San Diego

WInforming, Entertaining,oman and Featuring the Women of San Diego www.sandiegowoman.com November/December 2010

The Art of Healthy Aging 2

November/December 2010 oman San Diego W 3

November/December 2010 Dear Readers, Welcome to our first ever Healthy Aging Issue of San Diego Woman Magazine. I am so excited to be able to introduce this issue of our magazine to our readers. It has taken quite some time planning the format, finding the right providers, and creating the best method in which to share this invaluable information, but we are so proud to be able to present this inaugural issue to the women of San Diego.

Not only will you find the best Physicians and Healthy Aging Practitioners in town, you will also read articles which provide important information for every single woman who picks up a copy of our publication. Our goal was to inform our readers on how to live long, healthy and happy lives.

Learn how to stay fit after fifty, how to prevent osteoporosis and how to handle the challenges of hormonal chang- es in our bodies. Meet the physicians who can help fix whatever ails you, and the services that we can indulge in to feel renewed and revitalized. We have even provided ways to save money while doing so.

Enjoy some insight from one of our favorite columnists, Carol LeBeau, as she touches upon the issue of mental health and learning to cope with the problems many of us face. Find answers to those nagging questions in our Women's Work column and learn what it truly means to age gracefully.

Have some fun viewing a local Designer’s latest fashions and take a peak at how one of our famous San Diego Landmarks has grown old gracefully celebrating its 100th anniversary.

If the whole ‘growing old gracefully’ thing is just not for you, read how He said/She said approaches the concept of surgical beauty enhancements.

All in all this is an issue that you need to read and hold onto so you have a resource should a need arise in the future.

4 Thank you once again for reading San Diego Woman and thank you to all of our contributors who helped make this issue possible. We love you all.

Sincerely, Judith A. Habert Judith A. Habert Publisher/Editor-in-Chief

Subscription Information Annual subscriptions available on request Please send name, mailing address and check for $25.00 payable to San Diego Woman. San Diego Woman 254 E Grand Avenue, Suite 201 Escondido, CA 92025 760.738.8700

Disclaimer: Products, services, practices, websites or informational packets mentioned within our pages are in no way an endorsement by San Diego Woman, but are provided to our readers for informational purposes only. Cover : Photograph: by Lisa K. Miller

Privacy Advisory: Personal information provided by our readers will be used solely for the purposes of providing requested information and will not be shared. Graphics/Magazine Layout: Sonali Soni www.sonalidesignstudio.com November/December 2010 Inside Daydreams withChinh L.Hoang Poetry Corner Readers askthetoughquestions. Women’s Work Should womengetthatfacelift? He Said/SheSaid Read aboutsomeadvantagesof Aging. Bitchin &Moaning Keeping yourbrainsharpasyouage. Ask An Angel theanswer? Maybe dyingyourhairisn’t Can GreyHairImprove Your Image? Erasing thestigmaofmentalillness Transitions withCarolLeBeau Letters totheEditor Letter fromtheEditor Practitioner's Directory Healthy Aging Physiciansand Find thebestproviderswhilesavingmoney. Looking GoodTheBestForLess A SanDiegoIconcelebratesamilestone. US GrantCelebratesIts100thBirthday A woman’s storyofsurvival. When Tragedy Strikes,Strike Back With Fashion Designer Anh Volcek. Inside Glimpse A journeyofcaring. Making EveryMomentCount 4 keystostayhealthylonger. Fit After Fifty Meet ourHealthy Aging Providers Baby boomersrejoice. Aging Gracefully A revolutionarysolutiontoanageoldproblem. Customize yourSkinCare Time tostandupandbeproud! The Value of Aging Why doesthecompassnowdefineus? North ofFifty Helps theBodyHeal Nobel PrizeSubstantiatedTechnology with Dr. MimiGuarneri Understanding Hormones How tocombatosteoporosis. Fight Backfor Your Bone'sSake And Awareness withDr. SudabehMoein. Menopause: A JourneytoSelfRealization office. Not yourtypicaldoctor’s An OasisofHealing Dr. JudithRubintellsyouhow. Getting your Learn howtomanageyourbrain. From StrokeVictim toHealer Customize yourhealth. Little BetterLonger In everyIssue life back

November/December 2010 Pg 37 Pg 34 Pg 32 Pg 27 Pg 24 Pg 20 Pg 17 Pg 8 Pg 4 Pg 50 Pg 49 Pg 47 Pg 46 Pg 44 Pg 42 Pg 40 Pg 39 Pg 35 Pg 33 Pg 31 Pg 30 Pg 28 Pg 26 Pg 25 Pg 22 Pg 18 Pg 14 Pg 13 Pg10 November/December 2010

5 San Diego Woman Behind the Pages

Judith A. Habert Publisher/Editor-in-Chief [email protected]

Judith A. Habert Publisher/Editor-in-Chief

6 Sonali Soni Creative Director oman San Diego Robert Tussey Sonali Soni Copy Editing Creative Director [email protected] Lisa K. Miller Photographer

W Jaime V. Habert San Diego Entertainment Editor Woman Norma-Jeanne Sewell Advertising Account Executive www.sandiegowoman.com 254 E Grand Avenue, Suite 201 Escondido, CA 92025

760.738.8700

Graphics/Magazine Layout: Sonali Soni www.sonalidesignstudio.com November/December 2010 WRITERS Robert Tussey and interviews. melding thetwointoarticles music andwriting,often has revolvedaroundhis scores ofsongs.Hislife a musicianhehaswritten for thepasttwenty-five. As providing editingservices thirty yearsandhasbeen published writerforover Robert hasbeena Chinh L.Hoang www.marketbuilding.com. free marketingnewsletterat ing. You cansubscribetohis column called Ask Mr. Market- authors afreemarketingadvice two booksonmarketing,and ketBuilding Team, haswritten Rob ispresidentof The Mar- Rob Weinberg novel, aVietnam War story. currently workingonhisfirst resident ofSanDiego.Heis a freelancewriterandlong-time many hobbies,ChinhHoangis history andwritingamonghis An engineerbytraining,with at OptimumCondition.com tion byvisitingherwebsite complimentary consulta newsletter orschedulea for herfreeFitness Tips jon, CA. You cansignup Center, locatedinElCa Exercise &Performance Condition Corrective owner oftheOptimum exercise specialistand sonal trainer, corrective CES isacertifiedper Melissa Allen, BS,CPT, Melissa Allen November/December 2010 - - - with hertwogrownsons. hiking, andspendingtime she enjoysreading,skiing, tions. Inadditiontowriting as articlesinlocalpublica lished shortstoriesaswell writing creditsincludepub husband of35years.Her living inEscondidowithher Carol isafreelancewriter [email protected] can Women and Who’s Whoin Ameri- in Who’s Whoin America, ogy. Shehasbeenlisted Organizational Psychol years, andholdsaPh.D.in therapy forthepast25 Consulting andPsycho the fieldofOrganizational Shelli hasbeenactivein Carol Haines Shelli Chosak,Ph.D. - - - - myspace.com/sandiegowomanmagazine Now find on: us Facebook.com/SanDiegoWoman twitter.com/sdwomanconcerts twitter.com/SanDiegoWoman P HOTOGRAPHER Photography byLisaK Lisa KMiller her photographicservices. local charitiesbyvolunteering shares hertalentswithmany pregnancy andearlylife.She shines atcapturingmomentsin As themotheroftwins,Lisa the highestqualityportraiture. Penasquitos, specializingin studio locatedinRancho phy byLisaK,acustomportrait Lisa istheownerofPhotogra - San Diego Woman Letters to theE d i t o r

I loved reading your cover story about Megan from Baleen. a sign at the head of a painted parking stall proclaims: "No I am currently in culinary school and it was fun seeing what a Parking". The bottom half of the sign states "Athletic Vans talented chef can accomplish. I have told my fiancé to plan Only." our next event at Baleen, so I can have a chance to taste her Wouldn't the "No Parking" include all vehicles regardless of food. their physical conditioning? And just what does an Athletic Anita from San Diego Van look like? Sleek tires, sporting large muscular fenders up front, and in the rear a toned firm bumper?...(O'baby). Wow, I thought I had some bad dates to look back on. Your My van won't be parking there any time soon. I take it column on worst dates is so much fun to read. I am thinking jogging occasionally, but since the kids moved out it lazes' of submitting some of my own. Maybe it will make readers around the garage all day. appreciate the good dates they have had. Thanks again for your writing class. Connie from Poway Alan Davies

I love the way you highlighted local charities in your maga- zine. With such a tough economy it is hard for our favorite causes to keep going strong. Beatrice from San Marcos

Carol LeBeau’s article on Friendship brought tears to my There is Nothing Like Being a San Diego Woman! eyes. It caused me to get on the phone and catch up on all the promised phone calls I haven’t made. Where does the time go? We always plan to stay in touch, but with families Now you can let the world know! San Diego and work it is so hard. After I read her article I knew I had Woman Magazine announces our limited edition "I am a San Diego Woman," t-shirt. to make time for my girlfriends. They have always been Visit our Website at www.sandiegowoman.com 8 there for me, so I had to make sure I was available for them. and order your t-shirt today Thanks Carol. Angela from Solana Beach San Diego My favorite part of San Diego is Little Italy. I have been try- ing to convince my wife that we need to spend more time in Woman that part of town. We live in Oceanside, so it is a bit of a trip for us. After reading the article in your maga- zine she agreed to spend last Saturday in Little Italy. She loved it and now I know I can get her to go back more often. Rob from Oceanside

Dear Judith, One of the perks of attending your Wednesday night "Rev Up Your Writing" class has been my introduction to your wonderful magazine. Truthfully - being of male gender - I may have passed up "San Diego Womans Magazine," but I would have missed great restaurants, medical and health tips. I am also planning a trip to discover Little Italy, but I will leave the Pole Dancing to you gals. (guys can only go so far). I had a good laugh reading your article "Bitchin and Moaning" about wacky street signs. If "San Diego Woman and-the-occasional-guys Magazine" ever has a send-in-your-favorite- sign contest, I would like to submit an entry: Discovered at Rancho Bernardo High School between the gymnasium and the football field, November/December 2010 oman San Diego W 9

