Confidence and Style: Create and know your own personal stlye.

Know Your Personal Style:

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Your personal style should be expressed in everything you do. When it comes to fashion your personal style is evident in the articles you select to wear as well as the way you carry yourself.

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While dressing well can boost your confidence, you must also be confident in your personal style, without second guessing or doubting yourself. Once you are really confident on what your personal style truly is, you will always carry with you your own personal brand of style.

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You must combine these two elements to complete your signature personal style that people will always recognize as your own.

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So in essence once you have created your very own personal brand, it will identify you wherever you go.

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Yes, style and confidence go hand in hand!

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Atrial Fibrillation: The symptoms, diagnosis, prevention, complications and treatment.

Atrial fibrillation is a common type of arrhythmia, which is a problem with the rate or rhythm of the heartbeat. This condition often has a very fast and irregular heart rate which can cause poor systemic blood circulation to the body. When atrial fibrillation occurs, the atria’s beat is irregular with chaotic heart rate patterns, and are out of synch with the ventricles of the heart. Atrial fibrillation (AF or A-fib) occurs if rapid and uncoordinated electrical impulse signals cause the atria to “fibrillate”, which mean to contract very rapidly and irregular; when this happens, the blood pools in the atria and isn’t pumped completely into the ventricles, which results in the upper and lower chambers working out of synch. AF may be either occasional, which is called paroxysmal Atrial fibrillation where symptoms come and go at random for a short period lasting for up to a few minutes to a few hours, or chronic, in which symptoms are ongoing and last for years as the heart rhythm is always abnormal.

Before we examine the possible causes for AF we must first understand that in Atrial fibrillation, the atria experience abnormal and chaotic electrical signals which make them “quiver”. The AV node is overloaded with electrical impulses attempting to travel to the ventricles which are also beating very fast, but not as fast as the atria. The resulting effect is, the
heart rhythm is irregular and very rapid. Being that the regular heart rate is 60 to 100 beats per minute, in atrial fibrillation the heart rate may range from 100 to 175 beats per minute.

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Damage or abnormalities to the heart’s structure are the most common causes of atrial fibrillation, as well as infarction of the Atrial myocardium, Mitral stenosis and rheumatic heart disease, however other possible causes of AF include: High blood pressure, myocardial infarction, sick sinus syndrome (functioning of the heart’s natural pacemaker), emphysema or other lung diseases, viral infections, congenital heart defects and sleep apnea. Please note that some people who suffer from AF do not have any heart damage or defects, which is a condition called lone atrial fibrillation. The cause of this atria fibrillation is unknown, but serious complications are rare.

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Atrial fibrillation (AF) causes the heart to beat inefficiently and usually causes the ventricles to depolarize faster than normal, as a result of this the ventricles cannot fill completely with blood, as such they might not be able to pump enough blood for adequate systemic and pulmonary circulation, this can cause signs and symptoms such as: Palpitations, which are sensations of your heart skipping a beat, a racing or beating too hard or too fast, irregular heartbeat, a fluttering or flopping in your chest. Decreased blood pressure, weakness, confusion,
Chest pain, dizziness or syncope, shortness of breath and fatigue.

The diagnosis of atrial fibrillations is determined by medical and family histories, a physician will perform tests and procedures such as: Electrocardiogram: to measure the electrical impulses given off by the heart. Echocardiogram: in which sound waves are used to produce a video image of the heart. Holter moniter: a portable device that that records all your heat rates as you wear it under your clothes, and records the electrical activity of your heart as you go about your normal day to day routine. Blood tests: This will help your doctor determine a thyroid problem or other agents in the blood that may cause atrial fibrillation. Event recorder: a device. similar to a Holter moniter save for the fact that not all of the heartbeats are recorded. Of the two types of this device, one uses a phone to transmit signals from the recorder while symptoms occur, and the other is worn all the time for a month or longer.

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As with all heart diseases, complications may present. Because the atria is not depolarizing completely, blood will begin to pool in the upper chambers and there is a danger that a thrombus or blood clot can form, which in turn can develop and send an embolism, which is a traveling blood clot into the systemic blood circulation, and move on to the brain or lungs which in turn can cause cerebral vascular accident (CVA), renal infraction, pulmonary embolism, and myocardial infarction (MI) or death as there is no way to tell where the embolism will travel to cause severe damage or instant death.

