat, cure or prevent any disease, ailment, pain, injury, deformity, physical or medical conditions.

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Woman Newspapers SEPTEMBER | OCTOBER 2015

Open every day (see website for hours)

hygeawellness.com

Treatments are more than skin deep submitted by changes salon

& day spa

As a cancer patient navigates through surgery, chemotherapy and/or radiation treatments, shifts in physical and emotional health are likely to occur. Side effects from cancer treatments touch all aspects of the patient’s life. Many patients find themselves overwhelmed, so many doctor’s, hospitals and cancer clinics are now recommending alternative therapies. Oncology skin care treatments and oncology massages are specifically designed services to safely work with the needs of

clients with cancer as well as address the side effects from treatments. They are designed to be safe, soothing and customized to meet the needs of each patient. Research suggests that having skin care or massage therapy services regularly can help cancer patients cope with the side effects of treatments and improve their mental and physical ability to deal with the pain, stress, and anxiety associated with cancer. The purpose is not to treat the cancer itself but to restore a sense of balance and well being. Call Changes today at 717-697-2600 to schedule an appointment. www.changesdayspa.com

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717.746.6277 5072 Jonestown Road Suite 3 Colonial Commons Shopping Center elementsmassage.com/harrisburg Massage session includes time for consultation and dressing. The Elements Promise™ is not transferable and may not be redeemed for cash, bartered or sold. Not valid for discounted services and cannot be combined with any other offer. Other restrictions may apply; see studio for details. Each Elements Massage™ studio is independently owned and operated.

Think pink…and red, copper or rose! submitted by the hair junction

As summer fades into fall, it’s the perfect time to brighten up your look with brilliant reds, pinks, and oranges. The 2015 Pantone Color of the Year is Marsala; a robust and earthy wine red that is perfect for setting the stage for this year’s hair color trends. The wine-inspired colors offer many flavors for every taste. Aubergine is a bold hue, with tones of violet and pink. It’s a versatile color that can complement any skin tone. Merlot also pairs hints of pink with softer red hues that pairs

well with richer browns, especially when used as a lowlight for a pop of color. For a trendier style, use it to give extra dimension to redheads. If you’re looking for a softer pink, rose gold is an upcoming fall trend that’s not just for blondes! Lightening powder allows all hair colors to enjoy the pinkish copper hue. Looking for a bold, glamorous style? Metallic pastels including bubblegum pink and lavender are a rising trend. Traditional matte finished colors are being taken to new dimensions with shiny, metallic finishes. This look is a great inspiration to maintain good hair health; the shimmery, brilliant colors thrive best in strong, healthy locks. As the leaves change in to their fiery hues and women don their pink ribbons in support of the fight against breast cancer, consider scheduling an appointment with your favorite stylist to try this bold, trending styles this fall! For more information and to schedule an appointment call us at Hair Junction 564.7804 or stop in to schedule an appointment at 6222 Derry St., Harrisburg , PA 17111. Also, in honor of Breast Cancer Awareness month our hair technicians can offer hot pink extensions made of real hair available. So show your support!

Incorporate massage into beauty routine submitted by elements massage

helps decrease dry scalp, itching and dandruff. Keep your skin hydrated: Using a massage oil or cream can leave your skin feeling nourished, hydrated and smooth. Moisturizing through massage helps your skin more easily absorb nutrients within the oil or cream. When you feel better, you look better: Studies have shown massage helps people sleep better, relieves pain and boosts immunity, among other benefits. You only look as good as you feel! A massage is a simple addition to any beauty regimen to make you look and feel better.

Everyone knows that regular massages can help reduce stress and relieve pain. But many do not know that massage has beauty benefits, too. You can achieve a healthy, glowing look simply by incorporating regular massages into summer beauty and wellness routines. Colleen O’Connor, a licensed massage therapist, explains the following five beauty benefits of massage: Keeps your skin glowing: Massage helps increase blood flow andHarrisburg removes dead cells from your skin, eliminating dullness and 717.746.6277 bringing fresh skin to the surface, which brightens up your complexion. Scientists now confirm massage can be an effective weight-loss studio tool: According to Body name license Sense Magazine, the natural form of therapy phone improves circulation and the nutrient supply to the muscles. After muscles are exercised, vital nutrients help them recover and rebuild studio name license themselves. Massage maximizes the supply of phone nutrients and oxygen through increased blood flow, which helps the muscles grow and burn more calories. studio name Promote hair growth and health: Scalp license massages help increase bloodphone circulation and

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SEPTEMBER | OCTOBER 2015 Woman Newspapers

Please, do not flush! by daniele kockler, intern, harrisburg area riverboat society, inc.

