Scwjoctober2014

Somerset County ’ WomensJournal

Fourth Quarter 2014

A Free Quarterly Resource for the Women of Somerset County, New Jersey

Recognizing Breast Cancer Awareness Month

In This Issue:

Tips Tips For For Managing Managing Breast Breast Health Health Breast Breast Cancer Cancer Reconstruction: Reconstruction: Your Your Options Options Finding Finding Time Time To To Start Start A A New New Business Business Increase Increase Your Your Chances Chances Of Of Securing Securing Grant Grant Funding Funding Take One… It’s PRICELESS!

Publishers Page

Dear Readers Somerset County ’ WomensJournal Somerset County Women’s Journal Jackie Roberts Media, LLC 458 Elizabeth Avenue, Suite 298 Somerset, New Jersey 08873 908-300-3905 www.SomersetCountyWJ.com Publisher Alicia C. Cameron AliciaC@SomersetCountyWJ.com Editor The Polished Edit www.ThePolishedEdit.com Graphic Design Jelly Graphics www.JellyGraphics.com

Let Us Unite....as we Inform, Educate and Empower Our Community The Women’s Journal is published bimonthly and is available free of charge, by subscription, at display stands in approved private and public establishments and authorized distributors only. Trademark and U.S. Copyright laws protect The Women’s Journal. No part of this paper may be reproduced without the written permission of the publisher. The Women’s Journal is not responsible for any editorial comment (other than its own), typographical errors from advertisements submitted as camera ready or any reproductions of advertisements submitted as camera ready. If an advertisement does not meet our standards of acceptance, we may revise or cancel it at any time, whether or not it has been already acknowledged and/ or previously published. The advertiser assumes sole responsibility for all statements contained in submitted copy and will protect and indemnify The Women’s Journal, its owners, publishers, and employees, against any and all liability loss or expense arising out of claims for liable, unfair trade names, patents copyrights and propriety rights, and all violations of the right of privacy or other violations resulting from the publication by this newspaper of its advertising copy. Publisher shall be under no liability for failure, for any reason, to insert an advertisement. Publisher shall not be liable by reason of error, omission and/or failure to insert any part of an advertisement. Publisher will not be liable for delay or failure in performance in publication and/or distribution if all or any portion of an issue is delayed or suspended for any reason. The publisher will exercise reasonable judgement in these instances and will make adjustments for the advertiser where and when appropriate. The Women’s Journal assumes no responsibility for unsolicited material or reproductions made by advertisers. This newspaper will be published by the 15th of every other month.

Representations by The Women’s Journal COPYRIGHT 1999™ READERSHIP 100,000 + www.SomersetCountyWJ.com

I greet you with joy in my heart as the Somerset County Women’s Journal is embarking on the landmark of one (1) full year in production. What a great journey this is and has been for the past year. We are so thankful for the partnerships, friendships and relationships that we have formed with our contributors and we appreciate the emails and calls of positive feedback and constructive feedback from our readers. You are the heartbeat to our publication and I am forever grateful.

In this issue you will notice that we have highlighted Breast Cancer Awareness month.

About 1 in 8 U.S. women (about 12%) will develop invasive breast cancer over the course of their lifetime and in 2014, an estimated 232,670 new cases of invasive breast cancer were expected to be diagnosed in women, along with 62,570 new cases of non-invasive breast cancer. For these reasons, it is important that we educate our readers by giving them tips on managing breast health to detect possible cancer early (page 6 ) and how to deal with the physical and psychological affects after being cancer free (page 11). The great news is that there are nearly 14 million cancer survivors celebrating birthdays this year. We honor our survivors and we support those that may be facing this challenge.

For more information please visit the American Cancer Society, www.cancer.org.

In closing, we encourage you to continue offering your feedback to our publication as well as the contributing businesses inside. Our contributors like hearing that you “read their article” and was enlightened by the information provided. You can find copies of the Women’s Journal in many locations throughout Somerset County. Locations include, but are not limited to, libraries, medical offices, hospitals, nail salons, spas, fitness centers, coffee shops, etc. If you do not see our publication in your local place of business, please call my office and we will ensure that you can locate one in your area.

We thank you for your continued support as we Inform, Educate and Empower our Somerset County Community. Happy Reading!

Warmest Regards, Alicia C. Cameron, Publisher

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Somers Womene’ stJCounty ourn

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A Free Qua rte rly Res our ce for the Wo men of Som ers et Cou nty , New Jers ey

Fourth Qu arter 2014

Subscribe To The Somerset County Women’s Journal Kindly enter my subscription for SOMERSET COUNTY WOMEN’S JOURNAL A one-year subscription (6 issues) via First Class Mail is $24 Check or money order payable to: A Jackie Robert’s Media Company, llc 458 Elizabeth Avenue, Suite 298 Somerset, New Jersey 08873 NAME ADDRESS

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Recognizing Breast Can cer Awarenes s Month

In This

Issue:

Tip Tipss For For Ma Manag naging ing Bre Bre Breast Breast ast He ast Can Health Cancer alth cer Rec Recons onstru Fin Findin tructio dingg Tim ction: Timee To n: You Yourr Op To Sta Optio Start tions Inc Increa rt A ns rease A Ne New se You w Bus Yourr Ch Busine iness Chanc ances ss es Of Of Sec Securi uring ng Gr Grant ant Fun Fundin dingg Take One … It’s PRI CELESS !

Fitness andLifestyle

Business andFinancial

Business andFinancial

Home andGarden

Home andGarden Health andMedical

Dining andEntertainment

ommunity andEducation 9 Maurice Nahabedian This Issue’s People In Profile.............4-5

Publishers Page dMedical Health n a

Caring For Alzheimer’s Patients..........12 Barretts Esophagus.................................13 Understanding Autoimmune...............14 IN d Postpartum Strong.................................15 an

Women Profile Fashion Beauty

We would love to Fitness Lifestyle your feedback! d an

Fashion andBeauty

Your American Dream...........................20 Securing Grant Funding.......................21 OF Bypassing The Corporate Ladder........22 Legal Check-Up.......................................23 d an Myths About Nonprofits...................…24 Time To Start A New Business............25 What Our Advertisers Say....................30 Job Openings- Sales & Distribution....31 d an

Caring For Your Skin.............................26 d It Works!...................................................27 an Body By Vi Challenge............................27 Always Look Your Best.........................28 nd a Real People. Real Results.......................32

Home Garden

Fitness Lifestyle

Dining andEntertainment

A Wine Rivalry.....................................31 Table Contents Business d an Financial Home Garden Community andEducation Publishers Page Home andGarden Dining Entertainment People INProfile hear Women INProfile Dining andEntertainment Community andEducation Table OFContents

We hope you love our magazine as

dFinancial Business anwe much as do. Please feel free to

reach out to us and tell us what you think. what

Home an Garden more of in the future? would you like to see d

more of in the future?

What did you find to be

Community andEducation People INProfile Publishers Page Table Contents OF

the most interesting

dinformative?

Diningand an Entertainment

Drop us a quick email: AliciaC@SomersetCountyWJ.com

Publishers Page

We are here For You!

Community andEducation

Fitness andLifestyle

Community andEducation d NJAWBO Success Story....................…16 Fitness an Lifestyle People Profile Business andFinancial

Table Contents

Tips For Managing OFBreast Health........6 Juicing 4 Awareness..................................7 Breast Reconstruction..........................8-9 It’s Time...................................................10 Physically Cancer Free..........................11

Fashion andBeauty

Health andMedical 21 dFinancial Business Tiffanyan Snyder

Futures & Hope Through Art..............17 Your Chamber... Your Community!.....18 A World Free Of MS.............................19 IN

Breast Cancer Awareness

Health andMedical

Dining andEntertainment 17 Fashion andBeauty Lisa Nocera

People INProfile

Table OFContents

Women3 INProfile

People INProfile Women INProfile Table OFContents Publishers Page

PeopleinProfile Sophie Shor “Good that can be done in the community always comes back to you in many ways.” – Sophie Shor Since the late 1980’s, Sophie Shor and Roman Jewelers have had a history of supporting the community and local charities. It stems from Sophie’s belief that the good one does comes back two-fold - in business and in life.

Sophie Shor is Vice President and Co-owner of Roman Jewelers. The store has two locations, in Flemington and Bridgewater, New Jersey, and will celebrate 25 years in business this November. Since immigrating to the United States in 1980 from the former USSR, the Shor family has felt a strong sense of community. They have continually and graciously given back to the community.

Sophie Shor is currently on the Hunterdon Medical Center Foundation Board. She has supported countless local charities over the years including Safe in Hunterdon, the Hunterdon Country YMCA, Anderson House, and Woodlands Wildlife Refuge.

Sophie serves on the marketing committee of the Flemington Business Improvement District. In 2012, Roman Jewelers was the main sponsor of the Hunterdon Holiday Parade. The family also contributes to educational programs around the state. Sophie was named “2009 Woman Business and Community Leader” by the Hunterdon County Chamber of Commerce. In 2010, Sophie and Roman Shor were recognized by the Hunterdon County YMCA for the philanthropy and commitment to the community. At the event, Congressman Leonard Lance presented the couple with a special US Congress Award. BW NICE, Business Women Networking Involving Charity & Education, honored Sophie Shor as the 2013 as Business Woman of the Year.

Sophie is a member of two business organizations; EO – Entrepreneurs Organization and WPO – Women President Organization.

Roman Jewelers is celebrating a milestone in their business – 25 years. Sophie, husband Roman and daughter, Lucy Zimmerman wanted some community-focused ways to celebrate. Roman Jewelers is doing so by donating $25,000 to local charities. These 25 charitable organizations were nominated by Roman Jeweler’s employees and each will receive a $1,000 donation.

In the spirit of giving back to the Flemington community at large, for 25 days during the month of October, Roman Jewelers will be placing a total of $15,000 of jewelry prizes in and around businesses in Flemington. Prizes will be located mostly at other small businesses and people should be looking for gold wrapped boxes with a “Finders Keepers” card on it.

Sophie Shor is proud of her family business and proud of her community. It stems from gratitude that began when the young family emigrated from the former USSR to Flemington in 1980. In Flemington, they met the community that embraced them and provided the freedom the family longed for.

This 25th Anniversary celebration will culminate with an anniversary and holiday gala where Roman Jewelers’ family, friends, staff, charitable partners and long time customers will gather to celebrate. They will be toasting not only to the 25 years of wonderful business, but also to friends, customers and the community that made Sophie Shor’s family story possible.

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People Profile in

Ragui Sadek, MD, FACS Director of Bariatric & Metabolic Surgical Center of Excellence- RWJUH Associate Professor of Surgery-Rutgers RWJMS As one of the area’s premier bariatric surgeons, Dr Ragui Sadek provides a wide variety of advanced, technically-demanding laparoscopic and bariatric procedures utilizing state-of-the-art technology. Doublefellowship trained in laparoscopic /bacteria surgery and surgical trauma/critical care, his vast skill and experience enable him to perform even the most complicated procedures on patients who may be turned away by other practices. “My trauma surgery training offers the safety and expertise necessary to deal with difficult and life-threatening procedures,” the board certified surgeon says.

A pioneer in his field, Dr Sadek was among the first physicians to perform natural orifice surgery and robotic revisional bariatric surgery. In addition, he launched the bariatric surgery program at Robert Wood Johnson University Hospital, which has been designated a bariatric center of excellence. He serves as the program’s director and also teaches at Robert Wood Johnson Medical School.

Offering evidence-based and personable care, Dr Sadek and his staff take great strides to provide patients and their families with comfort, support and the education necessary to ease worries. “Achieving cure over some of the most debilitating diseases known, such as diabetes, hypertension and sleep apnea, is extremely gratifying,” he says. “Being able to restore physical and psychological health to patients and hearing them say ‘Thank you for giving me my life back’ is an immeasurable feeling.”

HOSPITAL AFFLIATTIONS: Robert Wood Johnson University Hospital, New Brunswick, Somerset; CentraState Medical Center, Freehold.

MEDICAL TRAINING: Staten Island University Hospital (internship, residency, fellowship); UMDNJ- New Jersey Medical School (fellowship).

ADVANCED SURGICAL AND BARIATRICS OF NJ 49 Veronica Avenue, Somerset, NJ 08873* 732-640-5327 901 West Main Street, Suite 203, Freehold, NJ 07728* 609-385-0120 www.bariatricsurgerynewjersey.com

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Tips For Managing Breast Cancer Awareness Breast Health

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Breast health begins with breast awareness or a sense of what’s normal for your breasts. To promote breast health, all women should consider doing breast self-exams. With practice, you’ll discover how your breasts vary in texture at different times during your menstrual cycle. For pre-menopausal women, it is best to choose a specific day of your cycle, for example day 5, to examine your breasts each month.

Post- menopausal women should chose a specific day of the month, for example the 15th, to do their monthly breast self exams.

Most women begin screening mammography with a baseline mammogram sometime between the ages of 35 and 40 and then begin annual screening at age 40. Sometimes additional tests such as ultrasound or MRI are necessary to evaluate specific problems such as a lump or pain.

One in eight women will develop breast cancer in her lifetime. The important thing to remember is that 90% of women who develop breast cancer have NO family history of breast cancer.

But, with a combination of breast awareness through breast self exams and regular annual screening, breast cancer, if it develops, can be caught in its earliest stages, when it is completely curable.

What Is Breast Cancer?

Breast cancer is a type of cancer that occurs when cells in the breast tissue divide and grow without control. About two-thirds of cases of breast cancer originate in the mammary ducts, while about one third arise in the lobules.

Cancerous tumors in the breast usually grow very slowly so by the time one is large enough to be felt as a lump, it may have been growing for as much as ten years. One of the most important distinctions to understand is between invasive breast cancer and carcinoma in situ (kar-sin-O-ma in SY-too). Below is a brief overview of the key concepts.

