October 2011 by New Jersey Life Health + Beauty

WINNING SMILE // SUPER VEGGIES // PILATES POWER

Health Beauty Catch Fall Fever!

FARMERS’ MARKETS, AUTUMN GARDENS, FAIRS & FESTIVALS

Outsmart

NJ DOCTORS WHO MAKE A DIFFERENCE PART III

A Pastoral Home TOP DESIGNER’S COUNTRY RETREAT

BREAST CANCER

Should you change your nose? FUN WITH FASHION

Get the “Mad Men” look

CHAOS ON THE FARM… where dogs rule!

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For the month of October, a percentage of the proceeds from the sale of any Breathe Easy cabinet will be donated to the Susan G. Komen Foundation

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KEY TO THE CURE Get the shirt. Shop the weekend. Show your support. Join Saks Fifth Avenue in the fight against women’s cancers. Get the shirt, designed by Elie Tahari, available exclusively at Saks Fifth Avenue this October. Then shop October 20 to 23, when Saks will donate 2% of sales to local and national women’s cancer charities.* Special thanks to Jennifer Hudson, the 2011 Ambassador for EIF’s Women’s Cancer Research Fund and Saks Fifth Avenue’s Key To The Cure.

*Saks will donate 2% of sales Thursday to Sunday, October 20 to 23, up to $500,000. Visit saks.com/KTTC to learn more. BERGEN COUNTY 201.646.1800 SHORT HILLS 973.376.7000 © SAKS FIFTH AVENUE 2011

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SILVER SPONSOR

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Contents VISIT NJLHB.COM

October 2011

47 HEALTH 48

EXERCISE

Reap some surprising health beneﬁts when you practice Pilates.

15 LIVING WELL 16

Designer Laura Bohn gives homage to nature — in simple, but bold-in-theirown-right statements.

DOCTORS WHO MAKE A DIFFERENCE — INTERNATIONALLY

IN SEASON

PROFILE

To NJ’s disco diva Gloria Gaynor, helping others is a true life calling. 66

CHARITIES

PETS

BREAST CANCER

The latest in diagnosis, treatment, and breast reconstruction.

To best-selling author Jon Katz, dogs are the ultimate muse — and his best teachers.

PUMPKINS

From festivals and pick-your-own farms to cooking and carving, here’s all you need to know about October’s favorite squash.

BETTER BREASTS

Natural ways to create the bosom of your dreams. GUIDE: PLASTIC SURGEONS

83 BEAUTY 84

HEADACHES

Stop migraines — and get back to living your life.

HOME+DESIGN

Four super-veggies in harvest now that will rev up your health. Plus: Inspiring farm-to-table recipes.

NATURAL WONDER

Make the most of cranberry season with these fresh cooking tips.

THE HEALTHY LIFE

Inspiring ideas for living happier, smarter, healthier. 20

ESSAY

VISIT

Discover the remarkable women behind the innovative “green” cosmetic lines Tata Harper Skincare and Naturopathica.

Gardening expert Ken Druse shares his secrets to making the most of autumn foliage. 90

BODY IMAGE

What you need to know before you decide to reshape your nose. 96

ASK THE EXPERTS

How to get your most brilliant smile. 98

JEWELRY

FASHION

100

CALENDAR

102

THE DISH

The state’s healthiest restaurants. 104

WINNER’S CIRCLE

NEW JERSEY LIFE HEALTH + BEAUTY (ISSN #21542759) is published six times a year (February/March, April/May, June/July, September, October, November/December) by Olsten Publishing, LLC, 55 Bridge Street, Lambertville, NJ 08530. Periodicals postage paid at Lamberville, NJ, and additional mailing offices. POSTMASTER: Send address changes to NEW JERSEY LIFE HEALTH + BEAUTY, PO BOX 5000, DENVILLE, NJ 07834-3000. Single copy price is $3.95. One year subscription is $9 for 6 issues.

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COVER: PATRIC SHAW, TRUNK ARCHIVE. THIS PAGE MASTERFILE.

IN EVERY ISSUE

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Often imitated, but never duplicated.

Cheryl Olsten, Publisher

TO ALL OUR FRIENDS AND SUPPORTERS, THIS LETTER IS TO ANNOUNCE

that this issue of New Jersey Life Health + and Beauty, after 14 years of publishing, will be our last. It comes with mixed emotions that I write this letter, since we are enormously proud of the magazine. We certainly changed the “face” of New Jersey in many ways by showcasing all the fabulous homes and gardens and private lives that we were given exclusive access to. Our change in editorial direction in the fall of 2009 to a “healthy lifestyle” publication was one that I was immensely proud of since it was a unique concept on the regional level — and I have no doubt will be copied. Whenever I had a position to ﬁll here at the magazine, editors from other New Jersey regional publications would always tell me they were given New Jersey Life to emulate — but they always said they were never able to produce anything close to our standards. As they say, “Often imitated, but never duplicated.” With that said, I extend a heartfelt thank-you to our readers, advertisers, and vendors. I sincerely appreciated your being a part of our journey. Also, a huge thank-you to the absolutely wonderful, talented editorial staff, our tenacious sales force, and creative Art Director at NJL H+B — they’re a great group of people and I’m grateful for having the pleasure of working with over the years.

COURTNEY WINSTON

Who knows what’s next, that’s what makes life interesting.

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We are tickled pink. Somerset Medical Center has earned national recognition for breast care services. The Sanofi-aventis U.S. Breast Care Program at Somerset Medical Center’s Steeplechase Cancer Center is only one of six in New Jersey to achieve full accreditation by the National Accreditation Program for Breast Centers, a program of the American College of Surgeons.

This accreditation is granted only to hospitals with a proven commitment to providing the highest quality breast care. From mammography through cancer treatment and recovery, patients can be assured that the care they receive meets stringent national standards. In addition to this latest distinction, here are other reasons why our breast care services are gaining national attention: • We are designated as a Breast Imaging Center of Excellence by the American College of Radiology. • Our team approach ensures that breast cancer patients receive the best treatment options. A patient navigator helps coordinate patients’ treatment plans in conjunction with the multidisciplinary team. • Along with offering the latest technologies we have earned a reputation for our caring, experienced staff, consistently ranking among the top in New Jersey in patient satisfaction. To make it even easier for women to get their annual screening mammograms, we now accept self-referrals. You no longer need a prescription to get this important screening. To schedule an appointment call, 908-704-3740.

Visit steeplechasecancercenter.com/breast for more information and to view personal videos of our breast care team.

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“We’ve turned

breast cancer radiation upside-down.” BENJAMIN ROSENBLUTH, MD RADIATION ONCOLOGIST

The quality of our radiation therapy and the skills of our radiation team rival those at major medical centers. We’re using innovative techniques including prone breast therapy, high-dose brachytherapy and IMRT to preserve healthy tissue and deliver highly targeted doses to tumors. And our radiation oncologists are highly respected in their fields. If you’re facing cancer, we can give you treatment options you may not have known you had.

To learn more or to make an appointment, call 1-877-HOLY-NAME (465-9626).

Healing begins here. www.holyname.org 718 Teaneck Road • Teaneck, NJ 07666

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Ride with Schumacher Chevrolet.

From left: Jennifer Tabaka, Annie Ulrich, Kathleen Ryan, Rita Hernandez

Welcome to the Softer Side of Auto Sales and Service... Schumacher Chevrolet. You’re right, there aren’t too many women-owned car dealerships, but mine is one of the most successful. We’ve achieved this success because we’re equally sensitive to both our women and men customers.

How may we help you enjoy your journey? Family owned and operated since 1932. Come join the family. Judith Schumacher-Tilton President

SCHUMACHER CHEVROLET Fastest growing Chevrolet dealer in New Jersey

I GM Service dealer

Contact Kathleen Ryan online, and see how easy and affordable Chevy quality and style can be. Please call or click today. kathleen@schumacherchevy.com

www.schumacherchevy.com www.GiveTheKidsHope.org

8 Main Street, Little Falls, NJ 07424

Sales: 1.877.493.0106

“Today’s Youth are Tomorrow’s Future”

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Health Beauty October 2011 • Vol. 2, Issue 5 PUBLISHER

Cheryl Olsten EXECUTIVE EDITOR

ART DIRECTION

Patti Verbanas

Laura Gharrity

MANAGING EDITOR

DIRECTOR OF ADVERTISING SALES

Liz Donovan

Andrew Shane

ASSISTANT BEAUTY EDITOR

ACCOUNT EXECUTIVES

Dana Ashburn

Barbara Bastardi Jennifer McLaughlin

PRODUCTION MANAGER

Lauren Johnson

NEWSSTAND

Kable Distribution

WEB EDITOR

Brianne Harrison Moore

CIRCULATION

EDITORIAL INTERNS

Jan Edwards-Pullin

Nicole Fano, Heather Panetta

FULFILLMENT

WEB INTERN

Jessica Talarick

Fulco Inc.

COPY EDITOR

ACCOUNTING

Steve Wilder

Vicki Lynn DeHaven

CHIEF FINANCIAL OFFICER

Steven E. Grabowski

NJL H+B’S ADVISORY BOARD

Meet the experts who work with us to bring you the most informative articles on how to live your healthiest life: Allergy and Asthma: Arthur Torre, MD, Co-chair, Pediatric/Adult Asthma Coalition of New Jersey. Beauty: Melissa Astone, LE, NCEA, SDSS and AIA, the Dermatology Group. Breast Health: Nancy Elliott, MD, FACS, Director of Montclair Breast Center. Bariatric and General Surgery: Karl W. Strom, MD, FACS; Medical Director, The Center for Advanced Bariatric Surgery, Mountainside Hospital. Cardiology: Robert T. Faillace, MD, ScM, Chairman, Dept. of Cardiovascular Services, St. Joseph’s Regional Medical Center. Chiropractic: Sigmund Miller, DC, Executive Director, Association of New Jersey Chiropractors. Complementary & Alternative Medicine: Adam Perlman, MD, MPH, Director of Integrative Medicine, Saint Barnabas Health Care System; Medical Director, the Carol and Morton Siegler Center for Integrative Medicine; Executive Director for the Institute for Complementary and Alternative Medicine at the University of Medicine and Dentistry of New Jersey. Dermatology: Robin Ashinoff, MD, Chief, Cosmetic Dermatology, Hackensack University Medical Center. Dental: Harvey S. Nisselson, DDS, Editor, Journal of the New Jersey Dental Association; Associate Clinical Professor, Columbia Univ. College of Dental Medicine. Fitness: Chris Miller, NASM, CPT, AFAA, Spinning, Owner of Maxﬁt. Holistic Healing: James Cowan, MD, and Maryanne Cowan, Advanced Dimensions in Healing. Nutrition: Shari Bilt Boockvar, MS, RD, Founder, Nutrifacts Inc.; Heidi Skolnik, MS, CDN, FACSM, President, Nutrition Conditioning. Optometry: Anna DiGeso, OD, Board Member, New Jersey Society of Optometric Physicians. Pediatrics: Lawrence D. Rosen, MD, Founder, The Whole Child Center Plastic and Cosmetic Surgery: William K. Boss, MD, PA, FACS; Clinical Professor, UMDNJ; Past Chairman Dept. of Plastic Surgery, Hackensack Univ. Medical Ctr.; Richard A. D’Amico, MD, FACS; 2008 President of the American Society of Plastic Surgeons; Member, Board of Directors of the Society of Plastic Surgery Skin Care Specialists and the American Society for Aesthetic Plastic Surgery. Psychiatry: Naomi Weinshenker, MD, Medical Correspondent and former faculty member, NYU Child Study Center; Naomi Greenblatt, MD, Founder, The Rocking Chair Women’s Wellness Center. Sports Medicine: Jack Kripsak, DO, Director of Sports Medicine, Somerset Medical Center.

OLSTEN PUBLISHING, LLC Subscription Information: If you wish to place an order, or if you have questions about your subscription, call toll-free at 866.528.1349. All rights reserved. Printed in the USA. Reproduction in whole or in part without permission of the publisher is prohibited. The publisher and editors are not responsible for unsolicited material. Return postage must accompany all manuscripts, photographs, and drawings. ©2011 by Olsten Publishing, LLC

Editorial office: 55 Bridge St., Lambertville, NJ 08530, 609.397.6340

Please recycle this magazine.

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To find out what we can do for you, call today for your confidential consultation and you’ll receive a complimentary skin care analysis.

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PUMPKIN CARVING

KEEP IT FRESH Make your showstopping jack-o'-lantern last through the season with these pumpkinpreserving tips: • Before carving, wash and dry the outside skin of the empty pumpkin, and wash your hands and tools in antibacterial soap to kill the bacteria that causes the pumpkin to rot. • After carving, apply petroleum jelly to the cut edges of the pumpkin to prevent it from drying. • If your pumpkin starts to shrivel from losing moisture, soak it in water for several hours. After removing it from the water, dry the inside with a towel to stop mold from growing.

GETTY

—Heather Panetta

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How Virtuous Are We? // Why to Adopt a Dog // Recipes to Eat and Wear

The Healthy Life 15 inspiring ideas for living happier, smarter, healthier

By Lee Lusardi Connor

LEAFING NEW JERSEY

October days are awash with spectacular foliage — and aweinspiring scenes are only a short drive away. Nothing beats the riot of colors in the canopy at the Delaware Water Gap ... unless it’s the views from the Monument at High Point State Park in Sussex County or from the top of Wawayanda Mountain in Passaic.

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For more information on trails and scenic views throughout the state, visit njhiking.com. To help time your trip, call the national Fall Foliage Hotline at 800.354.4595. And if you’re desk-bound but craving a pop of brilliant fall color, check out instacam.com for a range of webcam views from around the state.

To bring the magic indoors, gather fresh, non-brittle leaves and dip them, one by one, in beeswax that’s been melted in a double boiler. Hang them from a clothesline to dry, then attach clear thread to the stems and display the leaves — singly or in bunches — in windows or around your home to celebrate the essence of fall.

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The Healthy Life Our editors pick their favorite products for the new season.

FALL BEAUTY PICKS

This lavenderscented lotion is ecoand animal-friendly and is made with honey, botanticals, and essential oils. $24, redﬂower.com

No. 19, the newest perfume by Chanel, is available exclusively at Saks Fifth Avenue and Chanel Boutiques. $80–$115, saksﬁfthavenue.com

Give your hair “Oomph” with this moisture-infusing mousse by Eric Alt. “This product has ‘memory’ and will bring back body and shine to ﬂat, moisture-starved hair,” says Alt. $18, at Eric Alt Salon, ericaltsalon.com

SPA-LAPALOOZA The holidays are fast approaching, and you know what that means:

FACING: GETTY. THIS PAGE: MASTERFILE (SPA)

Schedule overload. All the more reason to fortify yourself during the Fall 2011 Spa Week, Oct. 10–16. That’s when more than 50 New Jersey spas will offer a range of healthy and beautifying treatments — from massage through Reiki and beyond — for just $50 each. How do you beneﬁt from this bonanza? Check out the list of participating New Jersey spas at njlhb.com/events, or make reservations at spaweek.com.

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The Healthy Life

GET SOME FACE TIME WITH YOUR PUMPKIN

New Jerseyans really are good fellas

PUMPKIN ENZYME MASQUE 1 CAN ORGANIC PUMPKIN PUREE 2 TSP FRESH LEMON JUICE

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1 TSP PUMPKIN SEED OIL 1 PINCH CINNAMON 1 PINCH NUTMEG

Place half the can of pumpkin puree in a bowl and mix in the lemon juice, pumpkin seed oil and spices. Mix together well. Apply the masque to your face and allow it to sit for about 10 to 15 minutes. Wash off with warm water for

a fresher, glowing complexion. Masque will last up to 5 days in the refrigerator. —David Parker, Co-Founder and “Cosmetic Chef ” of The Body Deli (thebodydeli.com)

WHERE TO FIND YOUR NEW BFF October is Adopt a Shelter Dog Month, and while adoption is a great thing for dogs, it also has significant health benefits for owners, says Betsy Saul, founder of the online database Petfinder .com. “Studies show that people with pets live longer, recover from surgery faster and with less pain medicine, and have lower blood pressure. Dogs also get us up and outside for walks and play,” says Saul, who launched Petfinder.com 15 years ago from her apartment in Somerset. (The online database is now credited with playing a role in 65 percent of all shelter adoptions nationwide.) To help new owners bond seamlessly with their dogs, Pefinder.com’s new “Fur Keeps” program offers dozens of free training videos online.

ISTOCKPHOTO (PUMPKIN AND BLANKET); MASTERFILE (DOG)

New Jersey is the second-most virtuous state in the nation, after Utah (reality show buffoons to the contrary notwithstanding). According to a recent report by 24/7 Wall Street, the Garden State makes the Top 10 for lowest rates of per-capita smoking, drug use, and drinking, while also boasting the lowest rate of driving under the inﬂuence. Put all that virtue to good use — donate a blanket to your local animal shelter. Or for volunteer opportunities, visit volunteernewjersey.org.

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The Healthy Life RECIPE:

ZUCCHINI SOUP BY HESTER GIDDINGS FROM DEMAREST FARM’S 100TH ANNIVERSARY COOKBOOK 1886–1986

Serves 4 as main course; 6 as an appetizer

Ingredients 6 medium zucchini 1 tsp butter 1 tsp oil 1 small onion, chopped 6 cups chicken broth 1 bunch fresh basil (leaves only) Pepper, to taste 1 tbsp plain yogurt (for garnish)

Process 1. Dice squash. 2. Heat butter and oil in saucepan.

3. Add onion. Sauté until soft. 4. Add chicken broth and basil. Simmer for 20 minutes. 5. Puree in food processor or blender. 6. Season with pepper. Serve hot or cold with a tablespoon of yogurt to garnish. Visit demarestfarms .com for more seasonal recipes that feature a different fruit or vegetable each month. (This month’s featured recipe is pumpkin cake.)

TAKE A (NATURAL) CHILL PILL Stuck in gridlock? Kids stressing you out? Overbooked your calendar? These grabon-the-go RESCUE Pastilles from Bach are a homeopathic way to take the edge off your daily stress and regain control. The alcohol- and sugar-free chewy tablets contain a potent combination of ﬁve ﬂower remedies. It’s like tapping the power of om — in a tin.

How to raise a stand-up kid

GETTY (SOUP AND KIDS)

October is Respect Week in New Jersey schools, as mandated by the state’s far-reaching new anti-bullying law. What can parents do to reinforce the idea of treating others with respect? “Adults have got to walk our talk, in terms of treating people in the family and outside of it with respect,” says Barbara Coloroso of kidsareworthit.com. “Nurture your child’s innate ability to care for other people, whether that takes the form of taking care of younger siblings or helping to raise money for a homeless shelter. The pastilles are available in two ﬂavors: black currant (shown) and orange and elderﬂower.

“And if someone makes a sexist or bigoted remark in your presence, don’t let it pass — show that you disagree,” she continues. “This models for children that it’s okay to stand up for a kid who’s being disrespected.” One study found that more than half the time, mean behavior stops within 10 seconds of a bystander stepping in to help.

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LIVING WELL // Home + Design

By CATHLEEN MCCARTHY Photography by JOHANNA FIORE

Renowned designer Laura Bohn creates a country oasis in the Delaware Valley by bringing the outdoors in.

Back to

Earth

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LIVING WELL // Home + Design

“The colors you see outside are the colors you see inside.” —Laura Bohn

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LIVING WELL // Home + Design

LAURA BOHN IS FAMOUS FOR DRAMATIC, MODERN SPACES, LIKE THE

loft she shares with her husband in the Village. But when it came to her country home in the Delaware Valley, she wanted the interior to reﬂect the pastoral landscapes outside every window. She used a palette of sage, gray, and brown to blend antiques with modern furnishings and painted the rooms pale gray and aqua to reﬂect the abundant natural light. “The colors you see outside are the colors you see inside,” she says. That includes her favorite color, chartreuse. “If I look outside, I see chartreuse everywhere. I have a chartreuse sofa that I use as a bench at the table on our patio. I even buy chartreuse grasses.” Bohn refers not just to the potted plants soaking up the sunlight pouring through the French doors in her bedroom, but also to the entire property, which she landscaped herself. Bohn and her husband Richard Fiore, a builder and developer, approached their weekend getaway as they do

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A neutral backdrop is calming and doesn’t distract from the objects in the room.

every project they share: They gutted the place and started from scratch. “We did everything ourselves,” she says. “We cleared the hedgerows and everything else off the property. We sculpted the land.” Designing a landscape is no different from designing a room, she insists. “It’s the same process. You start with the big things, then you add the texture and the color.” You won’t ﬁnd vivid red in a Bohn interior, and you won’t ﬁnd it in her garden either. “Purple hydrangea is as far as I go. Everything else is mostly texture.”

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LIVING WELL // Home + Design

Pale neutral and earth tones make the best backdrop for any interior.

Laura Bohn Recommends ANTIQUES

Barn sales, garage sales, ﬂea markets. “I love bargain hunting.” Brown Brothers Auctions, 2455 Rte. 413, Buckingham, PA, brownbrosauction.com. “This is the best of the country auctions in Bucks County, especially for box lots.” Rago Arts and Auction Center, Lambertville, ragoarts .com. “Very good source for art and antiques, much more sophisticated than Brown.” Center44, 222 E. 44th St., New York City, center44.com FLOORING, TILES, PAINT

Home Depot. “I use a lot of

bamboo ﬂooring and I’m a big fan of Porcelanosa tiles. You can buy them both there.” LIGHTING

The Lighting Center, 240 E. 59th St., New York City. lightingcenter-ny.com. “I use them for almost all my lighting. I contact them four or ﬁve times a day.” FURNISHINGS

First Dibs, 200 Lexington Ave., New York City, 1stdibs.com. “I buy a lot of modern stuff here, usually online.” Ikea. “They have fabulous kitchens and closets at amazing prices.” She also loves their accessories, frames and

stainless-steel fixtures; she uses the Ribba Picture Ledge for all kinds of applications. Marshalls. “I always find surprising, beautiful things there — everything from planters to boxes to accessories and lamps.” Latest finds: a huge, raw iron Ralph Lauren lamp for $100 and antiquestyle faux-stone mushrooms with moss for $10 each, three of which now perch on her stone wall. GARDEN

Mecox Gardens, 962 Lexington Ave., New York City; 257 County Rd., Southampton, N.Y. mecoxgardens.com

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LIVING WELL // Home + Design

When designing a landscape or room, start with the big things, then add texture and color. To Bohn, pale neutral and earth tones make the best backdrop for any interior, country or urban. “Gray is my favorite color,” she says. “A lot of times, people walk into a space I’ve just painted and say ‘Oh, this is a horrible color!’ But it’s a perfect background. You don’t walk into a space I’ve designed and say it’s a blue room or it’s a green room. You don’t know what color it is.” Bohn prefers pale green-gray. “Blue-grays are depressing but green-gray has a lot of light in it,” she says. “When the sunlight hits, it’ll go white. At different times of the day, it’ll look completely green, or not green at all. Then at night, it might just disappear.” A neutral backdrop is calming and doesn’t distract from the objects in the room. “But I also like the fact that it doesn’t

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interfere with anything you’ll ever do with the space. It allows you to change your mind. If I want to change the room with pillows or an accessory or throws, I don’t have to worry about the walls. I change colors in our house all the time. I also like to mix different materials and textures together, and neutral colors don’t distract from that.” It’s not unusual for Bohn to use several different materials on the surface of one room. Her bathroom alone has ﬁve different materials, including a porcelain slate ﬂoor, walls of textured concrete, and a surround of terrazzo-like recycled stone, glass, and broken mirrors. Bohn is always on the hunt for recycled materials with interesting textures and was an early adopter of concrete. Now that it’s become trendy and over-priced, she’s moving on to poured epoxies. She also prefers quartz products to granite in her kitchens, both for durability and appearance. Even with stone, pale earth tones rule. “If you go with a strong-colored granite, you’ll get tired of it,” she warns. “People forget that you’re going to display things on these surfaces. Browns or grays are much easier to live with.”

