Transitions APRIL 2015 News Magazine Transitions, April 2015 www.transitionsnewsmagazine.com PA G E 2 Cat’s Meow Veterinary Hospital Asks The Question To Be Or Not To Be Spayed Or Neutered? It is that time of year again! If you have ever taken as many as 100 phone calls a week from people looking for someone to take kittens, the question of “altering” your cat would have an easy answer. “This really sweet cat just showed up at our house. It must have belonged to someone. It is so tame. We had to feed it because we felt sorry for it. It was hungry!” The “It” Transitions News Magazine Monthly publication, distributed free throughout the Horry, Marion, Georgetown, Counties. Copyright 2015, all rights reserved by Dale Publishing, Inc. Reproduction or use without writen permission is prohibited. All editorial submissions become the property of Dale Publishing, Inc. and cannot be returned. The contents of all submissions are for information and entertainment purposes only. This publication accepts no responsibility for the consequences of any actions taken from written or implied information within the contents of this publication. All material is copyrighted by Dale Publishing, Inc. and cannot be copied in whole or part without the written consent of the publisher. We reserve the right to refuse any editorial that is submitted to this publication. PO Box 2265 Conway, SC 29528 Phone/Fax (843) 397-9020 E-Mail [email protected] turned out to be a pregnant female. “Now we have a mother cat and 6 kittens to feed. What do we do now? We can’t keep all of these cats! We are not responsible because they are not really ours. We just feed them.” “I took in a stray kitten. It is a really cute little thing. It sleeps with me every night. I have had it several months now and guess what? This nice cat has started urinating all over my house. The smell is horrible! Somebody told me male cats would do that. I wish I had never decided to keep it. Do you want him?” “We decided to help out a neighbor and adopt a couple of kittens from them that had been abandoned in the woods behind their house. With no mother cat, we bottle fed the little Contributing Writers Dr Kimberly King Dr Jeffrey Horowitz Dr Keith Roach Dr Mark Schecker Dr Karl Hubach Dr James E. Turek Dr. Andrew Pearson Patrick Munro Diane DeVaughn Stokes Star Sade Kim Hurley Ted Cligrow Carole Bowdre Jim Morgan Kim Fowler Margaret Wadsworth, Esq. Natalie J Darby Deirdre W Edmonds Larissa Gedney Kristen Lies Shannon Kaiser Susan Grotenhuis Anjana Duff Owned/Published by Diane Dale Editorial/Composition Cindy Sudowski For Advertising Sales Call: Diane Dale.............222-6631 A Product of Dale Publishing, Inc. things until they could eat on their own. We became very attached to the little sweeties as part of our family. A year later, we have so many cats and kittens! HELP!! How did this happen?” “I found some kittens beside the road, I found kittens, kittens, kittens, kittens, kittens…. Can you take them?” Aaahhhhhh!!!! The Cat’s Meow Adoption Program, as well as all the other organizations in the area, become overwhelmed during “kitten season” (spring through fall). Can you understand how hard it is for those who truly love these furry felines to take these calls every day? The Cat’s Meow can take kittens for adoption, but we are a hospital. Our goal is to spay and neuter as many as we can! With only one adoption cage in our lobby, we more times than we would like, have to say no. Saying No is the hardest thing to do. You then worry what will happen to those cats/kittens you don’t have space for. When I hear comments like “They are not my responsibility”, I begin to wonder. If you have been feeding a cat for months, does that not make you its care taker? It depends on you to survive! You have already taken responsibility for it. I know people are trying to help out of the goodness of their hearts, and many may be working with limited funds. Cat’s Meow Veterinary Hospital is here to help! First, we would like to educate people on the consequences of failing to spay and neuter the strays they feed. “How did this happen to me?” HELLO!!! If you do not spay and neuter these cats, they will multiple. It is nature in full action. The feline reproduction statistics are staggering! A female cat can become pregnant as young as 5 months of age. We have babies having babies! Let’s say we have 2 uncontrolled breeding cats. A female can produce 2 to 3 litters a year with an average of 4 kittens per litter. If only 3 cats continue the breeding cycles you would have approximately 12 new kittens in one year. Then by the second year, those kittens and their kittens will have around 66 offspring. By the third year the numbers could reach over 2,000! Any way, you do the math, the population can soon be out of control! Oh wait! Let’s not forget all the other reasons for population overload. What about all the myths and mistakes? “I want my cat to have just one litter before we spay her. It will make her a sweeter cat.” “There is no reason to spend the money on spaying my cat. She will never go outside.” “I didn’t think he was old enough to be neutered yet. Someone told me that you needed to wait until they were a year old.” “My cat will get fat if we get it fixed.” ETC ETC! Cats will actually be healthier after being altered. For one example, females run a higher risk of ovarian and mammary cancers if not spayed. An unaltered male cat is very territorial and will mark his territory with urine and fight other males. Bite wounds will often result in the spread of the Feline Immunodeficiency Virus (FIV). Cats can also spread the Feline Leukemia Virus (FELV) to each other in several ways. Cat’s Meow Veterinary Hospital will always recommend testing for these viruses before you take in a stray, especially if you already have cats. There are many things to consider if a cat tests positive to one of these viruses. The veterinarians can help you make the right decisions for your situation. As for your cat getting fat - one of the main reasons our cats gain weight after being altered is simply lack of exercise. There are some hormonal changes, but basically, they are not much different than we are as we age. You must use all of the calories you take in or they turn to fat. Most of us over feed our cats. In nature, they have to work for a meal. Cat food manufacturers are aware of the many different nutritional needs of our cats and have formulated diets accordingly. Secondly, and most importantly, Cat’s Meow has Spay/Neuter clinics 4 days a week by working with all of your local non-profit cat rescue organizations. They have different packages to help everyone. We do more spays and neuters in a day than most hospitals do in a week. Keep in mind that Cat’s Meow is not a “non-profit” organization with large donations and fund raisers, or a federally funded project like the shelters. We do this out of our love for cats. Any monetary donations would be greatly appreciated. We would like to be able to help those people that may not be able to afford the costs of altering all the cats they have been feed- Transitions, April 2015 www.transitionsnewsmagazine.com PA G E 3 Considering how easy this recipe is, people really love this, and they’ll think you worked very hard! You don’t have to tell them... ing. We have been collecting aluminum and tin cans to help raise funds for years now. Feel free to drop cans (especially soda/beer cans) at Cat’s Meow. Please remove labels and rinse cans before bagging. It takes a lot of cans, but every little bit helps. If you are able to crush the cans, we can take a larger amount, which makes the trip more worthwhile to the recycle station. Lastly, we would like to thank those of you already helping by donating your time and money help- ing those in need to spay and neuter their cats. We so appreciate the food and litter donated for the kittens we find homes for. With everyone’s combined efforts, one day we may be able to cut down on the number of cats being euthanized every day in shelters. Please Spay and Neuter your pets!!! Kim Hurley, owner Cat’s Meow Veterinary Hospital 843-839-1999 Come Check Out Our New Larger Location!!! Cheesecake Crescent Rolls 2 cans of Pillsbury Crescent rolls 2 8oz packages cream cheese, softened 1 1/2 tsp vanilla 1/4 cup butter, melted Cinnamon 1 Cup Powdered Sugar Spread one of the cans of crescent rolls on the bottom of a 9 x 13 baking dish. Combine softened cream cheese, 1 cup sugar, and vanilla. Spread over crescent roll layer. Unroll and layer remaining crescent rolls over cream cheese layer. Melt your butter and spread over top of crescent rolls. Sprinkle with cinnamon and sugar. Bake for 20-30 minutes in 350F oven until bubbly and slightly browned. You can also drizzle with honey if you like. Maple Garden Mausoleum Pre-Construction Pricing Up to $500 Off April Special Extra 10% Off (Limited Time Offer) 1000 Hwy 544 Between Conway and Myrtle Beach 347-4909 Cemetery www.hillcrestcemetery.com Transitions, April 2015 www.transitionsnewsmagazine.com PA G E 4 Practical Tips for Special Needs Planning By Margaret A. Wadsworth, The Wadsworth Law Firm Those who are caregivers for special needs children or other family members are often so busy trying to take care of day to day needs that it can be difficult to find time to address the ever-present worry of “what will happen to my loved one when I am gone?”. Below are some quick tips for what to consider when planning for the future. I am also available to visit families in their homes to assist with planning needs. There is no extra cost for house calls that are within a reasonable distance from my office near Market Common. I also provide referrals to community resources that can help relieve some of your burden. Tip #1: The importance of planning. You know this already and it likely keeps you up at night, but there is no guarantee of public benefits such as Supplemental Security Income and Medicaid being available at reasonable rates for the full life of your family member. Fiscal pressures can cause state and local governments to shortsightedly cut back on resources for people with disabilities. However, you may be relieve to learn that even if you have a very modest income and resources, you can still plan ahead by paying into a life insurance policy that can fund a trust to care for your child after you are gone. Tip #2: Don’t disinherit the special needs family member. Well-intentioned people may recommend to you that you disinherit a special needs family member in order to protect their access to public benefits that pay for food, shelter, and medical care. But these benefits rarely provide for more than basic needs, and your disabled family member is often more in need of resources than anyone else in your family. Your family member can safely inherit without losing benefits if you include a special needs trust in your will. This is safer than simply leaving funds to another family member, such as a sibling, who will then be responsible for providing care, because if a caregiver becomes incapacitated or passes a way a trust ensures there will still be a structure in place to allow for the safety and well-being of your family member. A special needs trust basically creates a bank account to exist after you pass away, and names a person called a trustee who will be responsible for paying for bills and extras for your loved one. The trust provides detailed instructions for how the money should be spent. Tip #3: Don’t rely on siblings to use their money for the benefit of a special needs family member. Many families rely on their other children to provide, from their own inheritances, for a child with special needs. This is not a solution that will protect a child with special needs after the death of the parents or when siblings have their own expenses and financial priorities. For example, what if an inheriting sibling divorces or loses a lawsuit? His or her spouse (or a judgment creditor) may be entitled to half of it and will likely not care for the child with special needs. What if the sibling dies or becomes incapacitated while the child with special needs is still living? Will his or her heirs care for the child with special needs as thoughtfully and completely as the sibling did? Siblings of a child with special needs often feel a great responsibility for that child and have felt so all of their lives. When parents provide clear instructions and a helpful structure through a special needs trust, they lessen the burden on all their children and support a loving and involved relationship among them. Tip #4: How a special needs trust can help. A properly drafted special needs trust will preserve eligibility for essential government benefits while also providing for the comfort and well-being of your family member. Medical expenses not covered by insurance, training and education, special equipment and payment for maintenance of equipment, transportation, cell phones, computers, televisions, vacations and other extras can be provided for through a special needs trust. Again, if you are of modest means this trust can be funded through a life insurance policy. You can also ask friends and family members to leave money to this trust in their own wills. Tip #5: A special needs trust can be customized. A special needs trust needn’t be one size fits all but can instead be customized to your loved one’s needs and desires. You can allow for certain expenditures and restrict others. You can choose one or two people who will consult with the trustee to make sure your loved one is receiving excellent care, and you can build in options for how to replace a trustee if they are not fulfilling their role appropriately. You can name a social worker who can be part of the care team. Tip #6: This is a complex area of the law. It’s important to have an attorney who is experienced in this area of the law to ensure that a trust created from your own funds doesn’t not unnecessarily “pay back” Medicaid when you pass away. Generally, only trusts that are funded with money that belongs to the special needs person require this Medicaid pay back provision. Likewise, the rules applicable to special needs trusts and planning are constantly changing. For example, the Affordable Care Act now makes private health insurance an option for people with special needs. However, private insurance will still not cover the costs of long-term care and other services or equipment necessary for a loved one with special needs. Thus, even if the family chooses private insurance, the special needs beneficiary may still require Medicaid eligibility, necessitating a special needs trust. The new ABLE Act now allows for special needs individuals to finally have their own savings account, which is a very valuable tool but due to the amount that can be saved being “capped” is one more