Invasive Breast Cancer When abnormal cells from inside the lobules or ducts break out into the surrounding tissue, the condition is called invasive breast cancer. This term, though, does not necessarily mean that the disease may have spread beyond the breast. When invasive cancer is at its most treatable, such as when a tumor is relatively small and has not spread to the lymph nodes, it is considered “early stage.” When the condition is more serious and successful treatment is less likely, such as when a tumor is very large or has spread to other organs (like the

By Dr. Michelle Ross

liver, lungs, and bones), it is considered “advanced stage.

Carcinoma In Situ When abnormal cells grow inside the lobules or milk ducts but there is no sign that the cells have spread out to the surrounding tissue or beyond, the condition is called carcinoma in situ. The term “in situ,” which means “in place,” is used because with carcinoma in situ, the abnormal cells remain “in place” inside the lobules or ducts where they first developed. There are two main categories of carcinoma in situ: ductal carcinoma in situ and lobular carcinoma in situ.

As part of the Winship Cancer Institute of Emory University, Georgia’s only National Cancer Institute-designated cancer center, Emory Saint Joseph’s offers a comprehensive breast cancer program and state-of-the-art treatment options. These include genetic testing, screening, treatment, access to clinical trials and survivorship care. The Emory Saint Joseph’s Imaging Center locations include the Ed & Dora Voyles Breast Health Center at 5673 PeachtreeDunwoody Road, East Cobb at 137 Johnson Ferry Road in Marietta, and Forsyth at 634 Peachtree Parkway in Cumming.

Dr. Michelle Ross is a board-certified radiologist at Emory Saint Joseph’s Hospital. She earned her medical degree from Wayne State University School of Medicine, and received specialized training for interventional radiology at Emory University. Dr. Ross specializes in breast imaging, and has led the team at the Ed and Dora Voyles Breast Health Center at Emory Saint Joseph’s Hospital for twelve years, serving as Departmental Medical Director. She is one of three radiologists on the Emory Community Radiology team who specialize in breast imaging. For everything from screening mammograms to imageguided biopsies, Dr. Ross, and the entire Breast Imaging team, are dedicated to providing compassionate care for patients and their families in an environment that is both high in quality and delivered with dignity and respect. She also strives to make breast healthcare accessible to all women of Atlanta by participating in local fundraising activities with It’s the Journey, Inc.

The Ed and Dora Voyles Breast Health Center at Emory Saint Joseph’s offers breast health and diagnostic interventional procedures including: • Mammography • Ultrasound • Stereotactic biopsy • Mammotone • Upright digital stereotactic technology • Sentinel lymph node biopsy Emory Saint Joseph’s Hospital also offers a mobile mammography program, which was established in 1988. Since that time, the program expanded its outreach efforts throughout the metro Atlanta area, screening more than 3,000 patients for breast cancer annually. This type of mobile screening service has allowed Emory Saint Joseph’s to serve many underserved and underinsured populations through organizations such as Mercy Care Services, Veteran’s Administration, YWCA of Greater Atlanta and The Center for Black Women’s Wellness. Because of the fundraising efforts of the Auxiliary, Emory Saint Joseph’s was given the gift of a new mobile coach in 2010, which has allowed the program to continue to grow and improve patient satisfaction.

For more information about the Ed and Dora Voyles Breast Health Center, call at 678-843-7471.

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SJH 6976 Breast Screnning Ad FultonCoWomens Journal Womens.indd 1

5/27/14 3:36 PM

Breast Cancer Awareness

By Charnise Calhoun Carter “Cancer... we were both only in our 30’s when diagnosed. My late husband had a malignant tumor removed.

Just when I thought things could not get any worse, I was diagnosed with Breast Cancer”…

In April of 2008 my late husband had a malignant tumor removed from his left parotid gland. Two years later after suffering from severe pain in his left hip he went to the hospital to only find out that he had metastatic salivary gland cancer. Just when I thought things could not get any worse, I was diagnosed with Breast Cancer (DCIS). How could this be? Both of us with cancer? I was now not only fighting for my husband’s life, but fighting for mine as well. My husband was giving 3 months to live, but through the lifestyle changes that we both made, he lived for a little over a year and I am now CANCER FREE!!!

Juicing 4 Awareness

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Benefits of Juicing It appears that juicing is becoming more and more popular. It’s not uncommon to hear that someone was healed from cancer by juicing.

Juicing is a major part of one’s healing. Just like “healthy eating” is important to people who have cancer or as a preventative measure, juicing provides the body with the proper vitamins and nutrients it needs to build your immune system. It’s a lot easier on our digestive system when we juice our vegetables and a fruit then it is to actually chew them.

Juicing helps protect the body from infections along with killing off infectious cells. It also helps with the detoxification of the body so that toxins can be released.

Detoxification is a crucial part of healing.

A lot of times, we find it challenging to eat raw vegetables every day. For most people, juicing makes it easier to consume more fruits and vegetables in one single day. Juicing can be much more efficient than eating servings of raw vegetables every day. Eating raw vegetables can sometimes be harsh on the digestive system. We need to give our digestive system a break, allowing the cells time to heal and repair. Our bodies are able to absorb a greater amount of enzymes and nutrients by juicing.

About Juice 4 Life, Inc. Juice 4 Life is an alternative and integrative cancer support nonprofit that works with those seeking an integrative and holistic approach to cancer treatment consisting of nutrition therapy, mind- body medicine, naturopathic medicine and spiritual support.

We have supported hundreds of cancer patients and their families for the past 2

years. We educate and support all types of cancer patients and their families along with individuals who want to learn more about an integrative approach to cancer treatment and how to live a “healthy lifestyle” to prevent cancer or any disease.

Juice 4 Life works with health practitioners who provide conventional and alternative treatments in order to maximize a patient’s healing at their request.

The organization educates and supports people seeking alternative treatment options in conjunction with conventional treatment that may be in place. There are many alternative cancer treatment options available in today’s market for cancer patients, varying in method and purpose.

Beating CANCER through alternative remedies.

Know your options!

Testimonial “I’m writing to express to you all, how thankful I am for this support group. Your healthy lifestyle tips, prayers and encouragement are greatly appreciated. I am feeling wonderful after my fifth therapy session, praise God! I will BEAT this with my chin up and a smile on my face. Thank you Juice 4 Life!” -Dionne, Washington, DC

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pinach contains approximately 300-600 milligrams of chlorophyll per ounce.

Chlorophyll has been found to be beneficial in increasing oxygen intake in blood. It neutralizes free radicals and therefore aids in deterring some cancers.

Disclaimer Juice 4 Life, Inc. makes clear that we do not recommend the abandonment of conventional therapies nor do we assume the risk of any alternative therapies.

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2 medium or 1 large cucumber (peel if not organic) Handful of spinach Couple of fresh basil leaves Lemon Thumbnail of ginger

Juice 4 Life, counts on the support of those in the community. If you believe in our mission go to www.juice4life.org to make a donation.

For more information on how to purchase our “Guide to Alternative Living & Juicing Recipes” book please email us at info@juice4life.org.

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Breast Cancer Awareness

By Maurice Nahabedian, MD, FACS, Professor of Plastic Surgery Georgetown University Hospital Maurice Nahabedian, MD, FACS is currently a Professor of Plastic Surgery, Vice Chairman for Clinical Affairs, and Chief of the Division of Microvascular Reconstruction in the Department of Plastic Surgery at Georgetown University Hospital. His primary clinical and research interests are focused on breast as well as abdominal wall reconstruction. He has published over 130 manuscripts, editorials, and discussions as well as 42 book chapters on a variety of topics that include breast reconstruction and abdominal wall reconstruction. Dr. Nahabedian has been the principal editor of 3 textbooks and co-edited 2 textbooks

Breast Reconstruction...

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Recent studies have demonstrated that only about 33% of women diagnosed with breast cancer will receive breast reconstruction following removal of all or part of the breast. This number seems alarmingly low when one considers the advancements and benefits that breast reconstruction can provide. Advancements in breast surgery have occurred based on our improved understanding tumor biology as well as our ability to reconstruct a breast with very natural shape, contour, and volume.

Some of the advancements include partial mastectomy instead of total mastectomy, oncoplastic surgery, nipple-sparing mastectomy, autologous reconstruction using perforator flaps, and prosthetic reconstruction with various shaped devices and biologic materials.

Some of the benefits of breast reconstruction include improved body image, improved selfesteem, reassurance that a normal appearance can be achieved, and a willingness to educate and help other women who have to make many difficult decisions regarding their reconstructive options.

Who are Candidates for Breast Reconstruction?

All women that are diagnosed with breast cancer that will be having surgical removal or the tumor or breast (partial or total mastectomy), should be provided the opportunity to consult with a plastic surgeon. Not all women will need breast reconstruction because the majority of women with breast cancer will choose to have breast conservation in which the treatment is a lumpectomy (tumor excision with a 1-2 mm margin) and postoperative radiation therapy without the need for reconstruction. However, in women that will need a partial mastectomy (tumor excision

with 1 – 3 cm margin) or total mastectomy (complete removal of the breast tissue), most will be able to undergo either immediate reconstruction (at the same time as the partial or total mastectomy) or delayed reconstruction (following the partial or total mastectomy).

The main advantage of immediate reconstruction is that a woman will go to sleep with her breast and wake up with a new breast.

Candidates for immediate reconstruction typically include those with early to mid stage breast cancers that are generally healthy. Delayed reconstruction is usually considered in women that have very advanced cancers or who have significant health related conditions such as cardiac disease, refractory tobacco use, or morbid obesity. The good news is that breast reconstruction will not interfere or impede with breast cancer surveillance.

The reconstructive options for immediate and delayed reconstruction are generally the same; however, in women that had had prior radiation therapy, the reconstructive options may have to be individually tailored.

Partial Mastectomy and Oncoplastic Surgery Oncoplastic surgery is a relative new reconstructive option that consists of partial mastectomy and immediate or staged-immediate breast reshaping. Stagedimmediate breast reshaping is considered in some women when total removal of the breast cancer is uncertain immediately following tumor removal. In these cases, once the pathology confirms complete removal, the reshaping is scheduled. The options for breast reshaping include breast reduction, mastopexy, use of implants, or the use of flaps. Breast reduction is most often considered in women

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with large or ptotic breasts that would otherwise be good candidates for this operation. Even though the breast cancer may be in only one breast, the reshaping procedures are typically performed on both breasts at the same time in order to achieve balance and symmetry.

A required component of oncoplastic surgery is postoperative radiation therapy.

The purpose of radiation is to destroy microscopic cancer cells potentially remaining in the breast.

The goal of oncoplastic surgery is to perform the breast reshaping prior to the radiation therapy. This is because revising a breast after radiation is associated with more difficulty and can sometimes result in delayed healing and suboptimal contour. The advantages of these oncoplastic procedures are that patient satisfaction is very high because a mastectomy is avoided, the nipple areolar complex is usually preserved, and surgical outcomes are usually excellent.

Nipple Sparing Mastectomy In most women with breast cancer that are having a mastectomy, a skin sparing (SSM) approach is used. With this technique, the nipple and the areola are removed with a small rim of adjacent breast skin. Nipple sparing mastectomy (NSM) is relatively novel approach to improving surgical and aesthetic outcomes following total mastectomy. With this technique, the nipple and the areola are not removed. Although NSM has aesthetic advantages, it is not recommended for all women having mastectomy. This approach is frequently performed in women having prophylactic mastectomy (no breast cancer) who have mild to moderate breast volume. Women with “D” cup or larger breasts are sometimes not

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candidates because of the risk of nipple death or necrosis. NSM is sometimes recommended for women with breast cancer that have certain tumor and breast characteristics. The primary tumor characteristics are that the tumor be less than 2.5 cm in diameter and that it be at least 3 cm away from the nipple-areolar complex.

These distances are recommended to reduce the risk that tumor cells would be left behind following the mastectomy because many of the sites where the tumors are located are ultimately connected to the nipple via a systems of ducts.

Consultation with a breast and plastic surgeon is necessary to determine candidacy for NSM. It is important to keep in mind that whether the mastectomy is nipple sparing or skin sparing, excellent aesthetic outcomes are possible.

Reconstruction following NSM can be completed using either autologous tissue or prosthetic devices.

Autologous Breast Reconstruction Breast reconstruction using ones own body tissues has been available since the early 1980’s.

The primary donor sites at that time were the back (latissimus dorsi flap) and the abdomen (TRAM flap). Both of these options are still in use today and utilize the muscle, fat, and skin in the area. The tissues are tunneled under a skin bridge to the breast pocket and shaped into a breast.

These flaps can create a nicely shaped breast but occasionally result in adverse events related to the donor sites because the muscle has been removed.

Recent advancements with breast reconstruction using ones own tissues include the use of more donor sites without the need to remove any of the muscle. The

Breast Cancer Awareness focused on reconstructive and aesthetic breast surgery and is in the process of completing a 6th textbook on abdominal wall reconstruction.

He is the Section Editor for Breast Surgery with the Journal of Plastic and Reconstructive Surgery (PRS), serves on the editorial board for 3 other journals, and has reviewed manuscripts for 23 different journals. Dr. Nahabedian currently serves on the clinical symposia committee and the instructional course committee for the American Society of Plastic Surgery, is the PRS representative to the Joint Business Operations Committee, and is a frequent oral board examiner for the American Board of Plastic Surgery. In 2012, Dr Nahabedian chaired three national symposia that included the 4th Annual Abdominal Wall Reconstruction Conference, the Santa Fe Breast and Body Contouring Symposia, and the Challenging Complications in Plastic Surgery Conference. Dr. Nahabedian has also been a visiting professor 55 times over the past 8 years at various universities and hospitals around the country.

