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Longevity Ladies of Lehigh Valley

 

 

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Ruth, Elizabeth, Angie and Theresa reside in Lehigh Valley. Lehigh Valley is in Pennsylvania.  It consists of small picturesque towns with principal cities being Bethlehem, Allentown and Easton.

It’s 60 minutes north of Philadelphia, and 90 minutes west of New York City. The valley is between two mountains to north and south. Blue Mountain and South Mountain.

These beautiful four ladies have one more thing in common. They are all centenarians. They range in age from 100 to 105.  They also share a common love of family, health and honesty.

“I always say, ‘Never lie or be mean to anyone.'”
-Theresa J. Roth, age 105

Full link:

As seen in the March 2017 issue of Lehigh Valley Style. 

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Related Stories:

 

How A Tiny Pennsylvania Town Held the Secrets to Long Life

[1 / 17  by Jim Deegan for Lehigh Valley Live]
Kathie Marinucci and brother Sam Nittle display a portrait of their uncle, Carmen ‘”Armie” Ruggiero, who was enlisted in the U.S. Army Air Corps. When Ruggiero died Dec. 20, 2015, at age 103, he was believed to have been the oldest person alive from Roseto and one of the only remaining to have participated in a landmark study of mortality rates from 1955 to 1961 that came to be known as “the Roseto Effect.”

In spite of the dark suits and solemn hymns at Our Lady of Mt. Carmel Church, there was a celebratory tone to the funeral for Carmen Ruggiero.

Ruggiero was born in tiny Roseto on Jan. 21, 1912, the year the Titanic sank and the year in which leaders incorporated the predominantly Italian-American borough near the tip of the Lehigh Valley.

The man nicknamed “Armie” died Dec. 20, a month shy of his 104th birthday.

At the time, he was believed to be the oldest living Rosetan and one of the last alive to have participated in a landmark 1950s study that tied good health and long life to the close-knit Italian family structure defined by the town.

Carmen ‘Armie’ Ruggiero at his 100th birthday party
Carmen “Armie” Ruggiero at his 100th birthday party in January 2012 at Stroudsmoor Country Inn in Monroe County. (Courtesy photo)

“Everybody firmly believed he had a long, good life and he went the way he wanted to go,” said his nephew Sam Nittle, of Wind Gap. “He lived life to the fullest and had no regrets about anything. He was the patriarch of the family.”

Ruggiero was one of 11 children and never married or had kids of his own.

He worked at clubs and taverns, tending bar at popular watering holes like the Buckhorn and Luigi’s Ranch-O outside Belvidere and running the bar service at Florida hotspots such as the Boca Raton Resort and Hollywood Beach Hotel.

His life and outlook came under special interest by Dr. Mahesh Krishnamurthy, an Easton Hospital specialist in internal medicine. The doctor’s fascination with the so-called “Roseto Effect” blossomed after first treating Ruggiero about two years ago.

Ruggiero, he said, was a special patient.

“He was happy with very little,” said Krishnamurthy, program director of the internal medicine residency program at Easton.

“I believe that’s key. When you feel contented with what you have as opposed to always reaching for the sky and keeping up with your neighbor, it was a lesson learned.

“To me his story was told in four words: happy with very little.”

The Roseto Effect

Movies have been made and books written about the secrets of longevity. In 1964, a study published in the Journal of the American Medical Association hit upon an astonishing find in the hilly town in Northampton County.

A University of Oklahoma physician, Dr. Stewart Wolf, studied the effect of social structure on health from 1955 to 1961. He concluded that Roseto’s low rate of heart attacks and mortality compared to the rest of the region and the nation was attributable to the close-knit community and generations under one roof typical of Roseto at the time.

Roseto produced such results despite health risk factors that were all around: jugs of homemade red wine, foods cooked in lard, the smoking of cigars.

Fifty-five years later, Krishnamurthy encountered living proof that there must be something to the hypothesis and believes it might be applied to centenarians in general.
An article he wrote with a colleague, Dr. Raafia Memon, after spending time with Ruggiero notes that nearly 20 percent of the 55,000 100-year-olds in the U.S. in 2014 lived below the poverty line.

“These people have very little income but they have an attitude to life that is phenomenal,” Krishnamurthy said. “Mr. Ruggiero told me that’s how you live a happy life and a long life.

“The moment you start stressing about things, he said, is when the problems come. He believed that being happy with very little was the secret to longevity.

“Once people are older, they are very contented people,” Krishnamurthy said. “I can’t prove it based on the life story of one person, but I have seen it in people like him who don’t have a gloomy attitude and aren’t ticked off about small things. I do believe that there is something to it.”

Proud of his independence

Most of Ruggiero’s siblings lived into their 80s and 90s. He moved to Florida in the late 1960s then came back in the 1990s to help tend to two of his sisters, said niece Kathie Marinucci, of Roseto.

He maintained a fierce independence and lived the past few years at the Walden III assisted-living facility in Wind Gap.

Ruggiero drove until he was 100, could recall stories from his childhood in vivid detail and passed along traditions to his many nieces and nephews that they say would be lost forever were it not for his insistence.

With decades in the service industry, for example, he prided himself on his Caesar salad.

“It had to have the 13 ingredients,” said Marinucci, who lives in the house where she grew up. “You had to use the wooden bowl, which you never washed, and you had to smash the anchovies.”

Marinucci and Nittle are brother and sister whose late mother, Rose Nittle, was the youngest of Ruggiero’s family. While they looked after their uncle Armie, he lived essentially on his own up until the end.

One day last month, he called Nittle at home and summoned him to Walden III.

“I need you to come and see me,” he said.

To me his story was told in four words: happy with very little.”
Nittle said Ruggiero was uncharacteristically serious and business-minded that day. He pointed a crooked finger at his nephew and shook it at him.

“He said ‘This is my home now,'” a surprised Nittle recalled.

“He said ‘I had a home in Florida and don’t have it anymore. I had a home in Roseto and don’t have that anymore. This is my home. I go and come as I please.

“‘Don’t you ever put me in a home and don’t you ever let people see me if I can’t take care of myself.'”

Ruggiero also related something that Nittle says he can’t explain today. The family traditionally gathers at Nittle’s home on Christmas Eve and the nephew makes Manhattans.

“He said, ‘I don’t want you to feel bad about this, but I’m not coming over this year for Christmas,'” Nittle said.

A few hours after leaving, NIttle got a call from his sister. Ruggiero had taken a fall in the dining area and was going to Lehigh Valley Hospital. Doctors said he had fractured his neck in the spill.