tool in the toolkit, but not a replacement for the lifetime security a trust can provide. Margaret A. Wadsworth The Wadsworth Law Firm 3691 Palmetto Pointe Boulevard, Suite 101 Myrtle Beach, SC 29588 House calls up and down the Grand Strand 843.798.1761 www.mwadsworthlaw.com Content provided by ElderCounsel, Excellence in Elder Law and Special Needs You can read articles by Margaret Wadsworth on Veterans Benefits at http://www.nolo.com/legal-encyclopedia/ veterans-disability-benefits Transitions, April 2015 www.transitionsnewsmagazine.com By Patrick Munro Long-Term Care Insurance: What You Should Know The median age of the United States population is at an all–time high. Adults over the age of 65 have surpassed the number of teenagers, and people in their 50s and 60s can expect to live longer than previous generations. As life expectancy continues to rise in the U.S., more and more Americans between the ages of 40 and 84, especially those in their mid-50s, are preparing for their golden years by purchasing long–term care insurance. What is Long–term Care? Long–term care refers to a wide range of medical, personal and social services. This care may include help with daily activities, as well as home health care, adult daycare, nursing home care or care in a group living facility. Long–term care insurance is one way to pay for long–term care. It is designed to cover all or some of the services provided by long–term care. When will benefits be available? Long–term care policies have an elimination period, which is the number of days you must need nursing home care or home health care before your policy pays benefits. A shorter elimination period will mean you pay a higher premium. A long–term care policy does not guarantee coverage unless you satisfy certain requirements. For example, most policies require that you be unable to perform a given number of daily living activities, such as dressing, bathing and eating without assistance How much in benefits will the policy pay? The benefit amount usually is a daily benefit ranging from $50 to $250 per day. You may choose a benefit period that is a specific number of days, months or years. A maximum benefit period may range from one year to the remainder of your lifetime. Are there exclusions? Every policy has an exclusion section. Some states do not allow certain exclusions. Many long–term care policies exclude coverage for the following: • Mental and nervous disorders or diseases (except organic brain disorders) • Alcoholism and drug addiction • Illnesses caused by an act of war • Treatment already paid for by the government • Attempted suicide or self-inflicted injury Considerations before buying long–term care insurance Whether you should buy long–term care insurance depends on age and life expectancy, gender, family situation, health status, income and assets. Do you qualify for Medicaid? As an older adult, you may qualify for Medicaid, which pays almost half of the nation’s long–term care bills. To qualify for Medicaid, your monthly income must be less than the federal poverty level, and your assets cannot exceed certain limits. Some states have long–term care insurance programs designed to help people with the financial impact of spending down to meet Medicaid eligibility standards. Key points to remember • Long–term care insurance policies cover a wide range of medical, personal and social services. PA G E 5 • Understand what must happen for a policy to begin paying benefits. • Understand the elimination period. • Understand the daily benefits provided. • Understand your coverage and exclusions. • Match your need for long–term care with your need to protect assets and your ability to pay premiums. • Understand how much your premium will be and how often it must be paid. • Your premium may increase after your purchase. So be sure to talk to us here at Northstar and go to www.retireright.info for more information. Consider setting a new direction in your life and contact Northstar Financial at (843)-448-7305 or go to www.northstarnavigator.com to secure a confident Retirement future tomorrow. You will be thankful you did! Patrick Munro Northstar Financial Advisors Answer To Super Crossword Transitions, April 2015 www.transitionsnewsmagazine.com PA G E 6 Pollen… It’s Back! Outdoor Living – Indoor Lifestyle: Enjoying the outdoors with less pollen mess & stress. By Ted Cligrow, Carolina Home Exteriors Living in the Grand Strand, we all love when spring finally makes its splendid entrance back into our lives. We also know that pesky yellow stuff is soon to follow. That’s right…pollen! It starts out slow, with just a light dusting over the cars and railings, then before we know it, BAM! There are mounds of yellow coatings everywhere. Our furnishings are covered, the house siding is covered, everyone’s vehicles are unrecognizably discolored and even the streets and waters are streaked in yellow hues. The most unfortunate part is that these are the perfect days you want to sit on your patio and enjoy the sun- shine, yet you just can’t justify facing the yellow beast. Let’s look at some facts about pollen and then learn how Carolina Home Exteriors can help you enjoy your outdoor living space with the luxuries and comforts of an indoor lifestyle even through all the pollen. DID YOU KNOW? • An estimated 50 million Americans are sensi- contined on page 21.................................... WARMER WEATHER IS HERE. Schedule Your Skin Cancer Screening Springtime has arrived and that means it’s time to schedule your annual skin cancer screening. You need a thorough skin check every year or sooner if you have noticed any changes to a mole or a new growth on your skin. At Inlet Medical Associates, we are experts in detecting skin cancer. To schedule your screening, call (843) 651-4111. KNOW YOUR MOLE ABCS A B C D E > 6mm one half doesn’t edges are ragged, shades of tan, bigger than a pencil spots that stick out match the other notched or blurred brown & black eraser above skin A=Asymmetry • B=Border • C=Color • D=Diameter • E=Elevation www.inletmedicalassociates.com Transitions, April 2015 www.transitionsnewsmagazine.com PA G E 7 Transitions, April 2015 www.transitionsnewsmagazine.com PA G E 8 Key Components OF An Estate Plan By Deirdre W. Edmonds, Attorney at Law Whether you are young or elderly, rich or middle class, married or single, you likely own something of value. It may only be valuable to you or it may also be valuable to others. It may be your home, a car or boat, a bank account, some stocks or bonds, a house full of furniture and knick 3UHYHQWLYH5HVWRUDWLYH&RVPHWLF70-7UHDWPHQW knacks, a stereo or a collection of vinyl record &(5(&® 7KH2QH9LVLW&URZQ albums. Whatever you own, regardless of its value, will “go” or “pass” at your death to someone else and become their property; their home, their knick knacks, their record album collection. You can direct who you want to receive your property at your death by executing a last will and testament; the first key component of an estate plan. You can also direct who you want to take care of your property while you are alive if you become unable to manage it by executing a durable power of attorney; the second key component of an estate plan. And, finally, if you are unable to make your own decisions because of some type of disability, whether physiCall 235-7580 Today! davidgrabeman.com cal or mental, you can direct who you want to be in charge of your medical &'D*XOODK:D\3DZOH\V,VODQG decisions by executing an advance medical directive; the third key component of an estate plan. Let’s assume you die and never execute a last will and testament. Then, subject to some limited exceptions, your property will generally pass at your death according to the laws of the state where you die. The persons who receive your property are referred to as your “heirs”. Most states’ laws set forth a list of “heirs” who take in a certain order of priority; heirs of the same degree or familial relationship usually take equal shares of your property. By executing a last will and testament, you choose who receives your property at your death and how much they receive. Otherwise, state law controls who gets what you own and how much. Most married people want their spouse to receive all of their property at their death. If you die without a will and have a spouse but also have one or more children, your spouse will not receive all your property; he or she will share your property with your children. So, your spouse could end up owning your home with his or her children or with your children, that is, with your spouse’s stepchildren. In either case, it may not be an ideal situation and may not be what you want. Ownership of your home by your spouse together with your children (or your spouse’s stepchildren) often causes a whole host of problems, some of which can easily be fixed, some of which cannot. You can eliminate The area’s first and Our non-profit organization this from happening by executing a good, valid only Hospice House last will. Not a homemade will, not one you get helps the whole patient: caring for people with off the Internet or at an office supply store. A Emotionally, Physically, terminal illnesses well-drafted, legally sound, properly executed Socially & Spiritually and their families will prepared by a seasoned estate planning lawyer. The old adage, “you get what you pay for” has never been more appropriate than with your will. A lawyer-drafted will is a must (and a Serving Horry, Georgetown & Williamsburg Counties • www.TidelandsHospice.Org topic for another day)! 888-922-3410 • 843-546-3410 Having a good, well-drafted will also makes Comprehensive Dental Care For Everyone! Get Your Mammogram Every Year As Recommended For Your Age I t ’s a b o u t l i v i n g yo u r l i fe Transitions, April 2015 www.transitionsnewsmagazine.com the probate process easier after your death. It allows someone to step up and take charge of your affairs, the person you select and name in your will as your executor (now most often called your personal representative). That person can very quickly be appointed by the local probate court and once appointed, have the authority to handle all of your affairs. With a welldrafted will, they will have more authority to act and do what is necessary than if you die without a will. Your will gives them added powers that state law only gives them through petitioning the court for authority, a time and expense that slows down the process and often leads to disputes and disagreements. In addition, without a will, state law controls who can be appointed by the court to handle and manage your affairs. With a will, you select who will be in charge. These are just a few of the important reasons to have this key component of a good estate plan, a last will and testament. The second key component of an estate plan, a durable power of attorney, is just as important as the first. A power of attorney is a legal document whereby a person (referred to as the “principal”) appoints another person (referred to as their “agent” or “attorney-in-fact”) to do and perform certain things for the principal. Without a valid power of attorney, if you become unable to handle your own affairs, it is very likely that no one will be able to handle all of the matters that need to be handled for you. These may include paying your bills, dealing with your mortgage lender, pension provider or social security, handling your life insurance policy, annuity, saving account or tax returns. All that personal business that we face day in and day out to keep our lives, our families and our homes moving forward for our benefit and our family’s benefit. The easiest way to make sure that someone can step in and handle all these personal, business affairs is to execute a good, broad, durable power of attorney. Without such a legal document, your family is faced with the only option likely available: petitioning the probate court for control over your affairs. Another costly, time-consuming lawsuit that is easily avoidable through your execution of a good, broad, durable power of attorney. Another job for a seasoned, estate planning attorney. And, last but not least, the final key component of an estate plan is a medical directive setting forth your wishes and desires for medical treatment. A directive that sets forth who should step in and direct your medical care (another agent) if you are unable to direct what you want at the time a decision needs to be made. And, also a directive that addresses end-of-life care should you have a terminal illness or be in a permanent state of unconsciousness. You can execute a health care power of attorney and select an agent to make health care decisions for you and give them broad authority but also direction by you as to your desires and preferences. You can state your desires and wishes and direct that your family and health care providers follow your wishes should you be unable to direct your care. Most people know what they want and have strong feelings about what they don’t want. Putting your wishes on paper in a proper legal document that has the force and control of law behind it helps insure that your wishes will be carried out. Making sure that you have these key estate planning components in place should you die or become incapacitated is important for all of us, no matter the nature or extent of our property and possessions. These key components provide you with the peace of mind that you have taken care of these important matters for your family and loved ones, that you have put in place your plan to protect your property and affairs for them. You have made it easier for them and have let them know your wishes and desires. It’s the least that we can do. And sometimes, it’s the most that we need to do. (The information provided in this article is for informational purposes only and is of a general nature. The information should not be construed as legal advice. If you have any questions about the subject matter of this article or related matters, you should consult with a professional advisor for advice. Deirdre W. Edmonds is the former Horry County Probate Judge and is the owner of The Law Office of Deirdre W. Edmonds, PA, located at 1500 Highway 17 North, The Courtyard, Suite 213, Surfside Beach, SC 29575. The Law Office of Deirdre W. Edmonds, PA focuses on estate planning, probate administration and litigation, disability planning and elder law. Contact Deirdre W. Edmonds via Telephone: (843) 232-0654; Website: www.dedmondslaw.com; and Email: [email protected].) PA G E 9 Announcing the Opening of the Law Office of Deirdre W. Edmonds, PA Estate Planning, Probate & Elder Law Attorney Former Horry County Probate Judge, for 12 years. Licensed attorney for over 27 years. Member, National Academy of Elder Law Attorneys (NAELA) since 1995. • Wills, Trusts & Powers of Attorney • Probate, Guardianships & Conservatorships • Trust and Estate Litigation • Elder Law/Medicaid Planning • Special Needs Trusts • Disability Planning 1500 Highway 17 N, The Courtyard Suite 213 Surfside Beach, SC 29575 843-232-0654 www.dedmondslaw.com Transitions, April 2015 www.transitionsnewsmagazine.com PA G E 1 0 Brothers and sisters……who love one another. Respecting Our Elders By Carole Bowdre, V.P. And Co Owner Of Myrtle Beach Funeral Home Everyone gets to be young, but not everyone gets to be old. This is a fact. When facing the “Golden Years”, we tend to complain and dread the aging process, but it is truly a privilege to live a long and storied life. The “Golden Years”, are not always kind to our physical beings- aging may make us weaker, prone to more diseases, less agile but maybe this is because of the wisdom we have gained over the years is much more important than the bodies we house it in. So why do we all so often not respect our elders? In traditional cultures, elders are honored and revered and fill a vital role in societies. In our American culture, where we are illusioned that we can maintain our youth indefinitely, we do not like to be reminded of the things our elders bring. Thousands of elders in our culture are victims of abuse by their own children or caretakers every year. Respecting our senior citizens is incredibly important in our society. Not only does it honor their lives, it is healthy for us to recognize the reasons to support and value those elders that have much to share and teach us. Recently this poem was emailed to me and it impacted me so much, I thought it was worth sharing. This poem was written by a woman who died in a nursing home, all alone and left nothing of value except this poem, which has touched the hearts of many. A young girl of Sixteen……with wings on her feet, Dreaming that soon now……a lover she’ll meet. A bride soon at twenty……my heart gives a leap, Remembering the vows……that I promised to keep. At Twenty-Five , now……I have young of my own. Who need me to guide……a secure happy home. A woman of Thirty……my young now grown fast, Bound to each other…with ties that should last. At forty, my young sons……have grown and are gone, But my man is beside me……to see I don’t mourn. At Fifty, once more,……babies play ‘round my knee, Again, we know children……my loved one and me. Dark days are upon me……my husband’s now dead. I look at the future…….and shudder with dread. For my young are all rearing……young of their own. And I think of the years……and the love that I’ve known. I’m now an old woman……and nature is cruel. ‘Tis just to make old age…….look like a fool. The body, it crumbles……grace and vigor depart. There is now a stone……where I once had a heart. But inside this old carcass……a young girl still dwells, CRABBY OLD WOMAN And now and again……my battered heart swells. AUTHOR UNKNOWN I remember the joys……I remember the pain. What do you see nurses?........What do you see? And I’m loving and living……life over again. What are you thinking………when you’re looking at me? I think of the years, all too few……gone too fast. A crabby old lady……….not very wise, And accept the stark fact…….that nothing can last. Uncertain of habit…….with faraway eyes? So open your eyes, people……open and see, Who dribbles her food……and makes no reply. Not a crabby old woman……look closer…….see ME!! When you say in a loud voice……’I do wish you’d try!’ We all have a story and if we are privileged, we will experience the aging process. It won’t be easy, it is a hard period in the lives of those that experience it, so try hard to age gracefully and appreciate every year you are given. I hope we all will remember the words of this poem when we meet an older person, do not brush them aside , try to appreciate the young soul within. Remember if lucky, we will all one day, be there too! The staff at Myrtle Beach Funeral Home and Crematory serves and meets with the elderly every day. We appreciate their contributions to society, we respect their wisdom, experience and perspective. We realize that the longer you live, the more you know about life and even more about love. Myrtle Beach Funeral Home and Crematory, 4505 Highway 17 Bypass S, Myrtle Beach, SC, 29577, a full service funeral home offering premier service with affordable pricing. 843.293.4505 www.MyrtleBeachFuneralHome.com Who seems not to notice……the things that you do. And forever is losing……a sock or a shoe? Who, resisting of not……lets you do as you will, With bathing and feeding……a long day to fill? Is that what you’re thinking?......Is that what you see? Then open your eyes, nurse……you’re not looking at me. I’ll tell you who I am……as I sit here so still, As I do at your bidding……as I eat at your will. I’m a small girl of Ten……with a father and a mother, Transitions, April 2015 www.transitionsnewsmagazine.com The Fear of Every Healthcare Provider… By Natalie J. Darby, Certified Legal Nurse Consultant Those of us who seek a position as a healthcare provider take on a unique responsibility. We have the capability to have the knowledge and compassion to take care of others when they cannot take care of themselves or their loved ones. It is a passion that only few have and others can only hope for. We go into our jobs daily with our routines of assessing, medicating and treating but how do we know it is all done…. WE DOCUMENT IT! Documentation is the key for medical professionals. If it is not documented, it is not done, but at the same time, if the documentation is insufficient it could be devastating if a patient’s outcome is bad. The fear of every healthcare provider is being subpoenaed into court for incorrect documentation or a med- THANK YOU FOR LETTING US SERVE YOU FOR 15 YEARS!! T h e 1 0 + Ye a r w r i n k l e f i l l e r Why use bellafill as your wrinkle and volume filler? Bellafill is distinctive and shows immediate results. Over time, the biocompatible microspheres in bellafill develop a “matrix” to support your own collagen and strengthen the layers that support your skin. Before Bellafill After Bellafill Why rent your filler when you can own it? 843-357-2444 Medical Skin Rejuvenation Call for your free consultation 843-357-2444 • www.dermavogue.net PA G E 1 1 ical error. Have no more fear, please mark your calendar to join me in my documentation class: Documentation In The Legal World to be on April 24, 2015 at 10am - 2pm at Canal Street Recreation Center at 901 Canal Street Myrtle Beach, SC 29577, Let me show you how, when and what to document. Review case studies of actual cases. Then let me prepare you in case you are ever called into the courtroom. Class fee is $50.00 and lunch is included. This class will benefit nurses, nursing students, EMTS, paramedics, Physician Assistants, Nurse Practitioners, Physicians, Respiratory specialists or anyone else who writes anything that becomes part of a medical record. Let me take the burden and fears from you so you can solely focus on the passion of your profession. If you have any questions or are interested please contact me at: 843-655-0947 or [email protected] or www.njdlegalnurse.com Transitions, April 2015 www.transitionsnewsmagazine.com PA G E 1 2 What’s Better, Baseball or Allergies? By Mark Schecker, M.D. Coastal Carolina Allergy and Asthma Associates With the first scents of spring in the air and warmer weather approaching, many individuals’ thoughts turn to baseball. And, of course, baseball is better than allergies, but unfortunately for some, the return of the “grand old game” coincides with the return of their not-so-grand old spring misery. At about the time the first pitch is thrown in spring training, pollen begins to appear in the air from pine, oak, elm, sycamore, and walnut trees. Because of its larger size and visibility the Pine pollen usually takes the rap for all of the grief, but it’s because of these factors that Pine pollen is not a major allergen. The other hardwood trees mentioned Transitions, above produce pollens that are microscopic and light; floating in the surrounding air where they are able to impact noses and eyes and do their allergy damage. In addition they can travel on the wind 50100miles from their source making it difficult to hide from their effects. In the latter innings of the spring grass pollens are the offending culprits. Like tree pollens, grass pollens are also microscopic airborne particles responsible for the sneezing fits, runny and stuffy noses, and itchy, watery eyes typical of a seasonal allergy. The most unfortunate allergy sufferers can have Asthma, which is like getting hit by a fastball to the chest. Here shortness of breath, wheezing, cough and chest tightness are the typical signs. Suffering, fortunately is not mandatory. A bullpen full of relief for allergy sufferers is available in many different forms. Of course, avoidance of the allergen is always most desirable; however, this is rarely easy or practical. Some helpful tips include staying indoors on high pollen days and avoiding outdoor activities in the early morning hours when pollen counts are at their highest. Also stay in air-condi- April 2015 www.transitionsnewsmagazine.com tioned environments because these units are excellent filters of airborne pollens, so keep your windows closed in your home and cars for clearer days. When avoidance is suboptimal, alternative treatment in the form of medications designed to control symptoms and allergy immunotherapy like shots can be used. Newer medications are much improved and many are now also available over the counter, but free of many of the debilitating side effects of their older over-the-counter teammates. Allergy immunotherapy like allergy shots is like getting vaccinated against allergies. This is the only allergy treatment that treats the underlying cause of allergy rather than just trying to control symptoms. Slowly, over time, symptoms disappear, freeing the patient from misery, serious complications and the need for frequent medication and their potential side effects. Eventually Allergy Immunotherapy can be discontinued and for many no further allergy treatment is required again. So don’t be a wimp this year and spend this season warming the bench, shut up in the dugout; get an allergist to help coach you to become a power hitting star and get you to the playoffs and series, allergy free. Dr. Schecker, a Board Certified Allergist, is the founder of Coastal Carolina Allergy & Asthma Associates. He is a Certified Take Shape For Life What Can I Do For You? • Screen cases for merit • Locate expert witnesses – Doctors, Nurses and other specialists • Write brief or comprehensive reports • Create demonstrative evidence/presentations • Organization and interpretation of medical records • Research standards of care • Define deviations from standards of care Natalie J Darby, LLC PO Box 32107, Myrtle Beach, SC 29588 Health Coach, a COPE Certified Health Coach, the co-founder of the Myrtle Beach Marathon and the founder of Camp Airwaves (a camp for children with asthma). Dr. Schecker has been recognized as the “Allergist of the Year” by the Myrtle Beach Herald (2005-2014). Hearing Problems? Allow me to handle the medical aspects of your medical and nursing related cases while you focus on the legal aspects, saving you time and money on Medical and Nursing related cases including but not limited to: • Medical and Nursing Malpractice • Toxic Tort and Environmental • Product Liability • Workers Compensation • Personal Injury PA G E 1 3 "Visit the Hearing Expert!" Dr. Kimberly King Board Certified Audiologist Specializing in the Diagnosis and Treatment of Hearing Loss ADVANCED AUDIOLOGY HEARING CENTERS 663-HEAR 4 3 2 7 Medicare and Most Insurances Accepted Beltone™ North Myrtle Beach • Surfside Beach Conway 843-655-0947 [email protected] • www.njdlegalnurse.com (featured in November, 2014 Women of Distinction Magazine) Monday-Friday 9am - 4pm www.AdvancedAudiology.us Transitions, April 2015 www.transitionsnewsmagazine.com PA G E 1 4 20 Inspirational Ways To Upgrade Your Life By Shannon Kaiser It seems everywhere you look these days, people are dishing out feel-good mantras and their take on what will make you happy. It can be overwhelming. After all, how do we really know what works versus what doesn’t? With life stress, chores and daily demands, it can be exhausting to cut through the clutter. Reaching happiness can be stressful, especially if you get tossed the wrong nugget of wisdom, which sends you spiraling backward. I’ve collected the best life advice to help you through any sticky patches. These 20 pieces of wisdom are good reminders to help keep a balanced perspective. 1. The sun will always rise. It is never too late to start over. 2. Children have great answers. Let them be your teachers. 3. Logic doesn’t solve problems of the heart. 4. Happiness isn’t outside of you. 5. Your heart will expand when it’s broken. 6. Do it now, before it is too late, because it will be too late. 7. If you feel pushed, you don’t have to make a choice. It’s not time to act. You will know when to say when. 8. Trust yourself. 9. Judging people for their choices says more about you than them. Compassion is essential for a peaceful life. 10. Love is greater than fear. Always choose love. 11. When you choose to be happy, it’s easier for others to be happy too. 12. Gratitude is the life force of everything. 13. It’s not life that matters but the courage you bring to it. 14. Comparing yourself to others makes your own successes and happiness scarce. 15. When you give without expecting anything, you increase your abundance. 16. Focus on what you want versus what you don’t. 17. People are who they are. Instead of trying to change them, accept them for who they are, as they are. 18. Freedom arrives when you release expectations. 19. Forgiveness has little to do with your past and everything to do with freeing up your future. 