Hundreds of different pharmaceuticals have been detected in lakes, rivers, reservoirs and streams throughout the world. In 2014, Germany’s environment ministry conducted a global review of pharmaceuticals in the environment. Their research found that out of the 731 pharmaceuticals that they tested for, 631 were found above their detection limits. The pharmaceuticals, which included antibiotics, anti-convulsants, mood stabilizers, sex hormones, and many others, were found in lakes, rivers, soil, manure, and even drinking water. Even in small concentrations, the compounds that make up our medications can pose a threat to human health and aquatic organisms. According to the CDC, over 3 billion drugs were ordered and provided from physicians’ offices and hospitals in 2011 alone, not including veterinarian prescribed medication. Even with the billions of pharmaceuticals prescribed in the United States, we often forget the harm medications could do to our environment and our health if not properly disposed of. Medications are chemical substances which can contain numerous compounds. These compounds can react with one another

in the environment resulting in unwanted consequences. Due to the danger that these pharmaceuticals can cause, it is up to us to protect our environment through proper disposal methods. Once your medications become expired, unused, or unwanted, you may dispose of them at national chains, like Walgreens and CVS, who participate in these programs, as do many small independent pharmacies. (Find a location near you at disposemymeds.org). The Pharmaceutical Journal. AP: Pharmaceuticals in the environment: a growing problem. Available at http://www.pharmaceutical-journal.com/news-and-analysis/features/pharmaceuticals-in-the-environment-a-growing-problem/20067898. article. Accessed on August 8, 2015

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Woman Newspapers SEPTEMBER | OCTOBER 2015

2050 State Road, Camp Hill (next to Fager’s Heating & Plumbing)

PHONE 737-0030 FAX 730-0766 OPEN 365 DAYS A YEAR! Monday-Saturday 11 a.m. - 2 a.m. Sunday 12 p.m. - 2 a.m. www.brewhousegrille.com

Craft fairs offer 26th Annual Hegins Valley Arts & Crafts Faire unique shopping September 19, 2015

Saturday 9 a.m. to 3 p.m.

“Come to the country” ❤ Over 200 selected craftsmen from PA and nearby states will be demonstrating and displaying their finest work. ❤ A delicious variety of foods prepared for your eating pleasure all day including breakfast starting at 7:00 a.m. ❤ Show will be held rain or shine. Parking - $2.00 (Benefit Hegins Park Association) No Dogs Allowed - Service Dogs Only

HEGINS PARK

Approximately 6 miles West on Rt. 25 from Exit 112 on Interstate 81. Watch for signs to Hegins Park.

For Information Call: 570-682-9541 or 570-682-8181

Happy 75th

Birthday, Mom! I love you, Deb

by kathryn otto

hegins valley arts

& crafts

faire

Fabulous fall foliage, fantastic fairs and fun festivals provide a great excuse to enjoy the outdoors before the bleak, blustery days of winter set in. Attending a craft fair with family and friends is a shopper’s medicine to treat the pre-winter blahs. Are you shopping for a special gift? You likely can find a unique and special gift at a craft fair. You might also begin your early Christmas shopping. Craft fairs offer a vast array of items to select for that special someone. New items from old materials that have been reused and recycled will catch the shopper’s eye. Jewelry created from guitar strings which have been washed and dyed; purses, skirts, and scarves made from men’s ties; bucket list prints to be completed by the purchaser are just a few of the unusual items available at a craft fair. Brooms, purses, rugs, pottery, wreaths, and many more traditional crafts are available for the buyer’s use or as a gift. On-site craft demos such as broom-making, weaving (sheep to shawl), pottery turning are interesting additions to some fairs.

Activities for children such as sand art, face painting, pumpkin painting, and mazes are just some of the fun events available for the younger set. If you’re feeling lucky, some events sell tickets for special items and raffle baskets. How can anyone ignore the aroma of the many foods available at a craft fair? A huge variety of both traditional and ethnic items are prepared to please the shopper’s palate when a rest from shopping is needed. A craft fair is a fun day with family and friends and a welcome change from the malls and on-line shopping. It’s the perfect fall tonic as we prepare for winters days.