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The treatment of atria fibrillation can take many forms and depends on various factors concerning ones health such as the underlying cause of the atrial fibrillation, and if you are able to take certain medications, however the two main goals of treatment are too prevent blood clots and reset the rhythm to control the heart rate which is called cardioconversion. Treatments using cardioconversion attempts to reset the heart rate or rhythm with the use of medications called anti-arrhythmics to restore sinus rhythm with can be administered either orally or intravenously.
Electrical cardioconversion is procedure that is brief utilizing an electrical shock to the heart using patches or “paddles” put on the chest of the patient which stops the electrical impulses of the heart for a moment in hope that when the heart starts to beat again, it will return to a normal sinus rhythm. The patient is sedated as not to feel the electrical shock. Patients after a post electrical cardioconversion procedure are often prescribed anti-arrhythmic medications to prevent the return of atrial fibrillation. The most common medications given are: Amiodarone (Cordarone, Pacerone), Dronedarone (Multaq), Proafenone (Rythmol), Solalol (Betapace), Dofetilde (Tikosyn) and Flecainide (Tambocor). Some side effects of these drugs include fatigue, dizziness and nausea.

 

 

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Some cases of Atrial fibrillation cannot be converted to a normal sinus rhythm, so the next treatment is to slow the rate back within the range of 60-100 beats per minute, which is called heat rate control. Heart rate control is attempted in two ways, by medications such as digoxin (Lanoxin). This controls the heart rate while at rest, but not so well while being active. Some patients require other medications like beta-blockers or calcium channels blockers, angiotensin-converting enzyme (ACE) inhibitors that are sometimes used to treat hypertension.
If medications are ineffective or if severe side effects occur, Atrioventricular (AV) node ablation may yield results. AV node ablation applies “radiofrequency” energy to the connecting pathway of the upper and lower chambers of the hearts AV node using a long thin catheter to destroy the small area of tissue there to prevent the atria from transmitting electrical impulses to the ventricles, a pacemaker is required to establish a sinus rhythm as well as blood thinning medication to reduce the risk of stroke as the heart is still in atria fibrillation.

Prognosis of atrial fibrillation has a very fair outlook as many patients do very well after treatment which often controls this condition. However atrial fibrillation has a tendency to return and often gets worse despite treatment.

The prevention of atrial fibrillation can be facilitated in many forms. Avoiding binge drinking, eliminate or reduce caffeinated drinks. Also being cautious when taking over the counter medications containing stimulants, like pseudoephedrine which can trigger atrial fibrillation or when taking anti-arrhythmic drugs that can cause adverse interactions.
In conclusion maintaining a healthy lifestyle is the key to preventing any type of health problems. Promoting a healthy heart includes limiting your intake of salt, quit smoking, eat a healthy diet rich in heart healthy foods, lots of exercise, following your doctor’s suggestions and or medication prescriptions on lowing your blood pressure.

The orthopedic disorder of the knee known as Knee effusion or commonly called “Water on the Knee”.

Orthopedics is a branch of medicine that deals with the treatment of the disorders or injuries of the bones, joints, and associated muscles. This article will focus on a condition or disease of the knee known as Knee effusion or much more commonly called “Water of the Knee.” The knee joint is made up bone, ligament, cartilage, fluids. Tendons and muscles help the knee joint move. When any one of these structures is damaged or diseased, it can cause pain and difficultly walking. Knee problems and injuries occur in people of all ages, which can interfere with standing and walking.

Some of the main causes of “water on the knee” or rather the cause of the swelling can include, injury to the knee ligaments or a traumatic accident in which after the body’s natural reaction is to flood the knee with a protective fluid, arthritis or an underlying disease or condition like, Cysts, Gout, Infection, Kneecap Bursitis, Over use or Tumors. Now the type of fluid that accumulates around the knee which is the cause of the swelling depends on the condition, disease or traumatic injury that is causing the swelling. In most cases the swelling can be cured easily.

Signs and symptoms of knee effusion (water on the knee) largely depend on the cause of excess fluid built-up in the knee joint. One of the most common symptoms of this condition is knee pain, as in Osteoarthritis usually presents when the knee joints are bearing weight. Pain typically eases with rest however some patients experience severe knee pain while others have no pain at all. In some cases one knee may swell much larger than the other one which may
present with or without pain. Stiffness is a also a common symptom when the knee joints “swells” with excess fluid, the knees may become difficult to bend or straighten in certain areas or the knee as a whole, fluid can also show under the knee when straightened as well. Bearing weight on the knee may be impossible with unbearable pain being present.

The diagnosis of knee effusion can be carried out in a few different ways, such as blood tests to determine if the inflammation is due to rheumatoid arthritis or a crystalline arthritis like joint infection, gout or pseudo-gout. In addition to lab analysis of the joint fluid, blood tests such as a C-reactive protein or uric acid, erythrocyte sedimentation rate (ESR) and a white cell blood count. If Lyme’s disease antibodies are detected forming in the blood that may also be a possible cause of this condition.

