JWomen s ournalA Lifestyle MagazineCOMPLIMENTARY

Volume 52 Issue 3

Washington

Meet

Feature Article

Dr. Nesly Clerge

WojoTalk.com

Feature Story Dr. Nesly Clerge

whats inside

Where to Spa Near and Far

Restoring Vitality and Health byDr. Alan Weiss

Our Hashtag Pick:#LeaninTogether

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Chiropractic care is effective in the management of sprain and strain injuries, sports injuries, pain in the neck, back, joint pain, sciatica, headaches, and arthritis. Doctors of chiropractic focus on disorders of the musculoskeletal system, nervous system and general health. The goal of the chiropractor is to op-timize health with a non-invasive approach. Patients are assessed through clinical examination, imaging such as X-rays and MRIs, laboratory testing, and other diagnostic interventions. The chiropractic adjustment is one of the many procedures used by chiropractors to treat patients. An adjustment also known as manipulation is a procedure in which trained doctors (chiropractors) use their hands or a small instrument to apply a controlled force to the spinal joint. The goal of this procedure is to correct structural mis-alignments and improve your bodys physical function.

What to do if you are injured? Rice should be followed in the event of any muscu-

loskeletal injury. After following this protocol, you should always seek the care of a healthcare professional.

Rest or immobilization is needed, depending on the severity of the injury. In some cases, activity after a rest period may improve joint mobility and promote a speedy recovery. In fact, long-term immobilization can sometimes be harmful to recovery.

ice will help reduce pain by numbing the area and by limiting the effects of swelling.

compression of the area may reduce the amount of swelling from the injury. Your doctor of chiropractic will determine if this is beneficial in your case.

elevation of the injured arm or leg above the level of the heart will aid in reducing swelling.

Avoid the pitfalls of delayed care and self-diagnosis by seeking immediate medical attention. Although symptoms may be mild at times, the injury can be serious and com-plex. For instance, a stress fracture is an overuse injury that causes a tiny crack in the bones. It occurs when muscles become fatigued and are unable to absorb the added shock. It occurs in the weight-bearing bones, and athletes are very susceptible to these injuries. Long standing misalignments, for example, can lead to poor posture and added pressure on the spinal joints which may eventually lead to radiating pain and nerve impingements. If you have been in an auto accident or are experiencing any of these symptoms sched-ule a medical evaluation at the Pain and Rehab Center (SE,

Frederick Starks has it all but, betrayal changes it all. He must

decide which path to follow when the line between right and wrong become blurred: one that leads to getting out of the physical or emotional

hellhole he finds himself in or one that keeps him alive.

Ebook, $3.99 & $12.99 in paperback available on

Amazon and IBook store.www.clergebooks.com

An arresting prison tale about penance.

Kirkus Reviews

When the Serpent Bites is a fantastic read for legal buffs, crime

lovers, and readers who love a great story.

John Murray, Pacific book review

Nesly Clerge, The Author - Dr. Clerge always wanted to promote healthy living. The desire to help others become healthy inspired him to study Chiro-practic medicine. Dr. Clerge has mastered the unique balance of providing care while pursuing a life passion. He has finally embraced his zeal for writ-ing. Many of us say one day when I get the time I will... Dr. Clerge decided there is no better time than now to embrace his love for literature. Personal passion mixed with focus and determination produced his first book in the sequel When the Serpent Bites, with the sequel to follow shortly.

Chiropractic Care for injuriesBy Nesly Clerge, DC, NrCMe

Washington DC) (202) 610-0260 or DC Injury Center (NE, Washington DC) (202)546-7246.

We have four locations to serve you and all of our clin-ics accept auto and work related injuries. For details, visit our website at www.MytherapyClinic.com.

The goal of the chiropractor is to optimize health with a non-invasive

approach.FEATURE STORY

June - July 2016 3

HEALTH & WELLNESS

JUNE 2016 | JULY 2016

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Cosmetic options have undergone aparadigm shift in the treatment of facial agingwith a new emphasis being placed on preventionand less invasive approaches. We introduce a newapproach to looking younger: the LiquidFacelift and combination therapies. When non-invasive treatments are introduced early we canactually slow down the again changes thuspreventing or delaying more invasive surgeries.For many of us preventing the taut skin andsurgical look are desirable goals. e e ects ofaging occur gradually and we nd ourselveswishing for aesthetic enhancements before we areready for a surgical facelift.

e Liquid Face Lift is accomplishedthrough a combination of Botox, dermal llers(Restylane or Juvederm), and medical-grade skincare. Botox lifts the eyebrow area and eliminatesunwanted frown lines by relaxing the underlyingmuscles. e art of Botox comes from havingspecialized training and experience that allowsthe Botox placement to be individualized. Dr.Pacheco's experience dates back to the early yearsof Botox when it was rst FDA-approved for usearound the eyes in 1989. Dermal llers such asRestylane and Juvederm, add or restore volumeto the lips and smooth nasolabial, marionetteand jowl folds. Restoring volume is one of themost e ective and natural ways to look youngerand refreshed. Dermal ller treatments are quick

and results are immediate. e e ects of dermalllers are even more dramatic when used in

combination with Botox.What sets us apart? Botox and dermal ller

treatments are personally administered only byDr. Pacheco, a fellowship trained, OculoplasticSurgeon. A topical anesthetic cream is appliedprior to both dermal llers and Botox o eringour patients a pain-free experience. Treatmentscan be performed in less than 30 minutes and donot require any downtime. Dr. Pacheco is trainedand is a trainer in the advanced uses of Botoxand Restylane. ese advanced uses include:Botox in the perioral, neck and bunny line areas,and dermal llers for crow's feet, undereye darkcircles and brow lifting.

Worried about facial skin laxity and sundamage from sunbathing and years ofrecreational boating? Combine ermage, Fraxellaser treatment, or IPL Photorejuventa.tion intoyour treatment plan.

ermage, known as the mini-face lift isthe rst non-surgical, FDA-approved procedurethat can tighten and lift brows, cheeks and neckthrough the use of radio frequency waves withno interruption to normal activities. Considereda leading physician in the ermage eld, Dr.Pacheco was recently invited to speak to otherphysicians on behalf of ermage at aconference in Vienna, Virginia. When skin

texture, wrinkles, sun and brown spots, acnescars, and melasma are the primary concern,Fraxel laser treatments repair and resurface theskin a fraction at a time (3 to 5 sessions). IPL(Intense Pulsed Light) can also treat sun damagein a gentler, non-invasive way using pulses oflight that minimize brown spots and pore size,treat broken capillaries, veins, and rosaceachanges with no down time. Optimal resultsmay require a combination of therapies.

As an Oculoplastic Surgeon on the facultysta of e Wilmer Eye Institute at JohnsHopkins since 1990, Dr. Pacheco is uniquelyquali ed to develop a treatment plan customizedjust for you. For seventeen years, she has trainedmedical residents, fellows and colleagues in theart of her subspecialty. Since opening the Centerfor Eye & Laser Surgery eight years ago, she hasbeen committed to providing patients with thehighest quality, scienti cally-based, surgical andnon-surgical technology for facial rejuvenation.Let us show you the latest options available torestore your natural beauty. With the focus onvolumetric enhancement and combinationtherapies, a non-invasive rejuvenation of the skinis possible. ousands of patients have bene tedfrom her extensive expertise. When the time isright for you, let's meet to develop a plan thatachieves exceptional results without the need forinvasive procedures.

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Volume 52 issue 3

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HEALTH & WELLNESS

JUNE 2016 | JULY 2016

WJhealthy lifestyles

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Much of my medical practice is devoted to working with people in their40s- 60s who just dont feel well and are looking for some way to restoretheir health and vitality.

While generally not seriously ill (and I always make sure of that in myinitial health evaluation) they complain of fatigue, poor sleep, achiness, lossof motivation, and other issues that they think are inevitable at their age. I letthem know that vitality and aliveness are possible at almost any age.

e approach is rather simple. Your current state of health is simply theresult of the interface of their genetic makeup and their lifestyle, meaningtheir diet, amount of exercise, sleep, stress, toxicity, and other factors. Andwhile you cannot alter someones genetics, altering lifestyle factors canabsolutely alter how genes function and express themselves.

When people (more often women) enter their 40s their sleep patternsbegin to deteriorate. Without adequate deep sleep the body cannot healand restore itself, and chronic fatigue, aches anddiscomfort ensue. Approaching sleep issuescomprehensively including possibly a sleep study,examining sleep habits, and using both natural andpharmaceutical interventions (as well as hormonalrestoration) can make an enormous di erence in sleepand overall health.

