Bucks County Healthy Living 2018

Healthy Living B U C KS C O U N T Y

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MORE THAN A SURVIVOR

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Matthew S. Newman’ battle with brain cancer was the impetus to a new lease on life and a great appreciation for things he used to take for granted / BY FRANK D. QUATTRONE Driving slowly and carefully because of icy conditions along Route 202 near Bridgewater, New Jersey, Matt hit the brakes and turned the wheel of his vehicle quickly to avoid contact with a car that was stopped just ahead. His Mercedes hit the median, knocked over some signs on the road, and his airbag inflated as

Photo: Paul Wesley

or a man who professes to have lost his belief in irony, cancer survivor Matthew S. Newman’s life of late has been riddled with irony. And considering the gravity of his diagnosis with grade 3 astrocytoma (brain cancer) just five years ago, he finds it much easier to smile these days than he ever thought possible.

You see, today Matt Newman is cancer-free.

Along his perilous journey from then to now, he has discovered his new life’s calling. Eloquently expressed in a personal interview given at his Washington Crossing home on April 30—and echoed throughout his recently published memoir, Starting at the Finish Line: My Cancer Partner, Perspective and Preparation—he sums it up succinctly with the words, “You shouldn’t have to go through this to realize the value and beauty of life, of living life to the fullest in the moment.”

Matt was only thirty-nine years old—enjoying a healthy lifestyle, a successful professional career as a financial services wholesaler, and blessed with his beautiful wife, Rebecca, their three adorable children (Luke, Jake, and Lola), and two frisky dogs—when the fateful accident occurred.

It was a frigid, snowy day in February 2013.

he struck the car in front of him. He jumped out of his vehicle, apparently unscathed, to check on the passengers in the car he hit. They were shaken and upset but otherwise fine. Although Matt’s car had been totaled, he felt lucky to have avoided an even more serious accident, especially when the tow-truck driver told him that most people in accidents like this ended up in an ambulance.

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And yet ignoring the advice of police who had rushed to the scene, as well as the admonition of his worried wife, to have himself checked out at the hospital, Matt went about his business as if nothing had happened. But the brutal headaches, which worsened with each passing day, soon began. They affected his sleep. He began experiencing slurred speech, hot flashes, and momentary mental lapses that lasted just seconds but felt much longer. He would fall asleep earlier than usual, say, at 8:30 p.m., and wake up in excruciating pain less than two hours later.

The pain in his head was alleviated only when Matt did his regular workout.

One day when he and Rebecca were running and chatting on the scenic towpath along the Delaware, not far from where George Washington and his troops crossed the icy river on Christmas Day 1776, he suddenly realized he could not speak. He thought he might have suffered a mini-stroke. These symptoms

were now affecting his personal as well as his professional life.

Alarmed, after months of discomfort, he finally sought help from his physician, who suggested it might just be severe sinus headaches and prescribed some appropriate medication.

But on May 14, 2013, in North Jersey, in the middle of a presentation Matt was doing on financial planning, he suffered what he thought was a miniseizure. Disoriented, he wrapped up the presentation as quickly as he could, realizing he needed hospital care.

Matt called Rebecca, who met him at the relatively new Capital Health Hospital, just minutes from his home and already acclaimed as a center for neurological issues. The healthcare professionals there immediately ordered a CAT scan, which revealed an anomaly where the pain was emanating. The MRI, which came seven long hours later, identified what they called a “lesion� on his brain. At first Matt felt relieved, believ-

ing that a lesion was just a cut or a bruise. But the hours of tests were just beginning, as Matt was soon wheeled in to get an MRA (a Magnetic Resonance Angiogram, which allows doctors to see inside one’s blood vessels).

Understandably curious, he asked a nurse what was up, only to be told they had discovered a brain tumor.

That was when Matt’s world momentarily crumbled. Not easily given to tears, he found himself crying uncontrollably, wondering “Why me?� and what would happen to the rest of his life.

Then he began to scream. He was only thirty-nine years old. “That was it,� Matt told me. “It was my lowest point. I knew then that I had to fight to survive.�

After an EEG the next day, Matt was taken in to surgery, which lasted three hours. His surgeon told him that no pain-killers could be used, as the brain needed to be monitored carefully throughout the procedure with no interference from medication. And he assured

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Matt that a positive attitude would go a long way toward recuperation.

The tumor, he was told, was pressing against the speech center of his brain.

Talk about alarm bells ringing in his head! Matt was a professional speaker for his firm. If he couldn’t speak, what would become of his career? Even though he had sensibly followed his own advice, taking care to secure the longterm needs of his family, including college tuition for his children, Matt was not ready to give up. He wanted to continue to enjoy the family activities, including trips to Disney World, that had become such a crucial part of his life.

That night, Rebecca’s dad and mom, Larry and Jackie Beach, watched over the children, as they anxiously awaited word from the hospital. Ironically, once again, Larry and Matt, who had always been close, had quietly become partners in combat. Two years before Matt’s accident and subsequent medical traumas, Larry had received his own shocking

diagnosis of pancreatic cancer. Despite his physical weakness, inability to eat, and other debilitating effects of radiation and chemotherapy, Larry (just as Matt had been for him two years earlier) proved to be a rock. The two men, brought together by the loving and amazingly strong-willed Rebecca, now bonded more closely than ever and became, with Matt’s wife Rebecca, each other’s principal means of support.

After his successful surgery, Matt’s goal was to return home as soon as possible. As the swelling subsided rather quickly, Matt was home within two days.

Home, surgeons agree, is the best place to recuperate, as patients slowly begin to resume normal activities. By day eleven, Matt had returned to the gym. By day twelve, he was golfing again with his father, who was also a financial planner.

Within two weeks, he was back to work.

Matt—like Larry, a fighter by nature—knew that he had to maintain a positive attitude. While the cancer could

not be viewed as a gift, it did provide him with a fresh perspective. He recalls one incident, about five days after his surgery, when Rebecca drove him to their son Luke’s school for a Father’s Day picnic. Even in his weakened state, Matt had an epiphany. Noticing that virtually every other father there seemed to be spending more time on their smartphones than enjoying the company of their sons, he realized how critical it was “to be in the moment and not to waste one minute more.”

He noticed at work, too, that his presentations and interactions had begun to change. “I became more real,” he said. “I began talking about the fragility and value of life through the prism of my own experience.” And despite his optimism and support of his family, despite his faithfully following the prescribed medical protocols, Matt began to vomit at irregular intervals. He began losing his hair, so he had his head shaved. He even lost sensation in his taste buds. His

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ability to eliminate bodily waste also became a challenge. The radiation therapy also made him lethargic.

Through it all, with Rebecca’s and Larry’s support, he never lost heart, never lost hope, never complained, and maintained his belief that every moment counted. “You never know,� he said.