20. There is no there to get to. The journey is the real reward. Shannon Kaiser has been labeled a “New Thought leader on the Rise,” by Café Truth. She’s helped thousands of people worldwide through her private life coaching practice, articles, her bestselling book, meditation albums, workshops, courses, and her award winning website PlayWithTheWorld.com. She’s an inspirational author, speaker, travel journalist, teacher, and life coach who left her successful career in advertising several years ago to follow her heart to be a writer. She is the bestselling author of Find Your Happy, an Inspirational Guide to Loving Life to Its Fullest, and a six-time contributing author to Chicken Soup for The Soul. Photo Credit: Getty Images Transitions, April 2015 www.transitionsnewsmagazine.com A Spring In Her Step By Diane DeVaughn Stokes I met Reata and her husband recently at the Home Show and she said she went to CuraLase Laser Therapy after hearing my EASY radio commercials. Reata was a very successful realtor in Maryland before moving to Myrtle Beach two years ago. Her problem with back pain was related to a fall down a flight of steps 40 years earlier. Couple that with age and deteriorating discs, and you have debilitating pain that makes you want to lie flat on your back for the rest of your life. Reata found a great neurosurgeon in Washington who helped her tremendously, but the shots he gave her were excruciatingly painful. Then he did a minimally invasive procedure that disconnected the nerves in her back, but that only lasted a few years before the pain came back. He did the procedure again, and yes she got relief, but the pain returned a few years later. Now, enjoying her retirement in Myrtle Beach, she and her husband attended a CuraLase dinner seminar and were very impressed as Roger Porter, the inventor of this amazing laser, demonstrated it on a woman with chronic knee pain who was also at the event seeking help. “The seminar was very informative, and I went into it believing it would help me! The wisdom of age told me that once my back felt better, there were several things I may never do again like lifting heavy boxes or vacuuming, but there were lots of things I still wanted to do.” Sixteen treatments later, Reata is anxious to start her spring garden. She knows she needs to be careful, bending properly so as not to put pressure on her back, and sitting on a stool adjacent to her garden rather than hanging over it. However, she is excited to be tackling her favorite hobby with joy and zest. Reata has a renewed spring in her step! What are you waiting for? It’s time to walk the Boardwalk, the Marshwalk, the Riverwalk and the Harborwalk. It’s time to enjoy the beach and all the beauty of our beautiful community. But if pain is stopping you, attend one of the free dinner seminars that CuraLase offers each week. They are listed below. Just make sure you call 843-294-5273 to RSVP! Monday, April 6, 5:00 p.m. at Wahoo’s, 3993 U.S. 17 Business, Murrells Inlet Monday, April 20, 5:00 p.m. at Golden Corral, 10600 Kings Road (end of Hwy 22, across from Tanger Outlets), Myrtle Beach Monday, April 27, 5:00 p.m. at Ryan’s, 8671 Highway 17 Bypass South, Surfside Beach Who knows, after just a couple of treatments you may get back to living life to the fullest and get a “spring in your step” just like Reata. CuraLase Laser Therapy is located next to South Strand Medical Center, Highway 17 Bypass South in Myrtle Beach. Diane DeVaughn Stokes Owner of Stages Video Productions Host of “Diane At Six” on EASY Radio Host and Producer of TV show “Inside Out”, HTC Channel 4 And author of “Floating On Air- A Broadcasting Love Affair” PA G E 1 5 HealthCare AT A G LANCE Audiologists Advanced Audiology North Myrtle Beach Surfside Beach, Conway 1-866-369 HEAR (4327) Hearing by Design North Myrtle Beach 272-1486 Hearing Health Care Myrtle Beach 484-0981 Waccamaw Community Hospital 652-1000 Dental Carolina Center for Cosmetic & Restorative Dentistry Conway 248-3843 David E. Grabeman D.D.S., P.A. Aesthetic & Restorative Dentistry Pawleys Island 235-7580 Physical Therapy Flint Center (formerly Specialty Physical Therapy) Murrells Inlet 651-7513 Professional Rehabilitation Services Myrtle Beach 839-1300 Conway 733-3031 Surfside Beach 839-0163 Murrells Inlet 314-3224 Pawleys Island 235-0200 www.prsrehabservices.com Home Care Homewatch Caregivers Murrells Inlet 299-0291 Hospice Tidelands Community Hospice Horry, Geo., Wmsburg 546-3410 Hospitals Brunswick Community Hospital (910)755-8121 Carolinas Hospital System-Marion 431-2000 Conway Medical Center 347-7111 Georgetown Memorial Hospital 527-7000 Grand Strand Regional Medical Center 692-1000 McLeod Loris Seacoast 716-7000 Pain Therapy Curalase Laser Therapy M.B. 294-LASE Medical Inlet Medical Associates Murrells Inlet 651-4111 Retirement Living Morningside Assisted Living Georgetown 520-0319 The Lakes at Litchfield Litchfield 235-3777 Skin Care Dermavogue Garden City 357-2444 Weight Loss Metabolic Medical Centers Murrells Inlet 357-2851 Women’s Health Coastal Comprehensive Women’s Center Myrtle Beach 236-4330 Transitions, The Wadsworth Law Firm PROTECTING YOUR FAMILY April 2015 www.transitionsnewsmagazine.com PA G E 1 6 Coastal Podiatry Associates: Our Foot and Ankle Surgeons Wills, Durable Powers of Attorney, Health Care Powers of Attorney, Living Wills, Trusts, Medicaid, Special Needs Planning, Aid and Attendance Small Business Law Traffic Tickets Margaret Wadsworth, Esq. 843.798.1761 HOUSE and BUSINESS CALLS 3691 Palmetto Pointe Blvd, Ste.101 Myrtle Beach, SC 29588 www.mwadsworthlaw.com Foot and Ankle Surgeons: Specialists in Total Foot and Ankle Care Foot and ankle surgeons are podiatric physicians who specialize in the surgical and nonsurgical treatment of a variety of conditions that affect people of every age. A foot and ankle surgeon holds an advanced degree as a Doctor of Podiatric Medicine (DPM). Podiatric medicine deals with the bones, soft tissues, and function of the foot and ankle, as well as how podiatric conditions may relate to other parts of the body. Foot and ankle surgeons provide a wide range of care—from nonsurgical Dr Joseph Menn, Dr Scott Hamilton and Dr Scott methods to correct common podiatric problems to state-ofthe-art corrective and reconstructive surgical techniques. Why Choose a Foot and Ankle Surgeon? Intensive, focused training and indepth experience are what set apart the foot and ankle surgeon from other physicians. During their education and training, foot and ankle surgeons devote more time to a wide variety of foot and ankle procedures than do other surgeons. Because of this critical difference, foot and ankle surgeons are the most appropriate specialists to promptly diagnose and treat various foot and ankle conditions. A foot and ankle surgeon must complete four years of podiatric medical school and typically three years of a residency program in foot and ankle surgery. This residency is similar to — and integrates with — residencies for all physician specialties. During their residencies, DPMs receive training in internal medicine and general surgery in addition to their focus on the foot and ankle. Certification by the American Board of Podiatric Surgery (ABPS) ensures that the foot and ankle surgeon has completed appropriate training, successfully performed a diverse range of foot and ankle procedures with good surgical skills and judgment, and passed rigorous oral and written exams. Members of the American College of Foot and Ankle Surgeons (ACFAS)— a medical specialty society devoted to advancing foot and ankle health — are board-certified or in the process of becoming board-certified by the ABPS. The 7,000 members have dedicated themselves to continuing their training and excelling in the field of foot and ankle surgery for the benefit of the patients they serve. When Should You See a Foot and Ankle Surgeon? Most people have a foot or ankle problem at one time or another. So, how do you know when to see a foot and ankle surgeon? Sometimes it’s obvious that Werter you need to seek help, but at other times it’s less clear. In reality, many symptoms — even those you can tolerate — may require professional attention to keep the underlying condition from worsening. Some reasons patients see a foot and ankle surgeon, include: • An injury (a sprain, broken bone, etc.) • Swelling in your foot or ankle • A medical condition (diabetes, poor circulation, etc.) that can affect the feet • Impaired ability to function in certain activities • Heel pain in the morning • Discomfort after standing for awhile • Changes in the appearance of your foot • An abnormal growth Foot and ankle surgeons treat all symptoms and conditions affecting the foot and ankle, such as bunions, heel pain (plantar fasciitis), flatfoot, foot or ankle arthritis, sports injuries, tendon disorders fractures (broken bones), diabetes complications, ingrown toenails, neuromas, dermatological conditions, tingly feet, hammertoes, and much more. Contact us at 843-449-FOOT (3668) for an appointment or visit our website at www.coastalpodiatry.com. Coastal Podiatry Associates has four locations along the Grand Strand. Transitions, April 2015 www.transitionsnewsmagazine.com Spring is HERE!!! By Star Sade How are you feeling about your weight? It can be exhausting counting calories, weighing, measuring and questioning everything you eat or don’t eat. Then when you do not see the results you hoped for or “starved” for, it can become very frustrating! In fact, it can be detrimental to our confidence when we strive for something for so long only to keep letting ourselves down. When our confidence is affected everything is affected. Commitment to oneself is never easy. We know what we want but actually setting a goal and following through to reach that goal sometimes can be very hard, especially when we have children or our spouse eats differently (whatever they want to) or we have some major trauma in our lives... stress, lack of sleep and so many things that can get in the way of losing weight. Being overweight is a “growing “problem. The World Health Organization (WHO) recently stated that “65%” of the world’s population lives in a country where overweight and obesity kill more people than underweight,” and, “childhood obesity is one of the most serious health challenges of the 21st century. Obesity is now killing three times as many people as malnutrition according to a landmark study published in the British Journal, The Lancet. World leaders recently met at the United Nations to debate the obesity epidemic as a non – communicable disease that could be a “slow-motion disaster”! This is serious! This is your time to make a change in your body – right now! NO more excuses. Now is the time to learn what you need to know to lose weight and keep it off the healthy way! No one said it will be easy BUT it will definitely be worth it! Our program at Metabolic Medical Center will give you the knowledge you need for the rest of your life to lose the weight and keep it off. You will NOT have to Count calories … You will not have to Count points… But you can PA G E 1 7 Count on losing the weight and reaching your goals! It’s a healthy way to gain your confidence back and become the person you want to be. Give us a call 843-357-2851 Help us to change the world “One Body at a Time”! Metabolic Medical Center will create you a meal plan that will keep you satisfied and help you to lose the weight fast - the healthy way. Transitions, April 2015 www.transitionsnewsmagazine.com PA G E 1 8 With Warmer Weather, It’s Time to Lighten Up! frozen peas), the diced baby zucchini, the shredded or cubed chicken breast, and the lemon zest and juice; stir to combine, and allow the peas/zucchini to become crisp-tender and bright green in the hot stock, about 3-4 minutes; check to see if additional salt or pepper is needed. To serve, add about 1/2 cup of the cooked quinoa to a bowl, and ladle some of the soup with the veggies and chicken over top; sprinkle over some of the fresh basil, and squeeze in some additional lemon juice from the lemon wedge garnish, if desired. Easy Spinach Artichoke Quiche Cups 1 (14.5-ounce) can artichoke hearts, drained and chopped 1 package frozen spinach, drained 5 eggs, whisked 3/4 cup shredded mozzarella cheese 2/3 cup milk (any kind) 1/2 cup chopped white onion 1/4 cup grated Parmesan cheese 2 cloves garlic, minced 1/4 teaspoon salt 1/4 teaspoon pepper Preheat oven to 350 degrees F. Prepare 12 baking cups by either spraying them liberally with cooking spray, or lining them with paper liners. Stir all ingredients together in a large mixing bowl until combined. Portion the mixture into the 12 prepared baking cups so that they are all nearly full. Bake for about 20 minutes, or until the eggs are set and a toothpick inserted in the middle of the quiche comes out clean. Serve immediately. Lemony Chicken Stir Fry with Asparagus Serves 3-4 4 boneless, skinless chicken breasts, cubed Kosher salt, to taste 1/2 cup chicken broth 2 tablespoons soy sauce 2 teaspoons cornstarch 2 tablespoons water 1 tablespoon canola oil 1 bunch asparagus, cut into 2 inch pieces 6 cloves garlic, minced 3 tablespoons fresh lemon juice Lemon zest Salt & pepper Cook asparagus and oil in a skillet over medium heat for 3-4 minutes. When 1 minute remains, add garlic. Set asparagus and garlic aside. Season chicken with salt & pepper. Increase heat to high and cook chicken until browned. Set chicken aside and add soy sauce and chicken broth to skillet. Bring to boil for about 1 minute. And lemon juice, water, and corn starch and stir for about 1 minute. Return chicken and asparagus to pan. Coat with sauce. Top with lemon zest. Tortellini-Vegetable Bake Simple Lemony Chicken & Spring Veggie Soup with Quinoa & Fresh Basil Yield: Serves about 4 2 tablespoons butter 1 tablespoon olive oil 1 leek, quartered, white part sliced 2 carrots, peeled and diced small (if you can find multi-colored carrots, those are beautiful) 2 cloves garlic, pressed through garlic press Salt Black pepper 1 teaspoon herbs de Provence 4 cups chicken stock, hot 1 cup fresh English peas (or frozen peas) 1 cup baby zucchini, small dice 2 cooked chicken breasts, shredded or cubed (you can use rotisserie chicken for convenience) 2 teaspoons lemon zest 2 tablespoons fresh lemon juice 2 cups cooked quinoa 1/4 cup chopped, fresh basil leaves 4 lemon wedges, garnish Place a medium-large soup pot over medium heat; add in the butter and olive oil, and once melted, add in the sliced leek and diced carrots, and sweat for about 3-5 minutes, or until slightly tender and the leeks are becoming translucent. Add in the garlic, and once that becomes aromatic, add in a pinch or two of salt and pepper, and the herbs de Provence; stir to combine. Next, add in the hot chicken stock, and bring to a gentle simmer; cover partially with a lid, and cook for about 15-20 minutes, or until carrots are tender. Turn the heat off; add in the English peas (or 2, 9 ounce packages refrigerated cheese tortellini 1 1/2 cups fresh sugar snap peas, trimmed and halved crosswise 1/2 cup thinly sliced carrot (1 medium) 1 tablespoon butter 1 cup sliced fresh mushrooms 1/3 cup vegetable broth 2 teaspoons all-purpose flour 1 1/2 teaspoons dried oregano, crushed 1/2 teaspoon garlic salt 1/2 teaspoon ground black pepper 1 cup milk 1 8 ounce package cream cheese, cubed and softened 1 tablespoon lemon juice 1 cup quartered cherry tomatoes 1/2 cup coarsely chopped red or green sweet pepper (1 small) 2 tablespoons grated Parmesan cheese Preheat oven to 350 degrees F. Cook tortellini according to package directions, adding sugar snap peas and carrot for the last 1 minute of cooking; drain. Meanwhile, in a 12-inch skillet melt butter over medium heat. Add mushrooms; cook about 5 minutes or until mushrooms are