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LIVING WELL // Home + Design “I like to mix different materials and textures together, and neutral colors don’t distract from that.” —Laura Bohn

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LIVING WELL // In Season

THESE FOUR SUPER-VEGGIES ARE LOADED WITH MORE VITAMINS AND MINERALS THAN MOST FOODS AND ARE EXCELLENT SOURCES OF ANTIOXIDANTS. by Patti Verbanas

SUPER VEGGIE: BEETS Star Qualities: Beets rate superstar status because of betacyanin — the pigment behind their rich red color. Found in few other foods, this antioxidant works to combat inflammation in the body. Some studies have found that betacyanin may play a role in reducing the inflammation associated with heart disease. An excellent source of folate — important for healthy hearts and healthy pregnancies — beets are also a good source of potassium, fiber, and vitamin C. A one-cup serving of boiled beets provides about 34 percent of your daily folate requirement. Don’t toss the beets’ green tops. Rich in fiber, the roughage also tops the charts in vitamins A and K, which are necessary for proper blood clotting. How to Cook: Roasting beets, which brings out their sweetness, remains a favorite technique. For a quick meal, quarter and steam beets for 15 minutes. (This is preferred to boiling, which allows nutrients to leech out.)

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To further lock in nutrients — and to keep beets’ notorious staining in check — don’t remove the skin. It will slip off after cooking, thereby saving you the work of scraping them when they’re raw. “When trimming the greens, leave an inch of the stem on the top,” advises Elisabeth D’Alto, RD, of D’Alto Nutrition in Clifton. “If you cut the stem down, you’re exposing the beet, and the nutrients will leech out during cooking.” Cooking Tip: Using an ingredient with an acidic base such as lemon juice or vinegar when steaming, roasting, or boiling will intensify the beets’ color and keep it from fading. Did You Know… To keep staining to a minimum, wear kitchen gloves or rinse your hands and scrub surfaces with lemon juice after preparation. SUPER VEGGIE: SWEET POTATOES Star Qualities: Sweet potatoes are among the most nutritious vegetables. They are

ILLUTRATION, ISTOCKPHOTO. FACING, CLOCKWISE FROM TOP, LEFT: STOCKFOOD (3), KATHRYN COMUNE WATROUS

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Roasted Beet Wedges

Tangy Broccoli Salad

SERVES 4

SERVES 4 AS A VEGETARIAN MAIN DISH, 8 AS A SIDE DISH

lb medium fresh beets, peeled

tsp olive oil

tsp kosher salt

large bunch or 2 to 3 small bunches of broccoli, blanched and chopped medium

green apple, chopped

cup chopped ﬁgs (dried or fresh)

cup tamari almonds, coarsely chopped

cup Greek yogurt

sprigs fresh rosemary

Cut each beet into six wedges and place in a large re-sealable plastic bag. Add olive oil and salt. Seal and shake to coat. Place a piece of heavy-duty foil (about 12 inches long) in a 15 x 10 x 1–inch baking pan. Arrange beet mixture, place the sprigs of rosemary on top, and seal tightly. Bake at 400 F for 1 ¼ to 1 ½ hours or until beets are tender. Discard rosemary sprigs. —Delicious Orchards, Colts Neck

cup white balsamic vinegar

lemon, juiced

Blanch broccoli in boiling water for 2 minutes and rinse in cold water. Peel broccoli stems and chop stems and ﬂorets into medium-size pieces. Chop apple, ﬁgs, and almonds and add to broccoli. Mix together the yogurt, vinegar, and lemon juice. Toss dressing well with the broccoli mixture. —Dorothy Mullen, West Windsor Cookbook

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Garlic and Herb Sautéed Bell Pepper Strips

Sweet Potato Ravioli

SERVES 8

MAKES APPROXIMATELY 30 RAVIOLIS / 6 APPETIZER-SIZE PORTIONS

tbsp olive oil large red bell peppers, seeded, cut into 1/ 2-inch strips large yellow bell peppers, cut into 1/2-inch strips cloves ﬁnely minced garlic Salt and fresh-ground black pepper, to taste tbsp red wine vinegar tbsp chopped basil tbsp chopped Italian parsley Toasted Italian bread to garnish

In a large skillet, heat the olive oil over high heat. Add the pepper strips, and sauté for 4 to 5 minutes or until the peppers begin to soften. Turn the heat down to low, and add the garlic, salt, and pepper. Sauté for 2 minutes more. Turn off the heat and add the vinegar and herbs. Toss to combine. Transfer to a bowl and allow cooling to room temperature. Toss again, adjust seasoning, and serve with toasted bread. —Delicious Orchards, Colts Neck

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RAVIOLI 1 lb sweet potatoes 1 tsp olive oil 1 tsp ﬁne sea salt 1 tbsp sweet unsalted butter 1 tbsp honey 1/

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tsp nutmeg, freshly grated package wonton skins, approx. 60 pieces spray bottle ﬁlled with water

Preheat a convection oven to 375 F. Coat the sweet potatoes with olive oil and sea salt. Roast the sweet potatoes on a sheet pan for approximately 40 minutes or until they are fork-tender. Allow the sweet potatoes to cool to the touch, but keep warm. Remove the skins and place sweet potatoes, butter, honey, nutmeg, and salt (to taste) in a blender. Puree to a creamy consistency. Allow the mixture to cool completely. Lay half of the wonton skins on a clean table. Place a small amount (approx. 2 tsp) of sweet potato puree in the center of each wonton skin. Using the spray bottle, cover the wonton skins with just enough water to moisten them. Lay the other half of wonton skins over the puree and press around the perimeter to connect and seal the wonton skins together. Gently place the raviolis on a parchment

paper–lined sheet tray and freeze until ready to cook. SAUCE 1 tbsp sweet unsalted butter 1 tsp black trufﬂe oil 1/ 2 tsp fresh lemon juice Fine sea salt, to taste

In a small sauté pan, over medium heat, melt butter until it begins to brown. Add the black truffle oil, lemon juice, and season to taste with the salt. Keep warm. GARNISH 6 sage leaves, chiffonade 1 tbsp black trufﬂe, rough-chopped (if available) 6 tbsp green pumpkin seeds, lightly toasted 2 tbsp Parmesan cheese, grated TO SERVE

Bring an 8-quart pot of water to a rolling boil and season with 2 tbsp of salt. Place raviolis in water and cook for 2 to 3 minutes. Carefully remove the raviolis from the water and divide them among 6 plates. Add the sage and chopped truffles to the sauce and drizzle over the plated raviolis. Sprinkle the pumpkin seeds and grated cheese over the raviolis and serve immediately. —Corey Heyer, executive chef, The Bernards Inn, Bernardsville

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LIVING WELL // In Season

Soak, then wash all vegetables — even organic — under cold running water for at least a minute, especially if you’re eating them raw or eating the skins.

excellent sources of vitamins A (in the form of beta-carotene) and C, antioxidants that destroy free radicals, which can damage cells and lead to heart problems and cancer. They are also rich in manganese, potassium, and fiber. Eat the skin, which boosts your fiber. How to Cook: Bake ’em, roast ’em, mash ’em, slice ’em into fries — sweet potatoes are as versatile as their white cousins. Consider pairing the potatoes with a lean protein such as turkey or chicken, suggests Susan Gralla, a registered dietitian at the Vernon Nutrition Center at Ramsey. Cooking Tip: “Incorporating a bit of fat with your sweet potato will help you better absorb the beta-carotene,” says D’Alto, who suggests trying a baked sweet potato with cinnamon and crushed walnuts as a source of healthy omega-3 fatty acids. Did You Know… How you cook a sweet potato affects its glycemic index value — how quickly glucose is absorbed in your body. “When a sweet potato is boiled,” D’Alto says, “it will release glucose more slowly than if it is baked,” which will result in slow absorption of the sugars and cause only a mild rise in your blood sugar, keeping you satisfied longer.

on a crudité platter (pair with hummus or low-fat ranch dressing). They also work well stir-fried, roasted, or chopped and sprinkled into salads, entrées, or soups. Cooking Tip: Since sweet bell peppers are one of the “dirty dozen” foods with the highest pesticide residue, you might want to consider buying organic, Gralla says. Did You Know… Color matters. “The different colors show the stage of a pepper’s ripeness,” D’Alto says. “It starts out green and then matures to yellow, orange, then red. A red pepper contains 11 times more beta-carotene from vitamin A than a green pepper. It also has more vitamin C: A cup of sliced raw red peppers has 2½ times more vitamin C than an orange.” SUPER VEGGIE: BROCCOLI Star Qualities: This disease-fighter is a rich source of folate, vitamin C, and vitamin K, which has anti-inflammatory

properties. It also helps rid toxins from your body. How to Cook: Like peppers, broccoli is at its nutritional finest raw. Or you can sauté, roast, or lightly steam it. D’Alto recommends steaming or blanching over boiling, which can cause nutrients to leech into the water. To keep from overcooking the broccoli into mush, steam for just five minutes. Cooking Tip: If you do boil broccoli, recycle the water. “Use the boiled broccoli water to make whole-wheat pasta — it’ll absorb the flavor and the nutrients,” says D’Alto, who suggests mixing the wholewheat pasta with olive oil, pine nuts, and broccoli florets, with fresh herbs and spices, to taste. Did You Know… Broccoli promotes bone health. It’s a good source of calcium and bone-building vitamin K.

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SUPER VEGGIE: BELL PEPPERS Star Qualities: This veggie provides a riot of color to your plate and is rich in vitamins, minerals, and fiber. An excellent source of vitamins C and A, peppers are one of the most powerful sources of antioxidants, D’Alto says. They are also a key source of vitamin B6 (which helps keep your metabolism in check), bone-building manganese, and brain-boosting potassium. How to Cook: Since peppers are at their nutritional best when eaten raw, they excel H B 29

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LIVING WELL // Charities 1 “PREVENTION FIRST” DAY In July, the International Polo Club of Colts Neck raised funds for Prevention First, which provides anti-bullying and substance abuse programs at schools.

1. International polo star Nacho Figueras and Simon Garber, founder of the International Polo Club of Colts Neck. 2. Nacho Figueras takes to the ﬁeld. 3. Yellow Cab vs. SLS Jets. 4. Angelica and Bianca Fattal, founders of Paterson-based cake ball maker Sweet Jane Lynn.

2 STARRY NIGHT GALA

Star-Studded EVENTS

New Jerseyans came out in full force to support and raise awareness for children’s health and cancer research. by Lauren Johnson

5. Gary and Sylvia Platzer. 6. Robin Albers, Regional V.P., ACS; Helen Taverna Reagan, Starry Night Gala (SNG) Committee; Mark Reagan, SNG Honoree; Barbara Ann Sellinger, SNG Chairwoman; Nancy Audet, SNG Executive Committee. 7. Valerie Camara, SNG Committee, with her husband, Mark Greenlee.

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1, 4: SYLVAIN GABOURY FROM PATRICK MCMULLAN. 2, 3: MONIKA GRAFF. 5–7: KEVIN HICKEY.

In June, the Hamilton Farm Golf Club in Gladstone was the setting for this American Cancer Society fundraiser.

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Curators of Fine Country Properties

UÄtv~ytÇ YtÜÅ On one of the prettiest roads in Solebury Township, this gracious antique stone manor house is nestled into a hillside overlooking a stream. A meandering drive opens to the handsome residence with a stone terrace creating a sense of presence. The restoration has been done with exquisite taste and attention to detail. An inviting center hall is flanked to the right by a formal dining room with fieldstone fireplace and to the left by a lovely living room with fireplace, and an elegant library. The tall ceilings with lovely crown moldings accent the stately rooms with deep windows featuring glorious views. The absolutely divine kitchen, centered around a mahogany island, has concrete countertops and Carrera marble tile backsplashes. Accoutrements for fabulous entertaining! The chic kitchen is outfitted with top-of-the-line appliances including a Wolf 6-burner range with hood, Sub-Zero refrigerator-freezer and a pull-out microwave drawer. A newly installed mud room and powder room for guests are nice, practical additions. The second floor, with commanding views, has an exquisite main suite with fireplace, Saks Fifth Avenue dressing room, luxurious bath with soaking tub, marble double sink and oversized shower. Two other bedrooms have a refined elegance. The gorgeous bathrooms are all accented by fine Italian marble. The third floor is beautifully finished with four rooms which could be childrens’ bedrooms and play room, guest suites or office. On 23 lush acres, Blackfan is truly a fine Bucks County estate. $3,950,000

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215 862 2626

609 397 5667

One South Sugan Road, New Hope, PA

Sixteen Bridge Street, Stockton, NJ

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LIVING WELL // Pets

Clockwise from top, left: Sunrise at Bedlam Farm. Rose takes a break from herding sheep to give Katz a kiss. Katzâ&#x20AC;&#x2122;s newfound interest in photography has opened him up creatively. Lulu is one of two donkeys on the farm. Lenore, the affectionate Lab, reminded Katz how to love. The dogs of Bedlam Farm take a break.

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LIVING WELL // Pets

THE TRUTH ABOUT

Katz and Dogs WHEN WRITER JON KATZ LEFT BEHIND HIS SUBURBAN ESSEX COUNTY LIFE AND MOVED TO A SECLUDED FARM IN UPSTATE NEW YORK, HE LEARNED THAT LETTING HIS LIFE GO TO THE DOGS WAS THE BEST DECISION HE EVER MADE. by Liz Donovan | photography by Jon Katz

JON KATZ DIDN’T REALIZE THAT WILD PIGS WERE

vicious. He learned fairly quickly, though — at some point between taking a walk in the woods and catching sight of a pack of them charging toward him. “They’re nasty; they have teeth!” he recalls, still sounding a little shocked by the discovery. Luckily for him, Rose, his border collie, had better survival instincts than her 50-something-year-old bespectacled owner. Without a cue or moment of hesitation, she ran behind the pack and nipped at the pigs until they were herded out of sight. Now just a funny story about getting accustomed to farm life, that incident wasn’t the ﬁrst — or last — time the best-selling author had his working dog to thank for saving him. “When I ﬁrst moved to the farm, I was in a pasture, and a ram came up and hit me from behind,” Katz says, his

voice rising with excitement as he recounts the story. “I banged my head into the fence post and broke my glasses. I was bleeding and couldn’t see anything. The ram was coming at me, and the donkeys were going crazy — it was like a riot up in the pasture. Rose was a puppy at the time. She either jumped over or dug under the fence and came rocketing up the hill and just attached herself to the ram. She herded the sheep together and put them on the other side of the pasture, and chased the donkeys away. Suddenly, order had been restored. Then she gave me this very disgusted look, like, ‘What are you doing here?’” That same question must have popped into Katz’s head at some point after making the decision to literally run for the hills. A mystery writer and former journalist, Katz had been living in a congested corner of northeastern New

Jon Katz’s latest book, Going Home: Finding Peace When Pets Die, was released last month and offers advice on grieving for pets. “As our relationships with animals have become more intense, our grieving becomes more intense,” Katz says.

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LIVING WELL // Pets

See more of Jon’s photos and read his blog at bedlamfarm.com/blog.

Jersey and struggling to ﬁnd creative inspiration. His solution was to forgo the traditional midlife crisis–inspired Mercedes purchase in favor of a secluded 100-acre farm in upstate New York. “A lot of people have this idea that as you get older, you have to get rid of everything and pare down for the great march into the abyss,” he says. “I didn’t like that idea. I think being older is a great opportunity to do and try new things, especially as a writer.” The drastic change in scenery inspired Katz to explore a new writing topic — his dogs. Since then, he has written seven books, one that inspired a movie starring Jeff Bridges (“A Dog Year”), and started a blog with his own photography. It all began with Orson, a border collie whose tales of terrorizing New Jersey are recounted in A Dog Year: Twelve Months, Four Dogs, and Me and A Good Dog: The Story of Orson, Who Changed My Life. The challenges of trying to train Orson taught Katz a great

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deal not only about dog behavior, but also about his own weaknesses. “The wisest words anyone spoke to me were from a trainer in Bangor, Pa., named Carolyn Wilki of Raspberry Ridge Sheep Farm,” he says. “When I was yelling at Orson, trying to get him to lie down around the sheep, she said, ‘I have bad news for you, Katz. If you want a better dog, you’re going to have to be a better person.’ I knew exactly what she meant. I had to be more patient, more open, calmer, and less frustrated. Each dog I’ve had has forced me to get better with that. The more I’ve done that, the better I’ve done with the dog, and the better I’ve become.”

The wisest words anyone ever spoke to me were “If you want a better dog, you’re going to have to be a better person.”

Next came Rose, the working dog he purchased to help him with the farm and the subject of his novel Rose in a Storm. Through her, Katz learned the value of a dedicated and relentless spirit. “Rose has the ﬁnest work ethic of any creature I’ve ever met. She doesn’t cut corners; she’s not bribable. She has this incredible focus. Whenever I go to write

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LIVING WELL // Pets

a book, I think, ‘How does Rose do these things?’ Then I just sit down and do it. I see her as a partner in running the farm. She has a very intuitive sense of what the task is.” Allowing his dogs to lead him through new experiences later landed Katz in another unexpected place: a hospice in the Adirondacks. He volunteered there with Izzy and was impressed by the border collie’s innate ability to connect with a cancer patient. Soon, the two were visiting end-of-life patients on a regular basis and ﬁnding the experience both emotionally charged and inspiring. “We would go into a house or nursing home, and Izzy would ﬁnd the person who was in need and just go to them and be very appropriate and calm and loving with them,” Katz says. “I can’t say I trained him to do it; he just seemed to have an intuitive gift for it. It was a powerful experience, and one of the richest animal experiences I’ll ever have. It’s amazing to me how people would be comfortable talking to a dog when they’re at the edge of life … and at the funeral, Izzy would go and sit beside the casket.” The stories of the hospice work are recalled in another of Katz’s novels, Izzy & Lenore: Two Dogs, an Unexpected Journey, and Me. Katz explains that Lenore, a clumsy but loving Lab, also does hospice work but still needs a little work on her bedside manner. “[The visits have] been curtailed in a few incidents where the patient’s food has mysteriously disappeared,” he laughs. “We’re working on it, but she’s a Lab, and forced to choose between compassion and a hamburger, she seems to go with the hamburger.” That said, Katz credits Lenore’s affectionate nature to helping him “keep love alive.”

It’s amazing to me how people would be comfortable talking to a dog when they’re at the edge of life.

“In a sense, Frieda helped bring Maria and me together. The way we started communicating and getting close was through the dog,” he says. “Frieda and I each got a second chance.”

The last dog to join him at Bedlam Farm was Frieda, a shelter dog with a volatile temperament whom Katz has nicknamed “The Hell Dog.” It took a year of throwing beef jerky at the untrusting Frieda before she learned to like him, but her approval came with a major beneﬁt: the affection of Maria, who is now Katz’s wife. She was a ﬁber artist who used one of Katz’s barns as a studio and made it clear from the get-go that she and Frieda were a package deal.

Having lived on Bedlam Farm for more than a decade, Katz couldn’t imagine any other life — and he never forgets that his dogs are to thank for it. “I think the best things in my life have to do with my connections to people, and the best things my dogs have done for me is connect me to people. Animals are at their best and are happiest when they work in service to people,” he says. “They have been nothing but great gifts to me: They brought me my wife, my farm, my writing and books, and photography. It’s one gift after another. I’m very grateful to them.”

Through his experiences with Izzy and Lenore, Katz began exploring photography, taking pictures of the hospice work and sharing the images and stories on his blog — adding a new dimension to his career. “Photography has been a wonderful and new part of my life. It’s very organic. The pictures change the way I see the world.”

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LIVING WELL // Pumpkins

P g n u i m h t p y k r i e

No th

ing says “Octtober” better than th he nutritious, decorative pum mpkin n. Make the mosst of the sea ason by seleccting the e best pump pkins fo or cookin ng and carving, spe endiing the day at a ha arvest festtival, and dining g out at resta aurants that high hlight this versatile gourd on their menus. by Ronaa CChe herr rryy 36 H B

Go Green! Kabocha squash, aka Japanese pumpkin, is known for its sweet ﬂesh.

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LIVING WELL // Pumpkins

The trees are changing colors, the breezes whisper of frost, and once again New Jersey’s farms are dotted with ripe orange pumpkins ready to be taken home and carved. You’re probably already seeing pumpkins everywhere: in doorways, on front lawns, and outside your local grocery store. It’s great fun to visit a sprawling farm to pick your pumpkins straight from the vine. “Pumpkins kick off the fall for many people,” says Dave Karl of Delicious Orchards in Colts Neck. But there is so much more to this highly recognizable fall gourd than a scary jack-o’-lantern or decorative table display. Pumpkins are a nutrient-rich super food with loads of health beneﬁts. Need some reasons to try them in something other than a pie? Here are six: 1) They boost your immune system. Pumpkin, a variety of squash, is rich in vitamin C, an antioxidant that keeps the immune system strong. The gourd is also high in carotenoid antioxidants, including beta-carotene and alpha-carotene. Once consumed, beta-carotene and alpha-carotene are converted by the body to vitamin A, critical for healthy vision and skin.

Cancer Society says supplements may not offer the same cancer protection. 3) They could save your vision. Pumpkins deliver two carotenoid antioxidants — lutein and beta-cryptoxanthin — that reduce the risk of cataracts and age-related macular degeneration. 4) They fill you up with very few calories. A good source of fiber, pumpkins are low in calories. One cup of cooked and mashed pumpkin that is stirred into foods you prepare has 3 grams of fill-you-up fiber, which the body uses to lower bad cholesterol and to control blood sugar, and 49 calories. A slice of plain, whole-wheat toast, in comparison, has about the same amount of fiber and 128 calories.

2) They may cut your cancer risk. A diet high in carotenoids is linked to lowering the risk of a wide range of cancers, including lung, bladder, and breast cancers. Try to get your beta-carotene from foods such as pumpkins since the American

9 Great Places for Pumpkin-Picking There are lots of outstanding family-owned, pick-your-own farms in the Garden State. Some only offer pick-your-own pumpkins, gourds, and squash, while others feature a wide range of activities, including hayrides and corn mazes. Following are nine farms to check out (call ahead to conﬁrm times and farm conditions).

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Abma’s Farm Market & Nursery, Wyckoff, 201.891.0278, abmasfarm.com. Alstede Farms, Chester, 908.879.7189, alstedefarms.com. Demarest Farms, Hillsdale, 201.666.0472, demarestfarms .com. Hamilton Farms Greenhouses and Farm Market, Boonton Township, 973.334.6528, hamiltonfarms.com.

Melick’s Town Farm, Califon, 908.439.2318, melicksfarm.com. Norz Hill Farm & Market, Hillsborough, 908.371.2697, norzhillfarm.com. Riamede Farm, Chester, 908.879.5353, riamede.com. Secor Farms, Mahwah, 201.529.2595, secorfarms.com. Terhune Orchards, Princeton, 609.924.2310, terhuneorchards .com.

Spend a day at the farm! Picking pumpkins, then carving them, gives families an opportunity to have fun together.

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LIVING WELL // Pumpkins

Pumpkin Festivals

The Pumpkin Land Festival. Hayrides, carnival rides, Halloween costume contest, the “Pigtucky Derby.” Open every day from mid-Sept.