November/December 2010 Living Better Longer

Photos By Lisa K. Miller

It was a somewhat unusual encounter of two friends at a golf dose of the required hormones allowing the patient to experience course that led to the origination of one of the most well respected the benefit while limiting the risks. compounding pharmacies in the country. Deb Hubers and Chris Dr Mimi Guarneri, founder and Medical Director of Scripps Center Givant are two professional women from Iowa who took a chance for Integrative Medicine and Board Certified in Cardiology, Internal on a dream fueled by a cause close to their heart, and turned it into Medicine and Holistic Medicine is one of the physicians who utilize a success. La Vita Compounding Pharmacy is a women owned the services of La Vita. In a recent interview with Dr. Guarneri we and primarily woman staffed (with the exception of one male phar- asked why she chooses a compounding pharmacy for her patient’s macist) facility located in Sorrento Valley. pharmaceutical needs. “A compounding pharmacy can make your Not everyone understands what a compounding pharmacy is and prescriptions in cream. The advantage to using a bio-identical hor- why it is necessary. For most of us when we think of pharmacies, mone in cream form, in place of a pill or patch, is that the absorp- the large, in store pharmacy immediately comes to mind. The tion is not going through the liver. It also provides us the ability to difference between these traditional pharmacies and one such as customize the strength of each hormone we prescribe to make the La Vita is the ability to customize a medication based on a doctor’s perfect combination as needed for each patient. It allows us to start prescription and a patient’s individual needs and concerns. This with very low dosages and work our way up as indicated by the ability becomes even more important when you are dealing with response of our patient to the prescribed medication.” substances La Vita is a full service compounding pharmacy, which means they such as Bio- carry both traditional medication lines and are capable of prepar- identical hor- ing customized prescriptions through the compounding arm of their mones, utilized pharmacy. They specialize in compounding in the areas of skin by so many care, pain management, and bio-identical hormones. Not to say women today. this is all they do, but they are considered the best in their ability I asked Chris, to not only provide customized formulas individualized to each pa- compounding tient’s needs, but they also provide some of the best customer care pharmacist around. Even during our short time interviewing Deb and Chris, re- and co-founder quests for help from the staff manning the customer counters were of La Vita, to met with an enthusiastic response providing answers to customer’s 10 explain what questions and concerns coming directly from the co-founder of the exactly bio- company. identical hor- One of the greatest aspects of La Vita Compounding Pharmacy mones are and is their dedication to educating women. Since they serve as both how they dif- a compounding and traditional pharmacy, they have no agenda fered from the to sway their clients in one direction or another. As Deb notes, hormones that “We have a full service pharmacy here. I can sell you a synthetic were previously hormone or a bio-identical hormone, but the truth is that we have prescribed for to look at ourselves in the mirror at night.” One of the important women. “What factors to note is that both Deb and Chris are not only proponents is different of bio-identical hormone therapy when needed, they are both about bio-iden- currently taking these hormones, so they can speak from personal tical hormones experience. is that they are With so many questions regarding the use of bio-identical hor- naturally based with a molecular structure that is identical under mones, the women of La Vita have taken it upon themselves to a microscope to the hormones naturally produced by a woman create a series of lectures and informational programs which are throughout her lifetime. Therefore it is easier for the body to assimi- meant to simply dispel myths and provide answers to questions that late it as its own. Synthetic hormones, which were previously pre- women are often too embarrassed to ask. Their “Wine, Women scribed, are made from female horse urine, so it is not something and Hormones” program is held monthly allowing attendees to ask that the body recognizes as its own. People sometimes think that questions, listen to informative content and of course share a glass the important factor with a substance is that it is natural. This may of wine and great conversation with other women who have similar not always be true. For example, Arsenic is natural but we don’t concerns. Deb lights up when she talks about these events. “We want to put that in our systems. Previously when insulin was made start our Wine, Women and Hormones sessions by talking about from pork or beef we had all sorts of rejection issues surrounding its common symptoms that women are experiencing. Are you tired of use, but as soon as they came up with a new form of insulin identi- being tired? Do you have foggy thoughts? Are you so irritated that cal to the molecular structure of human insulin the rejection issues you feel like you want to eat your kids for lunch? Do you find that stopped. Beef and pork are natural, but not to the human body.” you just don’t want to have sex anymore? Are you having problems The beauty of a compounding pharmacy is the customization fac- sleeping? Are you gaining weight around the middle? After this tor. Since there are still many questions and concerns surrounding litany of questions comes the responses from the women which are the use of hormones and the possible negative side effects that always…yes yes yes! We want to help these women to know they might arise from their use, it is imperative that our physicians take are not alone and there is hope. They do not have to go through into account how to fix hormonal issues with a minimal dosage of the rest of their lives feeling this way.” After speaking with several hormones, as needed by the individual patient. With the use of a attendees to these events, it is obvious that the La Vita ladies are compounding pharmacy a doctor can prescribe an extremely low making a difference. November/December 2010 the years inthemedical field.Chris, aclassicallytrained pharma as aresultofpersonal experiencestheyhad bothencounteredover Another driving forceinDebandChris’ decisiontostartLaVita was more confusing.” friend tocall,ordidn’thaveexperience inhealthcare,itiseven for pharmaceuticalcompanies withagendas.Ifyoudon’thavea look likegrassrootsiteswhich areoftennomorethanadvertising have nomedicaltrainingorexperience. There aresites madeto that itbecomesimpossibleto weedthroughit,especiallyifyou with healthconcerns,butthere issomuchconflictinginformation Deb adds,“TheInternetisagreatsourceofinformationfor anyone nowhere toturn. educational researchthattheycouldsharewithwomenwho had became determinedtoarmtheirnewventurewithaheavy dose of cause. They decidedtonotonlycreatetheirpharmacy, butthey a similarcircumstance. This ledbothChrisandDebtotakeupthe health careprovidersthatshecouldcalluponifwasfaced with out there.” They realizedthat noteverywomanhadanarsenalof must beconfusingtootherwomen so ifitwasconfusingtomeIknew spent myentirecareerinhealthcare, confusing itwas.HereIamhaving doing theresearchIrealizedhow up needingone,andwhenIstarted to professionalsIknew. Iended three opinions,andcalledaround course Ididn’twantto,soobtained to haveahysterectomyandof had aquestion.Iwasrecommended lucky tohavepeoplecallwhenI industry formostofmycareer, Iwas I calledChris.Beinginthehealth friends andIhadahealthissue,so As Debrecalls,“We were personal somed frompersonalexperiences. Deb togethertostartLaVita blos- What ultimatelybroughtChrisand medication.” we acceptthiswhenitcomestoour size fitsallsociety, sowhyshould As Chrisnotes,“We arenot aone take moremedicationthenneeded?” So thequestionbecomes,“ tion neededin30ormorestrengths. it ispossibletocreatetheprescrip services ofacompoundingpharmacy or twostrengths.Whenutilizingthe commercially, butusuallyonlyinone some oftheseproductsareavailable expensive. Considerthoughthat ceuticals, andoftentheyareevenless are quiteoftenthesameascommerciallyproducedpharma extremely costly. The truthisthatthesecustomizedprescriptions tomized tomyindividualneedsandsensitivitiesthenitmustbe and thecustomizedmedicationstheyprovide,isthatifitcus One ofthemisconceptionsregardingacompoundingpharmacy bio-identical hormonesfortheirpatients. lection whenattemptingtofindaphysicianwhoiswillingprovide hormones canhelp,butnowtheyhavemorechoicesindoctorse Diego, sincenotonlyaretheybecomingenlightenedtohowthese mation.” This ismakingahugedifference forthewomenofSan at LaVita quarterlyandweprovidethemwithgoodqualityinfor is the American Academy ofIntegrativePractitioners. They meet Women, andHormonesevents.We developedthe AAIP which “We dohavetwoarmsofeducation.SoinadditiontoourWine, of bio-identicalhormonetherapywithintheirpractices. providing informationtophysicianswhomaynotrealizethebenefits cate thepublic,theyarealsoveryconscientiouswhenitcomesto However, theeducationdoesn’tstopthere;notonlydotheyedu why - November/December 2010 ------www.lavitarx.com) (For alistingof upcomingeventsvisittheirwebsite at longer, SanDiegansaredoingjust that. ing Pharmacyand theirdeterminationtohelp peoplelivebetter on theWay” youdon’thave tosuffer. Thanks toLaVita Compound Our taglinetoourWine,Women andHormoneevents is“Relief simply byeducatingthemand providingthetoolsthattheyneed. just recallingit,becauseitshows howwecanchangepeople’s lives time theylovegettingupinthe morning.Itgivesmegoosebumps back andarehavingsexagain. And forthefirst timeinaverylong finally arefeelingliketheyusedtofeel. Theyhavetheirsexdrive come backandsaythattheywillnevergivethemupbecause they us whatadifference ithasmadetotheirlives.Ihavehadwomen patient afterthreemonthsonbio-identicalhormonesandthey tell Deb adds,“Thereisnogreaterjoyforusthenwhenwespeak toa Chris andDebstartedLaVita tohelppeoplelivebetterlonger. important tofindadoctorwhoreallyknowsthisareawell.” than anyphysicianmight.Sooncewegetthemtotherightdoctors forgetful, tiredallthetime. A womanknowsherownbodybetter Yet theirlifeishorrible,theyhavedecreasingbonedensity, theyare was fine,becausetheirtestresultsfellintothe“normal”category have hadthreedifferent doctorsandallofthemmayhavesaidshe are hugerangesintestresults.”Chrisexplains,“A womanmay frightened andhopeless.Whatisoftennotconsideredthatthere there isnothingwrongwithherthisresultsinfeelingisolated, within the ‘normal range.’ If you tell a woman who feels horrible that are perfectlyhealthy. The hormonescreenswererun,andtheyfit come toushavingbeentheirphysiciansandaretoldthatthey areas thatareoftenapartoflife. As Debnotes,“Women willoften they feltwasextremelyblackandwhite,withnoroomforthegray industry. Whattheypersonallyexperiencedwasasystemthat area hospitals.Sobothwomenwerewellengrossedinthemedical mational systemsandinvestigatingmedicaltreatmentoutcomesat in themanagedcarefieldwithphysicianshospitalscreatinginfor cist, hadworkedatcommercialpharmacies.Debforyears and havetherightlabsrunby there. That iswhyitso messes withsomethingover when youtinkeroverhereit You needtounderstandthat songs andrepertoiretoplay. phony andyouhaveyourown your hormonesareasym Hormones eventsexplainthat at ourWine,Women and Our doctorswhopresent optimal healthyaging. "200-300" endoftherangefor strive togetyoucloserthe normal range. They would though itfallsintheprinted accept "2"asnormaleven health" rangeandwouldnever a muchmorefocused"optimal A healthyagingphysicianhas "zero" hormoneinyourbody. though youwerecloseto consider thatnormaleven that untrainedphysicianwould level camebackat"2"then might be0-300andifyour normal rangeofahormone healthy agingphysician,the To adoctorwhoisnot that thereareproblems. labs correctly, theyrealized erly trainedandcanreadthe these doctorswhoareprop - . - - 11 San Diego - Woman 12

November/December 2010 one breathes, butfew knowhowto breathproperly,” states has abrain,but fewknowhowtomanage theirbrain;Every and variouscognitive issuesforover19years. “Everyone overcome major headtrauma,depression, PTSD,insomnia Institute inSorrentoValley, hasbeenhelpingindividuals to that weassumearenatural. Dr. Maness,oftheBrainTek ™ chalk ituptooneofthesefactors andjustacceptthechanges stress, whichisatthecoreof manycognitiveissues.We often old agesneakinguponus, just afailingmemory, orincreased We allsuffer occasionallapsesofmemoryandwonderifitis could produceamazingresults. ous sectionsofthebrain,byusingmusictomaskthese sounds, gan hisquesttobetterunderstandhowsendingsignals tovari those whocomplainedofchangesinmemoryrecall. Thus be- certainly befocusedtowardthosewithbraininjuries,and simply someone insuchaseverestate,thenthemainconcept could Dr. Manessknewthatifthistypeoftreatmentcouldworkfor his lifefortheprevious18months. ries cameback,andhesteppedthroughthehazethathad been brain begantoheal,hismemo subdominant. Beforelonghis as vibration,wave,dominantand create additionalbehaviorssuch directional; somewouldblendto sound. Someelementswere 18 different activeelementsto behavior, Dr. Manessidentified sound affected hiscognitive further studiesintohowthe the activeingredient. Through had asixsecondinterludeas that particularpieceofmusic elements oftherecordingtofind speech, hebegantostudythe he begintoregainmemoryand time everydaylisteningtoit. As put itonacontinuouslooptaking Dr. Manesstookthismusicand wasn’t anythingthatwasfamiliar. was fromthe40’s and50’s, soit consider thatthemusicplayed started tocomebackhim. This wasevenstrangerwhenyou There werenospecificmemories,butjustbitsandpiecesthat produced anunusualeffect, Dr. Manessstartedtoremember. being playedonhiscarradiowhilearoadtripwithMom he accidentallystumbleduponarayofhope. A random song despite thedismaldiagnoseshereceivedfromhisphysicians, register.” Then somethingstrangehappenedtoDr. Maness. things aroundme,butdidn’trecognizeanything.Nothingwould my ownname.Ifeltlikewaslivinginabubble.couldsee day. This wentonforaboutayearandhalf.Ihardlyknew I wouldnevertalknormalagainandI’dworkanother career focusaswell.“WhenIhadastrokedoctorstoldme stroke atayoungageitnotonlyturnedhislifearound,but Maness islivingproofofthisfact.Whenhesuffered asevere effects onourlives,careersandfutures.Dr. Dennis There aresomeharshrealitiesinlifethatcanhaveprofound - From Stroke Victim to Healer November/December 2010 - - these amazing stories. www.braintekinstitute.com orwww.braintek.org of oftenlifealteringdepressions. You canvisithiswebsiteat rest theyrequire,severelydepressed patientsfindawayout paralyzed limbs,sufferers ofsevereinsomnia canfinallyfindthe and braintraumaaccidents regain theuseoftheirpreviously abilities toimproveproductivity andgrades.Victims ofstrokes trol outbursts,adultsandchildrenhaveimprovedtheircognitive return tonormal,autisticchildrenhavelearnedthetools tocon Previous sufferers ofdepression andPTSDfindtheirlivescan who aremorethanhappytostepforwardandtelltheirstories. Dr. Maness’ successes’ arewelldocumentedwithpatients Maness afterhearingabouthismanysuccesses. receive treatmentatBrainTek ™Institute,andmanywillvisitDr. Potential patients,however, referralto donotneedadoctor’s will designaspecificprotocoltoimprovethepatient’s condition. is nonintrusive,painlessandquiteenjoyable. The secondpart Because thesymbolsareembeddedinmusic,experience bedded intosoundrecordingsandplayedthroughtheears. ments aremadethroughthecreationofsignalsthatem What aretheseadjustmentsandhowdotheywork? Adjust- occasional visitstoBrainTek ™. areas ontheirowninthecomfortofhomeswithonly been made,Dr. Manesscanteachhispatientstomanagethese fact isthatinafewshortvisits,afteraninitialadjustmenthas these areasbacktoacorrectsymmetry. An evenmoreexciting Dr. Manesscreatesprotocolsandexercisestoassistbring eas ofthebrain,afteradiagnosticassessmentproblems. Many psychologicalchallengescanbetracedtoparticularar thought theyhadlostforever. his patientslearnhowtotakecontrolandgetbackwhatthey Dr. Maness.SoDr. Manesshastakenupthecauseofhelping cian provides,Dr. Maness the informationphysi an adjuncttoit.Basedon treatment, butinsteadas place oftraditionalmedical What hedoesisnotin mended byphysicians. patients whoarerecom Dr. Manessoftenworkswith ergy, orreduce stress. the braintoenhanceen stimulate variousareasof his subjecthowtorelaxor by exerciseswhichteach to manifest. This isfollowed before ithastheopportunity nize astressorandcontrolit their brain,howtorecog properly, howtofeelwith they learnhowtobreath ing toolstohispatientsso to thisprocessisprovid Photography byLisaK.Miller toviewsomeof ------13 San Diego Woman Taking Back Your Life

Spending time with Dr. Judith Rubin is like a breath of fresh Rubin can diagnose a problem. Of course, standard blood air. After just a few short moments it was obvious that when work and additional tests will be performed if needed, but as you think about the qualities most patients search for in a Dr. Rubin states, “A Doctor needs to listen. We are taught physician, Dr. Rubin easily exceeds those qualifications. that in medical school, the problem is many doctors just don’t One of the main issues that patients will often voice when it have the time to. I have made a commitment to my patients comes to choosing a physician is that they feel intimidated and I make a point of seeing no more than 15 patients a day and often believe that the doctor is not really listening to so I have the time to listen.” them. Dr. Rubin has made a point of dedicating ample time Dr. Rubin’s level of compassion may very well have been to each patient that comes through her doors, so that she taught to her at an early age. Dr. Rubin is a third genera- can be certain she is hearing the entire story. These conver- tion female physician. She grew up in a family of physicians. sations in her office are often the primary way in which Dr. Dr Rubin’s mom was an ophthalmologist and an ophthal- mic plastic surgeon and her great aunt (who raised her mom due to the tragic death of her grandmother) was an Ob/Gyn. In addition Dr. Rubin’s father was a physician’s assistant, and both her brother and sister are physicians. I asked her if her daughter, who is thirteen, would be following in her footsteps and she jokingly responded “She can do anything she wants as long as there is an MD after her name. I wanted to be anything but a doc- tor growing up, but my parents were smart enough to see how good I was in science and 14 math and how bad I was in english. They let me dream of what I wanted to be, but made sure I had the prerequisites to go to medical school. They were right; I love being a doctor and wouldn’t have it any other way.” After obtaining her medical degree from the State University of New York, Dr. Rubin had the tough task of deciding what area of medi- cine she wanted as her specialty. “When I graduated from med school I couldn’t decide what I wanted to do, I loved it all. What made me finally decide on the Ob/Gyn specialty was that I realized when I was on rounds at 4 am during my time in Ob/Gyn I was still whistling. However, after some time I realized that I missed the rest of medicine, so I changed my focus to family practice.” Dr. Rubin attended UC Davis in Northern California and quickly fell into their medical community, enjoying their somewhat alterna- tive approach to medicine. “This was a great learning experience since they were more alternative and open minded in this part of the country. It was 1989 and I was already learn- ing about bio-identical hormones, homeopathy and herbs. During this time I read everything I could on Alternative Medicine, I became an expert on progesterone and other hormones which so greatly affected my female patients.