Digestive function: e gut produces 85% of thebodys neurotransmitters and the bacterial content ofthe gut is intimately connected to our health. Often Isee people with chronic issues such as heartburn,abdominal pain, constipation and diarrhea. We have tolook at chronic infections, malabsorption, andin ammation and x these. Chronic bacterial and yeastovergrowth are frequent real problems that whentreated have signi cant positive e ects.

en I address hormonal function. Some thinkthat hormones decline with age. A more empoweringview is that we age as our hormones decline.Addressing thyroid and adrenal issues, as well astestosterone, estrogen, and growth hormone levels asappropriate can make an enormous di erence inrestoring health and vitality.

Bio-identical hormone replacement therapy whichuses hormones that are natural to the human body torestore and optimize health can make a dramaticdi erence. Common symptoms seen in hormonaldisorders include fatigue, lack of motivation, anxiety,dulled thinking, body pain and weakness, and weightgain due to fat accumulation in conjunction with lossof muscle mass. Addressing these issues is fairly simpleand must be customized to each individual. Oftenpeople nd that they start sleeping better, are more ableto perform at work, and are simply happier when theirhormone status is optimized.

Last and not least I deal with diet and exercise.Eating in a way that promotes health and well being

requires realizing that what I call the nutritional environment does nothave our best interests in mind.just look at rising rates of diabetes andobesity. To be well you must x all nutritional de ciencies. And nallyregular exercise is indispensable.if you want your body to work you haveto take care of your body. is includes maintaining both strength, exibilityand cardiovascular health.

While this may sound complex it really is not, and there is nothingbetter than feeling alive and well.

Dr. Weiss completed his undergraduate work at University of Virginia and is agraduate of McGill University Medical School; he completed his Internship atthe University of Hawaii and Residency at St. Elizabeths Hospital in Boston.As head of Annapolis Integrative Medicine, Dr. Weiss specializes inpreventative health, alternative approaches to wellness, and treatingcomplex issues including CFS and Fibromyalgia.

Reversing the Slow DeclineRESTORING VITALITY AND HEALTHby ALAN S. WOISS, M.D.

Reversing the slow declineReSTORiNG ViTALiTY AND HeALTH

By Alan Weiss, M.D.

wjwomen.com6

Jennifer was my last appointment of the day and she was late. Late meeting at work, had to pick up the kids, almost forgot she had even her annual GYN appoint-ment. She apologized, and of course I could still see her. As a working mother myself, I empathized. During her visit, we reviewed her uneventful medical and family histo-ry, and her physical examination was normal. We discussed follow-up plans. Her Pap smear results would be available next week, and I would send her to get a mammogram since she recently celebrated her 40th birthday. She disapproved saying, I dont need a mammogram. I dont have breast can-cer. No one in my family has ever had breast cancer, or any type of cancer. She gave more reasons: Too busy with work, school, and family; mammograms were painful; mammo-grams are for older women, etc. I had a rebuttal for each reason, so we went back and forth. Finally, I handed her the form and insisted, Humor me. Get it done, and then Ill leave you alone.

Jennifer and her husband came to my office the follow-ing week, both in tears. The mammogram was abnormal, and a follow-up biopsy confirmed that she had breast can-cer. She underwent surgery and radiation. Luckily, the can-cer was detected very early, and her prognosis was excellent. She is grateful to me for insisting on the mammogram. And I am grateful that she listened.

Counseling my patients about breast cancer screening is perhaps one of the most important things I do at my prac-tice. Breast cancer is the most common cancer in women and accounts for 27 percent of all new cases of cancer di-agnosed in women. A womans lifetime risk of developing breast cancer is 12 percent, or 1 in 8. That means one out of every eight patients that I see will have breast cancer at some time in her life. While prevention of breast cancer is not possible, early detection of disease usually translates to a better outcome. As an OB/GYN, I am aware that I can make a difference in my patients lives by emphasizing screening guidelines aimed at early detection of breast cancer. The American College of Obstetrics and Gynecology current-ly recommends self-breast exam, clinical-breast exam, and breast imaging (usually mammogram) beginning at age 40.. Many women do not feel confident about doing self-breast exams for fear that they are not doing it correctly. The key is to start at a younger age and get used to the normal feel

HEALTH & WELLNESS

and look of both breasts. Once an awareness of what feels and looks normal is established, then abnormal changes are easier to detect. For women still having menstrual cycles, they may experience changes in breast texture during the menstrual cycle. Any persistent abnormal findings should be reported to a health provider. The clinical breast exam is accomplished during a womans yearly GYN visit. It is im-portant to have this breast examination by a health care pro-fessional at least once a year as a simple and effective strate-gy for early detection of breast cancer.

As an OB/GYN, I get a lot of questions about breast can-cer. Here are a few:

Q: What exactly is breast cancer? Cancer is a term used to describe when cells in any part

of the body start to grow abnormally. The cells grow un-controllably forming a lump, or tumor. In the breast, some tumors are benign, not harmful, and do not spread. Breast

Mammograms for Early Detection of Breast cancer

June - July 2016 7

HEALTH & WELLNESScancer typically refers to tumors that are harmful, grow in size, invade the entire breast, and spread to other parts of the body.

Q: Who can get breast cancer? Every woman can get breast cancer.

Q: How harmful is breast cancer?Breast cancer is the second leading cause of cancer death

in women. The breast cancer survival rate is lower among women whose cancer was detected at a later stage of dis-ease. Survival is also lower in women diagnosed before age 40. Younger women with breast cancer tend to have more aggressive tumors that are less responsive to treatment. Af-rican-American women also have lower survival rates than Caucasian women.

Q: is the risk higher for some women?While every woman is at risk for breast cancer, some pa-

tients are at higher risk and may require enhanced screen-ing. Known risk factors for breast cancer are increasing age, family history, older age at first full-term pregnancy, early onset of menstrual cycles, late menopause, alcohol con-sumption, physical inactivity, and breast density. For older women in menopause, additional risks include obesity and use of hormone replacement therapy. There is absolutely no scientific evidence that links underwire bras, breast im-plants, antiperspirant use, and medical abortion to breast cancer.

Keep in mind that having a risk factor, or even several, does not mean that you will get breast cancer. Most women who have one or more risk factors never develop the breast cancer. More important, many women diagnosed with breast cancer have no risk factors. For example, even if no family member has ever had breast cancer, the disease can still occur.

Q: What are the signs and symptoms of breast cancer?Typically, early breast cancer does not cause signs or

symptoms. However, all breast changes including lump in the breast or underarm, nipple discharge or other nipple changes, skin color or skin texture changes, or breast pain should be reported to a doctor.

Q: i dont have health insurance. can i still get screened for breast cancer?

The new health care laws give almost every woman access to cost-free or inexpensive preventive health care screenings. Women are encouraged to be proactive, and ap-ply for coverage. If you missed the deadline for applying for health insurance last year, open enrollment begins again on November 15th. Some local imaging centers offer reason-

ellicott City:9501 Old Annapolis Rd,

Suite 305Ellicott City, MD 21042

Laurel8317 Cherry LaneLaurel, MD 20707

Phone numbers:443-380-0060410-730-7722

able- or reduced-priced mammograms. The Howard Coun-ty Health Department Breast and Cervical Cancer Preven-tion Program also offers screening at no cost to qualified applicants.

Q: i am afraid. How can i prevent breast cancer?Breast cancer is scary. Yet, we do not have to be scared

or intimidated. Every woman should pay close attention to her own body. Be proactive. Talk to a doctor about breast cancer screening. Early detection is the key.

While every woman is at risk for breast cancer, some patients are at higher risk and may require enhanced

screening.

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HEALTH & WELLNESS

You hear that? Its a col-lective sigh of relief that warmer weather is finally here. No more heavy coats, biting winds and mounds of snow. Yes, youre thankful to leave all that behind, along with the holidays. Be-cause while it was great to see all your loved ones, the affect those get-to-gethers had on your waistline was less than flattering.

But thankfully, warmer weather is here and that means its time to toss off those extra layers from both your wardrobe and yourself so you can find a healthier you this season. To do so, add these five tips to your daily rou-tine as soon as possible. Find your starting point. Before

you can improve your health, you first need to realize where you are starting from. Create your own health profile by seeing your doc-tor for your annual physical. Re-cord your height, weight, blood pressure, cholesterol and other

important levels. Then monitor your numbers throughout the season to see how they improve.

