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Editor/Publisher Louise Sukle
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The heart is a wonderously faithful creation of nature. Its comforting thump accompanies us for the duration of our lives. There was a time in my life a few years back, when I was faced with a situation where that gentle, steady beat suddenly flip-flopped, skipped, and felt like it was banging against my chest wall. I’d had short episodes of fluttering heartbeats for several years, but this time the palpitations were so intense I couldn’t ignore them. “Get yourself together,” I told myself and kept working, “I’ll shake whatever this is.” Yet the lightheadedness and unsettling pounding wouldn’t go away. “Probably just a drop in blood pressure,” reasoned Dr. Louise. I stopped by Family Medicine so they could get a reading on my BP. My blood pressure: 110/70, perfect. My EKG results: troubling. The doctor’s office called 911, and an ambulance took me to PinnacleHealth Harrisburg Hospital where I arrived with an IV in my arm delivering meds that restored my heart to its reassuring, rhythmic thump-thump again. After several hours, a doctor delivered the news: Atrial fibrillation. Atrial fibwhat? Simply put, the condition causes one part of the heart to beat out of sync with the other. My palpitations don’t actually hurt, but the flip-flopping is hard to ignore. I was intrigued. I’m in my 50s, a non-smoker and occasional drinker and eat a reasonably healthy diet. My cardiologist ordered several tests. Atrial fibrillation (AFib) can be a sign of other health problems affecting the heart; thyroid disease, high blood pressure, valvular heart disease, coronary artery disease, and congestive heart failure. In my case, I developed AFib for no identifiable reason. (Go to page 11 to learn more about AFib.) So, for now, my AFib management is in a holding pattern. I didn’t respond to drug therapy but overall my condition hasn’t really changed my life much. The Afib is still happening in the background - it feels like a “fluttering” in my heart - but causes few problems other than occasional fatigue. However, I know my symptoms will never disappear for good.
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Heart disease is the #1 killer of American women. That hit home. So, I wrote this column to serve as a reminder we have the power to lower our risk for heart disease. Make a commitment to take action. Knowledge equals life and these pages are full of great information.
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3
Retirement May Be Far Off, www.edwardjones.com
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Retirement May Be Far Off, IRA Contributions Isn’t. But the April 15th Deadline forOff, You have only so many May years to prepare for Retirement Be Far IRA Contributions Isn’t.
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retirement. That’s why contributing to your
Individual Retirement Account (IRA) is so important. You have only so many years to prepare for Fortunately, you still have time to maximize your retirement. That’s why contributing to your 2014 IRA contribution before the April 15 deadline. You have only soAccount many years for Individual Retirement (IRA)toisprepare so important. retirement. That’s why contributing to your Fortunately, you still have toretirement maximize your By contributing now,time your savings Retirement Account (IRA) is so important. 2014 Individual IRA contribution before the April 15 deadline. can have more opportunity to grow. Even if you Fortunately, you still have time to maximize your already have an IRA it’s easy to transfer By contributing now, yourelsewhere, retirement savings 2014 IRA contribution before the April 15 deadline.
it to more an Edward Jones IRA and begin can have opportunity to grow. Even ifreceiving you the face-to-face guidance you deserve. By contributing now, your retirement savings already have an IRA elsewhere, it’s easy to transfer can have more opportunity to grow. Even if you it to an Edward Jones IRA and begin receiving already have an IRA elsewhere, it’s easy to transfer To learn more about advantages of the face-to-face guidance you the deserve. it to an Edward Jones IRA and begin receiving an Edward Jones IRA, call or visit today. the face-to-face guidance you deserve.
Retirement and beyond Submitted by Chris Dixon, AAMS Edward Jones Financial Advisor You may already know that the Roth IRA is a great retirement-savings vehicle. But did you realize that some of its benefits could pay off for the next generation of your family? When you contribute to a Roth IRA, your earnings can grow tax free, provided you don’t start taking withdrawals until you’re 59½ and you’ve had your account at least five years. And the potential for tax-free earnings can continue even when your beneficiaries inherit your Roth IRA, though you’ll
need to consult with your tax advisor on this issue. Furthermore, since you aren’t required to take distributions from your Roth IRA, you can leave your account intact for as long as possible, potentially leaving more money available for your beneficiaries. Your Roth IRA is, first and foremost, an investment for your retirement. But, as we’ve seen, it may be of value in other ways, too. Chris Dixon, your Edward Jones financial advisor, located at 29 S. Union St., Middletown, PA. Member SIPC
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MY SUCCESS STORY by Roxann Stevens Member SIPC
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A measure of success My name is Roxann M. Stevens. I am 53 years old, a mother of two beautiful daughters, Ashley and Brooke, and grandmother to an awesome grandson, Blaze. I live in Dauphin County. After a failed marriage of 32 years I suddenly found myself having to rebuild my entire life. I put my faith in God and pushed forward realizing that I was not going to become a victim of my unforeseen circumstance. I started out by working two jobs and then went to one job where I worked for three years. After corporate restructuring, I was once again looking for a job. I registered with Pennsylvania Career Link where I took every class they offered. I attended various job fairs, and applied for countless jobs, only to become discouraged. I had the qualifications, experiences, and job skills. I asked myself, “Why aren’t I getting the interviews?” I voiced my concern with my job counselor at the Pennsylvania Career Link and she referred me to Dress for Success of Central PA. I had nothing to lose, but everything to gain! At my initial meeting at Dress for Success South Central PA I was suited with a business suit so I would be pre-
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pared for when the job interviews started to flow in again. I then enrolled in their program, Going Places Network. I learned how to present my personal “brand” in interviews and how to customize my resume for different positions. I also participated in mock interviews and so much more! While attending this program I was mentored by an Ambassador from the Professional Women’s Group, to whom I am forever thankful. I worked one-onone with career coaches and built my personal network in a small, supportive environment with other women whom I am happy to call my friends. I am a proud, successful graduate of this program. I was offered not one, but five positions in the days after my graduation from the program. I am into my second week working at my new job and am very confident and happy with the results. Not only has Dress for Success South Central PA expanded my wardrobe, but since obtaining employment, I have been invited to become a member of their Professional Women’s Group. Life continues to get better as I push forward with gained confidence. I remember Margaret Mead’s quote, “I must admit I personally measure success in terms of the contributions an individual makes to his or her fellow human beings.” Thank you to everyone who has helped me in some way. Success is within everyone’s grasp.
