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DAUPHIN COUNTY EDITION JULY & AUGUST 2016
IN THIS ISSUE: FEEDING YOUR MIND & BODY
The Wisdom of a Cook
BRENDA TADYCH:
Breaking Training
DON’T SWEAT IT:
Cures for Gymtimidation
Rollin' On The River GIVEAWAY
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Photo: In The Moment Photography by Hollis.
Publisher’s Note A love affair with food We talk about it, we cook it, we enjoy it with friends. Food in all its varieties is such a part of our lives that we have decided to dedicate a portion of the July/August issue to it. I should clarify something: I have strong opinions about food, but I am not a food expert. I've never cooked in a professional kitchen. I've never even posted a restaurant review on Yelp. I simply know what I like. My grandmother’s roots were of Pennsylvania Dutch origin. What a spread Grandma Morley used to set out - so many "exotic" foods: chow-chow, apple butter, stewed rhubarb and pickled red beets. But nothing could compare with her wet-bottomed shoofly pie and crispy fried scrapple. Had I first stumbled upon them as a health-conscience adult I probably would have balked. After all, scrapple is made from pig "scraps" and shoofly pie is little more than flour and molasses. But how do I describe this overpowering obsession I have to reminisce about these dishes whenever I get the chance? What is it about food that draws us back to childhood and associations far more complex than the taste of food itself ? It’s often much easier to enjoy food than to write about it, but columnist Kathryn Baxter beautifully connects an intimate moment in her mother's kitchen with the emotional well-being of her family. Food connections in Erika Farber's column reveal her pleasure with cooking, but as she learned, a chef could be more than the sum of her ingredients.
Columnist Deb Becker's connection to food is more grassroots as she shares her dirty secrets about growing her own vegetables. Lonely strawberries, prickly vines and hungry preditors haven't dampened her inner earthmother. We've also gathered a wonderful collection of reader's favorite foods and cooking tips in this issue. I hope you'll enjoy their reminiscing and advice. I'm sure you'll have your own! It's true, foods go in and out of fashion. Some people claim gluten is our greatest enemy, but for others it’s plain old sugar, in any form. It’s common to see certain foods lauded as ‘superfoods’, while others are consigned to the wasteland of pop-nutrition’s disapproval: Eggs, sharing the dietary pariah spotlight with whole milk, salt, oil, carbs, and red meat. But this issue really isn’t only about food. You’ll find we delve into the deeper levels of health and well-being, fitness and family. In Part 2 of Brenda Tadych's journey to healthiness, we follow her path from pain to pleasure which leaves us anxious to hear what will be next for this tenacious lady. I’ve had fun working on this issue. So please, go ahead - devour it!
LOUISE SUKLE Editor & Publisher
EDITOR & PUBLISHER Louise Sukle lsukle@womannewspapers.com
CONTRIBUTORS Kathryn Baxter kathrynbaxter@gmail.com
CREATIVE DIRECTOR Julianna Sukle julianna@pressandjournal.com
Kathryn Baxter is a writer living in Brooklyn, NY. Find her online at womannewspapers.com/Kathryn-Baxter
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
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
Deb Baer Becker dbbecker2@yahoo.com
Erika Farber erika.farber@gmail.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-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
Erika has spent many years as a strong and independent force in both the restaurant business and online dating scene, and she has chosen this medium to share her successes and failures in both. Recounting the adventures that have shaped her life has enhanced her growth and ignited her passion for writing. Find her online at womannewspapers.com/Erika-Farber
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 JULY | AUGUST 2016 Woman Newspapers
3
Just call me
Mrs. Green Jeans
nspired by nostalgia for the pastoral Pennsylvania landscape of my youth, with its electric green corn fields reaching leafy arms in praise to the summer sun, and the scent of good earth, I planted my first garden here in the hardscrabble dirt that is Texas. I’d grown up during the 1970’s Eden that was the Lebanon Valley—green as far as a child’s eyes could see—goodness growing in neat rows, planted in quilt-like squares, within an empire of well-nourished Holsteins, all stitched to a backdrop of blue mountains and the Susquehanna River. A yearning for green hums it's melody inside me. So, when I set out to infuse my new six-by-six-foot raised garden bed with all of my green inspiration, I thought, I’m a natural! God’s gift to gardening. Just call me Mrs. Green Jeans. Now this new Mrs. Green Jeans did not have the Farmers’ Almanac, or a seed catalogue, nor any of the stuff that William Carlos Williams said depends on a red wheel barrow. She didn’t know which direction the sun shines on the garden; or that tomato plants like their lowest stalks free of leaves in the same way that Mrs. Green Jeans keeps her legs shaved below the knees; or that the spoilt milk in the refrigerator nourishes the garden with calcium. She didn’t know that stink bugs really do stink; or that a hundred mosquitoes hide in the celery plant, and bite her face. Too, Mrs. Green Jeans is not married to Mr. Green Jeans; she’s married to Mr. Golf Greens. That said, the Hubster built the garden, and offered more help, but I did much of the grunt work myself because sometimes I am an impatient and stubborn old witch. We’d spent more than two hundred dollars that summer on the wood, soil, fertilizer, plants, and the PVC pipe and widgets that my dear Hubster purchased to run water to the garden. My first summer’s crop yield? Six tomatoes that the USDA would have classified as marginally edible; one strawberry 4
Woman Newspapers MARCH | APRIL 2016
by Debra Baer -Becker
(some nocturnal thing with big teeth ate the rest); and a bushel of humungous but tasteless, pale and phallic cucumbers. That penis vine had spiky stalks, which shot forth strapping cucumbers and a million leaves with sticky tendrils, that leashed themselves to every living thing in and around the garden, even one of the dogs. My first garden failed, as do all ideas fueled by not much more than nostalgic idealism, rather than good old-fashioned working knowledge, earned by sweat and patience. One summer, when I was eleven, I’d befriended Mr. Struphar, a retired farmer who lived next door to our house in Bellgrove. Tanned face, furrowed brow, blue eyes smiling under the brim of his John Deere green cap—Mr. Struphar was the real Mr. Green Jeans. His garden held long rows of potatoes, peas, carrots, asparagus, garlic, onions; a whole cornucopia of good eating. He taught me how to shell peas by pinching the pod’s tip open, and then sliding the ten or so tiny green miracles into a bowl with my thumb. I learned that it’s okay to get dirt under my fingernails so long as I brushed it out and washed my hands for dinner. I still remember how to count to twenty in German, which he patiently taught me, his voice rich with a Pennsylvania Dutch accent, saying, “Eins, zwei, drei, vier, fünf, sechs….” I’m still earning my stripes, er, suspenders, to become a garden-savvy Mrs. Green Jeans. There’s a whole university of gardening and farming knowledge--and cow manure! How in the world did I forget to add nature’s fundamentally organic and truly magic soil conditioner to my hopeful garden? This year’s garden is pumping out some nice Juliet tomatoes, and jolly green peppers, a load of army-green kale, and peppery celery (which I add to everything I cook). Big Tooth is still eating the strawberries. When this summer’s crop is spent, I’m planning a fall garden with beets, more kale, and cauliflower! It’s good to be green!
Make your own estate planning decisions by jan l. brown, attorney at law
When it comes to taking care of ourselves and our families, who wants a total stranger to be making decisions for us? Who wants a stranger deciding who will care for our young children? Who wants a stranger deciding who will manage our finances or our children’s money? Who wants a stranger deciding what we can and cannot do, where we can or cannot live, what type of medical treatment we can or cannot get? Even if the stranger is thoughtful and trustworthy, most of us simply do not want a stranger to have that type of control and power over us, our families, our finances or our healthcare. Most of us want to make our own decisions on these types of issues. How can we avoid losing the right to make our own decisions? By planning ahead so that our decisions and choices will be legally enforced —by making sure our estate planning decisions are well drafted and properly documented. If you have young children and have not listed in your will the person or persons who you wish to take care of them in the event something happens to you, then a court or judge must make that decision. It may seem simple enough to you that if you died, your
parents or siblings would be able to take and care for your children but that isn’t the case. Without the legal appointment of a guardian for your children in your will or trust, a judge must choose someone to take that role. The judge’s decision is based on evidence, testimony and the judge’s own experience and wisdom. If there are multiple persons who want to take care of your children, the judge, not you, will decide who will be appointed and that decision is normally final. If people with young children had well drafted wills, the courts or a judge would not be involved and the persons you chose to take care of your children will be allowed to do just that. Would you like to choose who can manage your money if you are not able to do so or would you prefer a stranger, a bank or a court appointed attorney to take that role? Would you prefer to have family and friends involved in your care if you became incapacitated or someone you don’t know? If you don’t have a legal document in place showing that if you become incapacitated, you have chosen someone to act for you and what specific actions you have authorized them to take, then the court will decide who to appoint in that role. The court may appoint a family member, a friend, a bank, an attorney or an agency to take on those responsibilities, depending upon the situation. If family or friends disagree over who should act for you, the courts normally appoint a third party, like a bank or agency or
WHO makes the financial decisions in your house?
court appointed attorney, bypassing your family and friends completely. How can we avoid this situation? By taking charge of your legal decisions and making sure you have properly drafted Financial, Legal and Healthcare Powers of Attorneys documents. These are just a few of the numerous legal issues and choices that need to be addressed in your estate planning documents. Your choices and decisions should be incorporated in your legal documents to ensure that your individual choices and wishes will be followed. Without planning ahead and having your documents in place, these decisions, and often many more, are left for a judge to decide. Most of us do not want even the best of judges to be the ones making these decisions for us. So take care of
your estate planning and keep the control over yourself, your children and your finances. Jan L Brown and Associates is a law firm founded in 1993 to help families. The firm has over 46 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.
The Law Office for Older Persons Their Families
&
Jan L. Brown & Associates
80%
In of all households, it’s a woman.