Somehow, like Larry, whom he calls a “warrior� as well as dear friend, he found the strength to go on. During his successful battle against cancer (he is now five years cancer-free) he attended some support groups and began coaching and teaching others diagnosed with this dreaded disease. He also started writing about his battle in blogs, which he found cathartic and which ultimately became the genesis of his book.

His father-in-law Larry, on July 28, 2014, ultimately succumbed to his cancer, but the “warrior� lived heroically with his affliction for four years, roughly three more than the most hopeful prognosis, and he continued to enjoy spend-

ing time with Rebecca and Matt and, mostly, with his three grandchildren.

Matt says, “I used to believe in irony.

No longer. That car accident—I still don’t know if I hit my head—allowed me

Through it all, with

Rebecca’s and Larry’s support, he never lost heart.

to find this new path of community and to reach out to help others in need.� He recalls fondly the day the hospital staff rang the symbolic gong for him, signaling the successful completion of his radiation therapy—a tradition for all cancer survivors, a veritable celebration of life.

Now Matt gives talks all across the country to inspire and motivate other cancer survivors, and he receives heartfelt messages of thanks both in person and on his website.

A motto on Matt’s T-shirt, as he

watches and supports Rebecca on her annual Broad Street Run on the first Sunday in May—sums up his newfound philosophy. It reads: “Be strong when you are weak. Be brave when you are scared. Be humble when you are victorious. Be badass every day!�

His self-published memoir, Starting at the Finish Line: My Cancer Partner, Perspective and Preparation, can be found online on amazon.com, barnesandnoble.com and on his own website: www.startingatthefinishline.com. As you’ll discover when you read this uplifting book (citing a line on the back cover): “Matt’s memoir chronicles the journey that his entire family and support group took together which got him to a place of clarity, understanding and appreciation.�

FRANK D. QUATTRONE

IS AN AUTHOR,

NEWSPAPER EDITOR, TEACHER AND FREE-

WRITER FROM MONTGOMERY COUNTY WHO WRITES ABOUT LOCAL HISTORY, FOOD, ART AND PEOPLE. LANCE

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B U C K S C O U NTY M A G . C O M

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HealthWatch Cold, Flu or Allergy

Cold, flu, and allergy all affect your respiratory system, which can make it hard to breathe. Each condition has key symptoms that set them apart.

Colds and flu are caused by different viruses. “As a rule of thumb, the symptoms associated with the flu are more severe,” says says NIH’s Dr. Teresa Hauguel, an expert on infectious diseases that affect breathing. Both illnesses can lead to a runny, stuffy nose; congestion; cough; and sore throat. But the flu can also cause high fever that lasts for 3-4 days, along with a headache, fatigue, and general aches and pain. These symptoms are less common when you have a cold.

“Allergies are a little different, because they aren’t caused by a virus,” Hauguel explains. “Instead, it’s your body’s immune system reacting to a trigger, or allergen, which is something you’re allergic to.” If you have allergies and breathe in things like pollen or pet dander, the immune cells in your nose and airways may overreact to these harmless substances. Your delicate respiratory tissues may then swell, and your nose may become stuffed up or runny.

“Allergies can also cause itchy, watery eyes, which you don’t normally have with a cold or flu,” Hauguel adds.

Allergy symptoms usually last as long as you’re exposed to the allergen, which may be about 6 weeks during pollen seasons in the spring, summer, or fall. Colds and flu rarely last beyond 2 weeks.

Most people with a cold or flu recover on their own without med-

ical care. But check with a health care provider if symptoms last beyond 10 days or if symptoms aren’t relieved by over-the-counter medicines.

To treat colds or flu, get plenty of rest and drink lots of fluids. If you have the flu, pain relievers such as aspirin, acetaminophen, or ibuprofen can reduce fever or aches. Allergies can be treated with antihistamines or decongestants. See the “Wise Choices” box for more details.

Excerpted from NIH News In Health.

Eye Associates of Bucks County Center for Advanced Cataract Surgery “The most experienced Femtosecond Laser Assisted Cataract Surgeon in Bucks County”

Our physicians are committed to the appropriate diagnosis and treatment of all of your eye care needs. We use state-of-the-art equipment to complement our experienced doctors and welcoming staff as they provide you with excellent and personalized attention.

Advanced Cataract Surgery Glaucoma Refractive Surgery (LASIK) Retinal Disease Diabetic Eye Evaluations Macular Degeneration Complete Eye Exams

Victoria Ries, O.D. and Suguan Pendse, M.D., F.A. C.S.

360 Middletown Blvd., Suite 402 Langhorne, PA

215-757-6200 90

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www.eabceyes.com

ADVANCED MEDICINE

is ONLY 10 MINUTES AWAY At CAPITAL HEALTH MEDICAL CENTER – HOPEWELL, you will find advanced care for a variety of medical issues, including: + Regional Perinatal Center (including maternity services and Level III NICU for at-risk births) + Cancer Center + Capital Institute for Neurosciences + Center for Comprehensive Breast Care + Advanced Orthopaedics (including Rothman Institute, the Philadelphia region’s largest orthopaedic practice)

+ Metabolic & Weight Loss Center + Center for Digestive Health + The Region’s First & Most Experienced Accredited Chest Pain Center + Advanced Imaging and Interventional Radiology + Rehabilitation Services, and more.

+ The Region’s First & Most Experienced Pediatric Emergency Department & Inpatient Unit

Whether it’s scheduling a wellness check-up or you’re not feeling well, we also have TWO PRIMARY CARE OFFICES right here in BUCKS COUNTY: CAPITAL HEALTH PRIMARY CARE – LANGHORNE 215.736.9362 capitalhealth.org/langhorne

CAPITAL HEALTH PRIMARY CARE – LOWER MAKEFIELD 215.504.1761 capitalhealth.org/lowermakefield

HealthWatch DR. JASON HART DISCUSSES ECOTHERAPY

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he pace of life in our busy modern life can seem to move too fast.We find our minds racing, anxiety increasing, mood worsening, and may find ourselves using more substances than we’d like in order to cope. How can we slow down life, to a more natural rhythm and get in touch with the simple things if we’re running a rat race day in and day out?

As a clinical psychologist in Doylestown, Bucks County, I take these concerns seriously. I’ve seen the struggle to find balance in life overwhelming to so many of our family members and neighbors. We’re all looking for peace and for calm, but can’t seem to find it within ourselves, while trying to manage our busy, digital, 21st century lives.

Listening to my clients, I’ve found that so many are looking for deeper connection with the world around them, in order to heal, grow and thrive.

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How could we all be so stressed out while living in one of the lushest and greenest regions of our nation, surrounded by beautiful bodies of water and bountiful wildlife?

When we reconnect with the natural world around us, truly listen to the creek as it flows, watch the red tailed hawk sore through our blue skies, or the magnificent white tail galloping through our fields and forests, something opens up within us. We make contact with what we truly are.