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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 locations: Harrisburg 717-232-1333 York 717-764-3330 Lebanon 717-270-5337 southcentralpa@dressforsuccess.org www.dressforsuccess.org/southcentralpa
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Pros and cons of life estates By Jacqueline A. Kelly, Attorney at Law During a meeting with my client, Mr. Smith, he questioned whether he should transfer his house to his son, Joe, while keeping a life estate for himself. Someone told him he should have a life estate in his property, but he was unsure if it was the right option for him. A life estate is when someone, in this case Mr. Smith, gives his house to someone else, in this case, Joe, but retains the right to live in the home during his, Mr. Smith’s, lifetime. Life estates have certain advantages, such as ensuring Mr. Smith could live in his house for his entire lifetime without fear of being evicted. Another advantage may be if the house is Mr. Smith’s only asset, avoiding probate. If Joe was Mr. Smith’s only child, then avoiding probate might save Joe from having to register the Will at the courthouse as well as other formal procedures such as sending notices to Mr. Smith’s beneficiaries. Mr. Smith, however, also has a daughter, Judy, and he wants both his children to inherit equally from his estate. If Mr. Smith transfers his house to Joe, then Judy would not inherit any part of the house. Based on Mr. Smith’s needs, a life estate is not the right option for him. Life estates also have a number
of disadvantages. One is that Mr. Smith would have limited ownership interest, which means that he could not sell or mortgage his property, or if he changed his mind he could not take his house back without Joe’s consent. Further, a life estate exposes Mr. Smith’s property to Joe’s potential liabilities, such as if Joe has an accident and a lawsuit is filed or if Joe declares bankruptcy. In either case, Joe’s creditors could put a lien or judgment against the house which could force Mr. Smith to move from the house. Some people believe that life estates will avoid Pennsylvania inheritance taxes. To the contrary, if Mr. Smith dies, his house is still subject to Pennsylvania inheritance taxes. Finally, Mr. Smith’s potential need for Medicaid (Medical Assistance) benefits in a nursing home must be considered. Specifically, if Mr. Smith transfers his house to his son and needs to apply for Medicaid benefits within five years (based on current laws), this will be problematic because Mr. Smith will not qualify for Medicaid
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benefits, and in fact would be penalized, leaving him in a very difficult position. The question of whether to create a life estate is complex and dependent on each person’s situation. Because there are
estate planning issues in addition to Medicaid and tax issues when planning with life estates, it is important to obtain advice from a qualified elder law and estate planning attorney. 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 Jan L. Brown
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Attorney Jacqueline Kelly
•E lder Law: Protecting Assets From Nursing Home Costs, Qualifying for Benefits, Incapacity Planning
845 Sir Thomas Court, Harrisburg 17109
(717) 541-5550 www.janbrownlaw.com
Attorney Christa Aplin
Members of the National Academy of Elder Law Attorneys
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jan • feb 2015
5
Cortisol, the “stress hormone,” may sound like a nasty little thing, but in reality it is necessary for almost all functions of the body, so much so that deficiencies or excesses can lead to a variety of physical symptoms. But what exactly is cortisol and how does it affect you, especially in regard to your weight? Cortisol is a steroid hormone produced by the adrenal glands, the small glands next to the kidneys, during times of stress. The secretion is controlled by the pituitary gland and the hypothalamus of the brain. In times of great stress, the secretion of cortisol increases, which puts glucose, protein and fat into the bloodstream, which in turn increases the body’s energy level in response to the threat. The cortisol levels will return to normal when the stress declines. When the cortisol levels don’t decline, the problems start. Cortisol is implicated in heart disease, diabetes, depression, lower immunity and weight gain. How does cortisol influence weight gain? It stimulates fat and carbohydrate metabolism to give the body a burst of energy and stimulates the release of insulin and the maintenance of the blood sugar levels. This causes an increase in appetite, which leads to eating, which leads to weight gain. This excess weight usually shows up in the abdominal area. It’s this fat deposition that can lead to heart attacks and strokes. But before you go out and buy something to reduce your cortisol levels, beware of the health
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problems that can result from too little or too much cortisol. When the body produces too much cortisol, it is called Cushing’s Syndrome. With Cushing’s Syndrome, the body develops mass loss in the muscles and legs and added weight in the abdomen. The bones and skin are thinned and can be easily damaged. Symptoms of too much cortisol include: • Rounded face • Increase in abdomen size • Increase of fat on upper back • Increase in acne • Thin and weak upper arm and leg muscles • Thinning of the skin • High blood pressure • Severe fatigue • Pink or purple stretch marks and easy bruising • Weak muscles • Depression, anxiety and irritability • Scalp hair loss in women • Excess facial hair and irregular menstrual cycles in women There are other things that can cause elevated cortisol levels. Women who are in their third trimester of pregnancy can develop higher levels, as can highly trained athletes. Certain drugs can also increase cortisol levels such as spirolactone (a diuretic) and estrogen hormone therapy. People who suffer from depression, anxiety, panic disorders, malnutrition, alcohol abuse or who drink two to three cups of coffee a day can have high levels.
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When the body produces too little cortisol it is called Addison’s Disease. With Addison’s Disease, the body develops digestive problems and experiences weakness and weight loss. Symptoms of too little cortisol include: • Weak muscles • Chronic, worsening fatigue • Appetite and weight loss • Nausea, vomiting and diarrhea • Low blood pressure that gets worse while standing, which could lead to fainting or dizziness • Depression and irritability • Hyperpigmentation-skin changes or dark tanning that covers exposed and unexposed body parts, most visible on areas where the skin folds, such as the knees, elbows, toes and lips The chances of developing these diseases are slim and not everyone gains weight from having excess cortisol. Cortisol is not solely responsible for weight gain. It’s a reaction to other factors. The amount of cortisol secreted in times of stress varies from person to person. Stay on the side of caution and don’t fall for the quick fixes or medication that may have adverse effects.
Counter Stress By Changing Your Behavior
It’s 6:30 on a Monday morning and already the week has taken a turn for the worse. The kids are yelling for breakfast, your husband needs his shirt ironed, the dogs are fighting and you’re about to collapse. The stress is getting to you and it’s only Monday. How are you going to get through the rest of the week? You’re not if you don’t learn to take charge of your life and get your stress under control. Everyone gets stressed from time to time — it’s only natural. Too much stress, however, can weaken the immune system, leading to colds, coughs and other infections. According to experts, women are more subject to stress because of the dual roles they play. Every day, women get up and put in eight or nine hours at work and then come home and put in another five or six hours, making dinner, helping the kids with their homework, doing laundry and cleaning up the house. Women work overtime every day, putting their minds and bodies under a high degree of stress. Most women sense when they are near the breaking point and need to slow down, but they don’t. They feel so guilty about not being able to take care of everything for everyone that they push even harder. The harder they push, the more stressed they become. If they are
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By Ronda Addy & Tresa Erickson not careful, their stress may turn into illness. If you’re one of these women and you feel like you’re spiraling out of control, here are some tips to help. • Set realistic goals. You’re only human. You can’t possibly take care of everyone’s needs, no matter how hard you try, so don’t. Sit down every day, make a list of the things you need to accomplish and stick to it. • Learn to say no. Don’t underestimate the value of your time. Sure, it’s nice to feel needed, but the more tasks you take on,the less time you’ll have to take care of what’s important. It may be difficult, but you can say no. Don’t hedge either. Be firm, politely turn down the request and move on. • Keep multitasking to a minimum. There may be 24 hours in a day, but that doesn’t mean you have to squeeze a hundred things into every hour. Slow down and focus on one or two tasks at a time. That way, you’ll get more done in less time. • Insist on help with regular chores. You may be in charge of the household, but that doesn’t mean you have to do everything. Assign your family members chores and resist the urge to go behind them and redo everything. So what if they don’t make the beds as well as you do—learn to live with it.