Drink more water. Your body is made up of roughly 70 percent water and medical experts rec-ommend you drink nine to 13 cups a day, depending on your height, weight and gender. If you want to avoid caffeinated or sug-ared beverages, look for a water that can help replenish your body with essential minerals, such as Good & Delish Electrolyte Wa-ter or the Good & Delish Iceland Spring Water, which is bottled at the source and imported from Icelands fresh glacial springs. Both can be found at Walgreens, and will quench your thirst while also giving your body the fuel it needs to power through the day.

Set realistic goals. Goal setting is an important part of any health initiative, but equally important is that the goals be realistic and

reachable. Whether youre trying to lose weight, lower your choles-terol or lessen your blood pres-sure, speak with your doctor to find your desired levels and what they think is a realistic timeframe to reach them.

Get some sleep. Your new busy warm weather lifestyle may make this one a challenge, but you should never sacrifice sleep for other ac-tivities. Sleeping eight hours a night is recommended and its also important you try to go to bed and get up at the same times whenever possible. The more you can stick to a set sleep schedule, the better your long-term health will be.Warmer weather is seen as a time

of rebirth and rejuvenation and that makes it the perfect opportunity for you to create the new you. Start with a plan and institute each of the tips above and that collective sigh of relief you heard at the start of the season will be a squeal of joy by seasons end.

ways to make a4 healthier you this summer

June - July 2016 9

HEALTH & WELLNESS

Could the kind of cancer treat-ment credited with saving former President Jimmy Car-ter soon work for everyone? News coverage of Carters recovery and in-depth coverage by media giants like TIME Magazine and 60 Minutes could lead you to believe that immunotherapy will be the silver bullet that ends cancer for everyone. Like any promising treat-ment, immunotherapy needs more re-search, time and investment to achieve its full life-saving potential.

New treatments that harness the bodys immune system to fight disease are changing how we view cancer treat-ment, says Punit Dhillon, president and CEO of OncoSec Medical Incorporated, a company engaged in immunotherapy research. And while immunotherapy has shown great promise in fighting can-cer, cancers are unique to the individual and adaptable. Research has shown com-bination therapies may be even more effective in defeating cancers ability to adapt and survive in the body.

how immunotherapy worksTo understand how immunothera-

py can work, its important to know how cancer operates in the body. When can-cer cells grow and spread, they develop the ability to evade the bodys immune system. If the body does not recognize cancer cells as a threat, they may be safe from an immune system attack. Cancer cells also adapt and can become resistant to traditional cancer treatments over time. While traditional treatments may shrink or eliminate tumors, if any cancer cells remain after treatment, they could adapt and begin growing again.

Immunotherapy seeks to reverse this immune tolerance, to once again identi-fy cancer cells as a threat and target them for elimination. A class of immunother-apies, called checkpoint inhibitors, have shown great promise by re-invigorating T-cells, which are the immune systems fighter cells, so they can again recognize

and attack cancer cells. This approach worked for former President Carters brain tumor treatment.

The benefits of immunotherapies are undeniable. Successful immunother-apy attacks only cancerous cells, leaving healthy tissue undamaged. Using the bodys own defenses to fight cancer lacks some of the debilitating side effects asso-ciated with traditional treatments, such as chemotherapy and radiation. Immu-notherapy can also train the immune system to remember cancer cells. This memory could remain effective long after treatment ends.another aspect of the challenge

While checkpoint inhibitors can be very effective, many cancer patients dont have enough of a critical type of cell - called tumor-infiltrating lympho-cytes (TILs) - for this type of therapy to be effective, Dhillon notes. Researchers are finding that only the minority of pa-tients, about 30 to 40 percent, respond when treated with just this type of therapy alone.

Scientists are looking to combine immunotherapies with other kinds of

existing cancer treatments to realize the full potential immunotherapy has to of-fer.

OncoSec is currently developing a technology, ImmunoPulse, that aims to stimulate anti-tumor immune activity and drive essential TILs to the tumor area. The company is conducting re-search that shows this priming therapy will help increase patient response rates to checkpoint inhibitors by driving TILs. The aim is to develop a therapy that, when combined with other immuno-therapies, will help the bodys immune system operate even more effectively against cancer.

To the public-at-large, immuno-therapy is a relatively new concept that may seem like it borders on science fic-tion, but immuno-oncology researchers have made very real, positive progress, Dhillon says. Weve already learned we can leverage the bodys own defenses to combat cancer. Now, our goal is to better understand how to make different ther-apies work better together so patients have safer and more effective treatment options.

sci-fi or silver bullet? how immunotherapy is revolutionizing cancer treatment

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HEALTH & WELLNESS

JUNE 2016 | JULY 2016

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Breast cancer remains the second mostfrequently diagnosed cancer in women and thesecond leading cause of cancer death in womenin the United States. Breast cancer has also beenfound in men, but only about 10 percent asfrequently as in women.

e frequency of breast cancer detectionhas markedly increased due to improvementsin technology and screening techniques. Breastcancer is now detected atearlier stages than in thepast. e availablemethods of treatmenthave evolvedsigni cantly over thepast 50 years.Techniques nowavailable to treat cancerrange from surgery,radiotherapy,chemotherapy, andhormone therapy to a multitude of targetedtreatments.

Carefully designed clinical trials and basicresearch have changed the timing and optionsfor treatment of breast (and many other)cancers. Not only have the medications used inthe treatment of breast cancer changed andbecome more plentiful, but even the types ofsurgical procedures, timing of surgery,chemotherapy, and radiation have changed.

In the 1970s, the preferred surgicaltreatment for breast cancer was a radicalmastectomy, but today the majority ofwomen who undergo surgery for breast cancerare o ered several breast-conservingprocedures. Since that time period, doctorshave been looking for less impactful ways totreat breast cancer.

By 1975, the concept of adjuvantchemotherapy for breast cancer was beingstudied for the management of breast cancerpatients. Adjuvant therapy is the use of therapy(chemotherapy, hormonal, etc.) in those womenwho do not have wide spread (metastatic)disease, but who have a high risk of developingdistant metastatic disease in the future.

e initial clinical trials to determine ifless radical surgery (lumpectomy vs. radicalmastectomy) were under way.

e use of mammography as a screeningtool for breast cancer was becoming a standardof care.

e FDA approved the rst selectiveestrogen receptor molecule (Tamoxifen) in thetreatment of breast cancer.

Additional studies in the 1980sdemonstrated the appropriate patients to betreated with estrogen receptor inhibitor drugs.

e value of adjuvantchemotherapy and localradiotherapy in speci c patientswas proven to increase our abilityto improve local control and long-term survival.

Proof that neoadjuvant(treatment prior to surgery)therapy could make someinoperable cases operable wasdemonstrated by the end of the1980s. Several major advances in

our understanding of the biology of breastcancer have revolutionized its treatment.

e use of antibodies in the treatment ofbreast cancer. e rst humanized antibody(anti-HER2) was created and studied in clinicaltrials. e basis for understanding thedi erences in behavior of cancers that showedover expression of HER2 was evident.

e introduction and use of several newchemotherapeutic compounds greatly enhancedour ability to treat breast cancer in the 1990s. Anew group of chemotherapy compounds,taxanes, was studied and introduced into ourarmamentarium against breast cancer. isgroup of chemotherapy agents has greatlyimproved our ability to treat both early andadvanced stage breast cancers.

In the late 1990s, we learned thesigni cance of certain genetic variants (BRCA).

is group of genetic markers has proven to beso e ective as a predictor of future cancers thatsome patients are recommended to undergomastectomy (removal of the breast),hysterectomy (removal of the uterus), andoophorectomy (removal of the ovaries) based onthe results of this speci c gene test.

In the past twenty years, a number of newe ective chemotherapy agents have beenintroduced. e continued discovery of

molecular targets continues to drive moreresearch and development of medications totarget cancer cells and spare normal cells.One of the current areas of intense research isthe combination of antibody-drug complexes.

is will allow delivery of chemotherapy agentsdirectly to the cancer cells with even moresparing of healthy cells in the body.

Although we do not yet have guaranteedcures for advanced breast cancer, we have comea long way. Imaging techniques have becomemore accurate and deliver less radiationexposure. Surgical procedures have evolvedfrom radical to breast conserving.Chemotherapy has evolved from prolonged toshorter periods of time with more e ective andfrequently less toxic drugs. We betterunderstand which hormone manipulations touse in speci c patients and how long theyshould be administered. Even in advanced casesof breast cancer, we are changing this diseasefrom terminal to chronic, and that challengesus to seek new methods and new compoundsto keep women (and men) with breast canceralive for longer periods of time with improvedquality of life.

is challenge motivates all of us who areprivileged to care for those people who havebreast cancer.