Photo courtesy of Dr. Judith Rubin November/December 2010 It hasbeen shownthat ifyoutake veryhighlevels ofestro increases your riskofclots.Breastcancer isalsoaconcern. the levels.One kindofproteinisclotting factors,sothis any kindofprotein itcantobindontothe estrogentolower perceives ahighlevelofestrogen causingthelivertoputout estrogen goesintothestomach andintotheliver. The liver 450%, yetsomedoctorsare stillgivingestrogenorally. Oral synthetic estrogenorallyincreases theriskofstrokeby is dangerousforwomen.Studies haveshownthattaking nately, andtherehavebeensomanystudiesthatprovethis synthetic hormonestotheirfemalepatients?“Yes, unfortu- to askDr. Rubiniftherearestilldoctorsoutprescribing wonderful changestheycanmakeinawoman’s life,wehad With alloftheinterestinbio-identicalhormonesand the one moretime,andthenagaininayear.” levels arenotfineIwilldoonemoreadjustment,see them then theydon’tneedtocomebackmeforayear. Iftheir and thesymptomshaveimprovedorcompletelydisappeared and thenwecheckhormonelevelsagain.Ifthingsare fine plaints anddeterminewhathasimprovedhasn’t, same questionsagain.We reviewtheirpreviouslistofcom hormones. InsixweekstheycomebackandIaskthemthe and westartatreatmentusingsupplementsbio-identical hear whattheirsymptomsarethenwecheckserumlevels “The firstthingIdowithmypatientislistentothem.Once solutions tothesehormonalfluctuations. AsDr. Rubinnotes, ily forwomenwhoaregoingthroughthesestagesthere suddenly youcan’trememberthenamesofthings.”Luck foggy thinking,yourhairthinsandnailsgetbrittle Next youloseestrogen,gethotflashes,vaginaldryness, can’t handlestress,sleep,andareeasilyoverwhelmed. lose isprogesterone. You getirritable,havemoodswings, tired anddecreasedselfconfidence. Thenextthingyou drop. Testosterone goesfirst,theygetdecreasedlibido, During thisperimenopausalperiodhormonallevelsstartto mones arefoundinwomenoftenyearsbeforemenopause. truly enlightening,sheexplains,“Declininglevelsofhor An explanationfromDr. Rubinonwomenandhormonesis so theycankeepupwiththem.” drive back,sotheywillsuggesttheirhusbandsdothesame back ontrackduetotheirtreatmentandtheyhavesex recommend theirhusbandspayheravisit.“Thewomenare treats withbio-identicalhormonereplacementtherapy, that Dr. Rubindoesadmitthatitisoftenthewives whomshe of testosteronelevelsinmen. but lessfamiliaristheterm Andropause, which isalowering pause andandropause.”We allknowthetermmenopause, colds andsinusinfection.However, mymainfocusismeno- regular familymedicine.“IdoeverythingfromPapsmearsto she practicesaestheticsmedicine,antiagingand Aging Medicine.HerpracticeislocatedinEncinitaswhere She hasrecentlycompletedatwoyearfellowshipin Anti- Medicine andthe American Academy of Anti-Aging Medicine. Today Dr. Rubiniscertifiedbythe AmericanBoardofFamily medicine. consciousness whenitcametoaholisticapproachtoward her newhome.Shefeltthatthiswasanareawithmore decided itwastimeforachangeandpickedSanDiegoas were experiencingwiththesenewmedicalformations.She the influxofHMOsandfeelingcrunchthatalldoctors Dr. Rubinremainedinthisareaforover5 years watching November/December 2010 - - - - her websiteathttp://www.nouveauhealth.net For moreinformationonDr. RubinandNouveau health visit great job!” haven’t forsolong. That iswhenIsaytomyself. This isa ing throughtheappointmentbecausetheyfeelbetter and “My favoritepatientsaretheoneswhocan’tevenstop cry them testosteroneandtheygettheirlivesback.”She adds, live fromfiftytoonehundredandnothavesex?So Igive is becausetheirtestosteronelevelsarelow. Whowants to me andsayIcouldcarelessifeverhavesexagain. This “I hearthiseveryday, fiftyyearoldwomencomeintosee her parent’s adviceandchosemedicineasacareer. only ahappypatient,butdoctorwhoisthatshe took again, tofeelbackincontrolofheremotionstheresultisnot When Dr. Rubinstepsinandhelpsapatienttofeelhuman It’s sosimple.” to you,andhavetheexperiencebalanceyourhormones. someone whounderstandsmenopauseandisgoingtolisten don’t knowwhy. You don’tneedXanaxorLexiproyou GABA, You getpissedoff atkids,youarecrying,and the skyisfalling,andIdon’treallycare.'Ifyouhave your brain'Iamatthebeach,Iinhammock,and is ahormonethatGABA receptoragonistthatsaysto aren’t crazyyoujustneedprogesterone. And progesterone won’t understandit. They willthinkyouarecrazy, butyou that youimmediatelywenthomeandyelledatthekids,they ing inthemiddleofaisle,andyoudidn’tknowwhy. Or cream cheeseyouwantedandwerehystericallycry them thatyouwenttoVons andtheydidn’thavethetypeof or evenayoungfemaledoctortounderstandwhenyoutell with menopause.Soitissometimeshardforamaledoctor I realizeddidn’tknowanything.It’s kindofthesamething labor anddeliverypregnancy, butwhenIgotpregnant a thousandbabiesandIthoughtkneweverythingabout get itanddoright.Butasanobstetrician,I’vedelivered riously. Of course there are marvelous doctors out there who come tomewhosaidthattheircomplaintsweren’ttakense and thisisupsettingtoher. As shenotes,“I’vehadpatients came toherafternegativeexperienceswithotherphysicians every oneofherpatients.Shehasseenmanypatientswho her words,butineyes.Shetrulycaresabouteachand regarding womenandmenopauseisobviousnotonlyin The passionwithwhichDr. Rubinexpressesherfeeling advances. medical articlesearcheverymonthtokeepintunewithnew pensed inEuropeforover50years.Idoapeerreview recognition inthe1980sbuttheyhavebeenactivelydis have beenaround,sincetheyonlyrecentlygainedpublic doctors donotevenknowhowlongbio-identicalhormones literature outthereinregardstohormonaltreatment.Many As Dr. Rubinnotes,“Doctorsneedtokeep uptodateonthe breast cancerorstroke.” that usingtransdermalestrogendoesn’tincreaseincidentsof an articleintheMarch2010JournalofMenopausestated gen, youhaveanincreasedriskofbreastcancer, however - - - - 15 San Diego Woman Dr jackie Stone DuSoleil1/2 cre

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November/December 2010 Erasing the Stigma of Mental Illness with Carol Lebeau

When it comes to health…we feel free to discuss everything I still have depression. It’s a chronic condition for which I from leaky bladders to vaginal dryness! And that’s a good gratefully take medication every day. It’s no big deal. Re- thing. Too bad there’s still one area of our health where ally. “mum’s” still the word. Why all the discomfort, shame and behind-the-back whis- My mother took her own life. She died 30 years ago next pers when it comes to mental illness? With all that can go month at the age of 53 from untreated, end-stage depres- wrong with our bodies…who decided that our brain, with its sion. I was 26 and had reaped the benefits of a loving, complex chemistry that controls our moods, emotions, sleep devoted mother. All I could do was watch helplessly as she patterns and appetites…should be exempt??!! fought the overwhelming symptoms of anxiety and despair. I could, after all, have chronic asthma, severe allergies, Mom’s death was a tragic loss, but I found comfort knowing insulin-dependent diabetes or high blood pressure….and she was finally at peace….free from the bondage of a dev - feel perfectly free to discuss it with most anyone. astating illness over which she had no control. What made it unbearable was the reaction to her death. No one should be made to feel guilty or at fault because of a medical condition. And no one should put up with the It was never discussed. My Dad didn’t talk about it. My paralyzing symptoms of depression, anxiety or any other of brother, sister and I went through the motions of her funeral a host of mental disorders when treatment is available…and and burial….but never spoke of it. Friends and neighbors effective. avoided it. Our pastor couldn’t even look us in the eye because of it. It’s the time of year for making resolutions to get and stay healthy. If that chemical imbalance or crossed wire in your Had “it” been cancer, heart disease or complications of brain is taking away your ability to be the most effective, pro- diabetes, there would have been plenty of talking….and cry- ductive, and most importantly…joy-filled person possible… oman San Diego ing….and hugging. But what happened to my mother was get help. It’s time to talk about it. unspeakable. W 17 I was angry then…but now I understand. In those days, little was known about mental illness. Many actually be- lieved it might be demon possession. The unknown can be scary….and a stigma is often attached to that which we don’t understand.

Sadly….30 years later…. the stigma still exists….and THAT makes me mad. We know better today. In the hands of trained medical professionals, treatment for most depressive disorders is entirely effective. And still… far too many suffer in silence because of the “stigma.”

I know. Along with her curly hair, I inherited my mother’s clinical depression. I was 34 when the extreme anxiety and depression overwhelmed me. I was sure life as I knew it was over. But I was lucky: I had support from trusted friends, colleagues and a husband who’s never had a de- pressed day in his life.

An excellent psychiatrist worked with me until we found the right medication. A caring psychologist helped me learn what I could do to help. Within weeks, my symptoms sub- sided and I got back my joy. November/December 2010 An Oasis of Healing--Not Your Typical Doctor's Office!

Imagine…you are sitting in the lobby of Dr. Janette Gray, MD, an patient who has taken the time to research her medical conditions Internist who specializes in Integrative Holistic Medicine, sipping a and needs—a patient who will not blindly accept what she is told cup of herbal tea, listening to soothing music and relaxing into the or simply take a prescription to cure every ailment—someone who healing environment that surrounds you. It’s a homey introduction wants to know what her options are. to a holistic approach to medicine. It’s not your typical doctor’s of- “The real key for my patients is to achieve optimal health, regard- fice and Dr. Gray is not your typical doctor. less of their age. There is no reason why you cannot feel great at Dr. Gray is founder and Medical Director of The Center for Health any age, if you participate in your healthcare and follow a healthy & Wellbeing, which has its office in Hillcrest. The center specializes lifestyle,” claims Dr. Gray. It comes down to the old adage that what in integrative medicine—a blend of traditional medical procedures you don’t know can hurt you. Keeping informed and open-minded with complementary and alternative therapies—all supported with to the many options available is critical to a healthy and happy scientific evidence of effectiveness and safety. Since she opened existence. the center in 1999, Dr. Gray has added chiropractics, massage, Dr. Gray strongly believes in addressing the importance of a acupuncture, naturopathic medicine, marriage and family counsel- patient’s sense of wellbeing. She adds, “Doctors are often trained ing, podiatry and holistic family medicine. in the disease model. They only consider those conditions that are A healing oasis right here in San Diego, truly broken as needing treatment. The Center for Health & Wellbeing offers I believe in doing what we can to everything you might need for your con- prevent disease, and not wait to treat tinuing health and wellbeing—all under a disease once it occurs. Often doc- one welcoming roof. What Dr. Gray has tors will run tests and find that their created in her center is a one-stop shop patients are running in what is con- for health and wellness. sidered the “normal” range, but still “We have found that the optimum ap- they are not feeling well. So that will proach to women’s health is with an be the end of the discussion. It should Integrative Holistic Medicine philoso- be just the beginning. If the tests are phy. You cannot simply treat a patient’s normal, but a patient is still not feeling symptoms—you need to look at the well, then the situation needs to be whole person, and often the reasons for considered further,” cautions Dr. Gray. symptoms become clear,” notes Dr. Gray. Dr. Gray believes that there is a Dr. Gray, a medical school graduate of definite time and place for traditional 18 the University of California, San Fran- medicine. “If a patient is in too much cisco, moved back home to San Diego pain to participate in daily activities or for her residency in Internal Medicine. to even take a walk, then traditional She completed her internship at Scripps pain medication may need to be Clinic and Research Foundation and her prescribed. But once the patient feels residency at The University of California, better we will work with them to get San Diego. In one of the first jobs of her them back into the healthy lifestyle medical career, Dr. Gray was introduced that their previous condition may not to the value of blending primary care have allowed.” medicine with complimentary alterna- The Center for Health & Wellbeing tive modalities. Hence the love affair offers some ground-breaking treat- with integrative medicine began. It ments including Nutritional IV Thera- was obvious to Dr. Gray that practicing py, Chelation and Neuro-Transmitter medicine in any other way just did not Restoration. These treatments are make sense. Many doctors were simply prescribing medications to utilized for everything from tackling the flu, boosting immunity and rid their patients of various symptoms. It became evident to her that increasing mental clarity to withdrawal-free detox from prescription the underlying cause of symptoms was not being addressed, and medications and other drugs. until one addressed the cause, there was no healthy way in which Dr. Gray is also a specialist in Bio-Identical Hormone Replace- to make patients well again. She soon came to believe that if you ment with over ten years experience helping women balance their were suffering from back pain, perhaps the best solution was not hormones. Dr. Gray is able to offer Hormone Replacement Therapy a pain pill but instead a visit to a chiropractor or acupuncturist to ad- consultations through most insurance plans—treatments that dress the root of the problem and help aid in your recovery. would cost hundreds of dollars in most other clinics. “Every patient Her next challenge was to help mainstream the quality health care deserves optimal aging,” states Dr. Gray. “Life is about being happy of the integrative holistic approach she had come to love. Today, and having the ability to enjoy the things you want to do. This is her center is distinctive for it offers quality integrative medicine what health and wellbeing is all about. You should expect to feel while accepting most health insurance plans. good, look good and have the quality of life that you want to have at “Many doctors still believe in what they were often taught in medical any age.” school, that there is a pharmaceutical cure for every problem. What For more information visit their website at http://www.Integrative- I believe is that patients need to participate in their health care,” MedicineSanDiego.com. adds Dr. Gray. With her average patient being female and in her mid-forties to mid-fifties, she is faced with an intelligent, informed November/December 2010 %H:HOO The Center for Health & Wellbeing San Diego’s Premier Integrative Medicine Practice “Where we blend the very best of conventional medicine with complimentary and alternative modalities”

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November/December 2010 Can Grey Hair Improve Your Image?