We find poetry in the leaves falling from the towering ash trees, songs in the sound of the rolling river, and awe from the rocky outcrops that overlook the expanse below us, teaming with life.

It became my personal mission to bring that sense of wonder, that sense of freedom that we all experience too fleetingly back to our local parks, agricultural fields, and hidden floodplains. I wanted to inspire the people of our community to reawaken to the wonder and power of the land around them in my professional role as a psychologist.

So, I started my research, first alone on the muddy banks of the Neshaminy Creek where I was raised, and then, professionally, as I discovered the new, and exciting, psychotherapeutic field known as “ecotherapy”. In a nutshell, ecotherapy is the term given to a diverse set of techniques and activities aimed at improving physical, psychologically, and spiritual wellbeing through connection with the natural world around us.

I set out on a mission, a vision quest of sorts to, Marin County, California, where I learned all about the heart and soul of this thing called Ecotherapy. I spent 8 days living on the land, hiking the hills and valleys, conversing around bonfires, as part of “Wilderness Reflections” Ecotherapy certification program designed and directed by Dave Talamo, an experienced nature guide, mental health professional and master ecotherapist.

Beneath the red wood trees of Samuel P. Taylor State Park, Dave opened me up to the wonder and power of the natural world that I had all but lost in the rat race of modern life. I felt renewed, rejuvenated, and inspired to bring this same awakening back to my people in Bucks County.

Since that powerful, natural experience in Marin County, I have continued my training with Dave, and am proud to announce that I will be offering ecotherapy as an aspect of my growing Psychology Practice starting in midsummer of 2018. I look forward to continuing my work as a therapist, providing a pathway to grow, heal, and thrive through the intersection of professional psychology practice and renewed engagement with the magnificent environment in our Bucks County backyards.

Dr. Jason Hart is a clinical Psychologist whose office is located at 196W.Ashland Street Doylestown, PA 18901. For a free consultation, call 267-427-2070. For more information, visit www.psydoc.net.

FIRST PERSONALIZED CELLULAR THERAPY

he U.S. Food and Drug Administration (FDA) has expanded approval for a personalized cellular therapy developed at the University of Pennsylvania’s Abramson Cancer Center, this time for the treatment of adult patients with relapsed or refractory large B-Cell lymphoma after two or more lines of systemic therapy. The approval includes treatment of diffuse large B-cell lymphoma (DLBCL) – the most common form of non-Hodgkin’s lymphoma – as well as high grade B-cell lymphoma and DLBCL arising from follicular lymphoma. The approval was granted today to Novartis for the chimeric antigen receptor (CAR) T-cell therapy Kymriah® (tisagenlecleucel, formerly CTL019), making it the second indication for the nation’s first personalized cellular therapy for cancer.

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n August 2017, Kymriah became the first therapy based on gene transfer ever approved by the FDA, when it was authorized for children and young adults with relapsed or refractory B-cell precursor acute lymphoblastic leukemia (ALL). The FDA’s action is the latest accomplishment in the alliance between Penn and Novartis, which entered into a global collaboration in 2012 to further research, develop, and commercialize Kymriah and other CAR T-cell therapies for the treatment of cancers.

“We’re proud to have developed this therapy through all phases of development and clinical trials right here at Penn and in collaboration with Novartis,” said Carl June, MD, the Richard W. Vague Professor in Immunotherapy in the department of Pathology and Laboratory Medicine in the Perelman School of Medicine and director of the Center for Cellular Immunotherapies in the Abramson Cancer Center.

Patients who are interested in T-cell therapies at Penn Medicine can call 215-316-5127 for more information.

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New Treatments For Glaucoma

Glaucoma patients undergoing surgery for cataracts now have an option to have a very small stent placed in their eye during the surgery that produces a drainage pathway out of the eye, thus reducing pressure. Sagun J. Pendse, MD, F.A.C.S of Eye Associates of Bucks County, who has been performs this procedure, sees many advantages for glaucoma patients who have the iStent by Glaukos implanted during surgery.

Dr. Pendse says, “Many of my patients who have cataracts and glaucoma elect to have this done at the time of surgery.” He also explains that after the procedure most patients will either no longer have to take drops or significantly reduce how much of the medicine they will have to use. The drops are costly, sometimes costing patients hundreds of dollars per month. They can cause eye redness and skin irritation and then there is the problem of remembering to take them multiple times every day.

The iStent is covered by insurance. Dr. Pendse says, “Another nice thing about the iStent is that it adds minimal risk and does not change the recovery from basic cataract surgery.”

Another procedure that Eye Associates of Bucks County uses for more severe glaucoma at the time of cataract surgery is the implantation of a Cypass stent by Alcon. This stent, still very small, is a little bit bigger than the iStent and it is a newer product. It offers more pressure reduction and may also eliminate or reduce the need to take drops for glaucoma after surgery. There are slightly more risks than there are with iStent but those risks are still minimal and it may work better for patients with more severe glaucoma.

SLT Selective Laser Trabeculoplasty is a treatment for glaucoma that does not have to be done during time of cataract removal but can

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JUICE SAFETY

When Purchasing Juice ook for the warning label to avoid the purchase of untreated juices. You can find pasteurized or otherwise treated products in your grocers’ refrigerated sections, frozen food cases, or in non-refrigerated containers, such as juice boxes, bottles, or cans. Untreated juice is most likely to be sold in the refrigerated section of a grocery store.

Ask if you are unsure if a juice product is treated, especially for juices sold in refrigerated cases in grocery or health food stores, cider mills, or farmers’ markets. Also, don’t hesitate to ask if the labeling is unclear or if the juice or cider is sold by the glass.

When Preparing Juice At Home Wash your hands for at least 20 seconds with soap and warm water before and after preparation.

Cut away any damaged or bruised areas on fresh fruits and vegetables. Throw away any produce that looks rotten.

Wash all produce thoroughly under running water before cutting or cooking, including produce grown at home or bought from a grocery store or farmers’ market. Washing fruits and vegetables with soap, detergent, or commercial produce wash is not recommended.

Scrub firm produce, such as melons and cucumbers, with a clean produce brush. Even if you plan to peel the produce before juicing it, wash it first so dirt and bacteria are not transferred from the surface when peeling or cutting into it.

After washing, dry produce with a clean cloth towel or paper towel to further reduce bacteria that may be present on the surface.

be done at any time. SLT is a form of laser surgery that is used to lower intraocular pressure in glaucoma. Dr. Pendse explains, “It is a laser procedure, so there is no incision into the eye. There is no down time. A patient can go back to regular activities the same day.” SLT is covered by insurance and an excellent way to reduce or get off the drops. It is very low risk and it has been used since for decades.

Bucks County Eye Associates is located at 360 Middletown Blvd., Suite 402, Langhorne, PA 19047. For a consultation with Dr. Sagun J. Pendse or one of the other surgeons, call 215-757-6200. For more information about Bucks County Eye Associates, visit www.eabceyes.com.