Harvey I. Katzen, M.D., F.A.C.P. earned his medicaldoctorate at George Washington University Schoolof Medicine in 1975. He completed his internshipand residency at George Washington UniversityHospital in Washington,D.C. Dr. Katzenestablished the first in-patient oncology unitsat Greater SoutheastCommunity Hospital andSouthern MarylandHospital, where he hasserved as the Chief ofOncology. He is an activeparticipant and memberof a Clinical PathwayCommittee for treatment of oncology patients. Hecurrently serves as an associate clinical professor atGeorge Washington Hospital. Dr. Katzen has beenrecognized as a Top Doctor by US News and WorldReport and Washingtonian Magazine. He is amember of the American Society of ClinicalOncology, the American Society of Hematologyand the Southern Association of Oncology.

The Evolution of Breast Cancer Treatmentby HARVEY I. KATZEN, M.D., F.A.C.P

healthy lifestyles

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The evolution of Breast Cancer TreatmentBy Harvey I. Katzen, M.D., F.A.C.P.

June - July 2016 11

HEALTH & WELLNESS

Physical activity has been highlighted internation-ally as a beneficial intervention for weight con-trol and the improvement of physical and mental health. This review highlights findings from recent literature to guide office-based promotion of physical activ-ity for obesity treatment and prevention.

Children worldwide participate in far less than the cur-rent physical activity recommendations. Family-based ac-tivity provides children with positive role modeling as well as motivational support for maintaining an active lifestyle. The integration of physical activity into daily life can be an effective alternative to sports and structured exercise pro-grams. Decreasing sedentary behaviors is also a positive contribution, although its link to physical activity levels is still unclear. Some families may see neighborhood safety and access to recreational facilities as barriers to keeping their children physically active.

Research in the field of pediatric obesity and overweight treatment and prevention continues to find challenges and solutions. Promotion of physical activity by the pediatric provider is demonstrated by current evidence to be a posi-tive intervention against this global problem.

Childhood obesity is a national epidemic. Nearly 1 in 3 children (ages 2-19) in the United States is overweight or obese, putting them at risk for serious health problems. As parents, caregivers, brothers and sisters, leaders in schools, communities and healthcare, we can work together to cre-ate a nation where the healthy choice is the easy choice. Learn the facts, our approach to solving this epidemic and how you can help be a part of the change.

heaLthy tiPS:1. Plan outdoor activities

Set aside one day a weekend to do something active as a family: swimming in the summer, sledding or hiking in the winter, or biking in the spring and fall. Taking along a picnic lunch and splurging on some healthy snacks after a good workout will help the day go by without a complaint.2. Take classes together

Ask around at fitness clubs and community centers in your area about yoga or aerobics classes offered to parents and kids together. If your little one is too young to partici-pate, look for classes that help you burn calories with your

Dr. Corder attended medical school at How-ard University College of Medicine and grad-uated in 1977. He is board certified by the American Academy of Pediatrics. Dr. Cord-er was formally the Chief Health Officer for Prince Georges County and the medical Di-rector of several health plans. Dr. Corder has

been in Pediatric practice for over 35 years. Dr. Corder, his wife Dr. Marilyn Corder ad their daughter Adrienne Corder started the Cord-er Pounders Youth Fitness program and the Family Fitness Center.

Frederick Corder, MD FAAP

Bowie, MD (301) 805-2229/Cheverly, MD (301) 341-7494

Childrens Medical CenterWashington, DC (202) 291-0147

ways to avoid Childhood

Obesity5 baby by incorporating them into your yoga moves or push-ing them along during stroller workouts. 3. Redo your family roomToo often, family rooms are the center of laziness in a home: a comfy couch, a video-game console, a shelf full of DVDs, and nothing to encourage fitness or physical activity. There are ways to add in subtle reminders, however, without overhauling your entire room or dragging in a giant piece of workout equipment.

By Frederick Corder, M.D.

4. Make chores funInstead of relegating each member of the family to do-

ing separate chores by themselves, turn chores into a game you can all do together. Race to see how fast you can get the house cleaned, and then try to beat your old time the next week. Play music while youre doing laundry, and enlist the kids to sing and dance while helping to fold and put clothes away. Take the dog for walks together, and squeeze in some running, roller-skating, or jump rope while youre at it.5. Make over your meal plan

This isnt necessarily a fitness tip, but its also worth mentioning: Families that eat healthier also tend to have other healthy habits, such as regular physical activity. If you want to slim down after having a baby or just want to eat better overall, get your entire family involved and youre more likely to succeed. Take kids to the farmers market, let them pick their own fruits and vegetables, and involve them in the food preparation. Theyre much more likely to enjoy their meals and to clean their plates.

children worldwide participate in far less than

the current physical activity recommendations.

wjwomen.com12

HEALTH & WELLNESS

JUNE 2016 | JULY 20164

WJ

Summer is here! With the summer season,there is a common desire to exchange dreary winterskin for skin that has been kissed by the sun.Tanned skin is associated with well-being, health,and even wealth. Excessive ultraviolet exposure,regardless of the source, is dangerous. A tan is theskins telling sign that it has been damaged.

What exactly occurs during the tanningprocess? UVB is absorbed by the super ciallayers of the skin and causes the release ofin ammatory factors. We detect thisin ammation in the form of a sunburn, a tan,and premature aging. UVA penetrates deeper inthe skin and also initiates in ammation. UVA isa more potent causative agent of prematureaging as it causes changes in elastin, collagen,and blood vessels. Melanocytes, the pigmentproducing cells of the skin, provide protectionagainst ultraviolet induced DNA damage.When ultraviolet light hits the melanocytes, theyincrease their production of pigment granulescalled melanosomes. e melanosomes travelfrom the bottom layer to the top layers of skin inan e ort to absorb and lter the damagingultraviolet rays. e ultraviolet rays causedamage to the DNA within the melanocyteswhich translates to the formation of a tan,freckles, dyspigmentation, and skin cancer.Melanoma is the result of uncontrolled growthof melanocytes caused by mutations inthe cellular DNA. It is the most deadlyform of skin cancer. According to theSkin Cancer Foundation, 86% ofmelanomas are attributed to ultravioletexposure. Melanoma is the mostcommon form of cancer in ages 25-29.

Mostly young females use indoortanning salons. According to theAmerican Academy of Dermatology,exposure to tanning beds before the ageof 35, increases ones risk of developing amelanoma by a staggering 75%. eAcademy also reports that the WorldHealth Organization has classi ed theultraviolet light emitted from tanningdevices as a human carcinogen. Tanningbeds are more likely to emit UVA whichpenetrates deeper into the skin resultingin in ammation and melanocyticmutations. is explains the increasedrisk of skin cancers associated withtanning salon use.To make tanning

salons even more dangerous, they are associatedwith addictive behavior. e lamps also emitUVA that is more potent than natural sunlight.

Sunscreen and responsible sun exposuredramatically decreases ones risk for developing askin cancer and premature aging. Here are someguidelines to protect the skin. Sunscreen shouldbe applied 30 minutes before going outside. Ashot glass full is an adequate amount ofsunscreen to be applied to the body. Whenoutside for an extended amounts of time,sunscreen must be reapplied every two hours.

e ultraviolet light emitted from the sun is thestrongest between the hours of 10 am to 4 pm.Sunscreen that provides broad spectrum UVAand UVB coverage with at least a SPF of 30 isadequate. If wearing light colored or thinclothing such as a tee shirt, sunscreen should stillbe applied to those covered areas. Be sure toapply sunscreen to the face, neck, ears andhands, as these body parts are exposed everyday.

A full body skin check is recommended atleast yearly by a board certi ed dermatologist. Ifyou have a history of extensive ultravioletexposure, a skin check may be needed bi-annually. It is also recommended that those witha history of tanning salon use have a yearly examwith an ophthalmologist and a gynecologist.Yearly full body skin checks help to detect skin

cancer in the early stages. Early detectiondramatically decreases the risk of dying fromskin cancer.

Pre-mature aging can be addressed withchemical peels, laser treatments, retinoids, andantioxidant serums. To schedule a consultationfor a treatment regimen to reverse the signs ofpremature aging and for a full body skin checkwith a board certi ed dermatologist, pleasecontact Dr. Katina Byrd Miles at 401-451-0500(www.skinoasisderm.com).