Ruggiero died of bronchial pneumonia about 10 days later, his family said.

“The day this all happened, which was the beginning of the end, is the day he called me and told me all this,” Nittle said.

A different time

Roseto is different today than the town that gained recognition for its endurance. About 1,500 people live there, but the concentration of Italian-Americans has been diluted.

In 1989, Dr. Wolf restudied the Roseto Effect and found the mortality rates were in line with other communities such as Bangor and Nazareth. The difference was gone.

“The Rosetan values of cohesive family structure started fading away in the late 1960s,” Dr. Krishnamurthy said.

Our Lady of Mt. Carmel Church in Roseto
Our Lady of Mt. Carmel Church in Roseto has been the place of worship for generations of the borough’s Italian-Americans. (Jim Deegan | For lehighvalleylive.com)

Even today, the mayor and most of borough council have last names, like the streets, that end in vowels. But it’s not the place it was, according to longtime residents.

“Back then everybody knew everyone else,” said Michael Romano, 62, the borough council president. “If you walked down the street and you were doing something wrong, the parents didn’t have a problem disciplining someone else’s child. It’s not that way today.”

You can still get tomato pie and cannoli at Roseto Bakery, formerly LeDonne’s, and there’s Italian fare and espresso machines for sale at Ruggiero’s Market on Dante Street. But the days when Our Lady of Mt. Carmel Church was packed and Catholic schools were open have faded like the Roseto Effect.

Romano said the Italian-American culture that emphasized education and college served to diminish the effect.

“There’s still a core of Italians with the church and the fire company, but the composition of Roseto has changed,” he said.

Doc looks back on colorful 57-year career
Doc looks back on colorful 57-year career

While the Roseto Effect may be long gone, its documentation remains useful, according to Easton Hospital’s Krishnamurthy.

He feels grateful to have been able to capture a fleeting phenomenon in Carmen Ruggiero and his stories of Roseto.

“All of my patients are equal because I care for their medical conditions,” he said, “but sometimes there are cases that speak to you much more.

“He had a profound effect on me,” he said of Ruggiero. “There was a different connection. He would make you so comfortable and you could talk to him for hours and not even realize it.”

With further study involving other centenarians, Krishnamurthy hopes to one day publish a medical paper that ties attitude and longevity together.

It’s something he says is worthy of emphasis.

“We’re going through tough times all across the world,” he said. “I see a lot of discontentment in the youth of today and I don’t know how to change that.”

An old man from Roseto who didn’t drive anymore still may have held the keys.

“There’s something about the centenarians who find joy in small things,” the doctor said. “They find a purpose in life. We need to find some level of happiness and contentment with what we are and who we are.

“For me, it is going to be a lifelong quest.”

                              ###

[Jim Deegan may be reached at jdeegan@lehighvalleylive.com. Follow him on Twitter @jim_deegan. Find lehighvalleylive on Facebook]

 

 

 

Health Habits of 1o Top Entrepreneurs

The best entrepreneurs know that in order to crush business, your body needs to be bulletproof. These members of The Oracles have engineered their bodies to feel half their age and perform at the highest levels. Here are their secrets.

10 Top Entrepreneurs Reveal Their Health Regimen Secrets

Image credit: Geber86 | Getty Images

 

Grant Cardone
Image Credit: The Oracles

1. Juice up.

Get yourself a good juicing machine. There are more people drinking a sugary Big Gulp today than drinking 32 ounces of vegetable and fruits. Juicing daily is an investment in your greatest asset—your body. I want control over my vehicle (body) and that starts with my diet. Lean meats, salads and workouts help me stay energetic all day long. Grant Cardone, top sales expert who has built a $500 million real estate empire, NYT bestselling author of Be Obsessed or Be Average, and founder of 10X Growth Con 2017; follow Grant on Facebook or YouTube

Tai Lopez
Image Credit: The Oracles

2. Focus on the most important 80 percent.

My mom used to say: it’s not what you eat 20 percent of the time that kills you, it’s what you eat 80 percent of the time. Friends who aren’t entrepreneurs probably have more time than you do to go to the gym seven days a week. Focus on 80 percent of that, which is five days a week. If they never eat junk food because they’re trying to get steel abs, just try to eat 80 percent of the day’s meals correctly.

Bradley Martyn, one of the top fitness guys in the world, told me that the best diet is the one you’ll actually stick to. If a diet says only eat salmon all day, but you hate salmon, even if it gets you in great shape, you’re not going to stick to it. Tai Lopez, investor and advisor to many multimillion-dollar businesses who has built an eight-figure online empire; connect with Tai on Facebook or Snapchat

Mark Sisson
Image Credit: The Oracles

3. Compress your eating window.

I eat in a compressed eating window between 1 p.m. and 7 p.m. daily to remain in a fasted state for 18 hours virtually every day. My Primal Big Ass salad at midday is my go-to dietary centerpiece. It has an assortment of veggies, nuts and meat, and of course Primal Kitchen salad dressing. I eat whatever I want and I never eat anything I don’t like.

I only make supplement products that I need and use myself—that’s the driving principle of my business. Hence, I take the specialized products in my product line: a comprehensive multivitamin/mineral/antioxidant formula, an omega-3 supplement, a probiotic, a high-protein, low-carb meal replacement powder, a phosphatidylserine supplement when I’m under heavy stress, and Vitamin D in the wintertime. Being “strict” is highly overrated; I allow for tremendous flexibility in my daily routine. Mark Sisson, founder of Primal Blueprint, bestselling author of The New Primal Blueprint, and publisher ofMarksDailyApple.com, the world’s most visited blog on paleo, primal, and ancestral health

Com Mirza
Image Credit: The Oracles

4. Attack your health from all angles.

I start everyday with morning cardio, then a green shake, four to six high-protein meals, and weight training four to five times a week. I also try intermittent fasting once or twice a week for around 16 hours a day. I regularly take BCAAs (branched-chain amino acid supplements), a multivitamin, and fish oil. I believe what we become is more important than what we have. An incredible mind only gets stronger when it’s synced with a healthy body full of stamina and endurance to crush life. Com Mirza, CEO of Mirza Holdings and “The $500 Million Man”; failed in eight companies back-to-back and today runs a nine-figure empire with over 600 employees