By Rob Weinberg

For 17 years I’ve worn this hat to prevent sunstroke and complete Then, finally, comes the ulti- my look. Its constant presence ensures I stand out of any crowd. mate irony; AARP Magazine Strangers instantly recognize me. It’s key to my image, and you’ll reports young trendsetters rarely see me without it. purposely going grey. This Yet it’s been suggested that I wear my hat to cover hair both grey effort to stand out has been and thinning. Making my living in sales and marketing, it must be seen on model Kate Moss asked whether the color or amount of hair on one’s head impacts (36), TV personality Kelly image or ability to close a deal. Osbourne (36), singer Lady The 2008 presidential campaign provided candidates whose hair Gaga (23), and even fashion color contrasted strikingly. Obama portrayed youth, vigor, and, with blogger Tavi Gevinson (14). a touch of grey, gravitas. McCain, sporting a full head of grey hair, According to Jason Backe, represented experience and, to some, antiquity. Given our nation’s master colorist at NYC’s Ted obsession with appearing young, the results surprised few. Gibson Salon; “It conveys an Like Mr. McCain, many over 40 feel this youthful obsession is image of wisdom and intel- harsh. It’s led to a $6 billion haircare industry, with many mid-lifers ligence. It’s a power thing.” coloring their hair to avoid hiring ageism. With the young and hip real- Yet problems persist, even for the self-employed. A 50-year old izing that grey is a color too, web site designer, surrounded by 25-year old competitors, is called grey hair – like any marketing ancient by prospective clients. When this same designer dyes her or messaging tool - can lead hair she discovers clients see her as contemporary. to business success if you It’s hardly fair…but it IS realistic. know your audience, under- I can say firsthand that men have hair marketing issues too. My stand your own business objectives in advance, and recognize the thinning hair makes me look old: Will facing the inevitable and image you need to project in order to accomplish your goals. shaving it all off make me a sex god? The answers might persuade you to put that box of Clairol Nice'n Okay, I admit it – I envisioned Patrick Stewart and Bruce Willis Easy 112 back on the shelf the next time you’re at CVS. when I wrote that. Thank you for not laughing. As for me? The big decision remains – grey or shaved. I must Shall we proceed to the main question, then? Can having grey hair consult with my wife. 20 work to your advantage? My friend Earl – an airline pilot – let his ------hair go grey at the temples and discovered his passengers relaxed Rob Weinberg is a Madison Avenue veteran and principal of The more when they realized experienced hands were at the helm. MarketBuilding Team – a strategic marketing firm based in Rancho As a consultant I’ve noticed potential clients react positively when Bernardo, CA. You can get his advice through a free newsletter, a they see snow on my roof. They receive the subtle message that weekly marketing advice column, or by hiring him as a part-time they’re buying years of practical experience that will benefit their marketing executive. You’ll find him online at www.marketbuilding. business. com.

November/December 2010 Can Grey HairImprove Your Image? "A newmedicineforthe21stcentury" B N R R D D EAUTI E E ET I O S P P U C O A LE R O DR Amanda Ward 1/2 T X I TE VE N S I F F H I Y Y S R R November/December 2010 H N www 7 Bio-identical Hormones 6 Dr .bloomnaturalhealth.com A . A 0-23 H llergy Elimination CG W Deto manda W IV T xification eight Loss herapy 0-49 ard, N.D. 82

21 San Diego Woman Menopause: A Journey to Self Realization and Awareness Photos by Lisa K. Miller

As a young girl of 17, Dr. Sudabeh Moein started an adventure into to give back as a volunteer clinical instructor to the UCLA medical her future 7664 miles away. Born and raised in Iran; her two loving students in their training in Women’s health. parents served as role models as city council members for their Continuing to give back to her profession, as an Adjunct Clinical community. They were advocates of service, the pursuit of higher Professor, she shares her wealth of knowledge with medical stu- education, and always encouraged Dr. Moein to follow her dream to dent at Touro School of Osteopathic Medicine, and Physician As- make a difference in the world. sistants from Stanford Medical Center by allowing them to precept with her in her private practice. Due to the untimely adverse political climate in her homeland and strained relations with the west for traveling, Dr. Moein held fast to Dr. Moein is passionate about empowering patients with health her goal of seeking higher education in the US where her sister Dr. information and has given over 40 lectures to the women of San Susan Moein was already studying. Over the next two years of her Diego. This is in addition to her full time private practice of Wom- migration from Iran, Dr. Moein led an interesting journey out of Iran en’s Integrative Center for Obstetrics and Gynecology (WICOG) through Pakistan, Portugal, Spain and finally the US. Following her located in Poway. She is a staff physician at Pomerado Hospital uncle’s example, Dr. Moein wanted to combine her passion for sci- and a consultant physician working to help develop a comprehen- ence and inclination towards surgery while always recognizing the sive Women’s Health program at the Jean McLaughlin Women’s importance of women’s rights. Center next to the Hospital.

When you think about finding the perfect doctor there are certain qualities that most of us look for during the selection process. Of course, the first item on our list is qualifications, but there are many more characteristics that lead people to decide on who they will go to for their healthcare needs. After meeting and speaking with Dr. Moein it is easy to see why so many women have cho- sen Dr. Moein. Aside from her impeccable educational training the characteristic that stands out most is her kindness. Dr. Moein is the type of doctor who believes that there is nothing more important than listening to her patients. With a practice both in Obstetrics and Gynecol- 22 ogy her patient’s are women of varied ages. She is not only responsible for bringing new lives into the world, but also helping women deal with issues of aging and hormonal changes.

You can be certain that each patient gets the neces- sary time and attention. Dr. Moein uses an Integrative Medicine approach to treating her patients, she adds, “In- tegrative medicine has to happen, particularly for women. True healing occurs when we address all three elements, mind, body and soul. When there is a balance a woman finds her highest self.”

Several years ago Dr. Moein realized that her patients, especially in their forties were coming to her confused and upset with how they were feeling and what limited options were available to them. Perimenopausal women were experiencing serious side effects of hormone fluctuation, yet most were frightened at the prospect of beginning a regimen of synthetic hormone therapy. They needed answers and Dr. Moein knew there had to be a way to help her patients. She attended various confer- ences and did extensive research on the amazing chang- While working diligently to assimilate into the American culture and es achieved through the use of bio-identical hormone therapy. perfecting her English, Dr. Moein took her sister’s suggestion and applied, was accepted, and given a scholarship to UCLA. Never When a patient comes to see Dr. Moein with complaints of being one to take the easy route, Dr. Moein chose Microbiology and tired all the time, lost interest in sex, vaginal dryness , hot flashes, Molecular Genetics as her major which prepared her for medical anxiety, mood changes, sleep disturbances, and memory loss; Dr. school. With the advancement of her medical studies she real- Moein understands that there are hormonal issues at play. She will ized that Obstetrics and Gynecology was her “true calling”. After listen to their list of complaints and work towards helping to relieve finishing her specialty training at Harbor-UCLA Medical Center, and the symptoms that are making life so unpleasant. Often the answer receiving an award for the “Best Resident Surgeons”, she continues is to start Bio-Identical hormones. continued on page 24 November/December 2010 Photos byLisaK.Miller continued onpage24 November/December 2010

23 San Diego Woman Dr. Moein is able to help relieve their symptoms and after a careful and complete evaluation of every patient’s health risk factors including heart disease and risk of breast can- cer, she carefully starts her patients on the lowest dose of hormones one hormone, at a time. Dr. Moein is able to help relieve their symptoms and get them on a healthy course so that they can take back their lives. When some women hear the word Menopause it frightens them and they feel as if it is the end of their youth. Dr. Moein helps her patients to understand just the opposite, “Menopause is a beautiful time for women. Women are liv- ing longer now which means we have learned how to take care of ourselves better. To me this is more important than A guide for family, friends and loved ones in just looking better. It is a time when women can focus less on external beauty and more on their health, and as a result preparing for the effects of the growing elder they start to feel young and look young.” population …a Public Service from “Those Who Care” At least once a month on Saturdays Dr. Moein runs a bio- identical hormone clinic where she dedicates an hour to each of her patients. This gives her time to listen to her patients and hear their complaints and concerns. If bio- Brain Power!!! identical hormones are needed by her patients she puts them on a 7 week regimen and asks them for one promise, Q: For most of my 59 years in this world, it was acknowledged “When I place my patients on their new hormone therapy I that as we aged, so did our brain: it became slower, could not remember as well as it once did, and that after our twenties, we have them make a promise to me that they will exercise 10 would begin losing brain cells that could never be replaced. Am I minutes, 6 days a week. Although 10 minutes doesn’t seem doomed or what’s on the horizon...any good news? like a lot, the changes that I see in their health are amazing. They get started on an exercise plan that they will continue A: In recent years scientists and doctors have discovered that, even after our 7 week contract is up.” With the help of indeed, it is possible to rewire the brain – to build new neural con- nections that not only can stop the loss of brain function, but actually hormones the symptoms that were holding them back are improve the brains ability to perform as it was designed to function. suddenly gone. They start eating better, exercising regu- Although this is great news, we do need to keep in mind that the larly, and feeling better emotionally. As Dr. Moein adds,”My brain is part of our entire body processing unit, and as such, we need patients are so relieved about feeling physically and emo- to also focus on the rest of our body to allow the brain to keep its’ tionally better that they sometimes just walk into our clinic incredibly high level of functioning intact. Below you will find a list of activities that will help to maintain and promote brain function, which to share books and recipes that they have found along their may significantly aid our elderly is reducing instances of dementia, path of discovery, with my staff and other patients. It’s excit- Alzheimer’s, and slow the aging process. 24 ing to see the development of a support group amongst the The following is excerpted from eMedExpert.com (the author is not patients in my practice.” identified), and article entitled, 14 Research-Proven Ways To Boost Brain Power:

Dr. Moein doesn’t believe that the use of hormones has 1. Physical activity. Healthy body, healthy mind. Exercise can help to be forever. She believes that there is a place for bio- stimulate the formation of new brain cells. identical hormone therapy, but it doesn’t necessarily have to be a long term treatment. “The plan is to use hormones 2. Lifelong learning. There is clear evidence that education and for a transition period. The reason you need the help of learning are positive for the brain. In other words, “if you continue to challenge yourself, your brain will continue to grow.” Examples of ac- hormones is that there is an imbalance which has lowered tivities that an elder person might be interested in are: playing a musi- your threshold preventing your body from handling all of cal instrument, starting a new career, starting a new hobby, learning a the stressors that you used to be able to handle. When the foreign language, learning to cook better, or becoming more informed hormones start to work you become calmer due to this new about the world. hormonal balance that I am creating and at this point you 3. Mental stimulation. “The more we think, the better our brains need to pay attention to this new person. With mental clarity function.” Some stimulating activities might include: travel, visiting you can gain awareness and start honoring who you have museums, reading more, playing thinking games, playing a musical become, the calmer, and healthier individual. When you instrument, developing a craft skill, or volunteering. give yourself credit for who you are then you can start eating better, exercising, sleeping right, having healthier communi- 4. Social interaction. Having friends, neighbors, and family that are part of your social circle can be stimulating and challenging, thus cations, and better relationships. It won’t happen overnight. keeping the brain sharp. It will take time. Doing these things for daily healthy living may lower your need for hormones in the future. This can 5. Sleep and nap. During our sleep time, “the hippocampus becomes prove to them that they can be in charge of their own opti- highly active and moves knowledge from short-term memory to long- mal health and well being. Of course I will be at their side to term memory.” Thus, the activity during sleep helps to process the information we have taken in during the day, and without the proper coach as needed.” amount and nature of sleep, we may not develop a strong memory. As Dr. Moein states “All their life women have been looking for happiness. Happiness is one side of the coin that has 6. Stress management. “Severe stress lasting weeks or months can sadness right behind it. Even when women are happy they impair cell communication in the brain’s learning and memory region.” are waiting for the time when they will be sad. What they Ways to reduce/manage stress are: see problems as opportunities, exercise, learn relaxation techniques, cut down on unnecessary should be looking for is peace. Peace is a balance which responsibilities, make time for leisure, or get a massage. is often underrated in the modern world. It takes time, but this is why I love working with menopausal and perimeno- 7. Laughter and humor. We all know that laughing can reduce pausal women. It gives them a chance to stop, slow down stress, and as mentioned above, reducing or managing stress is important in boosting brain power. and enjoy life, because I believe there is a goddess in every Provided by Visiting Angels™ woman. They just need to take time to discover her.” America’s Choice in Homecare! November/December 2010 Fight Back for Your Bone’s Sake