• Take advantage of your natural body rhythms. You’re not a superwoman, so don’t try to act like one. There are only so many hours in a day when you’re at your best. Figure out when your prime time is and make the most of it. If your peak is between eight and noon, schedule your most demanding projects for that time frame. Save more routine tasks for later. • Schedule time for yourself. It’s easy to feel guilty about spending time to yourself when there are somany things to do, but everyone deserves some time alone to rejuvenate. Take a walk, read a book or see a movie. Whatever you do, have fun and enjoy yourself. Even after making these behavior modifications, you may still feel stressed from time to time, but that’s normal. If you feel like you are nearing a breaking point, take a moment to relax. Picture yourself in a special place, breathe deeply and let the tension slowly ebb away. If you still feel tense, get up and walk around. Stretch your shoulders and neck — these are the areas where stress is stored — and swing your arms. Sometimes, no matter what you do, you may not be able to get your stress under control. In cases like these, it’s best to consult a professional. Doctors, therapists and counselors are available to help. Medication and therapy are just some of the measures they may take to help you get back on track.
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Your right to make end of life decisions
Do I have grounds for divorce? Should I leave the house? Do I qualify for support of any kind? What should I do about the bank accounts? 2080 Linglestown Rd. Suite 201, Harrisburg (717) 540-9170
Do I need a pre-nuptial agreement? What can I do to improve my chances of being awarded primary custody?
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Answers to these commonly asked questions differ, depending on the complexity of the case. We strive to help clients understand what actions to take, based on their particular situation. Serratelli, Schiffman & Brown P.C. has experience before all county courts throughout Central Pennsylvania in issues related to divorce, equitable distribution, alimony, child custody, child support and spousal support. We also assist clients with co-habitation and pre-marital agreements.
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My husband asked if I viewed the video of a 29-year old woman who was diagnosed with terminal brain cancer and chose to ingest a lethal dose of medication in order to end her own life. I learned that the woman was Brittany Maynard and that she had moved with her family to Portland, Oregon in order to take advantage of that state’s right to die laws. Brittany stated she wanted to take this step so she could die on her own terms and in her own way. Brittany passed away on November 15, 2014. I do not want to debate the right to die issue or whether Brittany morally “did the right thing” in this editorial. What I want to do is remind everyone that as an individual, you have the right no matter where you reside, to make individual health care decisions for yourself, even if you are not in a communicative state at the time the medical decisions must be made. The document that permits you to “voice” these decisions even when you physically cannot do so is a Living Will/ Advance Directive. This document is a written set of instructions expressing your
individual wishes for medical treatment and extraordinary health care measures and procedures, such as whether or not to provide ventilation, insert feeding and watering tubes, provide heart resuscitation, and/or provide chemotherapy/radiation services. It provides health care personnel with the parameters of when to initiate, continue, and withhold life-sustaining treatment. If you are concerned about your own ability to make good health care decisions, you can appoint a “health care agent.” So, make a resolution in 2015 to formalize your decisions.
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When thinking of heart disease, older adults typically come to mind, but children also can have heart disease, often with more devastating outcomes. Pediatric cardiomyopathy is a potentially life-threatening disease and the leading cause of sudden cardiac arrest (SCA) in children. Cardiomyopathy is a chronic disease of the heart muscle that affects the heart’s ability to pump blood. Some children who have the disease can be symptom-free and are unknowingly at risk for SCA. Approximately 2,000 people under 25 die of SCA every year according to the Centers for Disease Control and Prevention, but there are preventative measures for families. “In many cases, if cardiomyopathy is detected early and managed properly, sudden cardiac death can be prevented,” says Lisa Yue, a parent who lost two children to cardiomyopathy and founder of the Children’s Cardiomyopathy Foundation (CCF). The Foundation is launching the first Children’s Cardiomyopathy Awareness Month in September to call attention to the disease. “Knowing the symptoms and risk factors for cardiomyopathy can help save lives.”
Currently there is no formal cardiac screening process for children. While pediatricians can respond to more obvious symptoms, identifying pediatric cardiomyopathy can be challenging because some affected children are symptom-free. It is not uncommon for cardiomyopathy to be missed or misdiagnosed as a cold, flu or asthma. Symptoms include shortness of breath, rapid breathing, fainting, chest pain, dizziness, heart palpitations and fatigue. Infants may experience poor weight gain, difficulty breathing, excessive sweating or lethargy. It is important for parents to communicate concerns to the pediatrician.
Cardiomyopathy can occur in any child and be inherited or acquired through a viral infection or from cancer chemotherapy. Since the majority of cardiomyopathies are inherited, understanding a family’s cardiac history is the best way to prevent premature death. Hereditary risk factors include having a family member who is disabled by heart disease, has died of heart disease before age 50, or was diagnosed with Long QT syndrome, cardiomyopathy, Marfan syndrome or a heart rhythm issue. Family members who exhibit symptoms such as chest pain, discomfort upon exertion, fatigue, fainting or high blood pressure should be evaluated by a cardiologist.
Adolescents with an underlying heart condition like cardiomyopathy are at a higher risk for SCA due to increased physical activity and certain body changes. SCA is the top cause of death on school property, and according to the American Heart Association these deaths occur most commonly in high-intensity sports. Whether children are at home, in school or on the sports field, it is important for parents to understand the symptoms and risk factors of the disease.
Source: StatePoint
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jan • feb 2015
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It’s quiet…it’s deadly…it’s heart disease, the no. 1 killer of women in the United States. Approximately 500,000 women die from heart disease each year, yet according to a survey conducted by WomenHeart: The National Coalition for Women with Heart Disease, more women are concerned about breast cancer than heart disease. Many in fact are surprised when they are diagnosed with it. The disease is quiet, so quiet that some of those who have it don’t even know it. Fortunately, there are steps you can take to reduce your chances of developing heart disease. Start with your diet. Keep a journal of what you eat for one week and then sit down and analyze it. How much fat do you consume? Your fat caloric intake should not exceed more than 30 percent of your total diet in a week’s time. What kind of fats do you consume? Keep saturated fats to a minimum and make sure you include some polyunsaturated fats in your diet, such as those found in margarine or cooking oil. Eat a variety of foods and pay attention to portion sizes, especially protein. You shouldn’t eat more than 6 ounces of protein per day. Although a good source of protein, egg yolks are high in cholesterol. Keep the cholesterol down by substituting whole eggs with one egg yolk and two or three egg whites, depending on the number of eggs called for. Watch your salt and sugar intake. High salt intake can lead to hypertension, a precursor to heart disease. Think twice before reaching for the saltshaker and try to limit your consumption of processed foods, which usually contain a lot of salt. Although sugar isn’t directly related to heart disease, a diet high in it often translates to a diet high in calories and low in complex carbohydrates, fiber, vitamins and minerals. Grab a banana or apple instead of a snack cake. Choose healthier foods when shopping, cooking or eating out. Look for words that might signal a food is high in fat, such as “buttered, fried, creamed, au gratin or scalloped.” Purchase the reduced-fat, low-fat or fat-free version of your favorite foods. Be wary of the calorie count, though. Some foods may be low in fat but high in calories. If possible, ask that any dressings or sauces be put on the side when dining out and replace ingredients high in fat and calories with reduced versions when cooking. Pay attention to your weight. Eat healthy and exercise regularly to maintain your weight. If you are overweight, do your best to shed the extra pounds. Stay away from fad diets, though. They are dangerous and any weight you lose will probably return as soon as you stop the diet. Remember, the best way to lose weight is through proper diet and exercise. These are just some of the measures you can take to reduce your chances of developing heart disease. If you feel you are at risk, speak to your doctor and find out what else you can do. Treat your heart right and keep it beating strong.
silentbutDeadly By Tresa Erickson
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jan • feb 2015
www.womannewspapers.com
ATRIAL FIBRILLATION Atrial fibrillation, or AFib, is the most common type of irregular heartbeat. It occurs when one or both of the upper chambers of the heart – called the atria – don’t beat the way they should. This can
cause blood to pool in the left atrium, where a blood clot can form. If that clot breaks away, it can travel to the brain, where it can cause a type of stroke called an ischemic (is-KEE-mic) stroke.