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BUCKS COUNTY OUR GUIDE TO STAYING HEALTHY IN

Philanthropy Transforms Healthcare in Doylestown

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ealthcare is undergoing a major transformation in Bucks County±again. The women of the Village Improvement Association of Doylestown (VIA) changed the status quo in 1895 when they organized to promote wellness in the community. They went on to found Doylestown Hospital in 1923. As the hospital—now the flagship 94

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of the Doylestown Health continuum of care—prepares to enter its second century with the VIA still providing governance, a new transformative era is underway.

“We’re taking the founders’ vision to promote the health and welfare of the community to the next level,” said Joan Parlee, chair of the Doylestown Health Boards and a VIA member. “We complement our goal of keeping people healthy with highquality care and innovative technology.”

The spirit of innovation is plainly evident today. Doylestown Health is nationally-recognized for both the comprehensive and complex care it provides, and its community outreach to continuously improve the quality of life in an expand-

ing marketplace.

Doylestown Health is leading the charge with “heart” in both character and clinical capabilities. A new Center for Heart & Vascular Care is rising on the Doylestown Hospital campus, a 100,000square-foot hospital within a hospital.

Doylestown Health’s Richard A. Reif Heart Institute was recently named among the top 100 in the nation. A new hybrid operating room— one of the first in the region—recently opened, enabling complex minimally-invasive or traditional open procedures. And that’s just the beginning.

Across the health system, the first phase of a new community center is nearing completion on the Pine Run Retirement Community’s Ferry Road campus. The “Hub,” as the 500 Pine Run Villagers affectionately call it, will include

an indoor pool and fitness center, in addition to dining and education spaces.

The renovation and expansion of Doylestown Hospital’s surgical suite will also accommodate the latest technology.

Construction of a new outpatient pavilion is planned to start soon that will augment Doylestown Health’s Orthopedic Institute, also among the top 100 in the U.S. And in time for the centennial celebration of Doylestown Hospital in 2023, a new entrance, space dedicated to community education and wayfinding enhancements will improve the patient experience and visitor convenience.

“We are steadfast in our commitment to caring for our patients like members of our own families,” said Jim Brexler, President and CEO. “Our national reputation and our ability to remain an independent, non-profit health system is a

source of pride, but even more important is the strength of our relationships with our community who have supported us in so many ways throughout our history.” ommunity support is a source of inspiration for Doylestown Health as it embarks on a $75 million philanthropic campaign to help pay for the current transformation of the health system and fund an endowment for future enhancements.

“One Vision” is the theme for the campaign, uniting all aspects of Doylestown Health’s inpatient, outpatient and community services. The public phase of the campaign is just beginning, but more than a third of the goal was received or pledged during the quiet phase.

The campaign has significant support from the chairs and honorary chairs who lead or have led Fortune 50 companies.

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Richard and Angela Clark are chairs of the campaign; Alex and Pat Gorsky are honorary chairs. Mr. Clark is the retired Chairman and CEO of Merck & Co.; Mr. Gorsky is Chairman and CEO of Johnson & Johnson.

“In the 37 years we’ve lived in this community, Doylestown Health has taken care of four generations of our family,” Richard Clark said. “Each one of us experienced the outstanding clinical care and compassion for which Doylestown Health is known.”

“Philanthropy accelerates the pace at which our non-profit health system can innovate and bring new technology and programs to benefit our community,” added Laura Wortman, Vice President of Development for Doylestown Health. To donate or for additional information, visit www.DoylestownHealthFoundation.org.

CyberKnife® for Prostate Cancer

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early one in six American men will be diagnosed with prostate cancer during his lifetime. At Capital Health’s Cancer Center, our multidisciplinary team helps men to return to active and productive lives using state-of-the-art technology and advanced treatment options. One of these, CyberKnife® Robotic Radiosurgery, is an outpatient proce-

Left,CyberKnife® Robotic Radiosurgery at Capital Health’s Cancer Center, located at Capital Health Medical Center – Hopewell (only 10 minutes from Bucks County.)Above left,Shirnett K. Williamson, MD, Above right, Timothy H. Chen, MD.

dure that safely treats prostate cancer patients in as few as five treatments with minimal to no side effects. Other conventional radiation therapy options can take up to 40 treatment sessions and greater risk for side effects.

Capital Health was the 30th provider in the United States (third in New Jersey) to offer CyberKnife as a treatment option for cancers located

anywhere in the body. In the 11 years since introducing CyberKnife at Capital Health Cancer Center, the team has treated more than 1,300 patients with cancerous and non-cancerous tumors.

A Study in Survival Experienced radiation oncologists and their team at Capital Health have participated in an eight-year national study (in association with Accuray, SUMMER 2018

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manufacturer of CyberKnife®) documenting their experience and outcomes in treating prostate cancer with CyberKnife®.

In addition, between August 2008 and August 2016, 75 men were treated for prostate cancer with CyberKnife® alone. Patients defined as low-risk and intermediate-risk participated in this retrospective quality study. Overall, CyberKnife® achieved a 97 percent survival rate. rostate specific antigens (PSA), a protein produced exclusively by prostate cells, is one of several factors that are measured to determine successful treatment. In general, a higher PSA level indicates a greater likelihood of prostate cancer. All except four men in the Capital Health study had a decrease in their PSA from their initial reading. At three years, 91 percent had PSA numbers that were consistent with national guidelines for healthy levels. In addition, 71 percent of the men seen at their last follow-up visit maintained their pre-treatment sexual function, and 72 percent maintained at five years. This is a higher rate of potency preservation when compared to

other prostate cancer treatment modalities.

“CyberKnife® has proven to be compatible to other prostate cancer treatment modalities, and our experience is consistent with this observation,” said Shirnett Williamson, medical director of Radiation Oncology Services, at Capital Health Cancer Center. “In addition to being recommended for low- and intermediate-risk patients, CyberKnife is an option to more advanced prostate cancer patients to boost their intensity-modulated radiation therapy (IMRT), or as a re-treatment option.”

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No Pain, All Gain “Patients are amazed at how easy the treatments actually are and that there are no incisions or cuts,” said Dr. Timothy Chen, medical director of Stereotactic Radiosurgery at Capital Health Cancer Center. “CyberKnife’s flexible robotic arm enables us to access hard-to-reach areas anywhere in the body. It is continuously taking images as it rotates around the patient, guiding us as we deliver radiation directly to the tumor site with sub-millimeter accura-

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Advanced Cancer Care For men diagnosed with prostate cancer, CyberKnife® is now a standard therapy approved by national guidelines and is approved by most insurance companies as well as Medicare.