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SEPTEMBER | OCTOBER 2015 Woman Newspapers

● Let Life Happen

Gifted writer Barbara Jacoby’s blog offers inspiration to breast cancer patients as well as domestic abuse survivors. Sadly familiar with both subjects, Jacoby is an energetic advocate for the rights of victims and patients everywhere. letlifehappen.com

● Miracle Survivors

Tami Boehmer started blogging about the inspiring stories of breast cancer survivors after hearing a terminal cancer diagnosis from one of her doctors. It has become Boehmer’s mission to share these remarkable stories. These blog posts about fellow survivors are sure to give you continued inspiration and hope. tamiboehmer.com

● My Fabulous Boobies

Nicole McLean represents a unique and wonderful voice in the breast cancer blogosphere: she speaks to young black women dealing with breast cancer She was diagnosed in her 30s and endured treatment successfully. She shares parts of her own story, and also covers issues like race and education. myfabulousboobies.com

● But Doctor…I Hate Pink

Ann Silberman is living with metastatic breast cancer and her blog is great for those who appreciate a personal story without sugarcoating. Silberman updates her followers on what’s going on in her life, as well as offering tips and advice. Ann keeps it real, and resonates with people who are having or have had a very tough battle with breast cancer. butdoctorihatepink.com

● The Accidental Amazon

Kathi Kolb’s readers will get a healthy dose of snarky attitude, but they also get much more. Kolb calls for better treatment, more research, and simply a greater understanding of breast cancer. She also rails against the “pink peril” of breast cancer awareness merchandise, and questions the healthcare system’s approach to the disease. accidentalamazon.com

● Chemobrain ... in the Fog

AnneMarie Ciccarella bravely discusses how her brain function was affected by the chemotherapy that treated her breast cancer. She offers insight into subjects such as brain training. She also advocates for better care of the mentally ill. Her blog posts offer an inside look at a cancer treatment side effect that clearly deserves more attention. chemobrainfog.com

● I Hate Breast Cancer

As a woman living with metastatic breast cancer, Katherine O’Brien has been able to channel the negative energy triggered by the disease into one of the most informative blogs in the breast cancer community that shares helpful resources for cancer patients and their families. ihatebreastcancer.wordpress.com

● Caroline’s Breast Cancer Blog

Not just the story of a woman’s battle with cancer and the health complications that accompany treatment, but also a running commentary on the ins and outs of an evolving healthcare industry. Caroline Ronten asks the questions many of us also ponder and makes you think about what fixes are needed to make healthcare better for everyone. carolinemfr.blogspot.com

● A Couple Of Things I’d Like To Get Off My Chest

Writing this blog helped Woman columnist Debra Becker make sense out of the chaos of cancer diagnosis and treatment, and find a bit of humor within the suffering. Becker has frequently written about her breast cancer experiences in the pages of Woman. Read her column on page 16. debrabecker.blogspot.com

● Stage 4 Mom

Viki Zarkin, a Harrisburg wife and mom, was diagnosed with Stage IV breast cancer in 2011 and told by her oncologist to “go home and get ready to die.” To Viki, those were fighting words. This was the beginning of the fight for her life. She blogs about juggling her illnesses and family responsibilities and inspires others to never give up. Read her story on page 18. stage4mom.com

Bloggers While breast cancer is common enough to touch the lives of millions of families, every woman’s journey is unique. Most of these blogs are written by breast cancer patients and are touching, motivating, educational and inspirational.

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Woman Woman Newspapers Newspapers SEPTEMBER SEPTEMBER || OCTOBER OCTOBER 2015 2015

Whether you, a friend, or a family member is newly diagnosed or in the midst of treatment, there’s likely to be

Advice

a lot of well-meaning advice. There

is no one-size-fits-all answer. That’s why we turned to highly-regarded bloggers for words of wisdom.

BREAST CANCER

“

I believe that music does heal the soul and I would recommend to anyone that you turn on your favorite music and just get lost in the feelings that will overtake you. And I am pretty sure that you will find as I have that the music will help you in ways that you may never have imagined.”

Here’s my own advice to patients about exercise: don’t fuss about how far you walk or how many exercise reps you do. Just do something, and keep track of how long you spend doing it. Time is the most pertinent measurement anyway when you’re just trying to mitigate the effects of all those hours that you can’t pry yourself off the couch.

- Barbara Jacoby letlifehappen.com

“

- Kathi Kolb accidentalamazon.com

Take a step back and look at yourself in the mirror. Did you know you are beautiful bald? Believe it or not you are. The longer I am bald, the less I am giving a crap about covering my head up as much (my neighbors have all seen me wandering around my yard bald by now and I don’t wear anything at home, but this is MY comfort zone, it doesn’t have to be YOUR comfort zone).