Have You Ever Wondered…. Who came up with the word “pumpkin”? The name “pumpkin” originated from the Greek word for “large melon” or pepon. Later, the French adapted the word to pompon, and the English changed it to pumpion. American colonists then changed the word to “pumpkin.” Is it a fruit or a vegetable? Although the New Jersey Department of Agriculture classiﬁes pumpkins as vegetables, many consider it a fruit since it has seeds. Why are pumpkins orange? Pumpkins contain a rich supply of carotenoids — derived from the word “carrot” — which are deep orange, yellow, or red-colored compounds that occur in a variety of plants. What should I look for in a pumpkin? If you are looking for a pumpkin for show, choose a jack-o’-lantern. However, if you plan to cook a pumpkin, smaller varieties are best. Cooking pumpkins usually weigh 4 to 8 pounds. You can use winter squash as a substitute for cooking pumpkins. Hubbard squashes are frequently used in place of pumpkins because of their similar ﬂavor. What was the largest pumpkin ever grown? The record for the largest pumpkin ever grown was broken in 2010 with a Wisconsin pumpkin weighing 1,810.5 pounds.

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through Oct., 10 a.m.–5 p.m. weekdays; 10 a.m.–6 p.m. weekends and holidays, Heaven Hill Farm, Vernon. heavenhillfarm.com. The 2011 Pumpkin Festival. Pumpkins, scarecrows, crafts, rides on the “Pumpkinliner.” Oct. 2, 12:30–5:30 p.m., Whippany Railway

5) They keep your body going strong. Pumpkins are a good source of potassium, which keeps your cells, nerves, and muscles running smoothly. Potassium may also lower your risk of high blood pressure, heart disease, and stroke. 6) It’s good for your bones. It’s not just the insides of the pumpkin that are healthy. Even pumpkin seeds, or pepitas, the part of the pumpkin that is usually thrown away, have a boatload of nutrients, including concentrations of bone-strengthening magnesium and copper, and antiinﬂammatory omega-3 fatty acids.

Museum, Whippany. whippanyrailwaymuseum .net. 20th Annual Pumpkin Festival. Craft show, music, games, food, and a Halloween parade at noon. Oct. 15 (rain date Oct. 16), 10 a.m.–4:30 p.m., Historic Cold Spring Village, Cape May. hcsv.org.

nothing that can’t be pumped up with pumpkins. Pumpkins appear on menus in curries, casseroles, breads, pumpkinﬂavored pasta dishes (think ravioli), pancakes, and yummy desserts from mousse to gelato. “People are experimenting and cooking with pumpkins more,” says Kurt Alstede, owner of Alstede Farms in Chester. “They are especially roasting pumpkin seeds, and making soups and pies.” Even Starbucks has reported that its pumpkin latte made with espresso, steamed milk, and pumpkin sauce, has been one of its most popular seasonal specialty coffees.

Not All Created Equal Before you start eyeing your Halloween If that’s not incentive enough to scoop pumpkin for dinner, understand that not out the ﬂesh of a pumpkin, also note that all pumpkins are created equal: some the Japanese, whose diets help them rate are for cooking, and some are for carvhigh in longevity in the industrialized ing. Steer clear of large, jack-o’-lantern world, are pumpkin lovers, preferring size pumpkins, which, despite their great it roasted or simmered. And the French looks, don’t make for good eating. They (who also do better than Americans on life tend to be watery, bland, expectancy), use pumpand stringy. Instead, kins interchangeably Pumpkins are opt for one of the small, with any winter squash incredibly versatile. eating varieties, often in a variety of delicious soups and stews. They can be pureed, labeled “pie,” “sugar,” One of the great mashed, baked, boiled, or “cheese” pumpkins, since they provide a things about pumpkins or roasted, and can richer, sweeter ﬂavor. is that they’re incredibly go sweet or savory. “We sell a lot of cheese versatile. They can be pureed, mashed, baked, There’s almost nothing pumpkins and blue boiled, or roasted, and that can’t be pumped hubbard squash (which tastes a lot like pumpkin) can go sweet or savory, up with pumpkins. because they are meatier depending on the spices and better to work with,” you use. There’s almost

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Pumpkins, hayrides, scarecrows, and more! Live it up at some of the many fun pumpkin festivals being held in the Garden State this month. Here are a few:

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LIVING WELL // Pumpkins

Pumpkins to Order Pumpkins will be on plenty of New Jersey restaurant menus this fall. Some places you might want to try: • Doris & Eds, Highlands, serves pumpkin cheesecake made

from New Jersey–harvested pumpkins. 732.872.1565, dorisandeds.com • Gladstone Tavern, Gladstone, offers a special “Pumpkin Menu” (Oct. 25–31), with pumpkin drinks, pumpkin chili, pumpkin-

duck conﬁt risotto, pumpkin ice cream, and lots more. 908.234.9055, gladstonetavern .com.

• The Frog and The Peach, New Brunswick, offers pumpkin gnocchi. 732.846.3216, frogandpeach.com.

• Inn of the Hawke, Lambertville, serves pumpkin cheesecake. 609.397.9555.

TOP: STOCKFOOD; BOTTOM: GARDEN PICTURE LIBRARY

says John Melick of Melick’s Town Farm, which has locations in Oldwick, Califon, and Bridgewater. The Fun Factor Of course, for most in the Garden State, the real joy of pumpkins has nothing to do with cooking. “Most people still pick pumpkins for decorative reasons,” says Melick, who says his farm grows 10 varieties of pumpkins “of all shapes and sizes” for retail, wholesale, and pick-your-own sales. In many ways, pumpkins have become synonymous with fall fun. There are pumpkin festivals and dozens of “agritainment” destinations — farms where families can wander picturesque acres, enjoy a hayride, purchase pies, and meet local growers. “More and more families are looking for fun activities closer to home,” says Tannwen Mount Washburn, of Princeton’s Terhune Orchards, which has ﬁve acres of jack-o’-lantern pumpkins. “Picking pumpkins, then carving them, gives families an opportunity to have fun in their own backyards.” Indeed, Alstede says he has seen a “steady, continued, and sustained” growth in the popularity of pick-your-own activities. “People feel safe on a farm,” he says. “It’s a great way to spend a day.” This year, Alstede will grow 75,000 large jack-o’lantern pumpkins and an equal number of small ones for cooking and decorations on nearly 50 acres. “More and more people are going to farms for their pumpkins rather than their local grocery store,” he says. “What better way to celebrate the fall harvest season than to come out and pick a pumpkin.”

Pumpkins have become synonymous with fall fun.

Pumpkin Chutney YIELDS ABOUT 1 QT.

tsp crushed red pepper

cup diced red onion

tsp salt

cup diced red pepper

tsp clove

cup golden raisins

tsp cinnamon

2 cups diced pumpkin 1/ 1/ 1/

2 2 2

cup sugar

cup cider vinegar

cup water

1 tbsp fresh ginger, ﬁnely diced

2 2

4 4

Combine all ingredients in a pot. Bring to a simmer, stirring often. Cook slowly until liquid thickens and ingredients

are tender (about 20 min.). —Tom Carlin, Chef/Owner, Gladstone Tavern

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LIVING WELL // Essay

WHEN PLANTED WITH THE RIGHT SELECTIONS, YOUR GARDEN CAN MAKE A GLORIOUS CURTAIN CALL IN THE FALL. NEW JERSEY GARDENING EXPERT

Written and photographed by

KEN DRUSE

Ken Druse

INVITES YOU INSIDE HIS PERSONAL GARDEN AND SHOWS YOU HOW TO EXTEND THE SEASON.

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To me, one of the surest signs of fall — and the saddest from the standpoint of a gardener — is the appearance of hemispheric potted chrysanthemums at the supermarket. Chrysanthemums are best planted in the spring when they’re not blooming

so that they can settle in before the first frost. My garden features Korean hybrids in soft colors, such as Sheffield Pink and Korean Apricot — simple daisy blooms that are quite unlike the pompom versions found at the store. These plants get a little floppy, a little relaxed, but I would take that any day over the meatball-mum alternatives, which are pinched nearly every week until the fourth of July and are sometimes sprayed with a chemical growth retardant to give them their uniform shapes. Those tight “earth-tone” floral globes are awfully popular, I suppose, because most folks are not aware of many alternatives to creating an autumnal garden. Here are some of my tried-and-true suggestions: Plant trees with colorful leaves: I’ve introduced many deciduous trees in my garden for the sole purpose of savoring that moment in the fall right before they lose their leaves. Perhaps the most obvious example is the sugar maple, which is one of the most colorful trees and wellsuited to the cool northern New Jersey weather. Also worth considering is the Nyssa sylvatica for a pop of bright red. I have two Parrotia persica trees, also famed for colorful leaves, as well as one species and two varieties of the yellowing Japanese katsura trees: the tall weeping version

Facing: The rustcolored top plant is Sedum spectabile ‘Autumn Joy.’ The white ﬂower in the middle is one stray, late Nicotiana alata (ﬂowering tobacco) blossom. The plant at the bottom is Aster ‘Purple Dome.’ Below, from left: Maples, like the bright orange tree Ken Druse grew from a seed, are known for their autumnal color. Ornamental grasses (Miscanthus ‘Morning Light’) can be beautiful when touched by frost. A rarely grown shrub is the male Korean spice bush, Lindera glauca.

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LIVING WELL // Essay

Clockwise, from left: Crabapple ‘Zuni.’ Paperbark maple. Naturally narrow ‘Newton Sentry’ sugar maples have been planted on one side of a circular lawn with a “fountain” of ornamental grasses (left) and the seven-son ﬂower shrub (right).

(Cercidiphyllum japonicum ‘Morioka Weeping’) and a shorter version (Cercidiphyllum japonicum ‘Pendula’), which is wider than it is tall. These three trees have an added bonus: Their falling leaves are fragrant, filling the air with the scent of caramel. The Liquidambar genus, also known as Sweetgum, has green, dark-purple, and creamy-yellow leaves that appear on the tree at the same time. Similar to that is the final tree in the season to show color — the overcup oak, Quercus lyrata. Consider fruit as another color source: Trees and shrubs both offer fruits that add a speckling of color to the garden, even during the fall. The Chinese quince — with leaves in purple, green, and flecks of yellow — bears oval fruits that turn yellow and hang on for months. Although not native, crabapple trees have colorful fruits as well as leaves. I try to grow as many native berried plants as I can to provide food for local birds. Gray dogwood bears white berries on magenta stems, but the fruits are taken quickly as the days grow short. On the other hand, the winterberry (Ilex verticillata) produces brilliant fruits that last well into winter because it offers animals the carbohydrates they need late in the season. (Tip: Only the female plants bear fruit, and you must have at least one stud holly to serve the fruiting shrubs.) Select plants that remain colorful in the fall: There are many herbaceous perennials that have interesting fall leaf color. I admire Amsonia hubrichtii, with stems that are like plumes and that push 30 inches up from the soil, ultimately turning pink, orange, and then yellow as winter approaches. Many plants are best after they have been bitten by frost — the ornamental grasses, for example. Also, Aster flowering plants provide more color than chrysanthemums, and tall Sedum varieties look as good after their flowers dry as they do in blossom. Later in the season, they turn espresso brown.

Don’t feel that you have to completely avoid exotic or alien plants: I do grow plants

There are many herbaceous perennials that have interesting fall leaf color. I prefer Amsonia hubrichtii, with stems that are like plumes and that push 30 inches up from the soil, ultimately turning pink, orange, and then yellow as winter approaches.

that are not indigenous, providing they are not potentially invasive. For example, I have the seven-son ﬂower (Heptacodium miconioides), which blooms in summer. I include it here because after the fragrant white petals fall, the green sepals begin to turn color, and in autumn, they are deep coral. Also, I adore the Korean spicebush Lindera glauca, a shrub that has wonderful autumn leaf colors. After the ﬁrst killing frost, the leaves turn tan and persist right through the winter and until the new leaves of spring push the old ones off the twigs. (To avoid the non-indigenous fruit that the female plant produces, I grow only the male plants.) So don't think your garden season has to end when the frost hits the pumpkin — some plants are still getting ready to go out with a bang. Ken Druse is an organic gardener, writer, photographer, designer, and naturalist. His radio show, "Real Dirt," is recorded in Sussex County can be heard on kendruse.com.

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The practice is now accepting new Medicare patients.

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RAKING SAFETY

FALLING LEAVES Your kids may be excited to jump in those leaf piles or stuff a pumpkinshaped trash bag, but before getting started on this autumn chore, make sure you take the proper precautions: Pick a rake that is appropriately sized. It shouldn't be too long, too short, or too heavy for you to use comfortably. Wear gloves and rubber boots or sneakers to prevent blisters and slips. Warm up and stretch for at least 10 minutes before beginning.

GETTY

Don't twist. Always keep your torso centered and avoid throwing branches over your shoulder. Source: The American Academy of Orthopaedic Surgeons

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LIVING WELL // Exercise

Pilates’

HEALING TOUCH

by Robin Westen

Ask Pilates devotees how the techniques they’ve learned have improved their lives, and the chorus of praise is likely to be loud and enthusiastic. Pilates, a core-based workout, is known for creating toned and sculpted bodies, drawing from about 500 low-impact exercises done on a mat or with specially designed equipment. The moves are executed only a few times (as opposed to countless reps), and precision is key. Practitioners will tell you they’ve experienced improvement in their flexibility, balance, coordination, posture, and abdominal strength. Since Pilates exercises can be modified to suit individual issues, the method is also helpful for people with specific concerns, such as a bad back,

joint problems, or injury rehabilitation. As if that’s not enough to recommend the workout, it turns out Pilates can be a powerful tool in helping relieve some of our most frequent health complaints, including stress, weight gain, and headaches. Doctors conﬁrm the beneﬁts of the practice in dealing with these common issues. “With Pilates, patients focus on controlled breathing, body awareness, and postural alignment — all of which contribute to the relief of stress and, as a result, stress-related conditions,” explains Randi Protter, MD, medical director at Capital Health’s Center for Women’s Health in Hamilton. “Because conditions like backaches and tension headaches are wors-

Visit njlhb.com/ﬁtness/true-to-the-core to learn more about the basics of Pilates.

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PRACTICING PILATES HAS SOME SURPRISING BENEFITS WHEN IT COMES TO COMMON HEALTH CONCERNS. FIND OUT HOW THIS BALANCING, CORE-TRAINING POWERHOUSE ALSO CAN HELP YOU DE-STRESS, LOSE WEIGHT, AND FIGHT OFF HEADACHES.

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ened by poor posture and muscle spasms, Pilates can directly benefit patients who are suffering from these issues.” (As with any new exercise program, consult with your physician before beginning Pilates.) Although Zane Rankin, owner of The Pilates Corner in Lambertville, does not approach one specific exercise as the remedy for particular health issues, he does use a combination of exercises to achieve improvements in overall health. “If you’re doing Pilates the correct way, it’s about breathing, alignment, and coordinating both sides of the body at the same time, which keeps energy flowing through the body more evenly,” he explains. “When energy is flowing without blocks, the result will help you approach your everyday activities with less stress.” Read on to find out how Pilates can help you manage these common concerns.

STRESS Joseph Pilates, who invented and promoted the exercise program in the early 1900s, said “one must move without tenseness.” By this, he meant that only the muscles required for a speciﬁc activity should be used during exercise, while all the others should stay relaxed. In keeping with his instruction, students learn “selective relaxation of muscles.” In this technique, students close their eyes and systematically tense particular muscle groups in their bodies — such as neck, legs, arms, shoulders, chest, and even face — hold for up to 10 seconds, and then release, one at a time. Lisa Glavan, owner of IM=X Pilates Studio in Atlantic Highlands, has observed the way Pilates works with her students to relieve anxiety. “A lot of my clients are busy moms and working professionals,” she says. “They walk into my studio stressed to the max, and it’s hard for them to leave their day behind. But once they’re here, they breathe, focus, and can release the tension they’ve been holding in their bodies.” Sometimes Glavan offers slight hands-on help. “If I notice their shoulders are lifted up to their ears, a big tension sign, I’ll offer a feather touch to the top of their shoulder — and it reminds them to relax.” In some ways, Pilates, like yoga, can also H B 49

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LIVING WELL // Exercise be a form of meditation in motion. During a concentrated session, clients learn to forget their irritations and concentrate on breathing and their body’s movements. One of Glavan’s clients who excels in this area is going through breast cancer treatments and just had her fifth surgery. “When she first walked into my studio, her stress and anxiety were understandably off the charts. But through Pilates training, which accommodates her physical challenges, she’s learned that regardless of what’s going on with her breast cancer, she still has control over her body,” Glavan says. “This knowledge, which she’s gained with the ability to work her muscles, has reduced her stress and given her a renewed strength and confidence.”

WEIGHT LOSS It’s no secret that weight gain can hijack confidence. It’s also no secret that reducing calories and exercising are surefire ways to lose weight. Even though Pilates isn’t a weight-loss program, there are several ways it helps people drop those extra pounds. For example, Pilates promotes deep and efficient respiration — essential for calorie-burning. A bonus: Pilates concentrates on proper alignment, which creates a longer and leaner look. Audrey Laurelton, owner of Equilibrium in Montclair, sees other weight-loss benefits. “If you’re doing Pilates regularly, you’re creating lean muscle mass, which is essential for burning calories effectively,” she says. “Muscle burns about 35 calories at rest, while an untoned body only burns off one to three calories.” Laurelton also points to the way Pilates’ concentration on the core helps to drop unwanted pounds. “People tend to lose weight around their abdomen, and since Pilates works that area of the body, clients notice their clothes are fitting better in only a few weeks. It’s a terrific motivator and puts them in the right mindset to stay on track.”

HEADACHES Some headaches can be mitigated or prevented by staying in the “right” frame of mind. According to the National Headache Foundation, 45 million Americans get chronic, recurring headaches. It’s common for most sufferers to reach for over-the-

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We share jeans and genes. counter medications or prescription painkillers, but Pilates, which increases awareness, relaxes neck muscles, increases mobility of the spine, oxygenates cells, and reduces stress, can actually help a headache caused by tension. Tension headaches are the most common type and are typically described as a band-like vise that creates pressure and pain uniformly around your head. They may involve the neck, as well. There are many stressors that can make us prone to tension headaches, primarily poor head and neck alignment and other postural issues. That’s where Pilates comes to the rescue. As both a physical therapist and Pilates instructor, Katz notes that poor postural habits may cause headaches as the cervical and thoracic muscles overwork to keep the head upright. The Pilates Method strengthens the core muscles, which are the basis of good posture, and allows the “overworked” muscles to relax. “Tension headaches are often triggered by forward head syndrome [FHS],” Markowitz says. This condition is caused when the head and ears are habitually held in a position forward of the shoulders, causing the muscles at the base of the skull and in the neck to overwork and tighten, which reduces blood flow and leads to headaches (as well as lower back pain). “A qualified Pilates instructor can help to cue the client to relieve tension in the shoulder, neck, and mid-back.” Cuing involves giving the student verbal directions or using imagery or anatomical vocabulary. For example, to help manage FHS, Markowitz will cue a student who is supine on a mat to “slowly nod her chin to chest and release back to neutral while visualizing a space the size of a tangerine between both points.” She recommends between three to five reps of this exercise. Pilates, like other exercises, helps to release feel-good brain chemical endorphins, which, in turn, halt the loop of negative, obsessive thoughts — the kind that feed stress and can bring on tension headaches. In fact, a combination of Pilates and stress-reducing lifestyle changes might turn that frequent noggin-knocker into a once-in-a-blue-moon annoyance.

My grandmother had breast cancer. So did my aunt. That’s why I always get an annual mammogram and, when it’s time, so will my daughter. I chose Englewood Hospital because they detect more early stage breast cancer than other hospitals in the state. The Breast Care Center at Englewood Hospital features all-digital mammography and a dedicated Breast MRI System that offers unprecedented 3D imaging. The Center’s High Risk Breast Cancer Program offers genetic counseling, risk assessment, prevention plans and emotional support. And our new Patient Navigator helps guide breast cancer patients through diagnosis and treatment. For the best in breast care, trust Englewood Hospital, designated a Center of Excellence by the ACR and NAPBC. For a referral to a physician, call 866.980.3462. For more information, visit englewoodhospital.com.

Fully accredited by: Note: Englewood Hospital’s diagnosis of Stage 0 cancer is 32% vs. 19% NJ State average – NJ State Cancer Report H B 51

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HEALTH // Natural Wonder

A CRUSH ON

Cranberries These ruby beauties are harvest-ready in South Jersey’s bogs — and with all their health beneﬁts, it’s no wonder people are falling in love with the “jewel of the Pine Barrens.” by Allison Highbrook The Lenni Lenape tribe certainly recognized a treasure when they saw it. The indigenous people of central and southern New Jersey were the ﬁrst in the state to harvest cranberries, using them for everything from food to textile dyes — even to draw poison from arrow wounds! The berry, as versatile as it is buoyant, is most known today as a nutritional powerhouse and as one of New Jersey’s top harvests. (We rank third in production, behind Wisconsin and Massachusetts.)

Cranberries are superstars when it comes to fighting infections. “They are one of the richest sources of the proanthocyanidins, antioxidants that help reduce the risk of urinary tract infections,” says registered dietitian Elisabeth D’Alto of D’Alto Nutrition in Clifton, who cites a U.S. Department of Agriculture study that ranked cranberries and cranberry juice cocktail among the top five foods in antioxidant content per serving. “Emerging research also shows that cranberries may reduce harmful bacteria in the mouth and stomach, and they may have anti-aging benefits by protecting the brain from neurological damage.” The regular consumption of cranberries also promotes heart health. A Canadian study showed that men who drank about 16 ounces of cranberry juice daily over a four-week period boosted their HDL (“good” cholesterol) by 8 percent. Plus,

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RICHNESS OF RED

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HEALTH // Natural Wonder

Cranberry Apple Crisp SERVES 6 1 BAG FRESH CRANBERRIES 1 CUP GRANULATED SUGAR 1 CUP WATER 2 TBSP ORANGE BRANDY (OPTIONAL) 1/ 2

CUP ORANGE JUICE

PINCH OF SALT

In medium saucepot, bring all ingredients to a simmer and cook until cranberries are soft and sweet. Remove from pot, transfer into a small bowl, allow to cool. 6 LOCALLY GROWN APPLES PEELED, CORED, AND SLICED THIN 1/4 CUP LIGHT BROWN SUGAR 1 TSP GROUND CINNAMON 1/ 2

TSP GROUND MACE

Toss sliced apples in a large bowl with sugar, cinnamon, and mace until all

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the apples are coated. Fold the cooled cranberries into the apples and mix well. Grease 6 8-oz ramekins with butter, and dust with granulated sugar. Evenly distribute the apple/cranberry mixture in the ramekins, pouring in the remaining liquid as well. Top with crumble topping (see below) and bake uncovered at 350 F for 20 to 25 minutes or until the topping is golden brown.

Apple-Cranberry Crisp Topping 1 CUP SUGAR 1 CUP DARK BROWN SUGAR 1 TSP SALT 1/ 2

LB OF BUTTER

2 CUPS ALL-PURPOSE FLOUR

In a medium bowl, combine all ingredients and incorporate by rubbing your hands

together. The texture should be that of damp sand. —Michael Carrino, Montclair-based chef and a winner of “Chopped” on the Food Network

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HEALTH // Natural Wonder

Fresh berries can be stored in their original bags in the freezer for up to four months. Double up with a second freezer bag for storage of up to nine months. —Cranberry Institute cranberries rival citrus fruits when it comes to vitamin C — helping to protect against immune system deﬁciencies and cardiovascular disease. “Eight ounces of cranberry juice cocktail provide 90 milligrams of vitamin C, compared to one medium orange that provides 70 milligrams,” D’Alto explains. (Cranberry juice cocktail often is cited in studies since people are more likely to consume this juice than the sharper, unsweetened version.) “Just look for 100 percent juice that is not watered down and has naturally occurring sugars from the fruit juice blend,” she advises.