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Joint aspiration which is a procedure known as arthrocentesis, in which fluid within the knee is withdrawn using a needle syringe and sent to a lab for analysis such as cell count, culture for bacteria and the presence of crystals like calcium pyrophosphate dehydrate crystals which is found in cases of gout.

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Complications of this condition can hamper one’s ability to play sports such as basketball, tennis or football, to just walking short distances and also from participation in any activities that require knee mobility.
While treatment of knee effusion depends on the underlying cause of the swelling, there are general measures that usually provide relief, like analgesics, rest, ice and cold compressions and NSAIDS, which can reduce swelling and treat pain.

As stated previously, in most cases of knee effusion the swelling and pain aspect can be resolved with ease depending on the underlying cause. In case of the cause being Gout or Lyme’s disease, treatment for those disorders should clear up the problem in time.

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Prevention of knee effusion as stated prior, depends on the conditions of the underlying cause, however certain general safeguards can be applied, such as not putting too much pressure or weight on the knee’s and not overdoing certain exercises such as prolonged running or jumping ,which can cause trauma to the knees causing effusion of excess synovial fluid. Also wearing shoes with sole cushions to absorb the shock of running and long distance walking can also be helpful.

In conclusion, knee effusion though very common can be a very painful and immobilizing experience, with symptoms that are not difficult to treat depending on the various conditions of the cause.

Chaiwali’s New Cocktails and Exotic Beers: Where to Drink Series Part 2

Chaiwali is quickly becoming known for its original 1st world cocktails, fashionable food with a fashionable staff and fashionable owners.

(Owners: Anita and Diego, and waiter Jevan)

Chaiwali now has exotic beers that are not being offered anywhere else in Harlem. Now you can have with your vegan and organic dinner an organic “vegan” beer! Diego from Chaiwali introduced me to Samuel Smith’s “organic fruit beers” which are brewed by a small independent brewery in the U.K. This “pure brewed organic larger beer” is perfect for those on a vegan diet, and with just 5% alcohol content is registered with the vegan society. This is certainly a larger you have to try!

 


Next on the list is India Ale: which is also made in England and fermented in stone Yorkshire squares, and is quite good almost like a stout, but somewhere in the middle. I really like this beer.

 

 

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Lucky Buddha Beer: Is a bit of a novelty, a light beer comparable to let’s say an Amstel Light. This beer goes down quite smooth and the bottle is shaped like a Buddha and a fun bottle to keep after drinking it. Many people have made lamps and other fun unique crafts from this nice beer!

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Gavroche: Is a French Red Beer with 8.5% alcohol content and is only sold by the pint for about $35.00, which is a perfect alternative to a bottle of wine. This beer would go great with Chaiwalis delicious lamb chops! It is also interesting to note that this beer is named after a character from Victor Hugo’s novel Les Miserables.

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Occulto: Is the most unique and interesting beer offered at Chaiwali. As the name suggests, there is more to this beer than a nice cold drink, which has 6% alcohol content. This “fruit/vegetable beer” is tequila flavored, and aged on tequila staves. Now this beer has a gimmick, the label turns fluorescent and the skull eye’s on the bottle has a strange green glow when the bottle is cold. In addition there are secret hidden messages behind the label, under the cap and in other places on the bottle. Diego and I spent quite some time examining a few bottles trying to yield its secrets. Occulto means “hidden” in Spanish, and searching for the hidden messages is great fun. Chaiwali is the only place in Harlem that carries this supernatural beer!

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The Lost Art of Gentlemanly Etiquette Part 3: A Gentleman’s guide to Dress

A Gentleman’s guide to Dress:

“A well-dressed man does not require so much an extensive as a varied wardrobe. He wants a different outfit for every season and every occasion; but if what he selects is simple rather than striking, he may appear in the same clothes as often as he likes, as long as they are fresh and appropriate to the season and purpose.”