By Melissa Allen

Osteoporosis, by definition, is a disorder in which the bones be- porosis and chooses to fight back with a weight-bearing exercise come increasingly brittle and porous and subject to fracture. Accord- program, should begin with low-impact exercise and gradually ing to the National Osteoporosis Foundation, osteoporosis causes increase the length of time the exercise is performed. As a personal over 1.5 million fractures each year in the United States alone, and trainer, I’ve worked with many people with osteoporosis, but one of that number, 80% of the people diagnosed are women. Rather in particular stands out…a female client by the name of “Edie” that than turn to pharmaceutical agents to assist with osteoporosis, was over the age of 50 and recently diagnosed with osteoporosis. weight-bearing exercise has been shown to have positive and last- Her doctor recommended she begin a weight-bearing exercise pro- ing results in the fight against it. gram, and I am very proud to say that over the course of the next 3 years her bone density tests gradually Risk factors for osteoporosis got better and better. include aging, smoking, taking certain medications, low body Edie’s program consisted of three weight, and lifestyle. While the days a week of 20 minutes of cardio disease affects both men and to warm up the muscles, followed by women, women stand a high- weight-bearing exercises using body er risk due to menopause. But weight, machines and free weights, don’t think that just because and finishing with stretches. In Edie’s you are not old enough to be case, she progressed to two sets of affected by menopause that 12 repetitions of each exercise. One you shouldn’t be performing of the many programs we did over weight bearing exercise now the years was made up of a lat pull- as a preventative measure, down for the back muscles, push-ups rather than waiting until you from the knee position for her chest, are a victim. an overhead dumbbell shoulder Unless you’ve been living un- press, dumbbell bicep curls, a triceps der a rock, you know that daily push-down, core exercises for the exercise is recommended for abdominals and low back, and three oman San Diego everyone, man or woman. But different leg exercises that focused

according to the American on the quadriceps, the glutes and W College of Sports Medicine hamstrings, and the calves. While 25 (ACSM) and the American there are hundreds of exercises to Heart Association (AHA), choose from, the most important people under 50 should thing is that one exercise for each engage in 30 minutes of major muscle group be incorporated moderately intense cardio five to maintain a balanced program, and days a week or 20 minutes that the exercises are performed of intense cardio three days properly and safely. a week, coupled with 8-10 strength training exercises of So don’t delay in getting started 8-12 repetitions each, twice on your way to better health! Re- a week. This translates to the member to always check with your fact that everyone should be doctor before beginning an exercise doing cardiovascular exercise program and use progression, adding as well as weight-bearing a little each day. And above all else, (a.k.a. strengthening or resis- exercise consistency is the single tance training) exercise. most important factor when working While there are many vari- towards your goal and seeing results! ances from one person to another that should be taken into con- sideration, a balanced exercise program should include resistance Melissa Allen, BS, CPT, CES is a certified personal trainer, cor- training, cardiovascular conditioning, and flexibility. The resistance rective exercise specialist and owner of the Optimum Condition training may be in the form of lifting free weights, using resistance Corrective Exercise & Performance Center, located in El Cajon, CA. machines, or body weight exercises like push-ups or lunges. Exam- We specialize in customized fitness training and corrective exercise ples of cardiovascular exercise are walking, jogging, elliptical and for recreational athletes and special conditions, as well as guar- stair-step exercises, just to name a few. Basically, it’s an exercise anteed weight loss programs. You can sign up for her free Fitness that gets your heart rate up. And flexibility, or stretching, is important Tips newsletter or schedule a complimentary consultation by visiting to prevent muscle strains and to elongate the muscle especially her website at OptimumCondition.com. Provided by Visiting Angels after exercise. The last being the most neglected area of fitness. America’s Choice in Homecare! With that being said, a person who has been diagnosed with osteo- November/December 2010 Understanding Hormones with Dr. Guarneri

Throughout our lives women are faced with the issue of hor- SDW: What are these things called hormones and how do they af- mones and how they affect every part of our health, mood and fect us? wellbeing. Our first introduction to hormones occurs for most Dr. Guarneri: The best way to think about it is that there are three forms women in their early teen years. Suddenly we are feeling things of Estrogen, E1, E2 and E3. E1 is a hormone called Estrone, E2 is we never felt before, and experiencing changes in our bodies Estradiol and E3 is Estriol. Women normally make various forms of es- that we had been told about, but didn’t quite understand until trogen through their life and when a woman goes through menopause, if they started happening. Now as we grow older we are once it is not a surgical menopause, she will have fluctuations in her hormone again confronted with the role of these hormones in our lives. levels. These fluctuations can cause various physical and emotional For some of us, it is a rude awakening to the role hormones can symptoms, which varies from woman to woman. The most common play in not only our personal lives, but our professional lives as symptom that we hear of is hot flashes. Another common complaint is well. Many of us are finding that life is somewhat different. For short term memory loss. I have patients who are attorneys, judges and CEOs and they cannot afford this symptom. In addition they may expe- the most part we are unhappy with the changes we are seeing. rience insomnia, muscle cramping, (Charlie horses), vaginal dryness, Out of the blue we are emotional, can’t sleep, are gaining weight and breast tenderness. Some women complain that they are constantly around the mid section, and find ourselves tired all the time. It tired. It all depends in which direction the hormones are surging. starts affecting our job or career because we suddenly become

forgetful of things we always SDW: So is this the main reason women remembered in the past. Our ability come to see you? to multi-task like a professional Dr. Guarneri: As a cardiologist women frequently juggler suddenly disappears. We come to see me for skipped heart beats or ignore these signs at first, and palpitations (fast heart beat). Other women may perhaps chalk it up to getting a little get what is called coronary vasospasm around older, or perhaps dealing with a the time of menopause. This can cause chest higher level of stress in our lives, to discomfort. In addition, women may have fatigue, which we were previously unaccus- sleep disturbance, hot flashes and short term tomed. After all, with the current memory loss. Some women come to see me economy isn’t everyone feeling the because they are fatigued, they are not sleep- pressures? Then more things start ing, they are experiencing hot flushes, and short 26 happening. The thought of a sexual term memory loss. Then there are a whole slew encounter with our husbands or of emotional issues that go along with these loved ones, which previously hormone fluctuations. Some women experience brought instant pleasure, sud- depression and anxiety, some will have panic denly doesn’t seem as wonderful attacks for the first time in their life. So this is a prospect. Of course we still love sort of the spectrum of things we see and I think them and are attracted to them, but we have to treat each woman as an individual. who has time for sex. And when it Some will complain of decreased libido, no comes right down to it, who cares? sexual interest at all, because they are not For many of us, we resist the con- making testosterone. So not only are they not cept that this might be the start of making their estrogen, they are also not making menopause, besides we are way testosterone, which is one of the drivers of libido. too young to even think about the SDW: When a woman comes to you with so “M” word yet. There are, however, many issues, what approach do you take? hormonal issues that start well Dr. Guarneri: I look at the situation and say before menopause that may be what can we do to alleviate the symptoms and contributing to what we are feeling. how do we find out what is at the root of these Many women fear the concept of symptoms. This is why it is imperative to look hormone therapy and have read the at the entire person, the body, mind, emotions, reports that proclaim the dangers of and spirit. If it is a hormone imbalance we will treat that, but we want to putting synthetic hormones into our systems. Fears of breast know everything that is going on. For example, can we get this woman cancer and heart disease cloud our minds, and we secretly back to exercising, which in turn will help her to sleep better at night? resign ourselves to the concept that life as we knew it is over Can we do things which will help to support the anxiety and panic, such and we better just get used to how things are now. However, as breathing exercises or meditation? How do we provide her with a dif- this does not have to be the case. We are recently hearing of the ferent skill set to know how to deal with the problems she is facing? wonderful changes that can happen for women with the use of Bio-identical hormone therapy. So we spent some time speaking SDW: So once you assess the problem, what is the next step? with one of San Diego’s most well respected physicians on the Dr. Guarneri: We then determine how we will bring the patient back into topic of choices for women faced with such a dilemma. balance. The question is will lifestyle change and supplements allevi- Dr Mimi Guarneri is the founder and Medical Director of Scripps ate the problem or do we need to add something more such as a short Center for Integrative Medicine. Dr. Guarneri is Board certified period of hormone replacement therapy. The choice regarding hormonal in Cardiology, Internal Medicine and Holistic Medicine. In her replacement therapy is individual. We have learned over the years that practice she often comes upon women facing similar challenges synthetic hormones have a significant downside. My goal is to use a regarding the symptoms previously mentioned. Dr. Guarneri was hormone preparation that is not synthetic and close to the hormones gracious enough to give us some insight into hormones and how women make throughout their lifetime. Women need to be counseled we might find a solution to the problems plaguing us. regarding the risks and benefits. November/December 2010 life. therapy maybe the bestchoiceforyoutotake control ofyour ate yoursymptoms thenbio-identicalhormone replacement . m s i l problem. Ifalifestyle changeandsupplements do notallevi- o b a t to beresolvedyoumustgetthe coreoftheunderlying e m r o emotionally, mentallyandspiritually Inorderfortheissues f r e take intoaccountwhatisgoing on notonlyphysically, but v i l Dr. e Guarneri:Findaphysicianwhowilllistento youandwill h t h experiencing thesymptomswe havediscussed? g u o r SDW: h Whatwouldyousuggest toourreadersiftheyare t s s a p o our patienttotheprescribedmedication. t e v a dosages andworkourwayupasindicatedbytheresponseof h t o as neededforeachpatient.Itallowsustostartwithverylow n s e o each hormoneweprescribetomaketheperfectcombination d t i It alsoprovidesustheabilitytocustomizestrengthof t a h t using ahormonepreparationincreamformversuspillis can makeyourprescriptionsincream. The advantageto definitely isforseveralreasons. A compoundingpharmacy Dr. Guarneri: Yes whenitcomestobioidentical hormonesit pharmacy overatraditionalpharmacy? SDW: Isthereanadvantagetousingacompounding ment therapy. events havebeencorrelatedwithsynthetichormonereplace- cebo controlledtrialson"bio-identical"agents.Manynegative therapy maybesafe.Iwouldliketoseemorerigoriouspla- Dr. Guarneri:Intherightindividual,shortperiodsofhormone SDW: Are Bio-identicalhormonessafer? hormone treatment. a healthierlifestyle. At thispointwecandecreaseorstopthe then theybecomemoreawareoftheirneedsandstartliving a shortperiodoftime.Oncewegetthepatientbackontrack hormone treatmentwillgenerallymakeabigdifference within estrogen. Itvariesfromwomantowoman. The bio-identical sometimes acombinationoftestosterone,progesterone,and to bringthepatientbackbalance.Sometimesitisestrogen, mine hormonelevels,thenwedecideexactlywhatisneeded toms andconcernsofthepatienttestsareruntodeter- Dr. Guarneri: Yes, Butfirstwehavediscussedallofthesymp- trick? SDW: SodotheBio-identicalHormonesusually in theirlateforties,certainlybyearlyfifties. memory. Mostwomensaytheybegintofeelsomesymptoms ious. Sometimestheycomplainofbreastsorenessorloss gained tenpounds,skippedaperiod,orarefeelingmoreanx- have symptomsforyears. They mayseethattheyhave Dr. Guarneri:Itissometimesaslowprocess.Mostpatients some sortofhormonaltherapy? SDW: Whatagearemostofyourpatientswhorequire gen thatawomanhasmadethroughoutherlifecycle. of theE2andE3estrogen.Soitissimilartotypeestro- would useahormonesuchasBi-Estwhichiscombination the conceptof“bio-identicalhormones”comesintoplay. SoI woman hasmadethroughherentirelifetime. That iswhere period oftime,thenIprefertousewhatisclosesta woman hasinherbody. IfIdecidetodohormonesforashort don’t always,Iprefertousesomethingthat’s similartowhata and morecardiacevents.IfIrecommendhormones,which ally hadmoreincidentsofbreastcancer, morebloodclots, showed thatwomenwhohavegottenthesehormonesactu- up regardingtheuseofsynthetichormones. These studies like theWoman’s HealthInitiativewhichbasicallywokeus efit oncardiovasculardisease. Therehavebeenlargestudies risk ofdevelopingbreastcancerandbloodclotswithnoben- ed thatwomentreatedwithsynthetichormoneshaveahigher discuss withyourphysician. These studieshavedemonstrat- Dr. Guarneri:Notalways,itisapersonalchoice,oneyou SDW: Are HormonesUsuallythe Answer?