What is AFib?
Did You Know?
“AFib feels like...
ATRIAL FIBRILLATION (AFIB)
5X
increases a person’s risk of stroke by
ISCHEMIC STROKES are caused by a blockage, often a blood clot, of an artery in the brain or an artery that supplies oxygen-rich blood to the brain
Nearly
FISH FLOPPING
DRUMS POUNDING
Alcohol and caffeine
are both known triggers of AFib and therefore should be avoided in susceptible individuals
AFib-related strokes are ischemic
15% to 20%
70
likelihood of developing AFib increases with % The age and approximately 70% of patients are between the ages of 65 and 85
OF ALL STROKES ARE ATTRIBUTABLE TO ATRIAL FIBRILLATION
2X
AFib-related strokes are nearly
AS LIKELY
to be fatal or severely disabling as non-AFib-related strokes
BIRDS FLUTTERING
...in my chest”
9 OUT OF 10
❤❤❤❤❤ ❤❤❤❤❤
THUNDER RUMBLING
Nearly 3 million people in the U.S. and 20 million worldwide are affected by AFib
In the next 30-40 years, the number of people diagnosed in the U.S. is expected to more than double
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jan • feb 2015
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Unless the pain is excruciating, most men stay away from the doctor’s office. Experts refer to the mindset as health apathy, but what exactly is it that causes men to avoid going to the doctor? “If it ain’t broke, don’t fix it.” Too many men feel this way about their health. They regard themselves as the family superman and refuse to go to the doctor until the pain becomes so bad that they can’t stand it. As a result, once they finally go in, many learn that their disease is further advanced than they had hoped. One of the reasons men have health apathy is that, unlike women, they generally aren’t the caretakers of the family. No one relies on them to be well, so it isn’t as important for them to be in tip-top condition. They get fewer screenings and checkups than women who are caring for someone else, and often, their health takes a hit. Men in general also seem to view going to the doctor as a weakness. Rather than looking at it as a way to stay in good health and on top of their game, they see
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it as a chink in their armor. By going to the doctor, they are in essence admitting to themselves that they are human and subject to physical deterioration. Another reason that men tend to avoid doctors is the lack of encouragement from the media. While women are frequently encouraged through magazine and newspaper ads and TV broadcasts and commercials to get regular screenings when they reach their childbearing years, men are not. There is not as much media coverage of issues in men’s health as there are of issues in women’s health. What coverage there is is often directed to reproductive health rather than the whole person. Of course, not every man demonstrates health apathy. Some men do get checkups regularly and participate in screenings. The majority, however, don’t. They take better care of their vehicles than they do of their bodies. Health apathy, however, is starting to gain momentum. The medical community and other organizations are focusing on men’s health and encouraging all men to get
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Why do men avoid going to the doctor?
screenings and regular checkups. There is even a bill in Congress to establish an Office of Men’s Health. The key to breaking down health apathy is education and promotion of men’s health. As more and more organizations and programs get involved, hopefully more men will become aware
of the problem and make changes for a healthier lifestyle. They will compile their family histories, schedule screenings and checkups, and get immunized. They will eat right and exercise regularly. More importantly, they will seek treatment for symptoms early before a condition becomes advanced.
Now accepting new patients
Choosing a doctor is never easy. Finding someone you can trust, who will listen to your questions and give you the answers you need... may seem impossible. At Woodward & Associates our approach to care is simple: We provide our patients with the same care we would want our own family to receive. Why settle for anything else?
Bridget F. Berich, D.O., Gerald Woodward, M.D., John R. Mantione, M.D., Stephen Segrave-Daly, M.D. Deborah J. Herchelroath, D.O.
Caring For You Like Family
Sandra Hoops, CNM Kristen Blocher, PA-C Kaitlin Opilo, PA-C
Please visit us at our new location:
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Higher heart attack risk after menopause By J. Bryan Herchelroath, DO FACC Cardiovascular disease (CVD) is the leading cause of death in women. One in three women will die from cardiovascular disease. Cardiovascular disease (CVD) includes the following major areas: coronary artery disease (CAD) manifested by heart attack or myocardial infarction (MI), angina pectoris, heart failure (HF), cerebrovascular disease manifested by stroke or transient ischemic attack, peripheral artery disease, aortic atherosclerosis and thoracic or abdominal aortic aneurysm. The incidence of myocardial infarction (MI) in women, although lower than in men, increases dramatically after menopause. This increase, at least in part, is due to increasing age (men also have a progressive increase in MI with age). The role of menopause itself is not as clear as once was thought. Some of the primary cardiovascular risk factors for CAD in women include age over 55, dyslipidemia (high LDL and/ or low HDL), family history of premature CAD (first degree male relative under age 55 or a female under age 65), diabetes mellitus, hypertension, and personal history of peripheral artery disease.
One non-disease state that is considered a significant CAD risk factor is smoking. Women who smoke have a 25% higher risk of heart disease than do men who smoke. The longer women smoke, the bigger this risk becomes relative to men. As with men, women’s most common heart attack symptom is chest pain or discomfort that lasts for a few minutes. However, women are somewhat more likely than men to experience other common symptoms, particularly shortness of breath, nausea/vomiting, and back or jaw pain. Signs or symptoms of a stroke include facial droop, weakness or speech difficulty. If you experience or witness someone experiencing these symptoms, call 911 immediately.
Little things can make the biggest difference By Rosie Turner, Director of Marketing & Communications, Harrisburg YMCA Throughout the day, people often ask me how I am. We say it hundreds of times without even thinking about it: “Hi, how are you?” (Now that I’ve mentioned it, you’ll see just how much it happens!) Nearly everyone you pass asks, but how many times do you actually stop and tell someone about your mom in the hospital, your sick child, or just the general sense of overwhelm you are experiencing in your duties? I bet you’d never do it. So, how many times have you been guilty of seeing someone and asking that same question without truly listening for the answer? Once I realized that this was happening to me, I made a point to say something different each time I saw someone in the hallway. The next day I said to my co-worker; “Hi, I love your top!” She answered “Fine, thanks, how are you?” and kept walking past. Has this ever happened to you? It makes me think of how we take our health for granted. How many times has your doctor mentioned more exercise or fewer calories? Maybe you’ve heard it more than once, but it hasn’t sunk in. Here’s a little wake up call – diet and
exercise can help you lower your risk for heart disease. And yet, you may still be moving past their warning without fully understanding what a small change or two could do for your overall health, and your heart. Perhaps this article could be a friendly reminder that heart disease is the no. 1 killer of women. Listen to your health professional, and maybe find a small change or two that can have a big impact on your life. Cheers to your health journey!
Make Your SoMedaY todaY.
