Hunterdon County Woman Magazine by hookpr

The Hunterdon County TM

SPRING 2021 A Quarterly Educational Resource for the Women of Hunterdon & Somerset Counties

Andrea E. Goldstein, M.D. of Hunterdon Gastroenterology Associates

Elizabeth Pope, DVM of South Branch Veterinary Services

Hemorrhoidal Treatment

Brush Up on Pet Dental Care

Can People With Peanut Allergies Get The Covid Vaccine?

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pages 24-26

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FREE! Please Take One • RECYCLE! Share with a Friend www.sussexcountywoman.com

Alexandra Gallagher

Health & Wellness

Cheers to a Healthier 2021… Hunterdon Gastroenterology Associates Dr. Kenneth DiGregorio, Dr. Gilbert Cardoso, Dr. Jason Matthews, Dr. Andrea Goldstein, Dr. Maria Georgsson, Dr. Cherag Daruwala, Dr. Anik Patel, Dr. Richard Arrigo, and Dr. Devi Patel HGA is comprised of nine fellowship trained, board certified gastroenterologists, with two convenient locations in Flemington and Somerville. Established in 1982, Hunterdon Gastroenterology Associates treats all digestive discomfort or potential problems of the esophagus, stomach, liver, colon, or pancreas. Our AAHCaccredited ambulatory Endosurgery Center offers the highest quality treatment with faster access and lower procedure costs while using state of the art technology for your procedure needs. Expertise, leading-edge technology, and personal care: Hunterdon Gastroenterology Associates’ formula for the exceptional patient experience and outcomes we strive each day to provide.

2020 was a difficult year for many reasons. Stress levels were elevated. Consuming the wrong foods and drinks. Not exercising. Skipping our doctor visits. All in all, just a year to forget. Now that it is 2021, let us start the year fresh. Manage stress. It is near impossible to eliminate stress from our lives: From busy work schedules, to family obligations, to financial worries; sources of stress and anxiety are everywhere. There is a strong connection between stress and illness: Stress promotes higher cortisol levels, which has been linked to weight gain. Also, stress can play a huge role in many digestive problems, particularly GERD and IBS. Research shows that anxiety, depression, and stress provoke symptoms in up to 60 percent of people with IBS! Stress management tools such as deep breathing, relaxation and hypnosis can be extremely helpful.

• High-level employee protocols including proper hand hygiene, face masks, eye protection, gloves, and appropriate employee monitoring • Meticulous cleaning and sanitizing • Social distancing measures • Restricting visitors/companions from the office to reduce potential exposure to others. Only individuals accompanying patients who require assistance will be permitted to remain with the patient. • Requiring face masks. • Covid-19 testing for all patients scheduled for procedures in our Endosurgery Center.

Take back your life in 2021. Let us make it a great year!

Eat in moderation. Keep balance, variety, and moderation in your eating habits. Take your time and try not to eat too fast: Slowing down and eating more mindfully helps prevent overeating. You will feel full much sooner than if you will if you race through your meals. Remember, it takes your brain 20 minutes to realize that your stomach is full. Exercise. Getting physical activity will not only help shed pounds, but it can also help moderate stress and boost your mood, which in turn will help combat IBS and GERD. Wintertime activities include skating, sledding, skiing, walking in the mall or outdoors, dancing and working out in a gym or at an exercise class. Bundle up and take a walk around the neighborhood and you will burn 324 calories in an hour. Try to maintain a set schedule for exercise to help boost your metabolism, mood, and energy. Regular screenings. If you are 50 years of age, it is time to get screened for colorectal cancer. Colonoscopies help detect colon cancer. No other colon cancer screening is as thorough and comprehensive to detect cancer and remove precancerous lesions as a colonoscopy. It is the most effective means of prevention, diagnosis, and treatment. Do not ignore your symptoms. A change in bowel habits that lasts more than a few weeks; a feeling of having to have a bowel movement that does not go away; rectal bleeding; stomach discomfort; unexplained weakness or fatigue; and unexplained weight loss. These are symptoms that you should not ignore. Hunterdon Gastroenterology Associates is here for your health needs. Our office and Endosurgery Center continue to remain open to service the members of our wonderful community with day, evening, and weekend hours. We are available for both virtual and in-person appointments, paying special attention to the safety of our patients. We remain vigilant on staying updated with all state and federal guidelines. Our safety measures include but are not limited to:

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The County Woman’s Journal

Publisher’s Note THE HUNTERDON-SOMERSET COUNTY WOMAN’S NEWSPAPER P.O. Box 1267 Bethany Beach, Delaware 19930 email: scwnews@yahoo.com Call Us At: 1.800.993.3822 or 302.539.2612 Elizabeth Kapke Publisher

Remember the “2008 Doomsday,” the world’s economic financial crisis, which was called the “Pandemic of the Family Wallet”and how it affected our economy? Many small businesses and professionals choose not to promote their businesses during this trying time. Of those businesses and professionals, 50% who adopted the doomsday mentality and just hoped that things would return to normal without doing anything to help their cause, were not only wrong, but now are out of business and working for someone else. However, the good news is that 80% of the people and businesses that choose to contribute to the Women’s Journals are still in business and better yet, they are still with the Women’s Journal after 13 years. Don’t you think it’s time to join us? Education sells. The Publisher

Alexandra Gallagher Editor & Contributor

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Director of Corporate Development

Steve Muzikar Sales Manager

WE ARE ELIMINATING THE GLOSSY COVER OF THE SPRING ISSUE OF THE WOMEN’S JOURNAL AND DONATING 100% OF IT’S COST TO SINGLE STRUGGLING UNEMPLOYED MOTHERS UNTIL THE PANDEMIC IS OVER.

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The Women’s Journal is not responsible for any editorial comment (other than its own), typographical errors from advertisements submitted as camera ready or any reproductions of advertisements submitted as camera ready. If an advertisement does not meet our standards of acceptance, we may revise or cancel it at any time, whether or not it has been already acknowledged and/or previously published. The advertiser assumes sole responsibility for all statements contained in submitted copy and will protect and indemnify The Women’s Journal, its owners, publishers, and employees, against any and all liability loss or expense arising out of claims for liable, unfair trade names, patents copyrights and propriety rights, and all violations of the right of privacy or other violations resulting from the publication by this newspaper of its advertising copy. Publisher shall be under no liability for failure, for any reason, to insert an advertisement. Publisher shall not be liable by reason of error, omission and/or failure to insert any part of an advertisement. Publisher will not be liable for delay or failure in performance in publication and/or distribution if all or any portion of an issue is delayed or suspended for any reason. The publisher will exercise reasonable judgment in these instances and will make adjustments for the advertiser where and when appropriate. The Women’s Journal assumes no responsibility for unsolicited material or reproductions made by advertisers. This newspaper will be published quarterly. Representations by The Women’s Journal COPYRIGHT 1995™

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The County Woman’s Journal

Spring 2021 I 3

Health & Wellness I’m too busy… I can’t take off work… I can’t go a full day without eating… The prep is terrible… I would be so embarrassed… If these thoughts or others have you delaying getting a colonoscopy, we suggest a different way of thinking...

Colon Cancer Screening- One Day Can Save Your Life According to data from the American Cancer Society, colon cancer is the 3rd most common cause of cancer-related death for both men and women. That is a disappointing statistic, because colon cancer is one of the most preventable cancers. Unlike many other cancers, there is an easy and effective way to screen for colon cancer. Colonoscopy is readily available and effective. Large, national studies have shown that colonoscopy reduces an individual’s risk of dying from colon cancer by nearly 70%.

Why should I choose colonoscopy? 1. 2.

3. 4. 5. 6.

Colonoscopies help detect colon cancer. No other colon cancer screening is as thorough and comprehensive to detect cancer and remove precancerous lesions. It is the most effective means of prevention, diagnosis, and treatment. Colon cancer is typically (but not always) caused by abnormal growths called polyps, or adenomas, that develop very gradually over time to become cancerous. During the colonoscopy, the physician will look for and remove these polyps. By removing polyps early, the risk of developing cancer is reduced. Without colonoscopy, the polyps continue to grow, abnormal cells continue to change, and cancer may develop. Colonoscopies can be used to diagnose colitis, which is a chronic inflammation of the colon, and treatment can be prescribed immediately. Colonoscopies can be used to diagnose diverticulosis, which are pockets in the intestinal wall. Colonoscopies can detect bleeding lesions which can then be treated. Colonoscopies are one of the best ways to help diagnose the cause of abdominal pain. Symptoms like anemia, weight loss, abdominal pain, and /or cramping could arise from many different causes. A colonoscopy can help determine if symptoms are related to a colon disease.

It’s time to think about your risk of colorectal cancer… If you are: • A man or woman 50 or older • A smoker • Have a personal or family history of inflammatory • Overweight bowel disease • Have a close family member with colorectal cancer • Have a history of polyps or colon cancer • Are a woman with a family history of breast, uterine, or ovarian cancer

Be proactive about your health and get screened today, NO MORE EXCUSES! 908-483-4000

We have extended hours for your convenience: Office Consultation Appointments Flemington Office Monday through Friday: 7:30am-5:00pm Monday and Thursday: 7:30am-8:00pm Procedure Appointments Hunterdon Endosurgery Center Monday through Friday 7:00am-8:00pm Saturday and Sunday 7:00am-2:00pm

Somerville Office Thursday and Friday: 7:30am-5:00pm Wednesday: 11:00am-7:00pm

Flemington Office Hunterdon Doctors Office Building 1100 Wescott Drive, Suite 206/207 Flemington, NJ 08822

Somerville Office 135 West End Avenue Somerville, NJ 08876

908-483-4000 www.HunterdonGastro.com

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The County Woman’s Journal

Health & & Wellness Wellness Health HGA’s 9 Step Prescription for Good Digestive Health Improve Your Vitality & Eliminate Discomfort The key to good nutrition depends on two things: Eating the right foods and maintaining a strong digestive system that allows your body to break down and absorb the nutrients from the foods you eat In order to keep your digestive system in optimum shape, follow these guidelines: 1. Focus on fiber. Ideally, you should be eating 20 to 35 grams of fiber — or about 14 grams of fiber for every 1,000 calories you eat. Fiber is the workhorse that slows down digestion and gives your body time to absorb the glucose it needs to produce energy. 2. Drink lots of water. Water helps move nutrients into your organs and tissues. It helps regulate your body temperature. An adequate amount of fluid also softens your stool for easier elimination. 3. Avoid processed foods. Many processed foods have little or no fiber, are too high in sodium, and often contain preservatives and other additives that you may be sensitive to. Some processed foods also contain lactose, which can give you gas. 4. Cut down on fat. Foods that are naturally high in fat or are fried in fat alter the digestive process and can lead to constipation or diarrhea. No more than 30% of the calories you consume should be fat; and only one-third of fat calories should be saturated fat. 5. Limit your alcohol consumption. Drinking too much alcohol can have a negative impact on every organ in your body. 6. Add yogurt to your food plan. Your digestive system contains healthy bacteria, known as probiotics, which help your digestion and fight off disease. Both yogurt and kefir contain probiotics. Eating them on a regular basis can help replace good bacteria lost by eating a poor diet, illness, stress and some medications and medical treatments. 7. Reduce your stress. Stress can be harmful to your digestion. It can cause your esophagus to go into spasms, your stomach to produce more acid and your colon to respond in a way that causes a change in your bowel habits and peptic ulcers. 8. Maintain a healthy weight. Your weight affects the efficiency of your digestive system. Even a few extra pounds can cause acid reflux, a condition where stomach contents flow back into your esophagus and cause heartburn. Losing weight will not only help you feel better, it can also prevent more serious conditions, such as hiatal hernia, non-alcohol fatty liver disease and colorectal cancer. 9. Exercise! Regular exercise improves your digestion by increasing blood flow to all your organs. It can help you lose weight and reduce stress. It can also strengthen the abdominal muscles and improve colon transit times along your gastrointestinal tract, helping your colon work more efficiently to eliminate food waste.

Office Consultation Appointments Flemington Office Somerville Office Monday thru Friday: 7:30am-4:30pm Monday and Thursday: 7:30am-4:30pm Monday and Thursday: 7:30am-8:00pm Wednesday: 11:00am-7:00pm Procedure Appointments Hunterdon Endosurgery Center Monday thru Friday: 7:00am-8:00pm Saturday and Sunday: 7:00am-2:00pm Flemington Office Hunterdon Doctors Office Building 1100 Wescott Drive, Suite 206/207 Flemington, NJ 08822

Somerville Office 135 West End Avenue Somerville, NJ 08876

908-483-4000 www.HunterdonGastro.com

Kenneth DiGregorio, MD · Gilbert Cardoso, DO · Jason Matthews, MD · Andrea E. Goldstein, MD Maria A. Georgsson, MD · Cherag Daruwala, MD · Anik Patel, MD · Richard Arrigo, DO · Devi Patel, MD

The Journal The County County Woman’s Woman’s Journal

Fall 2021 2020 II 55 Spring

Health Health & & Wellness Wellness Andrea E. Goldstein, M.D.

Dr. Goldstein is a board-certified gastroenterologist who graduated from Georgetown University for her medical degree and then went on to complete her Internal Medicine residency at North Shore University Hospital and did her Gastroenterology fellowship training at the University of Buffalo. Dr. Goldstein is at the forefront of the pelvic floor field, performing Interstim Peripheral Nerve Evaluation (PNE) for fecal incontinence. “Gastroenterology allows me to stay on the leading edge of medicine, bringing the newest, most effective treatments to patients with serious conditions. As your doctor, I strive to give you the best possible medical care you can receive and also an environment where you can feel comfortable. This starts with talking and listening closely to ensure that I get a complete picture of your medical history and symptoms, and also that you understand what you need to know to follow your treatment plan and return for the follow-up testing you need to protect your health. Giving you my time, compassion and full attention is as important as any test or procedure I perform.”

HEMORRHOIDAL TREATMENT Over half the population will experience some type of hemorrhoidal problem in their lifetime. You may be suffering in silence because you are too embarrassed to discuss the problem, or worry that the cure will be more painful than the problem itself. Now, advances in medicine have made hemorrhoid treatment fast and virtually painless. Your only challenge is finding a doctor who offers the right treatment and makes you feel comfortable receiving it. How do hemorrhoids develop? Hemorrhoids are simply swollen and engorged veins in the anal and rectal region. They are most commonly caused by changes in frequency of bowel movements, pressure of straining and hormonal changes or pressure during pregnancy. The veins swell and stretch and gradually lose the support of surrounding connective tissue. Hemorrhoids can cause the following symptoms: Itching/Burning Bleeding Protrusion during Bowel Movements Pain Hygiene Concerns Are all hemorrhoids the same? Hemorrhoids are actually classified into four stages

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based upon severity. This helps determine which treatment is most appropriate for you. 1) Stage I: The hemorrhoids remain inside at all times. They do not protrude from the anus. 2) Stage II: The hemorrhoids protrude with a bowel movement, but reduce spontaneously. 3) Stage III: The hemorrhoids protrude with a bowel movement, but require manual insertion. 4) Stage IV: Fourth degree hemorrhoids: The most severe hemorrhoids always protrude and cannot be pushed back inside.

a variety of minimally invasive procedures that cut off blood flow to the hemorrhoid and cause it to shrink. In some cases your doctor may recommend a surgical procedure to remove excess tissue.

What are the treatment options for removing hemorrhoids? Effective hemorrhoid treatment depends on your specific medical condition. No doctor should recommend a solution without first doing an exam to rule out other potential causes of rectal pain or bleeding.

During the 60 SECOND procedure, the physician uses a gentle suction device to place a small rubber band around the tissue, just above the hemorrhoid. There are very few nerve endings in this area to cause any pain. The hemorrhoid shrinks and falls off within a day or two. Research has shown that 99.8% of patients treated with the CRH O’Regan System ™ have no post-procedure pain and require no pain medication before, during, or after the procedure. There is no bowel prep, and you can drive yourself home afterwards. Another advantage, external hemorrhoids may also improve with this option.

Once you have been diagnosed with hemorrhoids, you will have different options to choose from, depending on the severity of your case. You may get adequate relief from increasing fiber in your diet, taking warm sitz baths and using topical creams. Treatment options include

What is the most painless method for treatment? An even less invasive and pain-free solution has recently been approved for internal hemorrhoids. This new banding option, the CRH O’Regan System ™ is considered the “gold standard” in treatment and almost eliminates the discomfort and recovery time associated with other hemorrhoid removal options.

Make an appointment with a specialist If you or a family member is ready to get permanent relief from hemorrhoids, you should make an appointment with a digest specialist for an accurate diagnosis and the most appropriate treatments

available. Only doctors who have been specially trained by CRH O’Regan System ™ trainers/doctors are licensed to provide this state-of-the-art banding treatment. Locally, it is performed at Hunterdon Gastroenterology Associates (HGA).