Attorneys-at-Law
Jan L. Brown, Esq.
Practice Exclusively In: •E state Planning & Probate: Wills, Trusts, Powers of Attorney, Tax Planning, Special Needs Trusts
Jacqueline Kelly, Esq. CELA Certified Elder Law Attorney
We’re your market.
•E lder Law: Protecting Assets From Nursing Home Costs, Qualifying for Benefits, Incapacity Planning
845 Sir Thomas Court, Harrisburg 17109
(717) 541-5550
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
www.janbrownlaw.com
Christa Aplin, Esq.
Members of the National Academy of Elder Law Attorneys
JULY | AUGUST 2016 Woman Newspapers
5
MY SUCCESS STORY by Krystina Shultz
Accepting help
South Central PA. At that time, I owned only one suit, which my Grandfather had purchased for me several years prior for a Young Leadership Conference. After accepting the position with Dress for Success South Hello, my name is Central PA, the staff learned Krystina and I am the that I had a limited wardrobe Executive Assistant at for work and suggested that I Suits to Careers, Inc obtain a referral. I expressed which operates the concern about receiving Dress for Success South services from my place of Central PA program. I employment. My coworkers graduated from college pointed out that I had not yet in 2013 and moved back received a paycheck and was home to the Harrisburg expected to dress professionally area. Since I had gone to each workday. What really had college in Maryland, I an impact was when they asked had very few professional if I had the funds to purchase Krystina Shultz contacts in PA. Two professional outfits for work and months after graduating, I started a part-time my response was “No.” position as a Communications Intern. Several Even with the encouragement from my months later, I moved on to work part time coworkers, I still felt conscientious about with an event catering company. Even though needing help. I felt a little embarrassed about I was working, my income wasn’t sufficient needing help. Due to the encouragement and I was frequently worried about earning of my coworkers, I obtained a referral, and enough money to pay my student loans. scheduled a time to meet with a volunteer. I started searching for a full-time job My personal shopper was engaging and that would allow me to fully utilize my skills helped me select several outfits for the with a company that I would feel proud to workweek. We chose separates that could be work for. That’s when I came across an open easily paired in a variety of combinations. position advertised for Dress for Success At the end of my appointment I walked
WHERE TO FIND A WOMAN
Dauphin County
6
away with a big smile and a selection of beautiful clothes for my workweek. Soon after my suiting, I learned that several of my coworkers had been suited as clients either prior to applying for a position or immediately following their acceptance of a position. I felt more relaxed knowing that I wasn’t the only employee who had needed help at one time. Since my first day, I have contributed to the development of this organization. My responsibilities have increased and I feel confident in the work that I do each day. I have developed professional connections, both through my workplace and after hours at social events. In particular, I appreciate the experience I’ve gained thanks to my coworkers, who have supported my development for the past two years. I’m proud to be working with an organization that supports my community. I enjoy learning about our clients’ experiences and seeing how impactful our programs are for many individuals. I don’t engage with every client we serve, but I get to work with clients when they provide us with their story, join us for professional development workshops or return to our organization as volunteers. Dress for Success South Central PA strives to empower all of the women who walk through its doors, and I’m happy to be a part of that process.
HARRISBURG AREA Advanced Skin Care, Affordable Dentures, Allegra Marketing Arlington Optical, Aspire Urgent Care & Family Medicine, Associated Cardiologists, Auditor General’s Childcare Center, Baturin & Baturin, Bethesda Mission, Blue Mountain Family Practice, Broad St. Market, Bronstein Jeffries Prof. Assoc., Café Fresco, Capital Region Sleep Disorder Center, Central PA Oral Surgeons, Central PA Surgical Assoc., Colonial Dental Group, Colonial Park Animal Clinic, Colonial Park Diner, Colonial Park Family Practice, Concentra Medical Center, Cost Cutters, CPRS Physical Therapy, Crown Plaza Hotel, CVS, Dauphin Co. Dept. Aging, Dr. Richard Rayner Family Practice, Dr. Zuckerman, Dress For Success, East Shore Healthcare, East Shore Public Library, Elements Massage, Exit Realty Capital Area, First Choice Rehabilitation, Hamilton Health Women, Infants & Children’s Program, Girl Scouts In the Heart of Pennsylvania, Gold’s Gym, HACC, Hamilton Health Center, Harrisburg City Hall, Harrisburg Gastroenterology, Harrisburg Hospital, Harrisburg Mall, Harrisburg Orthodontics, Healthy Starts Pediatrics, Heinz-Menaker Senior Center, Hilton Towers, Innovations, Jan L. Brown & Associates, Jan’s Beauty Salon, Jewish Home, Kindred Place, Kline Library, Kline Pediatric Center, Kmart, Labor & Industry Building, LA Fitness, Leber & Banducci Plastic Surgery, Linglestown Chiropractic Center, Madden Physical Therapy, Mangia Qui, Manor at Oakridge, Mark Boland Cosmetic Surgery & Lazer Center, Mazda on Paxton, Mazzetti & Sullivan Counseling Services, Memorial Eye Institute, Mia Testarossa, Mynd Works Inc., New Passages, Noah’s Ark Animal Hospital, Orbit Salon, PA Coaltion Against Domestic Violence, Paint and Create, Party City, Patient First, Peachtree Restaurant and Lounge, PHEAA Building, Pheasant Hill Estates, Pinnacle Community Health Woman’s Outpatient Center, Pinnacle Community Hospital, PinnacleHealth CardioVascular Institute, PinnacleHealth Kline Health Center, Premier Eye Care, PSECU Childcare Center, Quest Diagnostics, Reiki by Ricki, Restore HBG Habitat for Humanity, Rhoads & Simon LLP, Rite Aid, Roman Catholic Diocese Charities, Salvation Army Harrisburg Capital City Region, Salvation Army Retail Store, Sam’s Club, Select Physical Therapy, Shining Light Thrift Shop, Silvers Dental Care, Social Security Administration, Spring Creek Rehab, St. Thomas Restaurant, Starbucks, State Capitol Building, Stratis Gaynor, Sutliff Chevrolet, Sutliff Volkswagen, Swartz Kitchens & Bath, Tan and Garcia Pediatrics, The Goddard School, Tristan Assoc., Vision Resources, Watkin, Freshman & Nipple Assoc., Weber Vision Care, Weis Market, West Hanover Winery, What If Café, WomanCare Resource Ctr., WomenFirst, YMCA, YWCA
Woman Newspapers JULY | AUGUST 2016
MY SUCCESS STORY is a regular feature sponsored by
AND
The mission of Dress for Success South Central PA is to empower women to achieve economic independence by providing a network of support, professional attire and 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: southcentralpa.dressforsuccess.org
STEELTON Daniel Kambic, MD, Steelton Pharmacy MIDDLETOWN Frey Village, Hairacy, Hardee’s, Hetrick Center, MASD, Middletown Home, Middletown Library, Middletown Pharmacy, Penn State Harrisburg, PinnacleHealth FamilyCare, Press And Journal Publications HIGHSPIRE 230 Café, Chubb’s Market, Highspire School Apts., Holiday Inn, McDonalds HUMMELSTOWN All About Faces, Capitol Foot, Gold’s Gym, Hilton Garden Inn, Kirman Eye, Rhoads Pharmacy, Soda Jerk Diner, Woodward & Associates ELIZABETHTOWN Elizabethtown Library, Now Wear This HERSHEY Bentley’s Courtyard Café, Cocoa Urology Associates, Dafno’s Italian Grille, Desserts Etc., Emerald Springs, Heritage Cleaners, Hershey Endoscopy, Hershey Grille, Hershey Ortho & Spine Rehab, Leo Frittelli Salon & Day Spa, Library, Merle Norman Cosmetics, Mohler Senior Center, OIP, Pain Management Center@Hershey Med, Penn State Med Group Fishburn, Starbucks @ Tanger Outlets, Tristan Associates, What If Café PALMYRA Columbia Cottage
PLEASE SEE PAGE 23 FOR CUMBERLAND COUNTY DISTRIBUTION
This is only a partial list. Please visit www.womannewspapers.com for additional locations.
What does family mean to you?
Open and YourHome. Heart and Home. Open Your Heart Become a Foster Parent. Become a Foster Parent.