tender, stirring occasionally. Remove from skillet. In a screw-top jar combine broth, flour, oregano, garlic salt, and black pepper. Cover and shake until smooth. Add to the same skillet; add milk. Cook and stir until thickened and bubbly. Add cream cheese; cook and stir until smooth. Remove from heat; stir in lemon juice. Stir tortellini mixture, mushrooms, tomatoes, and sweet pepper into cream cheese mixture. Spoon into an ungreased 3-quart rectangular baking dish. Bake, covered, about 30 minutes or until heated through. Sprinkle with Parmesan cheese. Transitions, April 2015 www.transitionsnewsmagazine.com Fruits and Veggies: Nature’s Natural Vitamin Supplements By Larissa Gedney, MS RD LD Travel down any health food aisle and you will find yourself inundated with rows and rows of vitamin supplements claiming to be the answer to all of your nagging health problems. Unfortunately, many of these supplements have not been evaluated or approved by the Food and Drug Administration (FDA) and some may contain levels higher than necessary or healthy. Luckily, adequate levels of most vitamins can be obtained through a balanced consumption of fruits and vegetables. Vitamin A: Vitamin A is an antioxidant that helps protect the skin and eyes as well as may improve immune function. Vitamin A has a toxic level of about 3,000 micrograms/day, however, this level is difficult to reach from food alone and is generally only a risk for individuals taking a vitamin A supplement. Vitamin A can be obtained from foods such as liver, beef, eggs, cheese, leafy-green vegetables, carrots, sweet potatoes and apricots. Vitamin C: Vitamin C is well-known for its immune function properties, helping with the formation of antibodies. It also plays a role in collagen synthesis, important for the formation of muscles, tendons and ligaments. Vitamin C is readily found in foods such as red bell peppers, oranges, grapefruits, spinach and strawberries. Vitamin D: Vitamin D helps metabolize calcium, which is necessary for bone growth and maintenance. In addition to sun exposure, vitamin D can be obtained from fortified products, such as milk and orange juice, pink salmon and sardines. PA G E 1 9 Vitamin E: Vitamin E is an antioxidant that helps protect cell membranes. It may also help protect against the development of certain cancers and Alzheimer’s disease. Vitamin E can be found in sunflower seeds, almonds, canola oil, sweet potatoes and hazelnuts. Vitamin K: Vitamin K is a critical vitamin needed to help with blood clotting. Some individuals on certain anticoagulant medications may need to monitor their vitamin K intake. Vitamin K is most commonly found in leafy green vegetables, broccoli and some oils such as soybean oil. The B-Vitamins: The B-vitamins work in several ways in the body, working as a co-enzyme and helping with the synthesis and metabolism of energy-yielding nutrients, such as carbohydrates, fats and protein. Many of the B-vitamins are commonly found in fortified grain products. Niacin is also found in chicken, turkey, salmon and eggs. Vitamins B6 and B12 are predominately found in animal products, such as fish, beef, chicken and cheese, so vegetarians may need to supplement their diet with these vitamins if they do not consume any animal products. You should always consult with your healthcare provider before taking a nutritional supplement. Because vitamins are readily available in the safest form from foods, individuals should aim to meet their recommended nutrient needs through a wellbalanced, healthful diet. Larissa Gedney, MS RD LD, Clinical Nutrition Manager, Conway Medical Center. Transitions, April 2015 www.transitionsnewsmagazine.com PA G E 2 0 TO YOUR GOOD HEALTH By Keith Roach, M.D. DEAR DR. ROACH: I enjoyed your informative article on spinal stenosis. I also have acute and chronic pain in my lower back. I am 75 years of age and have had vertebroplasty on seven vertebrae. I realize that my back will not be normal again. I am currently working with a doctor who uses osteopathic manipulation. He is suggesting prolotherapy in conjunction with the manipulation. I have tried the prolotherapy previously without any relief of pain. What is your assessment of prolotherapy therapy, or would you advise me to go to a pain clinic? The pain level in the lower back usually is about 6 or higher on pain scale of 1 to 10. I walk 3 miles every day in a grocery store using a small grocery cart. I am trying other exercises, even working on a balance ball. But it just does not seem to improve. I would greatly appreciate any advice you could give me. — D.R. Let's do this together! YOU CAN DO IT! • Lose Weight and Keep it Off (proven results for 15 years) • Gain Energy (regain youthful energy) • Reduce Health Care Costs (lower chance of diabetes, high blood pressure and heart disease) WE OFFER • Support and Guidance (you’re never in this alone) • Affordable Programs (something for all budgets) • Physician’s Speciality Care (weight loss is all we do) Metabolic Medical Center Look Great. Feel Great. Summer is Right Around the Corner! www.mmcdiet.com 4017 Hwy. 17 Bypass • Murrells Inlet, Myrtle Beach 843.357.2851 ANSWER: Prolotherapy is the injection of an irritant solution into a space, designed to stimulate healing and reduce pain. However, if it hasn’t worked for you in the past, it is unlikely to work for you again. On the other hand, some studies have shown prolotherapy to be modestly effective when combined with spinal manipulation. A pain clinic has several modalities available, including steroid injections and pain medications. Unfortunately, steroid injections have been shown to be ineffective in back pain that is due to spinal stenosis lasting beyond six weeks. It sounds like you are doing what you can with exercise. I think continuing with the manipulation and prolotherapy as a trial of six weeks or so is reasonable, and at that point you can continue if it begins helping. If not, you can try a pain specialist, as there are effective non-narcotic medications that may be of help, in combination with your continued exercise. However, I think that an experienced physical therapist may be able to guide your exercises more effectively. DEAR DR. ROACH: My husband drinks tonic water with quinine every day because he was told that it will help alleviate his leg cramps. He drinks as much as 1 1/2 quarts a day. Is that much safe? If not, what is a safe amount? — D.V. ANSWER: Many people have found that quinine relieves leg cramps. However, the Food and Drug Administration banned sales of quinine for leg cramps due to unproven effectiveness and the possibility of side effects. Quinine in large doses can cause abnormal heart rhythms, blood problems and even organ failure. However, the amount of quinine in tonic water is quite small, compared with quinine tablets. One common brand has 17mg in a liter, so your husband is getting about 25mg. The quinine tablets formerly prescribed for leg cramps were 200mg. Toxic effects are unlikely at the dose in quinine water. Some people are allergic to quinine, in which case even the small dose in tonic water could potentially cause problems. Your husband can keep on as he’s been doing if he finds that it helps. Dr. Roach regrets that he is unable to answer individual letters, but will incorporate them in the column whenever possible. Readers may email questions to [email protected]. To view and order health pamphlets, visit www.rbmamall.com, or write to P.O. Box 536475, Orlando, FL 32853-6475. (c) 2015 North America Synd., Inc. All Rights Reserved Transitions, April 2015 www.transitionsnewsmagazine.com PA G E 2 1 Framing The Smile By Jeffrey W. Horowitz, DMD, FAGD As many of you already know, the possibilities are endless for smile enhancement with porcelain laminate veneers. What many people do not know is that just like a beautiful painting, the smile must be framed. Simply adjusting or changing the frame can make a decent smile stunning. So what constitutes the frame for a smile? As you may have guessed, the gums and lips surrounding the teeth finish the smile. This is usually the point where I pull the stack of Cosmopolitan or Vogue magazines out to prove my point. I’ll ask my patients what they like about the smiles they see, and together we usually discover that it is more than just the teeth. Let’s talk about the gums. One of the most common problems we see is the gummy smile. The usual complaint is either “My teeth are too short” or “My gums are too big”. In fact, most of the time, both statements are correct. Gummy smiles can make the teeth look short and poorly proportioned. Even the most expensive veneer from the most prestigious ceramic laboratory cannot overcome a tooth that is wider than it is tall. For most, the ideal way to re-proportion the tooth is to increase the actual length. Sometimes a small amount can be added to the incisal (tip) edge, however for most gummy smiles the length must be gained by gum sculpting. Modern lasers have allowed this procedure to be accomplished in a short time, under only local anesthetic with little to no bleeding, and only continued rom page 6.................................. the pollen while allowing you to still enjoy the sun and fun of the outdoors. You are able to open the space to let in the fresh air when it is convenient and appropriate for you. Keep the pollen off of your furnishings and surroundings so you can relax whenever you want. A full glass enclosure offers even better protection! This way you can have a fully climate controlled environment with tons of natural sunlight to fill you up with happiness and that valuable Vitamin D we absorb. A Carolina Home Exteriors Sunroom is not only a wonderful place to enjoy the beauty of the outdoors, but it is a pleasant addition to your home but it also increases the total value as well. Sunrooms in the Grand Strand are a no brainer and can be enjoyed all year long. If you are ready to enjoy the spring season without the worry of pollen and allergies, contact us at Carolina Home Exteriors. We will be happy to meet with you in a complimentary consultation and offer professional ideas and advice on how you can overcome the issue of pollen and take back your outdoor living space. Just give us a call at (843) 651-6514 or feel free to visit our showroom at 11730 Hwy 17 Bypass in Murrells Inlet and check out our displays. You can also find us online at www.CarolinaHomeExteriors.com. Get in touch with us sooner than later, the yellow swarm will be here in the masses before you know it! tive to pollen • Pollen Counts: You can check local pollen levels through the American Academy of Allergy, Asthma & Immunology website http://pollen.aaaai.org/ • Most plants pollenate from 5:00 am to 9:00 am • Windy days make pollen seem worse • Rain doesn’t wash pollen away but spreads it even more, much like the wind • Pets pick up pollen and bring it into your home • Early spring pollen is mostly from trees, late spring and early summer from grasses and summer pollen is usually from the weeds DON’T GIVE UP – CHE CAN HELP! There are several outdoor living solutions that Carolina Home Exteriors can offer to overcome many of the hassles of pollen. You will be able to comfortably enjoy your outdoor living space during some of the best temperatures and prettiest days of the year. Many patio areas are wide open to the outdoors or possibly enclosed behind screen. This leaves you and your furnishing vulnerable to be polluted by pollen. Carolina Home Exteriors offers an outstanding product that is custom fit to your space to protect from this nuisance. Our unique four track vinyl slider system offers protection from minor discomfort afterwards. Taking this one step further, the gums are framed by the lips. If patient “A” and Patient “B” have identical tooth and gum anatomy but patient “A” has a short upper lip, while patient “B” has a long upper lip, patient “A” will have a more gummy smile. Subsequently, this patient would be treatment planned differently than the patient with the long upper lip. Patient “ A” might require gum sculpting or possibly Botox for the overly mobile lip, while patient “B” might just need more lip support from the veneers to keep the lip from coming so far over the teeth. With more and more patients seeking cosmetic dentistry, it becomes important for the consumer to know that there is much more to aesthetics than just fixing the teeth. ALL dental cosmetic procedures must include a comprehensive evaluation of not just the teeth, but all of the surrounding structures. There is an answer to almost every dental problem, as long as all of the diagnostic cues are addressed. A well-trained cosmetic dentist should be able to answer your questions about framing the smile, so don’t be afraid to ask. Dr Horowitz is a 1991 graduate of The Medical University of South Carolina, College of Dental Medicine and completed a general practice residency at the Mountainside Hospital In Montclair, N.J. He is a Fellow of the Academy of General Dentistry as well as a member of the American Academy of Cosmetic Dentistry, the American Orthodontic Society, The American Equilibration Society, The American Academy of Craniofacial Pain and The American Academy of Dental Sleep Medicine. He is in private practice at, and is the founder of The Carolina Center for Advanced Dentistry / Advanced Sleep and Breathing Centers at 1515 9th Ave., Conway, S.C. He can be contacted at (843) 248-3843 or via the Web at www.carolinacosmeticdental.com Transitions, April 2015 www.transitionsnewsmagazine.com PA G E 2 2 Iliotibial Band Syndrome By Kristen Lies, DPT lliotibial (IT) band syndrome is a common overuse injury experienced by runners and active adults. It typically presents as a painful area on the outside of the knee that can be tender to touch and often increases in pain with activity. The IT band begins along the hip crest where the tensor fasciae latae and gluteus maximus muscles join to form this tendinous band. The band then tracks over the hip, down the outside of the leg, crosses the knee joint and inserts just past the knee joint line on the outside of the lower leg. Dysfunction of this IT band often arises from poor biomechanics during repetitive activities such as running, cycling, etc for various reasons such as muscle imbalances and/or leg length discrepancies. One example of poor biomechanics that can contribute to IT band syndrome is described as a valgus knee position that people sometimes experience during the weight bearing phase of running. This valgus angle describes a position of the knee that is more medial (or towards the midline of the body) than the hip and foot during weight bearing. This position of the knee rel- Professional Rehabilitation Services, Inc. The Outpatient Physical Therapy Specialists Serving the community since 2004 Call for a FREE 15 minute consultation