“

Some people try to become cancer experts when they get a diagnosis; some prefer to have only actionable information. But everybody has to make treatment decisions. If you’re like most people you will rely on the strength of evidence, modified by your own beliefs and flavored by the way in which the information is conveyed. - Eve Harris eve-harris.blogspot.com

- Mandi darngoodlemonade.com

I am learning to stand up for myself in several ways. I find that I no longer do things that make me uncomfortable, add stress, or bring me down. Cancer has taught me to take care of myself if I want to be alive and well. That means, emotional health, as well as physical. Staring death in the face has brought home the fact that life is not a dress rehearsal. If not now, when? - Tami Boehmer tamiboehmer.com

“

I had a really hard time looking at my chest for many months, I wasn’t ready to reveal that part of myself to someone else. So, more months of no sex. And then one day last summer, I scratched the itch. My mood lightened, I was happier and I honestly think that I may have started to glow (just a little bit). - Nicole McLean myfabulousboobies.com

- Caroline Ronten caronlinemfr.blogspot.com

If you wouldn’t expect a diabetic to just snap out of it, extend the same understanding to persons with serious mental illness. The stigma must stop and it’s up to each and every one of us to learn, to attempt to understand, to stop expecting things that are not possible. - AnneMarie Ciccarella chemobrainfog.com

“

Don’t allow yourself to be rushed into decisions before you are ready to make them. And it’s perfectly fine to have things explained over and over until you understand the information or are satisfied with the answers. I always maintain it’s a good idea to ‘sleep on it’ before you make a big decision. - Nancy Stordahl nancypoint.com

“

One of the skills I have developed over my years of health ailments is to train my doctors. I can present as a unique patient with my many health issues. I have learned that I need to make sure they are taking all my issues into account without appearing as a paranoid patient. But its all about me when I am paying to see them.

“

As mothers we want to do everything and be everything for our families, but our bodies don’t always allow us to do those things. Be smart … listen to your body!!! I learned my limits for sure and with all my blessings, I don’t want to squander them. Like I always say, I’m the luckiest girl around. … I just happen to have cancer. - Viki Zarkin stage4mom.com

“

It’s next to impossible to think rationally during the first week after diagnosis. It’s best to surround yourself with your favorite people and animals (if applicable), those who love you most, and be kind to yourself. Be your own best friend! - Deb Becker debrabecker.blogspot.com

SEPTEMBER SEPTEMBER || OCTOBER OCTOBER 2015 2015 Woman Woman Newspapers Newspapers

33 33

Cancer prevention: a mixed bag of results

While there has been substantial progress in some cancer control efforts in the past several decades, like reductions in smoking and increased utilization of cancer screening, progress in some areas is lagging, according to a new report. Among the areas of most concern: smoking rates among certain populations, obesity, indoor tanning, and low utilization of a new vaccine against human papillomavirus (HPV), which causes cervical and other cancers. Additionally, colorectal cancer screening, which not only detects tumors early but also may prevent cancer from developing, is underutilized, particularly among the uninsured. Every two years, researchers from the American Cancer Society analyze data for cancer risk factors and screening from the Centers for Disease Control and Prevention (CDC) to strengthen cancer prevention and early detection efforts and highlight disparate populations. This year the findings are published in Cancer Epidemiology, Biomarkers & Prevention as well as in a standalone consumer publication Cancer Prevention & Early Detection Facts & Figures. Tobacco Use Tobacco use remains the single largest preventable cause of disease and premature death in the United States. Since the release of the Surgeon General’s Report on Smoking and health 50 years ago, there have been 20 million deaths due to tobacco. An estimated 17.8% of adults (20.5% of men; 15.3% of women) were cigarette smokers in 2013, a drop from 23.5% in 1999. While smoking has declined across all education groups, there is wide variation in cigarette use by education. Among those with a high school education, 22% smoke compared to only 9.1% of those with undergraduate degree and 5.6% of those with a graduate degree. Among race/ ethnicities, smoking prevalence ranged from 9.6% in Asians to 22.7% in American Indians/Alaska Natives (22.7%).People who identified themselves as gay or lesbian (25.8%) or bisexual (28.6%) had higher smoking prevalence than those who identified as straight (17.6%). The use of other forms of tobacco, including cigars and e-cigarettes, has increased in recent years. Overweight and Obesity, Physical Activity, and Nutrition Obesity, physical inactivity, and poor nutrition are major risk factors for cancer, second only to tobacco use. The World Cancer Research Fund estimates that about one quarter to one third of all cancers in the United States can be attributed to diet and insufficient physical activity, as well as overweight and obesity. The prevalence of obesity increased rapidly from 1976 to 2002, but has since stabilized. In 2013, more than two thirds of American adults were overweight or obese. Among women, blacks had the highest obesity prevalence (57.4%) followed by Hispanics (45.2%), non-Hispanic whites (33.3%), and Asians (11.3%). Among men, Hispanics had the highest