Considering Your Options Women considering these options should be seen in consultation with a board certified plastic surgeon.

reconstructions are performed using only skin and fat and are referred to as perforator flaps. It is the skin and fat that make up the important components of a reconstructed breast. The most common and popular perforator flap is the DIEP flap (deep inferior epigastric artery perforator) but other options include the SIEA (superficial inferior epigastric artery), SGAP (superior gluteal artery perforator), TAP (thoracodorsal artery perforator), IGAP (inferior gluteal artery perforator), and the PAP (profunda artery perforator). Although these perforator flaps are capable of producing excellent results, they are associated with more complexity because most require microsurgery. A small artery and vein associated with the flap has to be attached to a small artery and vein at the breast site using an operating microscope. These flaps can be performed for unilateral or bilateral breast reconstructions and typically require 4-6 hours and 6-10 hours respectively depending on the skill and experience of your plastic surgeon. The main risks associated with these flaps is that there is a 1-3% chance of failure and a 4-6% chance of a donor site abnormality such as a bulge or fluid collection. The main advantage is that the reconstructed breast is usually soft and supple, resembles the original breast, and lasts forever. Women are usually able to continue with there normal activities without restriction.

reconstructive process using prosthetic devices. These cadaveric skin materials have been demonstrated to possess regenerative properties and have been useful for improving surgical outcomes. A key point to remember with prosthetic devices is that they do not last forever.

Most devices will last somewhere between 10 and 15 years so additional operations are typically required. The main adverse events associated with these devices include but are not limited to infection, capsular contracture, and rupture. It is also important to remember that silicone gel devices have been cleared by the FDA and deemed safe and effective for this purpose. Silicone gel implants are ideal for women that have had a mastectomy because the remain skin and fat of the breast is sparse and the silicone gel mimics the normal breast feel more closely that saline implants.

Prosthetic Reconstruction Breast reconstruction using prosthetic devices remains the most common method of reconstruction in the USA and is utilized in approximately 75% of women. This is because it is relatively simple, has the potential for excellent aesthetic outcomes, and allows women to resume their normal activities sooner than some of the more complex operations.

Ideal candidates for prosthetic reconstruction include women that are generally healthy, have a body mass index less than 30, and have mild to moderate breast volume.

These operations can be performed in 1 or 2 stages. With the 1-stage reconstruction, a permanent implant is inserted following the mastectomy. This usually requires close coordination between the breast and plastic surgeon to ensure that the mastectomy is performed accordingly. With the 2-stage reconstruction, a tissue expander is temporarily inserted to either maintain the space or to further stretch the remaining breast skin following the mastectomy. The tissue expander is partially inflated during the initial operation and further expanded in the office. Once complete, the tissue expander is removed and replaced with a permanent implant. The permanent implants come in a variety of shapes, sizes, and types. They can be round or contoured, saline or silicone gel filled, smooth or textured surface.

Selection of the optimal device will depend on the woman’s body and breast characteristics as well as the experience of the plastic surgeon.

With these recent advancements in breast cancer awareness and reconstruction, more women are now opting for breast reconstruction following mastectomy. The techniques have improved, as have the results.

Breast reconstruction is one of the best ways to facilitate the

Maurice Nahabedian, MD, FACS Professor: Plastic and Reconstructive Surgery Georgetown University Washington DC

The use of acellular dermal matrices has facilitated the

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transition from being a breast cancer victim to a breast cancer survivor.

Testimonial I developed an inverted nipple in 2006 but didn’t think much about it until one morning I woke up with my T-shirt dappled in blood stains in the chest area. A mammogram revealed abnormalities and was told I should see a surgeon as soon as possible. I began my search and knowing Georgetown had great reputation I called Dr. Shawna Willey office. I was in her office the next day. Six months later I developed breast cancer in the opposite beast, and after two lumpectomies Dr. Willey sent me to Dr. Nahabedian to discuss DIEP Flap surgery. At the time Dr. Nahabedian was the only surgeon in the area who had the knowledge and expertise to do DIEP Flap surgery. I underwent mastectomy

by Dr.Willey and followed by immediate DIEP Flap by Dr. Nahabedian. I am forever grateful for the concern and care I received and count myself very lucky to have had Dr. Nahabedian care for me. I have total faith in both doctors, they put my mind at ease and help me recover quickly.

- Erna H Pomrenke

202-444-2000 DrNahabedian@aol.com www.MauriceNahabedian.com 3800 Reservoir Road, NW Washington, DC 20007

www.SomersetCountyWJ.com

Breast Cancer Awareness

By Christie Cook Christie Cook is the publisher of the Chesterfield Women’s Journal. Her love and passion of the Chesterfield Women’s Journal is unparalleled. As breast caner survivor, Christie works with other newly diagnosed women to help and support them as they meet and conquer the challenge of cancer.

It’s Time

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Not understanding the “Why’s” isn’t always easy. At times, trying to figure out why things happen may be what is hindering us and holding us back. The time spent in looking back, keeps us from moving forward. One can never move to a better place if they are staying rooted in the negative experiences of the present and the past. There may, or may not, be a logical explanation as to why someone may be experiencing the challenges that they are facing.

Our challenges can, and have in many cases, taken us to a place of pain, disappointment, hurt, and not being able to fully enjoy life.

Many people are now faced with becoming full-time care givers, where there is no plan in place.

Many people are feeling unsatisfied in their love relationships. Many people are concerned about their economic situation and providing for their families. Cancer has become so common among us, that it clearly has no regard for age, race, or one’s economic status. The challenges out there in living dayto-day are many, and sometimes the answers appear to be few.

Have you ever heard the saying, “As long as you have a breath of air, you have hope”? It’s true, but you have to want to live in the now.

Making the best of each moment regardless of how hard it may appear, pressing forward with an expectation that your situation will get better. Everything is not lost, it is not all hopeless. But in order to move to a place of having hope, from being in the place of being hopeless, you have to believe that your situation CAN change. That first step of belief is critical to moving forward; it’s the direction you want to be in. You must move to a place of overcoming. Quick answers and quick fixes don’t exist; it’s not what life is about. Many of the trials and tribulations that we face are experiences that we would

rather not go through if we had the choice. But there are lessons to be learned in every experience.

Being unemployed and having to live on very little, teaches the lesson of being a good steward and manager of resources when the money does return. Having a failed relationship allows for the opportunity to be introspective and self-critical, so that we can evolve and be better partners in our next relationships.

But you have to be open. You have to look for the lesson in every experience so that you can grow from it and move to a better place. Where you are in this moment does not define who you are and what you can achieve.

Choose to not to give up, choose to press forward. Tough times don’t last, tough people do. Don’t allow yourself for a minute to believe that your circumstance can’t and won’t change. How do I know??

I know because I’ve had to make that journey first hand. I had to fight to figure out what a new normal was for me. Through the battle of breast cancer, and literally coming close to death as I fought for that next day, it was a pressing forward time. But I did it, and it wasn’t always happy moments. It was no easy thing to do, but I needed and wanted to be different and to be better.

Words have tremendous power. Speak life into your circumstance, and seek the peace to know that it’s okay to take that step forward. Don’t look back, other than to see how far you’ve come.

IT’S TIME!

www.SomersetCountyWJ.com

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Breast Cancer Awareness

By Dr. Daemon Jones Dr. Dae is a licensed naturopathic physician, author and international speaker specializing in the treatment of diabetes, balancing hormones, metabolism and weight loss. Dr. Dae uses a combination of safe and effective conventional and natural therapies to help you achieve your health goals. She earned her naturopathic medical degree from the University of Bridgeport’s college of Naturopathic Medicine in 2002. Dr. Dae conducts virtual appointments to support you in your hometown. Dr. Dae’s book Daelicious! Recipes for Vibrant Living can be purchased at Amazon.com or at her website, www.HealthyDaes.org

Physically Cancer Free: Getting Your Mind

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One of the most frightening conversations you may ever have with your doctor is the one where you hear about the diagnosis of cancer. This can be especially traumatizing if you are not experiencing symptoms. One minute you think you are healthy and the next you are faced with thoughts of your mortality.

Beyond the diagnosis, there is the treatment that is generally filled with doctor’s appointments and hospital visits. Emotionally, the entire process leaves you with moments of feeling vulnerable, helpless, angry, overwhelmed, confused or all of the above. This feeling can ripple through your circle of friends and family as well.

After weeks and months of going through treatment you get the fantastic news that your cancer is gone! It is all over and you can go back to your normal life. So do you just forget about everything that you went through and just go back to your normal way of living?

No. The memories associated with handling a life threatening diagnosis don’t just go away. So, it is important that in addition to all of the medical doctor appointments you get mental and emotional help and support as well. If you do not, the memories, thoughts and fears about your well-being can impact your health long after your tumor has been eliminated.

If you are like most of us, then you may not be aware that some cancer patients suffer from post-traumatic stress disorder (PTSD) after hearing they have received a diagnosis of cancer.

Post Traumatic Stress Disorder (PTSD), defined as a mental health condition, is triggered by experiencing or witnessing a terrifying event. It becomes a persistent mental and emotional stress occurring as the result of severe psychological shock.

This mental and emotional stress releases hormones and other

“After weeks and months of going through treatment you get the fantastic news that your cancer is gone!”

chemicals in the body that impact blood pressure, heart rate, liver function, and alertness, along with other bodily functions each time the event is relived.

Some of the symptoms involve sleep disturbances, constant vivid recall of the experience, and dulled emotional responses to others. Symptoms more specific to cancer patients include flashbacks, uncontrolled thoughts about cancer, severe anxiety, nightmares or feeling emotionally muted towards friends and family members.

Research at Duke Cancer Institute in Durham, North Carolina studied almost six hundred survivors from Non-Hodgkin’s lymphoma. Over thirty percent of the survivors experienced some PTSD ten years after completing treatment.

About eight percent of patients experienced full-blown PTSD years after treatment.

One solution for patients that experience one or more symptoms of PTSD is guided imagery.

Guided imagery has been well researched to help reduce effects of PTSD in cancer patients.

Guided imagery allows patients to have control over their thoughts about their diagnosis. They are

To Catch Up

able to practice changing their thoughts about this stressful medical situation. It allows them to change their thought patterns about their health. As they change their stressful thoughts, they will actually reduce the hormones and chemicals released into their bodies. This reduces the physical symptoms like anxiety attacks, high blood pressure, or depressive thoughts. Using guided imagery along with counseling during and after initial treatment can reduce PTSD and allow patients to have a healthy recovery of body and mind.

One of the greatest things about being a naturopathic doctor is helping patients understand how to use mind-body techniques along with conventional treatments.

Working with patients to help them heal their minds and bodies of chronic illnesses like diabetes, pre-diabetes, hormonal imbalances, obesity, metabolic disorders and adjunctive cancer treatments is key in the treatment of these illnesses.

For further information, visit www.

HealthyDaes.com. Also, visit www.HealthyDaes.com to purchase a copy of Dr. Dae’s latest book, Eat More Plants.

“...the memories, thoughts and fears about your well-being can impact your health long after your tumor has been eliminated.” “...cancer patients suffer from post-traumatic stress disorder (PTSD)...” “...understand how to use mind-body techniques along with conventional treatments.”

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www.SomersetCountyWJ.com

mber 2013

Health&Elder Care

falls in the elderly are predictable, preventable, and not due solely to the aging process. In spite of this data many elderly attribute their falls to the inevitable process of aging and fear of losing independence contribute to under reporting of falls.

will fall again within six months.

3 • A decrease in bone density contributesPage to falls and resultant injuries.d anregu1arly results in poor • Failure to exercise muscle tone, decreased strength, and loss of bone mass and flexibility.

• At least one-third of all falls in the elderly involve environmental hazards in the home.

Health

Medical

HOSPICE SERVICES PARTNER IN THE LONG TERM CARE SETTING The best chance of prevention is an under-Caring For standing of all the contributing factors, including the normal aging changes that predisposeAlzheimer’s Many risk factors are preventable. A lack falls, such a visual, nervous system, musculo- of knowledge about risk factors and how to skeletal, cardiovascular, auditory and cognitiveAnd prevent themRelated contributes too many falls. Listed impairments, gait changes and medication use. are five key risk factors of falls among older adults and some preventive measures for each Disorders In Researchers have started to compare pro- factor are briefly listed below; files that characterize the falls in the elderly Living that occur in home, community, and health-Assisted 1. Osteoporosis is a condition wherein bones

le an Mary Ruela

viding Hospice Services in a facility where aroundthe-clock care by the staff already exists. The facility staff knows the residents well and many times are like family to those they care for.

gether with the patient and family ensure comfort and dignity during this very personal and sensitive time.

ces provide support and care for perHospice is an integral part of the services provided at st phase of an illness. These services Independence Manor. r the person who is ill, but also for their You could say it is a patient’s right to access a Mediregivers. The focus of care is on livSince Independence Manor has become home for uality of life. The care and services are care benefit they are entitled to, but more importantly many, having Hospice involved allows the resident team of professionals which include is having the collaboration of the facility staff, who to live the last days of their lives in their home. The hysician, the Hospice medical director, know the patients and are experts in geriatric care, Independence Manor Staff have formed a lasting workers, certified home health aides, with the professional services of the Hospice Team relationship with each resident and understands the care settings. For example, falls in the homeBy become more porous, less resistant to stress, Halyna Conticchio d chaplain, The staff are highly skilled who specialize in palliative care and who are experts care they need and The Hospice Staffprevenis then usually take place in the bedroom, bathroom, and more prone want. to fractures.

Some symptoms management, comfort care in pain and symptom management. able to come into the facility and help care for the room, and the stairs, most frequently tion tips; Eat sufficient calcium in calciuml and spiritual support. Statistics show living Assisted Living and Nursing facilities are required dying resident with their expertise. The two together descending.