NEW CONWAY LOCATION NOW OPEN We specialize in treating, Sports-related injuries, Orthopedic injuries, Neurological problems, Balance problems, Back & neck pain, Joint-related disorders, Repetitive strain injuries, Post-surgical recovery, Golf injuries Are You Suffering from Pain or an Injury? Don’t let pain or injury compromise your competitive edge. We offer a full range of physical therapy and rehabilitation services to get you back on track. NOW OFFERING DRY NEEDLING FOR PAIN BY CREDENTIAL PROFESSIONALS Pawleys Island Murrells Inlet Surfside Beach Myrtle Beach 38 Business Center Dr. Pawleys Island, SC 29585 4731 Hwy. 17 Bypass Murrells Inlet, SC 29576 (843) 235-0200 (843) 314-3224 3076 Dick Pond Road (Hwy 544) Myrtle Beach, SC 29588 1301 48th Ave N, Suite D (Intersection of Hwy. 17 Bypass & 48th Ave., N) Myrtle Beach, SC 29577 (843) 831-0163 (843) 839-1300 NEW Conway 2676 Church St., Unit D-2 (US-501) Conway, SC 29526 (843) 733-3031 WWW.PRSREHABSERVICES.COM Dr. Brian P. Kinmartin. PT, DPT, PCS, STC, CWcHP. • Richard A. Owens, Jr., PT, MS, OCS, Cert. SMT, CwcHP. • Dr. Richard DeFalco, DPT, OCS, CSCS, CWcHP. ative to the hip during repetitive activities such as running causes significant stress and strain to the IT band. This strain multiplied by the thousands of times that individuals will take a step can lead to undue muscle tension and tightness, known as myofascial restrictions. These myofascial restrictions present as palpable taught muscle bands or even knots known as trigger points that can also be tender to touch. They can occur anywhere along the length of the IT band and cause tension and tightness resulting in strain, inflammation and pain where the tendon inserts into the bone just past the knee. Once an individual develops symptoms related to IT band syndrome, it is helpful to see a Physical Therapist for evaluation to decipher what might be their specific impairment leading to poor biomechanics and this particular overuse injury. One common cause of the valgus knee position during weight bearing is weakness present in the muscles located on the outside of the hip. When these muscles function properly, they aid in maintaining a neutral knee position while an individual weight bears on one leg. If there is weakness present, these muscles will stretch and allow the knee to translate medially (or towards the midline of the body) leading to the valgus knee position. Another cause of this valgus knee position can be located on the opposite end of the chain, the foot. If a person has more of an unstable foot, where the arch collapses during weight bearing, this causes the lower leg, and thus the knee, to translate into the valgus leg position when bearing weight on one leg. If either or these factors are found to be causes in the case of an individuals IT band syndrome, the physical therapist can direct the individual with appropriate exercises to help strengthen and stabilize where necessary to reduce strain on the knee. Transitions, April 2015 www.transitionsnewsmagazine.com “Hear’s” to YOU! The Beltone Legend By Dr. Kimberly King Advanced Audiology & Hearing Aid Centers Beltone, a world renowned hearing aid manufacturer is celebrating a milestone company anniversary, and we are excited to introduce their leading edge hearing innovation. Beltone’s “Legend” demonstrates their ongoing commitment to put the latest science and technology into service for the hearing impaired. With support for Made for iPhone hearing aids built right into Apple iOS devices, users can answer and talk on the phone, make Face Time calls and listen to music in high quality stereo sound. They can also easily access hearing aid features from within the device itself, including volume, battery life, presets, and Live Listen, which uses the iPhone’s built in microphone to deliver sound to the hearing aid. Two ground breaking Beltone “Legend” features are uniquely designed to help users build a threedimensional sound picture in their brain, making it easier to focus on conversations. • Personal Sound ID mimics the natural sound level difference between your ears, which can help users identify where sounds originate. • CrossLink Directionality enhances sound quality by monitoring the sound environment and automatically selects the most natural speech focus settings. In addition to addressing the biomechanical causes related to muscle imbalances, it is imperative to address the myofascial restrictions present in the IT band in order to increase soft tissue extensibility, reduce inflammation, and decrease pain. Soft tissue restrictions will be addressed through various techniques such as foam rolling, soft tissue massage, and/or dry needling as well as therapist instructed stretches to most appropriately address the individual’s restrictions. Dry needling is a procedure where fine gauge solid filament needles are inserted into the symptomatic tissue in order to stimulate the body’s natural response of healing and to release or deactivate active trigger points. Dry needling is now being offered at all of our Professional Rehabilitation Services Offices. If an individual suspects they have symptoms related to IT band pain syndrome, they would benefit from being evaluated by a physical therapist to decipher their specific impairments contributing to the dysfunction. Then, through soft tissue technique and the instruction of proper exercise, they can eliminate their current pain symptoms as well as learn appropriate exercises to maintain in order to ensure their symptoms do not return as they return to their sport and continue to lead an active lifestyle. At Professional Rehabilitation Services, we treat a wide variety of musculoskeletal conditions using the latest in evidence based therapies provided by highly credentialed physical therapists. In addition to being licensed physical therapists, our providers have additional specialty certifications in orthopedics, manual therapy, sports, and vestibular treatment. Professional Rehabilitation Services now has five locations, with the newest office located in Conway. For further information on physical therapy in general or on specific sports related injuries, you can contact Richard A. Owens, PT, MS, OCS, Cert. SMT, CWcHP, Cert DN (Surfside) (843)831-0163) or Conway (843)733-3031, Dr. Richard DeFalco, DPT, OCS, CSCS, CWcHP, Cert. DN t (Myrtle Beach) (843) 839-1300, Dr. Brian P. Kinmartin, PT, DPT, MTC, OCS, STC, CWcHP, Cert. DN, Dr. Nathan Watts PT, DPT, CSCS (Pawleys Island) (843) 235-0200, Dr. Jill Phelan PT, DPT (Surfside) (843) 831-0163 or (Conway) (843) 733-3031, Dr. Kristen Lies PT, DPT (Murrell’s Inlet) (843) 314-3224. You can also visit our website at www.prsrehabservices.com. Call and schedule a free 15 minute consultation today! PA G E 2 3 To reflect the growing trend of mobile personal health tracking, Beltone designed their “Legend” hearing aids with the capability to receive clear, clean sound streamed from an iPhone, and several apple products without any additional adapters, essentially turning the user’s hearing aids into tiny wireless headphones. Several additional advanced features automatically adjust sounds to reflect the listener’s environment. Through revolutionary hearing technology, Beltone “Legend” makes intricate adjustments automatically, removing the need for inconvenient manual changes. Beltone “Legend” hearing aids intuitively eliminate background noise, boost higherpitched sounds and limit unnecessary feedback, among other features. We are thrilled to have this product available for our patients and to provide revolutionary technology that can help people to hear better in any environment. Beltone “Legend” helps people take greater control of their hearing. Beltone is recognizing its 75th anniversary and has been a leader in hearing aid technology supplying the most advanced and versatile hearing aids available today. We at Advanced Audiology are proud to represent this company’s great achievements and to provide quality Beltone hearing aids to our patients. Please call Advanced Audiology at (843)663-4327 to schedule an appointment at one of our convenient locations in North Myrtle Beach, Surfside or Conway to learn more about hearing loss and hearing aid technology. Don’t miss another precious moment!! True Retirement Living with complete continuum of care within a gated community For Appointment And Gate Access Call Carroll Painter 843-235-3777 US 17 South, Entrance to Litchfield Country Club In Pawleys Island, SC 800-684-7866 • www.lakes-litchfield.com A Unique Retirement Community The Lakes at Litchfield is a non-discriminating provider of services and an equal opportunity employer Transitions, April 2015 www.transitionsnewsmagazine.com Create Your Life Vision By Kim Fowler, Founder, Fowler Life Coaching One of my favorite quotes is from Napoleon Hill—“What the mind of man can conceive and believe, it can achieve.” Many people don’t know what their purpose is in life. They aren’t sure what their journey is supposed to look like, or what they are working toward. Others have an idea of their purpose, but just aren’t clear how to get there. Research tells us that if we can visualize our ideal life, then we are far more likely to succeed in getting there. Some of us just haven’t taken the time to think about what we really want our future to look, sound and feel like. Strategies to help you create your vision Some of us lack focus and clarity about what we want and don’t want in our lives. It isn’t easy to set goals and intentions toward something you aren’t clear about. Creating your vision is the key to unlocking your potential and making your desires and dreams a reality. Here are some ways to get started so you can envision your ideal life. Just remember that life is editable, and sometimes we have to change direction. Also, you are never too old to start. Create a Have/Do/Be list 888-318-5107 PA G E 2 4 People tend to live their lives trying to have stuff so they can do more of what they want to do so they can be happy. Our lives don’t really flow that way. We need to be authentic, and happy with who we really are, so we can do what we need to do in order to have what is really important to us. Take a piece of paper and divide it into 3 columns. Label the columns “Be” “Do” and “Have” Under the Be column think about who you really want to be. Are you comfortable with yourself? Do you aspire to be something that you haven’t yet been able to become? Do you want to be more spiritual, caring, or nurturing? Do you want to be a better spouse or friend? Do you have fears you want to overcome so you can be more powerful or stronger? Write down anything that comes to mind. What do you want to be doing more of in your life? Do you want to volunteer, play more golf, or have more time to spend with loved ones? What makes you happy when you are spending time doing it? Maybe you want to do something you have never tried before. Write it down in the Do column. Under the Have column, think about what you want in your life. We all want to have things in our lives that inspire and make us happy. Maybe you want some things in your life that seem too expensive to have or would take to long to get, it doesn’t matter, write it down. Write it all down. Don’t think too hard about it or how you would be able to have these things—just write what comes to your mind. Some ideas might be a red convertible sports car, house on the water, sailboat, or an amazing partner and wonderful children. Write it all down and you have a great place to start on creating your vision. The key is to not over think the process, let your hand write down everything as if you had all the resources in the world to get whatever you wanted. What is your ideal day? Think about what it would be like living a day in your ideal life. Get a piece of paper and write down your ideal day. Close your eyes for a moment and think about how that day would go. Where would you live? What time would you wake up? Would you be alone or is there a significant other? Where would you work? What activities would you engage in before lunch? Would you work out? Would you meet someone for lunch? If so, who would that be? Be very specific, and continue writing about your day until you are ready to turn into bed. Think about your transportation, associates, friends, pets, and living environment. Do you live on the water, in the mountains or on a farm? Remember that this day is the best day in your ideal life. It should excite you to think about the possibilities. Read it again and again. How do you feel? What needs to change in order for you to actually have this ideal day? Think about actions you need to take and write them down. Your vision for yourself should become clearer. Create a Mission Statement Think about writing a letter to your future self. In this letter, congratulate yourself on all of your accomplishments. Your future self should be at least five or ten years older than you are now. This strategy is similar to the “Obituary” exercise, but instead of writing our obituary, we are seeing ourselves happy, fulfilled and living our ideal life. What have you accomplished? What is important to you? You might congratulate yourself for being such a loving wife and mom. You might mention the 40 pounds you have lost and write about how much better you feel. You could mention activities you have taken up such as golf, boating, running. Maybe you are running a volunteer organization or gotten some great promotion at work. Write this letter to yourself in the third person, just like you would write to anyone else. Keep this and read it daily. This can become your mission statement. This will be how you see yourself in the future and what you can aspire to become. Remember, if you can dream it and see it, you can plan it and achieve it. Kim teaches Vision Board Workshops to help people get started creating their vision. To see a list of upcoming events, go to http://www.fowlercoaching.com/wheres-kim/. You can also download her free eBook, Design the Life You Were Meant to Have. Kim Fowler, founder of Fowler Life Coaching (www.fowlercoaching.com), specializes in transitional coaching for those are ready to make a big change in their lives. She has her training and certification from the Fowler Wainwright International Institute of Professional Coaching and the International Association of Coaches. She holds her Masters of Business Administration from George Mason University, and lives in Surfside Beach with her husband, Rich, their three cats and Sam the parakeet. Transitions, April 2015 www.transitionsnewsmagazine.com PA G E 2 5 Carolina Coastal Plastic Surgery Center & Medical Spa You Imagine. We Create By Dr. Steven K. White There are lots of choices when it comes to plastic surgery, but making the right choice for you is what’s most important. Over the last few months we