Bring this ad to the West Shore YMCA for a complimentary tour and two-day pass. Expires 2/1/15. Some restrictions apply.
WeSt SHore YMCa 410 Fallowfield Road Camp Hill, PA 17011 717-737-9622
112014_WOMAN_QP.indd 1
11/20/2014 5:52:30 PM
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jan • feb 2015
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Just before my daughter’s beach wedding, I was so smooth, so svelte, and so elegant. I’d found my waistline. My jeans fit so well, I could tuck my shirt and wear a belt. That was six months ago. I didn’t stop eating carbs or quit drinking wine or anything crazy like that. Instead, I did what made sense. I ate more of what my kids call “clean food,” and I threw the mochaalmond-fudge-peanut-butter-madness ice cream in the trash. I added a strenuous exercise class -- kettle bells and medicine balls and a 9-pound body bar -- to my somewhat regular Jazzercise workouts. I’d sweat and grunt and laugh at myself because I’m just not an athlete. But I kind of secretly felt like an athlete after each class. And I was mother-of-the-bride busy -- the invitations and the bridal showers and all of those beautiful gifts that UPS delivered to our front door -- these details were like pearls in the sand of my days, and I danced within their swift currents from morning to night. Like most brides’ moms, I wanted to look good in my dress on my daughter’s special day. Hell, fabulous! I wanted to look fabulous. Since I knew I’d lounge and swim at the beach with our wedding guests over the celebration’s long weekend I wanted to look OK in a bathing suit, too. Kay’s wedding weekend was one of the happiest times in my life. I felt light in pounds and light in spirit. I wore my slimmest-fitted blue jeans on the flight home. It was the best of times. Once I got back to my day-to-day routine the clean food became scarce. The mochaalmond-fudge-peanut-butter-madness ice cream moved back into our freezer. Instead of grilling fish and making salads, the Hubster and I went out for Mexican food and ordered in pepperoni pizzas. Apparently, the after-wedding blues are not just for brides. I stopped tucking my shirt. I skipped a few workouts and then a few more, and then I couldn’t zip the slim-fit jeans anymore. Sadness moved into our lives with the illness and then passing of my sweet motherin-law. I tried to comfort my Hubster in his grief, knowing that grief is a weight that we carry, and that he’d miss his mom’s bright spirit and love forever. We both miss her. To cheer ourselves we rescued a puppy, a tawny fur bundle of tail wagging joy, only to find out he had parvovirus and then distemper and then aggression. Pat and I returned him to the collie rescue on a rainy Friday evening. I could not zip all of our sadness into my jeans. Life ebbs and flows. If I’ve understood anything in this life, it would be that nothing is
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constant. Nothing is certain. It’s what philosophers call the human condition. It’s the knuckles in the fist of life. I needed my mom. I needed some time with my mom, and so I got on a plane to Harrisburg to see her. After I dropped my bags at Mom’s house, we went to the Wharf for dinner. The Wharf serves what I like to call real food, food that is worth every calorie. The weather was surprisingly warm, balmy, so we sat outside on the patio where late summer flowers bloomed under a canopy of autumn’s gold and crimson glossed trees. Mom ordered grilled mahi-mahi and her big jeans daughter ordered chicken parmesan with spaghetti. I said,“Mom, I’ve got to lose weight! I’m wearing my biggest jeans, and they are cutting me in half.” My body felt like toothpaste squeezing out of the tightest tube in the world. I pulled at the unrelenting waistband of my too small jeans. “Buy bigger pants,” Mom, the queen of common sense, said. “Do I look big?” I said. I fumbled with my fork, pushed the cheese off of my chicken. “You look terrific. How about those Not Your Daughter’s Jeans? We can shop for them tomorrow,” Mom said. She looked at me with her blue-gray eyes. I understand how much moms cherish the spare moments when they feel needed by their stubbornly independent daughters now that I have one of my own. “I don’t know,” I said,“I’m afraid if I size up, I’ll never get back to my smaller size again.” “You’ve had a busy year. You need some give and take in your life,” Mom said. She pointed her fork at me like a magic wand and said,“You need Lycra.” Mom and I went shopping the next day. I found comfy, body-hugging, flattering jeans at White House | Black Market. Dark blue with a little bling on the pockets, and 2 percent Lycra woven into the denim. I stopped the tight-waist-band-ill-fitting-jeans-self-flogging, and relaxed into my extra weight. My life got big. So what? Bigger jeans for my big life.
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-sized children and two rescued 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
Advice: don’t just do something-stand there By Roy Williams, M.D. Board Certified Oncologist
“At FHL Blood and Cancer Specialists we will treat you and your family like we would want our loved ones to be treated. Quite simply, if we wouldn’t give a treatment option to our father, son, mother or daughter - then we won’t give it to yours. You are more than a number or a disease!” - Roy Williams, M.D. Board Certified Oncologist
Blood& Cancer Specialists llc
6475 Carlisle Pike Mechanicsburg, PA (717) 766-0872
Home care is not just for the home Simisola Bello, , BS., MHA. Health Care Administrator Home care is supportive and helpful care that is provided in the client’s home. It provides an allin-one solution to health and safety requirements by offering different choices of services. The goal of home care is to make it possible for clients to remain in their own home rather than use residential, longterm, or institutional-based care. This type of care is usually provided by professional caregivers like certified nurse’s aides or licensed home health aides. These caregivers can provide daily care to help guarantee and ensure the activities of daily living (ADL’s) are met. Professional caregivers are trained to provide non-custodial or non-medical care, such as help with dressing, bathing, getting in and out of bed, and using the toilet. They also can prepare meals, accompany clients to medical visits, provide medication reminders, do laundry and light housekeeping, provide transportation, offer companionship grocery shop-
ping and a number of other errands. Home care can be an essential part of the post-hospitalization recovery process, particularly during the early weeks after discharge when the client still requires some level of regular physical assistance. With a broad range of services available in home care, a plan can be usually tailored to meet all clients’ individual needs. Medicare, Medicaid and some private insurance are often able to cover the care needed by most clients. Bello Nurses offers many solutions to keep you at home while delivering the help you need.
I was a young doctor working at the Mayo Clinic when an elderly patient’s heart stopped beating. A pack of Resident Doctors, nurses, and aides descended upon the patient, but my Consultant (that’s what senior Attending Physicians are called at the Mayo) pulled me back by my collar. He calmly said to me: “Don’t just do something - stand there.” Initially stunned and frustrated, I have come to understand and treasure his subtle yet profound words of wisdom. He was quite simply advising me not to become so involved in the medical issue at hand that I lose focus on the patient as a WHOLE. It seems to this physician that all too often healthcare providers (including this one) become so focused on the symptom that we are blind to the best interests and desires of the patient. I describe this as the collective brain of knowledge and training overwhelming the heart
and compassion of medicine. For example: The headline in The New York Times was that a new treatment for cancer doubled the length of survival. The study actually documented that the studied chemotherapy would cause severe nausea and diarrhea, would result in infections and hospitalizations, and resulted in the death of 1/5 patients. You may live longer, but you will spend this time ill and in doctors’ offices or hospitals. That is if the treatment doesn’t kill you. Many times the appropriate treatment for a patient is not the latest and most aggressive. The best treatment also can reasonably and responsibly be no treatment.
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.