12 tips of dress for a gentleman:

  1. The first rule for the guidance of a man, in matters of dress, should be, “Let the dress suit the occasion.”
  2. He may indulge in light clothes in the street during the warm months of the year.
  3. While you are engaged in dressing, give your whole attention to it. See that every detail is perfect, and that each article is neatly arranged.
  4. Never wear too much jewelry or any article conspicuous on account of its monetary value. Simplicity should always preside over the gentleman’s wardrobe.
  5. Follow fashion as far as is necessary, but avoid the extreme of the prevailing mode. Don’t overdo it.
  6. Let your figure and personal style have some weight in deciding how far you are to follow fashion.
  7. Extreme propriety should be observed in dress. Be careful to dress according to your means. Too great saving is meanness, too great expense is extravagance.
  8. Simplicity is the only distinction which a man of taste should aspire to in the matter of dress.
  9. The man of good taste will wear as little jewelry as possible.
  10. A man must not be made by his tailor, but should make him, educate him, to give him his own good taste.
  11. To be well dressed is to be dressed precisely as the occasion, place, or weather, your means require.
  12. Good dressing is to wear as little jewelry as possible, to be scrupulously neat, clean, and fresh, and to carry your clothes as if you did not give them a thought.

 

“A man whose dress is neat, clean, simple, and appropriate, will pass muster anywhere.”

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Barawine Harlem: A Fine French Restaurant for Harlem Locals

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I was sitting down over a bottle of Chardonnay with Fabrice Warin, owner of Barawine on 120th and Lenox Ave, and was very much impressed with his love and extensive knowledge of Harlem. Fabrice moved to Harlem in 2001 and told me: “I lived on the Upper East Side, Midtown, but there is nothing like Harlem.” When I asked him why did he decided to open a restaurant in Harlem, he answered: “I wanted to work in the neighborhood where I lived, and I wanted my fellow Harlemites to have a nice place to eat without going downtown.”

KIMG0967Barawine was opened on August 1st 2013. In fact Barawine is quite a nice place. The décor is simple yet sophisticated, actually the bar is a long communal dinner table, where diners eat and drink on both sides of the bar. Barawine is a local restaurant that specializes in wine, hence its name. In the back are dinner tables and a small stage for live music. The selves on the wall are filled with many different wines much like bookcases filled with books, which is no surprise as Fabrice is trained in fine wines.

2I asked Fabrice what inspired the décor design, he told me: “Harlem brownstone homes” and I must say after taking the place all in, I get the idea. Elegant and simple all at once! Fabrice is very proud of the design he and his team conceived for Barawine.

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“Everyone is welcome here” Fabrice said, and the restaurant and staff are very welcoming and friendly indeed. Fabirce considers the Harlem residents that have lived here for a long time his VIP’s, which comes from his love of the community and history of Harlem. All of the staff at Barawine lives in the neighborhood, and Fabrice is very close to his employees, making sure that all his staff are happy and enjoy working there, as Fabrice worked in restaurants for many years his feels that it is important to keep his staff in good spirits.

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(Booba, Fabrice, Faiza, Filip)

I was served for an appetizer the Spicy Corn and Poblano cheese soup (summer corn soup) which has a very nice and creamy delicious taste (it was so good I highly recommend it!).

KIMG0956~2[1]My entrée was the Braised Lamb Shank which was set in a lovely Polenta Red Wine sauce. The meat was so moist that it slid off the bone and literally melted in my mouth. The lamb was paired with Mash potatoes. The whole meal was so wonderful. I was at a loss for words when the waitress asked how my meal was, wondering why I haven’t eaten here before. With my meal I sipped a 2013 Cardiff Chardonnay, instead of the Melbac which looked rather interesting (I will most surely try it next time) which had a tropical citrus flavor with a refreshing vanilla after finish.

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(Lofinda my waitress)

Executive chef: Carlos A. Jimenez and Fabrice know exactly what they are doing with the food as well as the wine. Barawine has an extensive wine list with wines priced from $30-$110 a bottle, suitable for all discerning palettes and budgets, all handpicked by Fabrice, so you can be sure that if you order by the glass or bottle you will be getting a good wine at a great value.

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As I dined, I noticed many couples having romantic dinners while listening to Jazz and classic slow jams being played by the Jazz Duo of Jerome Harris (guitar) and Dave Barron (Bass). Definitely a great place to take a date for dinner or drinks. Fabrice told me that he eats at his own restaurant every night, and changes the food and wine menu twice a year, and just added six new dishes. To quote Fabrice: “The Food Just has to be Good”, and you can be sure of that when you eat at Barawine!

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There is live jazz music every Tues and Sunday. Sunday brunch is very popular at Barawine and is always packed. You can enjoy for $15.00 “Bottomless Mimosa’s” (for 2 hours) with your brunch Sat & Sun 11:30 Am-4PM. On Fridays there is a DJ and Saturday there are many parties. Mondays you can check out the “Mussel Mondays” with all you can eat mussels and fries for $20 per person at 4PM and on Sundays at 4:30 PM. Happy Hour is 4PM-8PM Mon-Fri.