These mishaps most rich foods, such as milk, yogurt, cheese, fish eceiving Hospicedisease Services Alzheimer’s (AD)have is a better while and health care designed andcomgroup programs to have a contract with atoHospiceindividual Agency for quality truly makes for a peaceful experience for the resident monly occur during activities that are routine and shellfish, broccoli, soybeans, tofu and alprogressive, meet the needsboth scheduled include memory enhancement sed comfort and neurodegenerative live longer. end of life care.

Hospice staff is available for consuland family. disease characterized by memory for and unscheduled of those who activities, pet therapy, individuals.

A recent study compared falls monds, Get sufficient vitamin D to enhance the tation and as a resource to facility staff. The addition ognized value deterioration, of Hospice Service need loss, the language help with activities of gardening, crafts, physical The support of continues after death older through Bein oftheHospice elderlyCertified at home andHealth in theAides community. absorption calcium andthesome adults Home to provide d theimpaired Medicare Hospiceskills, Benefit visuospatial poorand daily living. At Independence exercise and socialization. reavement

by Hospice professional staff One group in inthe studytofound that older per- may need Services a supplement.

Regularly do weight personal care addition what the facility provides e providers followed closely after. The Manor judgment, indifferent attitude those residents with Off premises outings via for families, caregivers and the staff at the facility. as awho person’s progresses comfort and fellillness indementia and around their homes exercises. butMedicare, preservedMedicaid motor function. mild to moderate of improves facilityown bus are also scheduled. ed by and private sons Together, Hospice and facility staffs are partners in provides support communication by away moreemotional likely caused byand frailty or unsteady begins afterstaff, age 65, the Alzheimer’s type function Families whether far or cludeAD all usually the professional regular were caring when needed most. the Hospice staff.

Hospice staff communicates on a however, its onset may occur as with in a supportive yet home close by are comforted by the gait.

Falls that occurred away from home were 2.

Lack of Physical Activity results in poor al work visits, nurse on-call 24 hours a regular basis with staff and families, developing indiearly as age 40, appearing first as like environment.

They are knowledge that their parent tone, decreased and Hospice loss of week, all medications related to the ill- primarily due to environmental causes and muscle Ann Boyle is the Director strength, of Hunterdon vidual plans of care to meet the goals of the patient. memory decline and, over time, supervised and assisted as or relative is receiving the equipment and personal care, chaplain concluded that both frail and vigorous elderly bone mass and flexibility. prevention Services.

Hunterdon Hospice is aSame Medicare certified, destroying cognition, personality, needed with their activities of appropriate care and support ll as bereavement services for families persons Joint Engage Commission accredited, non-profit organization areyet atvolunteers, risk when they are from tips: regularly (at least every other day The Hospice who visit the away resident, pro- enhance and ability to function. Confusion daily living retain a level which will ultimately s. and restlessness may also occur. and a member of the National Hospice Organization vide companionship, assist with meals and can be a familiar surroundings. for about 15 minutes).. Undertake activities in of independence.

In house, their quality of life. the manner, New Jersey Hospice and Palliative Orpresence in vigil so a person is not isolated or alone.

The type, severity, sequence, and aand safe such as reaching and Care bending spice provides all the Hospice Services ganization which has been providing care to the comMany times, volunteer is a big source of support properly, slowly rising from a chair, learning progression of mental changeswhen Some quicktheAlzheimer’s facts: he person’s home.

Most people, Resources: Association Toll Free Helpline 1-800-883-1180 vary widely. The early symptoms munity Support since 1979.

Mary Ruela RN is Director of to families as they anticipate what changes are occurHunterdon Medical Center Senior Services (908) 788 6401 Ext 3002 o stay in their own familiar surround- • More than 90% of hip fractures occur as*Alzheimer’s a the proper wayGroup to fall, and learning how to reof AD, which include forgetfulness Nursing at Independence Hunterdon, an Asring for them.

The collaboration of the facility staff assessment *Geriatric Assessment Comprehensive the olderManor adult,at their e, their home is an Assisted Living or result of falls with mostProgramof the fractures oc- cover after aof fall. and loss of concentration, can be sisted Living Residence in Flemington, New Jersey. along with the Hospice staff and services working toenvironment and support system (908) 788-6373 e facility with the comfort of being with

A

missed easily because they resemble

ow and caresigns for them on a Similar daily basis. natural of aging. uestion what iscan thealso value added by prosymptoms result from fatigue, grief, depression, illness, vision or hearing loss, the use of alcohol or certain medications, or simply the burden of too many details to remember at once.

Hospice is

A major issue facing an increased number of families is the responsibility of providing care for their elderly parents or relatives. The challenge becomes especially great for those who notice that their loved-one can no longer handle many of the normal day-to-day tasks of living. Due to increased forgetfulness and fragility, there becomes a concern about how a parent is managing their finances, medication, nutrition, personal hygiene, up keep of home or apartment etc. Their living alone is no longer possible and a decision needs to be made. Assisted living may be an appropriate choice. What is Assisted Living? The Assisted Living Federation of America defines an assisted living residence as a special combination of housing, personalized supportive services

integral part the services

provided at

dependence Manor.

www.SomersetCountyWJ.com

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October/November 2014

Health & Medical

BCWJ ~ Page #

BY ANDREA GOLDSTEIN, M.D.

Andrea Goldstein is a board certified Gastroenterologist at Hunterdon Gastroenterology Associates. She received her MD from Georgetown University Medical School, completed her Internal Medicine residency at North Shore University Hospital and did her Gastroenterology fellowship training at the University of Buffalo. For more information or for an appointment, call 888-627-0089.

BARRETT’S ESOPHAGUS

What is it?

Diagnosis The esophagus is the muscular BE itself causes no symptoms. It is tube which extends from the often discovered during evaluation mouth to the stomach. Barrett’s Esophfor the symptoms of acid reflux. agus (BE) occurs when the normal cells If a person has longstanding which line the inside of the esophagus heartburn they should undergo an are replaced by a different cell type. endoscopic gastroduodenoscopy, The cells which normally line the or EGD. Prior to the examination esophagus are called squamous medications are given through an cells. These cells turn into IV for sedation and a thin tube intestinal type cells in BE. Over with a built-in camera is used time these cells can develop into to look into the esophagus and precancerous cells and eventually stomach. In BE the normal glossy esophageal cancer. pale lining of the esophagus Why is this important? changes to a salmon-pink color The incidence of esophageal similar to the appearance BCWJ of ~ the Page # cancer in the general population stomach lining. These changes is low. However, the risk increases occur at the junction between by 30 fold or by 0.5% per year in the stomach and the esophagus people with BE. and can extend up the esophagus What causes it? towards the mouth. If these BE is directly related to acid findings are present, a small refluxing from the stomach biopsy will be taken and viewed repeatedly into the esophagus. This under a microscope to confirm is also known as gastroesophageal the diagnosis. Both the classic stein, M.D. reflux disease or GERD. endoscopic appearance troenterologist at Hunterdon Gastroenterology Associates.

She received her MD and positive ity Medical completed Internal North Shore ThereSchool, are other factorsher which alsoMedicine residency biopsiesatare needed to make the d her increase Gastroenterology training at the University of Buffalo. the risk fellowship of BE including diagnosis of BE.For more t call 908-788-6448. being of an advanced age, being male, Treatment or having a Caucasian or Hispanic If BE is diagnosed, treatment background and smoking. involves lifestyle modifications,

h & Medical

medications and periodic surveillance endoscopes. Lifestyle modifications include avoiding food which promotes acid reflux (chocolate, high fat foods, alcohol, peppermint) and behavioral changes such as smoking cessation, raising the head of the bed at night, avoiding very large meals, plus not eating close to bedtime. Antacids are prescribed to decrease the excessive amount of acid that refluxes into the esophagus. An EGD should be performed every 2 to 3 years with biopsies taken from the esophagus to look for the development of precancerous cells.

Summary Hunterdon Gastroenterology Associates has experience diagnosing and treating many people with both acid reflux and BE. Please contact HGA if you experience the symptoms of acid reflux such as heartburn, nausea, or indigestion, and especially if you experience trouble swallowing or painful swallowing. These symptoms should prompt an evaluation for the presence of acid reflux and acid reflux related disorders such as BE. An evaluation appointment can be made by calling 888-627-0089.

A World-Class Center for Restoring Your Digestive Health Serving patients in Central New Jersey with compassion and respect since 1982.

agus

oms. It is aluation eflux. ng ergo an scopy, ination ugh an tube ed and l glossy us color f the nges een agus phagus se l ewed irm ssic positive e the

Health andMedical

• Accurate testing and diagnosis • True relief for all digestive health conditions • The latest, most effective treatment procedures performed in our office or our fully accredited outpatient Endosurgery Center • Complete medical management of digestive health problems by American-trained specialists with decades of combined experience • Designed for your comfort and convenience: • On-site ambulatory Endosurgery Center accredited by the Accreditation Association for Ambulatory Health Care • Two office locations to serve you • Extended hours on Saturdays

Flemington Office

Schedule your appointment today.

908-483-4000 endoscopy. Lifestyle modifications include avoiding food which promotes acid reflux (chocolate, high fat foods, alcohol, peppermint) and behavioral changes such as smoking cessation, raising the head of the bed at night, avoiding very

Summary At Hunterdon Gastoenterology Asso-ciates we have experience diagnosing and treating many people with both acid reflux and BE. Please contact us if you

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

Somerville Office 135 West End Avenue Somerville, NJ 08876

908-483-4000 www.HunterdonGastro.com

www.SomersetCountyWJ.com

Health andMedical

By Joanne Price Joanne Price became ill in 1997, was diagnosed with Still’s Disease in 2007 and became disabled from work in 2008. Her search for help revealed a need in our area, so Joanne started The Autoimmune Support Group in 2009. Debilitated but never defeated, Joanne worked toward her bachelor’s degree one class at a time. In 2009, she graduated Summa Cum Laude from Kean University and was inducted into the Phi Kappa Phi National Honor’s Society. In 2013 she launched a website. Because Joanne’s husband is a disabled veteran, she has the unique perspective of both patient and caregiver, which is related through her weekly blog, “Living With Chronic Illness.” Presently in partial remission, Joanne aspires to grow the group to reach all those in need.

Understanding Autoimmune Disease

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When someone tells you they have an autoimmune disease, do you have a vague idea of what they are talking about, but not a real understanding? Here is some basic information you might find useful.

What does having an Autoimmune Disease mean?

Our body is set up to protect itself against “invaders” such as colds, flu and bacteria. There is a “response” that is triggered when the body recognizes a “foreign invader” called the “immune response”. This is a series of events designed to kill the “foreign invader”. When someone has an “autoimmune disease” the body cannot tell the difference between a true “foreign invader” and normal healthy tissue in the body. The body mistakenly starts the immune response against its own healthy tissue! It then attacks and destroys the healthy tissue it perceives to be a danger.

No one knows exactly what causes the body to do this. One theory is that there is a genetic predisposition, and then, some kind of stress weakens the body.

This stress can be physical, (like injury or undergoing surgery), or emotional, (like the loss of a loved one or divorce). The weakened body then triggers a faulty or “abnormal” immune response.

What parts of the body can an autoimmune disease attack?

Autoimmune diseases can attack the blood vessels, joints, muscles, the lining of the heart or lungs, the central nervous system, kidneys, spleen, intestines, or even the skin.

What are some of the over 80 different autoimmune diseases?

Crohn’s Disease, Celiac Sprue, Grave’s, Hashimoto’s, Multiple Sclerosis (MS), Rheumatoid Arthritis (RA), Lupus, Sjogren’s,

Still’s Disease, Type I Diabetes and Ulcerative Colitis to name a few.

tasks at some point in the disease process.

What are some of the symptoms associated with autoimmune disease?

The symptoms can differ from person to person, even if they have the same disease. The symptoms even change and can vary in intensity. Symptoms include: headache, irritable bowel, hair loss, night sweats, rashes, joint pain, and muscle pain. There are some symptoms that most autoimmune diseases have in common: fever, fatigue, joint pain, and malaise (feeling like you have the flu).

3. Autoimmune disease can wax and wane even from hour to hour. This makes it very difficult to make plans and keep them.

What are “Flare-ups”and “Remissions”?

Textbooks describe “flare-ups” and “remissions” which suggest that there will be times of illness (which is called a “flare-up”) and then periods of being “illness-free” (called a “remission”). The reality for many people is that the illness is always a part of their life to some degree.

4. Relationships are tested. The nature of these illnesses is that often plans are canceled at the last minute. It takes a very good friend to understand that the person would participate if they could.

5. Depression: Your whole life can be changed by having an autoimmune disease. It is very isolating, frustrating and sad to feel so sick every single day.

How Can You Help?

One of the most important things you can do for your loved one with an autoimmune disease is to believe

How Is It Treated?

The goal of treatment is to interrupt the immune response, decrease inflammation and control pain. Medications are tailored specifically to the patient and may require a trial and error approach before finding a treatment plan that works. Some newer medications are Humira, Enbrel and Xeljanz.

Another way to help is to direct them to services which teach them coping skills. Help them to find a compassionate therapist who accepts their insurance, or direct them to the Living With Autoimmune Disease Support Group!

Autoimmune Group

Support for those coping with Chronic Illness

Joanne N. Price Facilitator

What kinds of problems might a person with autoimmune disease have?

1. The unpredictability makes it extremely difficult to hold down a job which causes financial hardship.

2. Shopping and housekeeping can be extremely difficult. Tasks often have to be done in “chunks” with rest periods in between. Some people won’t be able to do any of these

www.SomersetCountyWJ.com

them. Read up on their diagnosis, accompany them to the doctor, and above all, believe them when they share how ill they feel or how much pain they have. You may think that people “over exaggerate” their symptoms or “make it up”.

The reality is many times just the opposite: when asked how they are doing, many chronically ill patients will just reply “fine”. They either don’t want to worry their loved ones or they feel that no one will believe them anyway.