NOW WE’RE COOKIN’ Although cranberries are loaded with nutrients, low in calories, fat-free, and

cholesterol-free, their sourness can turn people off. To counteract this, Michael Carrino, a Montclair chef and past winner of the Food Network’s “Chopped,” advises cooking the berries in a sweet liquid. “This will pull out the tartness, tenderize them, and prepare them for use in recipes,” he says. Dale Bellisﬁeld, RN, a clinical herbalist at Saint Barnabas’ Siegler Center for Integrative Medicine in Livingston, suggests cooking cranberries down into a compote with liquid stevia, which is made from a plant found in Paraguay and Brazil, is 100 times sweeter than sugar, and has no calories. “Choose stevia with a vanilla ﬂavor — it’s delicious,” she says. “Or you can add cinnamon, which also adds sweetness without any calories.”

Get Thee to the Bogs! Cranberry season runs from late September through early November — and what could be prettier than viewing a serene sea of these rich, red berries, primed for harvest? Plan a weekend trip to make the most of the season. And bring your camera: The photo ops are priceless. Enjoy the Chatsworth Cranberry Festival, Oct. 15–16. cranfest.org Join the cranberry harvest tour at Whitesbog Village in Browns Mills, Oct. 15 and 22 at 10 a.m. Reservations required. 609.893.4646, whitesbog.org See an actual harvest at the cranberry bogs at Double Trouble State Park in Bayville. Call 732.341.4098 for harvest details.

B Be a part of the local food movement! Visit the Stockton Farm Market, a unique indoor marketplace brimming with locally grown fresh food in the beautiful riverside town of Stockton, NJ. Find local purveyors of farm-fresh produce, savory artisanal cheeses, fresh breads and pastries, organic meat, free-range chicken, the best fish monger, organic coffee, a chocolatier, and more! Shop and meet the people who are passionate about what they do.

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Open year round on Fridays from 3-7 (limited vendors), Saturday from 9-4, and Sunday from 10-4.

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Get an education that will fuel your future. Visit www.oldwestbury. edu today or call 516-876-3073 Calvin O. Butts, III, President

the doctor will hear you now want better health care? start asking more questions. to your doctor. to your pharmacist. to your nurse. what are the test results? what about side effects? donâ&#x20AC;&#x2122;t fully understand your prescriptions? donâ&#x20AC;&#x2122;t leave confused. because the most important question is the one you should have asked. go to www.ahrq.gov/questionsaretheanswer or call 1-800-931-AHRQ (2477) for the 10 questions every patient should ask. questions are the answer.

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9/1/11 11:39:38 AM

HEALTH // Headaches

PULL THE TRIGGER on Migraines TURN YOUR MIGRAINES INTO A DISTANT MEMORY. NEW JERSEY’S TOP HEADACHE EXPERTS OFFER CONVENTIONAL AND alternative strategies TO KEEPING THIS DEBILITATING DISORDER AT BAY. by Hilary Nangle

I remember watching a talk show years ago where the focus was headaches. The host roamed the audience seeking comments, and one woman cheerfully offered her advice: “Whenever I get a headache, I just rotate my head around three times and it’s gone — works every time.” I shook my head all right — in disbelief at how someone could be so cavalier about the pain millions of people suffer daily. In fact, about 45 million Americans contend with chronic or recurring headaches. I happen to be one of the 30 million afflicted by migraines, a condition that affects 12 percent of the U.S. population, including 18 percent of women, 6 percent of men, and 4 percent of children, according to Loretta L. Mueller, DO, associate professor of family medicine and director of the University Headache Center at the University of Medicine and Dentistry of New Jersey’s (UMDNJ) School of Osteopathic Medicine in Stratford.

“Week after week I see patients who haven’t seen doctors for daily headaches. They’ve learned to live with them,” Mueller says. For years, I was one of those people. It took something that happened before a barbecue I was hosting to get me to seek help. That morning, I woke up with a whopper of a headache. Instead of preparing for a crowd, I curled into a ball and hid under the covers. That prompted my quest for relief. “Anytime you have the worst headache in your life, that’s the time to seek immediate care,” says Adam Perlman, MD, executive director of UMDNJ’s Institute for Complementary and Alternative Medicine in Newark. Beyond

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For more information or to find a headache specialist, visit the website for the National Headache Foundation, headaches.org.

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HEALTH // Headaches

that, if your headaches are interfering with your daily life, if they are becoming more frequent or severe, or if you’re unable to manage them, it’s time to seek professional help. Nine out of 10 times, the cause is relatively benign, but it’s important to rule out an aneurism or tumor, says Mark H. Lazar, MD, a neurologist affiliated with Robert Wood Johnson University Hospital in New Brunswick. Once that’s done, there are ways to prevent migraines and to treat the pain. “There’s no one algorithm to treatment — there’s an art to it,” Mueller says. That’s because there are so many variables to a migraine. Typical symptoms include pain on one side of the head, light and sound sensitivity, nausea that is sometimes accompanied by vomiting, throbbing or pulsating pain, and the desire to retreat to a dark, quiet place. Some sufferers experience an aura — perhaps ﬂashing lights, loss of vision, numbness, or tingling — before the onset of the pain. Those are the textbook symptoms, Lazar says. “The reality is, people can have headaches day-to-day that aren’t as bad or are missing some or many of the criteria.”

DEFENSIVE STRATEGY: Know Your Triggers What triggers a migraine is variable. Food is a culprit for about 20 percent of sufferers, and known triggers include MSG, raw onions, nitrites, aged cheeses, processed meats, fermented products, chocolate, garlic, nuts, seeds, alcohol, and caffeine. My quest for relief included working with a nutritionist, but I still got migraines. “You cut out coffee, but did you cut out decaf?” she asked. I did that, and for about 10 years my migraines disappeared. “A lot of headache specialists think a little caffeine is OK, but people with signiﬁcant problems have to wipe it out completely,” Mueller says, adding that there are up to 13 milligrams of caffeine in a Starbucks decaf. Mueller doesn’t like to prescribe a total elimination diet, since other factors often

play into migraines, including menstruation, dehydration, and seasonal and weather changes. When my migraines returned, I found weather, especially, was inﬂuential. I always get a migraine a day before a major increase in humidity. “One of the best ways to avoid headaches is to lead a very boring life. Don’t get too much excitement, bad or good, and go to bed and get up at the same times,” Lazar says. Though that advice may sound trite, it contains a world of wisdom. Irregular sleep patterns are a known migraine trigger, as is stress, both on its own and in concert with other triggers. In fact, oversleeping on weekends can be a major trigger, according to Seymour Diamond, MD, executive chairman of the National Headache Foundation. A migraine often occurs during the relative calm following a stressful period, so you might not associate it with the stressor.

What to Record in Your Headache Diary

• Everything you eat and drink daily • Any life changes or stressors • Known triggers

“The adrenalin keeps ﬂowing during the stressful time, but when you relax, that’s when you get the headache,” Mueller says. “The more you understand what brings your headaches on, the more control you have,” Perlman says. Keeping a headache diary may help you discover triggers and patterns that will enable you to take selfaction and help a physician accurately diagnose the problem and prescribe treatment. (See “What to Record in Your Headache Diary” sidebar.)

OFFENSIVE STRATEGY: Conventional & Alternative Approaches If you cannot get relief for your headaches through your personal physician, see a headache specialist, Mueller says. Once you’ve been diagnosed, your doctor may suggest prescription medications to prevent migraines or stop one in progress. The ideal treatments, according to Mueller, will provide relief within one hour and complete relief within two hours, while allowing you to continue your daily activities with minimal side effects. However, knowing you have found that ideal treatment can take time. “Patients need to understand that it can take two to three months to get the full therapeutic beneﬁts of prescribed medications,” Mueller says.

• Identifiable patterns (e.g., occurrences around menstruation or seasonal or weather changes)

• How you treated the headaches and the results

• The severity of each headache • Your level of functionality during the headache (e.g., Are you able to keep up with your daily routine? Did you miss your child’s graduation?) • Any changes in headache frequency, severity, duration, and symptoms

• The number of completely headachefree days you have each month

It can take even longer for alternative treatments, which may include lifestyle changes, biofeedback, relaxation therapies, acupuncture, and dietary supplements. “Magnesium, feverfew, and high doses of vitamin B2 can be effective,” Lazar says, but talk with your doctor before taking vitamins, minerals, or botanical supplements, as these may interact with other medications you are taking. I now manage my migraines with a combination of alternative and medical treatments, and since stress is a trigger, I pay back my social obligations without throwing parties. Doctor’s orders. H B 57

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9/1/11 11:42:01 AM

HEALTH // Doctors Who Make a Difference

PART THREE of a Three-Part Series

by Nancy A. Ruhling

DOCTORS

who make a difference

I NT ERNAT I ONAL LY

Earlier this year, we celebrated doctors and medical professionals who work tirelessly to improve the lives of people in our state. But we also learned about many more who leave their homes for weeks at a time to serve in communities with few resources or where a crisis has struck. Here are their inspiring stories.

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HEALTH // Doctors Who Make a Difference

ARMENIA In the countryside of Armenia, modern medicine is a luxury. That’s why Lawrence Najarian, MD, the president of the Armenian American Health Professionals Organization, took members of the group on their ﬁrst official medical mission in July 2011. Najarian, an ophthalmologist with offices in Teaneck and Bedminster, hopes to train physicians and to screen and treat patients. “If we can train one person, then that person can train two, who can train four and so forth,” he says. CHINA In a collaborative program between China and Canada, Ben H. Lee, MD, of Goryeb Children’s Hospital in Morristown, has twice been a visiting professor for Chinese students studying neonatal-perinatal medicine. “This mission is an effective one,” he says. “It will set the stage for care for the next generation.” This year, Lee is going to Bolivia and Peru to teach and work on an international neonatal sepsis study. “When I do the teaching,” he says, “I get more than I give.”

CENTRAL AMERICA One hundred and ﬁfty patients a day. That’s how many people Robert Cole, MD, of St. Mary’s Hospital in Passaic, helped treat during his recent two-week medical mission to Costa Rica and Panama. Cole, along with a group of medical students he was leading, worked a nonstop schedule to see the patients who lined up at the clinics. Many had walked for days to get to the U.S. team. “The opportunity to provide care for these people while interacting with a future generation of physicians was amazing,” he says. HAITI Long before the 2010 quake devastated Haiti, the island nation had been a prime destination for New Jersey doctors. James Morgan, MD, in Cedar Grove, has an ongoing commitment to Haiti. He has been there some 50 times since 2001, and he schedules short trips every four to six weeks. Morgan helped establish a clinic, complete with lab and pharmacy, and co-founded Lamp for Haiti, a nonproﬁt, nongovernmental organi-

zation that provides basic health care, investigates allegations of human-rights abuses, and delivers educational and humanitarian aid, particularly to those living in the slum of Cité Soleil. “The work is very gratifying,” he says. “We now have a Haitian staff and we want to expand services.” For two decades, David G. Butler, MD, of Holy Name Medical Center in Teaneck, has been providing gynecological and obstetrical care to impoverished women at Hôpital Sacré Coeur, a 66-bed center in Milot that treated more than 400 earthquake victims. He and Holy Name doctors Timothy Finley and Alan Gwertzman performed 30 surgeries a day there after the disaster. When they returned to the United States, they raised money for an oxygen processor, which has been installed at the hospital. Butler, who is on the board of the foundation that operates the Haitian hospital, has donated other medical equipment, including an ultrasound machine, at his own expense, and spends ﬁve weekends every summer visiting Newark churches to enlist their parishioners in the cause. Susan H. Morrison, MD, of the Clara Maass Medical Center in Belleville, had 14 Haiti trips under her belt before the disaster. She led 11 medical professionals who treated quake victims at a Port-au-Prince tent city. In addition to treating more than 1,500 people, her team also administered tetanus vaccinations, dressed wounds for patients who needed prostheses and raised money for prostheses. Haiti native Marie James Bond, RN, of Maternal-Child Health Services at St. Mary’s Hospital, visits Cap Haitien, Milot, and Jacmel two to three times a year to provide care and preventive medicine. On her ﬁrst mission, eight years ago, she served as a translator. “I think what we did in Haiti after the quake was beyond belief,” she says. “These people desperately need help, and we so often take our fortunate experiences for granted. Our responsibility is to help the community and give when we can.”

Seven years ago, Carlo Opont, a certiﬁed health education specialist at UMDNJThe University Hospital Liver Disease Center for Excellence in Newark, founded Jeunesse Chretienne Internationale Missionnaire (Christian Youth International Missionary) as a way of helping children in his homeland and other parts of the underdeveloped world. He has worked in Haiti several times since the quake. The work of Marie Castor, a registered nurse at Robert Wood Johnson Hamilton Center

“This mission is an effective one. It will set the stage for care for the next generation. When I do the teaching, I get more than I give.” —Ben H. Lee, Goryeb Children’s Hospital, on his international work with students studying neonatal-perinatal medicine

for Health & Wellness in Mercerville, has evolved into a group effort. For the last three years, this native of Haiti, has been helping provide medical care and education to residents of Jonc D’odin through Healing for Haiti, a medical missionary ministry at Faith Baptist Church in Hamilton. Her colleagues Paul Pierrot, MD, and nursing staffers Alice Turnbull, Marteen Marsen, and Claudi Obaner have accompanied her. In June, Pam Barnes, RN, of The Children’s Institute in Verona, ﬁlled her suitcases with gowns, shoes, jewelry and makeup for the girls at the MariaDominiqueMazzarelloSchool in Jacquet. “I have two daughters, and I read about the girls,” she says. “They had lost so much and were upset because they couldn’t have a Prom, so I decided to give them one.” The Girl Scout troops in Nutley and Scotch Plains donated items as did a number of businesses, including Bobbi Brown Cosmetics. Afterward, she and a Boston physician opened a pediatric clinic at the Rasin Foundation’s clinic in Leogane. H B 59

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HEALTH //

DOCTORS

Robert W. Brenner, MD, of Summit Medical Group in Berkeley Heights, traveled to a nine-village cooperative in a remote mountain area of Haiti to treat quake victims. “I returned from my ﬁrst trip knowing that I must do more — that I must help create a permanent clinic,” he says, adding that he made his second trip in April 2011. The Center for Family Health Clinic at Galgal aims to improve the lives of 40,000 in the Caberet region, where there is virtually no health care. Brenner’s enthusiasm rubbed off on Summit Medical Group, which raised more than $30,000 in employee donations for the earthquake relief effort. John Heim, MD, and John R. Seybert, MD, of the University Medical Center at Princeton, have become regulars on the Haiti medical mission circuit. In the quake’s aftermath, on their ﬁrst medical mission there, they worked in tent

who make a difference I N T E RN AT I O N A LLY

“The opportunity to provide care for these people while interacting with a future generation of physicians was amazing.” —Robert Cole, MD, St. Mary’s Hospital in Passaic

hospitals on the tarmac at the Port-auPrince airport. They have formed special bonds with some of their patients, and Heim even arranged for a child with a congenital heart defect to get treatment at The Children’s Hospital of Philadelphia. Heim makes regular pediatric cardiacsurgery trips to Paraguay and Russia. JERUSALEM To help the children. That’s why Andrew Elkwood, MD, of The Plastic Surgery

“WHEN I HAVE AN ASTHMA ATTACK I FEEL LIKE A FISH WITH NO WATER.” –JESSE, AGE 5

Center in Shrewsbury, co-led a team to East Jerusalem. During the weeklong mission, Elkwood treated underprivileged children with congenital malfunctions and injuries, and helped train local doctors and nurses in complex procedures involving advanced reconstruction. KOSOVO AND HONDURAS Susan T. Kaye, MD, of Overlook Medical Center in Summit, has been involved in world medicine since 1999, when she provided care at a Kosovo refugee camp. Now she’s a board member of Shoulder to Shoulder, a nonproﬁt that builds and staffs medical centers in Honduras, and directs the Benjamin H. Josephson, MD Fund, which provides grants for health care professionals to deliver volunteer medical services worldwide. “I hope to instill dedication to volunteerism in our residents,” she says. “And these missions also help them hone their examination skills. They have to smell, feel, and see, instead of depending on labs and tests.” NIGERIA Iwuozo Obilo, MD, a physician to the underserved in the Bronx and at The Joseph M. Sanzari Children’s Hospital at Hackensack University Medical Center, makes it a practice to give back to his native Nigeria. In 1995, he formed the Nigerian Healthcare Foundation. In addition to raising money and supplying medical resources, the foundation sponsors an annual, weeklong medical mission to the country. RWANDA, TANZANIA, AND KENYA As a medical lab scientist based in Avalon, Anna Murphy has traveled to Rwanda, Tanzania, and Kenya on two- to six-week assignments mentoring laboratories that are seeking accreditation under a program in connection with The United States President’s Emergency Plan for AIDS Relief. “It’s like mentorship in a box,” Murphy says, adding that the program has spread to 18 countries in Africa, the Caribbean and the Far East.

ATTACK ASTHMA. ACT NOW.

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9/2/11 8:22:52 AM

HEALTH // Doctors Who Make a Difference

The Orphans’ Angel To parentless, impoverished children across the globe, hope comes directly from Maplewood, where DR. JANE ARONSON heads up the Worldwide Orphans Foundation. by Liz Donovan

y WWO/NATHANIEL WELCH

YOHANNES IS NICKNAMED “THE MIRACLE BOY.” WHEN THE

Jane Aronson at Des’s Village for Children/ Worldwide Orphans Foundation, an orphanage named after her son, Desalegn, who was adopted from Ethiopia. WWO has been managing this small group home for children with HIV infection since 2009.

orphaned Ethiopian toddler ﬁrst came under the care of Dr. Jane Aronson, founder and CEO of the Worldwide Orphans Foundation (WWO), he was severely underweight and close to death from AIDS and malnutrition. Under the guidance of Aronson, who specializes in pediatric infectious disease and adoption medicine, Yohannes received medical treatment and was given a home at Des’s Village for Children, an orphanage in Ethiopia that houses several dozen HIV-positive children. Volunteers there helped gradually improve Yohannes’ physical health and placed him into therapy. He was eventually integrated into a school setting, where in spite of a learning disability, he is succeeding and thriving. “This story epitomizes what we do at the WWO,” says Aronson, who was reunited with Yohannes, now 9 years old, during a trip to Ethiopia in May. “This is a kid who would have been lost or would have died. But now he’s a physically healthy, well-developed boy gaining the attention span needed to be successful in school.” Yohannes is only one of the hundreds of orphans Aronson has helped rehabilitate. The Maplewood resident, known as the “Orphan Doctor,” also runs an adoptive medicine practice in Manhattan, through which she’s assisted celebrities, including Angelina Jolie and Brad Pitt, with international adoptions. She founded the WWO in 1997, after traveling to the home countries of the adopted children she treated and ﬁnding herself overwhelmed by the staggering number of orphans H B 61

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HEALTH //

DOCTORS

in the population. “I grasped the enormity and tragedy of the hundreds of millions of orphans in the world,” she says, adding that UNICEF has recorded about 200 million orphans worldwide. “I felt compelled to start an organization to take care of the children who wouldn’t be adopted — the ones left behind.” Through the WWO, which is headquartered in Maplewood, she implemented health and educational programs in Bulgaria, Ethiopia, Serbia, Vietnam, and most recently, Haiti. The programs vary from country to country based on the community’s need but include HIV treatment, “granny” programs (in which an adult cares for an individual child and journals the experience), and academics. “I am passionate about taking a strategic approach to children’s lives so that the children can be successful adults in their community. Those elements are good medical care, good mental health services, and education.”

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who make a difference I N T E RN AT I O N A LLY

“I felt compelled to start an organization to take care of the children who wouldn’t be adopted — the ones left behind.” —Jane Aronson

To bridge the gap between education and creativity, Aronson has created camp programs for orphans and impoverished children of the community, where they learn music, photography, sports, theater, and more. “In an institutionalized setting, children are robbed of the opportunity to be individuals,” she says. “Through the camp programs, we provide them with stimulation to ﬁnd out their own voice. When I was growing up, I learned to be independent in camp, which is why I value it so much for my own children and the children of the world.”

As the WWO programs continue to grow, Aronson struggles each year with raising funds to do the work and facing the constant challenge of “doing a lot with nothing.” Also, she focuses on building relationships within the communities the WWO serves. “The more trusted relationships we build, the more effective we can be. My focus is to build strong and deep relationships with in-country people and build partnerships within the community so that we can work together to make the programs strong.” In 2009, Aronson was named one of Glamour’s “Women of the Year” alongside Maya Angelou and 10 other inﬂuential women. But for all the successes she’s had, Aronson remains humble and focused on her mission. “I’m not a ﬁnished product,” she says. “I’m always transforming myself and working very hard not to be disappointed.” Visit wwo.org to learn more about the organization and how you can help.

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9/1/11 8:26:06 AM

HEALTH // Profile by Leslie Garisto Pfaff

LOVE TO GIVE GLORIA GAYNOR LIVES HER ICONIC ANTHEM “I WILL SURVIVE” AS A TIRELESS DEVOTEE TO CHARITABLE CAUSES — MOST RECENTLY N.J.’S BREAST HEALTH & HEALING FOUNDATION. by Patti Verbanas SINCE THE 1980S, GRAMMY AWARD–

winning singer Gloria Gaynor has been offering her time, talent, and celebrity to causes from her home state of New Jersey to around the world. Her resume of charitable endeavors is as long as her song playlist and growing: United Cerebral Palsy (Hudson County), Save the Children, American Diabetes Association, and Trinitas Regional Medical Center to name just a few.

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Last year, she became the International Goodwill Ambassador for Breast Cancer Prevention for the Breast Health and Healing Foundation in Belleville. The foundation, created by breast surgeon Kathleen Ruddy, seeks to raise awareness about the causes for breast cancer and to fund research for developing a breast cancer vaccine for the human mammary tumor virus. In addition to using her

How did you get involved with the Breast Health & Healing Foundation?

One of Dr. Ruddy’s patients is a friend of mine, and she put us together. I am available to do whatever I can to further that cause.

TROY WORD

All MY

platform to further the foundation’s mission, Gaynor is promoting the launch of “Lobby Me Pink,” a free app created by Ruddy that allows users to send emails directly to their Congressional reps. “Gloria has long been an advocate for women, especially women with breast cancer,” Ruddy says. “She has worked tirelessly to provide her support for women battling this disease, and her hit, ‘I Will Survive,’ is an anthem that most resonates with breast cancer survivors all around the world.” The Newark-born disco diva is certainly not one to sit still. Despite being constantly on the road, Gaynor has put her efforts into studying psychology and is about to pursue her Master’s degree so she can begin her next life phase — as a counselor to teenage parents. The rain is pouring outside Gaynor’s home nestled in Somerset County’s Watchung Mountains. Outside the door, cases of bottled water are stacked, ready to be disbursed throughout her home. “I drink lots of water — a challenge for me since I don’t get thirsty,” she says by way of explanation. “I sit bottles of water around the house so that I’m reminded to drink it.” That’s just one of the lifestyle tactics this music icon and former Wilhelmina model takes to look young and keep her boundless energy. A television crew has just left, leaving behind them a wake of calm after chaos. We have a precious slice of time hours before Gaynor, now padding into her dining room comfortably slipper-clad, jets off to Atlanta to lend her talent to yet another cause. We sit and talk about the rewards of dedicating your life to service, the importance of taking care of yourself, and what it means to survive.

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HEALTH HEALTH // Breast //Cancer Profile

You have many philanthropic pursuits. What causes are most dear to you?

Cancer. My mother died of lung cancer, but I am interested in any cancer that affects women. I am also interested in osteoarthritis and have worked quite a bit with the Arthritis Foundation. Think of it: Do you know anyone who doesn’t have arthritis? [laughs] As my brother would say, “We have pains in places where we didn’t know we have places.”