Please call 908-483-2047 to make an appointment. HEMORRHOID

“I can’t believe I

suffered needlessly with hemorrhoid pain for over 3 years!” – SHELLY R.

We don’t want you to suffer in silence. At Hunterdon Gastroenterology Associates, you’ll find a physician who is easy to talk to without embarrassment. You’ll have an exam to check for hemorrhoids and rule out other potential causes of rectal pain or bleeding. If we do detect hemorrhoids, you’ll get all the information you need to understand your condition and treatment options.

HGA offers the most effective hemorrhoid treatments available for immediate and long lasting relief. • The newest non-surgical and painless band ligation procedure that lasts under 60 seconds, called the CRH O’Regan System. HGA doctors have been specially trained to offer this virtually pain-free, drug-free solution for internal hemorrhoids. • Infrared coagulation • HET bipolar coagulation Your HGA specialist will provide the treatment that’s right for your individual needs so you can enjoy life free from the pain and irritation of hemorrhoids.

Call today for an appointment.

908-483-2047

Hunterdon Gastroenterology Associates

Medical Experts in the Treatment of Digestive Diseases

www.HunterdonGastro.com

Hunterdon Gastroenterology Associates

Flemington Office Hunterdon Doctors Office Building 1100 Wescott Drive Suite 206 / 207 Flemington, NJ 08822

Somerville Office 135 West End Avenue Somerville, NJ 08876

Name & photo have been changed to protect the privacy of the patient.

COLON CANCER PREVENTION & EARLY DETECTION PROGRAM

The County County Woman’s The Woman’s Journal Journal

Hunterdon Gastroenterology Associates

HCW_HGA_Hemorrhoid.Final.indd 1

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Health & Wellness

3 No at-home prep 3 No pain meds needed… before, during or after

3 No hospital, surgery, sedation or anesthesia 3 No down time – immediate return to activities 3 Driving yourself home… or even back to work! This new procedure represents a dramatic improvement in speed, ease, comfort and overall patient experience in the relief of hemorrhoids. Specially trained and highly experienced in this procedure, our doctors treat you in the privacy, comfort and convenience of our offices in Flemington and Somerville. Don’t suffer needlessly with the misery of hemorrhoids. Call HGA today to speak to one of our nurses about how this fast, easy, pain-free and minimally invasive procedure can lead you to a hemorrhoid-free life.

Most Insurances Accepted

Call Now: 908-483-2053

Medical Experts in the Treatment of Digestive Diseases

www.HunterdonGastro.com

Hunterdon Gastroenterology The County County Woman’s Woman’s Journal The Journal Associates HD_HGA_Hemorrhoids_HCW_10x12.indd 1

COLON CANCER PREVENTION

Flemington Office

Hunterdon Doctors Office Building 1100 Wescott Drive, Suite 206 / 207 Flemington, NJ 08822

Somerville Office 135 West End Avenue Somerville, NJ 08876

Hunterdon Gastroenterology Associates

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Health & Wellness

Can People With Peanut Allergies Get The Covid Vaccine? Presented by Alexandra Gallagher Starting August 1, 2021, Alexandra will be a student for PreMed/Biology at the University of Miami.

By Aristos Georgiou NEWSWEEK 12/18/20 The Pfizer/BioNTech COVID-19 vaccine is now being rolled out across the United States as part of the largest vaccination campaign in American history. But can people with allergies to food—such as peanuts—get the shot? According to guidance from the U.S. Centers for Disease Control and Prevention (CDC,) people who have a history of food, pet insect, venom, environmental, latex or oral medication allergies can receive the Pfizer/ BioNTech vaccine.

The American College of Allergy, Asthma, and Immunology has said that the vaccine should not be administered to anyone with a known history of severe allergic reaction one of the components called polyethylene glycol or PEG in particular. This substance has previously been documented as a a cause of anaphylaxis by scientists, although these reactions are rare. The CDC says that individuals who have a history of severe allergic reaction to any vaccine or injectable therapy can still get the Pfizer/ BioNTech vaccine but they should take extra precautions. The agency recommends that such individuals should undergo a risk assessment and discuss the potential harms of taking the vaccine with their doctors. Those with a history of only mild allergic reactions to vaccines or injectable therapies can take the Pfizer/BioNTech vaccine without these extra precautions, according to the CDC.

The CDC recommend that vaccine providers should observe people with a history of anaphylaxis—a severe, potentially life-threatening allergic reaction—due to any cause for 30 minutes after the individual receives the shot. Everyone else should be observed for 15 minutes. “If you have a severe allergic response—for instance people have peanut allergies or egg allergies or food allergies—you can still get this vaccine, you just need to wait for 30 minutes in the area where you got the vaccine so if you do have an allergic reaction someone would be able to give you a shot of epinephrine to reduce it,” Dr. Paul Offit, who sat on the FDA advisory board that approved the vaccine, told reporters during a a Poynter Institute webinar on Monday. “And then we for everybody else, we make a recommendation we always make with vaccines, which is that whenever you get a vaccine, you should hang around for about 15 minutes to make sure you didn’t have a severe allergic reaction because one out of every million doses roughly of vaccines is complicated by severe allergic reaction,” Offit said When it comes to allergies, the only people who shouldn’t get the vaccine are those who have a history of severe reactions to any component of the Pfizer/BioNTech vaccine, according to the CDC. These ingredients are listed below: 1 mRNA 2 lipids or fats: ((4-hydroxybutyl)azanediyl)bis(hexane-6,1-diyl) bis(2- hexyldecanoate), 2-[(polyethylene glycol)-2000]-N,Nditetradecylacetamide, 1,2-distearoyl-snglycero-3-phosphocholine, and cholesterol) 3 potassium chloride 4 monobasic potassium phosphate 5 sodium chloride 6 dibasic sodium phosphate dihydrate 7 sucrose

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An advanced honors student, Alexandra has been a straight A student since kindergarten. Alexandra is a member of the National Honor Society, a Duke TIP Scholar, received honorable mention two years in a row at Canterbury School’s Science Fair, Regional First Place at HOSA for Nutrition and a Science Olympian member. Alexandra aspires to be a surgeon specializing in female cancer research and helping children with Treacher Collins Syndrome, a condition that affects the development of bones and other tissues of the face. Alexandra was diagnosed by Dr. Robert Wood, of the John Hopkins, at the age of 4 with a most severe peanut allergy after she went anaphylaxis after eating a peanut product. Alexandra feels the best way to prevent a severe reaction is education on food labeling, and fellow student education on this deadly condition. You or your child can correspond with Alexandra by email Alexandragallagher0@gmail.com, and she will help with any suggestions and experiences.

The County Woman’s Journal

Health & Wellness We are here for you!

During these unprecedented times, we at Hunterdon Gastroenterology Associates and Hunterdon Endosurgery Center want everyone to know that we are here for you! Our office and Endosurgery Center continue to remain open to service the members of our wonderful community with day, evening, and weekend hours. We are available for both virtual and in-person appointments, paying special attention to the safety of our patients. We remain vigilant on staying updated with all state and federal guidelines. Our safety measures include but are not limited to: • High-level employee protocols including proper hand hygiene, face masks, eye protection, gloves, and appropriate employee monitoring • Meticulous cleaning and sanitizing • Social distancing measures • Restricting visitors/companions from the office to reduce potential exposure to others. Only individuals accompanying patients who require assistance will be permitted to remain with the patient. • Requiring face masks – please come to the office wearing one. If you are unable to obtain a mask, please contact the office before leaving your car and a member of our team will assist you. • Covid-19 testing for all patients scheduled for procedures in our Endosurgery Center are conducted in our office. If you have questions or concerns, please do not hesitate to ask. The safety of our patients, staff, and physicians is our top priority. Call today to schedule your appointment (908) 483-4000 Do not let your symptoms go untreated. Flemington Office Hunterdon Doctors Office Building 1100 Wescott Drive, Suite 206/207 Flemington, NJ 08822

Somerville Office 135 West End Avenue Somerville, NJ 08876

908-483-4000

www.HunterdonGastro.com

Kenneth DiGregorio, MD ▪ Gilbert Cardoso, DO ▪ Jason Matthews, MD ▪ Andrea E. Goldstein, MD Maria A. Georgsson, MD ▪ Cherag Daruwala, MD ▪ Anik Patel, MD ▪ Richard Arrigo, DO ▪ Devi. M. Patel, MD

The County Woman’s Journal

Spring 2021 I 9

Health & Wellness Wellness Health & Richard J. Arrigo, D.O. Dr. Richard Arrigo is a board-certified gastroenterologist who graduated from New York College of Osteopathic Medicine of New York Institute of Technology and then proceeded to complete his Residency at the University of Medicine and Dentistry of New Jersey- New Jersey Medical School and then his fellowship at Rutgers New Jersey Medical School. Prior to his fellowship, Dr. Arrigo was in practice with the Liver Transplant program in Newark, NJ where he managed patients with severe liver disease. Dr. Arrigo is trained to perform Endoscopic Ultrasound (EUS), a procedure that uses sound waves to create visual images of the digestive tract, and Endoscopic Retrograde Cholangiopancreatography (ERCP), a procedure that is used to diagnose diseases of the gallbladder, biliary system, pancreas, and liver. Dr. Arrigo is also trained and certified to perform the Orbera Weight Loss Balloon procedure.

I don’t have the time to get all of this done… What is going to happen… When is this going to be over… If these are the thoughts running through your head, you are STRESSED.

these symptoms, it is important to find ways to manage your stress and anxiety.

During these unprecedented times, we all find ourselves living a new “norm”. With new work habits and new home responsibilities. This stress can have a direct effect on your digestive system. Stress can cause us to eat more or less than usual. Eating different foods and increased use of alcohol and/or tobacco can result in heartburn and acid reflux. Stress and exhaustion can also increase the frequency and intensity of heartburn pain. It is important to remember to pay careful attention to these symptoms and reach out to your physician if they persist or worsen.

Get Regular Exercise. Physical activity helps reduce tension.

Stress can also cause pain, inflammation, cramping, bloating and other stomach and bowel discomfort. Vomiting, diarrhea and even constipation can result when the stress is severe enough. To help alleviate

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Avoid, or at least reduce, consumption of Caffeine, Alcohol and Nicotine. Stimulants and depressant and increase your level of stress instead of reducing it. Swap caffeinated and alcoholic drinks for water and herbal teas. Keep yourself hydrated! Get more sleep. Lack of sleep can add to your stress. Try relaxation techniques. Incorporate yoga or mediation into your daily routine. Work on time management. Prioritize your to do list and accept that everything might not get done right away. It is ok to ask for help when needed. Talk. If you are feeling stressed and overwhelmed, reach

out to a family member, friend, or healthcare professional and talk about your feelings. Problem solve solutions and release the built-up tension.

Remember we are here too. If you are having any of these symptoms, reach out to our office to schedule an appointment today. We can help get to the root of the symptoms.

Hang in there. We are all in this together!

Hunterdon Gastroenterology Associates is available for appointments paying special attention to the safety of our patients. We have expanded our virtual visit availability times and are available for in-office consultations. Here is how we will re-establish your access to care with the utmost safety: High-level employee protocols that include proper hand hygiene, face masks, eye protection, gloves, and appropriate employee monitoring • Meticulous cleaning and sanitizing of all surfaces, patient areas, and equipment • Stringent social distancing measures • Pre-screening of all patients for symptoms prior to their in-office appointment •

•

Restricting visitors/companions from the office to reduce potential exposure to others. Only individuals accompanying patients who require assistance will be permitted to remain with the patient. Patients are required to wear a face mask – please come to the office wearing one. If you are unable to obtain a mask, please contact the office before leaving your car and a member of our team will assist you.

The safety of our patients, staff, and physicians is our top priority. If you have questions or concerns, please do not hesitate to ask. Call today to schedule your appointment (908) 483-4000 Do not let your symptoms go untreated. Flemington Office Hunterdon Doctors Office Building 1100 Wescott Drive, Suite 206/207 Flemington, NJ 08822

Somerville Office 135 West End Avenue Somerville, NJ 08876

908-483-4000

www.HunterdonGastro.com Kenneth DiGregorio, MD ▪ Gilbert Cardoso, DO ▪ Jason Matthews, MD ▪ Andrea E. Goldstein, MD Maria A. Georgsson, MD ▪ Cherag Daruwala, MD ▪ Anik Patel, MD ▪ Richard Arrigo, DO ▪ Devi. M. Patel, MD

The The County County Woman’s Woman’s Journal Journal

Wellness Health & Wellness Devi Patel, MD

Dr. Devi Patel is a board-certified gastroenterologist who also has her board certification in Obesity medicine. She graduated from RWJ Medical School at Rutgers University and then proceeded to complete her residency at Thomas Jefferson University Hospital. She then went on to complete her fellowship in Gastroenterology and Hepatology at Cooper University Hospital. “During my training, I observed many of my patients struggling with not only their chronic medical problems such as GERD, diabetes, HTN, but also obesity. I started to realize that the root of many of these chronic medical conditions was in fact his/her underlying obesity. Currently, I treat patients with a myriad of gastrointestinal disorders ranging from gastroesophageal reflux to gallstones to fatty liver. All of these diagnoses can be linked to obesity. Because of this desire to help my patients not only in the field of gastroenterology, but also their overall well-being, I decided to obtain my board certification in Obesity Medicine. I hope to incorporate teaching patients about obesity, nutrition and exercise in my practice as a gastroenterologist in hopes of helping them lose weight, and hopefully, help them improve their overall health.”

Heartburn triggers: What’s burning you? Heartburn or acid reflux symptoms include chronic cough, chest pain and burning. Knowing your triggers, such as certain foods, medications, obesity, or even stress, can help prevent heartburn. Heartburn treatment may include medications, home remedies, or diet changes. The specific triggers for heartburn differ from person to person. Marinara sauce may always spell trouble for you, but your spouse may lick the plate clean and sit back with a satisfied belly and a smile. Despite its name, heartburn has nothing to do with the heart. Some of the symptoms, however, are like those of a heart attack or heart disease. Heartburn is an irritation of the esophagus -- the tube that connects your throat and stomach. It’s caused by stomach acid. This leads to a burning discomfort in your upper belly or below your breastbone. What Causes Heartburn? Heartburn symptoms can start because of a problem with a muscular valve called the lower esophageal sphincter (LES). It’s located where the esophagus meets the stomach -below the rib cage and slightly left of center. Normally, with the help of gravity, the LES keeps stomach acid right where it should be -in your stomach. When it’s working right, the LES opens to allow food into your stomach or to let you belch, then closes again. But if the LES opens too often or doesn’t close tightly enough, stomach acid can seep into the esophagus and cause a burning sensation. If your LES doesn’t tighten as it should, there are often two things that contribute to the problem. One is overeating, which puts too much food in your stomach. Another is too much pressure on your stomach, often due to obesity, pregnancy, or constipation. What can lead to heartburn may surprise you. Stay away from foods you know will give you heartburn. It’s not just about the food you eat. How and when you exercise and what you take to relieve your aches and pains may also cause that burning feeling. The key to taming the flame is to understand what triggers your own personal symptoms. Heartburn triggers: Heartburn and diet Fatty foods are big no-no’s if you suffer from heartburn. High-fat foods sit around in your belly longer. This makes your stomach produce more acid, irritating your digestive system. And fatty and greasy foods lead to a

lazy, relaxed LES. So not only do you have more irritating stomach acids, you’re more likely to have the contents splash back up your throat resulting in heartburn pain. Several foods and drinks can cause the LES to relax. Food and drinks that commonly trigger heartburn include: • alcohol, particularly red wine • black pepper, garlic, raw onions, and other spicy foods • chocolate • citrus fruits and products, such as lemons, oranges and orange juice • coffee and caffeinated drinks, including tea and soda • peppermint • tomatoes However, unless these foods are causing you heartburn you don’t have to avoid them. To prevent heartburn after meals: • Don’t overeat. Eat five or six small meals each day, instead of several large meals. • Don’t eat before bedtime. Allow 2 hours to digest your food before lying down. This allows time for the food to pass out of the stomach and into the small intestine, rather than having it back up into the esophagus. Lying down makes digestion difficult and makes heartburn more likely. Exercising and Heartburn Crunches and ab work can trigger heartburn. Body positions that involve bending over increase pressure on the abdomen, thrusting stomach acids back up into the esophagus. So, you feel the burn -- but not the type you’d expect from going to the gym. Keep in mind that leg lifts also work the abdominal muscles and may aggravate heartburn symptoms too. Activities such as headstands and yoga moves like downward dog can reverse the natural flow of stomach contents and may trigger heartburn. Jarring exercises, such as jogging or aerobics, can slosh stomach contents around and upward if you have a weak LES. Heartburn is no reason not to exercise. In fact, weight loss from exercise can help heartburn. But never exercise on a full stomach. Doing so increases abdominal pressure, which makes heartburn more likely. Food takes several hours to digest so it really is a matter of what works for you. Most experts recommend waiting about two hours after eating before working out. Heartburn triggers: Heartburn and medications Many different medications can trigger heartburn or make heartburn worse. An aspirin

TheCounty County Woman’s Woman’s Journal Journal The

here or there is not likely to lead to that fiery feeling. But regular use of aspirin or a popular class of painkillers called nonsteroidal antiinflammatory drugs (NSAIDs) may irritate the esophagus. NSAIDs include ibuprofen, naproxen, and prescription Cox-2 inhibitors such as Celebrex. These drugs are often used to treat arthritis. Several different types of blood pressure medicines can also cause heartburn. Many blood pressure and heart disease medicines, including calcium channel blockers and nitrates, relax the LES muscle, making it easy for your stomach acids to retreat backwards. Tracking heartburn triggers Heartburn can limit your menu choices, interrupt your sleep, and interfere with your daily activities. Keeping tabs on what you eat and when you eat will help your doctor determine what’s causing your symptoms.