James Swanwick
Image Credit: The Oracles

5. Fuel your productivity. Prioritize sleep.

I usually skip breakfast, so I can fulfill my 16-hour fast to help me burn fat and stay energized. I’ll have the occasional black coffee—high-altitude Arabica beans are better than instant coffee. Lunch and dinner typically comprise of lean meats like chicken with vegetables or salads. I’ll snack good fats like raw almonds and avocados to balance my blood sugar and maintain concentration. In the evening, I wear Swannies blue-light blocking glasses. That way, I can work or socialize in the evening and still get a great night’s sleep. (Artificial blue light from electronics or bright light disrupts your sleep.) This rejuvenates my brain so I can wake up with focus and clarity, which enables me to work efficiently in the morning. James Swanwick, entrepreneur, author, and CEO of Swanwick Sleep and the 30-Day No Alcohol Challenge

Josh Black
Image Credit: The Oracles

6. Discipline your diet, discipline your life.

The biggest shift in my life occurred when I stopped looking at food as filler and started thinking about food as fuel. You have to put nutritional value before convenience. Stop filling your shopping trolley with stuff that is packaged or processed. Instead, reach for leafy greens packed with dense nutritional value. You can get all the vitamins and nutrients you need naturally without having to reach for a supplement. If you can find discipline in your diet, you will be amazed at the discipline you can unlock in the rest of your life. Josh Black, entrepreneur, author of Personal Best, and CEO of GroupM Content in Asia; GroupM is a media investment group with more than $100 billion in billings

Nick Zyrowski
Image Credit: The Oracles

7. Engineer energy and focus.

I have the lives of my patients in my hands every day. I need to be focused. Every morning starts with a full glass of water to hydrate myself, and then it is coffee time. In my organic coffee, I blend MCT oil, collagen peptides and an almond milk creamer. My breakfast usually includes coconut yogurt parfaits, chicken sausages and smoothies. Every morning, I take a multivitamin with minerals, fish oil, probiotic, CoQ10 Ubiquinol, and vitamin D. My supplement regiment takes into consideration that I am a competitive athlete with a challenging workout regimen.

I eat a light breakfast and lunch, then I crush dinner. Eating large meals activates the parasympathetic part of your nervous system, which makes you tired. Eating light during the day with a larger meal in the evening allows me to be energized during the day and tired at night. I stick to my diet 90 percent, because it’s impossible (or impractical) to be perfect. Dr. Nick Zyrowski, founder of NuVision Excel

Ian Clark
Image Credit: The Oracles

8. Eat light and drink phytoplankton.

Upon waking, I drink a liter of micronized water with two droppers of Oceans Alive Marine Phytoplankton to flush the body with nutrients. Then, I use 30 sprays of EASE Magnesium on my abdomen and lower back after I shower. I repeat it all again 12 hours later. No stimulants (coffee, chocolate, caffeine teas) ever. These are fake energy, and you’ll have far more short- and long-term energy without them. Ian Clark, founder and CEO of Activation Products

Jay Georgi
Image Credit: The Oracles

9. Everything in moderation.

I don’t have fatty foods often. I stay away from gluten. I make sure I have small meals throughout the day. If I decide to eat chips (my favorite), I grab a handful and put them in a bowl. I never put the whole bag in. Everything in moderation. —Jay Georgi, founder of Nadvia and operations / management / profits-retention coach

Brian Swan
Image Credit: The Oracles

10. Get outside first thing.

At first light, I surf or exercise on the beach. Exercising in nature starts my day in the most positive way. On the way back home, I pick flowers for my wife. That ritual of making yourself and your partner happy creates an unstoppable day. Brian Swan, co-founder of Unstoppable Family

Want to suggest a future topic? Get in touch here: maria.dorfner@yahoo.com

me    Maria Dorfner is the founding CEO of NewsMD Communications, which promotes the best products and services in Health to national media.  NewsMD falls under the umbrella of Healthy Within Network HWN, which creates original health content.  This is her blog.

Maria began her career as an intern at NBC in NYC in ’83, while she was an undergraduate English and Political Science Honors student at Pace University, where she also won the Miss Pace University title.

Hired full time upon graduating, Maria helped launch CNBC five years later and worked in Media for ten years producing before specializing in Health.  She created and produced original programs such as Healthy Living, Healthcare Consumers, Lifestyles and Longevity, Healthcare Practitioners and more.  The nationally syndicated award winning programs aired for three years.  She also produced 21st Century Medicine for Discovery interviewing a Who’s Who In Medicine/Health.

Maria’s “Heart Smart” series on CNBC was recognized as outstanding by the American Heart Association.

Maria received an Advanced Writing Scholarship from Columbia University and NBC News, an Outstanding Achievement Award from March of Dimes, Medical Reporting Scholarship from American Medical Association, Media Recognition Award from American Heart Association, Outstanding Leadership Abilities Award and Commitment to the Advancement of Women in Media Award from Pace University.   While in NJ, she helped a bill pass to recognize a National Lymphedema Awareness Day after her mail carrier, Nancy Piwowar rang her bell to discuss the lack of health stories about it.  Piwowar was recognized with a Lymphedema Patient Award. 

                   “My stories are from the patient’s perspective. There are too many conflicts of interest in health journalism. Who is telling you something and why is AS important as what they tell you. I want family and friends to get the whole story. I love using my skills to help.” Maria Dorfner

Working behind the scenes and on camera with over three decades of experience, Maria’s stories have aired on GMA, Today, CBS This Morning, CNN, FOX, ABC, CBS, NBC, CNBC and other talk shows, national publications, social media, local stations and more.  Her NewsMD clients have included Weight Watchers, Phizer, Johnson & Johnson, Procter & Gamble, Unilever, First For Women, Heico, Volvo and more.

“You got us the gold.” Unilever

She has authored 3 books and mentors journalism students.  She’s been a health enthusiast her entire life and is an avid hiker, swimmer, certified scuba diver and certified aerobic swim instructor. She volunteers on several health related boards helping them raise awareness.

“When We Tell Stories…People Listen.”  Maria Dorfner, founder, NewsMD

She can be reached at 484.747.32oo

Summer Safety by Water

TO MINIMIZE  RISK YOU SHOULD NEVER SWIM ALONE.

ALSO, NEVER DIVE INTO A LAKE OR RIVER BECAUSE WATER LEVELS FLUCTUATE.

CHILDREN AND NON-SWIMMERS SHOULD ALWAYS WEAR A LIFEJACKET.

DON’T OVERESTIMATE YOUR SWIMMING ABILITY.

AND IF YOU’RE PLANNING TO SPEND YOUR HOLIDAY POOLSIDE, DR. TALLMAN AT THE CLEVELAND CLINIC HAS A MESSAGE FOR PARENTS.

