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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
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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
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Diane Dale
Editorial/Composition
Cindy Sudowski
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Diane Dale.............222-6631
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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.
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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
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knacks, a stereo or a collection of vinyl record
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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
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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
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helps the whole patient:
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off the Internet or at an office supply store. A
Emotionally, Physically,
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Socially & Spiritually
and their families
will prepared by a seasoned estate planning
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your will. A lawyer-drafted will is a must (and a
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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-
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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.
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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-
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Are You Suffering from
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We offer a full range of
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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.
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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-
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Solution on page 5
Transitions,
April 2015
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