Capital Health Cancer Center, located at Capital Health Medical Center in Hopewell, NJ, is the area’s most advanced provider of cancer treatment delivered by some of the most experienced medical experts. To learn more, visit capitalhealth.org/cancer. For more information or to find out if you are a candidate for CyberKnife®, call 609-303-4565 or visit capitalcy berknife.com.

What is Tendinitis?

ur hands are unique. Much of what we do every day—open bottles, hold utensils, dress ourselves—relies on the function of specialized structures in our hands called tendons. Tendons connect muscles to bones, and enable us to move our fingers, wrists, elbows and shoulders. When tendons become irritated, we experience pain, swelling and difficulty using the affected area—this is called tendinitis.

Tendinitis is extremely common and can affect the fingers ('trigger finger'), wrists, elbows ('tennis elbow' or 'golfer's elbow') and the shoulder ('rotator cuff tendinitis').

What causes tendinitis? Interestingly, tendon irritation increases as we age, as

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cy. This is important because we always want to preserve healthy cells surrounding the tumor site and deliver better outcomes.” Patients can even stay in their own clothes during treatment, which provides greater comfort.

Patient benefits for being treated with CyberKnife include: no incisions, no pain, no bleeding, no anesthesia (mild sedation only in rare cases) and no recovery time.

well as when we do repetitive activities including typing, gardening, sports and heavy lifting.

Who gets tendinitis? People of all ages can get tendinitis. Usually, when young people experience tendon irritation it is in response to an overuse-type activity, such as sports involving throwing or lifting. In older people, tendinitis can occur out of the blue, and can be quite unnerving.

How do we recognize tendinitis?

Most people with irritated tendons will feel pain, notice swelling and have difficulty performing their daily activities. For instance, fingers may lock during grip, they may feel pain at the wrist when preparing meals, and may have difficulty

throwing a ball. Things that once were easily done, may become difficult and painful.

How do we treat tendinitis? Rest, ice, and anti-inflammatory pain medicine are usually the first course of treatment.

Often, mild tendon irritation will improve in a few days. However, if pain and difficulty performing daily activities continues, it is best to visit a hand specialist for

an evaluation. In my office when I suspect tendinitis, I examine the pain, swelling, stiffness and weakness of the affected area. I often recommend a brace and antiinflammatory medication to start, and if the pain persists, occasionally a steroid injection will do the trick. If the pain continues, surgery—when indicated—can also provide relief.

Rowena McBeath, M.D., Ph.D. is a

board-certified, fellowship-trained hand surgeon with the renowned Philadelphia Hand to Shoulder Center. Dr. McBeath is a member of the Medical Staff of St. Mary Medical Center and Thomas Jefferson University Hospital, where she is Assistant Professor of Orthopaedic Surgery. To schedule an appointment with Dr. McBeath, call 1-800-385-PHSC or visit hand2shouldercenter.com.

Choosing Dental Implants

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n implant supported tooth and a natural tooth have the same basic parts. They both have a root that holds the tooth in the gums and both have a crown, which is the visible part the tooth used to chew food. The implant itself must be placed by a competent oral surgeon, like Dr. Kathleen Brower.

Kathleen Brower, DMD, MD of Doylestown Oral and Maxillofacial Surgery has been providing patients with highly individualized compassionate care for over 20 years. Named Bucks County’s Best Oral Surgeon in 2014, 2016 and 2017. Dr. Brower offers a full range of oral surgery services from dental extractions and dental implants to oral patholo-

gy, and bone/ soft tissue reconstruction.

Her credentials include a degree in dental medicine from the University of Pennsylvania and an MD from Allegheny General Hospital/ Medical College of Pennsylvania. In addition to her private practice at Doylestown Oral and Maxillofacial surgery, she spent four years as Associate Director of the Department of Oral and Maxillofacial Surgery at Thomas Jefferson University Hospital.

Implant surgery usually takes time to heal. After surgery time is allowed for bone to heal and grow around the dental implant. The bone bonds with the titanium, creating a strong foundation for artificial teeth. A support post (abutment) is

then placed on the implant by the patients dentist and a new replacement tooth (crown) is placed on top of the abutment.

In many cases a temporary replacement tooth can be attached to the implant immediately after it is placed. If all of your teeth are missing, a variety of treatment options are available to support the replacement teeth.

Dr. Brower utilizes the most recent advances in dental implant technology, including Computerized Implant Planning, 3D imaging, Digital Oral scanning, XNAV, use of biologic materials and growth factors. She is able to place single stage implants. These implants do not require a second procedure to uncover them, but do require a minimum of six SUMMER 2018

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weeks of healing time before artificial teeth are placed. There are even situations where the implant can be placed at the same time as the tooth extraction— further minimizing your number of surgical procedures.

Because implants fuse to your jawbone, they provide stable support for

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ost people visit a chiropractor because they are having neck or back pain, and chiropractic usually relieves the pain and then they stop going to their chiropractor.

Chiropractor Dr. Gina Genin says, “The problem with this practice is that chiropractic is not about feeling but about function.” “Pain,” she says. “is the last symptom to show up and the first to go.” This is like waiting for a toothache before seeing a dentist. By the time you go to the dentist, there is a large cavity. If we go to the dentist regularly for checkups, the cavity is caught before its gets big and causes pain.

From the perspective of anatomy and physiology, the spine is the housing for the nervous system, which itself is an extension of the brain. Dr. Genin explains that in the innate wisdom of the body the brain is encased in solid bone because it needs to be protected. The nervous system, which is the made of same white and gray matter as the brain is also encased in bone, but not a solid bone, because we wouldn’t be able to move. Instead it is made of 24 individual segments of bone.

This system works beautifully until stress enters the picture.

Modern life is full of stressors that can cause spinal problems called subluxations. A subluxation is a misalignment of 98

artificial teeth. Dentures and bridges mounted to implants won't slip or shift in your mouth—an especially important benefit when eating and speaking. This secure fit helps the dentures and bridges—as well as individual crowns placed over implants—feel more natural than conventional bridges or dentures.

Doylestown Oral & Maxillofacial Surgery is located at 3655 Route 202, Suite 210, Doylestown, PA 18902. For more information about dental implants, visit www.doylestownoralsurgery.com.

For a consultation with Dr. Brower, call 215-345-6880 or email admin@doylestownoralsurgery.com.

Good Spinal Hygiene

a vertebra that causes functional loss, and in our busy world it is almost impossible to avoid the stressors that cause this kind of misalignment. According to Dr. Genin there are three types of stress: physical, chemical and emotional. She says, “The body doesn’t differentiate between a broken arm and a broken heart.”

People do not know they have subluxations and they do not feel them until reduced function gets bad enough to cause pain. These misalignments block the feedback from organ and muscles to the brain and from brain to organs and muscles. The vertebra impinges on the nerve when it is out of alignment and blocks the transmission of information throughout the body.

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By the time a person feels pain, function has already been compromised.

The answer to this problem is what Dr. Gina Genin calls “spinal hygiene.”