have profiled different procedures to help you learn how to pick a surgeon, differentiate between procedures, gauge downtime, and more. In this article, we want to tell you what’s unique about Carolina Coastal Plastic Surgery. Since opening our doors more than twenty years ago we have become one of the most recognizable plastic surgery practices in the region. We are unique as a plastic surgery office because we’re also a surgical center and medical spa. Our surgery center is accredited by the American Association for Accreditation of Ambulatory Surgery Facilities, Inc. (AAAASF). Since opening in 1994, we have had on-site inspections every three years and have never had a deficiency. The inspections usually take between eight to nine hours. A certificate of accreditation provides evidence that Carolina Coastal Plastic Surgery & Medical Spa meets high standards for patient safety in the outpatient surgical environment. AAAASF accredited surgery facilities are rigorously inspected and evaluated. We are proud of this certification. Our Plastic Surgery Center Includes: • Large Operating Room • Aesthetician Room • 2 Minor Surgery Rooms • 7 Examination Rooms • 1 Extended Care Room & 1 Recovery Room • 2 Waiting Rooms & Private Waiting Room • 2 Private Entrances • Library & Large Conference Room • Photography Room Our philosophy is also something that we believe adds to the patient experience. At our surgery center we believe in keeping things light. Although we do very lengthy and sophisticated surgery with the most state of the art technology in the field, we also remain professional and fun. We want our patients to be comfortable and at ease going into and coming out of surgery. Our down to earth treatment of patients and each other allows for a very relaxing and calming environment. Of course we make sure that our patients are well informed, prepared and cared for during the entire process. The process begins with the initial consultation and follows the patient through surgery, and postoperative appointments. It’s important to us to get to know our patients on a personal level so that they’re comfortable talking about their surgery interests, fears and desired expectations. Anesthesia has also changed, thus changing how we operate. The changes have been very positive for plastic surgery. Many patients often worry about being “put under”. Over the years there has been a shift from general anesthesia, which is the type where the patient is completely asleep to heavy sedation or light sedation. Now many operations are done under sedation with the watchful eye of a nurse anesthetist so they can monitor the patient’s vital signs and the surgeon can concentrate on the art of the surgery. Another advancement in our surgery center is with laser technology. We use a Sciton laser that is one of the most cutting edge pieces of technology on the market. In the last five years laser surgery has become and intricate part, and very valuable adjunct to surgery. The laser has revolutionized procedures like the facelift, abdominalplasty, flankplasty, and other body contouring proce- dures. Like in any industry we are also constantly investigating new products and technology. Breast implant surgery has changed remarkably with the new shaped implants and modernized polymer gel options. We understand that having the best technology, products, safety ratings, and staff allows us to provide the highest-level quality service and experience for our customers. Our services include, but are not limited to the following: • Breast Augmentation/Reduction • Mommy Makeover • Tummy Tuck/Abdominoplasty • Facelifts • Laser Peels • Liposuction • Rhinoplasty • Injectables • Skin Rejuvenation In addition to being a surgical facility, we’re also a medical spa. We have certified professionals on staff who can perform facials, laser peels, massages, Velashape and more. So as you can see, we’re a one-top beauty shop. For more details and to see our latest specials, you can visit our website: carolinacoastalplasticsurgery.com Remember… You Imagine. We Create! Steven K. White, SR., M.D. Certified by the American Board of Plastic Surgery and The American Board of Surgery, Carolina Coastal Plastic Surgery & Medical Spa 1275 21st Ave. North, Myrtle Beach, SC (843)448-9977 www.carolinacoastalplasticsurgery.com Mommy Makeover $1,500 Off Breast Augmentation Special Silicone: Only $5250 | Saline: Only $4750 This offer is only good for the month of April so call now for your consultation. Your dream bathing suit awaits! Expires April 30th, 2015 Steven K. White, SR., M.D. Certified by the American Board of Plastic Surgery & The American Board of Surgery 1275 21st Ave. North, Myrtle Beach, SC 843.448.9977 Carolinacoastalplasticsurgery.com Transitions, April 2015 www.transitionsnewsmagazine.com PA G E 2 6 Irritable Bowel Syndrome By Dr. Andrew Pearson Irritable bowel syndrome (IBS) refers to a disorder that involves abdominal pain and cramping, as well as changes in bowel movements. It is not the same as inflammatory bowel disease (IBD), which includes Crohn’s disease and ulcerative colitis. Irritable bowel syndrome may be a lifelong condition. In some cases, symptoms are disabling and reduce the ability to work, travel, function normally and attend social events. Symptoms can often be improved or relieved through treatment. IBS does not cause permanent harm to the intestines, and it does not lead to a serious disease, such as cancer. What are the causes of IBS? There are many possible causes of IBS. For example, there may be a problem with muscles in the intestine, or the intestine may be more sensitive to stretching or movement. There is no problem with the structure of the intestine. It is not clear why patients develop IBS, but in some instances, it occurs after an intestinal infection. This is called post-infectious IBS. There may also be other triggers. Stress can worsen IBS. The colon is connected to the brain through nerves of the autonomic nervous system. These nerves become more active during times of stress, and can cause the intestines to squeeze or contract more. People with IBS may have a colon that is over-responsive to these nerves. IBS can occur at any age, but it often begins in adolescence or early adulthood. It is more common in women. About 1 in 6 people in the U.S. have symptoms of IBS. It is the most common intestinal complaint for which patients are referred to a gastroenterologist. Symptoms range from mild to severe. Most people have mild symptoms. Symptoms vary from person to person. Abdominal pain, fullness, gas, and bloating that have been present for at least 6 months are the main symptoms of IBS. The pain and other symptoms will often: • Occur after meals • Come and go • Be reduced or go away after a bowel movement People with IBS may switch between constipation and diarrhea, or mostly have one or the other. • People with diarrhea will have frequent, loose, watery stools. They will often have an urgent need to have a bowel movement, which is difficult to control. • Those with constipation will have difficulty passing stool, as well as less frequent bowel movements. They will often need to strain and will feel cramping with a bowel movement. Often, they do not eliminate any stool, or only a small amount. For some people, the symptoms may get worse for a few weeks or a month, and then decrease for a while. For other people, symptoms are present most of the time and may even slowly increase. People with IBS may also lose their appetite. How is the Diagnosis made? Most of the time, your doctor can diagnose IBS based on your symptoms, with few or no tests. Eating a lactosefree diet for 2 weeks may help the doctor evaluate for a possible lactase deficiency. There is no test to diagnose IBS, but tests may be done to rule out other problems: • Blood tests to see if you have a low blood count (anemia) • Stool cultures to rule out an infection Some patients will have sigmoidoscopy or colonoscopy. During these tests, a hollow tube is inserted through the anus. The doctor can see through this tube. You may need these tests if: • Symptoms began later in life (over age 50) • You have symptoms such as weight loss or bloody stools • You have abnormal blood tests (such as a low blood count) Other disorders that can cause similar symptoms include: • Celiac disease Colon cancer (although cancer rarely causes typical IBS symptoms, unless symptoms such as weight loss, blood in the stools or abnormal blood tests are present) • Crohn’s disease or ulcerative colitis How is IBS treated? The goal of treatment is to relieve symptoms. Lifestyle changes can be helpful in some cases of IBS. For example, regular exercise and improved sleep habits may reduce anxiety and help relieve bowel symptoms. Dietary changes can be helpful. However, no specific diet can be recommended for IBS in general, because the condition differs from one person to another. The following changes may help: • Avoid foods and drinks that stimulate the intestines (such as caffeine, tea, carbonated beverage, wheat, rye, barley, chocolate, milk products, fried fatty foods, raisins, chocolate, beans, cabbage, cauliflower, broccoli, brussel sprouts, onions and alcohol) • Avoid large meals, eat slowly • Reduce stress and exercise • Increase dietary fiber, drink enough water six (6oz) to eight (8oz.) glasses a day Talk with your doctor before taking overthe-counter medications. • Fiber supplements can make symptoms worse • Laxatives taken for constipation can become habit forming No one medication will work for everyone. Medications your doctor might try include: • Anticholinergic medications (dicyclomine, propantheline, belladonna, and hyoscyamine) taken about a half-hour before eating to control colon muscle spasms • Loperamide to treat diarrhea • Low doses of tricyclic antidepressants to help relieve intestinal pain • Lubiprostone for constipation symptoms • Medications that relax muscles in the intestines Counseling may help in cases of severe anxiety or depression What can I expect (prognosis) with IBS? Irritable bowel syndrome may be a lifelong condition. For some people, symptoms are disabling and reduce the ability to work, travel, and attend social events. Symptoms can often be improved or relieved through treatment. IBS does not cause permanent harm to the intestines, and it does not lead to a serious disease, such as cancer. If you have symptoms of irritable bowel syndrome or if you notice a persistent change in your bowel habits, please contact our office, Cardiology Gastroenterology Associates of Myrtle Beach for an appointment. We have five board-certified Gastroenterologists: Dr. Joel R. Thompson, Dr. Gary Vukov, Dr. Timothy Cornnell, Dr. Andrew Pearson and Dr. Meghan Malone. We are located at 945 82nd Parkway, Suite 3, Myrtle Beach, SC 29575. Our telephone number is 843-449-3381. Transitions, April 2015 www.transitionsnewsmagazine.com Vanquish PA G E 2 7 ™ Transcend Your Waist and Thighs Submitted by Dr. James E. Turek, Medical Director DermaVogue Lose an inch or more from you waist or thighs without diet, exercise, medications, or surgery! See the difference. Renew your self-confidence and love your body again! With Vanquish it is now easier to achieve thinner, tighter thighs and a more contoured waistline. Vanquish is the latest innovation in non-invasive, non-surgical technology, that uses a safe thermal energy. Vanquish uses a non-contact radiofrequency (RF) device that delivers Selective RF in a controlled fashion to the deep tissue. Although Vanquish has not been around long enough for long term studies, researchers believe that because of cell death, the fat loss will prove to be permanent. The Vanquish Radiofrequency technology selectively heats stubborn cells just enough to allow for cell breakdown, transforming them into waste, which the body begins to naturally flush away and eliminate. When treating the thighs, waist, but- Before areas when exercise and diet have not achieved their goals completely. This is an option for those who desire aesthetic improvement without the cost and recovery time of surgery. and tocks, flanks, or other appropriate areas of concern, the patient is completely comfortable. This process provides total comfort to the patient and is designed to insure safety and results that can be seen in days—not weeks or months. In addition to the comfort level, there is no down time associated with these treatments.Other than a brief period of warmth and minor swelling, you can get back to your daily routine immediately. Vanquish is not a laser and involves no chemicals, so there is no skin peeling, pigment change, or prolonged healing process. Due to the nature of the Vanquish RF technology, you are not required to do anything special prior to your treatment sessions. Sun exposure does not affect the results of your treatments and you may tan following any treatment (keeping in mind that UV rays are harmful to your body with or without Vanquish treatments). Vanquish treatments are safe for all healthy patients who want to take control of their body shape and size and improve the problem women who are pregnant or nursing may not undergo treatment. If you have any questions if a treatment would be medically safe for you, please ask one of our medical technicians. Renew your self-confidence and love your body again! • Painless with no needles or anesthesia required • Little risk of side effects • Treatments take about one hour per area • No downtime between treatments • Experience results in as soon as the first few sessions • Affordable treatments DermaVogue now offers Vanquish Treatments in our Garden City office. We would love to talk to you in person and recommend the treatment protocol and would meet your desired results. Please phone us at (843) 357-2444 or email us at [email protected] for answers to your questions or to schedule a free consultation. After A series of 4 to 6 sessions over the course of several weeks, scheduled every 710 days. Patients have reported results in as soon as a few weeks. Results may vary from patient to patient depending on many factors. Measurable results are common. As with most efforts to improve body size and shape, it is recommended to practice light to moderate exercise, such as walking, along with maintaining a healthy diet and drinking plenty of water. In fact, the one requirement to having each treatment be ultimately successful, is to come to each and every appointment well hydrated, this makes it easier for the radiofrequency to target the fat cells. The dead cells are then filtered through the lymphatic system, and excreted in the urine. As with any procedure, the patient’s safety and well-being is of our utmost concern. Therefore, if a person has any active implants such as a pacemaker, cardio converter, cochlear implant, or any other implants, Vanquish treatments are not recommended. It also not recommended that Visit our showroom at 11730 Hwy 17 Bypass Murrells Inlet, SC 29576 Transitions, April 2015 www.transitionsnewsmagazine.com Five Brain Fitness Tips by Susan Grotenhuis Here’s an idea to think about: To stay mentally sharp, sustained effort is key. It takes work to keep a complicated organ such as your brain in optimum condition. Fortunately, it doesn’t have to be complicated. You can follow these five simple steps to keep your mind bright: 843.448.8379 www.LONGBAYSYMPHONY.com “BACK HOME AGAIN” A TRIBUTE TO JOHN DENVER SATURDAY, APRIL 11, 2015 • 7:00 PM Myrtle Beach High School Music & Arts Center SUNDAY, APRIL 12, 2015 • 4:00 PM Winyah Auditorium, Georgetown SMALLER TREASURES: MASTERPIECES FROM THE CHAMBER REPERTORY SATURDAY, MAY 16, 2015 • 7:00 PM Trinity Church, Myrtle Beach SUNDAY, MAY 17, 2015 • 4:00 PM All Saints Church, Pawleys Island 1. Change. By the time you reach retirement age, your brain has mastered many tasks. You have to think of creative ways to surprise it. So change is vital to brain health. Change your routines, change your environment, make new friends, have different conversations, listen to different music, try new foods. List the most familiar things in your life and then change them. 2. Think. Don’t let your brain get bored. Stimulate it with lots of new, refreshing information. Read articles, visit museums, study a new topic or take up a new hobby. That awkward feeling you may remember from your first day on the job is what you want to replicate. Try learning a foreign language or a musical instrument. PA G E 2 8 3. Move. Experts agree that aerobic exercise has the greatest benefit in terms of helping your brain stay young. Encourage important blood flow to the brain by doing at least 21/2 hours of moderate aerobic activity (brisk walking) each week. Start where you can and gradually build up from there. Setting small, monthly goals keeps your efforts focused and on track. 