Dr. Miles trained at the Cancer Institute,Melanoma Center, at Washington HospitalCenter from 2000-2002. During this two yearMelanoma Fellowship, Dr. Miles conductedmelanoma research and also trained extensivelyin the early detection of skin cancer with the useof the dermatoscope.

Dr. Katina Miles is a graduate of Howard UniversityCollege of Medicine. She completed her internalmedicine residency at University of Maryland atBaltimore and dermatology residency atGeorgetown University. Dr. Miles is a board certifieddermatologist and a Fellow of the AmericanAcademy of Dermatology. She is an expert in skincancer detection and treatment and is a Skin ofColor specialist. Dr. Miles is the founder and MedicalDirector of Skin Oasis Dermatology where she isready to serve you.

beauty & style

by KATINA BYRD MILES, M.D

wjwomen.com

The Dark Side of that Summer GlowBy Katina Byrd Miles, MD

June - July 2016 13

wjwomen.com14

BUSINESS

June - July 2016 15

Sheryl K. Sandberg is an American technology executive, activist, and au-thor. She is the Chief Operating Officer of Facebook. In June 2012, she was elected to the board of directors by the existing board members,becoming the first woman to serve on Facebooks board. Before she joined Facebook as its COO, Sandberg was Vice President of Global Online Sales and Operations at Google and was involved in launching Googles philanthropic arm Google.org. Before Google, Sandberg served as chief of staff for United States Secretary of the Treasury Lawrence Summers.

In 2012, she was named in the Time 100, an annual list of the 100 most influential people in the world according to Time magazine.As of June 2015, Sandberg is reported to be worth over $1 billion, due to her stock holdings in Facebook and other companies.

Sandberg released her first book, Lean In: Women, Work, and the Will to Lead, co-authored by Nell Scovell and published by Knopf on March 11, 2013. It is about business leadership and development, issues with the lack of wom-en in government and business leadership positions, and feminism.

Lean in is a book for professional women to help them achieve their ca-reer goals and for men who want to contribute to a more equitable society. The book looks at the barriers preventing women from taking leadership roles in the workplace, barriers such as discrimination, blatant and subtle sexism, and sexual harassment.

Lean in: Women, Work, and the Will to Lead

Sheryl Sandbergs #leanintogetherOur hashtag pick BUSINESS

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JUNE 2016 | JULY 2016

WJ healthy lifestyles

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June - July 2016 19

WOJOTALK Join host Tara Pannell as she interviews people across the

globe on the Womens Journey Talk show

available on iTunes and Acast

Twitter@TaraPannell Facebook@TaraTodayLive Like our Facebook Page

www.facebook.com/wojotalkcom

Follow Tara for show updates at:

To become a guest or submit a story write: tara@wojotalk.com / WojoTalk.com

Why Should You Advertise Your Business in the Womens Journal ?

The Womens Journals have been the single most effective media for our demographic, females age 25-65. The Return on Investment

is VERY, VERY high and I highly encourage you to try them.-Dr. Jonathan calure, Maryland Vein Professionals

I am very pleased with the results. I got seven new clients the very first week. I felt famous in my community. The Womens Journal helped me to realize my life long dream of owning a

successful business. -chef K. Blair, cuisine Liberte

We received a number of requests for travel from the Holiday edition of the Womens Journal but we were overly excited to plan an entire 2016 family reunion from a reader. Yeah!!! Couldnt be happier with our results each time we advertise in the Journal.

-Maleka Green, Green Family Travel

The test coverage on editorials is worth something above and beyond regular advertising.

-P.J. Boatwright, V.P., custom Projects for Fortune Group

I have gotten more response with the Womens Journal than any other publication that I have ever advertised in.

-Wayne campbell, cRW electric, inc.

As a Certified Holistic Health Coach, doing business with the Womens Journal is great! I received a large corporation client, requesting paid wellness workshops to educate their employees,

what a way to start the year off! -Melanie Harris, Founder of Healthy By choice Dc

A priceless educational vehicle to allow patients quality, objective information about our various procedures.

-Andrejs V. Strauss, M.D., Dir. of Oncology, Beebe Medical center

People show up with the coupon from the paper, and they are ready to buy. My editorial gets a lot of attention and it works.

I am happy. -Anita Hampton, Hair Fantasy

Outstanding readership and patient response to our articles.-Richard J. Mccann, D.M.D., P.A.

The best customer response our company has ever had from adver-tising. -Joan carrero, Director of Marketing, NASe insurance

GHR received a new agent, a new sale at $600k and a potential buyer. I couldnt be more pleased. Thank you.

-Maleka Green, Owner of Green Home Realty

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COMMUNITYTRAVELCOMMUNITYTRAVEL

Sanctuary Camelback Mountain Resort & Spa. The New Spirit of Luxury. Scottsdale, AZ

Where to Spa Near and Far

June - July 2016 21

TRAVEL

a Family-owned Operation. Certified sustainable.

estate Grown.

The Vegan Vine Wines was founded in 1992 by Bill and Brenda Murphy grown and produced by Clos LaChance winery.

Clos LaChance winery is open to the public for wine tasting, tours, picnicking and bocce ball. the winery is a stunning Old-world-in-spired facility located in san Martin, California, only 30 minutes south of san Jose and 45 minutes north of Monterey.

The Vegan Vine Wines has partnered with former nBa champion, talk-show host and health/wellness activist John salley. Mr. salley has taken an ownership position in the brand with the goal to edu-cate the vegan and wine drinking community.

the winery is a perfect place for a fun and relaxing getaway.

wjwomen.com22

COMMUNITYHOME IMPROVEMENT

Tackling a home improve-ment project can be a really daunting task - whether its a simple redecoration or a full kitchen renovation. You may feel like youre the only homeowner, ever, to have questions. Renowned designer and LG Studio Artistic Advisor, Nate Berkus, has answered design ques-tions from homeowners for more than 20 years, and hes found that the same ones keep cropping up.

Redesigning your kitchen is a big investment, says Berkus. Its not just about the money; youre also investing a lot of time and emotion. There are so many decisions to make, and you want them to be the right ones. You also want to create a space that reflects the people who live there. A well-de-signed kitchen needs to be functional and personalized.

Berkus offers answers to four de-sign questions that commonly con-found homeowners: 1. Where do i even begin?

Berkus recommends starting with a vision of what kind of kitchen you want to create.

There is so much design inspira-tion out there - Instagram, Pinterest, design blogs, etc. Find out what you are drawn to and what catches your eye. Ask yourself - how do we want to live in the space, and whats import-ant to us? The design needs to support that, says Berkus.

A redesign doesnt have to always mean a full renovation, or that you need to do it all at once. Painting cab-inets can be a weekend process, and change the appliances when you have the budget. You can do it piecemeal, notes Berkus. 2. How do i make the best use of my renovation dollars in the kitchen?

The kitchen is the number one room that consumers are most likely to splurge on when renovating, ac-cording to a nationwide study from LG Studio. So is it really worth it?

Absolutely, says Berkus. Its hands down the hardest working room in your home, and you need it to stand the test of time. A kitchen is also about bringing people together. We do a lot of living and create a lot of memories in our kitchens.

To make the most of your kitch-en renovation dollars, Berkus recom-mends shopping local vintage shops or multi-dealer antique malls for one-of-a-kind items such as light fixtures and seating. Even shop your own home for things like trays, bowls and objects that could get new life displayed and used in your kitchen. 3. Whats the most important thing to invest in during a renovation?

If you dont start with innovative, hard-working appliances, it doesnt matter what backsplash you are us-ing, says Berkus. A kitchen needs to function, and great appliances are at

the heart of that. They are 100 percent worth the investment.

Take for example the new 42-inch built-in side-by-side refrigerator from LG Studio, which Berkus helped de-sign. The stainless steel finish is so handsome and the inside of the refrig-erator is huge. Its perfect for big fam-ilies and kids. Your appliances need to seamlessly marry design with func-tionality, notes Berkus. 4. Tastes change, so how can i be sure i wont hate all this five years from now?

The biggest thing is not to get sidetracked by trends. I always say if something was considered beautiful 10 years ago, it probably will still be beautiful in 10 years, says Berkus.

When investing money, Berkus recommends always reaching for what is classic and what has stood the test of time - things like subway tile, Car-rara marble, butcher block and paint-ed-wood cabinets.

A typical renovation takes sever-al months, but trends change often, notes Berkus. If you pick out a back-splash or cabinet color because some-one told you that is the hottest thing right now, by the time its installed chances are youll have moved on to something else.