by danielle bonham
I have been blessed. I grew up in a loving supportive home. I have a support system of family and friends. I have always had a place to call home. These are things I have to remind myself on a daily basis not to take advantage of. I am incredibly thankful for my upbringing because it has made me who I am today. Without the love, nurturing, sense of safety and mentoring I received I am sure life today would look quite different! Unfortunately, thousands of children enter foster care each year in Pennsylvania alone. 10, 948 children entered in the PA state foster care system in fiscal year 2014. Where do these children go? Too many of the children wait in shelters or temporary homes until someone like you steps forward and becomes a foster parent. There are many misconceptions about who can become a foster parent. If you are 21, can pass background checks, and have an extra room then you have met the minimum requirements. Foster parents come from all walks of life but they have one commonality… They want to help a child! Single, married, gay, straight, employed, retired, current parent,
empty nest, never been a parent…the list goes on and on. Do you love children? Would you like to make a difference? Do you have strengths that could help a child succeed? If you have let the news and media taint your view of foster care or if you have misconceptions of your eligibility I challenge you to look into it! A family is a gift that lasts forever! Pennsylvania Mentor is a leading private Therapeutic Foster Care Agency. For more information on how you could become a foster parent contact Danielle at 717-657-2073 x38 or visit MakeADifferenceAtHome.com
Learn more, Learn more, Call Danielle at Call Danielle at Learn more, 717-657-2073 call Danielle at717-657-2073 x38 x38 717-657-2073 x38 makeadifferenceathome.com makeadifferenceathome.com MakeADifferenceAtHome.com
Return of the eagle submitted by pride of the susquehanna
Despite objections from Benjamin Franklin, the bald eagle (often referred to as the American eagle) was selected as our national symbol on June 20, 1782. It is estimated that our national bald eagle population was about 100,000 in the 1700s. Only 500 bald eagles existed in the United States in 1960. Eagle populations had been steadily declining for almost 150 years. The heavy use of DDT and other pesticides had a significant effect on the bald eagle population because these chemicals inhibited successful reproduction by making the shells of the eagle eggs too thin to hatch. Only 30 years ago, Pennsylvania had a mere three bald eagle nests left in the entire state. Today, Pennsylvania boasts more than 250 nests. Federal legislation, including the Endangered Species Act and the Clean Water Act, has slowly helped bald eagles regain some of their former territory. On June 28, 2007, the Department of Interior took the American bald eagle off the endangered species list. Today, the bald eagle population is on the rise in both Pennsylvania and the nation and is one of the great wildlife conservation stories. Seeing a bald eagle in flight or tending its nest is something every Pennsylvanian should
experience and the chances of seeing a bald eagle in the wild now are greater than they have been in the last 150 years. Keep in mind, federal mandates prohibit anyone from approaching within 660 feet of any bald eagle nest from January 15 until young eagles fledge. Most people are able to identify an adult bald eagle without difficulty. Both male and female adult bald eagles have a blackish-brown back and breast; a striking white head, neck, and tail; and yellow feet and bill. Immature eagles lack the definitive color pattern of adults. Bald eagles soar on broad wings held in a flat plane. Their wingspan ranges from 72 to 90 inches. In flight, bald eagles can fly to an altitude of 10,000 feet. During level flight, they can achieve speeds of about 30 to 35 mph. Today, it is estimated there are over 9,500 breeding pairs of bald eagles. Once paired, bald eagles remain together until one dies. Nesting eagles lay from one to three eggs. If seeing a bald eagle sounds appealing to you, in many cases, they’re closer to your home than you would think. Maybe it’s time to plan a daytrip - it’s an exciting way to spend a day! The Harrisburg Area Riverboat Society is dedicated to teaching children, adults and seniors alike about the history, ecology and environmental issues concerning the Susquehanna River and our region.
Family Fun Nights An authentic stern paddlewheel riverboat
Princess Party CRUISES
Pirates ON THE PRIDE
City Island, Harrisburg • 717-234-6500 CHECK OUR WEBSITE FOR THE COMPLETE SCHEDULE AND DETAILS OF OUR FAMILY-THEMED CRUISES.:
www.HarrisburgRiverboat.com
JULY | AUGUST 2016 Woman Newspapers
7
The unseen benefits of pet ownership by laurie yost, playful pups owner
If you are fortunate enough to share your life with an animal, you know pet ownership is an incredibly rewarding experience. There may be more perks than simply returning home to your faithful companion at the end of a busy day. If you have a dog or cat in your life, studies have shown that you will live a healthier life with greater self esteem, lower levels of loneliness and depression, as well as improved fitness. Research shows that an only child who has a pet develops greater empathy, higher self-esteem, and has increased participation in social and physical activities. Researchers have also shown that therapy animals provide companionship to children with health or mental health problems. Additional findings show that interacting with a therapy dog reduces levels of pain and anxiety among hospitalized children, as well as increased focus and interaction among children with autism and other developmental disorders. In nursing home settings, interaction with visiting dogs has led to more socialization among residents and less loneliness. Other benefits are that pet people have a healthier
850 Milton Grove Road North Elizabethtown, PA 17022 717-689-3408 www.playfulpupsretreat.com
heart, stay home sick less often, make fewer visits to the doctor, get more exercise and are less depressed. Many studies look at the effect a pet has on the psychological well-being of a person who has health issues or is recovering from an illness or injury. Recently, focus has turned to the benefit of pets on the average person. Having a furry friend in your life will complement and enhance relationships with friends and family. Just thinking about your pet has been proven to make you feel as good as thinking about your best friend. It is true that owning a pet isn’t for everyone, especially if you have allergies or don’t have the time to dedicate to a furry, feathered or scaly family member. But for those of us who do open our home and heart to a pet, the rewards are immeasurable.
Approximately 650 older adults living in Dauphin County receive hot, nutritious meals delivered at their doorsteps Monday - Friday.
Meals on Wheels is a lifesaver Please help us in our efforts to protect older adults. For a Meals On Wheels referral in Dauphin County call
717-780-6130 1-800-328-0058 8
Woman Newspapers JULY | AUGUST 2016
The Meals on Wheels program is designed to satisfy the fundamental needs of food, health and safety. These meal deliveries are vital to senior citizens, not only because they provide proper nutrition, but also because our volunteers represent an important safety check and an opportunity to socialize. Dauphin County’s program, relies solely on volunteers to deliver the prepared meals to eligible older adults. More caring and capable volunteers are always needed. TO VOLUNTEER IN DAUPHIN COUNTY, PLEASE CALL (717) 255-2780
Dauphin County Commissioners Jeff Haste, George P. Hartwick, III and Mike Pries
New technology offers better mammogram submitted by ella health
A radiologist sits in her office peering closely at the image of a woman’s left breast on her screen. It looks like a field of snow with bright white patches and lines crisscrossing against a grey background. Amid the tracks, she notices something unusual. One of the bright white patches has an odd shape. It could be a fold of tissue from compression of the breast during the mammogram, or it could be an indication of cancer. The radiologist must now decide whether she needs to ask the patient to come back for more testing to get more information. Her job will be easier if she’s reading the results of a 3D mammogram that uses advanced technology some have called revolutionary. “With a 3D mammogram, we collect more information so radiologists have a better picture,” explained Colleen Curcio, Regional Director of Ella Health. “This helps radiologists find cancers and avoid having to call women in for additional testing that will show nothing is wrong.” During a conventional mammogram, images are taken from top to bottom and from side to side. With a 3D mammogram, also known as tomosynthesis, the machine moves in an arc around the breast taking multiple
pictures. From the patient’s perspective, the two exams are nearly identical. What’s different is the number of images and what happens next. After the exam, the pictures are compiled allowing the radiologist to easily get more information. If there are any questions or concerns, the radiologist can quickly get a closer look. It’s like being able to open a book
and page through it. The radiologist can look at the images around the suspicious area to determine how much of a concern it really is. She can also get a better view and find lurking cancers that might otherwise be hidden. Because doctors have more information, they are able to detect cancer 15 months earlier than traditional 2D screenings, research has
shown. “This is really important because the earlier we can detect cancer, the easier it is to treat it,” Curcio said. The advanced technology not only enables earlier detection, it also increases the number of cancers detected. With a 3D exam, the detection rate of invasive breast cancer is 41 percent higher compared to 2D alone. For women who have dense breasts, meaning they have more fibrous tissue, detection is increased by 50 percent. Significantly, recall rates are reduced by up to 40 percent. This means it is less likely that a woman will be asked to come in for additional testing. “Having a lower recall rate really makes a difference because getting asked to come back for more testing can be extremely stressful,” Curcio said. “We really don’t want women to have to go through a false alarm if it can be avoided. We want to give them peace of mind.” Ella Health is a woman’s care provider offering 3D mammography in a spa-like setting featuring cozy robes, on-time appointments and quick results. Colleen Curcio, who manages Ella centers in Langhorne, PA, Lemoyne, PA and Toms River, NJ, holds a license in radiology and mammography technology from the American Registry of Radiological Technologists and received training from Overlook Hospital School of Radiology in Summit, NJ.
advancing women’s wellness
Change your view of a mammogram Advanced technology • 3D screening for better breast cancer detection • Fellowship-trained, board-certified radiologists
3D Mammography
• Quick results, generally within one business day
1 Lemoyne Square Plaza
Comfort • Cozy robes and private dressing rooms
Suite 102
• Tea and coffee in a comfortable lounge with free WiFi
Lemoyne, PA 17043
• Soft music and aromatherapy
717-695-9464
Convenience • No referral needed, most insurance accepted
www.ellahealth.com
(on Camp Hill Bypass Road)
• In and out in 30 minutes; walk-ins welcome • Early morning, evening, and Saturday appointments • Free parking
JULY | AUGUST 2016 Woman Newspapers
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Elusive woman
Are you or loved one recovering from surgery or an illness and in need of intensive short term rehabilitation?
by paige faulk, lsw, family & community liaison, the middletown home
Now offering INTENSIVE SHORT TERM REHAB SERVICES Serving from the heart and caring for our community since 1926
The
Middletown Home
MM
999 W. Harrisburg Pike Middletown, PA 17057 717-944-3351
www.middletownhome.org
FREE Cable, WI-FI & Telephone for Personal Care & Independent Living Residents
If I look hard enough, I sometimes catch a glimpse of “her”. She is elusive and appears only when I slow down and take the time to watch for her. She is up in the very early hours of the morning, rain or shine. While most everyone else is still sleeping, she is slowly getting stronger day by day. She is mindful of her quiet surroundings at dawn as she exercises outdoors. Her mindfulness of the sound of her own feet hitting the ground as she jogs; the soft sound of the trees gently swaying in the wind; the feel of the cool breeze on her face; enjoying the stillness of a day that has not yet quite awoken to what inevitably will be a fast-paced day, a chaotic day. This elusive woman has learned to not let other people define who she is. She is comfortable in her own skin. She does not gossip about others. She chooses not to listen to gossip started by others. She believes gossip stems from fear of the unknown; not wanting to take the time to find out the truth; it stems from insecurity. She is not afraid (anymore) of what other people might think of her or her ideas. She is
not the construction of what society believes she should be as “the perfect woman”. “She” is unique. “She” is beautiful in her own way. “She” loves herself, regardless of her flaws. “She” is living fully in each moment. This elusive entity, is the person I strive to become each day. “She” may also be you. Live simply. Eat healthy foods (it is often less expensive than fast food). Love yourself. Strive for better health and inner peace. Know that you are beautiful just the way you are.