KIMG0968I was very impressed with Fabrice and his philosophy on operating a successful restaurant (“never let it get boring”), his knowledge and love of Harlem, and his pride of recently becoming an American Citizen. Most of all I was impressed by the genuine charm and goodwill of this exceptional gentleman!  Fabrice told me that he does not want Barawine to be known as a expensive restaurant, however while the place does look expensive, the price point for the food,wine and specials makes it affordable for everyone. A true French Harlemite!

 

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On (and off ) the cuff with Gene Seidman: Unique, custom and very stylish handmade cuff links by Gene Seidman.

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I caught up with Gene right before he was about to leave for Art Basel in Miami Fl. Gene was inspired to create his one of a kind cuff links while he was working at The Museum of Modern Art as director of the graphic design department back in 1982. Gene said “I wanted to add some panache to my wardrobe”, and he was also inspired by his love of product design, so he started making cuff links out of various things he found, in fact he makes them from just about anything. Gene has made cuff links out of fender guitar picks, wine corks, vintage buttons, Mac keyboard keys, and has created a limited edition of MoMA admission buttons, which are very rare!

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There is also a series of Sim chip cuff links, made from actual sim cards, (I actually own a pair of these). Gene Seidman is the only person in the world that makes them. Also there is the “exotic skins” series of cuff links which are made from remnants of snake skin, kangaroo, and other exotic animal skins.


Each of his cufflinks has an interesting story behind their design. The latest creation by On the Cuff is “Pieces of New York”, which are cuff links made from pieces of sidewalks on various streets in NY during construction, and has made a limited edition of 10 pairs from 125th street in Harlem. “They are perfect for New Yorkers, tourists, and lovers of New York”, Gene said.

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After he started wearing them he received many compliments from friends and strangers alike, and would just give them away for free on the spot, due to his love of the world as well as design. Gene, who is also a very green person, won an award from the EPA which illustrates his commitment to sustainability.

 


He began selling his cuff links in pop up stores on the Lower East Side and Soho, and people would buy them on the spot upon seeing them. Mr. Seidman also makes earrings, rings and cuff links for woman. All of Gene’s accessories are worn by people all over the world, as he considers his designs global. Gene was also commissioned to design a limited edition series of horse derby cuff links for the annual Harlem Derby event held at Settepani restaurant in Harlem. All of Gene’s designs are made by hand in NYC.

About Gene: Gene Seidman is a private art dealer and directs Artra Worldwide New York as a managing partner who deals in primary and secondary art, and also promotes numerous emerging artists. In addition he has held interesting and educational art tours, which he offered in the last year. Mr. Seidman will also be curating two art shows in 2016. You can often find Gene dancing in Harlem at the Red Rooster to Rakim Walker, and at the Lenox Saphire.

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(Gene also designs double sided pocket squares, and will soon be available)

Gene Seidman is offering to readers of The Elegant Classy Gentleman a 10% discount on all orders placed by the end of this year. To order go to his website: http://www.onthecuff.nyc and email gene at: gene@onthecuffnyc and mention The Elegant Classy Gentleman in the subject line.

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(Gene’s Art Basil design cuff links)

 

 

 

 

Chaiwali’s New Cocktails and Exotic Beers:Where to Drink Series Part 1

Chaiwali has created a unique new martini, The Juggernaut! a very peppery infused, and strong martini that does justice to its name. This cocktail is made with lemon perserve and an Asian spirit with other secret ingredients which I cannot divulge, however it is garnished with a flaming lemon twist which actually brings out the oils in the lemon twist.

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In Indian mythology Juggernaut is an incarnation of the Hindu god Vishnu, whose idol, it was formerly supposed, so excited his worshipers when it was hauled along on a large car during religious rites that they threw themselves under the wheels and were crushed.

“Juggernaut or (Jagannatha), is worshiped at the religious city of Puri in India. A temple to Juggernaut there dates from the A . D . 1100s. According to one legend, a priest chose the site for the temple when he saw a crow dive into the nearby Bay.”

“Several festivals are held at the temple each year, the most important being the Chariot Festival in midsummer. On this occasion, the image of Juggernaut is placed on a 60-foot-high cart and pulled through the town by hundreds of people. Occasionally worshipers have thrown themselves beneath the wheels of the cart to be crushed as a sacrifice to Jagannatha. This practice gave rise to the English word juggernaut, meaning a person or power that crushes anything in its path.”

This is one heck of a martini! I almost crumbled under its power. It is interesting to note that despite its name and mighty punch, the Juggernaut is a very healthy cocktail, the ingredients are actually detoxifying and good for you. Go figure!