Redesigning and renovating a kitchen can be a rewarding, enjoyable experience - especially with some ad-vice from a design professional.

fourtips for any

Kitchen Redesign

June - July 2016 23

HOME IMPROVEMENT

In the last 10 years, televisions have become flatter, video rental stores have nearly disappeared and phones have become devices that are more like a computer than a phone.Theres good reason that when most people think about

changes in technology, they tend to think about the digital world. After all, with the news full of reports of driverless cars, its easy to forget that some of the most important tech-nological advancements are happening around us in ways we may not be aware of - namely - in our homes.

From drywall to windows to insulation, home build-ing materials have developed in a way that might seem like something from a science fiction movie. But as more home-owners are getting accustomed to living with these comforts, they wonder how they ever did without them. Here are five of the most exciting innovations.

Sound-dampening drywall - Everyone wants to go home to some peace and quiet, but in a busy household with televisions, video games and music playing out of sur-round-sound systems, it can be hard to find quiet. Some look to noise canceling headphones or sound-muffling curtains, but engineers at CertainTeed Gypsum have discovered that something as simple as the right drywall can do wonders in canceling out noise. Their SilentFX(R) QuickCut noise-re-ducing drywall puts a blanket over sound energy and sig-nificantly blocks the amount of sound carried through walls and ceilings.

a new lease on lumber - Cross-laminated timber (CLT) is a material made by gluing together smaller pieces of timber to create large slabs that serve as an alternative to steel and concrete. As strong as steel, and in many ways even more fireproof, CLT allows for contractors to put up incred-ibly durable buildings incredibly fast. With computer-aided design programs, architects can design a building and send the exact specifications to robotic routers that cut the exact dimensions for each piece so that the entire building can be assembled like a big piece of furniture.

Quartz, an engineering miracle - While granite coun-tertops and marble bathtubs may be at the top of everyones list, the cost can be prohibitive. Quartz, which is a name for

stone that has been engineered by grinding quartz with res-ins, polymers and coloring, has emerged as a substitute that outperforms granite and marble, for a fraction of a price. Extremely durable and virtually maintenance free, modern engineered quartz comes in a variety of colors and patterns that mimic the erratic design prized in natural stone.

Air-quality control - People spend a lot of time and money ensuring their home has good air flow. How-ever, most people arent aware of the role the right drywall can play in ensuring clean, breathable air. Common house-hold products such as carpet, perfume, hairspray, candles, flooring and more actually give off formaldehyde that affects the quality of the air. As part of the new smart generation of drywall, AirRenew(R) with M2Tech(R) technology is a drywall that is not only moisture and mold resistant, but actively removes formaldehyde from the air and converts it into safe inert compounds, contributing to a healthier home environment.

Bio concrete - Though its the worlds most common building material, concrete ages quickly. Changes in tem-perature, the shifting of the earth, weather and chemicals all contribute to the inevitable cracks and deterioration. Several years ago, scientists in the Netherlands developed a kind of concrete that can repair itself by integrating limestone-cre-ating bacteria that heal cracks. This process is similar to the way bones heal themselves when broken. The result for home builders is stronger foundations, less seasonal repair and more overall value.

While people may not line up outside a store to get these materials the way they do with the newest phone re-lease, these technologies will have positive effects on peo-ples daily lives. So if youre curious about what innovative drywall solutions are available today, visit CertainTeed.com/Silent-FX and CertainTeed.com/CleanTheAir.

HOMeBUIlDINg eVeryONe Is TALKIng ABouT5INNOVATIONs IN

wjwomen.com24

COMMUNITYHOME IMPROVEMENT

Now that the weather is warmer and youre spend-ing more time outdoors, its the perfect time to check that your deck is ready for outdoor enter-taining. Just as you take your car in for regular maintenance to avoid bigger problems, a little deck main-tenance goes a long way to ensure your peace of mind and to give your deck a longer life. Here are four tips to keep in mind as you prepare to enjoy your backyard oasis:1. inspect your deck every year

Ideally, you should inspect your deck each year by go-ing underneath it to make sure posts, beams, joists, deck boards, railings, fasteners and connectors are all in good shape, and nothing is unstable. The ledger connection is where the deck connects to the house. It is one of the most common failure points on a poorly built deck. Its very im-portant to use structural screws rather than nails to secure your deck ledger board to your home, says David Finken-binder, a branch engineer with Simpson Strong-Tie.

2. Build it rightLike a house, a deck should be designed to support the

weight it will need to carry - think people and furniture, as well as the forces of Mother Nature, such as wind and snow. A safe deck needs load-tested, structural connectors and fasteners throughout the entire structure, spanning from the house to the posts in the ground. Your local county building department or a licensed contractor are both great resources to check that your outdoor structures are up to code. If youre a DIYer, you can also check out the DCA 6 - Prescriptive Residential Deck Construction Guide.

stepsto a safe deck

for summer4

A little deck maintenance goes a long way to ensure your peace of mind and to give your

deck a longer life.

June - July 2016 25

HOME IMPROVEMENT

3. combat corrosionDecks - and the metal connectors that keep them con-

nected and safe - are exposed to the elements. Over time, metal connectors, screws and nails can corrode and weak-en the structure of your deck. When choosing connectors, take into account where you live, and how weather and the environment may affect your deck. In many cases, connectors with a zinc galvanized coating and hot-dip galvanized fasteners provide adequate corrosion resis-tance. If you live along the coast or near bodies of water, it is recommended that you use stainless-steel connectors and fasteners.

4. Maintain for beauty and safetyJust like other parts of your home, regular mainte-

nance is needed. You should keep your deck clean from debris, and every deck should be cleaned once a year. If needed, you can apply a water-repellant sealant or stain.

Wood is a natural choice for outdoor living projects - its easy to work with, affordable and its beauty cant be copied, said Wood, Naturallys Cees de Jager. What you might not know is that wood products are responsible for lower air and water pollution, and have a lighter carbon footprint than other commonly used decking materials.

Remember, no two decks are exactly alike. If you are unsure about the safety of your deck, consult a professional who can help inspect your deck, provide suggestions and let you know how much a project or repair should cost. Then, make sure to get out and enjoy your deck all summer long!

wjwomen.com26

COMMUNITYENTERTAINMENT

Find Fun, Fresh Ways

to use your cherished chinaMixing and matching patterns continues to be a huge trend in tabletop, transcending all ages,

from millennials to boomers.

June - July 2016 27

ENTERTAINMENT

Sometimes collecting all the pieces to your cherished wedding china may take more time than you think. It took Jill Rogers four decades.After 44 years of marriage, I got the soup bowls I wanted; Mama would be so proud to know I finally have exactly what she wanted for me, says Rogers. My moth-er started this pattern for me in high school, buying pieces from the area grocery store. The fact she started it was so sweet and special.

Over the years, Rogers actually forgot the name of her pattern. Thats when she turned to dinnerware giant, Re-placements, Ltd. The companys research team not only identified Rogers vintage pattern through Replacements free pattern identification service, they even had the pieces she needed to complete her set.

I collected pieces here and there through the years but never had more than six place settings, adds Rogers. We use it for special family occasions, such as birthdays and anniversaries, and sometimes we take our special china out just for us.

Replacements designer, Julie Robbins, hears similar stories from baby boomers like Rogers, who after years of collecting, finally completed their patterns. However, as families mature and styles evolve, boomers are increasingly asking Robbins for fun ways to refresh their treasured pat-terns.

They love their wedding china and are attached to it because it means so much to them, but they want to freshen it up and give their dinnerware a more current look and feel, says Robbins. Its really easy to stay true to tradition, yet transform your table by adding a splash of color or dif-ferent medium. Mixing and matching patterns continues to be a huge trend in tabletop, transcending all ages, from mil-lennials to boomers.

So, how do you go about creating a look that makes you want to take your vintage china out of storage and use it ev-

ery day? Start by looking for complementing patterns that fit your lifestyle.

You might start with a piece that you use on a regular basis, such as a salad plate, then build around that piece by adding patterns that pull out a color, shape or feeling that accentuates the current pattern you already own, adds Robbins.

And who says your dinnerware is just for eating? Find fun ways to use it around your home.

Think outside the dining room, says Robbins. I in-herited a set that I love but didnt fit my entertaining style, so I took the tea cups and now use them for notions in my sewing room. You could also use cups to hold doodads in any room of your house, while tureens and teapots make wonderful flower vases. I find bathrooms and powder rooms are great places to use old china because those rooms are of-ten under-decorated and very antiseptic. Using old, pretty serving pieces, such as an oval vegetable or sugar bowl to hold soap or flowers, helps make those rooms warmer and more inviting.