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Bi-monthly meetings held at Somerset Medical center Somerville, New Jersey 908-358-7167 autoimmunegroup@hotmail.com www.autoimmunegroup.com

Health andMedical

By Cora T. Huitt PT, DPT, BCB-PMD Cora Huitt has been practicing physical therapy for forty-one years. She has been an adjunct professor and clinical instructor at several universities. She is a certified women’s health specialist in pelvic floor dysfunction. Her clinic Women’s Health Physical Therapy is one of six credentialed by the American Physical Therapy Association in the United States and specializes in treating women and pelvic floor dysfunction.

Cora is an affiliate member of the American College of Obstetrics and Gynecology, International Continence Society, National Vulvodynia Association and International Society for the Study of Women’s Sexual Health.

She earned her Bachelors of Science at Ohio State University, Masters in College Teaching at University of North Carolina, and her Doctor or Physical Therapy at Alabama State University.

Postpartum Strong – From The Inside Out

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Having a baby is amazing, but as any new mom will tell you, regaining your pre-pregnancy body is tough. You and your body are trying to heal after the birth, and learn how to care and provide for a new human being, all while dealing with dramatic hormonal changes and physical exhaustion, and somewhere in the mix you would like to feel sexy again and share some intimacy with your partner. What you don’t expect after having a baby is the feeling of the pressure from the decent of your organs, losing control over your bladder and bowel and your stomach muscles pulling part. Yet for the majority of my patients, these are the feelings experienced after childbirth. What they don’t know is that all of the above symptoms are a result of the same condition. A condition they do not need to live with, thanks to dedicated physical therapy and reconditioning.

The culprit is postpartum pelvic floor muscle weakness. The physiological changes a woman’s body goes through during pregnancy are significant, a ninemonth marathon. Much like the athlete’s, a woman’s body needs ample recovery time. Yet the majority of new moms come to me thinking of it more as a sprint. They want to return to their normal functioning and lives, and they expect this to be quick and painless. They do not understand the importance of a strong pelvic floor, nor do they appreciate the trauma it undergoes during childbirth. A weakened pelvic floor can lead to incontinence, prolapse, back pain, diastasis recti (also known as abdominal separation), or pain during intercourse. However, with the help of a women’s health physical therapist, new moms can

!

strengthen their pelvic floors by focusing on three primary areas: Bellies, Bottoms and Backs: Bellies Most moms want to get rid of the postpartum “jelly belly” and get back into their prenatal clothes. Though this can be great motivation, if a woman returns to her pre-baby work out routine too soon, she risks damaging her postpartum body. The belly muscles actually consist of 3 layers. The first layer is the Rectus abdominus. This is the muscle used when you do sit ups and crunches. This muscle separates during pregnancy. The muscle usually returns together 4-6 weeks after delivery, however some separations do not. Thankfully some combination of strengthening exercises, a corsettype brace, and reconditioning usually draw the stomach muscles back together. The second layer is the oblique’s, which run in a diagonal direction and provides a “corset” to your trunk. The third layer is the transverse abdominus. These are the deepest of your abdominal muscles. If you were a mama kangaroo this is where baby Joey would be sitting! So it is only fitting that this muscle forms a pouch in the very low abdomen and gives you the “jelly belly”. Strengthening this muscle supports the back and minimizes pain. Additionally, stronger core muscles promote better posture, which aids in coordination, balance, and overall wellbeing.

Bottoms The pelvic floor area is between the pubic bone and the tailbone. It is a complicated mesh of two different type of muscles (superficial and deep), nerves, and soft tissue. Together they form a trampoline that

! supports the bladder,! uterus, and bowel. Additionally, ! they ! and provide closure for these !

!

enhance sexual satisfaction. These muscles become severely weakened during pregnancy and need to be strengthened postpartum, to avoid organ prolapse and incontinence…. and to improve sexual satisfaction. “Kegels” are the known name for these exercises, however up to 40% of women are doing them wrong.

Tension in these muscles from delivery may lead to tightness leading to pain in the pelvic floor, sexual pain, or incomplete voiding. Physical therapists use perineal massage to loosen these muscles and minimize pain.

Backs After childbirth, a new mom may experience persistent sacroiliac joint, coccyx (tailbone) or pubic pain. Additionally, mid back or neck pain may present itself from lifting, carrying, and feeding the baby. Using proper posture while performing everyday tasks and taking care of a baby reduces back pain commonly felt by postpartum women. Strengthening specific muscles in the back and learning how to integrate principles of body mechanics, which reduces skeletal strain in functional activities of daily living, will reduce discomfort.

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No longer can women state, WHY DIDN’T I KNOW that reconditioning during the postpartum period was important to prevent incontinence, reduce diastasis and guard against prolapse and sexual dysfunction. No one wants these conditions! Women deserve strength through support after a pregnancy and taking care of a newborn. Clinical evidence in medical journals makes the case for the importance of women becoming postpartum strong, maybe even stronger than they were when they conceived. When all components of the deep muscles of the trunk, including the transverses abdominus, deep back extensors, the superficial and deep pelvic floor muscles are coupled with proper breathing (that means not holding your breath), the incidence of the conditions listed above happening to you are greatly reduced. Furthermore, strength in the belly, bottom, and back lead to a sculpted body with reduced body fat; exercising these muscles also serves as a natural antidepressant.

The majority of insurances will provide physical therapy services for the changes that occurred within you during your pregnancy.

If you would like to benefit from physical therapy to become post partum strong, set up an appointment for a screening of the three Bs: belly, bottom and back.

www.SomersetCountyWJ.com

Community andEducation

Success Story: NJAWBO Assists Local Business Obtain NFL Contract Presented By Mary Adelman, NJAWBO President

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Thomas Edison once said, “The three essentials to achieve anything worthwhile are hard work, stick-to-itiveness, and common sense.”

Shelly Aberson must certainly agree to that recipe for success.

The president of ANW, Aberson Narotzky & White Branded Products persevered and won a spot on the list of Super Bowl vendors.

It was not easy to do.

The process began a year before the big game. That’s when Aberson received an email from the New Jersey Association of Women Business Owners, telling her about a meeting in Newark to learn about doing business with the Super Bowl Host Committee and NFL. Aberson attended, along with 1,200 other business owners.“The whole place was packed,” she remembered.

“We were looking at each other, saying, ‘This is a waste of time.

I have never seen so many heads

shake No Way at the same time.’”

At a second meeting, Aberson noticed there were less attendees.

“Many of the 1,200 had said, ‘I’m not coming to the next event. This is a long shot, a big long shot. I thought so, too, but I just kept filling out forms and signed up for the Business Connect Program.”

A flurry of emails followed and Aberson kept responding. “What turned the tide was when I got an email saying there having a vendor show.Getting a booth was very competitive, but, low and behold, we got one.”

Before the show, she made a call to ask if the decision makers would be attending and what they were looking for. The answer was coins and cards. “I said that if they stopped by my booth I would have both.”

York airports as a thank you for attending the game.

That was only the beginning. The Super Bowl had an agent that worked on all the accessories. He came to Cranford and saw they did more than playing cards. ANW landed an order to produce hats, gloves, and jackets for the mobile tour.

In addition, ANW supplied 10,000 hand warmers, 50,000 white plastic bags, 10,000 clear plastic bags, and 50,000 Super Bowl buttons that said, “More Super with You.” They produced server aprons and key ring flashlights, and 10,000 notepads for volunteers. All items had the New York/New Jersey

ANW made it onto the vendor list and won the bid to supply 150,000 decks of cards to be given to tourists at New Jersey and New

Super Bowl logo.

Even the weather helped to promote ANW. As visitors were trying to leave after the Super Bowl, they were stranded at the airports by a snow storm. NBC came to the airports to do a story about what these passengers were doing to pass the time. You guessed it. They were playing cards.

ANW offices is located at 725 Federal Avenue Suite B, Kenilworth Phone: 908-789-2700, www.anwinc.com. *Reprinted from Chamber News, June 2014 issue, by permission of the Greater Elizabeth Chamber of Commerce

NJAWBO (The New Jersey Association of Women Business Owners) is the largest statewide women business owners’ organization in New Jersey. Its primary objective is to support and encourage business ownership by women. Since 1978, NJAWBO has helped women achieve their business visions by providing them with the tools to develop and grow their enterprises.

The increasing success of women-owned businesses in our society will continue to build on itself and contribute to the development of still more confident women, running thriving, thoroughly accepted businesses. And the very special place of NJAWBO – women supporting women – will continue to be an important environment for women business owners in New Jersey.

As the population of seasoned women business owners grows in New Jersey, our membership mix is evolving to match this.

And as the businesses of our current members grow, their expectations change. It is increasingly clear that, to continue to meet member needs, we must reach new heights and expand our offerings.

With the slowly increasing opportunities for women, ups and downs of the economy, fast-paced changes in technology and unique challenges women business owners face today, our mission is more important than ever before.

We encourage you to read emails from NJAWBO , engage with fellow members, and seek out a mentor.

The Board of Trustees has worked tirelessly this past year to ensure that your NJAWBO membership would be an invaluable resource to your business...and just wait until you see what we have lined up going forward! Remember, do not miss an opportunity for business growth!

ANW’s CEO Hal Narotzky and President Shelly Aberson pose with some of their Super Bowl creations. Their Cranford offices are filled with a wide range of give away items.

www.SomersetCountyWJ.com

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Mary Adelman has been the NJAWBO President since 2008.

She recently received the NAPW 2013/2014 Professional Women of the Year award, which recognized her for outstanding leadership and commitment within her profession.

Community andEducation

By Lisa Nocera, LCSW, Director of Behavioral Health at Somerset Home for Temporarily Displaced Children Lisa Nocera is responsible for the clinical and program quality for Somerset Home. She originally joined the agency in 1995 as a treatment coordinator and was then promoted to program director of the shelter program. She returned to the agency in 2011 to continue her career in administrative social work as the Director of Behavioral Health.

Building Futures & Hope Through Art

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Since 1973, Somerset Home has worked to improve the lives and enhance the futures of thousands of abused and neglected youth throughout the state of New Jersey. For those 40+ years, the goal has been and continues to be to provide homeless youth with a home and a hopeful future.

In New Jersey alone, there are more than 48,000 runaway kids every year. These youth are not running to something, but away from intolerable home situations. They come from every neighborhood, economic status and represent every race and religion.

Somerset Home’s mission is to provide abused, neglected and homeless youth with housing, a stable environment, and supportive services that guide them in becoming contributing members of society. Through emergency housing, transitional- and independent-living, and supportedhousing programs, thousands of youth have found safety and support. Somerset Home’s services include: residential services/group homes; individual, group, and family counseling; independentliving skills education; basicskills education; transportation to healthcare, work and support services; street outreach including efforts to combat human trafficking; and arts and recreation.

Somerset Home recently expanded its arts and recreation program to be available for every youth involved with a Somerset Home program. Arts education and recreation activities are important to the growth and development of all children, but for the youth at Somerset Home, this avenue for self-expression and physical activity is critical in helping them deal with the trauma in their lives.

The arts education and recreation

program at Somerset Home gives youth an outlet for their feelings of anger, abandonment, frustration and loss. Residents get the opportunity to develop new skills and find success creating projects that build confidence and self-esteem. Recreation trips and group projects help them improve social skills such as communication, cooperation and conflict management.

about,” says Executive Director David Walker. “Exposure to such activities can help these youth develop their talents and skills and avoid situations which would lead to problem behaviors while living at agency programs and beyond. The information and new knowledge these youth gain will be taken with them as they transition back into the community.”

According to the National Arts Education public campaign, children involved in arts education: • Improve their overall academic performance.

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Are likely to have higher test scores than those with little to no involvement.

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Develop skills needed by the 21st century workforce: critical thinking, creative problem solving, effective communication, teamwork and more.

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Learn to be more tolerant and open.

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Stay engaged in school and are less likely to drop out.

Somerset Home, incorporated in 1970, is dedicated to meeting the needs of abused and neglected youth. The agency provides seven programs for adolescents and their families: Brahma House crisis intervention center; Passages, My Place and Whitney House

transitional-living programs; Pathways independent-living skills program; Street Smart street outreach; and Bridge House supportive housing for homeless young adults. For more information about the arts and recreation program and other services, visit somersethome.org.

The 16th Annual Somerset Home Run for Runaways is taking place on Saturday, November 1, 2014 at Colonial Park in Somerset, NJ. A portion of the proceeds from the run will benefit the arts and recreation program. Visit www. runforrunaways.com to sign up to participate or volunteer for the event.

Join us for a Fun-Filled Day for a Great Cause!

“Just one of the outcomes from the National Arts Education campaign would be worth providing this program to our kids,” says Lisa Nocera, Director of Behavioral Health at Somerset Home. “Many residents over the years have shown a remarkable talent for athletics, dance, painting, drawing, photography, and more. We are able to provide great outlets for these talents and creative ways to bolster the self-confidence of the kids needing our help.”

“Through our arts and recreation program, which includes art therapy, deserving youth are exposed to activities, recreation and art forms they may never have had the opportunity to learn

Saturday, November 1, 2014 Colonial Park - 156 Mettlers Road; Somerset, NJ 2-Mile Walk • 5K Run (USATF certified) • Kids’ Sprints Walk begins at 9am; Run at 10am; Sprints at 11am

Plus food, music, silent auction, 50/50 raffle, face painting, and much more!

Proceeds Benefit Somerset Home for Temporarily Displaced Children (somersethome.org) For more information or to register, visit

RUNFORRUNAWAYS.COM Valued Sponsors

Somerset ShopRite

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www.SomersetCountyWJ.com

Community andEducation

By Diana Sieberg Diana Sieberg, IOM, Vice-President, Member Services for the Somerset County Business Partnership.