Then together, you can figure out how to prevent them. You can track heartburn triggers by keeping a heartburn diary. Make sure you include notes about portion size and if you have pain after eating a certain food. Understanding your heartburn triggers and learning how to avoid them can help you avoid the discomfort of heartburn. An episode of heartburn every now and then is usually nothing to worry about. But call the doctors at Hunterdon Gastroenterology Associates if you have heartburn frequently of if severe heartburn interferes with your daily activities. You may need further evaluation of your heartburn or a medication to help prevent it. Do you suspect you might have Heartburn? Call the doctors at Hunterdon Gastroenterology today! 908-483-4000. References: WebMD; Common Heartburn Triggers, WebMD: What is Heartburn

 Men or women over the age of 50  Smoker  Personal or family history of inflammatory bowel disease  Overweight  Close family member with colorectal cancer  History of prior polyps or colon cancer  Women with a family history of breast, uterine, or ovarian cancer

Be proactive about your health and make your appointment to be screened today! 908-483-2047

We have extended hours for your convenience: Office Consultation Appointments Flemington Office Monday through Friday: 7:30am-4:30pm Wednesday and Thursday: 7:30am-8:00pm Procedure Appointments Hunterdon Endosurgery Center Monday through Friday 7:00am-8:00pm Saturday and Sunday 7:00am-2:00pm

Somerville Office Monday and Thursday: 7:30am-4:30pm Wednesday: 11am-7pm

Flemington Office

Hunterdon Doctors Office Building 1100 Wescott Drive, Suite 206/207 Flemington, NJ 08822

Somerville Office 135 West End Avenue Somerville, NJ 08876

908-483-4000 www.HunterdonGastro.com

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Sleep Apnea Dizziness and Balance Disorders lightheadedness, dizziness and sometimes syncope. sleepthe apnea, there iselderly no signal to thedizziness muscles of youradiaphragm to initiate a breath, withdothe remaining open. Finally there is mixed apnea, With ever increasing population, is becoming much more widespread 3. What I doairway if I develop and common concern. We will all experience dizziness at some time or another throughout dizziness? Because dizziness can be which is a combination of both obstructive and central sleep apnea. our lives. However, it is important to understand when symptoms of dizziness require further Stephen Kupferberg, can make changes in lifestyle including losing weight, notseek drinking medical attention. is generally recommended that one immediate medical attention when experiencing MD, FACS, alcohol or taking sedating medications beforeif going to bed,are and dizziness, particularly the episodes recurrent, prolonged or severe. Calling 911, FREQUENTLY ASKED QUESTIONS FROM PATIENTS WITHzDIZZINESS: Ocean • being male stopping the use of tobacco. Occasionally medications to room improve reporting to the nearest emergency or, at minimum, discussing the situation with 1. What is dizziness? Dizziness is a generalized term suggesting a sense of • being overweight the ability to breathe through the nose may help. is strongly recommended. On many occasions, Otolaryngology your primary care physician patients will be unsteadiness or lightheadedness. A feeling of being in a fog or the sense of passing out are • age greater than 40 One of the morereferred common therapies is CPAP (continuous to an ear, nose and throat physician (otolaryngologist) for consultation. • having a large neck 4. What is Benign Paroxysmal Positional Vertigo (BPPV): positive pressure to prevent the airway collapsing or to frequently initiate in the circumference (over 17 common form offrom dizziness and occurs population. Most Dr.elderly Stephen Kupferberg is atypically, board our sense of balance is maintained by a very complex interaction among several components inches in a male and 16 BPPV is described as a spinning sensation and occurs with an abrupt change in body certiﬁed Otolaryngologist and has of our nervous system, including: inches in a female) been in practice for 20 years. He is a out position. In many cases, the initial onset of symptoms occurs when rolling over or getting • • having large tonsils graduate of Jefferson Medical College, • due to anatomical variation in patients. Some patients may need • having a large tongue Philadelphia, Pa. and completed his • internship and residency at the Medical • having a small mandible (lower jaw bone) • College of Georgia, Augusta, Ga. Dr. pressure with inhalation and exhalation. Dental devices can also be • family history of sleep apnea If any one of these factors is diseased or the interaction between these individual parts Kupferberg practiced for four utilized to bring the mandible forward, thus enlarging the airway to Multiple medical issues may be made worse or be caused by tend to recur over time. Treatment includes repositioning the particle intoinitsMaryland appropriate years before moving to Toms River where position within the inner ear labyrinth, a procedure called the Epley maneuver. is causing an individual’s dizziness. stroke, headaches, depression, diabetes and obesity. Sleep apnea may 5. Can my dizziness condition be cured? he resides with his wife and two sons. 2. What are the causes of dizziness? Dizziness and vertigo can be caused by a wide children removal of enlarged tonsils and possibly also lead to poor performance at work or in school. completely dependent uponenlarged its cause,adenoid which may actually be multifactorial. However, most He specializes in hearing loss, nasal variety of disorders, including inner ear infections such as labyrinthitis, inner ear disorders and sinus surgery and head and neck dizziness disorders can be improved once an accurate diagnosis is established. In many cases, such as Meniere’s disease, cardiac conditions, anemia, diabetes or low blood sugar, brain and/ and shortening of the palate, known as uvulopalatopharyngoplasty and adult and to pediatric ear, nose of dizziness will need be involved. or spinal cord injury, migraine headaches, severe sinus infections, meningitis, poor circulation physician subspecialists well-versed in the treatmentsurgery in the breathing pattern, followed by some gasping and then the or UP3, can enlarge the airway. Nasal surgery may be necessary throatcommitted disorders.to Hishelping leisureour time is At Ocean Otolaryngology Associates,toour teamand is fully and hardening of the arteries, stroke, high fever, visual disorders and severe anxiety. spent outdoors withdisorder. his family, cycling, patients through the work-up and treatment regimen for their dizziness Additionally, certain medications or interactions between medications can often cause camping, hiking and golﬁng.

Zzz

reductions, maxillary his mandibular and tracheostomy. A Dr. Bruce Peters is a board certiﬁed Otolaryngologist who established practice advancement in Ocean physical examination to evaluate the Aairway and look for areas of Collegenewer device calledMedicine a hypoglossal nerve stimulator can be implanted County in 1997. graduate of Philadelphia of Osteopathic and residency at Thomas Jefferson University Hospital, Philadelphia, Petersthe then completed Fellowship to Dr. stimulate muscles of thehis tongue and open the airway. in Facial Plastic Surgery and Reconstructive Surgery at the University Miami Hospital. He have apnea, make If you or your of family suspect that you specializes in functional and cosmetic nasal surgery, sinus surgery,with thyroid surgery and skin an appointment an otolaryngologist who is familiar with the cancer Peters is Ita will member of the American of Surgeons, the Academy duration of the pauses in thesurgery. patient’sDr.breathing. also help medicalCollege and surgical interventions for sleep of apnea, a pulmonologist Otolaryngology, Head and Neck Surgery, the Academy of Facialwho Plastic Surgery and the N.J. and the treatment of determine which type of apnea is occurring. or neurologist is versed in sleep medicine Bruce W. Peters, Christina Gillespie, Academy of Otolaryngology. He resides in Wall, N.J. with his wife and two daughters and enjoys apnea has been diagnosed, there are multiple treatment FACS Christina Gillespie, MD MD BruceOnce W. Peters, Stephen Kupferberg, MD,DO, FACS golf and ﬁshing in his leisure time. well-being. DO, FACS

54 Bey Lea Rd., Suite 3, Toms River, NJ 54 Bey Lea Rd., Suite 3, Toms River, NJ 61 Lacey Rd., Whiting, NJ 1707 Atlantic Avenue, Wall Township, NJ 1673 Rt. 88 W, Brick, NJ

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Breast Cancer Awareness

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Breast cancer is the second most common kind of cancer in women. About 1 in 8 women born today in the United States will get breast cancer at some point. The good news is that Did You Know? many women can survive breast cancer if it’s found and treated early. A mammogram – the • 240,000 New Cases Of Breast Cancer Are Diagnosed Each Year screening test for breast cancer – can help find breast cancer early when it’s easier to treat. • 25-30% Reduced Mortality Rate For Women Ages 50-70 With Early National Breast Cancer Awareness Month is a chance to raise awareness about the importance Detection be bright, Applicants have to have a great personality and work ethic, of early detection of breast cancer. Make a difference! Spread the word about mammograms and • Women Age 40+ Should Have A Yearly Mammogram Screening encourage communities, organizations,love families, and individuals to get involved. more energetic, to meet new people, and For love our educational women’s (Don’t forget self exams!) information about Breast Cancer Awareness Month, visit www.nationalbreastcancer.org.

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Medical Medical Professionals Professionals

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6 10

The Most Common Questions And Answers Concerning Varicose Veins

Varicose veins are one of the most common vascular conditions affecting women...and men of all ages. Treatment options have improved greatly in recent years. In spite of these advancements, many people mistakenly still believe that treatment for this problem is difficult, painful, and simply considered “cosmetic.” Other people may experience leg pain and other symptoms but they don’t realize what is causing their condition. This article will answeraricose some common questions regarding associated and treatment. veins are one of the most common vascular varicose How are veins, varicosethe veins and venoussymptoms, reflux diagnosed? conditions affecting women...and men of all ages. An experienced vascular specialist can make the diagnosis with techniques, allowoffor treatment history, physical examination and a Treatment greatly in a combination a medical Jeffreyoptions S. Gosin,have MD,improved FACS WITHOUT the need painful recent years. In spite of these advancements, painless vascular test for called a Doppler ultrasound (also known as surgery. One of the best, most many people mistakenly still believe that treat- a proven venoustreatments duplex scan.) Making the correct diagnosis is essential for venous reflux varicose veins? mentWhat for thisare problem is difficult, painful, and inisproperly treating this condition. the Closure® Procedure. This Varicose veins are swollen veins that simply considered “cosmetic.” Other people minimally invasive procedure is venous reflux treated? How are varicose veins and can be seen through the skin. They often performed right in the office in may experience leg pain and other symptoms Sometimes compression less stockings will be sufficient to control have a bulging, twisted appearance. than 30 minutes, with no incisions, but they don’t realize what is causing their symptoms and prevent complications. When procedures are needed, Some varicose veins may be very large minimal discomfort, and excellent condition. This article will answer some results. technology and techniques, allow for treatment WITHOUT and discolored. Others may be smaller. current common questions regarding varicose veins, the need for painful surgery. One of the best, most proven treatments They can occur anywhere on the legs, How long is the recovery Jeffrey S. Gosin, MD, FACS the associated symptoms, and treatment. for venous reflux is the Closure® Procedure, now referred to as Venefit™. including the groin area.

What are varicose veins? What causes varicose veins? Varicose veins areup,swollen canthe belegs seenandthrough Blood must flow against veins gravity,that to exit return tothe theskin. heart. They have a bulging, twisted Some varicose veinscan Ouroften leg veins have one-way valves thatappearance. assist in this process. Those valves may be very large and causing discolored. be smaller. TheyThe canblood malfunction and leak, blood Others to flow inmay the wrong direction. then pools in the legs, increasing the pressure in the veins. This is known as venous occur anywhere on the legs, including the groin area. reflux disease or Chronic Venous Insufficiency (CVI). Venous reflux is one of the What varicose mostcauses common causes ofveins? varicose veins. Blood must flow up, against gravity, to exit the legs and return to thelegsymptoms of varicose veins and venous reflux theWhat heart.are Our veins have one-way valves that assist in this process. disease? Those valves can malfunction and leak, causing blood to flow in the People with varicose veins and venous reflux may feel leg pain, leg heaviness, leg wrong direction. The blood then pools in the legs, increasing the pressure fatigue and/or leg swelling. Itching of the skin of the legs is also a very common in complaint. the veins. Standing This is known as venous refluxMany disease or Chronic may worsen symptoms. people will noticeVenous the Insufficiency reflux is one of the most causes appearance of(CVI). bulgingVenous legs veins. However, some people willcommon only feel discomfort not notice any cosmetic changes. of but varicose veins. I thought are just a cosmetic problem. What are thevaricose symptomsveins of varicose veins and venous reflux disease? with varicose veins and venous reflux may feel leg pain, leg IsPeople that true? It is important to understand varicoseItching veins and reflux are NOT heaviness, leg fatigue and/or legthat swelling. of venous the skin of the legs is necessarily simple cosmetic problems. This can be a sign of an abnormal condition also a very common complaint. Standing may worsen symptoms. Many in the circulation. In addition to pain, some individuals may be at risk for chronic people will notice the appearance of bulging legs veins. However, some swelling, permanent skin discoloration, open wounds and even blood clots. With people will onlyand feeltreatment, discomfort but not notice any can cosmetic early diagnosis long-term complications usuallychanges. be prevented. Treatment often has the added benefit of improving aesthetics, even cases that I thought varicose veins are just a cosmetic problem. Is thatintrue? areItnot considered “cosmetic.” is important to understand that varicose veins and venous reflux areWho NOT cosmetic problems. This can be a sign of isnecessarily at risk forsimple varicose veins? Prolongedcondition standing orinsitting on one place,Infamily history varicose veins, and an abnormal the circulation. addition toofpain, some indibeing overweight are all known risks. In addition, increasing age and pregnancy viduals may be at risk for chronic swelling, permanent skin discoloration, are risk factors. Some people may develop varicose veins without having any of open wounds and even blood clots. With early diagnosis and treatment, these known conditions. long-term complications can usually be prevented. Treatment often has arebenefit varicose veins and venouseven reflux diagnosed? theHow added of improving aesthetics, in cases that are not An experienced vascular specialist can make the diagnosis with a combination considered “cosmetic.” of a medical history, physical examination and a painless vascular test called a Who is atultrasound risk for varicose veins? Doppler (also known as a venous duplex scan.) Making the correct diagnosis is essential in properly treating thisplace, condition. Prolonged standing or sitting on one family history of varicose veins, overweight all venous known risks. addition, increasing Howand arebeing varicose veinsare and refluxIntreated? age and pregnancy are risk factors. Some people may develop varicoseand Sometimes compression stockings will be sufficient to control symptoms prevent complications. When procedures areconditions. needed, current technology and veins without having any of these known TheThe County Woman Magazine County Woman Magazine

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from vein treatment? This minimally invasive procedure is performed right in the office In most cases individuals can inreturn less than 30 minutes, with no incisions, minimal discomfort, to their usual activities within and excellent results. a day of the procedure.

How long is the recovery from vein treatment? Is varicose vein treatment In mostby cases individuals can return to their usual activities within covered health a insurance? day of the procedure. Venous reflux is a medical condition. Therefore, in many cases, varicose Is varicose vein disease treatment covered by health insurance? vein treatment is covered by health insurance. An experienced vein treatment Venous reflux disease is a medical condition. Therefore, in many center will have insurance specialists who will work with your insurance company cases, varicose vein treatment is covered by health insurance. An to confirm coverage. experienced vein treatment center will have insurance specialists who will work with your insurance company to confirm coverage.

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No one looks forward to having a colonoscopy, but I want to thank all of the members of your staff and the physicians for being so professional and pleasant. – Maureen W.

Be proactive about your health and make your appointment to be screened today!

908-483-4000 Hunterdon Endosurgery Center is open 7 days a week for Colonoscopy and Upper Endoscopy Procedures. Weekdays: 7:00am-8:00pm; Saturday and Sunday: 7:00am-2:30pm Hunterdon Gastroenterology Associates Office Consultation Appointments: Flemington Office: 7:30am-8:00pm; Somerville Office: 7:30am-7:00pm Flemington Office

Hunterdon Doctors Office Building 1100 Wescott Drive, Suite 206/207 Flemington, NJ 08822

Somerville Office 135 West End Avenue Somerville, NJ 08876

908-483-4000 www.HunterdonGastro.com

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Health & Wellness

Health & Wellness Richard J. Arrigo, D.O.