Looking for more ideas or would like help with design dilemmas? Simply contact the companys creative team through Replacements Facebook page.

i find bathrooms and powder rooms are

great places to use old china...

wjwomen.com28

COMMUNITYENTERTAINMENT

Patriotic celebrations, neighborhood block parties, graduations, bridal showers and family reunions - whatever your summer soiree, a creative theme can elevate any gathering from fun to fantastic. If youve done the usual - luau, ethnic and red-white-and-blue - and are looking for motifs that will really make a splash, here are six unique themes and some ideas for implement-ing them with style this season:1. Star-spangled movie night

Summer patriotic celebrations can be pretty formulaic if you just serve burgers and hot dogs while watching fire-works on TV. But merge patriotism with film, and you can create a memorable, magical party. Break out the red-white-and-blue bunting, rent some velvet ropes and stanchions like you see in a theater, pick up a projector, screen and popcorn machine from your local rental store, and spend the day reveling in patriotic-themed movies.

Your local rental store has everything you need to create a star-spangled movie night. Find a rental store at rentalhq.com. Not sure what to show? Captain America and In-dependence Day are thrill rides that both kids and adults will love. Or, tug at the heart strings with sports-themed, all-American movies like Miracle and Field of Dreams.

2. A day at the carnivalWhether youre looking for an inspired block party idea

or a kids birthday party theme that will leave parents and children talking about it until winter break, you cant beat a carnival theme for summer fun! Serve up traditional carni-val fare - rented hot dog and popcorn machines will come in handy - and break out the carnival games. From favorites like the ring toss, dart/balloon board and duck ponds, to inflatable bounce houses and dunk tanks, you can rent car-nival games to create a one-of-a-kind backyard event.

3. Summer snacking soireeBeach time, vacation, warm weather and sunshine

are all lovely aspects of summer, but lets face it - summer snacks are the highlight of the season. Adults and kids alike will love a menu that highlights some of their favorite warm-weather snacks. Set up a smores station with graham crackers, marshmallows, chocolate bars and a camp fire (under adult supervision, of course). Place popcorn, hot dog, frozen drink and ice cream machines around the back-yard. Celebrate summer fruits like watermelon and avocado with creative recipes like watermelon fruit pops, fruit brus-chetta, fruit skewers and hummus/guacamole dip.

Summer Party

Themes that Sizzle

June - July 2016 29

ENTERTAINMENT4. Whacky water world

When the temperatures soar, everyone loves some wa-ter fun. Invite guests to bring their bathing attire and vis-it your backyard for some whacky water fun. Fill balloons with water and hang them from a tree branch to create a wet, wild pinata. Rent an inflatable water slide, a misting fan, dunk tank and bubble machine. As guests arrive, equip each with a water gun. Have plenty of water barrels around the yard for quick refills and dont forget to have plenty of towels on hand.

5. Karaoke dance-offDance party or karaoke - which musical theme should

you choose? Why not combine the themes and give your guests a chance to belt out their favorites while their friends shake it on the dance floor? Your local rental store can pro-vide the karaoke machine, juke box and dance floor - your guests bring their creativity. Escalate the fun and add a touch of competition by inviting guests to dress and per-

form in the musical style that was in fashion when they graduated high school (or kindergarten or grade school for younger attendees).

6. Stadium dayWatching the big game together is a great party theme

any time of year. Add a singularly summery element to your game day celebration by staging it outdoors in a homemade stadium setting. You can rent bleachers and a big screen to make guests feel like theyre right there in the stadium as theyre watching the game together. Add in food machines to make traditional stadium fare like hot dogs, nachos, pop-corn and burgers. Decorate with banners, pennants and flags. Set up a portable bar beside the bleachers and youre all set for a stadium-style experience in your own backyard.

Creative themes can add fresh excitement to virtually any summer gathering. To find a rental store with every-thing you need to execute a unique theme, visit www.rent-alhq.com.

wjwomen.com30

COMMUNITYFOOD

June - July 2016 31

FOOD

As a kid, it didnt get much better than grilled cheese: the buttery toast, the molten cheese and the savory satisfaction from that first bite to the last. Fast-forward to adulthood. Somehow throwing together two pieces of white bread with a slice of processed cheese simply doesnt have the same appeal.

Fortunately, chefs around the country are reimagin-ing the kid-approved favorite and gourmet grilled cheese sandwiches are popping up on the menus of restaurants ev-erywhere. Their secret: Mix up the ingredients and cooking methods to reinvent this classic comfort food into a pal-ate-pleasing meal for all ages. Here are our secrets for recre-ating a gourmet grilled cheese in your own kitchen.

Think beyond the slice The heart of any great grilled cheese sandwich is the

cheese itself. Dont limit yourself to plastic-wrapped op-tions. Taste buds will dance when you blend different fla-vorful varieties. Some of the best options for a simply better grilled cheese include:

Havarti: Has a light buttery, creamy taste with a mellow aroma and is semi-soft, so it melts perfectly. Pair Havarti with fruit, jam or honey in your next grilled cheese for a sweet surprise.

Gouda: Has a rich buttery, slightly sweet flavor and a smooth, creamy texture thats irresistible when melted. Sa-vory flavors complement Gouda - try it with prosciutto or tomato.

Muenster: Has a mild flavor and smooth, soft texture that stands out alone or is the perfect complement when melted alongside other cheese varieties. Match Muenster with sliced avocado for a sandwich thats a smashing suc-cess.

Fontina: A semi-soft cheese with a slightly sharp edge that is the perfect upgrade to any melty dish. Add fresh basil or pesto to a Fontina grilled cheese for a refreshing twist.

Get decadent flavor without the guilt Classic comfort foods like grilled cheese will fill the

belly and warm the heart, but they dont necessarily have the healthiest reputation. A more wholesome grilled cheese doesnt mean sacrificing flavor. Elevate your grilled cheese with these healthful tricks:

Get choosy with cheese: Not all cheese is created equal-ly. Try Arla cheese - a better-for-you cheese from a farm-to-fridge company. The naturally delicious cheese is made without any artificial flavors or preservatives and follows traditional recipes that have been handed down from gen-erations.

Veg out: Fresh fruits and vegetables can be the perfect addition for a nutrition and flavor boost to grown-up grilled cheese recipes. Add in avocado, amp it up with apple slices or get a little crazy with cucumber. The sky is the limit. A bonus tip is to stack your veggies inside the slices of cheese to lock in every bit of gooey, delicious flavor.

Pack in the protein: The average person should get ap-proximately 30 grams of protein at each meal, according to the Journal of Nutrition. You can get a jumpstart with Arla cheese, which has between 4 and 6 grams of protein in each slice. Visit www.ArlaUSA.com/GrilledCheese to learn more.

Opt for whole grain: Say goodbye to the pasty sliced white bread of your youth and instead select a lovely whole grain bread from a local bakery for a tasty sandwich with a more wholesome crunch.

Banish butter: Traditionally grilled cheese is made with butter or margarine, but you can still grill a mean sandwich when you select a lighter option. For example, swap in co-conut oil or olive oil, which feature nutrient-packed fats and omegas, so you feel good as you munch on grilled goodness.

Polish your cooking strategyThe final step in creating a better grilled cheese is to

revise your cooking strategy. Some ideas to try:Skip the spread: Put down that butter knife entirely and

instead add oils directly to the skillet rather than spreading it on bread. Warm up the pan, melt your oil and then get ready to grill to a golden brown.

Grill both sides: The perfect pairing to that awesome Havarti or Gouda is lightly toasted bread. To get a decadent crunch, try grilling both sides of the bread. Start by placing the plain bread slices on the skillet in oil to toast, then flip and add the cheese. Both sides get grilled and the cheese melts quicker.

Cook low and slow: Have patience! Youll get better re-sults when you use medium-low heat rather than rushing. If you use too high of a temperature, youll burn the bread without thoroughly melting the cheese.

for unbelievably3tipsdelicious grilled cheese

wjwomen.com32

COMMUNITYFOOD

WAys TO lIVe eAsy THIs sUMMer5

June - July 2016 33

FOODSummertime, and the livin is easy, as the song goes. From long, lazy days at the beach or pool, to relaxed backyard barbecues with family and friends, light-hearted living is the essence of summer.Keep that summer spirit alive, from Memorial Day to

Labor Day, with these ideas: Plan a weekday wind-down hour with family and

friends. Meet in a local park and bring along a simple spread of fresh grapes from California, your favorite cheese and a loaf of good French bread - and dont for-get the wine. Grab a Frisbee to toss around or a kite to fly, and have a little pre-dinner summer fun.