Beginning my not-for- profit career with the Somerset County Chamber of Commerce in 1996, I have maintained my position handling Member Services through the 2001 merger that resulted in the formation of the Business Partnership. Continuing my education, I have since graduated from the United States Chamber of Commerce “Institution for Organizational Management with a Certificate in Nonprofit Organization Management.” Owning an appliance business with my husband offers me a unique perspective into the needs of small business owners and the ability to customize Partnership benefits to enhance prosperity. My first-hand understanding of members and potential members’ challenges helps me to provide the necessary services for our members to succeed.

Your Chamber... Your Community!

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The Somerset County Business Partnership serves as central New Jersey’s regional Chamber of Commerce. The organization boasts a 90+ year history as a Chamber of Commerce servicing Somerset County and serves as the only accredited Chamber in New Jersey. Members and investors represent public, private and community organizations.

They work in partnership and are dedicated to maintaining and promoting economic prosperity and quality of life in the County.

The Business Partnership provides an essential means for doing business, and as such, is the premier regional business organization in New Jersey. The Partnership is positioned to lead the business community to a future that is prosperous and sustainable.

The Partnership seeks to achieve key outcomes, which are public leadership, advocacy, economic and community development, and value/engagement, providing leadership, opportunity, and results for the Somerset County business community.

The Partnership includes Committees, Task Forces, and Special Interest Groups designed to provide opportunities to network, exchange ideas, gain new business strategies, and to influence the Partnership agenda. As such, a wide range of membership needs are met.

Special Interest Groups include: CEO Roundtable for owners and managing partners to learn from and advise each other through the sharing of experiences and best practices; Emerging Leaders for business people who are rising within their professions or community organizations; Financial Services Special Interest Group of member

financial professionals who provide educational opportunities for members on issues affecting personal and professional financial lives; Human Resources Special Interest Group providing members a resource to obtain information from people who specialize in the Human Resource arena; Leads Groups offer the opportunity to share leads and referrals with other members; SOHO (Small Office/Home Office) provides support and information exchange to foster company growth and strategic alliances among small businesses; Technology Special Interest Group educates members on technological advancements and how they may impact profitability; Women in Business is directed at the specific needs of women and their businesses.

Members benefit through a tradition of recognizing and nurturing growing businesses at annual events and programs. The Partnership committee structure includes Awards, Communications, Events, Golf Outing, Legislative Affairs, Networking, Sustainable Somerset, and Tourism.

The Partnership is Somerset County’s voice of business to drive legislative agenda. Members can be assured of a successful track record advocating and obtaining infrastructure investments in the County; effective economic development services; and a “smart growth” agenda to guide community development and promote environmental sustainability.

In addition, the Partnership also represents the official tourism Destination Marketing Organization for Somerset County, and has proven leadership in bringing communities together to share services.

www.SomersetCountyWJ.com

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Donna LoStocco Affinity Federal Credit Union

Theresa Richardson WithumSmith+Brown

Shirley Perlinsky S&G Cleaning Services

See what these women have to say about their Somerset County Business Partnership membership http://www.scbp.org/member-benefits/testimonials/ The Somerset County Business Partnership is your chamber of commerce and much more.

Contact us today to learn how a Somerset County Business Partnership membership can benefit your business at www.scbp.org.

908-218-4300 www.scbp.org

Community andEducation ABOUT MS Multiple sclerosis, an unpredictable, often disabling disease of the central nervous system, interrupts the flow of information within the brain, and between the brain and body. Symptoms range from numbness and tingling to blindness and paralysis. The progress, severity and specific symptoms of MS in any one person cannot yet be predicted, but advances in research and treatment are moving us closer to a world free of MS. Most people with MS are diagnosed between the ages of 20 and 50, with at least two to three times more women than men being diagnosed with the disease. MS affects more than 2.3 million people worldwide.

Together Towards A World Free Of MS

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The National MS Society is a collective of passionate individuals who want to do something about MS now—to move together toward a world free of multiple sclerosis. MS stops people from moving. We exist to make sure it doesn’t.

The Society helps people affected by MS by funding cutting-edge research, driving change through advocacy, facilitating professional education, and providing programs and services that help people with MS and their families move their lives forward.

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We are moving research forward by relentlessly pursuing prevention, treatment and cure.

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We are moving to reach out and respond to individuals, families and communities living with multiple sclerosis.

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We are moving politicians and legislation to champion the needs of people with MS through activism, advocacy and influence.

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We are moving to mobilize the millions of people who want to do something about MS now.

The Society helps people address the challenges of living with MS through its 50-state network of chapters. The Georgia Chapter’s support services and educational programs include, professional counseling and

client programs and education, professional and clinical development, and event support.

In total, pharmaceutical support is 4% ($8.5 million in 2012) of the Society’s total annual revenue.

peer facilitated support groups, educational programs and seminars, referrals to neurologists and healthcare professionals, national teleconferences and internet programs, services for the homebound, and social and recreational programs to assist people with MS and their families in leading productive and fulfilling lives.

participants and fundraisers critical to supporting the mission.

Approximately 65% ($135 million in 2009) of the Society’s total annual revenue is raised through special events, including the MS Leadership Class, Bike MS and Walk MS events.

Individual Giving: Generous individual donors provide a substantial source of funding

Our mission is, mobilizing people and resources to drive research for a cure and to address the challenges of everyone affected

by MS. To achieve our mission we rely on a broad base of support.

Each year, hundred-of-thousands of people give of their time and money to support the National MS Society.

Our sources of support include the following: Special Events: The Society offers hundreds of special events throughout the year to engage

toward the mission. Donations at all giving levels contribute approximately 31% ($65 million in 2009) of the Society’s total annual revenue.

Pharmaceutical Support: Pharmaceutical organizations provide financial support for

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Corporate Support: Corporations across the country support the mission through direct financial support, cause-related or value-add partnerships, and even through significant pro-bono services.

Direct corporate support of approximately $10 million in 2012, rounds out the remainder of the Society’s total annual revenue.

The Society is dedicated to ending MS by engaging committed individuals who want to do something about MS now — To Join the Movement, visit www. nationalMSsociety.org and donate or volunteer your time to create a world free of MS.

National Multiple Sclerosis Society New Jersey Metro Chapter 1480 US Highway 9 North, Suite 301 Woodbridge, NJ 07095 800-344-4867 732-660-1005

www.SomersetCountyWJ.com

Business andFinancial

Your American Dream A Reality... Homeownership Done with Ease...

By Susan Woods

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A home is many things. It’s shelter and comfort, as well as a place to raise a family and make memories. It’s also one of the most significant purchases you’ll make in your life. Although real estate markets move up and down, over the years, home values have consistently appreciated making home ownership a smart, longterm financial investment in your future. That is why it is important to be informed and have a good understanding about the home buying process. I realize some people may require more information or have additional questions and for that I suggest you participate in a First-Time Homebuyer class offered by a local non-profit agency in your community. I recommend the following organizations ~ National Foundation for Credit Counseling www.nfcc.org, NeighborhoodWorks America, www.nw.org and The US Dept of Housing and Development, www. hud.gov.

One of the most important steps for every homebuyer is to determine exactly how much home you can afford. This is where your Mortgage Professional can step in and help you by reviewing your income and current monthly debts, to determine your ideal monthly

payment. From there you will be able to narrow the focus of your house hunt to homes in your price range. Be sure to include down payments and other up front costs in your calculations. You will be given a pre-Qualification Letter from your lender which will let sellers and real estate agents know you are serious about the buying process, as well as strengthen your negotiating position with the seller.

Once you know how much home you can afford, it’s time to hunt for the house of your dreams. Many factors impact the ideal type of house for each buyer, including features and benefits, lifestage and how many improvements you are willing to make prior to moving in. This is why the majority of real estate transactions take place with the assistance of a real estate professional. Working with a real estate professional is an efficient means for shopping for a home and can help make the home buying process and easy, hassel-free experience.

rate loans, from construction – permanent loans to FHA, VA, USDA and The Right Step loan.*** During the application process you can first expect to meet with your Mortgage Professional to discuss your personal goals and financial situation and get answers to any questions you may have. Next, a loan processor will be assigned to your account to help see your transaction through closing. He/ she will order an appraisal from a licensed appraiser who is familiar with home values in your purchase area. A mortgage loan underwriter will review your financial profile and compare it to the guidelines of your chosen loan. Upon approval you will receive a conditional approval of the mortgage terms and conditions. Finally, you will

At TD Bank we pride ourselves on making the mortgage process as straightforward as possible – from application through closing. We offer a wide range of home loan programs for every possible need, from fixed rates to adjustable

www.SomersetCountyWJ.com

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have your closing. A “closing” is a meeting of all the related parties to finalize the transaction.

Prior to the closing, your closing agent will provide a copy of your settlement statement, so there won’t be any surprises at closing.

At closing paperwork associated with the transaction is signed and witnessed, and arrangements are made for the disbursement of the loan proceeds, as well as the keys to your new home!

Your Mortgage Professional plays an important role in your homeownership journey. They should be your initial contact at the bank, as well as with you through closing. ***For more in-depth information regarding YOUR American Dream, please contact me at the information below, or refer to my website at www.tdbank.

Business andFinancial

By Tiffany Snyder Tiffany Snyder is owner and founder of The Polished Edit, a copyediting and proofreading service provider.

Tiffany attended Coppin State University where she studied Liberal Arts English. She has many years of experience writing and editing on both a personal and professional level. Much of Tiffany’s expertise was garnered through her years of experience working in the insurance industry. Tiffany loves all things related to words. She enjoys typography, calligraphy, reading, writing and playing word games. Tiffany decided to share her passion for the written word by offering her copy editing and proofreading services via the internet so that she can be of service to anyone regardless of their location. In addition to being enthusiastic about her craft, Tiffany also shares her love of art with her daughter, Amira Jael.

Increase Your Chances of Securing Grant Funding

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As with any form of written communication, the reader learns a lot about the writer.

Your grant proposal is no exception. They will decide whether you are creative, logical, analytical, current in the relevant literature of your field, and, most importantly, capable.

From reading your proposal, the reviewers will form an idea of who you are as a scholar, a professional, and a person. Your style of writing should reflect the conventions of your field, but also allow your voice and personality to come through. In some instances, your proposal speaks for you before you meet or speak with a potential grantor.

Grant funding is becoming increasingly more competitive.

For this reason, you cannot afford to make the mistake of underestimating your competition. Precise presentation of your ideas is a critical element of your professional success.

Focusing on the execution of ideas will increase the likelihood that your proposal will be favorably reviewed and funded.

Employ all means at your disposal to yield a meticulous, well-written proposal. Without exception, the document must meet all specified criteria.

Throughout your proposal, be as explicit a possible, but especially about objectives, methodology and budget. There is a good chance that the potential grantors may not read the entire document initially. Pre-empt unstated questions by writing as transparently as possible. Clear, specific language must be used to keep the reader’s attention and to persuade the reader to fund your proposal. Final decisions about which proposals are funded often come down to whether or not the

proposal convinces the grantor that the project is well planned and feasible. A strong proposal improves your chances of being perceived as well qualified and capable of executing the plan.

or extensively (as needed) to maximize clarity. This may include significant re-writing and re-organization to ensure the most appealing presentation of your ideas.

A growing number of grant writers recognize the value of using an editor to bolster the quality of their proposals. Here are a few ways a professional editing/proofreading process can assist you in sharpening your writing: Helps with simple proofreading and basic editing to achieve a grammatically correct and professionally polished document. Checks for errors in spelling, grammar, and punctuation. Verb tense consistency, noun-verb agreement, and formatting consistency is also evaluated. Simple mistakes in these areas can be read as carelessness. They can take your proposal out of the running.

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2.

Helps to condense and improve the efficiency of your writing. When your goal is to make a lasting impression, a good edit will eliminate wordiness, yielding a more impactful message. Great writing is concise. In a perfect document your sentences will have no unnecessary words and your paragraphs will have no unnecessary sentences.

Readers appreciate getting the information they’re looking for quickly and easily.

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Provides feedback from a writer’s perspective. For example, an editor can tell you whether or not you have made explicit the connections between your objectives and methodology.

The strength of your persuasion to fund your proposal lies in your ability to make these connections..

5.

An editor can be your sounding board. Serving as the eye and ear of the reader by raising questions that arise naturally. The perspective of someone other than colleagues can bring questions to the table that those with insider knowledge may not consider. You need an objective review to point out areas of your writing that require further explanation. The editing process also questions your flow of thoughts, if necessary, to make sure your logic is sound.

It takes time and persistence to succeed at securing funding.

And even a perfectly written proposal written to the right prospect might be rejected for any number of reasons. A professional edit can help you eliminate some of the common reasons why proposals are rejected. Although this article focuses exclusively on the grant proposal, a review of your documents at every stage of the process is highly recommended.

You should consider editing the letter of inquiry to the grantor, the proposal itself, revision submissions, and the letter of acceptance. The letter of acceptance is equally as important as the other documents. The truth of the matter is that money follows money. Past grant award recipients are more competitive and are more likely to receive future funding. If for no other reason, have all documents edited to maintain consistency in your writing.

Your ideas. Refined. Refinished.

Your words. Restated. Renewed.

To boost the effectiveness of your communications...

Contact Tiffany Snyder at tiffany@thepolishededit.com or call 888-663-4440

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Helps with organization of the proposal. This is achieved through a stylistic edit of the document as a whole. Sizeable sections of the document are edited minimally

ThePolishedEdit.com 21

www.SomersetCountyWJ.com

College Graduates Unemployed!

Now What?

Business andFinancial

You just joined the ranks of 4.5 Million recent college graduates that now realize they don’t have a job in their chosen area of professional study, and if you do have a job, you are most likely receiving 30% of the pay you thought you would be earning.

We have the answer. Do you want to make $100,000 plus this next year in your county - in your state?