4. Eat smart. Keep those arteries—in your heart and your brain—from getting clogged with fat by eating plenty of fruits, veggies and whole grains. Stick with healthy fats such as those in nuts, avocados and olive oil. Include plenty of lean protein and fiber to round things out. Try to fill half your plate at each meal with fruits and vegetables. They’re full of anti-oxidants and supply important nutrients. Avoid white flour, generally found in breads and pastries. Losing any extra pounds can help, too. Maintaining a healthy weight means a better chance at a healthy brain. 5. Be happy. Human beings are social creatures. The brain is designed to interact with others and derives great benefit from close relationships. When you’re happy, your brain is happy. When you’re stressed or depressed, your brain releases a chemical called cortisol. Cortisol in small doses is useful for alertness and concentration. When it lingers, however, it attacks the cells in the hippocampus, where memories are formed. Getting plenty of sleep is also important for relaxing and renewing the mind. Ms. Grotenhuis is a certified Brain Fitness Facilitator with Asbury Communities, an aging services organization. For more information on Brain Fitness, visit www.Asbury.org/Perspective. HOME DECOR & MORE! Yard Sale April 17-18-19 Rain Dates 24-25-26 Big Sales and Refreshments served Consignment & Vendors Handmade Jewelry Custom painted Furniture and Art Sea Salt & Aroma Therapy Products 4683 Hwy 544, Myrtle Beach, SC 843.907.4600 Transitions, April 2015 www.transitionsnewsmagazine.com PA G E 2 9 Get to know….Jen Lashley, a New Face -and Facet- of Travel Connection By Anjana Duff, Travel Consultant Travel Connection I am excited to introduce you to my new associate, Jen Lashley. Jen has a passion for travel which inspires and connects you to your soul. She is now using her passion to offer clients soul-touching journeys through her own niche business, Travel ConnectionAdventures and Retreats. This new facet of our agency will be incorporated into our boutique services and will offer clients something unique in travel. Jen will focus on South Anjana Duff and Jen Lashley America, Southeast Asia and the South Pacific for clients who desire a yoga retreat, a hiking adventure, or an intimate village immersion in a far away land. Many of these excursions include sustainable, environmentally conscious retreats and voluntourism opportunities. I couldn’t be more pleased to have Jen working with me. Her passion for art, music, yoga, and, of course, travel keeps her inspired to work with her clients in an authentic and dedicated manner. Get to know Jen in her in her own words: “Originally from Durham, North Carolina, I have always had a thirst for travel. From family trips to the west coast into Mexico, road trips up the east coast into Canada, south to Florida or to the Midwest, the travel bug bit me early on. It did not take long for me to find my way to Europe, where I had a rail pass and a backpack and discovered the world. There I was enthralled by the art, culture, history, architecture and the many different styles of food!! It was as though I had awakened from a slumber and taken my first breath. Immersing myself into the diverse cultures of this world and celebrating the humanity among strangers has always brought me such joy. It is with this passion that I find myself assisting clients in fulfilling their “bucket lists,” creating lifelong memories and discovering themselves by uncovering new lands. Whether your next excursion is soul-o, couple, or group, whether it includes snorkeling, yoga or ziplining, I will work with you to design the perfect vacation. Wishing you love and light! ~Jen” Destination Spotlight by Jen: Travel Connection - Adventures & Retreats will focus on destinations which center around reconnecting you to your soul, to nature and to replenishing your body. Whether you prefer to escape by going mountain climbing or doing yoga, the perfect destination awaits you. While Indonesia and Southeast Asia have long been recognized as “the destination for spiritual renewal,” you don’t have to go that far. However, keep those on the bucket list! They are worth it! Costa Rica’s rural mountain AmaTierra Retreat and Wellness Center is an eco-lodge that is focused on organic living and Hatha yoga. With many different packages including yoga, massage, nutritional consultations and energy balancing, you are sure to feel completely restored. In addition, the Center also offers eco-tourism/voluntourism to promote environmental education, recycling and an organic farming initiative to assist their local village. This enables you to build a relationship with the local village and make an impact in their life and livelihood, and leave you feeling full of bliss and gratitude. Samasati Retreat and Rainforest Sanctuary is located in one of the last Private Biological Reserves in Costa Rica. This retreat includes massage, daily yoga, your choice of a treehouse casita, beach house or bungalow, as well as a private beach surrounded by rainforest. In addition, there are many activities to choose from to fill your day, if you choose: horseback riding, jungle tour with zip-line, waterfall tours, chocolate tours, surfing lessons, white water rafting, sea and river kayaking. This environmentally focused resort was built without cutting trees or clearing land, using reclaimed, local wood and preserves the local surroundings. You can feel fabulous about your decision to stay in such an environmentally mindful retreat. These are just a couple to stimulate your imagination. It is so important to get back to nature and find that pure sense of joy and wonder we all knew as children. Give that time and love to yourself. You are sure to come back renewed! Caution: There may be monkeys!! ;) Safe travels and bon voyage! Anjana Duff is the owner of Travel Connection, a boutique travel agency specializing in tropical escapes and worldly adventures. She creates customized luxury vacation packages for individuals and small groups. www.travelconnectionad.com [email protected] (843) 455-4478 Snoring and Sleep Disordered Breathing has been linked to: -Depression -Sexual Dysfunction -Family Discord -Alzheimer's/Cognitive Disorders -Increased Mobility -Cardiovascular Disease -Hypertension -Ischemic Stroke Transitions, April 2015 www.transitionsnewsmagazine.com PA G E 3 0 Taste of the Coast at NMB Park and Sport Complex The city of North Myrtle Beach and Risen Christ Lutheran School are excited to announce the Eighth Annual Taste of the Coast to be held at the North Myrtle Beach Park and Sports Complex. The event will be held on Saturday, May 2, 2015 from 11:00 AM to 4:00 PM. Local restaurants will set up booths and offer samples of their specialties. This event promises to be “The Family Fun Event of the Year” offering a family-friendly atmosphere with something for everyone. The event will feature a huge “Kid Zone” with exciting activities including blow up rides, face painters, and much, much more! Live entertainment will be provided throughout the day featuring local talent. Admission prior to the event is $3 for adults $5 at the door. Children 12 and under free. Food and ride tickets are $1 each. Risen Christ has been a member of the community since its founding in 1976 and is a member of the largest protestant, parochial school system in the United States. A number of successful local businessmen and women have either attended the school or enrolled their children in its excellent academic programs. Taste of the Coast and other school fundraising events help to insure the quality of a Christian based edu- cation that Risen Christ Lutheran School has been known for since its inception. This event will bring community awareness and recognition to all participants and attendees. In addition, as part of a full weekend of entertainment, catch the Newsboys in concert on Sunday, May 3rd and our first Taste of the Coast Golf Tournament will take place on Monday, May 4th (location pending). Newsboys tickets can be purchased at www.itickets.com For additional information, please contact: Christie Gallagher, Festival Coordinator [email protected] Office - 843-399-8918 Fax - 843-399-8928 A spiritual support group for anyone going through cancer, cancer survivors and caregivers living in Horry County, South Carolina. This group is open to men and women and anyone suffering from a debilitating disease. Infusion meets the 1st and 3rd Tuesday of each month from 8 - 9 am at a delightful little shop called the Just Because IYQ Tea Room 2520 US 17 business in the Oasis complex in Garden City There is no fee to attend and no pre-registration is required... because you never know how you are going to feel from one hour to the next when going through cancer treatment. This encouraging group is birthed from the heart and experience of internationally acclaimed motivational speaker Donna Tyson, who was diagnosed with Triple Negative Breast Cancer in April 2014. For more information, contact, Donna Tyson at 1-504-419-6916, by email at [email protected] Transitions, April 2015 www.transitionsnewsmagazine.com Rosacea By Dr. Karl S. Hubach Rosacea (ro-ZAY-she-ah) is a common facial skin disorder that effects an estimated 14 million people in the United States. It is more common in women and generally presents itself after the age of 30. The characteristic signs and symptoms of rosacea include flushing, persistent redness, bumps or pimples, and small blood vessels, called telangiectasias. The affected areas may be accompanied by a stinging sensation, eye irritation, skin thickening, and facial swelling. A number of factors, called triggers, may cause flare-ups. The National Rosacea Society reports the most common triggers, from highest to lowest frequency, include: sun exposure, emotional stress, hot weather, wind, heavy exercise, alcohol consumption, hot baths, cold weather, spicy food, humidity, indoor heat, certain skin-care products, hot beverages, and certain cosmetics. Even though the cause of rosacea is unknown and there is no cure, it can often be controlled. There are four different subtypes of rosacea. Subtype 1 is characterized by facial redness and flushing. Small blood vessels are often visible in the areas of redness and a stinging sensation is common. This subtype is considered one of the more difficult to treat and therefore it becomes important to identify the triggers to help avoid flares. The small blood vessels and background redness can often be dramatically reduced using lasers or intense pulse light (IPL) therapy. Several treatments, three to four weeks apart are often required, along with maintenance treatments several times a year to help control the underlying disease process. Subtype 2 rosacea is characterized by a more persistent redness with acne-like bumps and pimples. This subtype can often follow or progress from subtype 1. Oral and topical medications are used to help control the signs and symptoms, and may be used in combination with lasers or IPL. Thickening of the skin and enlargement of the nose are characteristic of subtype 3 rosacea. Mild cases can be treated with topical medications but more severe presentations will often require surgical intervention. Ocular rosacea, subtype 4, presents with eye irritation, and can include watery eyes, a bloodshot appearance, burning or stinging, and even blurred vision. Mild symptoms can often be controlled with artificial tears and daily cleansing of the lids with baby shampoo.More severe situations should be treated by an eye specialist. No matter which subtype or combination of subtypes are present, it is always important to avoid the triggers that cause flairs and to have proper skin care. Rosacea causes skin that is easily irritated and patients should generally avoid any products that cause burning, stinging, or itching. The skin should be cleaned with gentle cleansers, avoiding any abrasive materials. After washing with lukewarm water, not hot or cold, the face should be dried by blotting, not rubbing. The skillful application of non irritating cosmetics can help to conceal the effects of rosacea. Green or yellow tint can help to diminish the redness of the skin. Avoidance of sun exposure and the use of a good quality sun screen or block are essential. We encourage the use of titanium dioxide and/or zinc oxide to ensure maximum sun protection. A qualified physician, who is knowledgeable about rosacea, can help to tailor the best regiment of treatment that will optimize your results and help control the effects of this disorder. Karl Hubach MD, FACPh, RVT, RPhS American Board of Venous and Lymphatic Medicine Diplomate INLET Vein Specialists, PC Ph: 843-652-5344 (LEGG) FAX: 843-652-0067 Transitions- PA G E 3 1 Solution on page 5 Transitions, April 2015 www.transitionsnewsmagazine.com PA G E 3 2
© Copyright 2024