CG: Dr. Tom Tallman/Cleveland Clinic
“When parents are taking young children to swimming pools don’t rely on just the lifeguards who are there to save them. They still need to keep an eye on the kids and watch them very carefully.”

 

 

DR. TOM TALLMAN IS AN EMERGENCY ROOM PHYSICIAN AT CLEVELAND CLINIC.
HE SAYS THERE IS ONE THING ALMOST EVERYONE SHOULD KNOW BEFORE GETTING IN THE WATER.

CG: Dr. Tom Tallman/Cleveland Clinic
“Everybody should know basic CPR because when someone has had a water-related injury, such as that, resuscitation can be rather simple.

CLICK ON PHOTOS TO ENLARGE

LEARN CPR

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STAY OUT OF WATER WITH ANY DANGER OR WARNING SIGNS.

GET OUT OF WATER IMMEDIATELY IF IT MAY RAIN.

DROWNING IS SECOND LEADING CAUSE OF ACCIDENTAL DEATHS FOR
15 – 44 YEAR OLDS.

 

MOST PEOPLE DROWN WITHIN 10 – 30 FEET OF SAFETY.

BOATERS SHOULD ALSO BE ON HIGH ALERT.  COAST GUARD RESEARCHERS SAY DROWNING WAS THE REPORTED CAUSE OF DEATH IN ALMOST THREE-FOURTHS OF RECREATIONAL BOATING FATALITIES LAST.

 

Startup Reduces Needles for Blood Draws

velano1

 

FDA approved to improve patient and practitioner experience in healthcare settings.

Full Story:  http://fortune.com/2016/05/20/startup-blood-draws/

velano

 

Or visit:  http://velanovascular.com/in-the-news/velano-vascular-needleless-blood-draw-technology-relieves-anxiety-for-patients-practitioners-and-hospitals/

 

Humor Helps Cancer Patients Heal

LexiTimmons

When 28-year-old Oncology Nurse, Lexi Timmons works with cancer patients, which she’s done for two years, she notices what helps most is humor to brighten their spirits.

She also observes they receive a lot of greeting cards from well-meaning loved ones, but most are downright depressing instead of what they need most during this time, which is cheer.  She realizes it’s not their fault  because the majority of Greeting cards for illness in major retailers are typically glum offering sympathy, along with a Get Well Soon salutation.  She could see her patients get sad as they open and read them.

That’s how Lexi got the idea to create a line of Greeting cards that make cancer patients smile, laugh and feel good.  She calls them LUMPY CARDS.   Everyone knows stress has a negative impact on your mind and body. When people have cancer, they need their immune systems to stay strong and humor helps diffuse stress.  When someone is laughing they’re not thinking of being sick, even if it’s only for a little while.  It’s a step in the right direction.  Laughter is always positive, which is why we love Lexi’s idea and spirit. Sometimes, her patients inspire the cards.

cancercards

Lexi says, “I love to crack jokes and so do my patients. I realized that when people are going through the roughest of times, it actually brings out the best comedian in them.  It helps them cope and it also releases feel good endorphins in them, which are healing.”

Another inspiration was unexpected.  In 2012, cancer hit home when her Mom was diagnosed with breast cancer.

LexiTimmonsandMom1.jpg
Lexi Timmons with a cancer patient she didn’t expect – her own Mom

“My Mom is at her best when she is laughing and not thinking about her cancer. I knew this would help her too.”

LUMPY CARDS sure did make her Mom smile.

LexiTimmonsandMom2
Now, Lexi’s Mom inspires some of the Greeting cards. Together, they share great laughs and beautiful smiles.

Laughter really is the best medicine

 Her Mom Sherry says, “I just love Lexi’s cards! She has a knack for finding just the right line to make people feel better. When I was going through cancer treatment, and I would read one of her cards, they would make me laugh or feel loved. Her cards captured what I needed to hear at each stage of my treatment, and were neither too sympathetic or mushy. So many of the cards out there make you feel like your life is over now that you have cancer or you’re dying.”

Lexi writes the humorous cards herself, but would love to partner with some professional comedians, who would like to volunteer for a good cause and get credit on them.

There are a range of cards uniquely tailored for men, women, friends, family and spouses dealing with cancer and they’re reasonably priced at $3.99 a card.

Healthy Within Network and NewsMD give these cards two healthy thumbs up. 

waxman

And so does the Samuel Waxman Cancer Research Foundation, who has this to say:

“Now THIS is interesting!  A company that makes unique and provocative greeting cards for cancer patients. Lumpy Cards certainly doesn’t tiptoe around the topic of cancer.  The animal selection is particularly cute.”

 

 Way to go, Lexi.  An absolutely beautiful person inside and out, like her Mom.

LexiTimmonsandMom3.jpg
Lexi with her biggest fan, Mom

 

 

Here’s a link to Lexi on-camera talking about her inspiration for Lumpy Cards:

 

lumpycardslogo

  You can contact Lexi for an interview (Contact Us page on link) or order cards here:  http://www.lumpycards.com

Maria Dorfner is an  award-winning health journalist, and the the founding CEO of Healthy Within Network and NewsMD Communications.  This is her blog. She has been working in Media since 1983 and began specializing in Health in 1993, creating and sharing original and trusted health content for healthcare consumers. Her award-winning health series and segments have been seen on NBC, CBS, ABC, CNN, DISCOVERY HEALTH and more.

“Today, the floodgates are open to anyone reporting on health. Consumers are now well aware that physicians may have ties to pharmaceutical companies, health devices or hospitals, so they question everything. They are also now aware that food and beverage companies promoting products may not have their best interests in mind. When your Mom, Dad, sister, brother or loved one has a health issue, you want to know you’re getting trusted unbiased information. We maintain the experts need to be questioned to ensure not only transparency, but that profits aren’t placed before people.  Additionally, we focus on prevention and maintaining good health.  Virgil said it best when he said, “Health is your greatest wealth. Invest wisely.” ~Maria Dorfner

How To Explain Pet’s Death To A Child

dog2

At all ages, honesty is the best policy, says Marty Tously, a bereavement counselor.

“That means using the words death and dying, and explaining the permanence of death. You do it gently but without confusing what dying actually means.”

Tously is a counselor with the Pet Grief Support Service. She says that a child’s ability to understand what death means depends on his/her emotional and cognitive development, but outlined the generally understood guideline of how children perceive death and dying:

Under 2: A child can feel and respond to a pet’s death, based on the reaction of those around him or her. A child picks up the stress felt by family members, no matter what the cause.