By Luke Kennedy

By Luke Kennedy

Bypassing The Corporate Ladder

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I was lucky enough to grow up in a well educated, affluent family that had the ability to afford me every opportunity parents could want for their child. I went to a prestigious private school, participated in sports, and extracurricular activates. I had great friends and managed to stick to the principles my parents had brought me up to believe in, such as; hard work, honesty, integrity, and self sufficiency - effectively keeping me out of harm’s way. When it was time to go to college, I was happy to go. I had been accepted into a prestigious school in Boston that I was excited about, and felt that it was time to stand on my own two feet and start carving my own way in the world.

College accomplished for me what any realistic expectations could hope for: The ability to think analytically and express myself appropriately.

However, the reason I chose my school, and the reason most people I know went to college, was not for these rather humble aspirations. I was career focused and wanted college to be my ticket into a world of opportunity.

What I found was my analytical mind saying, “You have got a $120,000 education. What now, hot shot?�

Although I had a good experience at college, I was not an academic at heart and knew that spending another $100,000 for post grad was not for me unless absolutely necessary. Of course it was time to get a job, but where?

I started contacting all the advertising companies I had been studying over the past four years and managed to land a handful of interviews. It became quite clear that nobody was hiring, and that the whole industry was slow enough to grant interviews as a way of distracting themselves from the fact that they didn’t’t have enough work to do either. The offers I did get would have given “education investment� a return in about 6 years as long as I didn’t’t need to pay rent or eat. We all have to start somewhere, but I refused to believe that my value to the professional world was within $5.00 of minimum wage, after I had just spent over $120,000.00 for a great education. “Sometimes it’s not what you know, but who you know,� and that was certainly

true with me. My fiancĂŠe’s mom had people that could help me produce my by being part of these great papers. worked for a guy named Bob who had paper, basically I was ready to start There are great perks being a paper started a woman’s focused educational my own business. It was all very fast, owner, but it is certainly not all newspaper over 31 years ago, and he scary and exciting, and before I knew fun and games. It is real work, and was talking to Heather and her mom it, I was scheduled to print my first business. Still, any job worth having is about starting a paper in Boston, “sampleâ€? run of newspapers back in hard work, and more to the point, most where we had just graduated. Her Boston. I followed my training to jobs,have evenathe notchosen wortharea having mom You toldjust him our position soon the T,college called graduates local contributors joined the ranksand of 4.5 Million recent that now and relize you don’t jobones in your are hard work, too.

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College Graduates Unemployed! Now What?

Bypassing the Corporate Ladder

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Business andFinancial

Have You Scheduled Your Legal Check-Up Yet?

By Tanya Hughes Freeman, Esq.

I

In the business of life we often forget to think about the many aspects of law that touch our lives and the lives of those we love.

Here is a small list of things to consider for your check up:

1.

Wills: Do you have a will?

If so, when is the last time you reviewed it? Has your life changed since it was drafted?

Children born, property acquired or sold, etc. If you are one of the many people in New Jersey without a will, then you may be allowing the laws of intestacy to determine how your property will be divided upon your death.

According to a recent survey by Age Concern, 7 out of 10 people are without a will1.

Have you checked the beneficiary designations on your retirement accounts lately? How about your bank accounts?

2.

Review Court Orders: Are you divorced? Do you have a Property Settlement Agreement or a Final Judgment of Divorce with terms that require an annual exchange of information? For instance, is your former spouse required to maintain life insurance and provide proof annually? Are you receiving child support – is your child now getting ready to go off to college? If so, you

may need to go back to Court to modify support. Was your child in public school and now you are contemplating private school? Are you receiving direct child support?

Have you received a Cost of Living Adjustment (COLA)? If the terms of your divorce granted you a portion of your former spouse’s pension or retirement plan, has all of the necessary paper work been completed? Do you have a Qualified Domestic Relations Order (QDRO)?

3.

Are you a homeowner with tenants? Do they have a lease? Have your leases been reviewed by an attorney? Have you notified your tenants what bank their security deposit is in?

6.

If you have domestic help (such as a nanny) have you discussed this with your insurance carrier?

4.

Have you requested and reviewed your credit report? Did you check for inaccuracies? Is the same debt reported multiple times? If you find yourself unable to pay your bills, have you attempted debt consolidation or negotiations directly with each creditor to compromise the amount you owe?

service providers? Are all terms up to date? Are your vendors in compliance with the terms?

Do you have a partnership agreement? Have you discussed what will happen if the partner dies or becomes unable to actively participate in the operation because of illness? If the business is dissolved or sold, how will the debt/proceeds be shared?

Have the business accounts been thoroughly reviewed by an accountant to determine that appropriate taxes and liabilities are paid?

Do you have a CustodyParenting Time Agreement? Was it drafted when your child(ren) were very young and now the child(ren) are much older and the agreement needs modification? Is your child in need of braces? Does your agreement address orthodontic expenses? If both parents have insurance have you attempted to

Practice Area

5.

Do you own a business?

Have you reviewed your contracts with vendors and

Family law Divorce Adoptions Personal injury Auto

coordinate benefits to reduce outof-pocket medical expenses?

Summer Camp and ExtraCurricular Activities: Are both parents adhering to the agreement or do you need a Court Order to establish the appropriate percentage of payment by each parent.

All of these aspects of your legal health can be addressed with the assistance of a skilled attorney – whether it is drafting lease agreements for tenants, filing a motion to modify a prior Court Order or enforcing the terms of an existing agreement, the compassionate skilled attorneys at Freeman Hughes Freeman, LLC can help.

Navigating New Jersey’s Court system can be complicated and intimidating, speak to an attorney that can guide you through the process.

(1Ask.com)

51 John F. Kennedy Parkway, 51 John F. Kennedy Parkway 1st Fl West st Short Hills, New Jersey 07078 1 Floor West Tel: 973-218-2449 DUI Short Landlord / tenant Hills, disputes New Jersey Fax: 973-218-2401 Wills / living wills / powers of attorney 973-218-2449 Municipal court cases Workers Compensation Expungements Collection Matters

26 Journal Square, Suite 1205 Jersey City, New Jersey 07306

26 Journal Square Tel: 201-222-7765 Fax: 201-222-2162 Suite 1205 Jersey City, New Jersey bfreeman@freemanhugheslaw.com Free Case Review 201-222-7765

The Law Firm of Freeman Hughes Freeman, LLC, offers clients the individual attention of a small law firm with the experience of a large firm while fostering a comfortable environment for clients to get through highly sensitive legal matters. With over 30 years of combined experience, the attorneys at Freeman Hughes Freeman, led by husband and wife team Brian and Tanya Freeman, have a thorough understanding of family law and are adept at resolving all issues of contested divorce, uncontested divorce, nofault divorce or high net worth divorce. The firm provides effective legal representation with matters such as asset division and the crucial issues involved in determining child custody and child support. Tanya Freeman graduated cum laude from Touro College Jacob D. Fuchsberg Law Center. Prior to partnering with her husband to practice law, Attorney Freeman spent over fifteen years leading audit divisions for prominent banking and insurance corporations.

Free Initial Consultation – Se habla español

!

Tanya Hughes Freeman, Esq. ! TFreeman@FreemanHughesLaw.com ! !

Landlord / Tenant Disputes Family Law !

Wills / Living Wills Divorce !

Powers Of Attorney Adoptions !

Municipal Court Cases !

Personal Injury ! Accidents Workers Compensation Auto !

Expungements Dui Collection Matters

Free Case Review Free Initial Consultation – Se habla español

w w w. F r e e m a n H u g h e s L aw. c o m

23

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Business andFinancial

By Tanya Madison Morrison, Esquire Tanya is an attorney specializing in business development and charitable organizations. She co-authored COMMUNITY INVESTORS: Making Money While Making Social Change, an inspirational business book that provides strategies for tax-exempt organizations to access alternative sources of money and wealth. She has served as Adjunct Professor at American University in Washington, D.C., and currently travels nationally and internationally, speaking at conferences and seminars on the subjects of leadership, education and college access, professional development, social change and women’s empowerment. Recognized by the United States Small Business Administration as a business leader, Tanya has helped thousands of women pursue their entrepreneurial endeavors.

Kill The Myths About Nonprofits:

D

Do you have a burning desire to start a business? Do you have an idea that you know will serve others in a great way? Are you ready to turn your passion into profits? There is no better time than now!

Despite the U.S. recession over the past six years, the number and economic contributions of woman-owned businesses continue to grow. And Georgia leads the nation with the fastest such growth over the past 16 years.* Why is it that we lead the pack in business, but suffer in other areas?

If we consider the great strides women have made in business, one might ask why so many social issues still exist. Certainly, women possess the power and wherewithal to make an impact in our communities.

Perhaps many have not yet figured out how to merge their desire to “do good” with their need to make a good living.

“nonprofits.”

Myths exist in and around the social sector—such as that money and mission are mutually exclusive.

As a result, businesswomen, emerging leaders, college students and others with a heart and vision to serve are challenged when making a career or business decision.

Well, let’s KILL THE MYTHS about nonprofits!

The first myth driving people away from establishing a “nonprofit” corporation is: “Nonprofits cannot make a profit.”

To kill this myth, let’s first clarify terminology. Nonprofits are businesses, and the goal of any business, regardless of structure, is to make money. “Profit” is simply the money left over after operating expenses are paid.

The word “nonprofit” is a misnomer that should be eradicated from social sector

business. A more accurate term is “tax-exempt organizations” (TEOs). Making a profit increases a TEO’s likelihood of effectively serving the charitable purpose for which it was created.

Primary differences between a TEO and a “for-profit” include the following: •

a TEO does not have owners but is controlled by a board;

•

a TEO is created for public benefit whereas a for-profit entity is created for private gain;

•

a TEO is focused on public impact whereas a for-profit is product/service-focused.

In sum, the difference is not whether you can make a profit, but how you use the profits. A TEO is required by law to reinvest its profits into serving its mission, enhancing programs and services.

The legal requirements

If making a profit while combating social woes resonates with you, you are a Community Investor!

A Community Investor is a person, organization or business that operates with the objective of making money and realizing a profit while using incentives reserved for public charities.

Simply put, a Community Investor seeks to combine “doing good” with making money. A Community Investor uses strategies and advantages of 501(c)(3) tax exemption to change the social landscape of her surrounding community.

Yet, many women with entrepreneurial imagination, business acumen and the desire to invest their time, talents and resources in their community steer away from structuring a tax-exempt corporation because of what they don’t know about

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24

You CAN Make a Profit!

for operating a tax-exempt organization are sensible for any business. For-profit businesses fail for three main reasons: 1) the owners do not reinvest in the business, 2) there are no cash reserves and 3) owners overpay themselves. Everything a TEO must do is actually just good business sense.

To start a business and not strive to earn a profit makes no sense (not to mention cents!). So, a businesswoman who wants to provide a product or service to benefit the public and create social change should not steer away from starting a TEO because she thinks she cannot earn a profit. Not only can she earn a profit; she can also earn a good living running that business that creates social change.

Which brings us to Myth #2: “I can’t get paid for running a nonprofit.” We look forward to killing that myth in the next issue of The Fulton County Women’s Journal.

Business andFinancial

By Riche Holmes Grant, Esq. Riche Holmes Grant, Esq. is an attorney, entrepreneur and mother. In 2003, Riche founded Innovative Study Techniques (IST), an educational services company specializing in test prep, tutoring and admissions consulting. In 2013, she added “designer” to her resume, when she launched the BambiniWare™ line of functional and fashionable baby products to solve many of the challenges she faced as a new mom. Riche is a member of the New York and Maryland Bars. She has a BA in Public Policy from Brown University, which included a year at The London School of Economics and Political Science; and a JD from Columbia Law School. In January 2014, Riche was honored as one of the top “Forty Under 40” young business leaders in Prince George’s County, MD.

Finding Time To Start A New Business

D

Disclaimer: when you have other things going on in your life (as every woman I know does), there will never be an ideal time to start a new business. There will always be another commitment, obligation or unavoidable duty that can easily stand the way of reaching your goal… if you let it.

In my case, it was right in the middle of what I jokingly refer to as my “fake maternity leave” when I started my second business. Technically, I wasn’t reporting to the office every day, but as the owner of another 10-year-old business, I was never really off the clock. Add to that, a three-month-old and a husband who worked long hours and you have my life as it existed when I started BambiniWare in 2013.

The concept was simple: innovative baby gear and accessories for modern moms with style. The execution, of course, was an entirely different story. With no design experience (unless you count the tote bag that I made in 7th grade), I started from ground zero, using every bit of the spare time that I didn’t know I had until I went on a scavenger hunt to find.

Within three months of launching BambiniWare, I was invited to showcase the line at a Pre-Golden Globes Celebrity gifting suite for Hollywood moms and dads. And in the fall of 2014, BambiniWare’s Burpa™ collection of smart and stylish bibs will be featured in The Bump, the #1 baby magazine in the country.

Here’s how I did it all in my “spare” time and how you can too…

Begin with the end in mind.

When selecting a launch date, you should be as realistic as possible, without giving yourself too much or too little time. In the former case, having too much time can actually backfire. As time goes on, your sense of urgency will wane and starting your business will become less of a priority among competing interests.

In the latter case, giving yourself too little time can cause unnecessary stress that could have easily been avoided since you’re the one in control of the calendar.

Draft your master plan.

Beginning with your projected launch date, work your way backwards and write out every task that you need to complete by the time the date arrives. In this stage, it’s best to supplement your pre-existing knowledge (if any) with extensive industry research to ensure that you don’t miss any steps.

Be realistic with your to-do list.

Next, place your tasks in categories and assign deadlines, approximate time needed and priorities. At the end of each week, evaluate your progress and make adjustments as necessary. Don’t beat yourself up if you don’t get everything accomplished exactly as you planned.

In my case, I already knew that it would take me three times longer to do things than before, so I built in extra time and I tempered my expectations. If I got three things done in a day, I was happy. And in the instances where I only got one thing done, I looked at it as one thing that moved me closer to my goal.

Take back your time.