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jan • feb 2015
15
ON THE ROAD The wanderlust gene is in my blood. I was the kid who volunteered, “I’ll go! I’ll go!” before I even asked, “Where are we going?” - because it didn’t matter. It was exhilarating to just go. My family trekked to The Wildwoods every summer. We had picnics at Pinchot Park and visited the Baltimore Aquarium and the Gettysburg battlefield. (There was a time I knew every battlefield stop by heart.) When I was old enough to drive it came as no surprise I suffered from what my parents called gas-ass - always in the car going somewhere. My wanderlust has since become a full-blown addiction with the help of Debbie, my Canadian friend. Debbie was always traveling and knew more people in the States than I did. I visited her home in Toronto and I still remember the adrenaline rush of riding on Highway 401, my Dodge Daytona Coupe a speck among the 10 lanes of traffic, heading into The True North - strong and free. It was then I discovered my one true love was the open road. Over the years, Debbie and I often traveled together, but as we grew older we found ourselves with more responsibilities and less free time, and our trips became fewer. This posed a serious dilemma for me because I’m not a home body. I’m not certain if it’s an effect of the wanderlust gene or a more serious condition, but now that I’m all grown up, I have to hit the road at least once every three months or I get the shakes. If left untreated, who knows what long-lasting physical and psychological consequences might develop? Fortunately, I’ve learned to travel light and go solo. There’s nothing like the open road to take me away from the pressures of daily life. I can let go of “important” things - like ensuring leftovers are available for packed lunches. It’s not a need for speed or to escape from a problem. I figure stuff out when I’m cruising alone. The answer to the Should I’s or Shouldn’t I’s, and the what-to-do-about-this-or-that becomes as crystal clear as the icy traces of a November snowfall.
AGAIN By Brenda Tadych
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There are also practical benefits of traveling solo. I don’t have to come to a consensus about whether to eat at a mom-and-pop restaurant, a steak house, or a fine dining establishment. When the hotel’s queen size bed is actually a full size, it’s OK. There’s no waiting for anyone, I have my own budget, and there are no complaints about my car temperature or music choices. And I always break Mom’s no. 1 rule by talking to strangers. I sense things with my heart when I’m traveling. I notice things that were always there, but unseen most of the time. The most ordinary images viewed through the windshield, from shabby old barns to someone’s charming front porch, aren’t just peripheral props on my self-guided travels. I sense the truth in their existence without the distraction of conversation. For me, it’s as much about the journey as it is about the destination. There is pure joy in setting the cruise control and driving for an hour without tapping the brakes. It’s about the treasures you may find on the way. Although it wasn’t a planned stop, I visited the grave of Lucille Ball in Jamestown, New York. Red heart-shaped markers with a the signature black cursive “L” lead the faithful to Lucy’s final resting place. I really do love Lucy and left the cemetery with an urge to dye my hair red. Where should you go on your solo journey? Only you can answer that. One of the most peaceful places I’ve visited has been Longwood Gardens. The kind of quiet I found there was a welcome respite from the daily clamor of planes, trains and automobiles I’m regularly subjected to. I have no green thumb - I’ve never even used a lawn mower - but I can still appreciate the beauty of this garden paradise. Did I miss my calling as an over-the-road trucker? Maybe. Let me hit the road and I’ll figure it out.
Brenda Tadych is a lifelong resident of Dauphin County, currently residing in Middletown. She can be contacted at sumthin2say@hotmail.com. Find her online at WomanNewspapers.com/Brenda-Tadych
WomanNewspapers.com has an energetic, smart, new design that’s refreshed, refined and ridiculously easy to use! FEATURES: Our content is updated frequently, for your enjoyment and information. We’ve been sharing news and conversations with you for years, but now you can find that – and engage with it – online and in real time and from any device you love to use! Our staff is excited to engage with you. Send us your questions, let us know how you feel, and find out more about the folks behind Woman Newspapers!
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jan • feb 2015
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What is love? For some, it’s a feeling of affection and passion. For others, it’s a deep, caring, lifelong commitment. What’s your definition of love?
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? r e y w a l a Nee d The Public Service Committee of the Dauphin County Bar Association operates a Lawyer Referral Service which assists individuals in identifying private attorneys appropriate to their needs who can then be retained for their professional advice and representation. Call the Bar Association headquarters at (717) 232-7536 (option 2) Monday through Friday from 9 am to 4:30 pm to be referred to an experienced attorney.
Tina Rinehart
DAUPHIN COUNTY ADVERTISING REP tinarinehart@pressandjournal.com 717-421-3247
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jan • feb 2015
19
As I’m writing this, it’s been less than a day since the grand jury voted not to indict Darren Wilson, the Ferguson, Missouri police officer who shot and killed Michael Brown. This column isn’t about Michael Brown or Darren Wilson. I want to talk about how easily – when we feel so hurt, so angry, so defensive and divided – we can forget that we are all in this together. I posted an image from the violent events in Ferguson on Instagram. An old college friend responded, “How am I supposed to explain this insanity to my son?” Her son is 5 years old. She’s asking how do we, as adults, make sense of the violence, divisiveness and desperation, let alone gain enough clarity to prepare our children? How do we keep their bodies, their minds and their hearts safe? I realized her son needed exactly what we all need. I responded, “I guess we start by explaining why love is so important.” Does that sound corny to you? Let me tell you what I mean. As a child, if you’re lucky, you’ve experienced how your family and your community shows love. Maybe it’s the way Mom kissed your scraped elbow or the way Dad tucked you in at night. Maybe it’s the
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jan • feb 2015
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way your grandparents cared for each other. Maybe it’s the way your neighbors checked in on each other. Love can present itself in a lot of ways, and if we’re lucky, our family shows us that we are loved. If we’re very lucky, our community does the same. But why, exactly, is that love so important? Receiving love opens the door to something wonderful: loving others. (Please understand I’m not talking about hugging and kissing people you don’t know.) Giving your love to others is the key to joy and peace in your life, leaving you open to compromise and kindness and understanding. Approaching others with love instead of judgment, assumptions, or the desire to control can be difficult. Though I am not a master of this practice, I am a student of it. I’ve learned that the vulnerability of fully loving a partner, a child, a family – that vulnerability is the thing we resist with strangers. It’s natural to resist it. We want control. We want to demand and insist that we’re right and someone else is wrong. We fight for control when we feel some sense of ourselves, our safety, our world view is put in jeopardy. Those are the moments when
acknowledging we feel vulnerable can help us lower our defenses and enable a little more self-awareness. I struggle with being self-aware in all those little and big moments. I often fight to be right and have a tendency toward wanting to control my little world. I have a lot to learn and to share about the importance of love, but I know I’m on the right track. When I am pained by news stories from my community and around the world, if I think about the individuals with love in my heart instead of a fire to conquer the wrong, a space opens up for me to see their true being and not as polarized others. I hope to become a better listener and in turn be more clearly heard. I also know I’m on the right track, because I have this opportunity to talk to you and I want to use this chance to offer my love. Together, we have an obligation not only to help create a better world, but an opportunity to live a better life in the process.
Kathryn Baxter is a writer living in Brooklyn, NY. Find her online at W omanNewspapers.com/Kathryn-Baxter
Tired of fancy dinners, chocolates and roses? Here are our favorite unconventional ways to show your affection this Valentine’s Day. Instead of the usual flowers, buy a bouquet-shaped USB Hub
LO ES...