Head outside to enjoy your morning cup of coffee and breakfast before heading off to work. The perfect start to your summer day? Mix Greek yogurt together with fresh grapes and a sprinkle of granola.

If your community offers outdoor summer concerts, pack up a picnic dinner and head on down. Grape Pic-nic Salad (recipe follows) is the perfect side dish - its quick and easy to make, travels well and you can toss it together the night before. Add a rotisserie chicken to accompany the salad and youre set!

After work, grab a book and head to the hammock or chaise in your yard, or a bench in the park, and relax for a bit. Enhance the experience by bringing a bowl of cooling grapes to nosh on while you chill out with that good book.

Make summer-inspired meals at home instead of going out to eat, and enjoy a leisurely dinner on your patio where a table is always available. The recipe for Shrimp and Grape Quesadillas shown below takes just a few minutes to make, so you dont have to spend all your time in the kitchen on a beautiful summer night. Add a bagged Southwestern Salad kit to round out the meal, and youve got a delicious Latin-inspired meal in min-utes!

Ingredients - Serves 4 1 pound large cooked shrimp, shelled 1 tablespoon lime juice 1-2 tablespoons chopped Fresno chile pepper 1/2 teaspoon ground cumin Kosher salt and freshly ground black pepper 4 8-inch flour tortillas 1 1/2 cups grated reduced-fat Monterey Jack cheese 1 cup halved green or red California grapes

PreparationIn a large bowl, combine the shrimp, lime juice, Fresno chile, cumin and salt and pepper. Lay the tortillas flat on a cutting board and cover half of each with the cheese, shrimp mixture and grapes. Fold the tortilla flap over and transfer two quesadillas to a large, preferably 12-inch heavy skillet.

Cook over medium-high heat until tortilla bottom is toast-ed and browned, about 3-4 minutes. Flip and cook until the other side is toasted and the cheese is melted, another 3-4 minutes. Repeat with the remaining quesadillas, cut into wedges and serve.

Ingredients - Serves 4 1 cup California seedless grapes 1 can (15 oz.) small white beans, drained and rinsed 1/2 cup diced celery 1/4 cup minced green onions 2 tablespoons chopped parsley 4 lettuce leavesLemon Mustard Dressing 2 tablespoons vegetable oil 2 tablespoons lemon juice 1 teaspoon Dijon-style mustard 1/4 teaspoon salt 1/4 teaspoon pepper

PreparationCombine grapes, beans, celery, onions and parsley in me-dium bowl. Whisk the dressing ingredients together in a small bowl; pour over salad and gently mix together. Serve on lettuce leaves.

Shrimp and Grape Quesadillas

Grape Picnic Salad

wjwomen.com34

COMMUNITYFOOD

sPICy BBQ BUrgerIngredients - yield 7-8 patties

1 cup dry/uncooked chickpeas (or 2 & 1/4 cups cooked chickpeas) + kombu (optional)

1/2 cup dry brown rice (or 1 & 1/4 cup cooked rice) 3 tbsp sunflower seeds + 1 tbsp pepita seeds, toasted 2 large garlic cloves, minced 1/2 cup diced red pepper 1 jalapeno, seeded and diced 1/4 cup diced red onion 1 small carrot, grated 1/4 cup minced fresh parsley 3 tbsp BBQ sauce 1/4 cup breadcrumbs, or more as needed (use GF

breadcrumbs if necessary) 2-3 tbsp ground flax 1/4 tsp red pepper flakes Fine grain sea salt, to taste (I used 1 tsp + Herbamare)

PreparationFinely chop the garlic, peppers, onion, and parsley. Grate carrot. Stir in half the salt. Set aside. Add the cooked chick-

peas and rice into a large bowl. Make sure your rice is HOT as it helps it stick together and bind. Do not use cold rice. With a potato masher, mash very well, leaving some chunks for texture. You can also pulse in a food processor. With a wooden spoon, stir in the chopped vegetables into the mashed chickpea/rice mixture. Now stir in the seeds, BBQ sauce, breadcrumbs, and ground flax. Add the salt and red pepper flakes to taste

Mix it all up: Preheat a large skillet over medium-high heat. Form 6-8 patties and pack dough together tightly. Spray the preheated skillet with oil. Cook the patties for about 4-5 minutes per side over medium-high heat (time will vary based on your temp). Burgers should be browned and firm when ready. You can also try grilling the patties (try pre-baking patties for 15 mins in the oven at 350F before grilling).

Note: To toast seeds: Preheat oven to 300F. Toast sunflower and pepita seeds for about 12 minutes, or until lightly gold-en in colour.

chickpea

June - July 2016 35

FOOD

Ingredients - yield 4 servings 0.9 kg -1.13 kg (2-2.5 pound) butternut squash 2 lg. cloves garlic, minced 2-3 tbsp finely chopped fresh parsley 1/2 tbsp extra virgin olive oil 1/2 tsp fine grain sea salt 1 cup de-stemmed and roughly chopped Lacinato kale

Almond Pecan Parmesan cheese: 1/4 cup almonds* 1/4 cup pecans 1 tbsp nutritional yeast 1/8th tsp fine grain sea salt 1 tsp extra virgin olive oil

PreparationPreheat oven to 400F and lightly grease a casserole dish with oil.Peel the squash. Thinly slice off the bottom and top and then slice through the middle lengthwise to make two halves. Re-

rOAsTeD BUTTerNUTSquASH WITH KALE AnD ALMonD PeCAN PArMesAN move seeds & guts with a grapefruit spoon or ice cream scoop. Chop two halves into 1-inch chunks and place

into casserole dish.

Add minced garlic, parsley, oil, and salt into casserole dish and stir until well combined with the squash. Do not add the kale yet.

Cover casserole dish with a lid (or tin foil with a few holes poked) and bake at 400F for about 45 minutes. Meanwhile, process the parmesan ingredients together until chunky (or just chop by hand and mix in a bowl). Make sure to leave lots of nut pieces for texture. I used a mini processor and it worked great with minimal clean up.

After about 45 mins (or when squash is just fork ten-der), remove from the oven and reduce heat to 350F. Stir in the chopped kale and sprinkle the parmesan all over the squash. Bake for another 5-8 minutes, until the nuts are lightly toasted. Watch closely so you dont burn them. Remove & serve!

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wjwomen.com36

COMMUNITYCOMMUNITYCOMMUNITYFOOD

Ingredients - 1 large loaf or various mini loaves 1 cup uncooked green lentils 1 cup walnuts, finely chopped and toasted 3 tbsp ground flax + 1/2 cup water 3 garlic cloves, minced 1.5 cups diced sweet onion 1 cup diced celery 1 cup grated carrot 1/3 cup peeled and grated sweet apple (use a firm

variety) 1/3 cup raisins 1/2 cup oat flour 3/4 cup breadcrumbs 2 tsp fresh thyme (or 3/4 tsp dried thyme) salt & pepper, to taste (I use about 3/4 tsp sea salt +

more Herbamare) red pepper flakes, to taste

Balsamic Apple Glaze: 1/4 cup ketchup 1 tbsp pure maple syrup 2 tbsp apple butter (or unsweetened applesauce in a

pinch) 2 tbsp balsamic vinegar

glAzeD

WAlNUT

lOAF

LentilApple

PreparationPreheat oven to 325F. Rinse and strain lentils. Place lentils into pot along with 3 cups of water (or veg broth). Bring to a boil and season with salt. Reduce heat to medium/low and simmer, uncovered, for at least 40-45 minutes. Stir fre-quently & add touch of water if needed. The goal is to over-cook the lentils slightly (see pictures in post). Mash lentils slightly with a spoon when ready.

Toast walnuts at 325F for about 8-10 minutes. Set aside. In-crease oven temp to 350F.

Whisk ground flax with water in a small bowl and set aside.Heat a teaspoon of olive oil in a skillet over medium heat. Sautee the garlic and onion for about 5 minutes. Season with salt. Now add in the diced celery, shredded carrot and apple, and raisins. Sautee for about 5 minutes more. Remove from heat.

In a large mixing bowl, mix all ingredients together. Adjust seasonings to taste.

Grease a loaf pan and line with parchment paper. Press mix-ture firmly into pan. Whisk glaze ingredients and then spread half on top of loaf. Reserve the rest for a dipping sauce.

Bake at 350F for 40-50 minutes, uncovered. Edges will be lightly brown. Cool in pan for at least 10 minutes before transferring to a cooling rack. I usually wait until loaf is cool before slicing.

June - July 2016 37

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