Why have you decided to pursue a Master’s degree in psychology to become a counselor?

I plan to open a healing, learning, and recreational center for teenage parents called Living Waters Family Teen Center in Newark at the end of 2012. I have long wanted to teach others how to create peaceful, harmonious, equitable relationships and I realized: Who knows less about that than teenage parents? If you are a teenager with children you’re ignorant to the things you need to know about having a child. So, you need that kind of learning, but you also haven’t finished your education. Plus, you’re still a child. You haven’t finished playing. You need recreation. You need to be able to play without being hindered by a child. The teen center will offer a daycare so the kids can finish their education, play a while, get more acquainted with the baby’s other parent, and perhaps come together in marriage. This center needs to mentor men. Boys don’t take the office of fathership seriously. They need to be given the equipment to be a man. They need to know if they made a baby with a girl, that’s their family. They need to man up.

You have worked tirelessly for decades to give back. What calls you so strongly to serve?

You know, I’m a walking billboard. [laughs] I have an overriding mission of being as socially responsible and civically engaged as I can. I think everybody should be. This world would be so much better if we all would get involved in what we are called to do.

Gloria’s Keys to Staying Youthful & Energetic

ON GREAT SKIN: I take care of my skin religiously. I put on sunblock with moisturizer every day. And I use very little makeup on stage. I completely clean my skin every night before I go to bed and use a moisturizer for my eyes and face as well as a lifting product. I especially love the products from RoC. ON EXERCISE AND REST: I hope to exercise regularly [laughs] — and one day I will. I have done everything from putting a gym in the house to a pool in the yard. I don’t always like it, but I exercise when I have time. I don’t stay up late and make sure to get seven to eight hours of sleep. ON VICES: I don’t drink alcohol, smoke, or do drugs. ON HEALTHY EATING: I eat lots of leafy green vegetables, salads, and fruit, and only small portions of meat, ﬁsh, and poultry. I go to the local farmers’ markets and eat at Mr. Pi’s [Japanese Restaurant in Warren]. The food is awesome.

What do you believe is your ultimate calling?

I was born to be a teacher. When I went to my sister’s funeral, I met an old family friend in his mid-50s who said to me, “You changed my life.” And I thought, Oh, here’s another man who likes “I Will Survive,” but when I asked him how I changed his life, he said, “When I was in kindergarten, everyone was learning how to read and write their name, but I could not learn. You took me aside and taught me how to read and write my name. It changed my life.” And that was my conﬁrmation. Even in my songs, I’m always trying to teach something.

How do you deﬁne “a survivor?”

A survivor is someone who looks at adversity as a challenge that she can and will overcome as opposed to a roadblock. You need to look inside yourself and ﬁnd that strength because it is there.

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HEALTH // Breast Cancer by Leslie Garisto Pfaff

Every instance of breast cancer is as unique as the person it strikes. Taking an individualized approach to prevention, diagnosis, and treatment can give you the best chance to survive and resume your life. In this special report, N.J.’s top specialists present the latest in breast care — and show you how to work with your doctor to create a strategy for a cancer-free life.

“IT’S BEEN A FABULOUS EDUCATIONAL

experience,” says Morris County resident Kate Singer* — a surprising statement given that the “experience” she’s describing is her recent ordeal with breast cancer. Just after her 57th birthday in 2010, a routine mammogram picked up a suspicious mass in her left breast, and a subsequent biopsy conﬁrmed that it was cancer. Few of us expect to get cancer, but for Singer it was particularly shocking. Most of her relatives contended with

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heart disease, and there was virtually no history of cancer in her family. So she was even more surprised when doctors found a smaller cancerous growth in her right breast and a genetic test revealed that she was carrying an abnormal BRCA1 gene, which heavily predisposes women to the development of breast cancer and typically runs in families. Her education began during her ﬁrst meeting with Paul Friedman, DO, director of oncology services at The Carol W. and

Julius A. Rippel Breast Center at Morristown Medical Center. He offered her exactly what she needed: reassurance and options. Ultimately, because she knew that carrying the BRCA gene meant there was a good chance the cancer would return, she chose to have a double mastectomy (removal of both breasts) with reconstruction to be done immediately afterward. Friedman then ordered Oncotype DX testing, a relatively new procedure that determines the likelihood of the

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Stay current on the latest in prevention and treatment. Read breast cancer surgeon

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Kathleen Ruddy’s blog at njlhb.com/health/dr-ruddy.

Triumph over Breast Cancer

*Not her real name

9/2/11 8:38:25 AM

HEALTH // Breast Cancer

cancer recurring in the breast, lungs, liver, bones, or blood. This time, Singer got lucky: The test showed a low risk of recurrence, which allowed her to forgo chemotherapy. She was also fortunate that her illness occurred at a time when physicians and researchers are making great strides in the treatment of breast cancer, and patients are being offered more options than ever. “It’s an exciting time in breast cancer treatment — we’re getting more and more supple at treating each patient individually, offering much more personalized care with fewer side effects,” notes David Pearlstone, MD, chief of breast surgery at Hackensack University Medical Center. If there’s a theme to the story of breast cancer treatment in 2011, it’s that each woman, and each cancer, is unique, and practitioners are increasingly able to tailor treatments to the individual patient. To help you understand how this individualized approach could make a real difference in your life or in the life of someone you love, we’ve assembled some of New Jersey’s foremost experts to bring you up to date on state-of-the-art breast care, from prevention to reconstruction.

PREVENTION Controlling Your Risks Prevention efforts are important. We’ve known for some time that obesity, excessive alcohol intake (more than four drinks a week), and inactivity can all increase the risk for breast cancer, and a well-publicized study by the Women’s Health Initiative has shown a deﬁnitive link between breast cancer and hormone replacement therapy. Another culprit: smoking. A 2009 panel convened by the University of Toronto looked at the available evidence and concluded that smoking increases breast cancer risk by 27 percent for women who carry a genetic mutation known as NAT2 (found in roughly half of all women in North America). And a 2011 study by the American Society of Clinical Oncology found that women at higher

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Five Signs You Shouldn’t Ignore

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While regular mammograms remain the gold standard for early detection of breast cancer, women should speak with their doctors if they notice any of the breast changes outlined below.

A lump. “It’s the number one sign of breast cancer,” says Jan Huston, MD, medical director of the Connie Dwyer Breast Center at St. Michael’s Medical Center in Newark. But keep in mind, she advises, that breasts are lumpy by nature. “It’s important to do a self-exam to familiarize yourself with your breasts and how they feel,” says Huston. If you notice a lump that wasn’t there previously, talk to your doctor. Don’t assume, though, that it must be cancer; it could be benign ﬁbrous tissue or a cyst.

A rough area of pink skin with the texture of an orange peel and a fairly sharp border. It could be a sign of inﬂammatory carcinoma — but, Huston notes, this is an extremely rare form of breast cancer.

Persistent leaking and crusting of one nipple. This may be an indication of Paget’s disease, another very rare form of breast cancer. It can sometimes be confused with eczema, which it resembles. Persistent bloody discharge can also be a sign of cancer (though blood in breast milk isn’t uncommon after giving birth).

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Breast swelling. This is a possible indication of inflammatory breast cancer, which is extremely rare. Inverted nipple. Most often a sign of duct ectasia, a benign condition in which one of the milk ducts fills with fluid, it can also occur when a very large tumor pulls on the ligaments around the nipple. Given that most breast cancers today are diagnosed when quite small, notes Huston, it’s highly unusual as a sign of cancer.

risk for breast cancer who smoked for between 15 and 35 years were 34 percent more likely to get breast cancer than those in the same high-risk group who had never smoked. Now, notes Kathleen Ruddy, MD, founder and president of the nonproﬁt Breast Health & Healing Foundation in Belleville, there’s good reason to add birth control pills to the list of known risks. Though the Food and Drug Administration is, she says, “equivocal” about the risk posed by the pill, “the World Health Organization looked at all the published literature and came to the conclusion that birth control pills are

Each woman, and each cancer, is unique, and practitioners are increasingly able to tailor treatments to the individual patient.

group-one carcinogens,” meaning they’re known to cause cancer in humans. The WHO report found that women who use birth control pills before a first full-term pregnancy increase their risk for premenopausal breast cancer by approximately 40 percent and categorized the pill as Group I carcinogens, meaning it is known to cause cancer. “Women who go on it as teenagers and stay on it till their 30s may be at increased risk,” says Angela Lanfranchi, MD, co-director of the Sanofiaventis U.S. Breast Care Program at The Steeplechase Cancer Center at Somerset Medical Center. This is reason enough to carefully weigh risks and benefits (the pill has conversely been linked to lower risks of ovarian and endometrial cancer) when choosing birth control. Another risk to consider: low blood levels of vitamin D. A 2011 Canadian study found that women who’d spent three hours a day in the sun as teenagers (and H B 67

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HEALTH // Breast Cancer

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Learn about the breast care services provided by a hospital or center near you at njlhb.com/guides/breast-care-resources.

therefore had higher levels of the so-called “sunshine” vitamin) were half as likely to develop postmenopausal breast cancer as those with low sun exposure. In the lab, vitamin D has been found to slow the reproductive rate of breast cancer cells, which may explain its protective effect. Your doctor can do a blood test to determine if your level is low and let you know whether supplements might be advisable. If you’re at high risk for breast cancer — a history of the disease among ﬁrst-degree

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relatives (mother, sisters, daughters), carrying the BRCA1 or BRCA2 gene mutations, or having had breast cancer in the past can put you in that category — you can signiﬁcantly lower your risk by taking the anti-estrogen drug tamoxifen. Unfortunately, tamoxifen carries risks of its own, including blood clots and uterine cancer, and many women have shied away from it. Now, however, there might be another pharmaceutical option: Aromasin, an experimental drug that

Building a Better Breast

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Improved implants and revolutionary reconstruction procedures have made it possible for most women to emerge from a mastectomy with breasts that look and feel remarkably natural (though women can expect to lose some sensation). If you’re contemplating a mastectomy, ask your doctor if the following techniques could be right for you: • Cohesive gel implants use a more solid gel and allow for greater projection (a more upright, less saggy appearance) than traditional implants. • In nipple-sparing mastectomy the nipple and areola are preserved, while the breast tissue beneath is removed. • AlloDerm, a flap of skin, taken from a cadaver and sewn in under the muscle at the bottom of the breast during implant surgery, “acts like an internal bra and allows for a more natural appearance,” says Christopher Godek, MD, president of the New Jersey Society of Plastic Surgeons. • With autologous reconstruction, fat and skin are taken from the abdomen to reconstruct the breast, offering a more natural look and feel than implants. And doctors are now able to remove tissue in what’s known as a DIEP flap — a section of fat, skin, and the blood vessels beneath them — without sacrificing the abdominal muscle. “The advent of the DIEP flap has allowed us to improve healing of the donor site and alleviate the risk of a hernia developing,” notes Matthew J. Lynch, MD, a reconstructive surgeon at Princeton Rejuvenation Institute in East Windsor. • Fat grafting, in which fat is removed from the abdomen, back, or thighs using low-pressure liposuction and then liquefied in a centrifuge and injected into the breast, is used to augment or blend reconstruction “and helps alleviate the problem of rippling that often occurs with implant surgery,” says Englewood plastic surgeon David Abramson. • In nipple reconstruction, tissue is taken from another part of the body and grafted to the breast, suturing it in a way to form a nipple, and the surrounding areola is created with either a tattoo or skin from the inner thigh. The new nipple won’t have the same sensitivity as the original.

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appears to be even more successful at preventing breast cancer than tamoxifen, without the risks of clotting and uterine cancer. Deborah Capko, MD, a surgical oncologist at Memorial Sloan-Kettering Cancer Center in Basking-Ridge, calls the drug “the most exciting form of breast cancer prevention.” A so-called aromatase inhibitor, Aromasin works by suppressing the production of estrogen, which can fuel tumor growth in postmenopausal women. “All of the aromatase inhibitors will cause some degree of joint pain and hot ﬂashes,” Capko says, “yet most side effects were relatively mild.” Though other risks for breast cancer may not be controllable, knowing about them can help you make more informed decisions about screening. Getting your period before age 12 and having a ﬁrst full-term pregnancy after age 29, for instance, can increase your risk, while risk decreases with each full-term pregnancy.

DIAGNOSIS More Choices, Higher Tech The one-size-fits-all concept of a yearly mammogram for every woman has given way to a more personalized approach. “Screening should be different for highand low-risk women, and there’s now a push to really identify who’s at risk,” says Michele Blackwood, MD, director of breast health and disease management at Saint Barnabas Medical Center in Livingston. The first step, says Bonni Guerin, MD, an oncologist at Overlook Medical Center’s Carol G. Simon Cancer Center in Summit, is to use the Gail Model, an online breast cancer risk assessment tool that asks seven simple questions about things like family history and the time of your first full-term pregnancy, then gives you the average risk for a group of women with similar risk factors. “I believe that every woman in the country should be getting a Gail Model at her annual

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HEALTH // Breast Cancer

checkup, or doing it herself. And if you’re at high risk, you should be talking to your doctor about medications,” Guerin says. (You can take the test online at cancer. gov/bcrisktool.) If your doctor confirms that your risk is average, you’ll have to consider two conflicting sets of screening guidelines. In 2009, the U.S. Preventive Services Task Force reviewed existing research and suggested that women at average risk start having mammograms at age 50 and repeat the test every two years. However, the American Cancer Society continues to recommend that average-risk women begin screening at 40 and have annual mammograms thereafter. Dana Holwitt, MD, a breast surgeon at the Montclair Breast Center, stresses the benefits of the latter approach. “Breast cancers can develop within a year,” she says. “Yearly mammography saves lives.” That claim is borne out by a Swedish study that showed a 29 percent decrease in breast cancer deaths in women between 40 and 49 who had annual mammograms. If you’re found to be at high risk, your doctor may recommend both an annual mammogram and a yearly breast MRI, since mammograms can miss up to 20 percent of breast cancers in women who don’t have symptoms. “MRI was rarely

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1. Women’s Denali Jacket by The North Face, $165, thenorthface.com. Cause: B4BC. 2. No. 4 by Hanae Mori, $95, hanaemoriparfums.com. Cause: National Breast Cancer Coalition Fund. 3. Lace Up for the Cure Bonita Run Skirt by New Balance, $45, newbalance.com. Cause: Susan G. Komen for the Cure. 4. Pink Shatter Nail Polish by OPI, $8.50, opi.com. Cause: Susan G. Komen for the Cure. 5. Lacey Glasses by Wiley X, $150, wileyx. com. Cause: Breast Cancer Research Foundation.

used 10 years ago, but it’s now common, and it can find smaller cancers that a mammogram might miss,” says Debra Camal, MD, medical director of the Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center in Long Branch. The high-tech arsenal is expanding for high-risk women. Breast specific gamma imaging (BSGI) is a nuclear-medicine test that offers highresolution views of the breast similar to those of MRI and could be an alternative for women who have dense breast tissue, are claustrophobic, or use a pacemaker. And SonoCiné, a movie-type ultrasound, can find 15 to 20 percent of cancers missed by mammography and may prove a life-saving adjunct to mammography for normal-risk women with particularly dense breasts.

TREATMENT Tailored to the Patient As part of the movement toward more individualized treatment, a growing number of medical facilities are offering navigation services that provide patients with a nurse or team of nurses to help them move through the process, from diagnosis to survivorship. “We guide patients through the health care system, coordinating doctors’ appointments,

Though risk factors for breast cancer may not be controllable, knowing about them can help you make more informed decisions about screening. offering education about testing, answering questions, providing a one-on-one personal experience in a patient’s breast cancer journey,” says Carol Boyer, RN, MSN, clinical program manager at Summit Medical Group’s Breast Cancer Center in Berkeley Heights. A major beneﬁt of navigation, notes Pamela Vlahakis, RN, nurse coordinator at Hunterdon Regional Cancer Center’s Breast Care Program in Flemington, is that “it gives patients a sense of control.” Ironically, the recent proliferation of options in breast cancer treatment can leave patients feeling adrift. “Because there’s no one set approach anymore, patients can be confused about which path to take,” notes Lynn Lutwin, RN, BSN, director of the Breast Cancer Connection at Robert Wood Johnson University Hospital in New Brunswick. “As a navigator, I can provide objective information.” And there are real choices to be

Editors’ picks of fashionable purchases that give proceeds toward breast cancer research.

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HEALTH // Breast Cancer

made. Decisions about surgery (between lumpectomy and full mastectomy, for instance) and postsurgical treatment (chemotherapy, radiation, hormonal therapy) now depend on multiple factors, including genetic history, type of cancer, and a woman’s personal preference. Since a 1990 National Institutes of Health report on surgery and survival rates, we’ve known that women who have lumpectomies are just as likely to survive as those who choose a full mastectomy. But full mastectomy does have advantages, notably that it decreases the chance of the cancer recurring. In any case, a diagnosis of breast cancer no longer means the certain loss of a breast and, thanks to extraordinary advances in reconstructive techniques such as nipple-sparing mastectomy (see “Building a Better Breast” [directional TK]), breast removal no longer guarantees the loss of a natural-looking silhouette. Another advance: Breast surgery no longer always necessitates removal of all of the axillary, or underarm, lymph nodes. “Most of our patients are having lumpectomies and only having the sentinal lymph node removed,” notes Capko of Memorial Sloan-Kettering. “If the node is positive for cancer, some women do not benefit from more invasive surgery to prevent a local recurrence.” And some women with early and/or less aggressive breast cancers may no longer require chemotherapy and benefit most with hormonal therapy. “We’re now able to target specific tumors,” says Susan McManus, MD, a breast surgeon at Saint Peter’s University Hospital in New Brunswick. Using Oncotype DX testing, doctors can determine whether the cancer is likely to recur, and if that potential is low, patients can forgo chemotherapy (other criteria used to calculate the chance of recurrence include lymph node status and tumor size and grade, which are measures of cancer cell abnormality). The good news for patients who do require chemotherapy, says Deena Atieh Graham, MD, an oncologist at Memorial Sloan-Kettering Cancer Center

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Breast Imaging Centers of Excellence

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The following facilities in north and central New Jersey have all been cited as a Breast Imaging Center of Excellence by the American College of Radiology. These centers have demonstrated excellence in breast imaging by successfully achieving accreditation in Mammography, Stereotactic Breast Biopsy, Breast Ultrasound, and Ultrasound-Guided Breast Biopsy. For a complete list of Breast Imaging Centers of Excellence throughout the state, visit acr.org/accreditation and click on “accredited facility search.” CentraState Medical Center, The Women’s Health Center, Freehold, 732.294.2778 Freehold Radiology Group, 732.462.4844 Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center, Long Branch, 732.923.7700 Jersey Shore Imaging, Neptune, 732.988.1234 Memorial Sloan-Kettering Cancer Center, Basking Ridge, 908.542.3000 Morristown Memorial Hospital, Radiology Department, Morristown, 973.971.6602 Radiology Associates of Ridgewood, Waldwick, 201.445.8822

The Betty Torricelli Institute for Breast Care, Hackensack University Medical Center Institute for Breast Care, Hackensack, 201.996.2220 The Breast Center at Overlook Medical Center, Summit, 908.522.5762 The Leslie Simon Breast Care and Cytodiagnosis Center at Englewood Hospital and Medical Center, Englewood, 201.894.3202 The Valley Hospital Breast Center, Ridgewood, 201.447.8422 The Women’s Imaging Center at St. Peter’s University Hospital, New Brunswick, 732.745.6686

Robert Wood Johnson University Hospital, New Brunswick, 732.253.3298

University Medical Center at Princeton Breast Health Center, East Windsor, 609.688.2700

Saint Barnabas Outpatient Center, Livingston, 973.322.7888

University Radiology at Robert Wood Johnson, New Brunswick, 800.758.5545

Saint Michael’s Medical Center, Newark, 973.465.2792

University Radiology Group, New Brunswick, 800.758.5545

Sanoﬁ-aventis U.S. Breast Care Program at The Steeplechase Cancer Center at Somerset Medical Center, Somerville, 908.704.3740

Women’s Health Center at Saint Clare’s Hospital, Dover, 888.808.1234

Basking Ridge, is that chemotherapy is no longer “a train that we put you on — we’re constantly evaluating to get you through it with a minimum of side effects.” If a tumor requires radiation, there are an increasing number of options based on a patient’s personal needs and/or preferences. Most deliver less radiation over a shorter period of time. Memorial Sloan-Kettering, for instance, is conducting patient trials on the effectiveness of a four-week course of radiation, instead of the usual six to seven weeks, a procedure “most

people end up ﬁnding much more convenient,” notes radiation oncologist Preeti Parhar, MD. Another Sloan-Kettering study involves partial breast radiotherapy, which delivers radiation to only a small section of the breast. Accelerated Partial Breast Irradiation (APBI) is also a form of focused radiotherapy that “spares the normal nonaffected breast tissue, lung, heart, and chest wall, and decreases treatment time to one week,” notes Clarissa Henson, MD, chief of radiation oncology at the Trinitas Regional Medical Center in Elizabeth. Trinitas is also

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HEALTH // Breast Cancer

A diagnosis of breast cancer no longer means the certain loss of a breast, and breast removal no longer guarantees the loss of a natural-looking silhouette.

“S”-Lift Face Lift Eyelids Neck Suspension Nasal Surgery Breast Surgery

(Lift, Augment, Reduction) the first facility in the state to offer AccuBoost, which uses digital mammography (rather than catheters or other invasive devices) to deliver targeted, high-dose radiation. Arguably the most exciting advance in breast oncology, say the experts, is prone breast radiation therapy, in which a woman is positioned on her stomach, allowing the breast to fall into a small pocket. Benjamin Rosenbluth, MD, a radiation oncologist at Holy Name Medical Center in Teaneck, notes that the procedure “helps us delineate the line between healthy, underlying tissues” — the heart and lungs, for instance — “and the area needed to be treated.” And MammoSite, a procedure in which a small balloon catheter is placed in the lumpectomy site and a tiny radioactive seed is inserted in the tumor site via catheter twice a day for five days, dramatically reduces the down time associated with traditional radiation therapy. High-tech advances aside, obtaining knowledge is the best thing any of us can do to lower our risk of developing breast cancer or to make sure that we’re treating it in the most effective way possible. Find out your risk and determine which factors you can control. If you’re diagnosed with breast cancer, put together a list of questions for your doctors or navigation nurse, if you have access to one, and don’t hesitate to ask them. And find out what resources are available in your community. “You get the edngucation and you realize cancer is something you can handle, and that it’s very treatable,” states Kate Singer, who has learned from firsthand experience and says that “knowledge is power.”

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You Don’t Have to G Montclair Breast Center offers one of the most experienced, highly trained and dedicated physician breast teams in the nation, working together in one beautiful multi-disciplinary facility. Montclair Breast Center has consistently been one of the first in the nation to offer the most current diagnostic equipment including digital mammography, breast ultrasound, and dedicated breast MRI, and most recently the Dilon Breast Specific Gamma Imaging Camera (BSGI). Our team of radiologists, dedicated solely to breast imaging, and our nationally recognized breast surgeons provide seamless expertise, from screening through diagnosis and treatment to follow up. Our outcome statistics are extraordinary. Studies show that our patients with a diagnosis of breast cancer are much more likely to be diagnosed at Stage 0 or Stage 1 as compared to the national average. And there is no waiting for a call-back. Patients meet with our breast imager and have their images explained personally in one visit, an experience that many patients say they appreciate most. In Montclair Breast Center’s commitment to proactive breast care and education we have recently added an integrative medical service, offering workshops on nutrition, herbology, environmental concerns, exercise and relaxation/meditation, many of which are free and open to the public.