2 to 5: The child will miss the animal as a playmate, but not necessarily as a love object. They will see death as a temporary state – something like the way leaves fall off a tree in fall but grow back in the spring. As they perceive the trauma around them, however, they may regress in their behavior (e.g., thumb sucking).

5 to 9: Children begin to perceive death as permanent, but they may indulge in “magical thinking,” believing that death can be defied or bargained with. This is also the period when children recognize a correlation between what they think and what happens. For instance, a child may resent taking care of the pet and wish – however briefly – that the pet would die. If the pet then dies, the child is often consumed with guilt. Parents need to reassure children that they did not cause the pet’s death.

10 and up: Children generally understand that all living things will eventually die, and that death is total. Understanding and accepting are two different things, however. They may go through the normal stages of grief that grownups do: denial, bargaining, anger, guilt, depression and acceptance. (To learn about the stages of grief, see the story Coping with Pet Loss.)

Or they may react in other ways:

For More Please Visit:  http://www.petplace.com/article/dogs/behavior-training/loss-mourning-a-dog/explaining-pet-loss-to-children-six-dos-and-donts

IN LOVING MEMORY OF BLAKE PALLANTE – REST IN PEACE 2000-2016

 

Digital Strategy & Value-Based Care

TerenceMartin1

Digital Strategy and the Shift to Value-Based Care
by Guest Author, Terence Maytin

The U.S. healthcare system is rapidly transitioning from fee-for-service to value- based care as part of massive and ongoing industry-wide transformation. Digital strategy is evolving to meet new challenges, help drive disruptive innovation, and better engage a large, growing audience of connected health consumers.

Already complex and fragmented, the healthcare sector will look very different over the coming years. The Affordable Care Act (ACA) has spurred rapid innovation and disruptive change across the entire ecosystem in the quest for better quality care across the entire population at lower per capita cost. Payers are accelerating rollout of value- based payment models with providers, and the shift to pay for performance arrangements with Pharma companies is increasing as well.

Moving an entire industry from volume-oriented reimbursement requires aggressive, innovative approaches to move from traditional siloed care to collaborative models, with system-wide provider coordination, patient engagement and proactive interventions. Technology will continue to act as a critical change agent, enabling large- scale improvements in process efficiency, automation, connectivity, collaboration, interoperability and advanced analytics.

With the convergence of healthcare and digital technology, industry stakeholders are reassessing their digital strategies to help tackle new business opportunities and challenges. Just a few years ago, digital health efforts largely focused either on acquisition marketing, community aggregation, or customer service portals designed to redirect volume from higher cost channels. However amid the current environment, digital offers much greater and far-reaching impact potential than ever before.

Digital investments are ramping up to support the shift from volume to value, particularly in the areas of care coordination, patient engagement, post-discharge monitoring, measurement, and behavior change. Since 2014, venture capital has provided $10B in new funding for clinical tools, analytics, consumer engagement, mHealth, telemedicine, wearables, and business services. In 2016, firms have raised a record $1.8B.

Two important trends drive home the relevance and importance of having a comprehensive, well articulated digital strategy: the rise of consumerism and nearly ubiquitous web/mobile adoption. Across all age groups, large audiences not only already consume digital services but also expect high quality, omni-channel experiences. In order to deliver on this promise, companies must design optimized, journey-based experiences that balance customer needs, preferences, and behaviors against desired business objectives and outcomes. Companies must embrace the concept of “putting the customer first” throughout the organization and across functions (e.g. strategy, product development, marketing, operations and technology). This also must be accompanied by an insights-driven, decision-making approach.

Essentially, digital strategy will be most effective if viewed as an organizational imperative. Armed with a holistic vision and comprehensive strategy, stakeholders will be better able to leverage and capitalize on digital’s full disruptive potential to help solve some of the most pressing challenges facing healthcare today.

Healthcare Industry Transformation

The transformation of healthcare is multidimensional and complicated. Disruptive innovation, technology and consumer trends are upending traditional business models. The competitive landscape is getting ever more crowded with new entrants while at the same time, insurer and provider consolidation is accelerating.

Consumers are motivated with more skin in the game and greater information access than ever before. Payment models are shifting from volume to value, and payers, providers, pharma, and medtech will need to collaborate and coordinate to a much larger degree within a more integrated care delivery system. These factors along with intense focus on quality improvement and evidence-based outcomes have big implications for the entire care delivery continuum…

Click here to read full article

TerenceMartin  Guest Author, Terence Maytin is VP/Director | Head of Digital Strategy and Delivery | Digital Health Business Analytics and Technology  and  Strategic Advisor for First Growth VC.

Stay healthy!

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Maria Dorfner is the founder of NewsMD and Healthy  Within Network. This is her blog.
She can be reached at maria.dorfner@yahoo.com
Be sure to click red FOLLOW on upper right of this blog to be notified of new posts.
On Twitter:  Maria_Dorfner

 

 

 

 

Upcoming Health Chats in May

HEALTHCHAT

All Health Chats are Free On-line at 12 noon (EST). 