Dr. Richard Arrigo is a board-certified gastroenterologist who graduated from New York College of Osteopathic Medicine of New York Institute of Technology and then proceeded to complete his Residency at the University of Medicine and Dentistry of New Jersey- New Jersey Medical School and then his fellowship at Rutgers New Jersey Medical School. Prior to his fellowship, Dr. Arrigo was in practice with the Liver Transplant program in Newark, NJ where he managed patients with severe liver disease. Dr. Arrigo is trained to perform Endoscopic Ultrasound (EUS), a procedure that uses sound waves to create visual images of the digestive tract, and Endoscopic Retrograde Cholangiopancreatography (ERCP), a procedure that is used to diagnose diseases of the gallbladder, biliary system, pancreas, and liver. Dr. Arrigo is also trained and certified to perform the Orbera Weight Loss Balloon procedure.

Alcohol-Related Liver Disease Care… Helping you prevent or cope with liver damage Your liver plays a vital role in your overall health. It is the organ that stores the vitamins, sugar, and iron you need for energy. It filters your blood from harmful toxins and waste. It also controls cholesterol, removes harmful bacteria, and metabolizes some of the medications you take. When your liver is injured, diseased or exposed to harmful toxins, your body cannot function properly. You may experience fatigue, weight loss, or yellowing of your skin or eyes.

If a problem is detected in time, we can help you manage your liver disease, so it does not progress. The liver is resilient and can regenerate as long as the damage is not too excessive.

When you drink responsibly, enzymes in your liver break down alcohol and eliminate it from your body. But the liver can only metabolize a limited amount of alcohol each hour. When you consistently consume more than your liver can process, you risk damaging this important organ, gradually killing its cells.

Fatty liver disease: When excess fat builds up in your liver, you have the earliest stage of alcohol-related liver disease and may have no symptoms. Potential symptoms can include fatigue, weakness and weight loss. You can resolve fatty liver disease if you stop drinking.

You do not have to get drunk to harm your liver. You may also not experience any symptoms until the damage has begun.

Alcoholic hepatitis: This form of hepatitis can occur from drinking too much alcohol. It ranges from mild to serious. It causes the liver to swell and, when severe, can lead to serious complications. A mild case can be treated.

Therefore, we recommend that if you do drink excessively, you should regularly have your liver checked. The specialists at Hunterdon Gastroenterology Associates will treat you with compassion and dignity and provide the most advanced tests to determine the health of your liver or the extent of damage.

Diagnosing alcohol-related liver disease There are three different types of alcohol-related liver disease. We perform liver function tests to determine the extent of damage and the best course of treatment for the disease.

Alcoholic cirrhosis: In this form, the liver becomes scarred and the damage may not be reversed. Unable to regenerate itself, the liver begins to fail. We can work with you to manage the progression of the disease. If

The Woman’s Journal # I County Fall 2020

you stop drinking, you may prevent and reverse damage. You can trust Hunterdon Gastroenterology Associates to provide the most complete and accurate diagnosis of your condition — the first critical step toward

appropriate treatment. Your board-certified physician will answer all your questions and make sure you have a full understanding of the testing — what they measure and what the results mean for you. If further evaluation is necessary, we provide onsite

laboratory services for your convenience. If you or someone you love is suffering from potential alcohol-related liver disease, please contact us immediately for diagnosis and management at 908-483-4000.

Hunterdon Gastroenterology Associates is available for appointments while paying special attention to the safety of our patients. We have expanded our virtual visit availability times and are available for in-office consultations and procedures. Here is how we will re-establish your access to care with the utmost safety: High-level employee protocols that include proper hand hygiene, face masks, eye protection, gloves, and appropriate employee monitoring • Meticulous cleaning and sanitizing of all surfaces, patient areas, and equipment • Stringent social distancing measures • Pre-screening of all patients for symptoms prior to their in-office appointment • Restricting visitors/companions from the office to reduce potential exposure to others. Only individuals accompanying patients who require assistance will be permitted to remain with the patient. • Patients are required to wear a face mask – please come to the office wearing one. If you are unable to obtain a mask, please contact the office before leaving your car and a member of our team will assist you. •

Somerville Office 135 West End Avenue Somerville, NJ 08876

908-483-4000

The CountySpring Woman’s Journal 2021 I 17

Medical Professionals Professionals in in Profile Profile Medical

Meet the Hunterdon Gastroenterology Associates Physicians: Kenneth J. DiGregorio, M.D.

Dr. Kenneth DiGregorio is a board-certified gastroenterologist at Hunterdon Gastroenterology Associates. He received his medical degree from the Medical College of Virginia and then proceeded to complete his residency at Temple University Hospital and his fellowship at the University of Pittsburgh Medical Center. Dr. DiGregorio has received advanced training in both biliary endoscopy and the specialty of liver disease. Dr. DiGregorio is one of three physicians in Hunterdon County, all of which work at Hunterdon Gastroenterology Associates, to be trained and certified to perform the Orbera Weight Loss Balloon procedure. “I perform tests and treatments for the full spectrum of digestive conditions, including the latest Barrett’s Esophagus and hemorrhoid procedures. But I take special pride in the help I give people with chronic, even life-threatening liver problems. I spend a lot of time researching the most recent advancements in medical technology and techniques so I can provide my patients with diagnostic and treatment procedures that provide the best outcomes with the least discomfort or recovery times.

Gilbert S. Cardoso, D.O.

Dr. Gilbert Cardoso is a board-certified gastroenterologist as well as the Medical Director of Hunterdon Endosurgery Center. Dr. Cardoso graduated from Michigan State University for his medical degree and proceeded to complete his residency and fellowship at Genesys Regional Medical Center. He is the current Chair of Internal Medicine at Hunterdon Medical Center. Dr. Cardoso is trained to perform Endoscopic Retrograde Cholangiopancreatography (ERCP), a procedure that is used to diagnose diseases of the gallbladder, biliary system, pancreas, and liver. “I enjoy performing procedures, whether it is a simple diagnostic test to assess acid reflux or a more complex test like an ERCP to examine the bile ducts and pancreas. The wide variety of problems I treat—and the many ways I’m able to help my patients—makes every day interesting and rewarding.”

Andrea E. Goldstein, M.D.

Jason M. Matthews, M.D.

Dr. Jason Matthews is a board-certified gastroenterologist who graduated from Columbia University, College of Physicians and Surgeons for his medical degree and proceeded to complete his residency at New York University and Bellevue Hospital and his fellowship at University of California. “Being thorough with my patients, right from the beginning, is so important. I spend extra time making sure I understand your symptoms, often asking you to clarify complaints or describe them in different ways so that I make sure I understand. I may use pictures or draw diagrams to enhance your understanding. I want you to be fully aware of why I am recommending a certain approach and understand what we will do going forward.”

Maria A. Georgsson, M.D.

Dr. Maria Georgsson is a board-certified gastroenterologist who graduated from Columbia University College of Physicians and Surgeons with her medical degree and went on to complete her residency at ColumbiaPresbyterian Medical Center and her fellowship at State University of New York at Stony Brook. “I’ve been a physician for over 25 years. Gastroenterology has always been interesting to me because of the broad array of patients I get to work with… young and old… people who have a common, easily treated problem as well as those with chronic conditions, like irritable bowel syndrome, that affect their health and quality of life. I also love that this specialty is both consultative and procedural – meaning that I get to talk with you, investigate your health problems, prescribe treatments and also perform procedures to diagnose and solve your problems.”

22 2020 18 II Fall Spring 2021

The TheCounty CountyWoman’s Woman’sJournal Journal

MedicalProfessionals ProfessionalsininProfile Profile Medical Cherag A. Daruwala, M.D.

Dr. Cherag Daruwala is a board-certified gastroenterologist who graduated from Drexel University College of Medicine and proceeded to complete his residency at Temple University Hospital and his fellowship in Gastroenterology and Hepatology at Lankenau Hospital in Philadelphia. Dr. Daruwala came to Hunterdon Gastroenterology Associates from Philadelphia, where he was working at Temple University. “Like many gastroenterologists, I enjoy the technological aspect of my specialty. Because of my training and experience, I am proud to have been the first gastroenterologist in Central New Jersey to offer endoscopic ultrasound. This emerging technology is quickly becoming the gold standard in the diagnosis of various gastrointestinal illnesses. With endoscopic ultrasound, we are able to get high quality information about a patient’s condition in a way that is much easier and less invasive than other diagnostic procedures.”

Anik M. Patel, M.D.

Dr. Anik Patel is a board-certified gastroenterologist who graduated from St. George’s University School of Medicine for his medical degree and went on to complete his internal medicine residency and fellowship in Gastroenterology at Winthrop University Hospital where the institution’s strong nutrition department led him to a focus on nutrition. He has been trained in endoscopic mucosal resection, which involves using an endoscopic technique to remove large polypoid growths and early cancers of the gastrointestinal tract. Dr. Patel is one of three physicians in Hunterdon County to be trained and certified to perform the Orbera Weight Loss Balloon procedure. “I emphasize preventive care, particularly with diet and proper screening. But at the same time, complex medical problems are a day-to-day part of gastroenterology. The ability to contribute positively to a patient’s clinical condition, such as removal of pre-malignant colon polyps that would have caused cancer, or stopping a life-threatening internal gastroenterological bleed is what is most rewarding. Through the integration of advanced technology and treatment methods, I am able to provide in-depth consultations and treatments to empower my patients in gaining their lives back.”

Richard J. Arrigo, D.O.

Dr. Richard Arrigo is also a board-certified gastroenterologist who graduated from New York College of Osteopathic Medicine of New York Institute of Technology and then proceeded to complete his Residency at the University of Medicine and Dentistry of New Jersey- New Jersey Medical School “I lived on antacids for years and then and then his fellowship at Rutgers New Jersey Medical School. Prior to his fellowship, Dr. Arrigo learned it was the worst thing I could have was in practice with the Liver Transplant program in Newark, NJ where he managed patientsdone withfor my condition.” – Carol C. severe liver disease. Dr. Arrigo is trained to perform Endoscopic Ultrasound (EUS), a procedure that uses sound waves to create visual images of the digestive tract, and Endoscopic Retrograde Cholangiopancreatography (ERCP), a procedure that is used to diagnose diseases of the gallbladder, biliary system, pancreas, and liver. Dr. Arrigo is one of three physicians in Hunterdon County to be You don’t have to live with it trained and certified to perform the Orbera Weight Loss Balloon procedure. “I hope to give my patients Now youcondition can enjoy permanent relief from the pain of an answer to their problem and perhaps a cure or a way to control their chronic medical so they acid reflux, gas, or bloating. The first step is discovering why you have it. can live a better quality of life. I hope to give my patients confidence that they are in good hands.”

HEARTBURN

Devi Patel, MD

1) Do I have GERD? Gastroesophageal reflux disease (GERD) is chronic acid reflux, the result of stomach acids flowing back up into your esophagus. A medical exam is required to determine if your heartburn is the result of GERD.

Dr. Devi Patel is a board-certified gastroenterologist who also has her board certification in Obesity 2) What are the symptoms of GERD? medicine. She graduated from RWJ Medical School at Rutgers University and then proceeded to complete - Chronic heartburn that disturbs yourin sleep her residency at Thomas Jefferson University Hospital. She then went on to complete- Heartburn her fellowship - A sour taste in your mouth - A burning sensation in your esophagus Gastroenterology and Hepatology at Cooper University Hospital. “During my training, I observed many - Excessive belching of my patients struggling with not only their chronic medical problems such as GERD, diabetes, HTN, - Hoarseness, voice changes or dry cough - Chest Pain but also obesity. I started to realize that the root of many of these chronic medical conditions was in fact 3) How do you diagnose the cause of my heartburn? his/her underlying obesity. Currently, I treat patients with a myriad of gastrointestinalOurdisorders ranging offer the most board certified gastroenterologists tests to assess gastrointestinal conditions and from gastroesophageal reflux to gallstones to fatty liver. All of these diagnoses can beadvanced linked to obesity. determine the cause of your heartburn. Because of this desire to help my patients not only in the field of gastroenterology, but theirwith overall 4) If also I self-medicate antacids, will my acid reflux go away? If left undiagnosed, GERD can lead to the well-being, I decided to obtain my board certification in Obesity Medicine. I hope toprecancerous incorporate teaching condition known as Barrett’s Esophagus – worse, to esophageal cancer. We also look for patients about obesity, nutrition and exercise in my practice as a gastroenterologist inoresophageal hopes of helping ulcers and the narrowing of the esophagus (stricture). them lose weight, and hopefully, help them improve their overall health.”

5) How can I learn more? HGA offers a complete overview of digestive health disorders and the tests and treatments for all disorders of the gastrointestinal tract. Visit HunterdonGastro.com to learn more.

Call to schedule an appointment (908) 483-4000

We have extended hours for your convenience. Flemington Office Monday through Friday: Monday and Thursday: Somerville Office Monday and Thursday: Wednesday: Hunterdon Endosurgery Center Monday through Friday Monday, Wednesday, and Thursday: Saturday

7:30am-5:00pm 7:30am-8:00pm 7:30am-5:00pm 11:00am-7:00pm 7:00am-5:30pm 7:00am-8:00pm 7:00am-2:30pm

Flemington Office:

Hunterdon Doctors Office Building 1100 Wescott Drive, Suite 206/207, Flemington, NJ 08822

Somerville Office:

135 West End Avenue, Somerville, NJ 08876

www.HunterdonGastro.com

At Hunterdon Gastroenterology Associates (HGA), we treat all disorders of the gastrointestinal tract in one convenient location. Our board-certified gastroenterology specialists, together with our team of nurses, surgical assistants, and other medical staff, provide complete and expert care of your esophagus, stomach, liver, colon, small intestine, gall bladder and pancreas. Whether you are suffering from discomfort or want the most accurate screening of your digestive tract, we are here to help. We offer the latest technology, the most advanced treatment techniques and the highest level of personal care in the field of gastroenterology. Expertise, leading-edge treatment and personal care: our formula for the exceptional experience and outcomes we strive to provide each day.