Hama Flower USB 2.0 Hub Available at amazon.com
Buy some magic with a bag full of JUST MARSHMALLOW Lucky Charms Available in bulk at Sharp Shopper locations
Lasts a lot longer than box of chocolates - the endlessly-replenishing electronic bubble wrap keychain Available at amazon.com
Instead of throwing an anti-Valentine’s party, participate in International Quirkyalone Day IQD is a celebration of romance, freedom and individuality. (Parties are often advertised on Craigslist or Flavorpill.) Check out: quirkyalone.
Personalized wine or beer for your beloved Available at cafepress.com
A cuddly stuffed bear, cat or ape is a common go-to gift for Valentine’s Day. But wouldn’t the animal lover in your life prefer something that helps real animals? A donation to an animal charity such as the World Wildlife Fund will help protect endangered species.
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jan • feb 2015
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Got the winter blues? Make a statement by wearing bright colors. We started with a bold geometricpatterned top together with a statement necklace, simple earrings and one of Marian's favorite red handbags. We balanced the patterns with a solid bright-hued jacket paired with black leggings. Yes, ladies, you can rock leggings at any age if you do it right!
Tip #3 That old black magic
Monochrome can work magic to elongate your body, but it doesn't have to be boring. By adding a fabulous necklace, a black-andwhite patterned top and her highfashion black boots, we achieved style magic (without pulling a rabbit out of a hat!) FYI: Large watches remain an important fashion accessory.
Lisa Rae DeRosa is a fashion consultant and stylist who specializes in wardrobing on a budget. Check out her website: www.lisaraederosa.com or Email: lisaraeseries@aol.com jan • feb 2015
www.womannewspapers.com
m
Wishing you a Happy New Year and thanks to all you fashionistas out there for reading and sharing my column!
Where do you fall on the accessories scale? Pile ‘em on? Stick with the basics? Somewhere in between? 22
.co
Lisa Says:
Tip #2 Fight the winter blahs.
Summer wear isn't just for 90º temperatures! Pull out that summer maxi dress and wear it for winter. Layer a blouse underneath the dress and top it with a long sweater. We utilized existing wardrobe pieces and mixed and matched with Marion's extensive collection of accessories. She gives two thumbs up to her maxi dress doing double-duty this winter saving money is always in style!
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str Are you ugg you r w ling ard wi rob th e?
Woman’s Stylist Lisa Rae DeRosa helps women just like you look good and feel good.
Accessories are your secret weapon to wardrobe WOW. In this edition of Shop Your Closet we meet Marian. Marian admits to buying her accent pieces before buying her outfit because she LOVES jewelry. (Don't we all have our secret passions?) The good news for Marian: She didn't need a whole new wardrobe the most boring looks can be transformed with the help of a few key pieces.
Tip #1 Summer all winter long.
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Try busting winter blues by engaging with others and taking part in activities that exercise and soothe all five senses.
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jan • feb 2015
23
Wine & Dine
Valentine at your
Dafnos
We cater birthdays, corporate events, weddings, reunions and more!
GREEK NIGHT Every Tuesday
1190 W. Chocolate Ave., Hummelstown 533-8999 11 am to 10 pm Daily, Closed Sunday www.dafnos.com
Amp up your comfort food favorites Prepare the fireplace, wrap yourself in that old sweater, fuzzy slippers and flannel blanket, and get to cooking those yummy staples that bring comfort from the cold. Packed with nostalgia and mouthwatering flavors that bring you back to Mom’s home cooking, comfort food offers warm feelings on even the most bitter cold days. However, those time-honored recipes are usually packed with calorieand fat-laden ingredients that can undo any healthy eating intentions. Here are some simple swaps to add flavor and nutrition to common comfort dishes. Baked stuffed potato • Add color and nutrition by topping potatoes with cooked vegetables including broccoli, cauliflower, spinach, red bell peppers, shredded carrots, mushrooms or onions. • Make it a protein-rich satisfying meal by adding 95 percent lean ground beef, or 93 percent lean ground turkey. • Sprinkle potatoes with calcium-rich dairy by adding 2 ounces of reduced-fat cheese. • Swap sour cream toppings with fatfree Greek yogurt or low-fat cottage cheese with garlic or onion flakes. Macaroni and cheese • Choose whole wheat pasta to boost fiber and protein. • Reduce calories by using reduced-fat cheese. • Add chopped vegetables like broccoli, spinach and mushrooms for flavor and fiber. • Boost protein by adding 95 percent lean ground turkey. • Right before baking, fold in fat-free Greek yogurt to the cheese, macaroni and vegetable mixture. This gives the dish an extra creamy texture and a boost of protein and calcium. Meatloaf • Use 95 percent lean ground beef or 93 percent lean ground turkey. • Replace some of the meat with cooked grains such as quinoa or bulgur. • Add texture and moisture to meatloaf by adding vegetables like mushrooms, onions and green peppers. • Rather than ketchup, top meatloaf with tomato paste. • Make your own bread crumbs by drying out slices of whole grain bread. The most immediate way to add nutrition is to incorporate the basics - vegetables, whole grains, reduced-fat dairy and lean sources of protein. Source: Family Features. Find more recipes and ideas to help you enjoy your favorite comfort foods at www.nuval.com.
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jan • feb 2015
www.womannewspapers.com
ways to achieve meaningful change Every year, many Americans resolve to change or improve something in their lives in the coming months. Too often, their January fervor to take control fizzles by February. But a new approach to managing resolutions could make 2015 the year you achieve meaningful, lasting change. Here are six tips to help you make a commitment for the new year and capitalize on the energy surrounding the change in the calendar.
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Avoid ambiguity Aspiring to “lose weight” isn’t an effective resolution. Instead, you should focus on a course of actions rather than the outcome such actions produce. Focus on making small, realistic commitments to goals you can achieve along the way. Lose 5 pounds of fat over the next three months is a much better - and more achievable resolution, plus you’ll be able to track your progress and set new goals once you achieve it.
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Kick off your commitment in a healthy way Demonstrate your commitment by kicking off the new year with an activity that will help you reach your goals. Walk your first 5K with your friends or family, join the kids for some football-inspired fitness fun or a winter pool party in the indoor pool, or try a 60-minute indoor workout.
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Resolve to take daily action - no matter how simplistic it is Most of us bite off more than we can chew and forget about what’s not within our direct control. Life is busy - everyone has demands to meet and responsibilities often prevent us from carrying out our grand intentions of turning our lifestyles on end by working out, sleeping eight hours each night or perfectly portioning our home-prepped meals. Instead of setting grand plans, resolve to string together 365 days of tiny battles won and see what happens. Chances are, if you’re constantly building up small wins each day, you’ll stay motivated and even find room to do more than the minimal effort you’d envisioned.
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Expect to fail sometimes If you keep things simple, an occasional failure shouldn’t be a problem. In fact, it should seem so easy to get back on the right track that you almost have to laugh at yourself for falling off in the first place. Set behavior goals that appear easy but are effective enough to make progress even if you only hit the target 80 percent of the time. Missing one day of sticking to your plan shouldn’t ruin your desire to continue, especially if the miss is an expected part of the process.