Although it is possible to never develop subluxations, in our stress filled world it is highly improbable. Most people have subluxations and don’t know it. The answer to subluxations is the chiropractic adjustment, where the chiropractor uses manipulation of vertebrae to realign the spine and free nerves from blockage caused by impingement of the vertebrae on nerves.

Dr. Genin says, “People need to get their spine checked at regular intervals.” She suggests a minimum of four times a year, one visit for each season. The early detection of subluxations means no future pain. The chiropractic adjustments needed will be fewer, meaning less appointments and function will be restored quickly. Good spinal hygiene makes sense and prevents the painful problems in feeling and function caused by the stressors we all encounter in everyday living.

Dr. Gina Genin’s chiropractic office is located at 316 W. Trenton Ave., Morrisville, PA 19067. To contact Dr. Genin, call 215-295-9013.

What is carpal tunnel syndrome?

What is carpal tunnel syndrome?

• Carpal tunnel syndrome is a common condition that causes pain, numbness, and tingling in the hand and arm. The condition occurs when one of the major nerves to the hand—the median nerve—is squeezed or compressed as it travels through the wrist.

• In addition to numbness and tingling, carpal tunnel syndrome can cause swelling, weakness, and nighttime pain. Patients sometimes describe dropping things unexpectedly and may have difficulty with buttoning shirts, tying shoelaces, or handling loose change.

What causes carpal tunnel syndrome?

• Carpal tunnel syndrome is frequently seen in individuals who develop swelling or inflammation in their hands.

People who smoke, as well as those with connective tissue diseases, diabetes mellitus, and hypothyroidism, may be at greater risk. Repetitive work activities can also cause carpal tunnel syndrome.

• The median nerve acts as an electrical wire between the spinal cord and the hand. The nerve passes through the carpal tunnel in the wrist along with nine tendons that bend the fingers.

When the tendons in the wrist become

swollen and inflamed, the median nerve can become compressed by the transverse carpal ligament (see figure), leading to carpal tunnel symptoms.

• Early on, symptoms commonly occur during sleeping hours. In more advanced cases, the symptoms can become problematic during waking hours. Many sufferers describe symptoms with benign activities, like reading the newspaper or driving a car.

What can a hand surgeon do to help?

• A hand surgeon can order special nerve tests to verify the extent of the problem. Custom wrist splints are helpful for early stages of carpal tunnel syndrome. These splints are worn at nighttime to relieve pressure on the median nerve and to prevent the wrists from bending during sleep.

• Cortisone injections often provide excellent relief from symptoms.

Unfortunately, symptomatic relief is only temporary, and most people experience a recurrence of symptoms after 3-4 months.

• For chronic or more advanced cases, carpal tunnel surgery is often recommended as the best course of treatment.

What can I expect from surgery?

• Surgery provides more space for the median nerve and relieves pressure on the median nerve and tendons.

This procedure is typically done under light sedation and local anesthesia and usually takes only minutes to complete.

• While there are several differ-

ent approaches to performing carpal tunnel surgery, I prefer to make a 1/2 inch incision near the wrist and use a camera to release the tunnel under direct visualization. This minimally invasive approach minimizes discomfort following surgery and allows patients to return to activities more quickly. Over 95 percent of patients improve dramatically following surgical intervention, with most returning to daily activities within days. Many patients can resume heavier job-related activities after 2-4 weeks. on Shin, M.D. is a board-certified, fellowship-trained hand surgeon with the renowned Philadelphia Hand to Shoulder Center.

Dr. Shin is a member of the Medical Staff of St. Mary Medical Center in Langhorne and Thomas Jefferson University, where he is an Associate Professor of Orthopaedic Surgery. To schedule an appointment with Dr. Shin, call 1-800-385-PHSC.

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S

Cervical Disk Replacement Surgery

t. Mary Medical Center is now offering cervical disc replacements utilizing an innovative medical device, the Mobi-C® Cervical Disc, which received FDA approval in August 2013. The ground-breaking device replaces diseased discs in the neck and is designed to maintain motion. Disc replacement represents a new spectrum of treatments for patients suffering from degenerative discs. The artificial disc can be placed inside the disc space to restore height and remove pressure on the pinched nerves to relieve pain while retaining motion. Traditionally, such patients would have received fusion surgery, which reduces pain by physically joining two vertebrae together and eliminating motion in the painful segment.

“Disc replacement surgery is an important advancement in spinal surgery,” says Steven Cairone, DO, an orthopedic surgeon specializing in spine and neck surgery who performs these procedures at St. Mary. “Not only does the replacement disc preserve the natural movement of the spine, but the procedure is easier on patients and the recovery time is quicker.”

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The cervical spine has discs between each bone that provide cushioning for movements. Degenerative disc problems can start from over-use, an accident, or just the wear and tear of daily life. When a disc degenerates it can have tears or cracks which cause it to become thinner and provide less padding to absorb movement. Degenerated discs can also bulge (herniate) and pinch the spinal cord or nerves, which causes loss of feeling, weakness, pain, or tingling down the arms and hands.

Non-operative treatment options for individuals with neck and back pain include rest, heat, pain medication, and physical therapy. For patients whose pains and symptoms are not relieved by conservative treatment, surgery may recommended.

Until now, the most current surgical options for spinal disease include decompressive surgery, and decompression with fusion. The potential downside of a fusion procedure, in addition to the loss of motion, is that the metal plate and screws used to hold a spacer implant in place can create additional stress and accelerate degeneration on the vertebrae and discs

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adjacent to the disc operated on in the months and years following surgery which sometimes leads to additional surgeries.

The Mobi-C disc replacement device, which consists of two metal endplates and a plastic mobile core, does not need invasive fixation features and uses a bonesparing fixation technique to potentially prevent the adjacent vertebrae and discs from degenerating, and possibly prevent the need for future surgeries. This low stress created between the implant and adjacent bone is especially beneficial for two-level applications where the integrity of the bone between the discs is very important. Two-level applications are the replacement of two adjacent degenerative discs, for which in clinical trials, the Mobi-C device demonstrated statistical superiority to cervical spine fusion surgery. In the same clinical trial, Mobi-C patients returned to work faster on average than fusion patients.

St. Mary Medical Center is located at 1201 Langhorne-Newtown Rd., Langhorne, PA. For more information, call 215-710-2000 or visit www.stmary healthcare.org

HealthWatch Does Tea Protect Us From The Sun? Tea has been considered for years to be simply a beverage that one would drink rather than coffee, or at a prescribed time in the afternoon, but now it is almost a magic elixir that can improve oral health and vision, fight cancer, speed up weight loss and even make us smarter. These claims are all backed up with an avalanche of studies.

One of those studies published in the British Journal of Nutrition in 2013 highlights the positive effect of tea in aging of skin and UV protection.