Osteoporosis: Get the Facts
An estimated 57 million Americans are affected by osteoporosis and low bone mass, and it is responsible for more than 2 million fractures each year. There are steps you can take to prevent osteoporosis from ever occurring, and treatments can also slow the rate of bone loss if you do have osteoporosis. Join our experts to learn how both men and women are affected by this disease. Early detection, prevention strategies, and treatment options will be discussed.
Date: Tuesday, May 10, 2016
Time: 12:00 PM (EST)
Women & Stroke: What You Need to Know
Anyone can suffer a stroke at any age but women are at higher risk than men. You may know the common signs of a stroke, but might not be aware of risk factors and symptoms unique to women. Join us to speak with Cleveland Clinic Florida’s Stroke Program Coordinator.
Date: Wednesday, May 11, 2016
Time: 12:00 PM (EST)
Understanding Cystic Fibrosis (CF)
Cystic fibrosis (CF) is a genetic disease that causes sticky, thick mucus to build up in organs including the lungs and the pancreas. In a healthy person, mucus that lines organs and body cavities, such as the lungs and the nose, is slippery and watery. Babies and children with CF may not be able to absorb enough nutrients from food.
Date: Thursday, May 12, 2016
Time: 2:00 PM (EST)
Cataracts: Diagnosis and Treatments
A cataract is a clouding of the normally clear lens of the eye. Its similar to looking through a fogged-up window. This clouding can weaken vision. In time, as the cataract increases, surgery will be needed to restore your vision. Take this opportunity to have your cataract questions answered by specialist, Anna Singh, MD.
Date: Wednesday, May 18, 2016
Time: 12:00 PM (EST)
Pericarditis and Pericardial Conditions – [Video]
Pericarditis is an inflammation of the pericardium, which is a thin, two-layered, fluid-filled sac that covers the outer surface of the heart. Pericarditis develops suddenly and may last up to several months. Sometimes excess fluid develops in the space between the pericardial layers and causes a pericardial effusion, a potentially life threatening condition. Take advantage of this opportunity to chat live about pericarditis with an imaging cardiologist and cardiothoracic surgeon in a secure online setting.
Date: Thursday, May 19, 2016
Time: 12:00 PM (EST)
Arthritis Answers
When your joint aches, how do you know whether it could be caused by arthritis? And if you have arthritis, how do you know which of the more than 100 kinds of arthritis you have? Our rheumatology expert will discuss the symptoms, diagnosis and treatments for arthritis, and will discuss the importance of an early customized treatment plan. She will also discuss managing arthritis pain in your daily life.
Date: Thursday, May 19, 2016
Time: 12:00 PM (EST)
Lupus: Know the Facts
It is estimated that at least 1.5 million people in the United States have lupus. While the cause of this mysterious disease is still mostly unknown, much has been discovered about this often debilitating disease. Our expert will discuss how both men and women are affected by this disease, and the importance of early diagnosis and treatment strategies for mild to severe lupus.
Date: Tuesday, May 24, 2016
Time: 12:00 PM (EST)
May-Thurner Syndrome and Other Rare Vascular Disorders
The Miller Family Heart & Vascular Institute at Cleveland Clinic has earned an international reputation for excellence in patient care, surgical results, and clinical research. We have physicians who specialize in the diagnosis and management of vascular disease, including rare disorders such as May-Thurner syndrome (MTS), Klippel-Trenaunay (K-T) syndrome, median arcuate ligament syndrome, vascular issues affecting athletes such as cyclist induced iliac endofibrosis, congenital vascular defects, and others. Take advantage of this opportunity to chat live about May-Thurner syndrome and other rare disorders with experts from Cleveland Clinic.
Date: Thursday, May 26, 2016
Time: 12:00 PM (EST)
Ask the Pediatrician: Allergy and Asthma
As a parent, you always want your child to be healthy. Allergy season is starting once again, and asthma is a common condition in children, which is especially aggravated during allergy season. At Cleveland Clinic Children’s, we work to ensure you have the best resources to keep your child healthy and fully understand your child’s health. Join us for our “Ask the Pediatrician” online health chat to have your questions answered personally by one of our pediatricians.
Date: Thursday, May 26, 2016
Time: 6:00 PM (EST)
Arrythmias and Device Therapy in Adults and Children
Arrhythmias (irregular or abnormal heart beats) are very common and are often a mere annoyance. However, they can also be responsible for life-threatening medical emergencies that may result in cardiac arrest and sudden death in both children and adults. Take advantage of this opportunity to chat live about arrhythmias in adults and children with experts from Cleveland Clinic’s Miller Family Heart & Vascular Institute and Cleveland Clinic Children’s.
Date: Friday, May 27, 2016
Time: 12:00 PM (EST)
Holistic Approaches to Combat Stress
You have the capability to reduce depression, anxiety, tension and stress. Our specialists will provide useful tips to help you start to relax and bring more health, vitality and wholesome behavior to your life. Holistic psychotherapy, is an integrative approach that focuses on the relationship between mind, body, and spirit, attempting to understand and address the ways issues in one aspect of a person can lead to concerns in other areas. Please join us to discuss this approach with Cleveland Clinic practitioners May 31st at 12 noon.
Date: Tuesday, May 31, 2016
Time: 12:00 PM (EST)

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To Sign Up for a particular chat listed, simply click on the red highlighted topic link above. All sign-ups are free. When you register, you may submit questions in advance.

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For a list of more upcoming Health Chats please visit http://www.chat.clevelandclinic.org

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Center for Consumer Health Information

(t) 216.444.3771216.444.3771 (w) www.clevelandclinic.org/health (e) healthl@ccf.org

Stay informed.  Stay healthy!

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New 30-Min. Tech for Weight Loss

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There is now a non-surgical alternative to gastric bypass.

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It’s for people with a BMI of at least 30-40 who despite changing habits can’t lose weight.

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It’s called ORBERA and it involves inflatable balloons that help you shed 20 to 80 pounds.

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ORBERA balloon is inserted down throat and into stomach using an endoscope in less than 30 min.

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The balloons are then filled with saline, filling up space in the stomach.

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The Food and Drug Administration recently approved the dual balloon technology and NYC Gastroenterologist Dr. Prem Chattoo of Hudson River Gastroenterology is one of the first doctors to offer the procedure.  His office is located in lower Manhattan.

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“It’s not a long term solution like bariatric surgery. The procedure is used for a quick, six-month weight loss to get rid of 10 percent of your body weight. After six months, the balloon is removed and you should see a pretty noticeable weight loss,” Dr. Chattoo says.

 

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The end result is weight loss and reduced hunger.

After the procedure, ORBERA has a 12-month diet and exercise program to follow.

The biggest benefits about ORBERA, according to Dr. Chattoo, are that no abdominal surgery is needed and that the procedure is completed in the same day.

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The procedure is recommended to those with a body mass index (BMI) of 30-40 or those who have other risk factors for heart disease such as diabetes or high blood pressure. A BMI or 30 or higher is defined as obese. More than a third of U.S. adults fit that range.

The procedure costs 6-8K and is not covered by insurance.

One procedure will be donated for free to one person in need who meets requirements. Contact: maria.dorfner@yahoo.com   Write:  Orbera in Subject, include your contact information.

Additional Images for Media:  https://apolloendo.box.com/s/t7ukrrujfjk4mrgjwo5l5w5obd3djmbt

For more information contact Dr. Prem Chattoo at http://www.hudsonrivergi.com

For more information about the Orbera procedure visit: http://www.orbera.com

Stay healthy!
MD

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“Always remember the benefits of daily exercise for your mind, body and spirit. If you hate or dread exercise start with walking. Break it up into 15 minutes at a time until you reach 30 minutes. Then, increase it to 45 or 60 minutes. You don’t even need a gym to do that.

Remove  all junk food from your home. Load up on healthy snacks. Remove all processed foods and soda. Drink lots of water. You’ll begin to notice a difference in 6 months. In one year, it will all be a habit.

No matter what help you get surgically or non-surgically, you always want to strive to develop lifelong healthy habits. Address the underlying of ‘why’ you select unhealthy foods. Stressed?  Find someone to talk to. There are lots of free counselling services where you can call and talk to someone confidentially.