The TheCounty CountyWoman’s Woman’sJournal Journal

Spring 2021 I 19 Fall 2020 I 23

Health & Wellness Medical Professionals

17 Medical Professionals November Is National Lung Cancer Awareness Month WhatWhat you should know: What You Need To KnowAnd Cancer: Covid-19 You Need To Know • If you are a heavy smoker, and have been smoking for

Did youSubmitted know that the leading canifdo: by lung Sarahcancer J. Easaw,isMD, FACP cause of cancer several years, askWhat your you doctor you need to do an deaths in both men and women in the U.S.? Approximately 1. If you are actively undergoing cancer treatment, take extra caution X-ray or a CT scan. As of today, more than 77 million people have been diagnosed 200,000 new cases are diagnosed each year and 27 percent to avoid exposure toto COVID: Ask your MD about different methods help youstay quitaway from anyone other than with COVID 19are worldwide and 1.7 million have died from it.•The of all cancer deaths from lung cancer. your immediate household, wear masks, and use strict handwashing smoking. pandemic is still raging and is impacting healthcare in many

guidelines, butcancer, don’task delay treatment. Make sure that the • If you are diagnosed with lung aboutthe thecancer type of cancer you have, What causes lung cancer? ways. There are many concerns among healthcare professionals facility where you are getting treatment is also taking these

stage and other features such as EGFR mutation. moking. Smoking is the number one risk factor for lung cancer.in Even though non-smokers and the general public about COVID selected groups of precautions. so get lung cancer, the risk is much higher in those who smoke. The more you smoke, the • What is your treatment plan? 2. Those who were diagnosed with cancer, but are not in need of active people, especially those with cancer. r your risk. The likelihood of getting lung cancer decreases after you quit smoking. Tobacco • What are the side-effects of treatment? treatment, should also follow safe practices, but your risk of getting twocausing aspectsthe to cells consider when thinkingRegular about the impact in e damages cellsThere in theare lungs, to grow abnormally. exposure to of COVID • Are there support services available? severe infection is not increased due to cancer diagnosis alone. cancer care: e from someone else’s cigarettes, cigars or pipes (called second-hand smoking) can increase 3. Report any unusual symptoms to your healthcare provider and Immunotherapy in lung cancer. 1. The risk of death in cancer patients affected by COVID on’s risk of lung cancer, even if they are non-smokers. seek immediate help. COVID symptoms very variable and decades, immunotherapy agents have been studiedcan in thebe treatment of 2.asbestos. The impact COVID on the timely and treatment ofOver the last few xposure to Certainofjobs such as19 shipbuilding, asbestosdiagnosis mining, insulation or many cancers, including lung cancer. Several immunotherapy drugs are now approved for use. not everyone presents with fever and chills. Diarrhea, abdominal cancer # Asbestos fibers can irritate the lungs motive brake repair may cause exposure to asbestos. Our immune system cells normally,lack and of thustaste reduces the chance pain, fights sore cancer throat, cough, and smell, of skin rash, redness Riskcombined of COVID-related complications in cancer patients: ause cancer. When with smoking, the risk of developing lung cancer is much normal cells eye, into cancer cells. But does not always, as people with in the shortness ofthis breath: allwork these complaints can be the first Most people infected with COVID 19 only experience mild symptoms that transforming resolve r. normal immune systems also develop cancer. The principle of immune therapy is based on presenting symptom of COVID. without treatment. Butgas some are severely affected, needing hospitalization and oxygen adon. Radon is anany invisible, odorless released by soil and some rocks. Exposure to What should boosting the immune system soknow: thatoffers it can efficiently cancerprior cells. to procedures, take it! You 4. If you your facility COVID destroy screening Need To Know significant of What people die from COVID 19 infection, in spite of r levels of support. radon canAcause cancer,percentage especially lung cancer.You If you are a heavy smoker, and have been smoking for use of•immune checkpoint inhibitors has been a major breakthrough in cancer research. Did of you know that lung cancer is the is leading cause ofThe cancer could be hospitalization and ICU care. The risk developing severe infection mainly based on several years, ask yourasymptomatic doctor if you need to do anand still be a carrier. Help prevent transmission at are the types of lung cancer? deaths in both men and women in the U.S.? Approximately These drugs helpX-ray toofor take “brakes”virus off theby immune so that they can recognize and kill a CTthe scan. this deadly beingsystem, screened. certain risk factors. 200,000 new cases are diagnosed each year and 27 percent • Askeffectively. your MD about different methods to help you quit There are two different types of lung cancer: small cell and non-small cell. This difference is cancer cells more of all cancer deaths are from lung cancer. Last, but not least, try to stay positive in these tough times. Many people are suffering Risk factors for developing severe COVID infection include older age, diabetes, lung smoking. on the type of cancer cells. Most lung cancers are non-small cell. Among the non-small KEYTRUDA, and TECENTRIQ some oftothethe checkpoint inhibitors If you are diagnoseddepression with lung cancer, ask loneliness aboutare the type of cancer youimmune have, anxiety, and due effect of the pandemic. Stay in touch disease, heavy smoking, alcoholism,What uncontrolled high blood pressure, heart disease, OPDIVO, kidney • from causes lung cancer? stage andcancer. other features such as EGFRthese mutation. ng cancers, there are several subtypes: adenocarcinoma, squamous cell large that are used in lung Even though drugs don’t have the typical side effects of another. Smoking. Smoking is the number oneand risk factor forcell. lung cancer. Even though non-smokers with your loved ones, your friends and family, virtually to support one failure, cancer and conditions that cause low immunity. can also get lung cancer, the risk is much higher in those who smoke. The more you smoke, the • What is your treatment plan? stillthecan causeofreactions yourthe risk. risk The likelihood of gettingin lung cancer decreases you quitchemotherapy, smoking. What are side-effects treatment? such as inflammatory disorders. studies were tohigher assess of severity COVID 19after patients with Tobacco • they at are the Several symptoms anddone signs? smoke damages cells in the lungs, causing the cells to grow abnormally. Regular exposure to • Are there support services available? ymptoms cancer. and signs include coughing, (coughing up blood), Some studies did nothemoptysis show a significant difference inshortness death in cancer If youinhave any questions about any cancer-related questions, smoke from someone else’s cigarettes, cigars orthe pipesrate (calledof second-hand smoking) can increase Immunotherapy lung cancer.cancer and the treatment of To learn more about lung person’s riskobserved of lung cancer,that even ifthe they are non-smokers. h, chest pain, fatigue andCOVID, weight loss. patients with but mostastudies risk was high. Over the last few decades, immunotherapy agents Dr. have been studied in J. the treatment of at 732-961-0010 please contact Sarah Easaw Exposure to asbestos. Certain jobs such as shipbuilding, asbestos mining, insulation or many cancers,contact including lung cancer. Several immunotherapy drugs are now for use. other Dr. Sarah Easaw atapproved 732-961-0010 or often, theNot symptoms do with not manifest until of the cancer isrepair advanced. Sometimes cancer everyone a diagnosis cancer has a may high risk. The risklung is known to irritate be higher automotive brake cause exposure to asbestos. Asbestos fibers can the lungscancers, Our immune system fights cancer cells normally, and thus reduces the chance of or visit www.oceanhemonc.com. and cause cancer. When combined with smoking, the risk of developing lung cancer is much e detectedin as the a shadow in thesituations: lung on an X-ray done for other reasons. following visit www.oceanhemonc.com. transforming normal cells into cancer cells. But this does not work always, as people with higher. normal immune systems also develop cancer. The principle of immune therapy is based on Radon. Radon is an invisible, odorless gas released by soil and some rocks. Exposure to 1. Older age Testimonials boosting the immune system so that it can efficiently destroy cancer cells. w is it diagnosed? higher levels of radon can cause cancer, especially lung cancer. The use of immune checkpoint inhibitors has been a major breakthrough in cancer research. 2. Those undergoing active treatment with chemotherapy and “Dear Dr. Easaw, nce your doctor suspects that you have lungWhat cancer, you will be sent for CT scans and in are the types of lung cancer? These drugs help to take the “brakes” off the immune system, so that they can recognize and kill There are twoaccurately different types of lung cancer: cell and non-small cell. This difference is cancer more effectively. I amcellswriting to thank you for your kindness in caring for my Mom. My family has comfort in cases, a PETimmunotherapy scan. A PET scan can detect cancer more than othersmall tests. The based on the type of cancer cells. Most lung cancers are non-small cell. Among the non-small OPDIVO, KEYTRUDA, and TECENTRIQ are some of the immune checkpoint inhibitors 3. Smokers knowing she was caredrugs of by compassionate group osis is confirmed by taking a biopsy of the suspicious lesions the adenocarcinoma, X-ray or CTsquamous cell and large cell. cell lung cancers, there areseen several on subtypes: that are used inthat lung cancer. Even taken though these don’tahave the typical side effects of of folks who made her multiple trips Lung and cancer of blood andorgans, blood-forming organs chemotherapy, theyand still can cause reactions such as inflammatory disorders. The scans4.also helpcancer to see if the cancer has spread to the anysymptoms other process called to the office hospital tolerable. I have also appreciated your kindness and patience in taking my What are and asigns? (hematologic malignancies) Symptoms and signs include coughing, hemoptysis (coughing up blood), shortness of many calls more to discuss mylung Mom’s schedule, etc.” tasis. To learn about cancer andresults the treatment of breath, chest pain, fatigue and weight loss. 5. Within 6 months of receiving high-dose chemotherapy and Sometimes stem cell other cancers, contact Dr. Sarah Easaw at 732-961-0010 or Most often, the symptoms do not manifest until the cancer is advanced. lung cancer there different stages? “I am so glad that I finally found a great doctor to help me navigate through my newly diagnosed can be detected as a shadow in the lung on an X-ray done for other reasons. visit www.oceanhemonc.com. transplant aging is different for small cell and non-small cell lung cancers. Small cell lung cancer has cancer.” How is it diagnosed? 6. Prolonged period of low immunity (persistent low white count) Once your suspects that you haveoutside lung cancer,the you lungs). will be sent for CT scans and in wo stages:7.limited stage (confined within the lungs) ordoctor extensive (spread Other co-existing conditions asA diabetes, some cases,such a PET scan. PET scan can detectheart cancer moredisease, accurately than kidney other tests. The Dear Dr. Easaw & Staff, on-small celldisease lung cancer has four stages: stages I to IV. Stage I is aabiopsy small tumor that is seen on the X-ray or CT diagnosis is confirmed by taking of the suspicious lesions “Thank you all so much for the wonderful care that you gave Mom. You all added that personal scans. The scans also help to see if the cancer has spread to any other organs, a process called ned to the lung, that has not spread to the lymph glands. Larger tumors and those that are Excessive caution should be metastasis. taken in patients with the above risk factors to limit their touch, that most people, including my family couldn’t and wouldn’t give. For that we will always be d to the lymph glands come under stages II and III. When the cancer has spread to other AreThese there include differentstrict stages?physical distancing, avoiding any exposure to COVID 19 infection. thankful.” s, it is stage IV. Staging is different for small cell and non-small cell lung cancers. Small cell lung cancer has gatherings or crowds, always wearing mask when with others, handwashing. only twoastages: limited stage (confined within the and lungs) frequent or extensive (spread outside the lungs). lungreported cancer has four I to IV. and Stage Ishould is a small tumor that is at are the treatment options? In addition, any unusual symptomsNon-small shouldcellbe tostages: thestages doctors warrant confined to the lung, that has not spread to the lymph glands. Larger tumors and those that are Compassionate Cancer Care, Close to Home reatment is based ontesting, the stage and the type of lung Small cell cancer is mainly COVID so that early intervention canglands be come done. spread to thecancer. lymph underlung stages II and III. When the cancer has spread to other organs, it is stage IV. d with chemotherapy. In limited stage small cell lung cancer, radiation can be combined Impact of COVID 19 in the diagnosis and treatment of cancer: Sarah J. Easaw MD, FACP Whatmany are thepeople treatment hemotherapy.Ever since the pandemic started, tendoptions? to stay away from the hospitals Treatment is based on the stage and the type of lung cancer. Small cell lung cancer is mainly Board Certified Hematology & Oncology arly stage and non-small celloffices. lung cancer bestpostponed treated surgical experienced treated withby chemotherapy. limited stage An small cell diagnostic lung cancer, radiation be combined doctors’ Most ishave routineInresection. check-ups and testscanlike with chemotherapy. specialist on removes the tumor, surrounding normal lung tissue and the lymph glands around it. mammograms and colonoscopies. In the centers offerresection. screening tests Earlyaddition, stage non-small cell ability lung cancerof is best treated byto surgical An experienced after removing the tumor, cancer cells can remain and cause recurrent cancer, either in the Serving Monmouth and Ocean Counties surgeon removes the tumor, surrounding normal lung tissue and the lymph glands around it. at typical levels was impacted by the severity of the pandemic. Because of that, there could Even after removing the tumor, cancer cells can remain and cause recurrent cancer, either in the tself or inbe other organs. Chemotherapy, radiation or both are used after surgery to reduce a delay in diagnosing and treating cancer. This is a significant challenge for healthcare for more than 15 years lung itself or in other organs. Chemotherapy, radiation or both are used after surgery to reduce ance of recurrent cancer. the chance of recurrent cancer. providers. The fear of catching the infection must be weighed against the potential of dying Advanced stage lung cancer is treated with chemotherapy. The types of chemotherapy drugs dvanced stage cancer is treated with early. chemotherapy. The types of chemotherapy drugs fromlung cancer, if not diagnosed used are based on the type of lung cancer, age of the patient, other medical illnesses, etc. There is • Clinical expertise in the treatment of Cancer and Blood Disorders are based on the type of lung cancer, age of the patient, other medical etc. There ongoing research to the outcome in patients with lung cancer.is Most centers have now resumed routine improve screening forillnesses, cancer. A COVID test is done • State-of the-art Cancer Care, in a warm and personalized What’s new in lung cancer? ng research to improve the outcome in patients with lung cancer. prior to any hospital admissions and procedures. All that healthcare practice atmosphere Targeted agents: Medicines target certain facilities proteins or receptors on the strict cancer cells are beingof developed for the and treatment of various cancers. These targeted agents attack in screening COVID implementing mask-wearing forthe at’s newguidelines in lung cancer?for symptoms • Easily accessible location, close to GSP cancer cells specifically, sparing other cells. Targeted agents cause less severe side effects than employees and patients. measures the risk argeted agents: Medicines that targetThese certain proteinsreduce or receptors onofthecontracting cancer cellsthe infection. chemotherapy. • Affiliated with RWJ /Barnabas Health Medical Group, a A few different targeted agents are found to be beneficial in lung cancer. Tarceva (erlotinib) Harmforinthe delaying cancer treatment: ing developed treatment of various cancers. These targeted agents attack the multispecialty physician network. is a drug that works in certain types of lung cancers carrying a mutation in a receptor called EGFR. A new drug called crizotinib was approved recently for the treatment of lung cancer that Many cancer patients have delayed their treatment due toeffects fear ofthan catching COVID. r cells specifically, sparing other cells. Targeted agents cause less severe side carries a gene called ALK fusion oncogene. otherapy. This is a legitimate concern because is higher you distinguishing have cancer. Treating Patients and Families with Respect and Care… Nothe two risk tumorsof are severe alike! Eveninfection among lung cancers, there areifdifferent oncologist chooses the type Tarceva of treatment based on a number of factors, including few different are foundcan to lead befeatures. beneficial in lung cancer. But targeted the delayagents in treatment to Your progression of cancer and an(erlotinib) increased risk of dying the cell type, stage, different biological markers on the cancer cells, and your other medical Ocean Hematology & Oncology ug that works carrying a mutation in a receptor called fromin it.certain types of lung cancers problems. R. A new drug Most calledhospitals crizotiniband waschemotherapy approved recently for thecenters treatment of lung cancer thattesting infusion are offering COVID to www.TheCountyWoman.com The County Woman Magazine November/December 2018 s a gene called oncogene.carriers of COVID prior to chemotherapy and surgical procedures. screenALK for fusion asymptomatic o two tumors alike! Even among lung cancers, aredistancing different distinguishing Strictare enforcement of mask-wearing andthere social also help to reduce the risk of es. Your oncologist chooses the type of treatment based on a number ofcan factors, including contracting the disease. The impact of delaying treatment be harmful, especially in 1255 Route 70, 31S • Lakewood, NJ 08701 ll type, stage, different biological markers on the cells, your other rapidly growing cancers. The risks andcancer benefits of and treatment mustmedical be weighed against the ems. 732-961-0010 risks of contracting the infection.

Medical Professionals

November Is National Lung Cancer Awareness Month

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Medical Medical Professionals Professionals

Health & Wellness

3D Mammography Nuclear Medicine Thyroid Scans suspicious, patients need to be called Breast cancer is the second leading cause of death back for additional views. The multiple among women. One in 8 women will develop breast images created by 3D mammograms Cancer in cancer in her lifetime. Each year it is estimated that over have such increased accuracy that this breast 252,710 women in the United States will be diagnosed there is decreased need for this. On is difficult to with breast cancer and more than 40,500 women will average 3D mammograms reduce detect on die from the disease. This is why early detection is so callbacks by up to 40% compared to this standard important. With early detection, the five-year survival traditional mammograms. This means mammogram. CyrusisKhorrami, rate nearlyM.D. 100%. The latest weapon in the fight against less radiation exposure, increased - Hyperactive thyroidand gland Normal - Normal appearing thyroid Decreased - Poorly(also functioning thyroid breast cancer is 3D mammography known as breastHyperactive convenience for our patients, more up a lot of the radiotracer and looks gland gland takes up less has radiotracer tomosynthesis). This new technology increased early take peace of mind. bigger and brighter detection over traditional mammograms, especially in Q: What can I expect when women with dense breasts. Greater accuracy means thyroid gland is overactive. It can also help in distinguishing between benign (nonThyroid overview better breast cancer detection. having a 3D mammogram?

The main function of the thyroid gland is to make hormones. Hormones are chemicals that are released into the bloodstream. They act as Q: What is a 3D mammogram? How is it different from messengers, affecting cells and tissues in distant parts of the body. Thyroid regularcontrol mammograms? hormones metabolism, a chemical process that regulates the rate at which the bodymammogram--also converts food to energy. A: 3D called breast tomosynthesis--is one of the most Becauseforms the thyroid gland produces hormones travel theof blood and affect advanced of breast cancer detection. It usesthat a very lowin level radiation to body systems, pictures a problem the gland leads to symptoms in other take multiple of with the breast. The usually x-ray tube moves over the breast in parts an of the Symptoms andimages signs vary depending on the thyroid disease problem. arc,body. capturing multiple of each breast from different angles. A or computer Tests to checkthese the thyroid include blood tests, ultrasounds of breast. the neck, reconstructs picturesgland to create a 3-dimensional picture of the A regular biopsies, and thyroid mammogram takes a scans. single picture of the breast.

Q: What the advantage What areisthyroid scans?of 3D mammogram?