November/December 2010 Is ittoo much toask speaktoahuman? beginning forcing ustolistentheentirelaundry listofchoicesonceagain! informs youthat itdidnotunderstandyourresponse andbackitgoestothe you callwhile haveacoldorcough: Then onesimplesneezeandit a voiceactivatedsystem. These systemsareespeciallyfrustratingshould electric companytocheckonservices, orabillduedate,onlytobemetwith breathing humanwhocanrespond. Iamsotiredofdialingupthecableor treesespeciallythevoiceactivatedones.Iwantto talktoaliving calling years backthatwaspublished intheUnion Tribune. Ihateautomated phone This hasgottobemybiggest pet peeveofall.Ievenwroteanarticleafew Automated PhoneSystems: weary drivers? curb usedtobe.Istherenotsomegetoutofjailfreecardavailable forus issues arisewhenthepaintstartstofadeanditishardtell whatcolorthe color wheel,itisimpossibletoknowifasafespotpark. Evenmore Often whiledriving,unlessyoubackuptwoorthreetimesand pulloutyour enough isenough.JustpostasignandletmeknowifIcan parkornot. limited tothetimeperiodstenciledoncurborposted a sign.Okay, complex. They meanshort-termtimelimitparkingzonesand theparkingis loading zones. There arethegreenpaintedcurbs;these a littlemore passenger loadingzones. There aretheyellowpaintedcurbs, commercial curbs, disabledpersonsparkingzone. There arethewhitepainted curbs, are theredpaintedcurbs,nostoppinganytime. There arethebluepainted parking spotinSanDiego.Whatiswiththesidewalkcolorcoding? There classes, butIamstillamazedandsomewhatdisorientedwhentrytofinda I wenttophotographyschool.studiedthecolorwheelextensivelyinmyart Curb Colors: Now thoseIcangetbehind! simple “I’mfiftyyearsoldandIdeservetoparknearthefrontdoor”spot. spent alldaycleaningandtakingcareofthekids”spot?Orhowabouta me”spot,oran“I been onmyfeetalldayatworkandheelsarekilling also madeallowancesfortherestofusneedywomen.Howaboutan“I’ve Maybe Iwouldbeokaywiththepregnantparkingspotsatmallifthey any truerecourse. Hence, thisprivilegemaybeabusedbytheyoungwomenintownwithout pregnancy? Doessheneedtopeeonastickprovecanparkthere? advanced stagesor, perhapsatleast inthesecondtrimesterofher do youknowifthewomanparkingthereistrulypregnantuntilsheat I mightthinkitisamarvelousthing,thoughmustadmithardtoprove.How while perusingthemall.Iguessifwasinchildbearingstageofmylife, New York andneverdidIexperiencetheaddedperkofacloserparkingspot Do wereallyhavethatinSanDiego?Iwentthroughthreepregnancies ‘Pregnant womenonly’ parkingatthe mall: Okay, sohereistheshortlist: may surelybeneededinmyimmediatefuture. I supposecanadmitthatsomebio-identicalhormonereplacementtherapy If itcomesoff toomuchonthe“Bitchin”sideofmyBitchin&Moaningformat, and Isupposethisissueisasgoodanytovoicethem. women. There arecertainitemswhichrepeatedlyfrustrateandannoyme I mightadd,butnonethelessitseemstobeapositiveaspectofagingfor they canfinallygetawaywithvoicingtheiropinion.Sometimestooloudly, guess Iamold.)Women findwhentheygettobea“womanofcertainage” getting olderandperhapsmorepersnickety(DidIreallyjustusethatword? T The Advantages of Aging here issomethingtobesaidforgettingolder. Okay, Isaidit…Iadmittedto Bitchin’ & Moaning By Judith A. Habert

27 San Diego Woman Nobel Prize Substantiated Technology helps the Body Heal

That is what John Thorp founder of The Thorp Institute of scientists who discovered how electrical current helps the Integrated Medicine, Inc. (TI) established in 1997 realized in body heal itself substantiated microcurrent therapy, and one his own personal experience. of the physicists responsible for developing missile guidance John Thorp, President and founder of TI established TI as a microchip technology created the microchip processor used result of a tragic, life-altering accident. A successful stuntman in these instruments. in the 1970s and 1980s, Thorp’s career ended abruptly when The microcurrent therapy stimulated the healing process in he shattered his leg. Doctors told Thorp that he needed a Thorp’s body, essentially restructuring the knee joint without complete knee replacement and that his knee would never surgery and drugs. Only one year from the date of the injury bend again. Ignoring their counsel, Thorp pursued microcur- Thorp ran his first triathlon. Even now, twenty-four years rent therapy recommended later, his knee is fully func- to him by Hollywood actor tional and pain free. Lee Majors. Thorp says Thorp attended the Insti- professional athletes such tute of Oriental Medicine in as Terry Bradshaw, Joe Honolulu where he studied Montana, and Jack Nick- acupuncture points, chan- laus have had good results nels, and meridians, which with this therapy helped him to become The Thorp Institute’s proficient in the placement purpose is to advance the of needles and provided practice of microcurrent him with the foundation to technology, in particular develop protocols for treat- FDA-registered, Class- ments. Thorp also studied II medical devices., the myofascial release, trigger 28 Electro-Acuscope and points, shiatsu, Lomi Lomi Myopulse. They are located (an ancient form of Hawai- in Encinitas and Sorrento ian massage), and Swed- Valley, Ca. ish and deep tissue mas- Their goal is to bring the sage. He was licensed by Electro-Acsucope and the State of Hawaii in 1993 Myopulse into mainstream as a Massage Therapist. use in the fields of pain Thorp spent a decade management for humans working in clinics with chi- and animals, detoxification, ropractors and doctors and and beauty care. The TI their chronic pain patients, vision is to improve health fine-tuning his clinically care quality while lower- proven protocols and train- ing health care costs, to ing others how to use them shift from a sickness to a with consistent results. He wellness paradigm in health was hired by the Castle care. Medical Center in Hawaii This technology is unique at the Work Well Reha- in that the instruments bilitation Center, where he decipher abnormal tis- oversaw 40-plus patients a sue response to a minute day. John has owned and electrical current adminis- managed medical clinics tered through the skin and over the past twenty years. adjust an electrical output back into the body. This corrective Thorp’s mission is to bring this award winning equipment into current normalizes or relaxes damaged tissue, thus allowing mainstream use in the fields of pain management, detoxifica- the body to return to homeostasis and heal. The treatment is tion, and beauty care. non-invasive and virtually painless. The Institute’s Microcur- To learn more about John and what he does, pick up a copy rent therapy is intended to help the body heal itself better, of his soon to be released new book entitled "From Stuntman stronger, and faster than other traditional treatments . to Electro Medicine Man." The instruments used in this therapy were designed based Read more on his website at http://microcurrentinstruments. on a combination of technologies. Nobel-prize winning com November/December 2010 oman San Diego W 29

November/December 2010 NORTH OF FIFTY By Robert Tussey I’ve been hearing that phrase, North of Fifty, a lot lately. own fortitude, steering through the carnage as best as I Are we boomers that anxious about aging that we’re us- could. Now that I’m looking (very closely) at sixty I think I ing the compass to define us? Actually I’m more south of could have done better: Could have played more music sixty than north… you get the picture. I don’t mind being and written more; perhaps tried my hand at a sonnet, the age I am; I kinda like it. I’ve grown this whole body of or maybe even some couplets. I won’t play the ‘should knowledge and experience that now defines me as a man have’ game, that was my parents’ battle cry. and a member of the world community. I can’t afford the The thing is, I still have plenty of time to do those things jaded eye my parents used as they got older: This time in and wallow in the satisfaction of completion. We all do. history dictates that we be much more aware and open Most of us on this side of the fifty yard line are seeing the and that we keep pushing the boundaries. That’s Just nests emptying which allows us to go on and do so much what we boomers like – upsetting the apple cart. more than our parents. They were old at this age; ‘we As Don Henley says, “We will not go quietly, we will not will not go quietly.’ The pleasure of playing music in front lie down.” We boomers have been in the unique posi- of an audience is even more appealing today than it was tion of seeing our music and politics change the world in my teens. We recently saw JD Souther (who co-wrote (perhaps not all for the better, but still…). I don’t see that so many of the Eagles great songs) and at sixty-five he’s dynamic today although it seems this next generation is as vital and engaging as he was in the seventies. ‘We becoming more politically active, which they should – this will not lie down.’ will be theirs someday. North of fifty tells me we’re hand- And that’s the point; we boomers will push the limits and ing over the mantle and we should be more concerned body- slam the strictures our parents could not. I really about what we leave these future leaders. We aspire to dislike the phrase ‘sixty is the new fifty.’ No, we’re sixty give them a green beginning wrapped with a ribbon of and should be proud of every year and the merit badges promise about what the future can be. The key here is that came with them. Those grey hairs and lines on our what it CAN be. faces are the roadmap to our history. Mark Twain said, I like to think I take it seriously, but I don’t always hit “Age is an issue of mind over matter, if you don’t mind, the mark. I made it to twenty, hit thirty, cautiously tip- it doesn’t matter.” Like I said, I don’t mind being my age, toed past forty and slammed into fifty mostly on my except I can’t wear bell bottoms anymore. 30

November/December 2010 THEVALUEOFAGING more valuedthan werealize. wisdom, and comfort fortheyoungergeneration, andare plex, enlightened lives?We arereservoirsofexperience, what iswrongwithlooking likewehavelivedfull,com made mewhoIam.wouldn’t eraseaminuteofit.So there. Icherisheverychapter ofthatstorybecauseithas the tears,love,bothgiven andreceived,isallwritten My facetellsthestoryofmy life. The stress,thelaughter, back theclock,andfrankly, Idon’tthinkwereallywantto. hoping toappearyoungerthantheyare.Butwecan’t turn Women wastecountlesshoursandtoomuchmoney or thelatestmakeup,hopingitwillkeepusyoung. It’s atrapweallfallvictimto;buyingthatexpensivecream has awayofmakingolderwomenfeelinconsequential. will stillgetold.Oursocietytendstoglamorizeyouth and how oftenyougoundertheplasticsurgeon’s knife,you We willallgetold. There isnostoppingtime.Nomatter By CarolHaines November/December 2010 - be withoutus? things, naturallyandlovingly. And wherewouldthisworld safe, welcominghome?We, mature women,doallthese and frail?Whobindsourfamilies togetherprovidinga comforts andsupportsourelderlyastheybecomeweak challenges andwhobuildsthemupwhentheyfall?Who Who cheersouryoungpeopleonastheymeetnew even asanolderwoman. ing. You realizethatyouareanecessary partofsociety, for adviceorencouragement,youfeelasenseofawaken be strainedtosaytheleast,butwhentheyseekyou out mances ofourlives.Relationshipswithteenagers can grandma, orfamilymatriarch,maybethegreatestperfor The newrolesthatwearehesitantlysteppingintolike - - 31 San Diego Woman He Said, She Said

By Robert Tussey & Judith A. Habert Photo by Lisa K. Miller

Are men really from Mars and Women from Venus, as author Dr. John Gray states in his bestselling book? Do men and women really see things that differently? If given the same question could their answers really be so different? At San Diego Woman we wanted to explore the differences between "them" and "us". Read this month's installment and find out how the sexes differ when it comes to communicating with each other. What topics would you like to see us duke it out over in upcoming issues? No topic is off limits, so write me at editor@sandiegowom- an.com. I can't wait to hear from you!

He Said... She Said...

32 We’ve all laughed at Phyllis Diller and Joan Rivers for I have to agree that there are women out there who tend their overdone facelifts and collagen treatments. But they to find a good thing and then overdo it. I believe anything were the rich and famous and it fell into the Hollywood in moderation is just fine. If a woman has done things the paradigm. Now I go to the market and see the latest “right” way, with all of the face creams, anti-aging prod- casualty of the Botox wars trying to smile her way through ucts, healthy eating and exercise regimen, and still has the checkout stand (I love to hear them try to pronounce not been able to achieve the results she desires, then Spinach). Her face doesn’t move, nor does any other part take the next step. Or if there is just something about her of her (ahem) presentation. I will grant you that men, for looks that have been a constant source of unhappiness the most part, love breast enhancements, so this rant throughout her entire life, then by all means she should do isn’t directed there. I know we all (yeah, the guys and what will make her happy. If it’s a face lift or a tummy tuck their dyed hair is a travesty) want to stay young forever, or (I know you’ll like this) a boob job, then by all means but seriously, freezing your face with chemicals just to she should do it. But, there has to be a time when we as hide a few lines seems overdone. And those lips? Really? women realize that good looks on the outside are a defi- Clowns have smaller lips! nite reflection of what is going on in the inside. So if you You are what you are so why don’t you enjoy it and are unhappy with how you look the first answer should be spend your money on sales at Nordies! Women say they to attack the problem from within. Drink more water, eat dress for themselves but we all know they dress for other healthier and exercise more. women and, secondarily, men. Same goes for the plastic If the time does arise when you decide that you want to brigade, who are you trying to impress? Most guys don’t go under the knife, or needle (should Botox be the desired like it and from what I’ve overheard, lots of you ladies choice) then do it responsibly. As with drinking, one or two don’t either. The Jokes? You should hear your own gen- drinks may be sociable, but 10 may indicate a problem. der talk about you. I know that Vogue and Cosmopolitan If the treatment you are receiving no longer allows you tell you thin is in (for years), but rock hard faces have little to show off your beautiful smile, because your face won’t character or appeal. move, what have you gained in beauty by getting these This issue of San Diego Woman has many articles on treatments. Beauty does truly comes from within, so do shaping up and eating right and paying attention to what you can to be happy and it will show through. what you were given. Do that and the rewards will be far As for the obviously dyed hair on you guys…..well, realize greater than what needles and chemicals provide. if you are starting to closely resemble Luigi from Mario Brothers the hair dye might be just a bit too much.