Rushed?  Fix meals the night before.  Hate your job? Start looking for a new one.  Sit at a computer all day?  Get up every 15 minutes and walk around office. Take stairs. Depressed?  Again, find someone to talk to and exercise daily. Make an appointment with a professional psychologist if it’s really bad. When exercising,  don’t focus on the physical. Focus on the mental benefits when you start. Physical has a way of catching up when you fix your mind and thoughts first. Stay positive.

Good things take commitment, dedication and time.

Your goal should never be a quick fix, but to change habits that got you to the place where you feel tired, sluggish and unhealthy and replace them with new, better, healthy ones. You can do it.  One day at a time. ”  -Maria Dorfner

Interesting research shared by Melissa Robinson:

Brown Fat, Triggered by Cold or Exercise, May Yield a Key to Weight Control

Fat people have less than thin people. Older people have less than younger people. Men have less than younger women.

It is brown fat, actually brown in color, and its great appeal is that it burns calories like a furnace. A new study finds that one form of it, which is turned on when people get cold, sucks fat out of the rest of the body to fuel itself. Another new study finds that a second form of brown fat can be created from ordinary white fat by exercise.

Of course, researchers say, they are not blind to the implications of their work. If they could turn on brown fat in people without putting them in cold rooms or making them exercise night and day, they might have a terrific weight loss treatment. And companies are getting to work.

But Dr. André Carpentier, an endocrinologist at the University of Sherbrooke in Quebec and lead author of one of the new papers, notes that much work lies ahead. It is entirely possible, for example, that people would be hungrier and eat more to make up for the calories their brown fat burns.

“We have proof that this tissue burns calories — yes, indeed it does,” Dr. Carpentier said. “But what happens over the long term is unknown.”

Until about three years ago, researchers thought brown fat was something found in rodents, which cannot shiver and use heat-generating brown fat as an alternate way to keep warm. Human infants also have it, for the same reason. But researchers expected that adults, who shiver, had no need for it and did not have it.

Then three groups, independently, reported that they had found brown fat in adults. They could see it in scans when subjects were kept in cold rooms, wearing light clothes like hospital gowns. The scans detected the fat by showing that it absorbed glucose.

There was not much brown fat, just a few ounces in the upper back, on the side of the neck, in the dip between the collarbone and the shoulder, and along the spine. Although mice and human babies have a lot more, and in different places, it seemed to be the same thing. So, generalizing from what they knew about mice, many researchers assumed the fat was burning calories.

But, notes Barbara Cannon, a researcher at Stockholm University, just because the brown fat in adults takes up glucose does not necessarily mean it burns calories.

“We did not know what the glucose actually did,” she said. “Glucose can be stored in our cells, but that does not mean that it can be combusted.”

A new paper in The Journal of Clinical Investigation by Dr. Carpentier and his colleagues answers that question and more. By doing a different type of scan, which shows the metabolism of fat, the group reports that brown fat can burn ordinary fat and that glucose is not a major source of fuel for these cells. When the cells run out of their own small repositories of fat, they suck fat out of the rest of the body.

In the study, the subjects — all men — were kept chilled, but not to the point of shivering, which itself burns calories. Their metabolic rates increased by 80 percent, all from the actions of a few ounces of cells. The brown fat also kept its subjects warm. The more brown fat a man had, the colder he could get before he started to shiver.

Brown fat, Dr. Carpentier and Jan Nedergaard, Dr. Cannon’s husband, wrote in an accompanying editorial, “is on fire.”

On average, Dr. Carpentier said, the brown fat burned about 250 calories over three hours.

But there is another type of brown fat. It has been harder to study because it often is interspersed in the white fat and does not occur in large masses. Investigators discovered it in mice years ago. Now, in a recent article, Bruce Spiegelman, professor of cell biology and medicine at the Dana-Farber Cancer Institute, and his colleagues report that, in mice at least, exercise can make it appear, by turning ordinary white fat brown.

When mice exercise, their muscle cells release a newly discovered hormone that the researchers named irisin. Irisin, in turn, converts white fat cells into brown ones. Those brown fat cells burn extra calories.

Dr. Spiegelman said the brown fat he studies is different from the type that appears in large, distinct masses in rodents, the type Dr. Carpentier was examining in his subjects. That brown fat is derived from musclelike cells and not from white fat.

Dr. Spiegelman suspects that humans, like mice, make brown fat from white fat when they exercise, because humans also have irisin in their blood. And human irisin is identical to mouse irisin.

“What I would guess is that this is likely to be the explanation for some of the effects of exercise,” Dr. Spiegelman says. The calories burned during exercise exceed the number actually used to do the work of exercising. That may be an effect of some white fat cells turning brown.

Many questions remain. The only brown fat that can be easily seen in people is the muscle-derived fat that shows up in scans. And that brown fat, notes Dr. C. Ronald Kahn, chief academic officer at the Joslin Diabetes Center in Boston, is visible in people only when it is turned on by making them cold.

Almost everyone of normal weight or below shows this brown fat if they are chilled, although individuals vary greatly in how much they have. But this brown fat almost never shows up in obese people. Is that one reason they are obese, or is their extra body fat keeping them so warm that there is no reason to turn on their brown fat?

There is also an intriguing relationship between the brown fat that emerges under the skin and the density of bone. Dr. Clifford Rosen, a professor of medicine at Tufts University School of Medicine in Boston, is studying mice that cannot make brown fat and was astonished by the state of their bones.

“The animals have the worst bone density we have ever seen,” Dr. Rosen said. “I see osteoporotic bones all the time,” he added, “but, oh my God, these are the extreme.”

And while exercise may induce brown fat in humans, it remains to be seen how important a source of calorie burning it is, researchers say.

As for deliberately making yourself cold if you want to lose weight, Dr. Carpentier said, “there is still a lot of research to do before this strategy can be exploited clinically and safely.”

 

Brown Fat Burns Ordinary Fat, Study Finds – NYTimes.com

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ABOUT THIS BLOG:

 

newsmd1    MARIA DORFNER is the founder of NewsMD Communications and Healthy Within Network.  This blog is a part of that.  She began her career in 1983 at NBC News in NYC where she continued to work behind-the-scenes on TODAY SHOW, NIGHTLY NEWS and all programs until 1989 when she helped launch CNBC.

As a producer, she has produced talk shows, segments and series and travelled extensively. In 1993, she developed and senior produced 7 health series: Healthy Living, Healthcare Consumers, Healthcare Practitioners, Lifestyles and Longevity and Green Magazine.