A:AOne of the challenges of interpreting mammograms is normal breast thyroid scan is a diagnostic nuclear medicine test that providesdense information

tissue the hiding breast and cancer. Additionally, overlapping of normal about structure function of the thyroid. It canareas do this by usingdense smallbreast tissue can look suspicious. This is why detecting breast cancer in women withThese dense doses of radioactive chemicals to create special pictures of the thyroid gland. breasts is more difficult. The 3-dimensional images of breast tomosynthesis help pictures can help doctors see the structure of the thyroid gland and assess how well the tissue overlap that can obscure cancers. It also helps distinguish normal itdecrease is functioning. overlapping breast from breast cancer. a chemical called a radionuclide. A Prior to the scan,tissue the patient is administered Studies have shown that 3D mammograms the like x-rays. radionuclide emits a type of radioactivity called significantly gamma rays –improve which are detection of breast cancer, especially in women with denser breast tissue. It also The gamma rays that are emitted from inside the body are detected by a special picks up breast cancer at an earlier stage, which may be missed by traditional camera. Cells that are most active in the target tissue or organ will take up more mammography. 3D Therefore mammograms 20-65% more will invasive of the radionuclide. activefind parts of the tissue emitbreast more cancers gamma rays compared to traditional 2D mammograms, with an average increase of 41%. The than less active or inactive parts. The gamma rays are then sent to a computer. computer displays the different intensities of radioactivity emitted into different Q: Isofthere increased performing a 3D shades grey. This color map radiation shows the physician possible cold or hot spots of mammogram? cellular activity. A: Mammograms expose patients to very low levels of radiation. The level of radiation exposure fromthyroid a 3D mammogram is the same as that from a traditional Why do we do scans? mammogram. receives all the benefits increased risk. Your doctor So maya patient refer you for a nuclear medicinewithout thyroidany scan if it is believed traditional when a radiologist an see areawhether that is the partsWith of your thyroid mammograms, gland are not functioning properlyfinds and to

cancerous) and malignant (cancerous) thyroid nodules or lumps. Thyroid scans can A: The process of having a 3D also be used to evaluate changes in the gland following medication use, surgery, mammogram is the same as a radiotherapy or chemotherapy. conventional 2D exam. The technologist will position you, How toyour prepare thyroid scan compress breast, andfor takea images The referring physician or the imaging center performing the exam will provide from different angles. There’s no instructions on how to prepare. In the days prior to the3D examination, blood tests Using mammogram additional compression required, and it may be performed to measure the level of thyroid hormones in the blood. Often, technology, the only takes a few extra seconds. the patient will be advised not to eat for severalcancer hours prior to able the exam and wear was to be loose, comfortable clothing. It is also importantclearly to leave seen. jewelry and other metallic Q: Do insurance companies accessories at home or remove them prior to the exam, as these objects may cover 3D mammograms? interfere with the procedure. A:Depending Medicare, and many insurers, cover 3D mammograms. In the past, not on the typeprivate of exam, the radionuclide is either injected intravenously all private insurance companies covered 3D mammograms. However, in August (IV), swallowed, or inhaled as a gas. If necessary, a nurse or technologist will insert 2018, New Jersey a mandate requiring nearly major health insurers an IV catheter intoenacted a vein in the patient’s hand or arm.all If the an oral radiotracer is to cover 3D mammograms. used, it is typically swallowed up to 24 hours in advance.

Toms River X-ray has been performing mammograms

What to expect and serving the community for over 30 years. Our 3D

To begin the imaging partlatest of the on exam, themarket patient will lie flat onthe an most mammogram is the the and has examination table with their head tipped backward to expose the neck. The advanced technology. It is our mission to provide the very patient must remain still for short periods of time while the gamma camera takes best for our patients. We thank you for trusting us with your the images. These images will take approximately 8 to 10 minutes each. After health and the health of your loved the examination is complete, the technologist will check the images to ensure all ones. We look forward to offering areas were captured successfully. Occasionally, additional images are needed for you this significant advance in breast clarification. This should not cause concern, as the need for more images does not cancer screening. necessarily mean an abnormality was found. The nuclear medicine physician will provide a report to the doctor who ordered the thyroid scan.

Cyrus Khorrami, If your doctor has ordered a scanM.D. of your thyroid, please call Toms River X-rayDirector at (732) 244-0777. Medical

PARVIZ KHORRAMI, M.D. CYRUS KHORRAMI, M.D. Founder Medical Director PARVIN MOTEMADEN KHORRAMI, M.D.

732-244-0777

PET/CT Ultrasound CT Scan Diagnostic X-Ray

1.5 T and 3 T High Field Open Bore MRIs 3-D Mammography Nuclear Medicine Bone Densitometry

Deer Chase Professional Park • 154 Route 37 West • Toms River, NJ 08755 • Fax: 732-244-1428

www.TomsRiverXray.com5

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Health & Wellness

Health & Wellness R. Alberto Rosa, M.D., FACC

Dr. Ramon Alberto Rosa is a graduate of the University of Santo Domingo in his native Dominican Republic. He completed his post-graduate medical education at the University of Pennsylvania Graduate Hospital in Philadelphia with a residency in internal medicine (1991-1994), Chief Medical Resident (19941995), and cardiology fellowship (1995-1998). Dr. Rosa has practiced cardiology in Sussex County since July 1998. He has served as Medical Director of the Cardiac Catheterization Laboratory and as Chief of the Department of Cardiology at Beebe Medical Center in Lewes, DE. Dr. Rosa is trained in non-invasive cardiology, Nuclear Transesopageal Echocardiograms, as well as invasive diagnostic procedures and pacemaker implantations. Dr. Rosa is board certified by the American Boards of Internal Medicine and Cardiology. He is also a Certified Aviation Medical Examiner and is Board Certified in Nuclear Medicine.

Coronavirus-induced heart injury, lessons learned….. so far It has become clear that involvement of the cardiovascular system is common in COVID-19 infected patients. Around 25-33 % of hospitalized patients will show evidence of myocardial injury as defined by abnormal cardiac enzymes, detected on regular blood tests. The affected patients are generally older and have a higher incidence of hypertension, diabetes mellitus, coronary artery disease and heart failure. In addition, myocardial injury is associated with a more severe COVID-19 infection that often times requires the use of ventilators and is associated with higher in-hospital mortality. This disease affects multiple organ systems, in addition to the heart and vessels, lungs, kidneys, liver, intestines and brain. Several mechanisms of myocardial injury have been described with this coronavirus: Direct viral invasion of the heart cells (Myocytes), blood clots in both large and small vessels, inflammation mediated injury, stress-induced cardiomyopathy and actual heart attacks. Most of these

cases have been observed in prolonged coronavirus cases, longer than 14 days as a general rule. Coronavirus enters the human cells by attaching to the ACE-2 receptor on the cell surface through the virus spike protein, in the finger-like projections that make this virus so characteristically familiar to all of us. These receptors are abundant in lung, vessels and heart cells. The virus takes over the cells mechanisms to replicate itself and infect adjacent cells, rapidly extending to multiple organs. It is the body’s inflammatory response to counter the virus that causes the clinical syndrome that we see with fever, cough, general malaise, progressing to pneumonia, kidney failure, heart disease and other organ systems. The inflammatory response can lead to direct damage to the inside of small and large vessels in the major organs causing blood clots to form and create hypoxia (lack of adequate oxygen levels) at the different tissue levels. This is the main reason why the pneumonia caused by

The County Woman’s Woman’s Journal The 22 County I Spring 2021 Journal

the COVID-19 infection has turned out to be so different from typical ones. Current treatment for COVID-19 infection includes antivirals such as remdesivir, antiinflammatories such as steroids, anticoagulants such as heparin and convalescent plasma. The reality is that the vast majority of COVID-19 patients will have either none to mild symptoms. Those with preexisting conditions

(lung disease, heart disease, high blood pressure, obesity or diabetes) as well as older than 65 will be more predisposed to developing a more serious form of the condition can progress to severe lung failure or heart injury with its potential for a prolong disease or will be in the less than 1 % of patients than will not survive the infection. Prevention and early detection and attention remain the key factors. Wear your masks when out

in public places, especially indoors and keep your distance and your hands clean. Protective eye wear is also important. In the latter months of this pandemic, effective treatment protocols have been developed, and an effective vaccine is coming in 2021. Seek attention early if you are exposed or suspect you may have COVID-19. Do not fear medical care, this virus is here to stay a while longer, and we are learning to live with it!

Dr. Kenneth Sunnergren, MD • Dr. R. Alberto Rosa, MD Dr. Barry Denenberg, MD • Dr. G. Robert Myers, MD Dr. Ajith Kumar, MD • Penny Johnson, DNO, CRNP Samantha Ecrote, CRNP • Compassionate and Comprehensive Cardiac Care • Most Advanced Systems and Technology in Delaware

302.645.1233 • www.cvcde.com Offices in Lewes and Millville

WinterWoman’s 2020/2021 II # Winter 2020/2021 3 The County Journal

Medical Professionals

Health & Wellness

A Safe, Clean, And Friendly Environment

Kathy A. Banks, DMD Oral & Maxillofacial Surgery

Your Expert in the Face, Mouth and Jaws 249 S. Main Street Barnegat , NJ Specialty Lic #4070

609-488-2325 www.drbanksoms.com Office Hours: 8 AM - 5 PM (Mon. - Fri.)

• Bone Grafting •Dental Implants • General and Intravenous Anesthesia • Jaw Pathology and Reconstuctive Jaw Surgery

Mothers in particular have been forced to deal with COVID-19, quarantine, on-line school learning and home schooling, civil unrest, and the uncertainty and stress that accompanies the world we now live in. You have had to hold the family together through shortages of food and household items, and to comfort your loved ones and reassure them that they will be alright when our lives become more normal. You have had to explain to your children hand hygiene, social distancing and wearing a mask. The health and well-being of you and your family is of paramount concern. If you or your family members are suffering from any conditions regarding the face, mouth, and jaws, please know that our office is a safe, clean, and friendly environment for treatment. We have always adhered to the highest standards of asepsis and sterilization, a topic I have lectured on many times. We have changed our patient scheduling to allow for social distancing, and our office team members have always worn appropriate PPE to prevent transmission of diseases. We have continued these practices and have added further protective practices to enhance our safety. We are open every weekday and offer our full scope of services including injectable facial cosmetic enhancements, RevitaliZe dental implant solutions, wisdom tooth extractions, and treatment of children and adolescents for various oral and maxillofacial conditions with local, sedation, or general anesthesia options available. Please know that treatment is available for you and your family here in our modern, clean and friendly office where our number-one concern is your safety and comfort.

For more information, call 609-488-2325 or visit www.drbanksoms.com. The County Woman Magazine

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September/October 2020

Spring 2021 I 23

Veterinary

Brush Up on Pet Dental Care A Healthy Mouth Starts with Clean Teeth BY ELIZABETH POPE, DVM

Healthy teeth and gums play an important role in the overall health and well-being of our companion animals. Periodontal disease is one of the most commonly diagnosed conditions in adult cats and dogs; in fact, by age three, 80 percent of dogs and 70 percent of cats have some evidence of dental disease. Without good dental hygiene, your pet may have bad breath, drool, and experience pain while chewing. Left untreated, dental disease can result in pain, gum infection and tooth loss and eventually, bacteria can enter the bloodstream and cause liver, kidney and heart valve disease. Pets are good at hiding dental pain, so it’s important to try to prevent periodontal disease before it begins. Fortunately, your veterinarian can examine your pet’s oral health at their annual check up! If periodontal disease is present, your veterinarian will recommend a comprehensive oral health exam and treatment. A full oral examination cannot safely be performed on our pets while they are awake, so your pet should be under anesthesia so that we can safely and comprehensively examine, clean and polish their teeth. Pre-anesthesia blood work helps us identify possible problems that may not be evident during your pet’s physical examination and if the test results are abnormal, we will take special precautions to address these concerns prior to your pet’s cleaning.

Pet dental exams and cleanings are just like those for humans: Teeth are charted and probed for pockets and gum disease and then x-rays are taken to reveal things like abscesses, bone loss and impacted teeth. Calculus is removed from the tooth’s surface and under gum lines and then teeth are scaled with an ultrasonic scaler and polished. If unhealthy teeth are found on examination or on x-rays it may be recommended that those teeth are extracted or follow up care may be needed. The result? A healthy, clean and pain-free mouth! To help keep your pet’s mouth healthy between cleanings: •

• •

Brush his teeth daily & make it part of his routine! This is best introduced in our young patients and make it a positive experience by giving him his favorite treat or playing his favorite game afterwards. Switch to a VOHC (Veterinary Oral Health Council) approved dental treat or a dental diet. Add in a water additive to help fight plaque and promote healthy gums.

Dental health shouldn’t be taken for granted. Help your pet stay healthy and happy with good hygiene and regular dental care!

ELIZABETH POPE, DVM, is a New Jersey native and graduate of Oklahoma State University where she earned her doctorate in veterinary medicine. She is the owner of South Branch Veterinary Services in Lebanon, NJ. Make an appointment for your pet by calling (908) 335-9167 today.

FREE FIRST EXAM For Rescue & Shelter Pets Well pet exams only.

Call (908) 335-9167 today! 1127 Route 31 South, Lebanon, NJ, 08833

24 I Spring 2021

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Veterinary

Happy Clients, Healthy Pets Testimonials from our pet parents

We LOVE South Branch! The staff is professional, kind, and compassionate. I have taken six of my cats there for the past seven years. I would and have recommended them repeatedly to anyone looking for a veterinary practice. — Sharon M. I’ve brought my pets here for years. From the beginning of their lives until in some cases the very end they’ve been nothing but the kindest and accommodating staff you could ask for. — Terry L. My dog Dixie loves this place and has been coming for his entire life. Thank you for always taking good care of my boy. — Constance B. Wonderful staff! Caring, loving and sensitive. Treated Figo like he was the most special dog! (And the most handsome.) Thank you so much for being patient and making me feel confident that I chose the best place for my pet!— Christine T. South Branch is (obviously) super pet friendly. Not only do they treat our fur babies amazing - they are also very understanding and are always willing to accommodate with our busy schedules. 10/10 recommend! — Eliana A. Always a great experience. I know my cat is being well cared for, thank you! — Marie S. My experience with South Branch has been a very positive one. I have been bringing my dog for well visits for four years, and have been impressed with the staff’s knowledge and careful attention to the needs of my dog. I would highly recommend your practice to friends if solicited. Thank you for helping my family keep our “Nala” healthy and safe! — Cheryl L.

(908) 335-9167

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1127 Route 31 South, Lebanon, NJ, 08833

sbveterinary.com

Spring 2021 I 25

Profiles Profiles

Meet the Team of D R. E LIZABE TH POPE Dr. Elizabeth Pope is a small animal veterinarian and owner of South Branch Veterinary Services. Elizabeth Pope is a New Jersey native and went on to receive a Bachelor of Science degree from Washington & Lee University in Virginia and her medical degree from Oklahoma State University, Center for Veterinary Health Sciences. Dr. Pope has advanced training in abdominal ultrasound and dentistry as well as special interests in internal medicine and oncology. She resides in Hunterdon County on a small cattle farm with her husband Nick, a fellow small animal veterinarian, and their son Benjamin. At South Branch Veterinary Services she places a large emphasis on communication, preventative care and routine diagnostic testing; routine diagnostic testing is the best way to see potentially dangerous changes that may need to be addressed. “The entire hospital staff is constantly working to learn the best way to treat our patients. I am proud to be part of a group of individuals who strive to provide the highest level of veterinary care. As your pet’s veterinarian, I aim to give your pet the best possible care in an environment that they can enjoy. I think of the pet owner and myself as a team working and communicating together to keep their beloved pet healthy. I love to help strengthen the bond between a pet and their family and ensure a long and happy life for that pet.”

D R. R AC HAEL G OR DON Dr. Rachael Gordon is a small animal veterinarian who was raised in New Jersey and is a graduate of Rutgers University. She attended the College of Veterinary Medicine in Dublin, Ireland where she received her Bachelor of Veterinary Medicine. While in Ireland, Dr. Gordon managed her own veterinary hospital and served on the board of the Veterinary Ireland Companion Animal Society. She has been practicing veterinary medicine for over 15 years and is one of three veterinarians at South Branch Veterinary Services. In addition to treating dogs and cats, she is one of only a few veterinarians in the area with a special interest and extensive experience treating exotics pets and birds. Dr. Gordon has special training in abdominal ultrasound as well as special interest in orthopedic conditions and canine reproduction. Along with her colleagues, she works closely with local rescue organizations to provide care for pets in shelters and in foster homes. Dr. Gordon lives in Hunterdon County on a farm where she spends her free time working with her Portuguese Water Dogs which she shows and performs agility trials, and rescues donkeys.