Women First Obstetrics & Gynecology
, PC
Because We Care. Margaret M. Hawn, M.D. Kenneth J. Oken, M.D.
“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
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Woman Newspapers JULY | AUGUST 2016
6475 Carlisle Pike Mechanicsburg, PA (717) 766-0872
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 • Laser Surgery • Bone Densities • Normal And High Risk Pregnancy • Adolescent & Geriatric Gynecology • Infertility • Female Urinary Incontinence • Robotic Surgery
Office Hours By Appointment | 717-652-6605
4700 Union Deposit Rd., Suite 140, Harrisburg 2025 Technology Parkway, Suite 309 Mechanicsburg 1000 Evelyn Drive South Wing, Millersburg | 300 Bretz Court, Newport
DON’T SWEAT IT
1. Make sleep a priority
How many of you have thought, I want to get into shape, but I don’t want to go to the gym and be out of shape? It’s like how do you get a job without experience, but how do you get experience without a job? The difference is, you have a choice. Don’t let gymtimidation stop you. What is gymtimidation? It’s being intimidated by the gym, more likely, the people IN the gym. Here’s the key… you are doing it for YOU and no one else. But if that’s not enough, here are some ways to feel more comfortable at the gym. You walk in all you see are beautiful bodies in bright tight fitting clothes, worn just to show off those bodies. You see men with muscles THAT HAVE muscles, women with long legs and perfect butts and people running fast and lifting heavier weights than you ever imagined. This is what you see, but what you probably don’t see are people just like you. A few or more pounds to lose, baggy shorts and t-shirts they found in the bottom of a drawer. These people are at the gym for the same reason you are…because they deserve to be. Everyone has the right to be healthy and feel good about themselves, it doesn’t matter if you don’t have a perfect body. The equipment at the gym can also be intimidating. Some of these machines look more like torture devices than exercise equipment. You don’t know how to operate them even by watching someone else use them, you still don’t know how
Getting seven to eight hours of sleep each night is critical for the produce hormones much weight to use, what setting isbody correcttofor you or even how to that trigger happiness, explains health and performance expert Matt Johnson. start and stop them. “I am a big fan of always going So how do you deal with these obstacles to your fitness?to bed with a positive attitude, ” heNot says.all“Ifgyms you are go filled to bed angry, worried or stressed, First, choose the right gym for you. with that tends to come back the next day. Do what you can before “meatheads” and girls named Amber. Some gyms are more laid bed to reset your mood. Read, take back and filled with people just like you. Shop around, take tours, a bath, exercise or talk face-to-face. Try to avoid screen time.” talk to friends, workout where you feel comfortable. Once you find a gym that fits you, hire a personal trainer or take advantage of an orientation, which will show you how to use the equipment. If you go through“Over an orientation, make sure family you get time all has vanished. Sporting the last 20 years, your questions answered.events, If you projects, hire a trainer, keep in mind you work and technology have swallowed this can just do a few sessions to learn equipment and learn whatface-to-face time is the time, ” saystheJohnson. “I think family exercises will benefit youmost most.important Remember this is your experience. part of a healthy family relationship and hapYou are doing this for yourself, piness.” for your health and for your self esteem. Johnson suggests planning family dinner two to three times Also consider the buddy system. Do youwe have a friend family as a family in the home, a week. “When start to eatordinner member who also wantsour to get into shape? Workout together, this ” he notes. health and happiness will follow, is a great way to feel more comfortable and also motivate each other. If the large groups of people working out intimidate you, choose a time that is less Whitespace crowded. Theseis will be in theto yourself to refresh, timeusually you dedicate morning or mid day. If unplug you haveand questions about exercise, exercise rejuvenate. This could be making time to do yoga, equipment or a healthyenjoy diet and have no onemeditate to consult,orthere a hobby, read, takeisa bath. always the Internet. While“People everything on the Internet is NOT who have hobbies andtrue, activities that give them balit’s a good place to start.ance tend to be happier,” Johnson says. “If your hobby is texting, So what is it goingchecking to be? Are social you going to doorwhat is right for media watching TV, this will set you up for a you or let people and machines, Thisthings is your are life; fine in short periods, but feeling ofgymtimidate emptiness.you? These you have nothing to prove to anyone, yourself. too much willexcept take away what life is giving us.”
2. Make more time for family
3. Carve out whitespace
4. Achieve work-life balance
With the expanse of the Internet and mobile commuting, workers are now connected more than ever before. But this connectedness can get out of control when answering emails 24/7, so work-life balance is important for overall happiness. “We all want to be successful, but with anything you need proper balance,” says Johnson. “If you look at professional athletes, the best ones try to find activities outside of their sport that help them stay hungry, engaged and excited. Find things that help you create balance in your life.” Johnson suggests: • Don’t check email after 8 p.m. • Go on a date night or family night • Exercise at a time that fits your schedule • Walk during lunch • Schedule a massage once a month
CURES 5. Fuel happiness from within FOR
“I believe we have more behavior and mental health issues than we should, and a big part of this is the lack of proper nutrients,” says Johnson. “The most important nutrient when it comes to brain health and mood is omega-3s.” America is one of the most deficient countries when it comes to omega-3s, with an estimated 91 percent of people not getting enough. “Adding cod liver oil to your diet can be a game changer for your mental health,” Johnson says.
GYMTIMIDATION 6. Embrace gratitude
Thinking of the things you are grateful for can have a dramatic
BY CRAIG W. ARMSTRONG effect on your satisfaction and overall happiness. Do this daily as you
wake up or make it a conversation you have with your children right before bed. “Telling yourself you are grateful for your health, family, friends, job and life gives you that pat on the back we all need,” Johnson says. “I also think we don’t tell people how much we appreciate them until they are gone. I encourage everyone to write a handwritten letter to one person each year who made a huge impact in their life. They may not know or maybe you don’t tell them often enough. My last letter was to my Mom. She is the glue in our family.” JULY | AUGUST 2016 Woman Newspapers
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The conversations in my head went something like this: “When you were 25, you could excercise for an hour before breaking a sweat! “But Brenda, that was half a lifetime ago! I was also 80 pounds lighter, and I worked 15 less hours a week!” I’m hard on myself, but that’s never going to change. I’m probably my biggest critic, but I’m also my biggest cheerleader. If you remember in my last column, I reported on my 3-phase quest to improve my overall health and wellness. All is well and balanced now with regards to my digestion, hormones and adrenals thanks to my naturopathy pilgrimage - the first phase of my selfimprovement odyssey. On to my next challenge: Exercise. Seriously? I was so depleted at the end of the work day I couldn’t imagine climbing on my NordicTrack or lifting weights. The treadmill I could handle maybe - but I was clueless about how fast to go or what incline I should be using. I weighed more and was post-menopausal and less active than I used to be so I had no idea what my safe and effective treadmill workout should be. That’s when I noticed a personal training business I had driven past at least a hundred times. For the record, regular gyms bore the heck out of me. Yet, through the window of this establishment, I could see people doing what, to my eyes anyway, seemed to be unorthodox workouts. It wasn’t crowded. There weren’t high-end, high-tech machines with built-in TVs or WiFi. Instead, there were pulleys, heavy bull ropes and people digging deep to hold their squat position against the wall for a few more seconds. I spied a man
swinging his leg back and forth over an orange pylon (surely that had to be harder than it looked!) Nevertheless, I felt a connection to this place. I got the go-ahead from my doctor and signed up for a month of training, twice a week for an hour each time. I wasn’t sure I could achieve my fitness goal in those eight hours, but it’s what I could afford and it was a start. My thinking was I could learn enough to continue to do those workouts at home when my month’s training was over. I put on my workout pants and began. The petite personal trainer looked like she could probably participate in an Ironman Challenge and kill it. She may have been empathetic to the bleary-eyed office workers like me who mustered their last ounce of energy to drag their overloaded brains and tired asses into the gym, but sympathetic? NO! She kicked my butt! I thought I would die when she told me that my warm up - my measly little five minute warm-up - was to be done on the elliptical machine! She had me doing crunches, squats, lunges and kicks. I used barbells to lift, press and pull. My inner fitness-lover pumped, jumped, lifted and pulled with all that I had - and I found I had more than I thought. Who knew I could curl 30 pounds? I felt it after every session, and there was a constant battle between Wanna-Be-Fit-Me and Forget-About-BeingFit-Me, but I always left thinking ‘YES! I pushed myself through another one!’ I struggled with my energy level in the beginning, but eventually my self-doubts morphed into positive reinforcement, thinking ‘look at me working out like a boss!’ After every session I left the building red-faced and sweaty with my hair matted to my scalp, yet I completed the month and patted myself on the back for surviving. At home, I now know how long to stay on the treadmill, what speed to maintain, and what incline to use. Taped to the door of my exercise room I have a list of dozens of moves I learned during my training sessions. Sometimes there’s a long stretch in between workouts, but when I do exercise, I can manage it for up to an hour. This physical challenge has definitely benefitted me, and I was pleased as can be that the dosage for my blood pressure medication was cut in half after getting back into an exercise routine. I’m almost to the point of managing it on my own with just 5 milligrams of prescription medication needed to stabilize it. One thing I have yet to find is more hours in my day, but I’m getting back on a moving and grooving path and one final wellness quest remained. My food consumption was going to have to be examined more closely. Stay tuned for Phase 3: “My Sugar Detox.” I gained employment in a position that called for long hours, sedentary and sitting at a computer. “I’m tired. I work, I eat, and I sleep. I’m tired when I wake up so no, I’m not going to get up even earlier to work out.” “How did you let yourself go? Everything would improve if you’d just get moving. Get up earlier if you have to!”