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BEAUTY // Better Breasts

BUSTING OUT by Echo Montgomery Garrett

SPIED IT IN MY MOTHER’S DRESSING

room — a pink contraption with a spring in the middle. The promise was that if you held your arms aloft and pushed the two plastic pieces together while meeting the resistance of the spring, voilà! — instant increase of your bust size. As an insecure 12-year-old, I became obsessed. I slipped into her boudoir on a daily basis to give the most prominent signs of my blossoming womanhood a workout. By the time I reached eighth grade, I was a solid 32D — and teased so mercilessly by the boys that I changed schools. Genetics or Mom’s boob-booster? Almost four decades later — older and wiser — I tend to think the former, although giving my pectoral muscles such a vigorous daily workout probably didn’t hurt. But the promise of breast enhancement still holds allure for most women, judging by all the ads for products

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to help in that department along with the continued boom in breast augmentation surgery, which, in 2008, surpassed liposuction as the No. 1 cosmetic surgery. Although the economy has deﬂated the demand for cosmetic surgery somewhat, women are still looking for ways to improve their looks, and bust size plays a big role in that. “A lot of self-perception is related to breast size,” explains Richard Miller, MD, chairman of the OB-GYN department at St. Barnabas Medical Center in Livingston. “It’s a cultural issue.” So, what’s a girl to do about “the girls”? Can you really boost your breast size without going under the knife — or are those promises about as real as Pamela Anderson’s chest? We spoke to experts in various specialties about three popular nonsurgical ways New Jersey women are trying to increase bust size — and which ones promise more than they produce.

BRAS WITH BRAVADO One of the simplest ways to get a noticeable difference in your bustline is to make sure you have the right bra and the right ﬁt. “Ninety percent of women are wearing a bra that’s too large around the band size,” says Angela Courtney, owner of Sweetest Sin Boutique in Red Bank. “Because it’s loose, the back of the bra rides up while the front sags. That’s the reason they aren’t getting the lift or pushup that a good bra should give.” According to Courtney, the right-sized bra can make a woman look slimmer and more polished. “The last thing women want is a lot of pushup and padding,” she says. She sees many women who mistakenly think their size hasn’t changed in 20 to 30 years. Miller says events such as pregnancy, breastfeeding, menopause, weight gain, and weight loss can cause enormous changes in the size and shape of the breast. “Breasts lose volume as a woman ages,” he adds, “and do not appear quite as full.”

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YES, YOU CAN GET YOUR BEST BREASTS — NATURALLY. HERE’S HOW.

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BEAUTY // Better Breasts “Our breast size changes at least six times in our lives,” says Courtney, who emphasizes the importance of getting ﬁtted regularly, especially if you’ve gone through some sort of physical change. A common mistake she sees women making when selecting a different-sized bra is focusing on the band size rather than the cup size, which is more likely to change. She recommends T-shirt bras for women with uneven or saggy breasts, Wacoal Embrace for those who want to add a cup size, and Marie Jo Avero, which has a halter option, for lift and shape. Séka Kaytes, owner of Bandeau Design in Woodland Park, never liked the extra padding in the bras that she found on the market. “Your breasts don’t look natural,” she explains. She recently got a patent on a bra she designed that allows the wearer to manipulate the detachable cups to attain the desired cleavage. The bras (found on mysuperbra.com) are manufactured without dyes, wires, or chemicals. The cup fabric is stretchy enough to accommodate two different cup sizes. “A lot of breast cancer

survivors are wearing my bras, because surgery leaves them disﬁgured and with completely different cup sizes,” she says. “These cups mold to them and allow them to even out their cleavage without using inserts.” (Women who have had mastectomies also can look for bra shops certiﬁed to do prostheses.)

BOTANICAL BREAST BOOSTERS According to Miller, pregnancy is the most reliable and effective way to boost breast size: The fatty tissue and milk-producing glands respond to hormonal changes that include an increase of estrogen, prolactin, and progesteron. It’s no wonder that products designed to stimulate those hormone changes abound. Of these, Miller advises, beware of the claims. “Nutritional scientists tell us that there are some foods and herbal compounds [like black cohosh, saw palmetto, and wild yam] that spark estrogen-like activity, but the potency is nowhere near estrogen levels in the menstrual cycle or pregnancy,” he explains. “Animal studies

have been conducted mostly in mice, and we’re still far from having proof that any of these produce long-lasting, safe results. There’s never been a clinical study to show that they can cause breast enlargement, and the potency is so low, it’s difficult to see a noticeable effect on breast size.” Miller also expressed concern over using kava, which is found in popular supplements. The FDA likewise has issued warnings about the plant, linking its use to liver toxicity and acute dystonia, which leaves the sufferer unable to control tongue or hand movements. “You wouldn’t take medication without knowing how reliable the results would be, yet I see all of these products relying on testimonials,” Miller says. “That’s far from science.” “To my knowledge there are no herbal products that permanently increase breast size,” says Dale Bellisﬁeld, RN, a member of the American Herbalist Guild and an integrated medicine specialist with the Montclair Breast Center who coordinates the Healthy Breast lecture series. “Some

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BEAUTY // Better Breasts herbs might make breast tissue retain water temporarily. As an herbalist, these sort of claims make me really nervous.”

CHEST MUSCLE BUILDERS “We must, we must, we must increase our bust!” Who from our generation didn’t try the chest-building exercises attempted by the heroine in Judy Blume’s Are You There God? It’s Me, Margaret. Experts agree that good old-fashioned exercise can give breasts a boost by improving posture, and

toning and giving better support to the breast by building pectoral muscles. (To keep from damaging supportive ligaments, you must wear a good, properly ﬁtted sports bra, Miller notes.) Laura Powell, a personal trainer who runs boot camps throughout central and northern New Jersey, says that there are numerous easy, at-home exercises you can do to support breasts and strengthen the underlying muscles. “A lot of clients ask me for exercises to target that area because

they are concerned about the top part of the pectoral muscle that protrudes and looks like fat,” she says. A few of her favorite exercises (see page XX) include variations on the classic push-up and the incline chest ﬂy, in which you lie on an incline bench, hold a dumbbell in each hand, and keeping your elbows straight, bring the dumbbells in, squeezing your chest — great, she explains, for building muscle mass. Now that move sounds a bit familiar. Maybe Mom was on to something after all.

BEST BUST-LIFTING AND CHEST-ENHANCING EXERCISES BY LAURA POWELL, PERSONAL TRAINER

For each exercise, do 12–16 reps for 3–4 sets. Or do each move for 1 minute a total of 3–4 times with little or no rest between sets. When you don’t rest, you keep your heart rate up, gain endurance, and blast more fat. My clients find that timing exercises is less tedious than counting — and they often find that they can do more than the maximum reps and thus will work harder. DECLINE PUSH-UPS 1. Place your feet on a stool or bench and your hands on the ground in a starting push-up position. (Modification: Place only one leg up and leave one on the ground, bent at the knee.) 2. Keeping your body in a tight straight line, push up off the ground. 3. Keep your abs tight to maintain a straight line with your body. Pull your belly button to your spine to activate your core muscles. 4. Lower back down to the starting position and repeat.

STAGGERED PUSH-UPS

By staggering your hands, you increase the load on one arm, which adds intensity to produce more strength and toning in the chest. 1. In a starting push-up position, on the toes (traditional) or knees (modiﬁed), walk the left hand forward while keeping the right hand directly under the right shoulder. 2. Lower into a push-up, feeling the challenge in the right arm. 3. Push back up and repeat for 4 reps before switching sides and taking the right arm forward. 4. Continue alternating sides. STABILITY BALL DUMBBELL CHEST PRESS

The chest press is the best chest muscle–building exercise. It builds chest muscle mass, gives shape, and helps in overall chestdevelopment strength.

Beginners should use an 8–12 lb. dumbbell and progress to 10–15 lbs as they gain strength. 1. Sit in upright position on a stability ball with your feet flat on the floor and a dumbbell in each hand. 2. Walk your feet forward, allowing the ball to roll underneath your body until it is positioned on the midto upper-back region (you may rest your head on the ball to keep your head, neck, and spine neutral). 3. Raise your hips to create a “table-top” position parallel to the floor so that you are flat as you would be on an exercise bench. 4. Maintaining stability, bring the dumbbells to your shoulders and press up, positioning dumbbells above the chest with palms away from you. 5. Slowly lower the dumbbells, keeping your forearms perpendicular to the floor and your

hands aligned at the center of the breasts. 6. Let your upper arms go slightly past parallel to the ﬂoor and press the dumbbells up to the start position. DUMBBELL CHEST FLY

Dumbbell chest ﬂy will build muscle mass in the inner chest. Start with 5–7 lb. dumbbells, modify by raising only one arm at a time. 1. Lie down on your back with a dumbbell in each hand, arms stretched out to your side. 2. Raise the dumbbells at your sides about 2–3 inches off the ground. 3. While raising your legs off the ground to straight in the air, press the dumbbells up directly above the chest with the dumbbells almost touching and palms facing each other as you crunch your upper body toward your feet. 4. Keep the elbows slightly bent, lower legs and the dumbbells

out and away from each other in an arcing motion with hands aligned with the nipples. LAYING DUMBBELL PULL-OVER

Builds pectorals and expands the rib cage. 1. Lie on your back on a flat bench. 2. Flatten your back, forming a tabletop with your body. 3. Place a 15–20 lb. dumbbell on your chest with the handle perpendicular to your chest and your palms facing away. 4. Extend elbows and raise dumbbell even with the eye-line. 5. With elbows slightly bent, lower dumbbell back even to slightly below head level. 6. Pull over the head to return to start position. Note: Keep both feet flat on the floor and keep the lower back in a neutral position. Never lock your elbows.

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HEALTH // Guide

GUIDE TO PLASTIC SURGEONS Considering plastic surgery? Use this guide to ﬁnd your closest member of the New Jersey Society of Plastic Surgeons and to learn about the latest trends.

dards of personal and professional conduct among plastic surgeons; and the purposes and effectiveness of plastic surgeons as is consistent with the public interest. NJSPS members are licensed physicians engaged in the practice of plastic and reconstructive surgery and are board certiﬁed by the American Board of Plastic Surgery. All members must agree to abide by the American Society of Plastic Surgeons Code of Ethics.

For more information, visit njsocietyofplasticsurg.org.

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Atlantic Eugene Carroccia 8512 Ventnor Ave., Margate City, 609.822.8200 Randall Volk 631 Tilton Rd., Northﬁeld, 609.645.3000, atrockiplasticsurgery.com

Bergen David Abramson 363 Grand Ave., Englewood, 201.399.4615, drabramson.com R. Gil Altman 520 Sylvan Ave., #202, Englewood, 201.569.3334

GETTY

This list is a directory of members of The New Jersey Society of Plastic Surgeons (NJSPS), a professional association representing the state’s plastic surgeons. NJSPS strives to promote: the advancement of the art and science of cosmetic and reconstructive surgery; the highest standards of professional skills and competence among plastic surgeons; the exchange of information among plastic surgeons; the highest stan-

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HEALTH // Guide Burlington

Sherwood Baxt 351 Evelyn St., Paramus, 201.265.1300, cosmedical.com

Charles Garbaccio 2 Dean Dr., Tenaﬂy, 201.567.1380

David Bikoff 146 Rte. 17 N., Hackensack, 201.441.3500

David Lipson 23–00 Rte. 208, Fair Lawn, 201.797.7770, lipsonplasticsurgery.com

William Boss Jr. 385 Prospect Ave., 2nd Fl., Hackensack, 201.488.1035, mynewjerseyplasticsurgeon.com John Bowes 249 Mountain Ave., Ridgewood, 201.652.6728 Joseph Capella 545 Island Rd., #2-A, Ramsey, 201.818.9199, capellaplasticsurgery.net

Paul Parker 122 E. Ridgewood Ave., Paramus, 201.967.1212, parkercenter.net Suri Ponamgi 1101 Palisade Ave., Fort Lee, 201.224.8831, fortleeplasticsurgery.com Sidney Rabinowitz 385 Prospect Ave., Hackensack, 201.525.0220, njcosmetic.com

Ronald Warren 2000 Academy Dr., #200, Mount Laurel, 856.727.0030, plasticsurgerydrwarren.com

Evan Sorokin 1734 Rte. 70 East, Cherry Hill, 856.872.4158, delawarevalleyplasticsurgery.com

Camden

Bhupesh Vasisht 1307 White Horse Rd., #E-501, Voorhees, 856.784.2639, drvasisht.com

Lyle M Back 1942 Rte. 70 East, Cherry Hill, 800.625.3623, ilovelyleback.com

Cumberland

Gary Brownstein 102 Browning Lane, Bldg. A, #1, Cherry Hill, 856.795.7000, cherryhillcosmeticsurgery.com Martha Matthews 3 Cooper Plaza, #403, Camden, 6017 Main St.; Voorhees, 856.342.3114, cooperhealth.org/ content/surgeryplastic.htm

Sean Bidic 2950 College Dr., #2-H, Vineland, 856.362.8898 David Watts 1051 W. Sherman Ave., Bldg. 2, #A, Vineland, 856.691.0200, complexionsbydrwattsplasticsurgery .com

Richard D’Amico 180 N. Dean St., #3-N, Englewood, 201.567.9595, drdamico.com

Gregory Rauscher 20 Prospect Ave., #600, Hackensack, 201.488.1036, drrauscher.com

Earl Di Pirro 24 Edgewood Dr., Washington Township, 201.722.9013

Perry Ritota 20 Prospect Ave., #700, Hackensack, 201.342.7333, ritota.com

William Franckle 2301 Evesham Rd., #107, Voorhees, 856.772.6500, premierplasticsurgeryarts.com

Essex

Steve Fallek 300 Sylvan Ave., #301, Englewood Cliffs, 201.541.4181, fallekplasticsurgery.com

Parmod Kumar Sharma 2 Dean Dr., #3, Tenaﬂy, 201.567.4477, pksharmamd.com

John Gatti 409 Kings Hwy. South, Cherry Hill, 856.354.6100, jgattimd.com

Harris Sterman 870 Palisade Ave., #304, Teaneck, 201.836.4111

Gary Goldstein 600 Somerdale Rd., #215, Voorhees, 856.795.8884

Mokhtar Asaadi 101 Old Short Hills Rd., #504, West Orange, 973.731.7000, asaadiplasticsurgery.com

Frank Ferraro 75 N. Maple Ave., Ridgewood, 201.664.8000, pssnj.com

Drew Tuckman 30 W. Century Rd., #220, Paramus, 201.986.1010, drtuckman.com

Trends in Plastic Surgery by Dr. Christopher Godek Today’s women are seeking plastic surgery procedures that have less down time, faster recoveries, and typically less risk. Gaining popularity are techniques that rejuvenate the face or help reshape the body and that can be performed in the office setting or in outpatient surgical facilities. Here are some of the most popular: NON-SURGICAL TECHNIQUES: The most common

non-surgical procedures currently used for facial rejuvenation include Laser Skin Resurfacing and Intense Pulsed Light Therapy (IPL). These treatments are often performed in the office setting using a topical anesthetic cream. Carbon Dioxide and Erbium Lasers are the most commonly used lasers to resurface facial skin and treat sun damage, freckling, and ﬁne wrinkle lines. IPL treatments can be used for temporary hair reduction, age spots, broken capillaries, and mild improvements in scars and stretch marks. The FDA recently approved two new non-surgical therapies for body contouring: Zeltiq (CoolSculpting) and Zerona. Zeltiq uses a unique fat-freezing technology that has been shown to result in 20 percent fat loss in the abdominal region, love handles (muffin tops) and “bra fat” approximately one to two months after one treatment. Zerona uses low-level laser therapy externally to treat the abdomen, thighs, and hips.

Patients require three treatments a week for a minimum of two weeks with Zerona. INJECTABLE THERAPY (procedures that use small

Valerie Ablaza, Allen Rosen 37 N. Fullerton Ave., Montclair, 973.233.1933, psg1.com

Sheila Bond 39 S. Fullerton Ave., 3rd Fl., Montclair, 973.509.0007, bondplasticsurgery.com Erwin Bulan 75 Main St., #105, Millburn, 973.467.9744, njcosmeticsurg.com Ramazi Datiashvili, Mark Granick 140 Bergen St., Newark, 973.972.8092 Barry DiBernardo 29 Park St., Montclair, 973.509.2000, drdibernardo.com Paul Figlia 1500 Pleasant Valley Way, #307, West Orange, 973.324.5333, ﬁgliamd.com

needles): The latest trends in injectable therapy include facial ﬁllers that stimulate collagen formation. The newest ﬁllers on the market include Radiesse and Sculptra, which work to restore facial volume in the cheeks and face.

Beverly Friedlander 636 Morris Tpke., #2-G, Short Hills, 973.912.9120, doctorbev.com

MINIMALLY INVASIVE SURGERY (small incisions with some form of anesthesia): Newer techniques allow for rejuvenation of the eyelids, cheeks, face, and neck with smaller scars and less down time (these are called “mini-lifts”). Newer, less-invasive body treatments also allow for body contouring with smaller scars and a faster recovery (e.g., SmartLipo, SlimLipo, and Vaser Liposuction). As always, do your homework, and choose a plastic surgeon who is certified by The American Board of Plastic Surgery (plasticsurgery.org) and is a member of The New Jersey Society of Plastic Surgeons (njsps.com).

Joseph Leone 75 Main St., #105, Millburn, 973.467.9744, njcosmeticsurg.com

—Christopher P. Godek, MD, FACS, President, New Jersey Society of Plastic Surgeons, practices at The Personal Enhancement Center in Toms River.

Paul Saccone 2040 Millburn Ave., #405, Maplewood, 973.763.2320

Sanjay Lalla 383 Northﬁeld Ave., #102, West Orange, 973.324.9455, drsanjaylalla.com

Paul LoVerme 825 Bloomﬁeld Ave., #205, Verona, 973.559.5231, lovermecenter.com Sami Mamoun 188 Eagle Rock Ave., #2-A, Roseland, 973.226.7565, mamounplasticsurgery.com Richard Peck 776 Northﬁeld Ave., West Orange, 973.324.2300, rpeckmd.com Carl Quillen 2040 Millburn Ave., #405, Maplewood, 973.763.2320 Bennett Rothenberg 22 Old Short Hills Rd., #101, Livingston, 973.994.3311

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HEALTH // Guide Just the FACS The letters “FACS” after a surgeon’s name indicates that he or she is a Fellow of the American College of Surgeons (ACS). Fellows of the College are boardcertiﬁed surgeons whose education, training, professional qualiﬁcations, surgical competence, and ethical conduct have been reviewed and evaluated prior to admittance and have been found to be consistent with the high standards of the ACS. Not all surgeons are accepted into Fellowship in the College, and there are some surgeons who may choose not to become Fellows. “FACS” indicates that the surgeon has submitted to a process to obtain voluntary credential and performance evaluation by their peers. —The New Jersey Society of Plastic Surgeons

A Peter Salas 101 Old Short Hills Rd., #501, West Orange, 973.731.2000, drsalas.com Scott Spiro 101 Old Short Hills Rd., #510, West Orange, 973.736.5907, drspiro.com Ross Zbar 200 Highland Ave., Glen Ridge, 973.743.4800, drrosszbar.com

Middlesex Nolis Arkoulakis 98 James St., #304, Edison, 732.549.8008, plastic-surgery.md Gregory Borah 125 Paterson St., Ste. 4100, New Brunswick, 732.235.7865, drborah.com

Hudson

Robert Briggs 6 Hagerty Ln., Cranbury, 609.860.1175

Sanjay Lalla 377 Jersey Ave., #250, Jersey City, 201.763.6764, drsanjaylalla.com

Paul Figlia 98 James St., Ste. 207, Edison, 732.632.8877, ﬁgliamd.com

Boris Mordkovich 55 Meadowlands Pkwy., #1, Secaucus, 201.751.9490

Sandra Gatt 4250 Rte. 1 North, #3, Monmouth Junction, 732.274.1500, sandragatt.com

Hunterdon Matthew Coons 2333 Morris Ave., #C-216, Union, 908.810.8550

Mercer Gregory Borah 601 Ewing St., Princeton, 609.924.5823, drborah.com Marc Drimmer 842 State Rd., Princeton, 609.924.1026, princetonplasticsurgery.com Raj Lalla 2051 Klockner Rd., Hamilton, 609.584.8898 Matthew Lynch 300-B Princeton-Hightstown Rd., #101, East Windsor, 609.448.6200, newjerseybreastsurgery.com Parvaiz Malik 1542 Kuser Rd., #B-2, Hamilton, 609.585.0044, drpmalik.com Kevin Nini, Philip Wey 60 Mount Lucas Rd., Princeton, 732.418.0709, psanj.com Gary Smotrich 3131 Princeton Pike, Lawrenceville, 609.896.2525, lawrencevilleplasticsurgery.com Jamie Wisser 300-B Princeton-Hightstown Rd., #101, East Windsor, 609.448.9055

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Caroline Glicksman 2164 Hwy. 35, Bldg. A, Sea Girt; 252 Broad St., Red Bank, 732.974.2424, drglicksman.com Gregory Greco 264 Broad St., Red Bank, 732.842.3737, drgregorygreco.com Negin Grifﬁth 721 N. Beers St., #2-B, Holmdel, 732.335.0335 Robert Herbstman 130 Maple Ave, Building 9, Ste. B1, Red Bank, 732.530.6450, cosmeticsurgerynj.com Peter Hetzler 200 White Rd., #211, Little Silver, 732.219.0447 Louis Iorio 780 Rte. 34, Colts Neck, 732.780.9191, ioriomd.com Anthony Lombardi 32 Corbett Way, Eatontown, 732.460.9555, doctorsofcosmeticsurgery.com Asaad Samra Said Samra 733 N. Beers St., #U-1, Holmdel, 732.739.2100, samraplasticsurgery.com John Taylor 48 Pavilion Ave., Long Branch, 732.483.1800, allurenj.com Rudolf Thompson 5 Professional Circle, #107, Colts Neck, 732.410.4789, thompsonplasticsurgerycenter.com

Robert Herbstman 579-A Cranbury Rd., #202, East Brunswick, 732.254.1919, cosmeticsurgerynj.com

Alan Zaccaria 180 White Rd., #102, Little Silver, 732.530.8565, zacplasticsurgery.com

Henry Hsia 125 Paterson St., Ste. 4100, New Brunswick, 732.235.7865

Morris

Kevin Nini, Philip Wey 78 Easton Ave., New Brunswick, 732.418.0709, psanj.com Joanna Partridge 213 N. Center Dr., North Brunswick, 609.918.1973, partridgeplasticsurgery.com Asaad Samra, Said Samra 200 Perrine Rd., Ste. 228, Old Bridge, 732.727.8800, samraplasticsurgery.com Om Sawhney 1550 Park Ave., South Plainﬁeld, 908.757.0666

Monmouth Ashish Bhattacharya 55 Schanck Rd., #A-4, Freehold, 732.683.1033, plasticsurgeryplus.net Stephen Chidyllo 107 Monmouth Rd., #106, West Long Branch, 732.460.9566, plasticsurgerynewjersey.org Stephen Dudick 252 Broad St., #4, Red Bank, 732.741.1303

Francisco Colón, David Lange Isaac Starker 124 Columbia Tpk., Florham Park, 973.822.3000, peergroupnj.com

Robert Reck 6 Johanna Ave., Parsippany, 973.669.8300 Larry Weinstein 385 Rte. 24, #3-K, Chester, 908.879.2222, drlarryweinstein.com

Ocean Christopher Godek 1430 Hooper Ave., Toms River, 732.281.1988, drgodek.com Michael Nagy 1430 Hooper Ave., #200-A, Toms River, 732.281.1988, drnagy.com

Somerset Mokhtar Asaadi 1 Robertson Dr., Bedminster, 973.731.7000, asaadiplasticsurgery.com David Evdokimow 96 S. Finley Ave., Basking Ridge, 908.221.1136, drevdokimow.com Jamsheed Najmi 201 Union Ave., Bridgewater, 908.722.6450 Robert Olson 888 Easton Ave., Somerset, 732.418.1888, olsonplasticsurgery.com Arthur Perry 3055 Rte. 27, Franklin Park; 1050 Rte. 202, Branchburg, 732.422.9600, perryplasticsurgery.com Andrea Strauss 331 E. Main St., Somerville, 908.725.4600

Union Joseph Alkon 640 N. Broad St., Elizabeth, 908.289.6888, dralkon.com Matthew Coons 2333 Morris Ave., #C-216 Union, 908.810.8550

Beverly Friedlander 111 Madison Ave., #311, Morristown, 973.912.9120, doctorbev.com

David Daniels 33 Overlook Rd., #403, Summit, 908.598.8222, daviddanielsmd.com

Brian Glatt 182 South St., #9, Morristown, 973.889.9300, drbrianglatt.com

James Gardner 47 Maple St., #406, Summit, 908.918.1969, jamesgardnermd.com

Albert Ko 95 Madison Ave., #103, Morristown, 973.270.0283, nnjplasticsurgery.com

Stephen Hall 33 Overlook Rd., #205, Summit, 908.522.4500

Hakan Kutlu 95 Madison Ave., #415, Morristown, 973.644.3555, drkutlu.com

Charles Loguda 522 E. Broad St., Westﬁeld; 33 Overlook Rd., Ste. 411, Summit, 908.654.6540

Richard Marfuggi 10 Broadway, Denville, 973.377.8950, askdrm.com Sami Mamoun 16 Pocono Rd., #103, Denville, 973.627.1895, mamounplasticsurgery.com Daniel Pyo 131 Madison Ave., #120, Morristown, 973.540.9055, danielpyomd.com Farhad Raﬁzadeh 101 Madison Ave., Ste. 105, Morristown, 973.267.0928, betterplasticsurgery.com

Reza Momeni 1 Diamond Hill Rd., Berkeley Heights, 908.277.8759, plasticsurgerysmg.com Farrokh Shafaie 33 Overlook Rd., #302, Summit, 908.522.1777, medfem.com Jerome Spivack, Howard Tepper Richard Tepper, Jerold Zeitels 522 E. Broad St., Westﬁeld, 908.654.6540 Larry Weinstein 33 Overlook Rd., Ste. 208, Summit, 908.522.3232, drlarryweinstein .com

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8/30/11 11:59:14 AM

BEAUTY Visit 84 | Body Image 90 | Ask the Expert 96 | Jewelry 98 | Fashion 99

NATURAL BEAUTY

WINNING SMILE Go ahead and show off those pearly whites! According to a recent study conducted for National Smile Month, women are considered more attractive when they smile than when they wear makeup. Claire Pavlinec, Mrs. New Jersey 2010, tells how to master a winning smile: • Make yourself laugh while looking in the mirror to see your natural smile. • If it's too gummy, relax your smile a bit. Sense how that feels. Practice.