The study indicates that a small dose of catechins (540 mg) present in green tea with C vitamin (50 mg) if taken regularly for twelve weeks, catechin metabolites are incorporated into human skin. This helps the skin to protect the body from inflammation caused by sunburn in the short term and damage resulting from UV radiation in the long term.

In simple words this indicates daily intake of two cups of green tea with a little vitamin c may protect us from most damages caused by ultra violet rays.

Pine Run Community Center

All in life is art. Why not live yours in galleries emerging now in the New Hub at Pine Run? Scheduled to open this summer, the construction for Phase 1 of the 36,000 SF project continues to be on pace, and the milestones completed to date, such as the dramatic porte cochere, serve to heighten anticipation throughout the community.

Beginning with the vaulted entry and handsome stone fireplace, the elements of design, construction, and lighting create a balanced synergy of tradition along with a new sense of liveliness.

Beyond the beauty of the intimate living room and open passages,

Pine Run Villagers will be drawn to move through a series of themed dining galleries and take a panoramic view of Pine Run’s campus. Sure to be popular is The Grill & Pub featuring healthy options along with upscale sandwiches and action stations serving carved meats, pasta, burgers, pizza, and zesty fare.

The interactive scene on the main level, quite generous in scale, means billiards, book discussions, classes, and conversations over cocktails will all be within easy reach here. Pine Run is located at 777 Ferry Road, Doylestown PA 18901. For more information, call 800992-8992 or visit www.pinerun.org.

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Staying Fit at Any Age

SHAKE, RATTLE AND ROLL

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I was chatting with one of my advertisers, Tony Dalton, The day that I went to check this out, knowingly no tool owner of Fitness Factory Outlet in Quakertown, PA, box needed, happy-go-lucky Bill tagged along. There were difabout fitness and health since we both have been exercis- ferent models to choose from, each having specific programs for ing for decades. Specifically, we talked about one special specific needs. I went with Vibra Pro Genesis Elite which has it type of health therapy that he faithfully incorporates into his all, 28 programs and 99 settings. daily workouts, and which is gaining popularity, called Whole As I begin trying the different programs and settings I Body Vibration (WBV). He told me that doctors do not want twist and turn my body into different positions. I very much you to know about it, and this caught my interest right away. like the rugged welded steel frame and the center main post Tony has expertise in all that is also steel with the kinds of equipment that he vibration dampener and sells every day. And Tony is swivel mount. It’s a very also an exercise and nutristurdy product. It has a tion consultant. He opened levelling system with its Tony’s Gym in the late ’70s adjustable locking foot and never looked back. He support system. was a WABBA Junior Being a big fan of America Winner in 1981 cables, the Vibra Pro is and is a national body even equipped with building judge dating back strapped cables which to the ’70s . His true-life joy makes this a complete is to help or support bettersystem. I continue with ing people’s lives through the oscillation motion, exercise and nutrition. cross lateral and dynamic Tony explained that he wave motions. The cross incorporated using WBV lateral motion has a nice therapy about 10 years ago pull, and this is one of the and found that it has given best ways to build core him the following benefits: strength. With a multiIt has helped alleviate his tude of built-in motion lower back pain from herniprograms, I am really getated disks and spinal stenoting a whole body worksis and has allowed for out. Working my thighs greater flexibility and blood caught me by surprise. flow. It also has helped alleHaving firm thighs, SO I viate pain and numbness THOUGHT, the Vibra Tony Dalton & Vicky Waite which is associated with Pro had them vibrating neuropathy and increased and shaking up a storm. his ability to recover quickly from workouts and reduce muscle That’s what did it for me. I knew this is something else. For a soreness. moment there, I felt like I was back in the 50s, a whole lot of The WBV assisted Tony with his weight loss because the shaking’ going on with Jerry Lee Lewis! vibration movement transmits energy to the body which forces I continued to try most of the settings and that targeted all muscles to constantly contract and relax throughout the ses- the different parts of my body and the vibrating really does the sion. And, Tony says it has significantly decreased stress and job. When I got off I still felt the sensation of vibration in my increased his energy and overall well-being. So, I was very body. This is too much fun to be a workout! The Whole-Body impressed after talking to him and was excited enough to go Vibration is supported by over 40 years of scientific research check it out. originating with the Soviet space program, which did pave the 102

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way for the technology to be applied to the fields of fitness and health.

The Russian researchers were led to experiment with WBV technology and found out that by using this equipment they not only stopped bone loss, but surprisingly also increased bone density and strengthened muscle tissue. With usage of WBV technology the Russians were able to set a record of more than 420 days in outer space. The American astronauts, training on conventional fitness equipment were forced to stop their mission after just 120 days, due to bone and muscle degeneration.

It wasn’t until after the fall of the iron curtain that, The Whole-Body Vibration technology found its way to other countries. Today NASA along with fitness and health experts across America are fully supporting this technology while other countries have been using it for decades with much success.

The Vibration Pro Genesis Elite uses this technology and it does an excellent job of naturally stimulating our body’s lymphatic drainage. Tony gave me lots of information, but what really struck me was a story about his father. His father is a diabetic and his mom called him one day and told him that his father had very large swollen ankles. Tony told her to have him start using

the vibration platform to help drain the fluid in his ankles. Sure enough, the next day, the fluid in his ankles had immensely dissipated and the swelling subsided.

The Vibra Pro increases human growth hormone (HGH) up to 36%. It builds bone density and fights osteoporosis. It boosts natural collagen and decreases cellulite while it increases basal metabolic rate. It reduces back and joint pain and decreases blood pressure and cortisol levels. It elevates serotonin and neutrophine levels for better mood and sense of well-being. It improves both blood circulation and lymphatic drainage and decreases the recovery time after workouts. It increases muscle strength up to 50% in as little as three weeks and increases flexibility.

The Vibra Pro elevates testosterone and IGF-1 output. It dramatically increases flexibility and heightens your sense of balance and improves coordination It boosts explosive speed by up to 6% after just one session. Need I say more.

For more information on WBV go to www.fitnessfactoryoutlet.com. And, as with any exercise program, always consult your physician before you begin.

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cialty areas. The Heart Institute of Doylestown Hospital is a regional center of excellence for cardiology and cardiac surgery. Other areas of clinical emphasis include emergency medicine, maternal child health, orthopedics, advanced diagnostics and surgery. The Cancer Center of Doylestown Hospital is part of the University of Pennsylvania Cancer Network.

Doylestown Oral Surgery, 3655 Route 202, Georgetown Crossing #210, Doylestown, PA; 215-345-6880; www.doylestownoralsurgery.com.

Providing surgical and anesthesia services in a comforting, state-of-the art environment. D. Kathleen Herb Brower practices a full scope of oral and maxillofacial surgery with expertise ranging from corrective jaw surgery to wisdom tooth removal. We can also diagnose and treat facial pain, facial injuries and TMJ disorders, and perform a full range of dental implant and bone grafting procedures.