Trouble swallowing? by michael a. veliuona, md
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. Mahoney, M.D. Cortni J. Tyson, M.D. Michelle R. Kostelac, MPAS, 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
Dysphagia, or difficulty swallowing, is a common symptom presented to gastroenterologists. Patients may experience dysphagia to solid food, liquids, or both, and the type of dysphagia may suggest an underlying etiology. Diagnostic testing to evaluate patients with dysphagia symptoms include barium swallow performed by a radiologist and upper endoscopy performed by a gastroenterologist. Upper endoscopy is the preferred modality as it allows for direct visualization, biopsies, and therapeutic intervention such as dilation. The most common causes of dysphagia are esophageal strictures, eosinophilic esophagitis (EoE), or esophageal webs or rings. These causes of dysphagia are often easily treated with upper endoscopy and esophageal dilation or swallowed topical steroids in the case of EoE. Esophageal strictures often occur in the setting of acid reflux so anti-acid therapy is often required in addition to dilation. The most common type of esophageal ring is called a Schatzki’s Ring which occurs at the junction of the esophagus and stomach. A single dilation of the Schatzki’s Ring often provides longterm relief although repeated dilations may be
necessary in a minority of patients. The most serious cause of dysphagia in older patients is esophageal cancer. Patients typically report progressively worsening dysphagia to solids which then may progress to liquid dysphagia as well. These patients also often experience chest pain, poor appetite, and weight loss. Upper endoscopy is again the test of choice as it allows for diagnosis and biopsy. There are also motility disorders of the esophagus such as achalasia which can lead to dysphagia symptoms. These can be challenging to diagnose as the esophagus often appears normal on upper endoscopy, but a functional test called esophageal manometry may be helpful. Most causes of dysphagia can be successfully treated with esophageal dilation or medication. Patients with dysphagia symptoms should seek medical attention as a referral to a gastroenterologist for upper endoscopy may be necessary. Upper endoscopy (with or without dilation) is a relatively safe and easy procedure and often results in long-term relief of dysphagia symptoms.
Top 5 reasons why a message is beneficial submitted by elements massage
While massage is beneficial for everyone, we’d like to zero in on the health benefits of massage for women in particular. 1) Sleep on it. Massage has been proven to improve quality of sleep. Proper rest is vitally important for all of us. Sleep becomes even more important, and hard to achieve, if you’ve entered, or are about 0100HbgGastroAdsFeb2016.indd 1 to enter, menopause or peri-menopause. 2) Your immune system will thank you. With the wide array of germs that you come in contact with on a regular basis, your immune system could use a little bump. Because, let’s face it, when the many hats you wear go down for the count, it’s not pretty. 3) Feeling stressed? We’ve got a massage for that. In a 2010 study reported by The New York Times, participants who received regular Swedish massage experienced decreases in cortisol (stress hormone) levels, and increased oxytocin (trust hormone) levels. 4) Let it flow. Massage improves blood circulation, which benefits everything from your muscles and arteries to your organs. Proper circulation will help your memory stay sharp and your brain remains strong. It even
helps your skin to be healthy. 5) Massage helps keep the aches and pains away. If you’ve been the unlucky recipient of your dad’s arthritis, your mom’s scoliosis, or the constricted tendons that landed all over your family tree, you’re all-too familiar with the daily tightness and pain that comes with these body maladies. Receiving regular massage can help keep your muscles, joints and tendons loose and more supple. It can improve your 2/19/16 4:11 PM range of motion and help to lengthen muscles contracted by knots and tight spots. We know that taking steps toward maintaining your own health will ensure that you, and others, are enjoying your very best self.
Sessions include time for consultation and dressing. New clients only. May not be combined with any other offers or discounts. Limited time offer."Best" claim based on Net Promoter scores from 2013 via Listen360.com.
The best massage every time Harrisburg 717.746.6277 5072 Jonestown Road Colonial Commons Shopping Center elementsmassage.com/harrisburg
JULY | AUGUST 2016 Woman Newspapers
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BEST
MEAL EVER We can’t think of anyone who doesn’t enjoy food, but choosing a favorite can be hard — after all, there’s no shortage of options to choose from. It could be a childhood favorite, comfort classic, or even a sign of your culinary adventurousness. What’s yours?
Spicy chicken quesadillas with grilled corn guacamole. It’s my favorite dish because it’s one of the few things that every member of my family loves, and all three of our kids will change their plans to make sure they are home for dinner when we make it. There aren’t too many things that make me happier than when the five of us are all at the table at the same time. Teri Henning President, Pennsylvania NewsMedia Association My fave dish is my mom’s spaghetti with homemade sauce and meatballs. Her side of my family is Italian and the recipe was passed down from my grandparents. I remember loving to eat it even on hot summer days. I’ve since learned to make it myself and it always brings back great family memories of eating that meal all together growing up. Leigh Hurst Executive Director, Feel Your Boobies Foundation Soft boiled eggs over warmed homemade bread that my mother would make when I had a sore throat. She still makes it now when my son is not feeling well. Marsha Jackson, MA Associate Executive Director Cystic Fibrosis Foundation, Central PA Chapter
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Woman Newspapers JULY | AUGUST 2016
My favorite dish in the world, is made by my mother who is an excellent cook. Unfortunately, I did not inherit those same kitchen skills. As I’ve gotten older, I have come to truly and deeply appreciate the amount of time and energy that goes into making this meal: flank steak, mashed potatoes, peas and Béarnaise sauce. This has been a family favorite for as long as I can remember being physically able to eat steak. Dinner time was always a sacred time at her house; we always ate at the table, no exceptions. We always took at least three bites of everything, whether we liked it or not and we always spent time talking about our days. When flank steak was on the menu, it was guaranteed to be a longer meal, which my brother and I never complained about. Competition ensued when it came down to the last piece of meat and who was going to get to it first. Today, this meal continues to be a symbol of home and family time. The competition continues for the last piece of meat and has grown into a competition on who’s visit home will spark the cooking. AKA which child is truly the favorite. Dani Lavetan, MSW Senior Manager Community Events East Central Division, American Cancer Society, Inc.
The
WISDOM of a
C
K
What is the best cooking advice or tip you ever received? The responses to that question resulted in all kinds of common sense and witty advice ranging from the practical to hilarious. “Start simple, but start somewhere. Making a perfectly golden grilled cheese doesn’t get enough credit! Start with easy things, like scrambled eggs. Practice, perfect them, & then move on to something else. You don’t need to make 100 dishes perfectly, just work on making a handful really well.” - Katie Etter Jenkins (via Woman Newspapers on Facebook) “Betty Crocker. She taught me ’n my mom how to cook.” - Sharon Tighe (via Woman Newspapers on Facebook) “Have your favorite pizza place on speed dial!” - Kim Jones (via Woman Newspapers on Facebook)
“Marry a man who likes everything and doesn’t mind cleaning up.” -Louise Sukle, Woman Newspapers’ editor & publisher
“Always start out with a larger pot than what you think you need.” - Julia Child
“Last Thanksgiving I made the world’s worst pie. I mean a disaster of epic proportions. My Aunt Sally was like, “A little garnish of whipped cream and you should be good.” Then she looked at me and said, “You know ‘garnish’ is French for ‘f*ck up’, right?” That’s probably the best cooking tip I’ve ever heard.” - Jessica (via thekitchn.com)
“It’s all in the details, but that’s not something anyone told me; it’s just something I figured out over time. For example, searing meat properly, simmering something until it’s reduced, or seasoning something when you should season it. It’s amazing what a difference those little details make.” - Sara Moulton, cookbook author & TV cooking instructor (via thekitchn.com)
“Never eat more than you can lift.”
- Miss Piggy
JULY | AUGUST 2016 Woman Newspapers
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Nurse, oh nurse!
Re-enter the nursing field with a refresher class at HACC
submitted by hacc
They check your blood pressure. They measure your height and weight. They listen to your heartbeat. They perform routine exams and sometimes even prescribe medication. They are nurses and they are responsible for many tasks in health care. Fortunately, there are hundreds of nurses of different types. Types of nurses in the United States include: Compassionately • Licensed practical nurses. Nurses in this group typically have two years of training in nursing and have passed state and national boards. Many work under the supervision of physicians in offices, clinics and hospitals, HACC’s re-entry program for registered and licensed practical while others work under the supervision of nurses is designed for those who want to reinstate their nursing registered nurses in long-term care facilities. license or update their knowledge and skills. • Registered nurses. Nurses in this group usually have a bachelor’s degree in nursing, The 2016. Thenext nextclass classwill willbegin beginon onSept. Sept.12, 8, 2015. plus many hours of clinical experience. They may practice nursing or perform any number of jobs from educators, managers Visit hacc.edu/HealthCareers for more information. and executives to therapists, mentors and To register, contact Jolynn Achaj, program coordinator, researchers in a variety of settings. at jrachaj@hacc.edu or 717-221-1391. • Advanced practice nurses. Nurses in this group have a master’s degree or higher in nursing and may have additional certificates. hacc.edu They may practice as certified nurse midwives, 800-ABC-HACC Gettysburg Harrisburg Lancaster Lebanon York Virtual Learning 800-ABC-HACC nurse practitioners, clinical nurse specialists or certified registered nurse anesthetists. Lancaster Lebanon York Virtual Learning 800-ABC-HACC EOE-M/F/D/V ©2015 - 150526-401
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Woman Newspapers JULY | AUGUST 2016
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• Doctorally prepared nurses. Nurses in this group have a Ph.D. or another doctoral degree specializing in research and clinical nursing. Some practice nursing, while others teach and do research in the field of nursing. Although they are not technically considered nurses, there are other groups in health care that work alongside nurses and could be considered part of nursing. These include: • Nursing assistants. Individuals in this group may be certified and assist nurses in many ways from taking vital signs to providing hygienic care. Many work in hospitals and long-term care facilities. • Orderlies. Individuals in this group often help nurses transfer patients and assist them with other duties. • Technicians. Individuals in this group often perform duties typically associated with nursing, such as passing out medication or drawing blood. They may work as certified medication aides, phlebotomy technicians, surgical technologists and machine operators. Individuals who work in the field of nursing play many different roles. Whether a technician or a registered nurse, all are important and make vital contributions to health care and to the care of patients in general. They are heroes to many.