obesity prevalence (40.9%) followed by blacks (37.5%), non-Hispanic whites (32.8%), and Asians (10.8%). In 2013, 30.5% of adults reported no leisure-time physical activity during an average week. About half (50.1%) of adults reported meeting recommended levels of aerobic activity (at least 150 minutes of moderate or 75 minutes of vigorous activity per week). In 2013, just 27.1% of U.S. high school students met recommended levels of physical activity. In 2013, only 15.1% of adults reported consuming the recommended three or more servings of vegetables and 29.8% reported eating two or more servings of fruits daily. UV Radiation Most adults and adolescents in the United States do not regularly protect themselves against exposure to UV radiation when outdoors on sunny days. In 2010, 32.1% of adults reported always or often using sunscreen when outside for an hour or more on a warm, sunny day in the past 12 months, and 37.1% reported seeking shade, while fewer adults used clothing protection, including wearing hats (12.8%) or long-sleeved shirts (11.5%). In 2013, only 10.1% of U.S. high school students used sunscreen routinely and 20.2% of young women reported using an indoor tanning device in the previous year. Prevention and Early Detection Although use of the human papillomavirus (HPV) vaccine, which helps prevent against cervical and other cancers, has increased in the past 5 years, HPV vaccination remains low with only 37.6% of adolescent girls and 13.9% of adolescent boys receiving vaccination. Breast, cervical and colorectal cancer screening increased in the past several decades, contributing to declining mortality rates in these cancers. Although colorectal cancer screening increased rapidly since the 2000’s (from 38.6% in 2000 to 54.5% in 2008, primarily through increased use of colonoscopy), screening prevalence has stabilized in recent years and still lags behind that for breast and cervical cancers. According to the 2013 data, approximately 58.6% of adults 50 years and older have received recommended colorectal cancer screening. Approximately 65.9% of women have received mammography in the past two years and 80.8% of women have received cervical cancer screening in the past three years. Regardless of the cancer screening type, people without insurance have markedly lower cancer screening uptake; for example, 21.9% of uninsured receive recommended colorectal cancer screening.

New edition of report summarizes risk factors, screening for major cancer sites

Article: Prevalence of Major Risk Factors and Use of 3 Screening Tests for Cancer in the United States; Stacey A. Fedewa, Ann Goding Sauer, Rebecca L. Siegel, and Ahmedin Jemal; Cancer Epidemiol Biomarkers Prev; 24(4); 637–52. Source: American Cancer Society

Woman Newspapers SEPT | OCT 2015

Feel like it’s challenge to eat enough veggies? by ginny becker, owner juice cafe

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Drinking your juice first thing in the morning can give you a natural energy boost, it can refresh your energy levels within as little as 20 minutes…and this is only the start of its benefits. There are many reasons you may want to add juicing to your daily routine! Juicing helps you absorb all the nutrients from the vegetables. This is important because most of us have weakened digestion as a result of making bad food choices over the years. This restricts your body’s ability to absorb all the nutrients from the vegetables. Juicing aids in the digestion process. Juicing helps you receive a healthier amount of vegetables in an efficient manner. It’s recommended that we get at least six to eight servings of vegetables and fruits per day and very little of us actually consume the required amount. Juicing is an easy way to effectively assure that you will reach your daily goal for vegetables.

Fruits and vegetables are great sources of the vitamins, minerals, and nutrients that can help you achieve optimal immune health, which revitalizes the body. Increase your energy. When your body has plenty of the nutrients it needs, and your pH is optimally balanced, you feel rejuvenated. Since it can be consumed by your body immediately, those who juice report feeling the “boost” of energy almost instantly. Visit us at Juice & Grind Cafe and Catering. Don’t forget to like us on Facebook. Juice-Grind.com, 717547-6595

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SEPTEMBER | OCTOBER 2015 Woman Newspapers

B r e a s t

C a r e

C e n t e r

Breast disease is personal, and your care should be as well.

Mechanicsburg Ortenzio Cancer Center at PinnacleHealth 2035 Technology Parkway, Suite 200 Mechanicsburg, PA

Great teams, like the one at the PinnacleHealth Breast Care Center, realize that great care comes from caring for the whole person. When dealing with a concern about high risk, benign or cancerous breast disease, you will receive patient and compassionate care tailored to your diagnosis and your life. Coupled with the most advanced treatment options, our nationally accredited breast care experts focus on you and your needs when you need it the most.

Harrisburg PinnacleHealth Cancer Center 4300 Londonderry Road, Suite 202 Harrisburg, PA

(717) 545-5000 | pinnaclehealth.org/phbcc