She co-anchored Healthy Living and Healthcare Consumers airing on CNBC for three years before launching NewsMD Communications. Her clients include a Who’s Who in Medical/Health, the Journal of the American Medical Association (JAMA) which she shot, wrote and produced weekly segments for  NBC, CBS, ABC, CNN and Fox. Discovery Health Channel, where she wrote, produced and directed the documentary series, 21st Century Medicine. She has helped raise multi-millions of dollars for hospitals in need and has been a part of several successful health startups.  She has worked as Director of Research for Roger Ailes at Ailes Communications, his consulting and production company and again as a producer. Her articles have been published in Broadcasting & Cable Magazine and she has hosted The Secret to Success.

She has continued to be a go-to person for network heath shows, stories and content. She was awarded a health reporting scholarship from The American Medical Association (AMA), a Freddie Award for Excellence in Medical Reporting, an Outstanding Achievement Award from the March of Dimes, an Angel of a Sponsor Award from Make A Wish Foundation and an Outstanding Leadership Abilities from her alma mater, Pace University and Commitment to the Advancement of Women in Media Award.

In 2014, she published 3 books. She was also awarded a scholarship to Columbia University by NBC News. She also received  Media Recognition Award from the American Heart Association for her series Heart Smart. She has been specializing in Medical/Health for 23 years, and has worked in Media for 33 years after starting as an intern during college.  In her spare time, she enjoys reading, learning, writing, nature, hiking, swimming, bike riding, working out, cooking, exploring museums and travel. She is a certified scuba diver and aerobics swim instructor.

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“Health has been a passion of mine since I was a kid.  What I do and who I am are seamless.  I come from a large Italian family. If someone is sick I’m the one they call for research. My best friend growing up in Brooklyn was my cousin Josephine, and we’re still close. We were little health nerds. She became a pediatric nurse.  We loved researching everything to death and still do.  Two things I love and know well. Media and Medical.  Yet, I think in both, they’ve forgotten the most important person –the patient. So, I want to help put the ME back in MEdia and MEdical.  Today, it’s SO hard to know who to trust in both.  Fortunately, people are smart and they are now well aware of the various financial ties “experts” and physicians and media have to promoting certain medications or other large companies, products or services that absolutely do not serve our health or our best interests. The worst part is when we learn they knew and do not reveal it to consumers for decades, which contradicts the oath, “First do no harm.”  So  much damage has been done and no one is accountable. How do you like that. Well, ethics matter. People matter. And people want and will choose what is best for their health. People are empowered and will use their money to denounce those companies aligned with making them sick.  I created this blog to be a trusted resource for people. I do it for free because I believe Virgil is right. There is no greater wealth than health and you absolutely have to trust who is telling you information and why more than any other time in your life.  It’s even worse if you’re rich because then people try to sell you even more things. That may be fine when it’s a handbag, but your health is too precious and there are no returns or refunds if you end up paying a price for trusting the wrong advice. Remember, “expert” doesn’t always mean that.   I feel extremely blessed to be healthy.  I’ve been healthy all my life. I’ve never even had stitches.  I love to help people and my career became a vocation when I was able to utilize my communication and journalism skills to do that.” 

-Maria Dorfner

Thanks for following my health blog.

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Healthy Spring Reminder

 

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Add good nutrition and percentages for reducing your chances of illness skyrockets.

 

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That one thought can help you when faced with unhealthy vs. healthy food choices.  There is no need to obsess because no one wants to live like that.  It’s all about healthy habits you maintain over a lifetime. Focus your tracking, measuring, comparing and weighing on how much you’re helping others, getting fresh air, getting sunshine, listening, caring, reading books, exploring, hiking, building, creating, sharing, praising, giving, inspiring, educating, laughing, walking, motivating, thinking, imagining, dreaming, dancing, singing, humming if you can’t sing, noticing nature more and the beauty surrounding you, turning off TV and electronics, spending time with positive, uplifting people with healthy habits who make you laugh, lifting someone up just because you can and not because you’re expecting something in return.

There are also people who have a healthy, calming presence.  These are people you can be around and feel good even if you’re walking in silence.

No one has a perfect family, friendships or relationships.  What they have is what they themselves bring to the equation.  Allow your ship to be strong and calm, so that you can weather any storm without needing to yell,”Man (or woman) overboard!” or “Abandon ship!”  I tend to see the good in everyone, but I’ve learned there are dark people with bad vibes.  The best you can do is avoid them and delete them from your social media networks. If you can’t avoid them entirely, limit exposure as you would any toxin.

Being healthy allows you to navigate your ship better. It doesn’t get rid of any storms.

If you’re currently poor in a job that you hate think of yourself as an actor in a movie playing a role. Imagine you’re the owner or CEO of the establishment. How would you behave differently?  How would you carry yourself?  Would you smile more when customers entered? Would you want your place to look better and know what works and what doesn’t?  Try it.  You will not only smile more, but one day when you do run a place you’ll be an incredible leader because you took pride in doing the little things well and you know how to treat customers. Listen to them. Learn to be a good communicator by being a good listener and observer. Respond. Don’t react.

Ashton Kutcher talks about this extensively in an excellent Commencement Speech he gave. Google it if you haven’t heard it as it will change the way you think of ALL jobs from sweeping a floor to being the Chairwoman.  I was thrilled when my Dad took me to the restaurant when I was a little kid. I begged him to let me work behind the counter even though I could barely reach it. Then, I begged him to let me make ices for customers. Customers were amused and SO nice saying, “Well, hello there young lady. I’ll have one Italian ice.”  I stood on a chair and made the biggest ice in the world. I remember my Dad saying, “I’ll go out of business if you keep doing that.” I asked questions and got my first lesson in business. My Dad also told me to smile and say thank you, so I learned to treat customers well too.

Remember, everyone of every size has fears, doubts, anxieties and feelings of sadness. Notice singers of all shapes and sizes have a sad song.  It’s part of life.

The best thing you can be is kind, compassionate, sincere, smart and imperfectly real.

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Be sure to follow this blog for new posts. There is a follow button on the upper right hand corner. Thank you!   My first book, “Healthy Within: A Story of Loss of Gain” is still available on-line on Barnes & Noble. They always have a coupon code you can use at checkout to get 30% or more off.  Thanks!

Follow me on Twitter: @Maria_Dorfner

Stay healthy!  ~Maria Dorfner

p.s.  Red Robbins are singing outside my window, so Spring-like weather should be here soon.

 

 

 

 

 

 

 

 

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