November/December 2010 Customize Your SkinCare

There have rarely been products that come onto the scene that make this product particularly impressive to me. First is the team have revolutionized an industry; this is one of those rare products. of people who have been assembled to formulate, test and market Women have been faced with skin care issues since the begin- this custom and prescription skincare to patients.” Not only is the ning of time, often due to hormones which can result in acne, skin formulator of this product one of the best in the industry, but there discoloration and advanced signs of aging. In the past women is a board of directors overseeing the creation and marketing of scoured the cosmetic counters and specialty stores for products this product who read like a who’s who list of medical, skin care to bring them some relief from their specific skin condition. If the and pharmaceutical experts. When it comes to the customization problem became more severe they would be faced with regular capability of DermbiotixRx Dr. Cohen likened the concept to high visits to a dermatologist in an attempt to cure their problem. Even end perfumeries found in Paris, New York and Los Angeles. In this presented some challenges: Prescription skincare medica- these perfumeries you go in, explain what you would like, sample tion is often too harsh for most skin types. It may cure the problem products and ultimately have a signature perfume designed only for at hand, but there is usually a price to pay in the form of irritation, you. No one else will possess the same fragrance because it has blotchiness, dryness, or allergic reactions to the chemicals that are been customized exclusively for you alone. “What DermbiotixRx used. Finally, there is a cure for this problem. Due to launch in the will be doing is offering my patients this level of personalization and first quarter of 2011 is a revolutionary product which will solve many customization of treatment. Previously a patient would come to see of these old issues. me due to a specific problem and I could prescribe a commercial In reading this issue of San Diego Woman the topic of compound- product that would fix the issue at hand, but often presented side ing pharmacies has come up in several articles. These are phar- effects that would result in additional problems. With the advent of macies that have customized pharmaceutical ingredients in order to this product we can avoid those side effects and design a com- respond to the individualized needs of each patient. DermbiotixRx, pound that is specific to the problem, but devoid of the negative the latest product formulated by the makers of the well respected side effects.” Probiotic skin care line, appears to be the solution to decades of The makers of DermbiotixRx, (www.Dermbiotix.com) are not new skincare problems. Formulated by Bob Heiman, founder and chief to the skin care industry; they are also the creators of Probiotic Skin formulator for the world renowned Epicurean Discovery products, Care which is one of the first to market in 2009, using Probiotics the concept of this new product line is that it is customizable based formulation, and one of the most well respected over the counter on a prescription designed by your dermatologist, plastic surgeon, skincare lines available today. For those with less serious skin care or healthy aging physician. No longer must patients deal with issues, not requiring the assistance of a physician, Probiotic Skin ingredients that are too harsh in order to cure an existing problem. Care may be your answer. Currently the Probiotic skin care line They can now rely on their physician to provide a solution to their is available at specialty stores, but will be available shortly at your oman specific skin care issue based around products that fit their skin fine mass market retailers such as Costco, and Rite Aide. This San Diego type and sensitivities. This has never been done before and it is product line, as well as the soon to be released prescription ver- certain to become the way of the future: Skin care truly designed sion, currently offer Anti-Aging, Acne, and eye cream options which W with the patients needs in mind. all contain SPF to further protect your skin from the problems of We spoke to renowned San Diego Plastic Surgeon Dr. Steven excessive sun exposure. 33 Cohen, from Faces+, who is one of the first physicians carrying the new DermbiotixRx product, to get his input on how he feels this product will revolutionize skin care. “There are many aspects that

November/December 2010 WOMEN’S WORK By Shelli Chosak, Ph.D.

Dear Dr. Chosak, your needs and limits be known, and learning how to say “no,” I am the only remaining family member available to oversee the always with consideration for others. The better you take care of care of my aging mother. We have and always have had a very yourself, the less stress you will have, the easier life will become, close relationship. It saddens me to see how she is deteriorating. and the less you will need to depend on others. In addition, you will How do I handle watching her decline with age? Is there any way I discover you have more energy and feel better about yourself. This can prepare myself for the inevitable? will make you someone others want to spend time with. --Thank you, Marsha Friendships—“the relationships that help us get through all our Dear Marsha, other relationships.” Women tend to live longer because they I’ve often heard people discussing which is worse—to have a loved have more friends than men. Friendships provide support, caring, one die suddenly, or to watch them gradually slip away, physically sharing, and a sense of well-being. This is especially true if you and/or mentally? There is no good answer, either way you suffer allow yourself to be open and honest with your friends, share your the ache of loss. The emotional pain may be as bad if not worse, vulnerable side with them, and are an attentive listener. As you for you than for your mother. We tend to project our feelings onto get older, become more discriminating about your friendships, it the other person, imagining her suffering and not taking into con- will increase their value. Hold on to and nurture the friends who sideration she is looking at the world from a different perspective. are non-judgmental, good listeners, and genuinely supportive. You If she has accepted coming to the end of her life, she may be at know they will be there in a crisis, and rejoice with you during good more peace than you are. This is a process for all of us, as we go times. Let go of the friends who are a drain on your energies and through the stages of grief: shock, anger, denial, bargaining/guilt, your psyche. withdrawal and acceptance. There is no easy way. You need to allow yourself all the phases of grieving, even though your mother “Graceful aging” happens when you accept reality, live fully in the is still alive--you are already experiencing the loss of who she once present, take responsibility for yourself, and decide to make the was. best of whatever comes your way.

The better the relationship, the greater the sense of loss: It will help you to focus on all that you had with her, and what a gift she Dear Dr. Chosak, 34 has been to you. Recognize that her gift stays with you, her es- I have a question about my eleven year old daughter. She is in a sence will always be a part of you; it doesn’t diminish even after social group in school of the "popular" girls. She complains they she is gone. It is preferable to grieve the loss of the richness of gossip and say negative things about each other and she doesn't what you had rather than the loss of what you never had. like it. They even talk about her. She has outside after-school activities, but none of the girls she meets there are in her classes at school. I have suggested she change her friends, but she has Dear Dr. Chosak: identified with this group and says she really doesn't have any I enjoyed reading your article in San Diego Woman. I am a woman other friends. Do you have any suggestions? in her early 70's. --Anonymous Mom Could you please tell me what you think are the most important aspects of "aging gracefully". Dear Anonymous Mom, --Thank you, Joan K. Oh the pangs of growing up! I gather it is important for your daugh- ter to be in this group, otherwise why would she choose to suffer? Dear Joan, It can help to encourage her to continue to vent, empathize, and “Aging gracefully” can begin at any age, whenever we realize we then if she’s interested, assist her with some problem-solving. Ask will not be forever young. How do you make the most of your life, her what she likes about being in this group, what her options are, physically, mentally and spiritually? and which ones she would choose to act on. Give her plenty of time The first inklings of our mortality can come in many forms: the to think and respond. Is she willing to speak up to the girls in this death of a family member, friend or contemporary; annoying mem- group and let them know in a thoughtful way, that she is concerned ory lapses; unfamiliar aches and pains; joints and muscles that do about how hurtful their gossip is? Can she be an alternative role not cooperate; realizing that holding on to investments for the “long model by politely refusing to participate in the gossip? (e.g. “I’d term” no longer gives you a sense of security. rather not talk about the other girls this way.”) If you help her brain- storm, and she can come up with some ideas, she will feel stronger The earlier you establish physical and mental habits to promote a and better about herself which may help resolve her choice to hang better quality of life, the more successful the aging process will be. out with these girls, one way or the other. Perhaps she can find How well you age is largely up to you. Reject the myths of aging some school activities that give her the opportunity to meet other you hear--you do not need to give in or give up. Keep your mind girls. active by continual learning, your body active by regular exercise. It is never too late to start. Parents, in their desire to be helpful and protective, tend to jump in too quickly and offer suggestions. It is better to be her guide and As women, most of us have focused our lives on taking care of encourage her to find the solutions herself by asking open-ended others: This is the time to focus on taking better care of You. It questions. Remember this is a stage in her development, and she means giving equal attention to yourself, not more or less, than you will pass through it, learning some valuable lessons along the way. do to those around you. It is about standing up for yourself: letting November/December 2010 Aging Gracefully

By Kathy Weyer M.A.

As a Baby Boomer, I’m having a little trouble aging gracefully in the eons. Only now are we starting to realize the benefits of flex time workplace, but I think I’ve worked most of it out. without guilt. It is a wonder to me that you can stay home with a sick child and work from home. You can get to the school play, the Everything I’ve been taught has to be, not thrown out the window, teacher’s conference, or even to the gym during normal “working but filed neatly away, and I’ve started to embrace a new way of hours” without fear of reprisals. Old habits die hard, though, and I thinking about work – without feeling like a deadbeat. still feel the need to justify my time. But I’m getting there.

I remember as a non-exempt (hourly) employee, breaking out in a We’ve come a long way, baby! cold sweat if I was a few minutes late or if I decided to take a “Men- tal Health Day” (a very good idea if I do say so myself). I always felt odd the next day because I suspected people thought I was just playing hooky.

Sitting at my desk actually thinking was cause for someone to ask if I could take on another project. The object was to look busy. Breaks were for those not serious about their work. Everything you did was to project the image that you were a serious careerist. Lunches were always working lunches, you never left before 5:00, and you were always at your desk, (and you always wore stock- ings, but that’s another story altogether). We were so buttoned up! How times have changed.

My parents taught me to work hard, oman show your dedication, and be better than San Diego

everyone else. That meant getting in W early and staying late. It meant that my job was a major part of any conversa- 35 tion – with anyone. It meant my work became my life.

I’ve discovered your work is not your life. Your LIFE is your life. The younger generation has that right. They do not expect to be with the same company for their entire lives and retire with a gold watch the way our parents did. Our children have watched us go through job after job, whether it was our choice or not. They do not have the same belief that if you take care of the business the business will take care of you. They have been witness to insecurity, down- sizing, political maneuvers, and as a consequence they look on their jobs as disposable. We, on the other hand, were raised watching our fathers stay with the same company for his entire working life, instilling loyalty through dedication. If Mom worked there was more insecurity because she probably was hourly.

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39 San Diego Woman FIT AFTER FIFTY By Carol Haines

Four Keys Women face new challenges as we progress through our would gain weight. So he said, “How is that working for you?” I had fifties and pass through menopause. Many of us gain weight and to admit that it wasn’t. After a little soul searching I decided to follow lose energy even though we are continuing our fitness programs his program for six weeks. This meant some major changes in my and diet regimes. My personal experience is not uncommon. From routines, but I committed to giving it a try. my late forties into my early fifties, I put on about ten pounds.Add - Over time I learned that fitness is a life style, not a diet. I ing this to the extra ten pounds I was already carrying was too much also learned that the benefits of this life style change are so much for my small frame. I continued to do what has been pounded into more than just being thin. I have more energy, many of my aches our brains since our teens, eat less and exercise more. For the first and pains have diminished, and I am strong. Oh, and I love clothes time in my forty years of dieting, I was not getting results. Discour- shopping again. My new program consists of four equally important aged and depressed I tried to convince myself that I was not able to parts. Each is key to long-term success and isn’t that what we all lose the weight and should be happy that I was healthy and strong. want? But I was not happy. I was fat. For someone who had always exer- cised and watched what I ate, this was a disappointing reality. Key #1 My son, who is a personal trainer, noticed my depression Attitude and asked if I wanted his educated advice. I assumed that I knew Don’t think of your new program as a diet. This program is much more about my metabolism than he did and resisted his offer: about making a healthy lifestyle change. Let go of all the old, tired I thought he was all about pumping iron and building large muscles. ideas we have about dieting, and accept that change can be good, I told him about my fitness program and that I had to eat very little or even at our age. The toughest reality for me to accept was that I needed to eat more. What? Eat more to lose weight? This just can’t be. Well it’s true. I have changed my metabolism to actually burn calo- ries instead of storing them in the form of fat. All the years I spent on restrictive diets had trained my metabolism to run very slowly. Now that I give my body what it needs to function properly, 40 it operates in a much higher gear. Telling yourself you can’t succeed be- cause: it’s hereditary, I’m too busy, I have bad knees, or whatever excuse you use, is just that, an excuse. We all have old injuries and aches and pains of some sort. These are all compel- ling reasons to commit to a fitness plan. Efficient exercise and eating properly may improve all of these conditions. Keep a positive image of yourself. You are about to take control of your physical condition. That is a very empowering position to take. Know that you are moving towards positive changes and that you are worth it.

Key #2 Diet As I mentioned before, I now eat lots of good food. Our bodies need nourishment for energy and maintenance. Depriving yourself of nutrition will cause your body to store fat and burn precious muscle in its attempt to survive. This is counterproductive to our goal as muscle tissue requires calories to stay alive and the more we lose, the less calories we burn. To avoid losing this precious muscle tissue fol- low this basic formula to calculate how many calories you need. Multiply your current weight by 10. This will give you the minimum numbers of calories you should eat during your weight loss program. Going lower is not better, so eat at least that much. Let your body know it does not have to hoard fat because it will be receiving its nutrition regularly. November/December 2010 FIT AFTERFIFTY By CarolHaines 1260_ESN_QtrPgAd_v8_FINAL.indd 1 ing iron.Besuretoprovideyourmuscleswiththecaloriesand Remember, noexcuses. bells, orevenfindingitemsaroundthehousetouseasweights. there arelotsofoptionsincludingDVD’s, purchasingdumb and technique,yourworkoutswillbemoreefficient.Ifyoucan’t, can managetohireagoodpersonaltrainerteachyouform workable plan.Ifyouhaveconcerns,consultyourdoctor. Ifyou health limitations.Usecommonsenseandstructureasafe, exercise isalsousefulinkeepingboneshealthyandstrong. much morelikelytokeepunwantedweightoff. Weight bearing And youwillburnmorecalories,evenwhileatrest,soare the musclesprotectandstrengthenweak,vulnerablejoints. cial asweage.Notonlydoesatonedshapelybodylookgreat, Strength Training Key #3 really arewhatyoueat. oatmeal forbreakfastandinsistedyoueatyourvegetables. You Your motherknewwhatshewasdoingwhenservedyou ing healthybodytissuethroughthenightandimprovingsleep. some protein.Moreproteinlaterinthedayisgoodformaintain burning carbohydratesaregreatinthemorningalongwith Whole, organicfoodsarealwaysthebestchoice. And slow better atnightandimprovesyourmentalattitude. with you. This bloodsugarbalancingplanalsohelpsyousleep slump. Planaheadandhavehealthy, caloriefriendlysnacks reaching forthatcandybarorcookiesduringtheafternoon you avoidthosesugarhighsandlows,savingyourselffrom snacks adayiswin,winplan.Byeatingevery3hoursorso, Breaking yourtotalcaloriesdownintothreemealsand You canburn atremendousamountofcaloriespump Be carefulstartingout. You knowyourfitnessand Building andmaintainingmuscletissueisverybenefi I h | Carlsbad,CA92008 |760.730.7900 Why doIneedatrust? David G.Eisenstein, P.C. The LawOf cesof Estate planningprotectsyou a This special pricingexpiresDecember 31,This special 2010. ones. It avoids costly probate and ensures that yourwishesarehonoredafter residence intrust. death andifyoubecomeincapacitated. including deed to put your primary including deedtoputyourprimary ve awill. $895 COMPLETET Attorney David Eisenstein and Attorney DavidEisensteinand Trust Administrator Penny Eisenstein are trustspecialistswith: having arevocabletrust. 25 years of estate planning experience 25 yearsofestateplanning peace of mind that comes with C planning process planning estate An ef cient,streamlined specializingintrusts A practice A LL T O DA Y and experience the andexperiencethe RUST P a your loved nd yourloved A C KAGE,