AUGUSTUS BUTERA

• Be sure to let your eyes smile, too. Your whole face will light up, and you will have a beautiful, sincere smile that will be contagious. To learn more about making your smile picture-perfect, see page 96.

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BEAUTY // Visit

{ Tata Harper }

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{ Barbara Close }

Live Your Ultimate Life

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BEAUTY // Visit

by Michele Meyer

TWO UNLIKELY COSMETIC GURUS, TATA HARPER OF TATA HARPER SKINCARE AND BARBARA CLOSE OF NATUROPATHICA, SHARE THEIR FORMULAS FOR SUCCESS IN THE “GREEN” BEAUTY INDUSTRY.

Tata Harper

{

study the multisyllabic ingredients on labels. “I had no Makeup-free. Engineering degree. Vermont farm. These idea things we put on our skin could be dangerous — produce a Vogue eco-darling? Yet it’s only natural Tata even toxic — over a lifetime,” she says. Harper became a green goddess of skincare. Thus began a four-year global trek to grill chemists As a child in Colombia, she watched her grandmother about skin-firming Israeli narcissus bulb extracts and whip up moisturizers and masques from her garden. By muscle-relaxing Spanish lavender. She not only saw a age 12, Harper and her year-younger sister competed to need and a niche for her organic wares, but also had the deliver the best facial, complete with massage, extracmeans: She and husband, Henry Harper, a mergers and tions, and ice pack. acquisitions pro, split time between Manhattan and their The prize: choosing that night’s dinner. The client: 1,200 acres in Vermont. There, she began growing herbs their dad. and flowers to use in her cosmetic products. “We grow “That’s how we spent quality time in our family,” she arnica, meadowsweet, linden, safflower, chamomile, and says. “Beauty is a lifelong obsession.” borage,” she says. In fact, some of the ingredients in the Soon, classmates flocked to spa parties, where they’d products come directly from Harper’s farm. “And we wax, get pedicures, and trim and highlight each other’s make everything in small batches to ensure potency,” hair. “We made magic,” says Harper, whose she says. glowing complexion remains enviable at 35. When she isn’t in her lab fine-tuning soonYet she never foresaw a career in cosmetolto-be-added sunscreen, firming cream, and Facing: ogy, instead earning a technological degree teen acne fighters, Harper raises son Hunter Tata Harper draws inspiration from the at her mother’s behest. “She believed engiLaurence, 3, daughter Grace Paloma, 2, and products she develops at neering would teach me about logistics, time grows up to 80 percent of the family’s food. her 1,200-acre Vermont farm. Barbara Close’s management, and running a business.” Believing your skin’s appearance reflects imagination is sparked by So why did Harper launch her eponymous what you eat, Harper enjoys juicing morning ancestral healing rituals and her own herbal garden. line last year? and night, blending beets, kale, carrots, apples, Credit her stepdad. After he got urinary and oranges. “Good nutrition is one of the best tract cancer in 2005, Mayo Clinic doctors anti-aging weapons,” she says. urged him to forsake chemically crammed Harper uses half of her 14 products, which personal-care products. Only then did Harper are natural, organic, and non-toxic, twice dai-

{

HOME-GROWN BEAUTY H B 85

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BEAUTY // Visit

{

In 1995, she opened Naturopathica Healing Arts Center and Spa in East Hampton, New Facing, top: York, a refuge for facials, wraps, and massagTata Harper uses glass and treeless labels for es using custom-blended botanicals to treat packaging. Since she stress, allergies, insomnia, and sensitive skin. formulates, batches, fills, and fulfills from one “We were among the first to talk green scilocation, she lowers her ence — completely natural products with viscarbon footprint. Facing, bottom: Barbara ible results,” she says. She became known as Close works with master a spa expert. herbalists and distillers committed to using the Soon, lifestyle guru Martha Stewart wanbest of nature’s fresh raw dered in. “She wrote me up, and things took off.” plant materials. Then Close’s second cousin and actress Glenn Close, designer Donna Karan, and TV host Kelly Ripa sought bliss and unblemished faces. CONFESSIONS FROM TATA HARPER: Adding a skincare line — as Close did a year later — MAKEUP ITEM SHE’LL NEVER WEAR: seemed natural. “Yet I was the last person you’d think Red lipstick. “I look weird, overdone. At most, I’ll wear would wind up in the beauty industry,” she says. “I grew natural-colored eye shimmer or barely there lip tint.” up a tomboy, hiker, and horseback rider. I don’t wear CELEBS ON HER SPEED DIAL: Actress Lake Bell, model makeup and didn’t give much thought to skin care.” Carolyn Murphy, Shakira, and actress Sofia Vergara. Now the epidermis is her career’s epicenter. “The last two are from my hometown [Barranquilla], and Packaged in recycled blue glass and certified as natuI dated Sofia’s brother.” ral and organic by the demanding EcoCert, NaturoON HER IPOD: Bruno Mars, Katy Perry, Luis Miguel, pathica remedies rely on organic botanicals, of which Shakira. half are grown in the United States and half in the tropIN HER CLOSET: “Classics with a funky twist” by Lanvin, ics: chamomile to calm, evening primrose oil to nourish, Chanel, J. Crew, Rag and Bone — and rubber farm boots. and licorice extracts to even out mottled complexions. Bestselling menthol-rich Arnica Muscle Gel soothes FIND PRODUCTS AT: soreness while one of her personal faves, Aloe CleansMetropolis Spa & Salon, Princeton, 609.683.8388, metropoing Gel, is “the Swiss Army knife of cleansers because lisspasalon.com it’s so effective at calming inflammation,” Close says. Space NK Apothecary, New York, NY, Indeed, her latest crusade is against 212.941.4200, spacenk.com what she calls “inflam-aging”: skin damtataharperskincare.com aged by sun and over-the-counter, overly aggressive skin-smoothing retinols and Naturopathica’s Barbara Close harsh synthetics such as parabens and Bless job stress. sodium lauryl sulfate. It spurred Barbara Close, a social worker “The best thing for your skin is to check from Berkshires, Massachusetts, to seek relabels for [those ingredients],” Close says. lief through rub-downs at a local spa. “Then, “Science shows irritation breaks down I realized the power of massage therapy,” skin’s cellular structure. If you can calm she says. “And the world of wellness blew skin, you can slow aging.” my mind.” In the late ’80s, she moved to That doesn’t mean avoid peels altoSanta Fe to train as an aesthetician, massage gether, she says. Once-weekly pumpkin therapist, and aromatherapist. or cherry enzymes speed cell turnover, Returning to the East Coast five years making skin radiant and less clogged by later, she realized being needed for kneading product build-up that blocks penetrawasn’t enough. “I wasn’t interested in beauty tion of active ingredients. (See p. 18 for a and pampering but a wellness lifestyle.” recipe for a pumpkin masque.)

SCIENCE SHOWS IRRITATION BREAKS DOWN THE SKIN’S CELLULAR STRUCTURE. IF YOU CAN CALM SKIN, YOU CAN SLOW AGING.

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IMAGES COURTESY OF TATA HARPER SKINCARE AND NATUROPATHICA

ly: cleanser, toner, hydrating ﬂoral essence, reparative moisturizer, eye cream, nutrient complex, and rejuvenating serum. The last lives up to its name by reducing wrinkles , she says, while ﬁrming skin with its 29 active ingredients. Thanks to glowing write-ups in Vogue, Elle, and Vanity Fair, sales have more than quintupled, as has her green team — to 30. “Maybe I sound like an industrial engineer,” she admits, “but my products are the skin’s version of the rebar [metal framework] that gives a building its strength and keeps everything in place.”

Live Your Ultimate Life

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BEAUTY // Visit

{ Tata Harper }

PHOTO CREDIT

{ Barbara Close}

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BEAUTY // Visit

But don’t stop there. “You have to observe beauty from the inside out,” Close says. “We should eat a rainbow of low-glycemic vegetables [e.g., cucumbers, spinach], fruits, whole grains, and omega-3–rich flaxseed and salmon.” Not only do they gird cells’ lipid barriers against inflammation, but they also return us to the concept of using the kitchen as an apothecary. “Just as our ancestors did,” she says. “We need to embrace that.” CONFESSIONS FROM BARBARA CLOSE: HOW SHE TUNES OUT: She tunes in first — waking at 5 a.m. to do yoga and meditation. She also hikes, gardens, and rides horses. “We have to have a single focus to balance our fragmented lives.” HER POWER BREAKFAST: “I top whole-grain bread with smoked salmon for a great protein hit of energy.” HOW SHE MET HER HUSBAND: J. Courtney Hoblock, an architectural hardware supplier, “approached me while I mulled over-the-counter pain relievers for a

rare hangover.” They married last June. HER FAVORITE DESIGNER: “The Hamptons’ Catherine Malandrino for her playful ruffles of unusual materials, like leather.” FIND PRODUCTS AT: The Water Club at Borgata, Atlantic City, 609.317.8888, thewaterclubhotel.com Spa Toccare, Atlantic City, 609.317.7555, theborgata.com Edamame, Livingston, 973.994.5185; Paramus, 201.843.5895; destinationmaternity.com Ethos Fitness and Spa, Midland Park, 201.251.4500, ethosﬁtness.com Beauty Lounge, Summit, 908.522.6688, beautylounge.com Terra Sky Center, Summit, 908.277.1222, terraskycenter.com Naturopathica Holistic Health Spa, East Hampton, 631.329.2525, naturopathica.com

Moving is the best medicine. Keeping active and losing weight are just two of the ways that you can ﬁght osteoarthritis pain. In fact, for every pound you lose, that’s four pounds less pressure on each knee. For information on managing pain, go to ﬁghtarthritispain.org.

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BEAUTY // Body Image

Change of

Face

RAN BODNAR OF WHIPPANY

never cared for the bump on the top of her nose, nor did she like the way her nose drooped at the end. As the years went by she noticed a new development: It was getting wider with age. At 58, she decided to have rhinoplasty to narrow her nose and correct the bump. She had been contemplating the procedure for two years, discussing the pros and cons with David J. Lange, MD, a partner at The Peer Group Plastic Surgery in Florham Park. Bodnar, now 63, went into the operation with realistic expectations. “I didn’t kid myself and think if I had plastic surgery I will look 20,” she says. “The doctor didn’t promise me things that weren’t

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by Joan Tupponce

possible. I knew what they were going to do and what I could anticipate.” The results, she says, were better than she expected. “No one has asked me once if I had a nose job. Or stared at me. People just say, ‘You look great.’”

other features on their face.

Should You Consider Rhinoplasty?

Years ago, many people who wanted a change ended up with a comical skislope nose that resembled comedian Bob Hope’s famous proﬁle, or a pug nose that was too small for their face. Their nose stood out, often attracting stares and comments. Today, with new rhinoplasty techniques and the understanding that any changes to the nose need to be subtle and in balance with the other features on the face, patients often ﬁnd that unless they tell people they had surgery, no one notices the changes.

If you’re not satisfied with your nose, you’re not alone. In 2010, more than 73,000 patients in the New England and Mid-Atlantic region had surgery to correct cosmetic or functional problems with their nose, according to the American Society of Plastic Surgeons. A common complaint is that people feel unattractive because their nose is too wide or droopy, is crooked or has a large top bump, or is disproportionate to the

The aging process, as Bodnar discovered, exacerbates the problems. As skin becomes less taut, the nose may widen and the tip may droop even more.

GETTY

A different nose can affect you psychologically. Make sure you’re changing it for the right reasons.

A new nose can overhaul your image — both in terms of appearance and in newfound self-conﬁdence. Here’s what you need to know about the latest, less-invasive techniques and how to achieve the most natural-looking results.

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BEAUTY // Body Image

Types of injectables used: Radiesse, Restylane, and Juvéderm are common.

Nose Contouring Best Bet for You?

Who is a good candidate: Those with minor imperfections, such as a small depression, a defect of the nasal tip, a flat nose, or a small dorsal defect. How nose contouring works: These injections help fill in small depressions, improve contouring, and also build up areas that are flat.

Other types of treatment: Botox is used to smooth out wrinkles on the bridge of the nose and to increase rotation of the tip. Length of procedure: Can range from ﬁve to 30 minutes. How long results last: Radiesse can last from six to 18 months before being repeated. Restylane can last up to eight months. Juvéderm can last up to a year. Botox is active three to four months before it

will have to be repeated. Benefits: These procedures are less invasive than surgery. Risks are small. Usually there is little to no pain, except initially with the injection. There is no downtime. Considerations: The most common problem is bruising, which can be minimized with a fine needle and pressure placed and held for about six minutes. There may be some swelling and redness. Other side effects that have been listed are headache, nausea, and flu-like symptoms. There is also a risk of an over-correction or an

under-correction. You want to make sure the person injecting the ﬁller is experienced. If the procedure is done poorly, it can make your nose look larger. Daniel G. Becker, MD, of Becker Nose & Sinus Center, does not use these types of techniques in his practice and advises caution. “They are not FDAapproved for the nose,” he says. “It’s off-label use, and I’ve seen problems with those techniques.” Price: Depending on where you live, ﬁllers cost $500 to $1,200 a syringe and a Botox treatment can range from $275 to $500.

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BEAUTY // Body Image

The nonsurgical European medical ozone solution to spinal disc pain Medical oxygen-ozone disc injection procedures have relieved spinal disc

Whenever youâ&#x20AC;&#x2122;re considering nose surgery, you have to weigh the psychological aspects.

pain in thousands of Europeans, and is now available right here in NJ. Visit AlternativeDiscTherapy.com to see if you are a candidate for this advanced, minimally-invasive procedure, or call Dr. Bleiweiss today. Warren J. Bleiweiss, M.D. Alternative Disc Therapy 29 Smull Avenue, Caldwell, NJ 07006 Tel: 973-403 3 -3334 info@alternativedisctherapy.com

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If you have a problem such as a bulbous nose, a nose that is too wide or has a droopy tip, surgery is your best choice. It can also be a solution for people who have sinus problems or chronic allergies. If you have a small imperfection, such as a tiny depression on the side of the nose or a flat nose that may need to be built up, you may be able to forgo the surgical route and choose a less-invasive contouring option. Some people, including Lynne Henderson*, 32, of Camden County, opt for a combination surgery that addresses both cosmetic and functional problems. â&#x20AC;&#x153;I have broken my nose five times and I always had trouble breathing,â&#x20AC;? she says, noting her main reason for discussing surgery with Daniel G. Becker, MD, founder and medical director of Becker Nose & Sinus Center in Princeton, Sewell, and Voorhees. Also, she says, â&#x20AC;&#x153;My profile bothered me. I had a bulbous tip that looked clownish.â&#x20AC;? A week after the surgery, Henderson was breathing better, and her swelling had diminished. â&#x20AC;&#x153;The most important thing was being functional,â&#x20AC;? she says. â&#x20AC;&#x153;The cosmetic part was icing on the cake.â&#x20AC;?

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Though most rhinoplasties are done on an outpatient basis, the procedure is considered one of the most challenging plastic surgeries. â&#x20AC;&#x153;Itâ&#x20AC;&#x2122;s a delicate procedure,â&#x20AC;? Lange says. â&#x20AC;&#x153;You are dealing with surgical changes that are only millimeters between a good and a poor result.â&#x20AC;?

Choosing the Best Technique Over the past decade, techniques have improved, thanks to the development of open rhinoplasty, a procedure in which

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KNOW YOUR OPTIONS & BE CONFIDENT WITH YOUR DECISION an incision is made in the skin at the base of the nose, allowing the skin to be pulled back to expose the cartilages. The traditional closed method uses all internal incisions, producing no visible incisions or scars. Much of the surgeon’s work is done by sense of touch. “You can’t always see what you are doing,” says Lange, who believes you can get a much more predictable result with an open rhinoplasty. “You can look directly at the cartilages and bone and measure in millimeters. You can make your cuts much better and not overdo it.”

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In most cases, the patient’s nose dictates which method would be the most beneficial. If, for example, your upper nose needs reshaping or only small changes need to be made to the tip, either method would be suitable. A nose that is crooked, needs grafting, or requires extensive tip work is a better candidate for the open method. “You can shape the cartilage with stitches so that they have a more refined tip,” Lange says. “You can also add cartilage grafts to lift up a plunging tip.” The disadvantages of the open method include the chance for more swelling on the tip of the nose, and an external scar from the incision. “The external scar is at the bottom of the nose, where it is not readily noticeable,” says Alexander Ovchinsky, MD, founder of Plastic Surgery of Short Hills. “Nobody except for the patient would know there is a scar there.” The external incision in the open method, coupled with more work on the tip, extends the length of the operation, taking it from about two hours to almost three. Recovery time is relatively the same for both methods. Patients who have the surgery normally feel comfortable being back in public seven to 10 days after the operation, “but it takes a year for 80 percent of the swelling to go away,” says Becker.

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BEAUTY // Body Image

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In most cases, the patientâ&#x20AC;&#x2122;s nose dictates which surgical method would be the most beneďŹ cial. In most rhinoplasties, patients wear a splint as well as an external bandage for five days. â&#x20AC;&#x153;The splint helps to minimize swelling,â&#x20AC;? explains Peter Hyans, MD, chief of the department of surgery at Summit Medical Group. â&#x20AC;&#x153;It also keeps the nose protected and in position.â&#x20AC;? Some people may lose their sense of smell until the swelling subsides. â&#x20AC;&#x153;They can typically smell again in seven to 10 days,â&#x20AC;? Becker says. â&#x20AC;&#x153;It could be longer if there is more swelling.â&#x20AC;? Eating, talking, and taste are not normally affected. The open method of rhinoplasty is just one of the advances related to nose surgery. Today, doctors have a better understanding of how to use cartilage grafts to solve problems with the nose. â&#x20AC;&#x153;Cartilage graft techniques have improved cosmetically and functionally,â&#x20AC;? Lange says. Cartilage grafts are sometimes used to lift the tip of the nose. Small, crushed cartilage grafts can fill in defects associated with an indentation on the bridge of the nose, and spreader grafts can be used to open the internal portion of the nose, widening the airway for people with narrow noses.

How to Expect (and Get!) Your Best Nose Bodnar and Henderson both had realistic expectations going into their surgeries, and thatâ&#x20AC;&#x2122;s extremely important. Whenever youâ&#x20AC;&#x2122;re considering nose surgery, you have to weigh the psychological aspects, Becker says. People who are overly concerned about a small problem that is difficult for even the doctor to see are not good candidates

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for the procedure. In those cases, the doctor may tell them to leave their nose alone and accept what they have, Lange says. He sees red ďŹ&#x201A;ags when he believes someone has a hidden agenda, such as thinking that his or her life will instantly change for the better after surgery. Lange also worries when patients want the operation to please someone else. â&#x20AC;&#x153;They should be doing it for themselves and no one else,â&#x20AC;? he says. Each personâ&#x20AC;&#x2122;s nose has different characteristics, making it impossible to replicate someone elseâ&#x20AC;&#x2122;s nose, a request Hyans hears sometimes. â&#x20AC;&#x153;There are limitations as to how small you can make a nose,â&#x20AC;? he says. â&#x20AC;&#x153;For example, if you have thick skin, itâ&#x20AC;&#x2122;s hard to give you a petite nose.â&#x20AC;? To make sure people get the nose they want, doctors use digital images of the nose to approximate what it will look like after surgery. â&#x20AC;&#x153;Itâ&#x20AC;&#x2122;s like shopping,â&#x20AC;? Becker says. â&#x20AC;&#x153;I want to know what you want to look like. There is no way to predict exactly what you are going to look like. An experienced surgeon should be able to come pretty close most of the time.â&#x20AC;? Your new look may be perfect now, but thanks to Mother Nature it is subject to change over the years. â&#x20AC;&#x153;Itâ&#x20AC;&#x2122;s biological,â&#x20AC;? Ovchinsky says. â&#x20AC;&#x153;The skin loses elasticity. With age, the nasal tip becomes droopy. Every component [of your face] undergoes aging changes.â&#x20AC;? Bodnar realizes that her nose will continue to age. â&#x20AC;&#x153;Nothing lasts forever,â&#x20AC;? she says. Because she didnâ&#x20AC;&#x2122;t find the surgery painful or too uncomfortable, she wouldnâ&#x20AC;&#x2122;t hesitate to do it again if necessary. She had virtually no downtime from the procedure and says she wasnâ&#x20AC;&#x2122;t worried what people would say because she was feeling better, both physically and mentally. She was comfortable with her new look as soon as she saw it. â&#x20AC;&#x153;My goal was to improve my nose without it looking like I had surgery. It wasnâ&#x20AC;&#x2122;t an emergency,â&#x20AC;? she says. â&#x20AC;&#x153;It was a life choice.â&#x20AC;?