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once heard that it is considered "unhealthy" to have a "relationship” with food. I didn't realize what that meant exactly, and to be honest, I was a little worried. So many things in my life have hinged on and around food. Family gatherings, my formal (and sometimes not so formal) education, my career, have all grown from a foundation that was more or less built upon food. I found myself questioning the type of person who didn't have a relationship with it! By the time I was old enough to help out in the kitchen, a task I'd been impatiently waiting to have bestowed upon me for as long as I could remember, I was so proud and so excited to be handed a paring knife. To not only be entrusted with a sharp, dangerous object, but to assist in the preparation of dinner for my family made my 8-year old self feel so mature. With that trust my confidence grew and by the time I was 13, I had begun experimenting with recipes. Somewhere at my parents’ house is a picture of me as a teenager in our tiny kitchen in 1988, wearing big blue plastic eyeglasses, a tattered red apron, slouchy beige socks, and a floor length black velvet Jessica McLintock dress with garish lace epaulets. Although horribly embarrassed by the picture at the time, I now recognize that in that moment, I was in a place of unshakable concentration and contentedness. Then, as now, my kitchen provides me with a sense of adventure and a sense of tranquility all at once. There is a rewarding feeling of starting off with a pile of vegetables, cuts of meat or fish, maybe some cheese, a few eggs, and finding a way to transform them into a delicious meal that barely resembled the ingredients they started off as. This gives me a sense of accomplishment and completion that I’m not always able to achieve in other aspects of my life. The only time I ever lost the serenity gained from slicing, dicing and sautéing was when I chose to do it for a living. I'd envisioned myself as one of those hardedged, renegade, tattooed, female chefs, commandeering a kitchen staff of folks from all corners of the world, sniffing and rejecting produce, designing menus, all done with a foul mouth and a slight drinking problem. While partially true, this lifestyle's appeal had lured the younger me in, but once there, I found the job instead to be thankless and repetitive. I worked "behind the line" but the endless orders coming in relentlessly for hours on end, customers complaining about the temperature of their food or the flavor of the sauce all sucked the joy of cooking right out of me. After 7 years, I decided my career as a line cook was over. And I don't miss it. The other side of the restaurant business, marketing and special event sales management, was a far more civilized environment. Not only did my hours more closely resemble those of so many friends with "normal" jobs (less than 60 per week) but helping plan and celebrate a wedding, a baby shower - forming life-long memories over a delicious meal - gave me the rewarding feeling I couldn't have achieved in an apron and checked pants. The choice to do something else within the same industry helped to preserve my relationship with food as a healthy and happy one, and allowed cooking to remain something I chose to do for my loved ones. The years I have been able to spend in close proximity to professional restaurant kitchens has been an ongoing treat for me. It's like being backstage of a hit Broadway musical - everyone wants to see what goes on behind the curtain. Watching the choreographed dance that turns piles of raw ingredients into amazing creations for hundreds of guests, night after night, inspires me. And for all my years with a knife in my hand, I am still amazed by how little I know compared to them. In addition to being their co-worker, I am also a total groupie. I use the techniques I see them employ while I'm cooking at home. When I have a kitchen meltdown, I just know that sometimes things like this happen, and I am completely resolute. If only I had more faith and were more forgiving in other aspects of my life! For all of the control you strive for in the kitchen - as in life - sometimes, you just never know what’s going to happen. But, you keep moving forward anyway. Always learning, always evolving. Moments of happiness, moments of sadness. Adventure, surprise! And what a spectacular symphony it can all be! A whiff of cinnamon instantly transports me back into the pastry kitchen at school. The aroma of red chili paste and cilantro frying in sesame oil in a wok reminds me of many home cooked dinners shared with my best friend's Chinese family. A plate of cheese fries with gravy brings me back to high school after-practice snacks, and the much sought-after "poutine" during trips to Montreal as a young woman. I can't speak for anyone else, but my relationship with food has been one of the most exciting, fulfilling and healthiest relationships that I have ever had, and I look forward to us happily growing old together.
by Erika Farber JULY | AUGUST 2016 Woman Newspapers
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My Mother's Kitchen Today, I am watching my brother and mother prepare bagels in her kitchen. My brother reaches over my mother, looking for capers on the refrigerator door. My mother squishes the bagel as she tries to slice through it. I offer my brother some of the French press coffee I’ve just made. They joke with each other, smiling. Music streams out from my laptop. Steaks thaw in a baking pan next to the sink. The playful fuss in the kitchen warms me. We aren’t together often, normally based in cities far away from each other. We’ve come such a long way - literally and figuratively. Today, Mom has a new husband who shares her load and her life. They laugh a lot. They play a lot. He cooks for her. And they are just getting started. I have a hard time letting go of the last decade and a half. I still worry that her house will be taken away. The heart will break. The job will fall through. Though the title of my column may imply I’m going to share family recipes or recall warm childhood memories of watching my mom bake, it has little to do with feeling secure. It has not been an easy decade or so for this group. My mom has lived a dozen lives in this time span and my brother and I have shared roles of emotional supporter and friend to her through it it all. Despite the generosity and kindnesses of friends to whom she felt overly indebted, as a matriarch herself, Mom had to hold a lot in so things would go smoothly. For years, she’s had only a bedroom to herself and sequestering herself to that space was stressful, but it was her only repose
by Kathryn Baxter
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Woman Newspapers JULY | AUGUST 2016
How do I know my mother has her life back? She has a kitchen. For quite a while, she had to share kitchens with generous friends. Now it’s up to her where her dishes go, how the leftovers are stored, and how much wine should be kept in the refrigerator. She chooses the kinds of milk and fruits and cookies she wants. Right here, right now, in my mom’s kitchen, it feels like a new life. Or, maybe this feels more like our old life, catapulted into the present day - as though the intervening ten or fifteen years didn’t really happen. As though we never experienced the job losses and the foreclosure and the heartbreaks and the anxiety and the depression. Of course they happened. But today shows what resilience can bring. That, and luck. It is the great big silver lining. But enough of that! Today we’re going to barbecue steaks and tuna and lobster tails. We're going to drink champagne and beer and wine, and we’ll laugh and we’ll play games and we’ll tell stories. We might even swim in the pool. (Yes, there is a pool!) Today, Mom sits in her chair in their den, the room with the squishy furniture and the big TV. She talks about what we’ll have to eat tonight in celebration of her recent wedding and my birthday. This is what a good life looks like: an affordable mortgage, a playful and engaging partnership, a home to fill with souvenirs from her life. And a kitchen. Her kitchen.
Shop wisely for back to school supplies submitted by salvation army
Every year as the start of another school year approaches, parents make the mad dash for school clothes and supplies, dig deep into their pockets and nearly break the bank. If you find yourself doing this, don’t despair. There are steps you can take to make your shopping less costly. Take inventory - Look through the supplies and clothes your kids already have and write down the items that you need to buy or replace. Prioritize the items on your list, so if you have to cut back, you will know on what. Be savvy - Make a budget and stick to it. With your list in hand, estimate how much money you will need and bring that amount of cash with you. Leave your credit cards and checkbook at home so you won’t be tempted to overspend. Should you run out of money before you have purchased everything on your list, look through what you have bought and consider making some returns. Comparison shop - Browse through weekly circulars and newspaper ads to find out where the best deals are. While one store may have school supplies at bargain prices, another may have shoes and clothing at reasonable prices. Don’t try to save time by shopping for everything at one place. Chances are they won’t have everything on your list and you
will have to spend time running to another store anyway. Even if they do have everything on your list, you will probably have to pay more for certain items than you would elsewhere.
Shop smart - Take advantage of back-toschool sales and leave no avenue untouched in your search for clothing and supplies, including consignment shops and thrift stores. Even the garage sale down the street
Leave no avenue untouched in your search for clothing and supplies.
might have that backpack your kid wants and it may look brand new. Pay attention to the items you select, especially if they are used, and make sure they are in good condition before you buy them. Think durable - Purchase sturdy, durable clothing and supplies that will last. Kids can be rough on stuff. Try to find clothing and supplies that will stand up to whatever your kids dish out and be willing to spend a little more for durable goods. Don’t fall into the trap of choosing less durable goods to save a few bucks. If the item doesn’t hold out, you will have to buy another and will probably spend more for the two than you would have if you had bought the durable one. If you are lucky, some of the durable goods you buy may last into the next year. School clothes and supplies don’t have to cost you an arm and a leg. By buying what you need, watching what you spend and shopping wisely, you can save some money and still get everything your kids need for school. If you are able to help please donate to any of our 6 retail locations listed in our ad below. The Salvation Army, an international movement, is an evangelical part of the universal Christian Church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to preach the Gospel of Jesus Christ and to meet human needs in His name without discrimination. Call (717) 541-0203 to donate today.
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Paying retail is SO last year.
UNION DEPOSIT 3847 Union Deposit Rd. Harrisburg, PA 17109 LEBANON 2211 East Cumberland St. Lebanon, PA 17042
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HAPPY
We owe our Independence to those who fought for our freedom.