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take controlofyourfuture. You’ve gotalotoflivingtodo. to allfourandgrowhealthierasyouolder. Setagoaland you resultsintheshortterm,butforlongtermsuccesscommit vitality andstrength.Choosingoneortwoofthekeysmaygive confidence to move forward in your post-menopausal years with and plateaus. ing activitieseverythreeorfourweekswillstaveoff boredom you reachnewgoals.Don’tletyourworkoutsgetstale.Switch can’t goanymoreandrejoiceinyourimprovedstaminawhen er youchoose,giveityourall.Keepgoingwhenthink exercise isstilltheanswer. You choosetheactivity, butwhatev- strength trainingworkoutswithsomegoodoldcardiovascular new physique. To speedupthisprocess,alternatingyour want toberidoftheexcessbaggage(fat)andshowoff your Cardiovascular Exercise Key #4 away. imagined youcould,andsimultaneously, thefatwillbemelting yourself andsoonyouwillbeliftingmoreweightthanever feed yourmuscleproperly, theywillgrowstrongandlean.Push weights onaregularbasis. The increasesarehard,butifyou continue toburnandbuildthroughouttheday. your workoutgivebodyagooddoseofproteinandyouwill ing workoutwillgiveyouajumpstart.Within20minutesafter (whole grainsaregreat)andproteinbeforeyourstrength-train protein theyneedtogrow. Eatingslowburningcarbohydrates hr snwasolution. a now masterpiece, is literary there own or your time create the to have experience don’t you If by book. world a the goals writing with knowledge these your accomplish share to to way than better no is There osYu uiesNe Boost? a Need Business Your Does uihA aetcnhl o copihyu goal. your accomplish you help can Habert A. Judith aeyuAwy atdt eCniee an Considered be to Wanted Always you Have Following thesefourkeystofitnesswillgiveyouthe Now thatyouarebecomingtonedandshapely, you Start slow, butasyougrowstrongincreaseyour rfsinlwie,eio,adphotographer and editor, writer, Professional email:[email protected] alo mi oa 5 3 5301 735 858 today email or Call xeti orField? your in Expert Pouto Assistance •Production Gotrtn Services •Ghostwriting Mreigsupport •Marketing Ato Mentoring •Author •Co-authoring - -

41 San Diego Woman Making Every Moment Count

Photo by Judith A. Habert

When we hear the word “hospice” many of us are filled with a deep hearts when we heard about a patient, a middle aged man suffering level of sadness. What we have learned after spending some time from end stage renal disease that felt he just couldn’t do dialysis with Jill Mendlen, RN, founder & CEO of LightBridge Hospice & anymore. His dying wish was to leave a living legacy in the form of Palliative Care, is that hospice is not about dying, it is really about a legacy garden at the nursing home where he lived. Volunteers living life to its fullest. With over 75 staff members and numerous and staff of LightBridge got together and contacted Home Depot volunteers, LightBridge is one of the most well respected hospice who donated materials to help with the garden. Alert Ambulance providers in San Diego. What makes LightBridge different than also joined in and volunteered to take him to pick out the plants for other hospices is the incredibly dedicated staff. The amount of ex- his garden. In a few short weeks his dream became a reality thanks pert care and compassion they bring to their patients is what makes to a group of amazing individuals who wanted to be sure his wish them unique. was fulfilled. This is only one of the many examples of kindness that The mark of a great organization is the people who are a part of is provided by LightBridge staff and volunteers. it. After speaking with Jill Mendlen it is easy to understand why We asked Jill, who would be a candidate to receive hospice care? LightBridge is so well respected in the industry. Jill honestly cares “If a patient is diagnosed with a terminal disease or illness and it is about patients and their families, but she also cares about each and determined that they have six months or less to live if the disease every member of the team. Started in 2003, Jill was determined to follows its normal course, they would qualify for hospice care.” assure the highest level of quality. A decision was made to obtain Hospice provides a group of professionals who come together as accreditation from The Joint Commission. The Joint Commission an interdisciplinary team to care for every aspect of the patient and is the recognized leader in setting the highest standards for quality family’s needs. The team includes a registered nurse case manager who coordinates care and pain management, a social worker, a spiritual care counselor, a home health aide, volunteers, and a Medical Director who oversees the patient’s hospice care and works collaboratively with the patient’s primary phy- 42 sician. The patient’s and their family’s needs are reassessed on a regular basis to determine if there are changes in their care needs. The LightBridge team works continuously to add ways to enrich the journey for their patients. The recent addi- tion of an Integrative Therapy and safety in the delivery of healthcare. LightBridge has continually Program brings Aromatherapy, Healing Touch and Music to their exceeded the required criteria on every reaccreditation survey. patients and families. The integrative approach compliments tradi- Hospice is the only area within the healthcare system where the tional Western medicine and helps to relieve anxiety and pain, while care extends beyond just the patient to each member of the family providing comfort. who is involved in their loved one’s care. Staff and volunteers lend Another innovative program from LightBridge is Ohr Ami-The Jew- support and a caring presence to answer questions, allay fears, and ish Hospice Program. Ohr Ami, a Hebrew phrase that means “Light provide a safe haven to express the myriad of emotions that occur of my People”, provides services that are rooted in an understand- for patients and families during this difficult time. Sometimes the ing and appreciation of Judaism and Jewish life. LightBridge was patient is scared and upset about leaving loved ones behind, but the first hospice in San Diego County with a program specifically is reticent to share his or her feelings with family since they realize dedicated to the needs and concerns of the Jewish community. how difficult a time it is for those who love them. Hospice provides “Many times people avoid choosing hospice care for their loved spiritual counselors, social workers and health care profession- ones because they think it is only for the last days of life, or that it als who take time to listen. Even after the death of a loved one, is a death sentence and they are giving up”, states Jill. There are LightBridge is there for a full year to provide bereavement counsel- times when patients get better and even come off hospice care. ing to family members. Often when a patient knows that there will Hospice brings all the care and support that a patient needs at this be someone there to look after their loved ones the dying process time in their life. They definitely benefit from all of the extra special becomes considerably easier to endure. attention. Even if they don’t end up getting better, national studies Jill and the staff of LightBridge view the opportunity to help termi- have shown that even with an aggressive disease, such as pancre- nally ill patients through their last months as an honor. Jill adds, atic cancer, patients live longer on hospice with an improved quality “When patients and their families invite us in to take this journey of life. LightBridge provides the care and support to make the most with them, I view it as a sacred honor. I feel privileged to work with a of these special days. team of consummate professionals who share this belief.” For more information on LightBridge Hospice & Palliative Care visit Not only do the members of LightBridge do an incredible job caring www.LightBridgeHospice.com or call (858)458-2992 for their patients, they go the extra mile to assure that they are com- fortable and secure in their final days. A recent story touched our November/December 2010 Photo byJudith A. Habert Hospic LightBridge November/December 2010

43 San Diego Woman Inside Glimpse With Fashion Designer Anh Volcek Photography by Lisa K. Miller

Name: Anh Volcek Age: 35 the mice that would run around my feet while doing my homework My Humble Beginnings: if you saw me as a child growing up in in the kitchen at 2am while my roommate was asleep. Montreal, you'd never guess that I would ever be a fashion design- er. I had a crooked home-made bowl cut and wore my brother's After Graduation: The hard work paid off and I got to work in Paris hand me downs. It was the 70's so it was not very pretty. I had a for couture houses and big NY firms like Calvin Klein and Nautica. green velvet suit, blue terry cloth shorts, and faded t-shirts. Every- In my last job, I was a design director at Gap, Inc overseeing 1.3 one thought I was a boy. I'd get a new dress from billion dollars worth of business. But looking at cargo the sales rack for the 1st day of school each short designs was a far cry from the silk gowns I year for the class photo. dreamed of designing as a kid...so I finally made the move and started my own Age 9: My mom bought me a line. purple toy sewing machine. I'm not sure that it was a My Inspirations: safe toy for a young kid L'une, the name of my line, since it really worked. means "one" in French I started to design and it's about becoming and make my own one with your clothes. dresses. Without As a California girl, any training, I'd I like my flipflops pour over maga- as much as my zines and draw heels. So looking out gowns. good while being 44 I'd be super comfortable is overdressed important. for a casual dinner in silk I get ideas from velvet or silk some of the most shantung random things gowns, but I like the colors didn't care. found on old rust- ed and oxidized Somewhere metal pipes. My along the way, I Spring collection is tried to listen to my inspired from the idea mom and be more of growth. If you stand practical regarding in one place, something my career choice. will grow around you. All Fashion was shelved my pieces are like second and my desires were then skins and feel light as air when limited to reading the monthly you wear them. I cut the silks on fashion magazines. the bias so that it drapes beautifully along curves and use stretch fabrics to In college: I was studying business for 2 move as you move. years before taking a summer course in fash- ion design. I excelled and suddenly felt alive. I ended Goal: I would want to do most of my production in the up moving to NY after being awarded a scholarship to Parsons States. It may cost more, and makes it hard for me to be competi- School of Design. tive, but I really want to support the economy.

I studied really hard and each year, I'd earn an additional scholar- What Excites Me: Seeing someone on the street wearing my ship. School was tough and it was just such a competitive environ- design. ment, so I had few friends. Back then, the Canadian dollar was 40 percent less, so going to Where to Find My Designs: I'm releasing some one and two of a school and living in NY was so expensive. My dorm room was kind runway only designs for this holiday season. You can find my cramped with 4 girls all in bunk beds. I still cringe thinking about fashions online at www.shoplunecollection.com

November/December 2010 Photography byLisaK.Miller Anh Volcek Models: Dylan Quigg,Hollyanne Setola,Makeup: Anna Fox,FashionCoordinator: JaimeV. Habert November/December 2010

45 San Diego Woman When Tragedy Strikes, Strike Back For many women, going through the kind of tragedy that Ann Marie McNabb, owner of Pilates Passion in Rancho Bernar- do endured, would have been too much to survive. Ann Marie found a way to go on and she owes it primarily to two things, her young son and her love of Pilates.

Ann Marie moved from Northern Ireland to California in 1989 with her husband Brendan. She had owned a beauty salon in Ireland and taught Aerobics part time. After her son Caolan was born she decided to work part time. When she turned forty she started to notice changes in her body and overall health; some of which were attributed to hormonal issues. She discovered Pilates and Bio-identical hormones and finally started to feel like herself again. Ann Marie decided to take a year- long certification course with master teacher, Kathy Corey: She did so in order to prepare herself to teach Pilates and open her own studio.

She discussed it with her husband, and they both decided that opening her own studio would be a great idea. They set upon the job of finding the perfect location. After spending countless hours they came upon a site in Rancho 46 Bernardo. They hired a contractor to build it out to their specifications and were thrilled at the idea of opening their new business together.

Before their studio was ready to open they received the sad news that Brendan’s uncle had passed away. They were devastated to lose a beloved family member. Ann Marie did all she could to support her husband through this tough time. Then the worst thing imaginable happened. Ann Marie’s beloved husband Brendan, of thirty-one years had a massive heart attack at his uncle’s funeral, leaving her a widow with a young child and an unopened business.

Ann Marie’s first instinct was to pack up her things and move back to Ireland. She adds, “The thought of opening the studio and going on without him was overwhelming and very fearful.” But she knew that it was what her husband would have wanted after all their hard work. So she made a decision to give it a shot and continued with her plan to open Pilates Passion.

Ann Marie found that in focusing on her business and the art of Pilates she was able to move on. “I found that the connection to other people, helping them through their dif- ficulties and working with their bodies, kept me so focused and in the present moment, that it allowed time for the grief to subside. As I focused on someone else and enjoyed them, and the wonderful breath and energy that is Pilates, I found that Pilates truly was a healing gift in so many ways.”

Ann Marie is truly an inspiration to other women who have had to deal with tragedy and move on. It proves that we are a lot stronger than we think and if we focus we can accom- plish just about anything. November/December 2010 The USGrantHotel November/December 2010 Center forChildren. vorite charities,TheSanDiego that benefittedoneofourfa October 15,2010inanevent its 100th Anniversary onFriday San Diegolandmarkcelebrated that, TheUSGrantHotel.This this townthathasdonejust there isdefinitelyonethingin When itcomestoagingwell,

Celebrates 100Years - look-a-like, Poodleskirts,aclas fountain, aPresidentKennedy flappers, amobster, ahuman represented intheformof1920 ments fromthelast100years before them.Therewereele- were awedatwhatunfolded Elegance andLiving Art, guests ed. With atheme ofTimeless Every detailwassowellexecut- the crowdwas flowing and drinks were abundant, the The foodwas decade atatime. back intimeone were transported It wasasifyou Grant himself. one resembling ings including human paint sic Cadillacand memories! years ofgreat Grant for100 Thank youUS days goneby. favorite hitsof dancing totheir Habert US GrantandJudith A. Photos courtesyofThe - - 47 San Diego Woman SPECIAL OFFER Fashion changes 50% with the Seasons. Your skin stays OFF with you for Life. MEMBERSHIP for San Diego Woman Readers

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November/December 2010 November/December 2010

51 San Diego Woman