D R. C ATHER INE R OTSIDES Dr. Catherine Rotsides was born and raised in New Jersey. She currently calls Union County home where she lives with family and two cats. Dr. Rotsides graduated from Stevens Institute of Technology with a degree in chemical biology and then attended veterinary school at St. George’s University in Grenada. After receiving her veterinary degree, Dr. Rotsides performed advanced training through a small animal medicine and surgery internship at Garden State Veterinary Specialists in Tinton Falls, New Jersey. After her internship, she worked as an emergency and critical care veterinary for several years. Dr. Rotsides continues to have a special interest in emergency medicine as well as interests in cardiac conditions specific to the dog and cat and soft tissue surgery. Dr. Rotsides has advanced training in small animal dentistry and enjoys providing the highest level of dental care for her patients. She values the bond between a pet and their owner and her extensive experience in emergency medicine has been a huge asset in her treatment of medical and surgical cases at South Branch Veterinary Services.

#26I Winter I Spring2020/2021 2021

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Animal Rescue

Everyone needs a pal...especially now! By Leah Jacobson, President Many companion animals find themselves homeless through no fault of their own. People surrender the family pet to shelters or rescue groups for a variety of reasons: moving and can’t find pet friendly housing, divorce, a new baby, allergies, changing work schedules or unable to afford vet care. Others simply tire of caring for their pet, and open the car door in an unfamiliar location near a farm or on the side of the road, dumping them like a bag of trash.

Rescuing a dog or cat saves them from the heartbreaking loneliness of abandonment. When shelters run out of room, euthanasia is sadly a real possibility with space needed for incoming animals. Rescue groups offer a lifeline by getting these animals out of harm’s way and freeing up shelter space. Rescue groups initially take the animal in, then volunteers feed and care for it, and take it to the vet to get it spayed / neutered and a thorough health checkup. After adoption readiness is certified, a foster family provides love and care while these loving animals wait for their forever home.

Wish List

Cats and dogs that come to us have often been members of a loving family. Sometimes they are found loose as strays. Even if we don’t know what their lives were like, we can get clues from their behavior: responding to certain commands, being housetrained, being comfortable walking on a leash, in a home, on a couch or a bed. Sometimes they’re scared or shy, and just need patience and TLC to blossom. Gateway Regional Rescue based in Stewartsville, NJ, accepts animals from people who can no longer keep their pets, good Samaritans who find a stray, and over-crowded shelters hoping to extend their rescue outreach. Since 2006 we have facilitated a weekly transport from high-volume shelters in Virginia that brings at risk animals to rescues and nokill shelters in NJ / NY that finds them homes. We have transported over 15,000 animals to safety!

If you are able to donate any of these much needed items below, please contact us to arrange pick up/drop off grrnewjersey@gmail.com.

Cat Food: Friskies Shreds (Canned, Any Flavor) Purina One Dry Cat Food (Or Any Brand) Cat Litter (Any Brand Clumping) Paper Towels Canned Dog Food (Purina One Any Flavor) Bleach • Laundry Detergent Frontline For Dogs • Advantage For Cats Extra Strength Tall Kitchen Garbage Bags

More Foster Families! More Volunteers!

We are a non-profit, 501(c)(3) group of volunteers in NJ / PA who foster animals in homes rather than a shelter. We provide vet care, socialization, training and love. Gateway works to find each animal the right home, assuring a good fit between adopters and companions. We are limited in the number of animals we can help by the number of available foster homes and budget constraints. Our funding and space depends solely on the kindness of donors and foster parents, not governmental funding.

grrnj.petfinder.com

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We also work to help prevent the problem of unwanted pets due to overpopulation. Many rescues and shelters are constantly flooded with cats and kittens, and we encourage the humane solution of TNR (trap, neuter, return) of feral and community cats living outdoors. We also promote the benefits of spay and neuter for all companion animals.

Go to our website at grrnj.petfinder.com for more information about Gateway Regional Rescue and to see our adoptable animals, or to our Facebook page facebook.com/ GRRNJ. To donate, volunteer or become a foster family, email us at grrnewjersey@gmail.com For even more adoptable animals check out petfinder.com for a mega database of shelters and rescue across the country.

facebook.com/grrnj

PO Box 64 • Stewartsville, NJ 08886

Nester 9 Year Old Rhodesian Ridgeback Mix

Without adopters, animals can face euthanasia, or sit in shelters or fosters homes waiting and waiting. This means another animal in need can’t be brought in. When one leaves the shelter or rescue, it opens a space for another. When you adopt a rescue animal, you really save TWO lives! So please, if you are looking to bring a 4-legged companion into your household, extend a hand to a rescue animal looking for a second chance. You’ll be repaid tenfold with love and devotion!

Morty and Bucky 3 Year Old Bonded Brothers

Victoria 1 Year Old Silver Tabby

Ariel 2 Year Old Calico

Precious (1 Year Old) And Billybob (3 Years Old)

Jester 3 Year Old Coonhound

Spring 2021 I 27

Health & Wellness

Home Health Care

The Live-In Caregiver Deborah Walsh,

Executive Director, HomeWorks Most of us understand the benefits of having a live-in caregiver and remaining in the comfort of one’s home. Consider for a moment the perspective of the caregiver who must move out of their own home, leave family behind, and move into a client’s home. We certainly understand the point of view of the client but want to take a moment to view it from the standpoint of the caregiver and to highlight the work that they do. Both the caregiver and client come from different backgrounds and personal histories. A caregiver must attend to a client’s most personal needs. A client must allow the caregiver to be privy to her personal life. Both are difficult. Yet, each needs the other and they compromise to make the situation mutually beneficial. Cultural differences, food choices, routines and more, come into play. A caregiver must navigate the client’s family relationships and discover how to fit into the family dynamic. She often advocates and speaks to family with and for the client as she gains more knowledge of the client’s needs and routines. We take for granted our dining routines; eating and mealtime is significant for all of us. In the caregiving situation, food is a key part of the equation for both the caregiver and the client. Often the caregiver is from a different culture. Buying familiar food and

meal preparation is something that takes considerable work so that both are content with the living situation. This process, the give and take, is significant in building the relationship. Companionship is another foundational element to building the relationship. Our caregivers spend time playing board games, cards, puzzles and more to interact with their clients. Going to dinner or lunch together or to church services and the beauty salon are also often on the day’s agenda. This special time together fosters the bond. The nurse who oversees the situation is always in touch and is essential in supporting this relationship. He or she will guide the caregiver and the client in getting past small hurdles and issues. We are often pleased to see the interesting combinations of caregiver and client who come together with HomeWorks. It is not unusual to have a caregiver from Africa preparing an Italian dish for a client or a client from the Mid-West enjoying a Jamaican dish. It can be an enriching life experience. At United Methodist Communities HomeWorks, we understand that both the client and the caregiver are entering a very new situation. We work hard to make sure personalities are compatible and the relationship can develop in a positive way. The tenderness, patience, and love expressed by our live-in caregivers are very special and often mimic a familial bond. Caregivers are sometimes alone with a client at end of life; they comfort the client, sometimes holding them in their arms at their last breath. They grieve with the family, and yet they continue to do their difficult work and start the process again with someone new. This is the life of a live-in caregiver. We appreciate them, respect them, and acknowledge the hard work that they perform for us at United Methodist Communities HomeWorks.

For more information, call 732-838-1950 or visit www.UMCHomeworks.org. In-home care for seniors. Call today for a free in-home assessment.

732-838-1950 • UMCHomeworks.org. 54 Olin St, Ocean Grove, NJ

Genovese Counseling Services

Counseling Services We Are Partners In Healing

Christine Genovese, LPC

Psychotherapist • Brainspotting Practitioner 125 E. Main Street, Suite 6 • Tuckerton, NJ 08087 553 New Road, Suite E • Somers Point, NJ 08244

609 568-6299

Email: healing@genovesecounseling.com

genovesecounseling.com The County Woman Magazine

28 I Spring 2021

Christine Genovese works with educators and other adults experiencing grief, anxiety and major life change. We are partners in healing.

Being invited into another person’s space to help them heal is an honor and a privilege. Seeking counseling is actually selfeducation, and learning about grief, anxiety and major life change, is a partnership. The focus of this practice is structured to support all adults including educational professionals who are experiencing stress, grief, anxiety, depression and major life change. Working through life changing experiences, no matter how great or small, can be difficult especially when navigating

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multiple situations at once. I am here to listen, validate what you are experiencing, discuss possible solutions, and hold space with you. Having worked in an agency setting as well as the school system has allowed me to develop a wide variety of methods for reaching people who are hurting or simply want to sort things out. Through the use of a pointer and a strong relationship, Christine and the client use the natural gaze to incorporate Brainspotting into the therapeutic session.

January/February 2021

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of Trade,Clothes Jewelers Weights and Measures. Jeweler’s Security Alliance eepBoard Your Board of Trade, Jewelers Weights and Measures. and is registered and certified Kristopher Mark Designs with the New Jersey Office of a member of the Jewelers heirisBoard Best! of Trade, Jewelers Weights and Measures.

Hunterdon County, at the well kn Business

About us: We take pride in being a small fa experienced butcher for over 41 y ere is what just a few of our customers have to say: Catherine, and three children Jac ove this place! Service is off the charts! Friendly and reliable. I’ve tried many dry cleaners the area and these guys are the best!” – Steph P. highest quality of meat available e e needed new outdoor patio furniture cushions, but they were not standard size. Maria ade the new ones look perfect…And they have zippers so I can even wash and clean the want to share their love of quality y. y.vers, how convenient!” – Chris R. e MEETING YOU!!!! (908) 735-9237 • perryvillews@aol.com rs harlie is the absolute best he takes care of his customers and their clothes. He is very

rs y.endly as well.” – Dylan

ereat place for cleaning suits, shirts, ties, etc. Also, I had two pairs of pants altered and rs e they fit my waist perfectly, no belt needed. Great service, reasonable pricing, and the ow We offer: Custom Jewelry Design, Design, wner, Charlie, is a greatWe andoffer: fun guyCustom to talk to.”Jewelry – Forrest B.

Our product list includes: Prime Breakfast, Ravioli and a large va website for more detail on our wi com/product. If you are looking f our best to get it for you!

In-store Jewelry Repair, In-store Jewelry Repair, Refinishing/Rhodium Plating, Sizing, meharlie is awesome. Been getting my clothes dry cleanedRing here for years now. They take Refinishing/Rhodium Plating, Ring Sizing, m Watch Batteries/Bands, Appraisals, etra special care of everything and I would highly recommend.” – Joe D. We offer: Custom Jewelry Design, Watch Batteries/Bands, Appraisals, e Cash Paid for Gold & Silver In-store Cash Paid Jewelry for GoldRepair, & Silver Refinishing/Rhodium Plating, Ring Sizing, m 33business Oldmost Highway 22 • Clinton, NJ 08809 of his life, and22 •beClinton, the mecca of fashion, but it was Italy that perfected 33 Old Highway NJ 08809 Watch Batteries/Bands, Appraisals, en the dry cleaning sfully turned around many struggling cleaners tailoring and garment care. Cash Paid for Gold & Silver n his career. He and wife Paola, son Joshua and s ter Marianna came here to quaint Clinton NJ Our customers are more than friends…Stop by, say as Old Clinton, st ago to settle 33 es in. They offer Highway a small business 22 •hello and be part NJ of the 08809 Professional Dry Cleaning kristophermark.com st 72 Route 173 West • Hampton, NJ 08827 own feel with old world class and pride of family. If you have time, kristophermark.com stay a little while the espresso

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Shirt Laundry • Tailoring Saturday: 8-4 Dry Cleaning

Monday, Tuesday, Thursday, Friday: 7-7

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Wedding Gown Preservation Winter 2020/2021 I # Monday, Tuesday, Thursday, Friday: 7-7 Saturday: 8-4 Closed Wednesday & Sunday

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(908) 200-7350

23 Old Highway 22 • Clinton, NJ 08809 elitemeatnj@gmail.com

www.elitemeatnj.com Spring 2021 I 29

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Business 24

Financial Independence

Planning for Marriage: Financial Tips for Women Planning for marriage should involve more than just picking out invitations and deciding whether you should serve chicken or fish at the reception. More importantly, you’ll want to take a look at how marriage will impact your financial situation. And while there are a number of issues you’ll need to think about, careful planning can increase the likelihood that you’ll have financial success as you enter this new chapter in your life. Consider a prenuptial agreement

Geeta K. Brana Senior Vice President Financial Advisor

Freedom Capital Management 960 Holmdel Road Building 1 Holmdel, NJ 07733 Email:GBrana@fcmadvisor.com Tel: 732-546-9315 Web: FCMADVISOR.COM Geeta K. Brana provides comprehensive wealth management and asset management advisory services to women in transition. Geeta has over twenty years of experience in the international capital markets. Her career started in London in 1995 with Lloyds Capital Markets, where she trained in all aspects of international finance and credit analysis. She joined Sumitomo Mitsui Banking Corporation in 2000, where she gained extensive experience of structuring and trading debt packages for multinational corporations throughout the United Kingdom, Eastern Europe, US and Japan. In 2003, Geeta began her career in the U.S. with Smith Barney’s Wealth Management Division (Citigroup), turning her extensive knowledge to helping individuals. In a primarily male-dominated environment, she was able to build a successful wealth management practice in Washington, DC and later New York City, working with high net worth individuals and institutions. After a career break while her children were young, Geeta has returned to wealth management through Freedom Capital Management (FCM), a boutique independent advisory firm with deep roots in Monmouth County, NJ. Geeta is also the Founder of WHEEL (Women Helping Educate & Enhance Life). Currently, the focus of Geeta’s practice is on “Women In Transition”; assisting women in all phases of their lives.

WHEEL.WOMEN.POWER WWW.WHEELFORWOMEN.COM Securities and investment advisory services offered through Royal Alliance Associates, Inc. (RAA), member FINRA/SIPC. RAA is separately owned and other entities and/or marketing names, products or services referenced here are independent of RAA. RAA does not provide tax or legal advice.

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30 I Spring 2021

If either you or your future spouse has or may inherit substantial assets, or if either of you has children from previous marriages, you may want to consider a prenuptial agreement. A prenuptial agreement is a binding contract between future spouses that defines the rights, duties, and obligations of the parties during marriage and in the event of legal separation, annulment, divorce, or death. A prenuptial agreement typically addresses the following areas: • Assets and liabilities--What assets will each of you bring into the marriage? What liabilities do each of you have (e.g., credit card/mortgage debt)? • Contributions of each partner--Will there be particular consideration given for special contributions that either of you make (e.g., one spouse limiting his or her career)? • Divorce--If you and your future spouse divorce, will there be alimony or a lump-sum payment? How will you divide assets purchased from joint funds? • Estate planning--Who gets what at the death of either spouse?

Discuss your financial history

Marriage is the union of two separate individuals ... and their finances. While talking about money can be a stressful topic for many couples, you’ll want to sit down and discuss your financial history and your future spouse’s financial history before you merge your money. Start out by taking stock of each of your respective financial situations. You should each make a list of your individual assets (e.g., investments, real estate) and any liabilities (e.g., student loans, credit card debt) you may have. This is also the time to address items such as how much each of you earns and if either of you has additional sources of income (e.g., interest, dividends).

Agree on a system for budgeting/maintaining bank accounts

Right now, you are probably accustomed to managing your finances in a way that is comfortable for you and you alone. Once you are married, you and your spouse will have to agree on a system for budgeting your money and paying your bills together as a couple. Either of you can agree to be in charge of managing the budget, or you can take turns keeping records and paying the bills. If both of you are going to be involved in the budgeting process, make sure that you develop a record-keeping system that both of you understand and agree upon. In addition, you’ll want to keep your records in a joint filing system so that both of you can easily locate important documents. Once you agree on a budgeting system, you’ll be able to establish a budget. Begin by listing all of your income and expenses over a certain time period (for example, monthly). Sources of income can include things such as salaries and wages, interest, and dividends. Expenses can be divided into two categories: fixed (e.g., housing, utilities, food) and discretionary (e.g., entertainment, vacations). Be sure to include occasional expenses (e.g., car maintenance) as well. To help you and your future spouse stay on track with your budget: • Try to make budgeting part of your daily routine • Build occasional rewards into your budget (e.g., going to the movies) • Examine your budget regularly and adjust/make changes as needed This might also be a good time to decide whether you and your future spouse will combine your bank accounts or keep them separate. While maintaining a joint account does have its advantages (e.g., easier recordkeeping and lower maintenance fees), it is sometimes more difficult to keep track of the flow of money when two individuals have access to a single account.

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If you do decide to combine your accounts, each spouse should be responsible for updating the checkbook ledger when he/she writes a check or withdraws funds. If you decide to keep separate accounts, consider opening a joint checking account to pay for household expenses.