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America’s seniors submitted by american home medical
According to statistics, there are over 40 million seniors in the United States. A sliver of these comes from the G.I. Generation, some from the Silent Generation and most from the Baby Boomer Generation. Know anyone in their 90s? Chances are they come from the G.I. Generation, those who lived through and perhaps even fought in WWII. They were born anytime from 1901 to 1924 or so and came of age during the Great Depression. These so-called “good kids” sacrificed a lot to get where they are, experiencing many innovations in their lifetime, from cars to vaccines to space rockets. They are hardworking, loyal, self-reliant, conservative men and women. Know anyone age 70 to 90? Then you know someone from the Silent Generation. These “lucky few,” as they have become known, were born from approximately 1925 to 1945 and came of age during a time of peace and prosperity. They experienced a lot of stability early on, obtaining good educations, securing good jobs, earning good incomes, developing good marriages and so forth. These hardworking individuals also got a taste of war, as many served in the Korean or Vietnam War. The younger seniors in your life are probably Baby Boomers, those born after
WWII from 1946 to 1964. Unlike the generations before them, they rejected the traditional values of their parents. They were active advocates of change, though many are now conservatives. Most have done well for themselves and are either retired or looking to retire soon. Some are continuing to work, while others intend to work for as long as possible. These are the generations that currently make up the senior population in the United States. There are more Boomers than anyone else, and many are striving to age in place, working hard to maintain their good health and live at home independently for as long as possible. American Home Medical Equipment Company showroom is located at 2300-A Old Gettysburg Rd., Camp Hill, PA 17011. Please feel free to reach us by phone at 717-737-5584 or 717-761-9124.
V strites’ orchard
The event is hosted at the beautiful Strites’ Orchard and Farm Market. It is a special venue for a memorable evening. The menu, prepared by local chefs, represents a celebration of seasonal flavors supported by beverage pairings from local breweries and vineyards. Proceeds benefit the American Cancer Society.
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Woman Newspapers JULY | AUGUST 2016
Too hot in summer, too cold in winter? by david sattazahn
What if your car’s engine could only operate at full power? You would use up all your fuel accelerating to the speed limit, turn off the engine, and wonder at what point you have slowed enough to turn it back on. It is clearly not the most economical way to drive a car, and it is also not the most economical way to heat and cool your home. For years, residential furnaces and air conditioners have been single-stage systems. They came on, did their job, and then turned off. In drafty homes or in homes that struggle to maintain a comfortable temperature, a system may have to come on several times in an hour. Single-stage systems eventually paved the way for dual-stage systems which came on when needed but at a lower speed initially. They only sped up when the house was not warming or cooling fast enough. Variable-speed systems are now available, and they are the most efficient and comfortable way to heat and cool a home because they run at the lowest necessary speed to maintain the
ideal temperature. If it warms up outside in the summer, it will speed up for a few minutes before slowing back down. The same is true on a cold and blustery day in January when parts of your home are comfortable and others are cold. Because the system never actually shut off but rather runs more slowly all of the time, the temperature is more consistent throughout your home. By running for a longer time at a slower speed, the system uses less energy. For more information on variable-speed heating and cooling systems, contact Environmental Controls & Service in Elizabethtown, Pennsylvania, at (717) 689-5372. We use latest in heating and cooling technology and have since we opened in 1988. www.ecscomfort.com
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“I certainly will be pleased to tell my friends about the services you offer in this area. Many thanks!” - Rosemarie M. “We have been having trouble with the air conditioning and the technician took the time and thoroughly diagnosed the problem!” - Tom C.
E mergency S ervice 31 N. Spruce Street, Elizabethtown 717-689-5372 Toll Free: 877-465-2015 www.ECScomfort.com
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1 West Main Street, Hummelstown • 717-260-3711 www.allaboutfaces.biz JULY | AUGUST 2016 Woman Newspapers
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Exercise in pregnancy by deborah j. herchelroath, d.o. 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.
Bridget F. Berich, D.O., Gerald Woodward, M.D., John R. Mantione, M.D., Stephen Segrave-Daly, M.D. Deborah J. Herchelroath, D.O. Sandra Hoops, CNM Kristen Blocher, PA-C Kaitlin Zdilla, PA-C Please visit us at our new location:
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?
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Historically, pregnant women have shied away from moderate to heavy exercise. But recommendations have changed as recently as December 2015. The American College of Obstetricians and Gynecologists (ACOG) released two documents this past winter related to weight gain in pregnancy: “Obesity in Pregnancy” and “Physical Activity and Exercise During Pregnancy and the Postpartum Period.” Information for patients can be found at www. acog.org. Women with uncomplicated pregnancies are encouraged to engage in aerobic and strength-training exercises before, during, and after pregnancy. The recommendations are now for 150 minutes per week of moderateintensity aerobic activity (adjusted as medically necessary). ACOG even states that “pregnant women who habitually engage in vigorousintensity aerobic exercise (running or jogging) or who are highly active can continue physical activity during pregnancy and the postpartum period.” In general, activities that are considered safe include walking, swimming, stationary cycling, low-impact aerobics, modified yoga, modified
pilates, running, racquet sports, and strength training. Activities that should be avoided include contact sports (like touch football), anything with a high risk of falling (like skiing or horseback riding), scuba diving, skydiving, hot yoga, and hot pilates. Women who exercise during pregnancy may reap benefits including decreased risks of gestational diabetes, cesarean section and operative vaginal delivery (forceps or vacuum) and preeclampsia. They also usually have a quicker postpartum recovery. There are absolute contraindications to exercise in pregnancy, including bleeding, preterm labor, or hypertensive disorders. Be sure to discuss your situation with your own obstetrician.
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Woman Newspapers JULY | AUGUST 2016
Y
ou may not watch infomercials, but you have probably seen, if not heard, the ones advocating detoxification products. According to these, waste is not always completely eliminated from the intestines. Some, in fact, suggest that there could be anywhere from five to 25 pounds of waste lining the walls of the intestines. As this waste sits, it prevents the absorption of valuable nutrients and water, which can lead to the development of harmful bacteria and yeast. The toxins produced by these can spread throughout the body and cause a host of ailments, including bloating, constipation, cramping, dizziness, fatigue, headaches and liver disease. To eliminate the waste and reduce the risk of infection, the intestines must be flushed from time to time, right? That depends upon whom you ask. Experts generally agree that the intestines may retain some waste, on average 10 to 15 pounds. How to eliminate this waste, however, is a matter of debate. While some health professionals may laud the use of detoxification products, many are against it and advise the natural route is best.
The natural route involves taking simple steps to improve and maintain good bowel health. Regular exercise and proper nutrition are a must. Both will serve to keep the digestive system functioning well. Getting the recommended eight glasses of water every day and eating a well-balanced diet loaded with fruits, vegetables and whole grains will help ensure waste gets where it needs to. To aid digestion, eating products high in fiber and probiotics is recommended. These have healthy bacteria and yeast to speed up the process and push the waste through. Whatever method of cleansing appeals to you, speak to your doctor first. They should be able to advise you as to the best course of action based upon your current state of health. Colon cleansing through detoxification products is not an option for people with anemia, colitis, Crohn's disease, hemorrhoids or heart disease. It can also lead to anemia, bowel perforations, heart failure and malnutrition in some people. Take these risks into account and discuss the matter with your doctor.
By Tresa Erickson
JULY | AUGUST 2016 Woman Newspapers
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Woman Newspapers JULY | AUGUST 2016
H2O Myths By Tresa Erickson
Water is vital to life. Without it, very little can survive, including the human body. Obviously, you need to consume enough water to keep your body functioning well, but how much is enough? Eight glasses of water daily, right? Wrong. Although that may be the magic number for many people, including some doctors, there is no scientific evidence to support the fact that the body needs eight glasses of water per day. Water intake should be based on lifestyle. Here are some more myths surrounding the component vital to life. More water, fewer toxins - While some scientific studies show that water aids the release of toxins from the body, some don't. Drinking more water does not necessarily improve the function of the bladder and kidneys and speed up the excretion of toxins. What it does do is dilute the toxins and make them easier to excrete. More water, better organ function - Water is vital for organ function. No organ can function properly without the right amount of water for very long. Consuming more than the amount of water needed, however, will not improve organ function. The organs will use only what they need and the rest will be excreted. More water, lower weight - While it's true that drinking water might make a person feel fuller and eat less at the time, that doesn't mean the person won't feel hungry later and eat then. Drinking water to eat less does not necessarily translate into weight loss. The calories reduced by water intake might very well be made up later, reducing the chance of weight loss. More water, better skin tone - The skin needs water, just like every other organ in the body. Drinking more water, however, does not guarantee great skin, as very little of the water consumed ends up in the skin. There are no scientific studies to prove a direct correlation between increased water intake and improved skin tone. More water, fewer headaches - While drinking water will prevent dehydration, which can cause headaches, drinking more of it will not ward off headaches indefinitely. Headaches can arise from a number of conditions, from tension to health problems, few of which have anything to do with the consumption of water. There is very little scientific evidence touting the benefits of increased water intake. Rather than push yourself to drink the magic eight, why not just drink the recommended amount for your lifestyle and stay hydrated and feeling good?
Just do something! by barbara costik, administrator middletown lumber, inc.
Stretch your entire body one whole single length, deep breath in and out. Take one 81 mg aspirin for a healthy heart. Floss your teeth. Drink plenty of water throughout the day. Spritz yourself with some of your favorite summertime fragrance. Treat your feet to a pedicure. End your shower with a shot of very cold water. Have a small vanilla/chocolate twist with a waffle cone - has to be a waffle cone. Go to a summer artfest or a flea market or better yet an auction. Ignore gossip. Extend a helping hand to someone in need or simply open a door
for a stranger. Buy a beautiful card and write someone a personal message and actually mail it - even use one of the beautiful stamps that are available through the post office. Remember the post office! Clean the front of your sidewalk of weeds and sweep your sidewalks. Mow your lawn and enjoy the sweet smell of grass. Pick a vase of homegrown flowers. Hug your husband, children, mother, father, wife. Tell them you love them. Give your dog a bath outside. Let him shake all over you. Chug an ice cold beer. Hang your sheets on an outside line. Iron your pillowcases. Laugh. Smile. Cry. Do Something. Please call (717) 944-4005 or stop by Middletown Lumber, Inc. located at 2 Clinton Avenue, Middletown, PA 17057 for information.