Eye Associates of Bucks County, 360 Middletown Blvd, Suite 402, Langhorne, PA 19047; 215-703-7922; www.langhorneophthalmology.com.

At Eye Associates of Bucks County, we offer quality healthcare services to ensure that your vision is at its best. No matter what your issue may be, we always make sure that our patients get the personalized attention that you deserve. Our physicians are committed to the appropriate diagnosis of all your eye needs.

Fitness Factory Outlet, 122 S. West End Blvd., Quakertown, PA; 215-538-1959; www.fitnessfactoryoutlet.com.

Fitness Factory Outlet has been the online leader for Powertec and Body Solid fitness equipment for over a decade. We carry an incredible selection of equipment for Residential and Commercial applications.

Manufacturers like Body-Solid, Powertec, BodyCraft, Spirit Fitness, Lifespan, Diamondback and more guarantee we'll have the equipment for your commercial facility or for your home.

personal nurse navigator to guide you.

HEALTH LISTINGS Capitol Health Center for Comprehensive Breast Care, One Capitol Way, Pennington,

NJ; 1-800-637-2374.

Our center provides the complete range of breast care under one roof at Capitol Health Medical Center- Hopewell. We offer the most advanced diagnostic technology in the region, a team of specialists intensely focused on your care, genetic and high risk assessments, and a 104

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Doylestown Hospital, 595 W. State Street, Doylestown, PA 19446; 215-345-2200; www.dh.org.

Doylestown Hospital is a comprehensive, visionary medical center serving families throughout Bucks and Montgomery Counties, and Western New Jersey. The Hospital, along with the Health & Wellness Center, Pine Run Community and Lakeview, comprise the V.I.A Health System. Doylestown Hospital's Medical Staff includes over 370 physicians in 40 spe-

Gina Genin, DC, Chiropractor, practicing in Falls Township, PA; 215-295-9013.

We utilize gentle, hands-on methods in a caring atmosphere. Low-force, specific chiropractic adjustments, nutritional assessment, care during pregnancy, acupuncture, massage therapy, exercise rehabilitation and family wellness care are available. We provide our patients with state-of-the-art, NASA-certified spinal scanning technology for the most up-to-date methods of subluxation detection. Additionally, Dr. Gina, as she is known to her patients, is a skilled and compassionate healer, who has

honed her God-given talents and combined them with her exceptional training to become one of our areas most highly thought of health and wellness professionals.

Jason Hart, Clinical Psychologist, 196 W. Ashland Street, Doylestown, PA; 267-4272070; www.psydoc.net.

Navigating life’s challenges, choices and dilemmas can be confusing, frustrating and overwhelming. How do you plan for your future when you’re just beginning to figure yourself out? So many choices too often lead to dead ends. The cycle can become exhausting. I’m here to help. I’ve worked with hundreds of young adults through my training at elite college counseling centers and my private practice in Bucks County, PA. Keystone Biologicals, 214-675-2500; www.keystonebiologicals.com.

A special need exists for patients with any of the these conditions. Lupus, Anti Streptolysin-0, Rheumatoid Arthritis, Autoimmune, Anti-Nuclear Antibody Disease, Antiphospholipid, Cardiolipin Antibody Syndrome, Rubella, Mumps, Measles, Lyme Disease, Hepatitits and other specialty infectious or auto-immune disorders. Contact us and earn up to $1000 a week.

Philadelphia Hand to Shoulder Center, 18 convenient offices in PA & NJ including Langhorne and Willow Grove, PA; 1-800-3857472; www.Hand2ShoulderCenter.com We diagnose, treat, repair and manage the complete rehabilitation of injuries to the hand, wrist, arm, elbow and shoulder. Patients, from elite athletes and active adults to children and disabled seniors, with unique care requirements turn to the Philadelphia Hand to Shoulder Center for expert care.

We continue to improve techniques and develop innovative protocols for the treatment of injured and diseased hands. Our physicians have developed a number of innovations now used by surgeons throughout the world. Research remains an important part of our mission.

St Mary Medical Center, 1201 Langhorne-Newtown Rd., Langhorne, PA; 215-710-2000; www.stmaryhealthcare.org.

St. Mary Medical Center is a 371-bed hospital providing care to generations of families in Bucks County and nearby communities. Recipient of the America's 100 Best Hospitals award for three consecutive years, St. Mary offers advanced non-invasive treatments, adult and pediatric emergency services, inpatient medical and rehabilitation facilities, along with supportive health and wellness classes.

The Manor at York Town, 2010 York Road, Jamison, PA; 877-273-2711; www.themanoratyorktown.orgThe Manor at York Town blends classic charm with a modern and vibrant approach to retirement living. Located in Jamison, PA, The Manor stands as one of the Philadelphia area’s premier independent living communities.With its award-winning architecture reminiscent of a gabled country manor and proximity to dining, cultural, and shopping hotspots, The Manor at York Town isn’t an ordinary retirement community. Our approach to active lifestyles and healthy aging, and location in picturesque Bucks County, provides an idyllic atmosphere. So much awaits you within 64 impressive apartment residences. Learn more about how you can enjoy the lifestyle offered by The Manor at York Town.

www.psydoc .net

Psychotherapy and Mental Healthcare for Y Yo oung Adults

Naavvigating liffee’s challenges, choices and dilemmas can be confusing, frustrating and overwhelming.

How do you plan for your future when you’re just beginning to figure yourself out? So many choices too offtten lead to dead ends. The cycle can become exhausting. I’m here to help. I’ve worked with hundreds of young adults through my training at elite college counseling centers and my private practice in Bucks Countyy,, P PA A.

Individual Counseling Liffee Choices College Counseling Wo W ork Dissatisffaaction Relationship Crises Family Conflict Trrauma T Depression Anxiettyy

DR. JASON HART

Clinical Psychologist 267.427.2070 196 W W.. Ashland Street Doylestown, P PA A 18901

Call ffo or free consultation / 267.427.2070

Pine Run Retirement Community, 777 Ferry Road, Doylestown Pennsylvania 18901; 215-345-9000; www.pinerun.org.

Pine Run is committed to and passionate about seniors, and we are dedicated to being an exceptional retirement community. By focusing on a spectrum of wellness for everyone in our continuum, we will enhance the quality of life throughout the region. Pine Run attracts those with an affinity for independence, who appreciated the fine setting and neighborly ways.

Intelligent, talented people who make a difference wherever they live, have over the last thirty-five years fine-tuned Pine Run into a wonderful environment, rich in life and spirit.

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Affluent magazine readers are big spenders.

Magazines are the most trusted, inspiring and motivating form of media.

Magazine Audience Growth +24% with print and digital versions combined.

Call us today for a meeting to discuss a print and digital plan at 215-766-2694 or email Bill Waite at Bill@buckscountymag.com