One Smile, One Choice Let Princeton Prosthodontics help create a smile that looks as fantastic as it feels. In addition to consulting for the New Jersey State Board of Dentistry, Michael Cortese, DMD is a member of the prestigious American Academy of Maxillofacial Prosthetics, and is one of only 450 accredited Maxillofacial Prosthodontists worldwide. We offer expert second opinions.

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BEAUTY // Ask the Experts

HOW TO GET A GREAT

smile

You’re never fully dressed without a smile! Our experts explain how everything from dental care to cosmetics to the right attitude can make the one you’re wearing as big and bright as possible. >>

So, smile when you mean it, but also smile if you need it. When you need it, it could be because you’re feeling a bit bummed out and you want to

trick your brain into feeling better. There is a phenomenon called neural facial feedback, which is a fancy way of talking about how the muscles of the face are affected by the brain. There’s a chance that people can affect their emotional state and their mood when smiling if they’re not particularly happy. It won’t be as authentic as smiling with the eyes, but it could be enough to activate the parts of the brain that could have a small and temporary effect on elevating the mood. —Clifford N. Lazarus, Ph.D., The Lazarus Institute, Skillman

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MASTERFILE

The Psychologist

To have an attractive smile, you need to smile from within. It has to be genuine. If a person is happy and pleased and is exuding a positive vibe, then the smile is not going to just be a function of what the mouth is doing — it will also be a twinkle in the eyes. Smiling with the eyes conveys to an observer a sense of genuine enthusiasm, optimism, and positivity.

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BEAUTY // Ask the Experts If a person is happy and pleased and is exuding a positive vibe, then the smile will also be a twinkle in the eyes. Smiling with the eyes conveys to an observer a sense of genuine enthusiasm, optimism, and positivity. —Dr. Clifford Lazarus, author of The 60-Second Shrink, 101 Strategies for Staying Sane in a Crazy World

The Makeup Artist

Tip: If you don’t use a lip liner, you need to make sure the gloss doesn’t bleed. A trick is to use an eye primer first on your lips or a cream eye shadow in the same color family as the gloss. It will give a little shimmer as a base coat and will give the gloss something to “grab” onto. Cream eye shadows are coming back as a trend, too, so they have multiple uses. In colors, fall lip trends are bold or natural — all or nothing. Darker shades make teeth look whiter, and natural, nude lips give you a sun-kissed, illuminated look. —Allison Paige Friedman, Schwartz Salon, Red Bank

The Dentist

Go for very glossy, high-def lips. When you have shimmer and dimension on your lips, it reflects on your teeth and makes them look whiter and brighter.

Professional maintenance is first and foremost the most important part of having a great smile. I have seen patients with cosmetically pleasing

front teeth who also have extensive back teeth problems. There is a saying in dentistry that a patient should floss only the teeth she wishes to keep. To prevent staining, chase red wine with water, which will remove much of the staining potential. When possible, a quick brushing will also make staining less likely or at least lessen the effect on the tooth surface. —Vincent J. Corsello, DMD, Morristown Dental Associates

The Prosthodontist

I always use my prescription fluoride toothpaste and Rota-dent toothbrush two times a day because they prevent gum disease and tooth decay. Also, I never drink soda. It takes paint off a car, so I know it will decay my teeth. —Michael R. Cortese, DMD, maxillofacial prosthodontist, Princeton Prosthodontics

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Anne Bracelet in Silver by CA&LOU, $1,190, luisaviaroma.com

Diamond Slice Earrings by Kimberly McDonald, $38,725, kimberlymcdonald.com

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}} The Mad Men Collection BraceletSleeve Jacket $175, bananarepublic.com

}} The Mad Men Collection Begonia Print Dress $155, bananarepublic.com

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MOD-IFY YOUR WARDROBE WITH THESE “MAD MEN”–INSPIRED FASHIONS.

Sixties CHIC

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CALENDAR // October

SAVE THE DATE

19 upcoming ways to get out, give back, and live well

Harvest of Hope, 10/15 Support the Connie Dwyer Breast Center at Saint Michael’s Medical Center in Newark. This dinner dance includes live and silent auctions and a 50/50 raffle, and proceeds will support the center’s mission to provide topquality breast care for all women, regardless of their ability to pay. Tickets: $300, 6:30 p.m.–12 a.m., 973.877.2624

12th Annual Central New Jersey Walk Now for Autism Speaks, 10/9 Help to raise funds for vital research. Check in: 12 p.m., Walk Start: 2 p.m., Mercer County Community College, West Windsor, walknowforautismspeaks.org

Fashion Saks Fifth Avenue Key to the Cure, 10/2010/23

Beneﬁts Mid Atlantic Law Enforcement Survivors Weekend, 9/30–10/2 Weekend events honor officers who lost their lives in the line of duty and their surviving families and co-workers. The event is hosted by the North Wildwood Police Department. Friday Start: 5 p.m., North Wildwood, 609.522.2411, midatlanticsurvivors.org

Adler Aphasia Center Annual Beneﬁt, 10/6 Aphasia is a language disorder that occurs often from a stroke or brain injury and affects a person’s ability to communicate. 6 p.m., Adler Aphasia Center, Maywood, 201.368.8585, adleraphasiacenter.org

Arts Horizons Annual Gala, 10/24 The theme of this year’s event, which beneﬁts the

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Englewood-based Arts Horizons, is Broadway Salutes. Television personality Marc Summers will MC. Funds will support arts education in the tri-state area. Edison Ballroom, NYC, artshorizons.org

Saint Barnabas Medical Center Annual Gala, 10/29 Beneﬁting Saint Barnabas’ Healthcare System. The Grove, Cedar Grove, 973.322.4321, saintbarnabasfoundation.org

Charity Rides/ Run Susan G. Komen Ride for the Cure, 10/16 Celebrate breast cancer survivorship with a day of horseback riding. The event will feature musical entertainment, prizes, and lunch. Riders are responsible for a $300 minimum donation. 8–10:30 a.m. Lunch

will be served 11–2 p.m., Bow Brickhill Stables, Milford. For details, contact Monica Smith at 609.896.201 ext. 13 or msmith@komencsnj.org.

Ensign John R. Elliot Hero Walk, 10/23 First annual 5K walk in support of the HERO Campaign to ﬁght and raise awareness about drunk driving tragedies. 9 a.m.– noon, registration: $20 (in advance), $25 (day of event), Ocean City, 609.332.6205, herocampaign.org

New Jersey Walk for Hope, 10/2 Join CancerCare, a national nonproﬁt organization that provides professional support services to people affected by cancer, at their walk/ run event. North Pavilion, Long Branch, For details, contact Katelyn Foran at 800.813.4673, ext. 6812.

This charity shopping weekend beneﬁts Entertainment Industry Foundation’s Women’s Cancer Research Fund and a local women’s cancer organization. Singer and actress Jennifer Hudson will serve as the national ambassador. saksﬁfthavenue.com

Fall Event South Jersey Pumpkin Show Festival, 10/8-10/9 Annual show features displays of mums, carved and painted pumpkins, handcrafted scarecrows, food, and live entertainment. 10-6 p.m., $2, kids 6 and under free, Atlantic County David C. Wood 4-H Fairground, Egg Harbor, 856.765.0118, sjpumpkinshow.com.

The Last Fling Pumpkin Sling, 10/22–10/23 Create a catapult and compete to launch pumpkins

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CALENDAR // October

the farthest distance. If youâ&#x20AC;&#x2122;re more creative than handy, enter the pumpkin carving or baking contests. This event beneďŹ ts and promotes agritourism in Warren County. pumpkinsling.com

Health and Wellness Caregiver & Families, 10/13 Learn strategies and coping skills to ďŹ nd a balance between your loved oneâ&#x20AC;&#x2122;s disease and your own life. Open to everyone, Montclair Breast Center, 7â&#x20AC;&#x201C;8 p.m., montclairbreastcenter.com, 973.509.1818 to register.

Wayne Townshipâ&#x20AC;&#x2122;s

Health Fair, 10/15

Pets

Sports

Sponsored by the Wayne Health Department, the fair features free screening and health education booths and exhibits. 8:30 a.m.â&#x20AC;&#x201C;noon, Wayne, 973.694.1800

Pet-A-Palooza, 10/1

Special Olympics New Jersey Fall Sports Festival, 10/20â&#x20AC;&#x201C;23

The Nature/Nurture of Healing, 11/10 Exploring the importance of early detection, understanding the mindbody-spirit interventions that nurture and promote healing have been shared. Learn ways to avoid sabotaging your own good health regimens. Montclair Breast Center, 7â&#x20AC;&#x201C;8:30 p.m., 973.509.1818 to register, montclairbreastcenter.com.

A Companion Animal Carnival hosted by the Cumberland County SPCA. 10â&#x20AC;&#x201C;2 p.m., donation or canned cat food for entry, Vineland, 856.691.1500

More than 600 athletes compete in golf, cycling, equestrian, and team sports. 609.896.8000, sonj.org

Fidoâ&#x20AC;&#x2122;s Festival USA presents Howlinâ&#x20AC;&#x2122; Halloween, 10/22â&#x20AC;&#x201C;10/23

5K/10K Pumpkin Run, 10/29

The perfect family weekend for families and their canines ďŹ lled with a Halloween parade, Frisbee contest, and Halloween costume contest. 10 a.m.â&#x20AC;&#x201C;5 p.m., $10, dogs and children under 12 are free, Salem County Fairgrounds, Woodstown, 856.854.3436, ďŹ dosfestivalusa.com

The event also features a one-mile family and kids Pumpkin walk and prizes for best costumes. Registration: 8:30 a.m., Race Start: 10 a.m., $25 (adults), $10 (ages 18 and under), Wildwoods Convention Center, Wildwood, boardwalkpumpkinrun.com.

Demarest Farms

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5 SEASONS BISTRO Ridgewood, 201.857.5900 Organic, local ingredients; vegetarian/vegan and gluten-free dishes

PARK & ORCHARD East Rutherford www.parkandorchard.com American and international dishes to ﬁt dietary needs

Essex ABOVE RESTAURANT AND BAR South Orange aboverestaurantbar.com American with local, organic ingredients; vegetarian/vegan and gluten-free dishes

French fusion with local, sustainable ingredients and locally bred livestock

TERRA TEA SALON Montclair terramontclair.com Local, organic ingredients; vegetarian/ vegan dishes

Hudson CINNAMON SNAIL Hoboken cinnamonsnail.com Organic vegan with local ingredients, gluten-free options

ENERGY KITCHEN Hoboken energykitchen.com Low-calorie American with vegetarian and gluten-free options

FASCINO Montclair fascinorestaurant.com Italian with local, organic ingredients; vegetarian and gluten-free dishes

HEALTH LOVE SOUL JUICE BAR & GRILL Maplewood, Montclair hlsrestaurant.com Light, healthy fare; vegetarian dishes

HIGHLAWN PAVILION West Orange highlawn.com American with local, organic ingredients; vegetarian/vegan dishes

THE HONEST DOG RESTAURANT Montclair honestdogrestaurant.com Garden-inspired American with local ingredients, vegetarian/vegan and gluten-free options

MESOB ETHIOPIAN RESTAURANT Montclair mesobrestaurant.com Vegan options

RESTAURANT PASSIONNÉ Montclair restaurantpassionne.com

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LIGHT HORSE TAVERN Jersey City lighthorsetavern.com American with local, organic ingredients; vegetarian/vegan and gluten-free dishes

ZAFRA Hoboken, zafrakitchens.com Local, organic ingredients; vegetarian/ vegan and gluten-free dishes

Hunterdon CAFFE GALLERIA Lambertville caffegalleria.com Local ingredients; vegetarian/vegan and gluten-free dishes

HAMILTON’S GRILL ROOM Lambertville hamiltonsgrillroom.com Seasonal, local ingredients

LOVIN’ OVEN Frenchtown lovinovenfrenchtown.com American with local ingredients, vegetarian/ vegan options

Lambertville lambertvillestation.com American with local, organic ingredients; vegetarian and glutenfree options

Hopewell thebluebottlecafe.com Locally sourced American, gluten-free options

Mercer BLUE POINT GRILL Princeton bluepoint.jmgroupprinceton .com Fresh seafood with vegetarian options

THE BROTHERS MOON Hopewell brothersmoon.com Seasonal food, vegetarian options

TRE PIANI CHAMBERS WALK CAFÉ & CATERING Lawrenceville chamberswalk.com American with local, organic ingredients

Princeton trepiani.com Italian/Mediterranean with local, organic ingredients; vegetarian/ vegan options; glutenfree dishes upon request

ELEMENTS Princeton elementsprinceton.com Contemporary American with local, sustainable ingredients

EMILY’S CAFÉ & CATERING Pennington emilyscafe.com Local produce/eggs, vegetarian and glutenfree options

WHOLE EARTH CENTER Princeton wholeearthcenter.com Deli/bakery, vegetarian options

organic ingredients; vegetarian/vegan and gluten-free options

Monmouth NICHOLAS 10TH AVE. BURRITO CO. Belmar tenthaveburrito.com Mexican-inﬂuenced vegetarian/vegan

AMA RISTORANTE TUSCANA Atlantic Highlands amaristorante.com Italian with local, organic vegetables; vegetarian and gluten-free options

DAVID BURKE FROMAGERIE Rumson fromagerierestaurant.com Contemporary American with local, organic ingredients; vegetarian/vegan and gluten-free dishes

DORIS & ED’S

Middlesex CHOWPATTY Iselin chowpattyfoods.com Vegetarian Indian

American-Mediterranean with seasonal, local ingredients; vegetarian options

Highlands dorisandeds.com Fresh seafood with seasonal, local ingredients

Red Bank restaurantnicholas.com Contemporary American with local, organic ingredients; vegetarian options; vegan and gluten-free upon request

SALT CREEK GRILLE Rumson saltcreekgrille.com Seafood, steakhouse with local vegetables; vegetarian/vegan and gluten-free upon request

TWISTED TREE CAFÉ Asbury Park twistedtreecafe.com Vegetarian/vegan options

WHISPERS Spring Lake whispersrestaurant.com American with local, seasonal ingredients

Morris

EURASIAN EATERY

ALICE’S RESTAURANT

NOMAD PIZZA

DOSA GRILL

Hopewell nomadpizzaco.com Organic pizza

North Brunswick dosagrill.com Vegetarian Indian

Red Bank eurasianeatery.com American with vegetarian options

Lake Hopatcong alicesrestaurantnj.com Casual American with local produce

PEACOCK INN

MIE THAI

KAYA’S KITCHEN

CAFÉ METRO

Princeton peacockinn.com Contemporary American with local cheese, vegetarian options

Woodbridge miethai.com Vegetarian/vegan options

Belmar kayaskitchenbelmar.com Organic vegetarian/ vegan

Denville thecafemetro.com Pasta and pizza with organic and vegetarian options

NAMASTÉ CAFÉ ORGANIC JUICE BAR

LANGOSTA LOUNGE

RAT’S RESTAURANT Trenton ratsrestaurant.org Contemporary French with local, organic ingredients; vegetarian and gluten-free options

TERESA CAFFE LAMBERTVILLE STATION

THE BLUE BOTTLE CAFÉ

Princeton teresacaffe.com Italian with local ingredients

New Brunswick namastejuicebar.com Vegan, raw foods

STAGE LEFT New Brunswick stageleft.com Contemporary American with local, organic ingredients, vegetarian and gluten-free options

THE FROG AND THE PEACH New Brunswick frogandpeach.com American with local,

Asbury Park langostalounge.com International with local, organic produce; vegetarian/vegan, gluten-free dishes

MCLOONE’S ASBURY GRILLE Asbury Park mcloonesasburygrille.com American with vegetarian and gluten-free options

MOONSTRUCK Asbury Park moonstrucknj.com

CHAND PALACE Parsippany chandpalace.com Vegetarian Indian

GRATO RESTAURANT Morris Plains gratorestaurant.com Italian with local, organic ingredients; vegetarian/ vegan dishes

LOVING HUT Ledgewood lovinghut.us Vegan dishes

ISTOCKPHOTO

Bergen

YOUR Guide TO RESTAURANTS THAT USE LOCALLY SOURCED OR ORGANIC INGREDIENTS OR OFFER VEGETARIAN/VEGAN DISHES.

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MARJAN PERSIAN GRILL Morristown marjanpersiangrill.com Vegetarian/vegan dishes, gluten-free upon request

ORIGIN THAI Morristown originthai.com Vegetarian options

TABOR ROAD TAVERN Morris Plains taborroadtavern.com American ďŹ ne dining with organic ingredients, vegetarian options

ROCKY HILL INN Rocky Hill rockyhilltavern.com American/Contemporary European with local, sustainable ingredients; vegetarian and glutenfree dishes

THE PLUCKEMIN INN Bedminster pluckemininn.com Contemporary American with locally sourced produce/eggs

Sussex ANDREâ&#x20AC;&#x2122;S

Somerset BERNARDS INN Bernardsville bernardsinn.com American ďŹ ne dining with local, organic ingredients; vegetarian/ vegan/gluten-free dishes

ENO TERRA Kingston enoterra.com American with local ingredients

EQUUS

BLACK FOREST INN Stanhope blackforestinn.com German with local, organic ingredients; vegetarian options; glutenfree upon request

MOHAWK HOUSE

Bernardsville equustavern.com Contemporary American with local, organic ingredients; vegetarian and gluten-free dishes

Sparta mohawkhouse.com American with seasonal menu; vegetarian options, vegan and gluten-free options upon request

FRESH

THE CHEFâ&#x20AC;&#x2122;S GARDEN

Basking Ridge iwantfreshfood.com Sandwiches, salads with local ingredients; vegetarian options

Union

Green Brook thaion22.com Vegetarian options

A TOUTE HEURE

Peapack-Gladstone ninetyacres.com Contemporary American with local ingredients

ONE 53 RESTAURANT & BAR Rocky Hill one53nj.com Contemporary American with seasonal, local ingredients

ORIGIN THAI Basking Ridge, Somerville originthai.com Vegetarian options

NATURAL GOODNESS FROM OUR FAMILY FARM IT DOESNâ&#x20AC;&#x2122;T GET FRESHER THAN THIS!!!!!!

Broilers, Eggs, Pork... Vegetables Grown on the Farm TURKEYS FOR THANKSGIVING

Apples, Cider, Donuts, Fall Decorations and Scarecrows

HOMEMADE SALADS AND BAKED GOODS MADE WITHOUT PRESERVATIVES

HAYRIDES AND PUMPKIN PICKING STARTING SEPT. 24TH - OCT. 29TH FOR GROUPS, FAMILIES AND BIRTHDAY PARTIES. CALL FOR DETAILS 201-891-0278 PONY RIDES EVERY SATURDAY THRU OCTOBER 29TH.

An experience for the entire Family... a Fun farm to visit

Mums, Container Gardens, Cabbage, Kale and Pansies

700 Lawlins Road Wyckoff, New Jersey 201.891.0278 Open All Year M-F 8-6, Sat 8-5:30 www.abmasfarm.com

Hardyston crystalgolfresort.com Garden-to-table food with organic ingredients, vegetarian options

HOUSE OF THAI CUISINE

NINETY ACRES/ NATIRAR

PHOTO CREDIT

Newton andresrestaurant.com Local, organic ingredients; vegetarian and glutenfree dishes upon request

ABMAâ&#x20AC;&#x2122;S FARM MARKET AND GARDEN CENTER

Cranford atouteheure.com Contemporary American/French with vegetarian options

BONA VITA OSTERIA Summit bonavitanj.com Locally sourced Italian with vegetarian options

BOULEVARD FIVE72 Kenilworth boulevardďŹ ve72.com Local, organic ingredients; vegetarian dishes; vegan and gluten-free options upon request

WILD GREENS WestďŹ eld wildgreensnyc.com Vegetarian/vegan dishes with local ingredients

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CONTEST // Winner’s Circle

REF REFRESH AND RENEW! GET ENERGIZED WITH THE ULTIMATE FITNESS EXPERIENCE — THEN RENEW YOURSELF WITH A SERIES OF REVITALIZING SWEDISH MASSAGES.

PRIZE A one-year membership to CAN DO Fitness Clubs, New Jersey’s premier ﬁtness clubs with locations in Short Hills, Edgewater, and Princeton. Plus: a series of six Swedish massages at Koi SpaSalon, located adjacent to CAN DO Fitness Clubs in Edgewater and Princeton.

VALUE $1,827 WHY YOU’LL LOVE IT CAN DO’s exceptional personal trainers, Pilates teachers, and group ﬁtness instructors will help prepare you for life’s most important moments. Along with your membership, you will receive a ﬁtness assessment, one personal training session, and one private Pilates session. To complete your workout, indulge in personal luxury at Koi Spa, where you will relax in the hands of a caring and attentive massage therapist, who will soothe your muscles with a relaxing and restorative Swedish massage (six massages included in this prize).

HOW TO ENTER To enter and for complete rules, visit njlhb.com. One entry per person.

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My name is Karla. Cancer Survivor. SHARE YOUR SURVIVOR STORY WITH US! Visit www.4rai.com/women

To the world you might just be one person but to one person you might just be the world. My name is Karla. I am a daughter. I am a mother. I am a sister. I am a community leader. I am a health guidelines advocate. I have worked for the American Cancer Society. I have my annual mammogram on schedule each year. I went to the same radiologist for years for my mammogram. I switched to Radiology Aﬃliates Imaging for my mammogram. I was unaware I had a suspicious tumor in my breast for years. It was conﬁrmed I had invasive lobular carcinoma. Breast Cancer. Stage 2. I had a double masectomy with immediate reconstruction. I am a SURVIVOR.

Hamilton & Lawrenceville

609-585-8800 www.4rai.com

FULL FIELD DIGITAL MAMMOGRAPHY • ULTRASOUND • BONE DENSITOMETRY • HIGH FIELD 3T MRI • LOW DOSE MULTI-SLICE CT • LOW DOSE DIGITAL X-RAY • BREAST MRI 30 SUBSPECIALTY RADIOLOGISTS, 40 YEARS OF IMAGING EXCELLENCE

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Susanna thought her life was over. In three minutes, RWJ gave it back. Language Arts teacher, Susanna DeNude has a lot to say about brain cancer. For seven years, she lived with it every day, often wondering whether she would ever see the last of it. Her two previous open craniotomies, plus radiation, did not slow the growth of a tumor in her brain. Believing she had run out of options, the Riverdale resident was fortunate to get another chance. The neurosurgical team, under the guidance of Dr. Shabbar F. Danish, director of stereotactic and functional neurosurgery at Robert Wood Johnson University Hospital and assistant professor of surgery at UMDNJ-Robert Wood Johnson Medical School, felt that Susanna was a candidate to undergo the nation’s ﬁrst laser ablation surgery for an intracranial ependymoma, a tumor that grows from the cells lining the ventricles of the brain. The surgery has proven to be effective in both adult and pediatric brain tumors, and can reduce a patient’s hospital stay from a week to a day, with fewer side effects from surgery and anesthesia since the procedure is performed using only local anesthetic. And, unlike other surgeries, if the tumor returns, laser ablation can be safely performed again, sparing the patient the need for more invasive treatment. Robert Wood Johnson has successfully performed more of these cutting-edge surgeries than any hospital in the country. Now that Susanna is back in her classroom teaching, a lot can be learned from her experience. Robert Wood Johnson University Hospital is one of America’s best hospitals, where, what others call miracles, we simply call great medicine.

RWJUH.edu/laser 1-888-MD-RWJUH

The Heart of Academic Medicine

0RINCIPAL 4EACHING (OSPITAL FOR 5-$.* 2OBERT 7OOD *OHNSON -EDICAL 3CHOOL s &LAGSHIP (OSPITAL FOR 4HE #ANCER )NSTITUTE OF .EW *ERSEY #ORE !CADEMIC -EDICAL #ENTER FOR THE 2OBERT 7OOD *OHNSON (EALTH 3YSTEM AND .ETWORK

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