Map out your financial future together An important part of financial planning as a couple is to map out your financial future together. Where do you see yourself next year? What about five years from now? Do you want to buy a home together? If you decide to start a family, would one of you stay at home while the other focuses more on his or her career? Together you should make a list of short-term financial goals (e.g., paying off wedding debt, saving for graduate school) and long-term financial goals (e.g., retirement). Once you have decided on your financial goals, you can prioritize them by determining which ones are most important to each of you. After you’ve identified which goals are a priority, you can set your sights on working to achieve them together. Resolve any outstanding credit/debt issues Since having good credit is an important part of any sound financial plan, you’ll want to identify any potential credit/debt problems either you or your future spouse may have and try to resolve them now rather than later. You should each order copies of your credit reports and review them together. You are entitled to a free copy of your credit report from each of the three major credit reporting agencies once every 12 months (go to annualcreditreport.com for more information). For the most part, you are not responsible for your future spouse’s past credit problems, but they can prevent you from getting credit together as a couple after you are married. Even if you’ve always had spotless credit, you may be turned down for credit cards or loans that you apply for together if your future spouse has a bad track record with creditors. As a result, if you find that either one of you does have credit issues, you might want to consider keeping your credit separate until your or your future spouse’s credit record improves.

Consider integrating employee and retirement benefits

If you and your future spouse have separate health insurance coverage, you’ll want to do a cost/benefit analysis of each plan to see if you should continue to keep your health coverage separate. If your future spouse’s health plan has a higher deductible and/or co-payment or fewer benefits than those offered by your plan, he or she may want to join your health plan instead. You’ll also want to compare the premium for one family plan against the cost of two single plans. In addition, if both you and your future spouse participate in an employer-sponsored retirement plan, you should be aware of each plan’s characteristics. Plans may differ as to matching contributions, investment options, and loan provisions. Review each plan together carefully and determine which plan provides the better benefits. If you can afford to, you should each participate to the maximum in your own plan.

Assess your insurance coverage needs

While you might not have felt the need for life and disability insurance when you were single, once you are married you may find that you and your future spouse are financially dependent on each other. If you don’t have life or disability insurance, you will want to have policies in place in order to make sure that your future spouse’s financial needs will be taken care of if you should die prematurely or become disabled. If you already have life and disability insurance, you should reevaluate the adequacy of your existing coverage and be sure to update any beneficiary designations as well. You should also take a look at your auto insurance coverage. Check your policy limits and consider pooling your auto insurance policies with one company (your insurance company may give you a discount if you insure more than one car with them). As for renters/homeowners insurance, you’ll want to make sure your personal property and possessions are adequately covered. NOTE: If you and your future spouse obtain joint credit, both of you will become responsible for 100% of the debt.

January/February 2021

The County Woman’s Journal

Law

Legal Professionals

Unable To Work?

We May Be Able To Help! James Treanor, Esq. Social Security Disability And SSI Specialist Over 20 Years Experience Handling SSD/SSI Cases Intitial Applications • Hearings • Federal Court Free Consultation Located in Toms River, NJ

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Change Your Life in 2021 Licenses May Be Available In Your Area

Woman Publishing Entrepreneurs Wanted ... Join other counties that are publishing or have an option to publish in the United States and BE YOUR OWN BOSS! We are looking for a few bright, energetic, creative women and men to publish our trademarked, copyrighted newspapers IN YOUR COUNTY, IN YOUR STATE, IN YOUR OWN BUSINESS! Join the fastest growing educational Woman’s Newspaper syndicated in the United States. MINIMAL INVESTMENT REQUIRED! References provided. Maximum return ... Be your own boss, set your own hours and make your life mean more! ALL TRAINING PROVIDED! If you are interested in developing with us in 2021 in your STATE, in your COUNTY ...

CALL 1.800.993.3822 Join the #1 Woman’s Educational Newspaper in the U.S. The County Woman Magazine

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January/February 2021

Spring 2021 I 31

Business Business

Hunterdon County Distribution Drivers Wanted Part Time! Earn $150 A Day! Flexible Hours! You Need: • A Reliable Car • A Neat Appearance • A Good Work Ethic • Has To Be Very Familiar With Hunterdon County • Great Personality • Perfect For Stay At Home Mothers • Be In Shape To Deliver Women's Newspapers To Offices In Hunterdon County

Call 1-800-99Educate (1-800-993-3822)

Part Time Sales Help Perfect For The Stay-At-Home Mom If you are not making $35,000 to $40,000 a year part time Then it is time to think of the Women’s Newspaper. We are looking for one part time sales person. We train for Hunterdon County.

Applicants have to have a great personality and work ethic! Work from your home and make your own hours.

Applicants must be bright, energetic, love to meet new people, and most of all, love our educational women’s newspaper with a passion!

CALL 1-800-993-3822 36 II Spring Fall 2020 32 2021

The The County County Woman’s Woman’s Journal Journal

Business & Leisure

welcome to

Beaver Brook Country CluB

Events Are Our Specialty New Jersey Bride Magazine’s former “Love It” award winner features renovated facilities and brand new menus, with unbeatable event packages and full-service catering. From weddings, to fundraisers, to business meetings, as well as parties and anniversaries; we can create dazzling events that meet all your needs. Our staff is available to sit down with you to customize the best possible package for your event. We host events of all types and sizes, and offer packages that are affordable and customizable. Our experienced catering and events teams will work to ensure that your special day not only exceeds your expectations, but also fits within your budget. We offer unparalleled service at every step, and go the extra mile to ensure your celebration is flawlessly executed. Weddings, Receptions & Bridal Showers: Our variety of indoor and outdoor venue options will make your event exceptional. Perched on a hillside with oak and maple trees in the background, our newly constructed gray slate patio with wooden arbor provides the perfect setting for your ceremony. We have everything you need for a spectacular indoor or outdoor ceremony / reception. The 2,500-square-foot ballroom overlooks Hunterdon Hills and Spruce Run Reservoir. Even in winter months, our setting is picturesque…Our adjoining cocktail lounge with wall of windows takes full advantage of magnificent views. Our spacious bridal suite, groomsmen suite, full bar and expert service staff will transform the perfect location into the perfect memory. Corporate Events: Turn your next business gathering into a scenic golf excursion at Beaver Brook with our immaculately maintained “must play” golf course and both indoor and outdoor event spaces overlooking the Hunterdon Hills. From small business meetings to large corporate functions, we have the amenities, staff, and resources to ensure your event’s success. Personalized to meet your management needs, allow us to assist with the coordination of half day or full day meetings that may include, breakfast, snacks, lunch or dinner. Utilize our audio/visual equipment including a wireless overhead sound system for networking, fundraising, training or add in a round of golf for your team building events. A “Must Play” Golf Course Originally designed by Alex Turnei as a private country club, the now-public Beaver Brook features three sets of tees to accommodate every level of golfer: the silver course (5,384 yds), the black course (6,328 yds), and the gold course (6,601 yds). Water comes into play on the sixth, seventh, and fifteenth holes, with newly renovated bunkers strategically placed around the course. Our signature fifteenth hole is one of the most demanding par 4’s in the area at over 450 yards. We offer a practice area and a Pro Shop. We also feature a large chipping area and putting green to help you perfect your short game. We feature a few leagues during warmer months (mid-April thru August). Our all-women’s league gathers for nine holes on Wednesday nights, and scotch ball is the game for our Friday night couples’ league. Learn, Play & Connect: Beaver Brook offers numerous opportunities for competitive or social play for golfers of all ages and abilities. From the Women’s and Men’s Clubs, to junior golf and group instruction, our programs are designed to help golfers enhance their skills while building friendships and connecting with others who share their interest in the game. Outstanding Tournaments, Fundraisers & Outings: Beaver Brook has hosted successful events for many businesses and charities. We boast a beautifully maintained championship-quality course, complimentary sponsorship signs, and tournament and fundraising assistance. Let our experienced staff take your next corporate outing, charity event, client meeting, gathering to the next level. About us: Located in Annandale, NJ, Beaver Brook Country Club is situated conveniently between New York and Pennsylvania and was previously named a “must play” course by Golfing Magazine. Newly owned and operated by the Catanzareti Family, locally born and raised, Ryan and his Father Pat are proud to offer their championship-quality golf course and spectacular event facilities to the surrounding communities and public from all over the Northeast.

25 country club Drive • annanDale, nJ 08801

(908) 735-4200 beaverbrookcc.com

The County Woman’s Journal

Private event Director Deb colantano 908-735-4200 ext 216 Dcolantano@beaverbrookcc.com

Spring Fall 2021 2020 I 33 39

Health & Safety

Community

Health & Wellness

Social Distancing -Alone Together We are living in times that have never been experienced before. In the past century, there have been just four pandemics. The last one was in 1918. Life, as we know it has been put on hold. Events cancelled, school is now in a virtual landscape, and undoubtedly someone you know has been affected by this disaster. Thanks to modern technology, we are still able to connect with our friends and loved ones either through a Google hangout, Zoom, or House party. In dark times, it is more important than ever to be a beacon of hope for your friends and family. Families all over the nation are spending more time together than they have in years. With the absence of full calendars, practices and other after school activities, there is more time to connect. When this time passes (and it will) most of us will come out better for it; more spiritually connected and definitely closer to our loved ones. Although there is currently no vaccine to prevent COVID-19, the best way to prevent the spread is to avoid being exposed. Those who are in close contact with one another, usually within six feet, spread it from person to person. Respiratory droplets are produced when an infected person coughs or sneezes. The droplets can land in the mouths or noses of people who are nearby or possibly inhaled in the lungs. Another silver lining The County Woman Magazine

The County Woman’s Journal 34 I Spring 2021

is that once you have contracted the virus it is unlikely you can get it a second time. Health officials have said that coronavirus antibodies are able to prevent a person who had the infection from getting it a second time. The best course of action at the present time is to minimize your chances of contacting the virus. We can do that in the following ways: • Washing your hands with soap and water for at least 20 seconds, especially after being in a public place. • You can use a hand sanitizer (if soap and water are not readily available) that contains at least 60% alcohol. • Avoid touching your face with unwashed hands • Sneeze into your elbow • Clean and disinfect frequently touched surfaces daily – this includes doorknobs, light switches, keyboards, and phones.

It is easy to feel helpless during times like this. One way to alleviate those feelings are to try and help where you can and right now our nation is facing a major shortage in blood donations. Donating blood is essential to the health of a community and the need right now is dire. The Red Cross has expressed concern over future blood shortages. If you can, give blood so they can maintain a sufficient blood supply for the weeks to come. Never have we been given this respite from our daily schedules. The stress and anxiety from the unknowns can be daunting. Try and take some time for self-care and making yourself a priority during the days ahead.

www.TheCountyWoman.com

May/June 2020

Fall 2020 I 15 The County Woman’s Journal

Business

Change Your Life In 2021 Licenses May Be Available in Your Area!

Women Publishing Entrepreneurs Wanted Join over 371+ counties that are publishing or have an option to publish in the United States and BE YOUR OWN BOSS! We are looking for a few bright, energetic, creative women and men to publish our trademarked, copyrighted newspapers IN YOUR COUNTY, IN YOUR STATE, IN YOUR OWN BUSINESS! MINIMAL INVESTMENT REQUIRED! References provided. Maximum return ... Be your own boss, set your own hours and make your life mean more! ALL TRAINING PROVIDED!

don The Hunter ty Coun A Quarterly

Educational

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the Women

FALL 2020

Somerset Hunterdon &

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page 31

If you are interested in developing with us in 2021 in your STATE, in your COUNTY call, references provided.

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Devi Patel, MD of Hunterdon Gastroenterolog y Associa Stress and the page 3

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Spring 2021 I 35

Recreation Recreation

THE WAKESURF BOAT THAT’S BUILT TO SURF/LOUNGE/ENTERTAIN/ SWIM/SNACK/CONNECT.

Yamaha’s premium Wake series offers the most versatile experience on the water for wakesports enthusiasts. Yamaha’s Wake boats feature premium technology, like the new integrated WakeBooster® on the 255XE and 255XD, as well as DRiVE® dual-paddle control system to increase your confidence inside and outside the wake. And with premium sound systems, spacious layouts, and Yamaha’s famous swim platform, you can enjoy every moment of relaxation when you’re not carving up the wate water. #RUNTHEWATER

©2021 Yamaha Motor Corporation, USA. All rights reserved. Follow instructional materials and obey all laws. Ride responsibly, wearing protective apparel and USCG-approved personal flotation device. Always drive within your capabilities, allowing time and distance for maneuvering, and respect others around you. Never drink and ride. Shown with optional accessories.

 Berlin, MD 410.641.3040

I Spring 2021 #36I Spring 2021

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The The County County Woman’s Woman’s Journal Journal

Recreation

No matter the course. No matter the competition. The 2021 GP Series from Yamaha is the fastest way to win every weekend. Performance-enhancing features like a new jet pump and intake grate, as well as an industry-first Auto Trim system, ensure victory is inevitable before you ever press start. With a sleek new redesign that includes integrated speakers, taking your victory lap has never been so much fun. #RUNTHEWATER

PROFESSIONAL RIDERS ON A CLOSED COURSE. ©2020 Yamaha Motor Corporation, USA. All rights reserved. Follow instructional materials and obey all laws. Ride responsibly, wearing protective apparel and USCG-approved personal flotation device. Always ride within your capabilities, allowing time and distance for maneuvering, and respect others around you. Never drink and ride. WaveRunner®is a Yamaha brand personal watercraft and not a generic term.

 Berlin, MD 410.641.3040

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 Ocean View, DE 302.402.6266

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The County Woman’s Journal Spring 2021 I 37

Owner Testimonials

Pamela J. Rizzo

Nineteen years ago I had never even heard of the Women’s Journal, and today I can honestly say the Women’s Journal most definitely changed my life. I had always made good money with my different business ventures, but the Women’s Journal has given me the freedom to control my own financial life, and also have the freedom to enjoy my family. I took a concept and gave it my own touch, and with hard work and consistently following the concept that I was trained in I have built an extremely successful paper.

Lynn K. Wolf

With the experience of publishing nine different County Woman publications, I can confidently inform you that this is one of the most exciting, rewarding, and successful business ventures for women entrepreneurs in any part of the nation. I originally born and raised in Minnesota and I have lived on the West Coast and the East Coast and many states in between. Some of my past careers include being a National Insurance Account Executive, Retail Operations Manager, Certified New Jersey Teacher and Teacher of the Year, but of these, I have being a County Woman Publisher to be the most gratifying on many levels. I guarantee that you will meet many incredible business owners and community leaders. Your publication will be the critical component in helping to launch a new business and/or successfully grown an existing business. The personal rewards are endless.

Change Your Life In 2021! CALL 1-800-993-3822

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38 I Spring 2021

The County Woman’s Journal

Business

CHANGE YOUR LIFE IN 2021 Licenses Available in Your County

Join 371 other counties that are publishing or have an option to publish in the United States and be your own boss! We are looking for a few bright, energetic, creative women and men to publish our newspapers in your county, in your state, in your own business!

Join the fastest growing educational Woman’s Newspaper syndicate in the United States. MINIMAL INVESTMENT REQUIRED! With maximum returns: be your own boss, set your own hours, and make your life mean more!

Women Publishing s Entrepreneur Wanted THE SUSS EX COUN

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Spring 2021 I 39

ountyw

Say Goodbye to Hemorrhoids! New, Pain-Free Method Takes Only 30 to 60 seconds! It’s now easier than ever to stop living with the discomfort and irritation of hemorrhoids. The board-certified male and female gastroenterologists at Hunterdon Gastroenterology Associates (HGA) use a new, nonsurgical, virtually painless treatment to make hemorrhoids disappear — with an in-office procedure that takes only 30 to 60 seconds! Since this new method earned FDA approval, our gastroenterologists have used it to resolve hemorrhoids for more than 400 Hunterdon and Somerset County residents. Like them, you’ll benefit from: 3 Treatment same day as the exam 3 Covered by most insurance 3 No at-home prep 3 No pain meds needed… before, during or after 3 No hospital, surgery, sedation or anesthesia 3 No down time – immediate return to activities 3 Driving yourself home… or even back to work! This new procedure represents a dramatic improvement in speed, ease, comfort and overall patient experience in the relief of hemorrhoids. Specially trained and highly experienced in this procedure, our doctors treat you in the privacy, comfort and convenience of our offices in Flemington and Somerville. Don’t suffer needlessly with the misery of hemorrhoids. Call HGA today to speak to one of our nurses about how this fast, easy, pain-free and minimally invasive procedure can lead you to a hemorrhoid-free life.

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Hunterdon Gastroenterology Associates

HD_HGA_Hemorrhoids_HCW_10x12.indd 1

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Hunterdon Doctors Office Building 1100 Wescott Drive, Suite 206 / 207 Flemington, NJ 08822

Somerville Office 135 West End Avenue Somerville, NJ 08876

Hunterdon Gastroenterology Associates

8/6/15 9:57 AM