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Eat well to live well The types of food you eat can be as important as, if not more important than, the calories they contain. This year, commit to really thinking about the foods you eat, every time you eat. Keep a food journal for a week and write down everything that you eat and drink as well as how much and make a point to note how you feel. Be honest with yourself about those occasions when you may choose to eat something that isn’t in the interest of your healthy eating plan. When you do an honest assessment of your eating patterns, you will likely see where moderation can work for you and where it can’t.
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Take others with you on your course of action If you get down on yourself when you can’t stick to your intentions, try adding to your support system. Using a group or partner approach is known to increase adherence to exercise habits and healthier eating, but it also makes the process more enjoyable and more fun with the shared intention. Not only can your resolutions foster better health and happiness in your life, but they can inspire positive energy and change in others’ habits as well.
Don’t let your new y ear’s fervor fizzle ! To learn more tips about staying committed to your health and fitness, visit LifeTimeWeightLoss.com or visit CommitmentDay. com. Source: BPT
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jan • feb 2015
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How to choose the right weight loss center Submitted by PinnacleHealth Weight Loss Center For many Americans, being overweight or obese threatens their health and happiness. Excess weight is linked to shorter lifespans and contributes to many other physical problems. Losing weight can be challenging and is often most successful when a person has support. When seeking better health by achieving a healthier weight, a weight loss center may be the answer. Trained professionals provide motivation, support and education in addition to evaluating your overall health and personal goals. Part of being successful is setting realistic weight loss goals. Professionals can encourage you and give you the tools to be successful. Each center is unique, so selecting the program that can tailor its approach to meeting your specific weight loss goals is crucial. First identify your personal wants and needs in a weight loss program. Do you want surgery or a non-surgical process? More do-it-yourself or more one-on-one support? Keep these in mind as you review facilities so that you can choose one that will work for you. Here are some ideas to help you find the best weight loss clinic to meet your needs. Research and Visit Research your local weight loss
options. Visit their websites and review the services offered from each program that are important to you. What kind of support is offered? Are meetings and appointments required? Is the program affordable? Make sure these commitments are convenient for you so you can remain committed throughout the process. Once you narrow down your choices, visit or call each facility. Many centers offer information sessions or other seminars open to the public that can allow you to visit and get a feel for the program. Bring a notebook and take notes. Feel free to ask questions as well. Plans and Referrals Although each center will offer plans shown to be successful you must determine what plan will be successful for you. Read what others write about the various weight loss programs and ask around to see if friends or family have experience or feedback on these centers. Always remember, however, that what works for one person might not work for another. Keep your personal requirements in mind. It should be possible to speak with existing clients about their experiences. Ask the center staff for referrals. Programs with good reputations will be happy to provide you with such a list. Previous clients are often willing to talk about their own experiences, negative and positive. You can also find out if they kept the
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
weight off. Centers offer different levels of support, including accountability, support groups and educational classes. They might also have stress management techniques that can stop you from eating your troubles away. A good weight loss center will have a follow-up system to assist you in maintaining a healthy life. Before committing to a program check with the program’s credentials. Some places to check include the Better Business Bureau, online reviewers and the American Society for Metabolic and Bariatric Surgery. Many insurance plans provide some coverage for weight loss efforts. Check with your insurance provider to learn what benefits are offered to you. Review the financial commitments for programs and ensure these are investments that you are comfortable with. In the end, a good weight loss center can go a long way
toward helping you succeed in becoming healthier and happier. It is easy to make lifestyle changes when you have the assistance and support of caring staff. No matter what your weight loss goals are, it is important to find a safe, effective way to achieve your goals.
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, Baughman Family Medicine, 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 & Hildebrand, 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
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jan • feb 2015
www.womannewspapers.com
Ageism, advocacy and celebration By Paige Faulk, LSW, Family & Community Liaison, The Middletown Home I would like you to think for a minute about how you spend your day. Who are you interacting with on a daily basis? Do you spend any part of your day with senior citizens? I have the honor and privilege to say that I spend most of my time with the elder population right here in our community. Unfortunately, some people are uncomfortable around the aging population. Perhaps seeing elders is a reminder of one’s own mortality? Perhaps it is a fear of the unknown? Ageism is a very real and dangerous problem in our society. Ageism includes the following: a bias against seniors; negative stereotypes against seniors; devaluing of senior contributions. I have met people who ask me why I would want to work with elders. “Isn’t it depressing?” they say. I am always perplexed by this question. The elders I spend my time with every day are wise, funny, thoughtful, and beautiful individuals. No matter what our age, we are all
unique with our own quirks, temperaments and desire for independence and control over our own lives. Losing independence and control must be a very difficult and stressful process to endure. People of all ages react to stressors in different ways. A few reactions may be: anger, sadness, and isolation of oneself. Other reactions may be: acceptance of one’s perceived loss, striving to find contentment, learning new skills to fill that human need for meaning and purpose. We live in an intergenerational society. I encourage you to spend time with someone of a different generation than yourself. It is a rewarding and enriching experience for all involved. Let’s celebrate and honor our senior citizens every day. It’s a personal investment of time that reaps many unspoken rewards for all parties involved.
Are you or your loved one recovering from surgery or an illness and in need of intensive short term rehabilitation?
Now offering intensive short-term rehab services
The
Serving from the heart and caring for our community since 1926
Middletown Home
MM
999 W. Harrisburg Pike Middletown, PA 17057 717-944-3351
If you are interested in volunteer opportunities, please call me at 717-944-3351 ext. 4142.
www.middletownhome.org
FREE Cable, WI-FI & Telephone for Personal Care & Independent Living Residents
Women First Obstetrics & Gynecology, P. C.
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. Michelle R. Kostelac, PA-C Linda M. Woodin, CRNP 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
Because We Care Margaret M. Hawn, M.D. Kenneth J. Oken, M.D. Andrew Perrotti, M.D. Emma Cargado-Leynes, D.O. Parul Krishnamurthy, M.D. Richard Crispino, M.D.
Krista Rebo-Massara, D.O. Gerald F. Maenner, M.D. Katharyn L. Kraemer, CNM Elaine Y. Greene, CNM Sharon L. Jones, CRNP Karen Stilp, CRNP
• • • •
• • • •
Obstetrics & Gynecology Normal And High Risk Pregnancy Infertility Bone Densities
Laser Surgery Adolescent & Geriatric Gynecology Female Urinary Incontinence Robotic Surgery
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717-652-6605
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jan • feb 2015
27
Weight Loss Center Now Open in Silver Spring!
With help, you can achieve your best weight. When you have the support of an experienced team behind you, you can achieve your best weight. Our team will work closely with you to choose a medical or surgical weight loss program that works with your lifestyle and budget, enabling you to change your weight and change your life. Call (717) 231-8900 to register to attend a group information session.
Services offered include: Non-surgical weight loss programs, customizable to individual needs Bariatric surgery program designated as a Center of Excellence Weekly clinics and classes for on-going and professional support and education High-quality protein meal replacements to supplement weight loss plans “Better Plate. Better Weight.� demonstration cooking classes Support groups for continued success PinnacleHealth Weight Loss Center, Harrisburg 4315 Londonderry Road, Harrisburg PinnacleHealth Weight Loss Center, Silver Spring 21 Waterford Drive, Mechanicsburg
pinnaclehealth.org/weightloss