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(Family Features)
Summer is a time for playground fun, camping, boating, swimming, biking and other fun outdoor activities. Playground falls, lawnmower accidents, campfire and fire pit burns are some common and potentially life-altering childhood injuries that happen during summer months. Darren Rottmann knows first-hand how easily accidents can happen, particularly in the summer months when outdoor activities increase. He lost his leg in a lawn mower accident when he was 3 1/2 years old. He was treated at Shriners Hospitals for Children, St. Louis, where he was fitted for different prosthetic legs as he grew. Despite his injury, Rottmann was able to walk then run, and eventually play baseball, basketball and football. Now 37 years old, Rottmann is a certified prosthetist at the same hospital where he was treated. He was inspired to help children the same way he was helped as a boy. Rottmann is helping Shriners Hospitals for Children encourage kids to become “Superheroes of Summer Safety” by learning and following a few simple rules of safe summer play. Here are some tips from Rottmann and Shriners Hospitals for Children to help your family enjoy a fun, injury-free summer. Go Outside and Play The physical and mental health benefits of outdoor play are great for children. It provides opportunities for exercise, creative expression, stress reduction and access to a free and natural source of vitamin D - sunlight. Before sending kids out to play, make sure they always wear shoes to protect feet from cuts, scrapes and splinters, and wear sunscreen to protect from sunburns and harmful ultra-violet rays. Playground 101 The Centers for Disease Control and Prevention report that emergency departments treat more than 200,000 children ages 14 and younger every year for playground-related injuries. Before your kids head to the playground, keep these precautions in mind: • Choose parks and playgrounds that are appropriate for their age and offer shock-absorbing surfaces. • Teach children that pushing and shoving on the playground can result in accidents and injuries. • Remind kids to go down the slide one at a time and to wait until the slide is completely clear before taking their turn. Teach them to always sit facing forward with their legs straight in front of them and to never slide down headfirst. • Remind children to swing sitting down. Encourage them to wait until the swing stops before getting off and to be careful when walking in
front of moving swings.
Make a Safe Splash While playing poolside may be a blast, Safe Kids Worldwide reports that drowning is the leading cause of injury-related death for children ages 1 to 4 and it is the third-leading cause of injury-
Darren Rottmann fits a patient for a prosthetic leg.
Mowing Matters Like Rottmann, thousands of children are injured in lawn mower accidents each year, some severely. According to the U.S. Consumer Product Safety Commission, an average of 4,000 children under the age of 14 were treated in emergency rooms for lawn mower-related injuries annually from 2010-2014. Lawn mower injuries account for a large percentage of accidental, partial or complete amputations, according to the American Academy of Orthopaedic Surgeons. To avoid accidents involving lawn mowers, keep these tips in mind: • Teach children to never play on or around a lawn mower, even when it is not in use. They should never be permitted to walk beside, in front of or behind a moving mower. • Children under 6 years of age should be kept inside the home while mowing. • Children should be at least 12 years of age before operating a push lawn mower and at least 16 years of age before operating a riding lawn mower.
related death among those under 19. Additionally, the University of Michigan Health Systems estimate that about 6,000 people under age 14 are hospitalized because of a diving injury each year, with one in five sustaining a spinal cord injury. Prevent accidents and injuries with these tips to ensure your family’s safety around water: • Instruct children to never swim alone or go near water without an adult present. • Give children your undivided attention when they are swimming or are near any body of water. • Always jump in feet first to check the depth before diving into any body of water. • Never dive in the shallow end of the pool or into above-ground pools. Fun on the Water Boating, tubing and other water sports can be great fun but can also be dangerous. According to the U.S. Coast Guard, nearly 71 percent of all boating fatalities are drownings, 85 percent of which are a result of not wearing a life jacket. Here is what you can do to enjoy the water safely: • Always have children wear a Coast Guard-approved, properly fitted life jacket while on a boat, around an open body of water or when participating in water sports. • Educate yourself. According to the U.S. Coast Guard, 86 percent of boating accident deaths involve boaters who have not completed a safety course. • Always check water conditions and forecasts before going out on the water. Fire Safety Simplified According to the U.S. Centers for Disease Control, 126,035 children ages 19 and under were seen in emergency rooms for fire and burn injuries in 2013. Use these tips to keep children safe around fires, fireworks, grills and other heat sources: • Teach kids to never play with matches, gasoline, lighter fluid or lighters. Make a habit of placing these items out of the reach of young children. • Do not leave children unattended near grills, campfires, fire pits or bonfires. Always have a bucket of water or fire extinguisher nearby whenever there is an open flame. • Take your child to a doctor or hospital immediately if he or she is injured in a fire or by fireworks. • Leave fireworks to the professionals.
New treatment options for common heart valve problem by mubashir a. mumtaz, md, facs, facc
Aortic stenosis is a crippling disease, dramatically affecting the quality of daily life. It is one of the most common, and also most serious, valve problems. Each year, approximately 100,000 people in the United States are diagnosed with severe aortic stenosis, according to the European Heart Journal. While some people with aortic stenosis have the condition due to an underlying congenital heart defect, more often it develops during the aging process when calcium or scarring damages the valve and limits the amount of blood flowing through the valve. Those suffering from aortic stenosis may not be aware of the symptoms, but friends and family members may notice a decline in daily physical activity or heightened fatigue. Common symptoms of aortic stenosis include: • Breathlessness • Chest pain, pressure or tightness • Fainting episodes • Feeling of heavy, pounding or noticeable heartbeats
• Decline in activity level or normal activities requiring more exertion Some people live long lives with mild aortic stenosis and never require surgery. But once the condition begins to affect the heart’s ability to pump blood, physicians may recommend repair or replacement of the aortic valve. Valve repair preserves the patient’s own valve and leaflets, whereas replacement involves inserting new tissue or a mechanical valve. In the past, the only way to repair or replace the aortic valve was through chest-cracking surgery. Unfortunately, some patients were too sick for open heart surgery and had to live with aortic stenosis for the remainder of their lives. In fact, one article in the New England Journal of Medicine estimates that 50 percent of patients at extreme risk for open-heart surgery will die from severe aortic stenosis within one year if left untreated. Fortunately, over the past 5 years, the field of cardiovascular medicine has advanced tremendously, now allowing repair or replacement through small incisions. One relatively new, minimally invasive procedure repairs the valve without removing the old, damaged valve. During this procedure,
It pays to protect your investment submitted by dove’s auto repair, inc. and dove’s auto repair east, inc.
Whether new or used, a vehicle is a big investment. Most people cannot afford to pay for a car outright and must make payments on it instead, usually for three to five years. Regular maintenance is a must to protect such an investment and extend the life of a vehicle. Without it, the vehicle can break down and require big bucks to repair. Remember, the moment you drive the vehicle off the lot, it is yours to care for. Read the owner’s manual and follow the recommended maintenance schedule. Regular oil changes and tire pressure checks are essential for keeping cars running their best and using as little gas as possible. Change your oil every 30,000 miles or as recommended by the manufacturer. You can do this yourself or have it done by a professional at a reasonable cost. Know the correct tire pressure and keep your tires properly inflated. To extend the life of your tires and ensure even wear, have them rotated regularly. There are many other components to a vehicle’s engine, and it pays to have them checked out from time to time. Again, follow the manufacturer’s recommended maintenance schedule. A quality mechanic is your best bet,
unless you have extensive knowledge of the workings of a car. A mechanic can check the air filter, brakes, fluids, exhaust system, battery and radiator, among other things. Regular car washes are another must. Bird and pest residue, tar and other substances can do major damage to a vehicle’s exterior over time. It pays to keep your new car clean, inside and out. That’s right. Take the time to vacuum and clean the interior. This is especially important if you have young riders. Greasy fingers and sticky foods and drinks can wreak havoc on interior upholstery and carpeting. Even with the best of care, vehicles can break down. You are the first line of defense in avoiding expensive repairs. Know your car. Pay attention to the way it sounds and feels, and at the first sign of trouble, get it to a repair shop. The smaller the problem, the easier and cheaper it will be to fix.
which is called transcatheter aortic valve replacement (TAVR), the physician guides a catheter containing a fully collapsible replacement valve through the groin up to the heart. When the new valve is expanded, the old valve leaflets are pushed out of the way and the tissue in the replacement valve takes over the job of regulating blood flow. While TAVR is approved by the Food and Drug Administration (FDA) only for people with symptomatic aortic stenosis who are at high risk for surgery, there are clinical trials available for patients at low and moderate surgical risk. For some individuals, TAVR may not be an option but that doesn’t mean that a large chest incision is in their future. Aortic valve repair and replacement surgeries can be accomplished by going in between the rib space without having to cut the rib or cartilage. This is called intercostal surgical aortic valve replacement (ISAVR). These minimally invasive procedures have shorter recovery times versus traditional procedures. Dr. Mumtaz is Chief of Cardiovascular and Thoracic Surgery, PinnacleHealth and Surgical Director of PinnacleHealth’s Structural Heart Program
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“l didn’t want my chest cracked open.” Mary Jo Aarestad, Carlisle, PA, learned that PinnacleHealth had the best surgeons for the stenosis in her aortic valve.
“I was adamant that at my age, I did not want my chest cracked open. Fortunately, they were able to offer me this new procedure. I was astounded when they told me that I could go home a couple of days later.” Faster recovery, more gardening. PinnacleHealth’s premier heart team is extensively experienced in minimally invasive surgeries, including TAVR and MitraClip. Call (855) BRKN-HRT for an evaluation.
At the heart of your good health. pinnaclehealth.org/cardiac