We can all relate to the feeling of not having enough hours in the day.

Between work, spouses, children and everything else we have going on, it can be difficult to find a free moment.

But somehow, we still often find time to indulge in our “guilty pleasures.”

Real Housewives, anyone? Whether your vice is TV, social media or anything else that sucks up mindless hours of your time, press the “off ” button and start refocusing your time and attention on whittling down your to-do list. It’s amazing how much you can get done in hour when you’re not watching TV or refreshing your newsfeed.

didn’t miss out on my attention and I didn’t feel like I was missing out on my work. Some days, this meant that I started working after she fell asleep and continued until the wee hours of the morning. Other days, it meant that I fell asleep with her and woke up in the wee hours of the morning to get my work done before she woke up. Whether you are a night owl or an early bird, the key is to fully utilize the time when you know that distractions are minimal.

Seek wise counsel.

It helps to have a trusted counselor

or accountability partner in your corner who can help you stay focused on reaching your goal. I emphasize “trusted,” because you can’t assume that everyone you know will maintain confidentiality or have your best interest at heart when it comes to you starting a new business. Look for a business-oriented friend or mentor— ideally one who is already successful in business—to use as a resource and sounding board. In return, it’s always nice to offer a lunch, dinner or meaningful token of appreciation for his or her time.

Re-define your work day.

Rather than try to work on my new business while my daughter was awake, I decided to shelve everything until she fell asleep. That way, she

25

www.SomersetCountyWJ.com

Fashion andBeauty

By Kelly Albani-Wilson Kelly Albani-Wilson has been an Independent Beauty Consultant with Mary Kay Cosmetics since 1991.

She is a member of the Dynamic Dream Team led by Director Ellen Dusault. In addition to offering skin care classes and color consultations, she specializes in bridal make over’s and gift baskets for all occasions.

Kelly has been a Licensed Nurse for 26 years. Her passion and dedication to patient care has proven to be the right “make up” for success. She is a devoted Mom of five children and enjoys traveling. She recently celebrated her 18th wedding anniversary with her loving husband Oscar. Kelly is an active supporter of The Make a Wish Foundation and chairs an annual fundraiser on their behalf.

Caring For Your Skin Is Easier Than You Think

S

Skin care is the single most important part of any woman’s daily beauty routine. Effective skin care does not need to be time consuming. A good routine keeps the skin clean, moisturized and protected against environmental pollutants. Advances in skin care research and technology have resulted in products that are simple to use and deliver multi-tasking results. By using combination products you can achieve cleansing, toning, exfoliating and moisturizing with added sunscreen protection in just a few quick steps. Individual needs can be customized based upon skin type, lifestyle and age fighting needs.

Women’s skin will change many times during their lifetime. It’s beneficial to re-evaluate your skin care regimen seasonally, making sure the products are appropriate and giving optimum results.

Skin, being the largest organ in our body can be greatly affected by a variety of environmental factors including changes in temperature, humidity, and level of sun exposure just to name a few. It’s quite common to use different formulations during different seasons. September and October are great months to reevaluate your skin care routine

because it’s the beginning of the season where we see great changes in weather and our lifestyle. For example, once our home heating goes on, our skin can become very dry. This change in environment may have to be compensated for with more moisturizing skin care products.

Foundation is an extension of basic skin care. Select a formula that is suitable for your skin type. Using a foundation with sunscreen helps protect from harmful UV rays as well as pollutants which can be absorbed through your pores. Using a foundation helps to even out your skin tone, resulting in a natural look while enhancing your skin care.

products help reduce bacteria thus reducing acne formation and preventing further blemishes.

expensive. Try a customized skin care class and glamour make over with Mary Kay at no cost.

When considering color cosmetics, there are so many colors and formulations to choose from. Color selection can be fun, however it can be confusing and time consuming as well. What woman hasn’t purchased a lipstick because it looked nice on display, only to discover it didn’t look the same with her skin type or tone?

Buying the wrong colors can get

Learn how to take care of your skin in the comfort of your own home. A consultation takes less than an hour and gives women a unique opportunity to try products before she makes a purchase. Investing a few minutes a day in routine skin care will promote healthy skin for a beautiful you for years to come.

For acne prone skin, consistency and patience is the key to success. With Mary Kay`s Clear Proof Acne System there is a science behind the regimen.

Salicylic acid acts like the exfoliate to promote the easy removal of dead skin cells. By unclogging pores it can reduce the buildup of bacteria. Benzoyl peroxide is an oxygen-releasing ingredient that kills bacteria.

Bacteria will flourish when there is a lack of oxygen, such as in a clogged pore. By creating oxygen rich environment these

www.SomersetCountyWJ.com

KELLY ALBANI-WILSON Independent Beauty Consultant Mary Kay® WWW.MARYKAY.COM/KALBANI-WILSON 732-690-9099

26

Fashion andBeauty

Kyra Baker 443-415-1025

www.newvisionmassage.myitworks.com

27

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Fashion andBeauty

A Desire To Always Look Your Best

By Maria De Santis

A

According to the American Academy of Dermatology, the average adult uses at least seven different skin care products each day. Think of the time and expense, the uneven brows and smeared eyeliner, the smudged lipstick that gets on your teeth or the broken tube that sits in the bottom of your favorite handbag.

optical anesthetics have been developed for permanent cosmetic procedures and are used to keep clients comfortable.

there is little chance of allergic reaction. A patch test is done 48 hours prior to receiving treatment at the clients’ request.

What can permanent cosmetics do for me?

It can enhance your eyebrows, eyes & lips and make your morning routine easier.

Why have permanent cosmetics?

You can save time and money.

You’d also eliminate worrying about smearing and smudging, makeup removal or cosmetic allergies.

Then, imagine never having to think about applying make-up again.

Permanent cosmetics also known as Micropigmentation, is the art and science of implanting color into your skin. The specialized state of the art digital machine and sterilized disposable needles used, allow color placement into the layer of skin known as the dermis.

Since the color is placed “in” your skin and not “on” your skin a more natural, softer look results.

The pigments are specifically formulated for the face, using natural and iron oxide ingredients so there is little chance of allergic reaction.

A patch test can be given 48 hours prior to receiving a procedure at the clients’ request. The actual procedure takes approximately 1 hour. Several areas can be completed in one visit. Effective REASONS TO CONSIDER PERMANENT COSMETICS • BUSY WITH FAMILY • AN ACTIVE LIFESTYLE • MS PATIENTS THAT CAN’T APPLY MAKEUP as they would wish • MENOPAUSAL WOMEN SWEATING OFF MAKE UP • HAIR LOSS DUE TO ALOPECIA/ CHEMO/TRICOTILLOMANIA • VISUALLY IMPAIRED • LITTLE OR NO BROW GROWTH • WORRY-FREE VACATIONS • SAVE TIME IN THE morning • SAVE $$$$ ON MAKEUP • CLEFT LIP RESHAPING • AREOLA POST OP RECONSTRUCTION • THIN OR NO LIPS

There are many different procedures a permanent cosmetic technician can provide. The most frequently requested are brows, eyeliner and lip color.

Lip liner is perfect for correcting cleft lip, uneven lips, adding fullness or giving more definition to the mouth. It will also eliminate annoying lipstick bleed.

In addition to the commonly requested permanent makeup, reconstructive procedures such as scar camouflage, repigmentation of the areola and nipples after a mastectomy or breast reduction, or re-creation of hair lost as a result of alopecia or chemotherapy can be performed.

Although techniques may vary, the results are always the same: permanent waterproof, hassle free and always fresh.

FAQs Can I tell in advance which shape & colors will look best on me?

Yes. All shaping and color selecting will be done before treatments to meet your approval.

What colors are available?

Select from 50 natural tones or a custom blend can be developed for your own unique color.

Could I have an allergic reaction?

The pigments used are created from natural and iron oxide so

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Does it hurt?

Most clients do not feel anything.

A few might experience a little discomfort described as a “plucking” sensation only in the brow area. A very effective anesthetic topical is used to keep the area numb.

How long do permanent cosmetics last?

Micropigmentation is semipermanent, meaning it won’t wash off . However, with age, lifestyle, routine products used the colors may soften. Touchups are required.

To help prevent fading apply sunscreen daily. Additional post procedure information is given and explained thoroughly to each client before leaving the office.

Maria De Santis, AAM board certified diplomate and New Jersey State licensed Cosmetologist since 1984.Maria De Santis DAAM/ FSPCP, Permanent Cosmetic Specialist created A Face Forever LLC to offer clients a one-on-one experience in a warm atmosphere that follows the proper laws to Micropigmentation a.k.a. Permanent Cosmetic protocol.

Her expertise and desire to form close relationships with her clients makes her a top professional in her field. Maria understands and values the importance of quality customer service. Due to Maria’s high recognition in the Permanent Cosmetic field, local doctors have and continue to refer Maria to their patients.

Testimonials “I believe I have made three visits to Maria over the years and will be calling her again soon for a touchup. She keeps excellent records and photos on each person. I am now free from worrying about my eye makeup; it is professionally done, subtle, and just perfect.

Maria is one of the best, if not the best, in her field.”

- Nancy U. “Hi Maria, you’ve done my eyebrows almost a year ago and I couldn’t be happier, no more penciling it before leaving the house. I wanted to email you and let you know how grateful I am but kept forgetting it. You’ve improved my life and I am grateful… Thank you =)” - Selma T.

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mention you saw this ad in the women’s journal for a 15% off Introductory offer

Dining andEntertainment

By Adam Kline Adam started his restaurant career at age 15 in establishments in Southern New Jersey. After moving to North Carolina in 1988, he gained the knowledge and experience to become a manager at some of Greensboro’s finest restaurants.

A Wine Rivalry: California Vs. Oregon

R

Rivalries are a guarantee. There always have been and always will be bitter rivalries throughout any situation when one product declares itself “The Best.” Our free market system thrives on the competition created through demand. Every good product has its rival. Whether it be with your favorite sports team’s arch rival or Pepsi vs. Coke, the competition continually gets better and better.

It grows into its own and becomes itself. The rivalry becomes bigger and more important than the product. The Duke vs. UNC game is important, but the overall history of the events and moments are what is remembered. California and Oregon have created a rivalry of their own over the topic of Pinot Noir. A once super-power of all American wine-making, California has never been doubted for possessing the best of the best.

That was until Oregon started taking some of the spotlight.

What is the difference? Is it the taste? Should I always buy an Oregon or a California Pinot Noir?

California’s. They tend to obtain more earthy aromas and subtle fruit flavors.

Oregon contains one of the most famous Pinot Noir growing areas in the United States. Willamette Valley was found to have the perfect climate for the production of this fickle grape. The Valley is sub-divided, based on climate, soil and elevation, into six different appellations. They are the Ribbon Ridge, Eola-Amity Hills, McMinnville, Yamhill-Carlton District, Chehalem Mountains and the Dundee Hills. The main difference between this area and its counterpart in California is that it is significantly cooler for a longer part of each year. The soil and climate most similar to those is Burgundy, which is where the grape is originally from and has been cultivated for more than a thousand years.

California Pinot Noir California’s Pinot Noirs are going to be more full-bodied and fruit forward than Oregon’s. The flavors and aromas of juicy red fruits will definitely stand out much more boldly.

This is in reaction to its warmer climate. Originally, back in the 1940’s, most Pinot Noir grapes were planted in California’s Napa Valley. It took about 30 more years of education about what the grape actually needs to thrive for Cali to move most of its Pinot Noir production to the coast. The Sonoma Coast, for example, enjoy a much more favorable climate of warm afternoons and cool evenings with the moderating factor of cooling winds off of the Pacific Ocean. The farther you move inland, the grapes get more sheltered from the breeze, resulting in a hotter and more

continental climate. The best results for Pinot Noir in California have been in the Russian River Valley and Carneros region.

I believe it is like all wines — it comes down to preference. Those who prefer California wines, by and large, like bigger fruit wines.

They want those slap-you-in-theface-with-a-bunch-of-grapes reds.

Those that prefer Oregon wines want more complexity and less in-your-face fruit. One isn’t better than the other, just different, but a difference that makes for a fun rivalry. For me, it depends on my mood and what I may be eating.

I will usually lean toward the Oregon Pinot Noir if I had to choose. Saying all of this, nothing will stop me from getting a Napa Cabernet. Why that is, I will leave it for another day.

Enjoy and salute.

As with all good rivalries, good cases can be made for both. It depends on a variety of different factors. Pinot Noir is a very temperamental grape. There are many subtle variations in the climate, how the wine is fermented, and what kind of influence the winemaker creates. I believe they both produce great wines.

Choosing between the two as the matter-of-fact “better” region for producing Pinot Noir would be unwise and almost childish.

It eventually comes down to an individual’s personal preference.

Saying that, there are some general differences between the two. Take these guidelines to heart if you can’t decide which to purchase.

Oregon Pinot Noir Oregon’s Pinot Noirs are typically lighter and more complex than

29

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Somerset County ’ WomensJournal

Reaching 100,000+ Readers throughout New Jersey and Reaching 45,000+ Readers in Somerset County, New Jersey

This is what our advertisers say about the Women’s Journals: “Honestly, I was reluctant to do yet another print ad for my business. I had not seen the results in past advertising attempts and it was hard to make another such investment. But something told me that The Women’s Journal would be different. Is it ever! I saw immediate, direct results in my business! The Women’s Journal reaches my target audience and because it is so informative to perspective clients, they follow through and I get the sale. I have the bottom line to prove it! Thank you so much...” - Melisa Ferriola, Lasting Looks “I have worked with the Women’s Journal in two separate areas of my career. Each time, I continue to be impressed by the professionalism and compassion of the staff. The articles and advertisements are always perfect. If I have a problem, Pam is always there to help. What more could a Marketing Director ask for. Thank you!”

- Kristy Handley, Marketing Director, State Street Assisted Living

“Without question, an outstanding way to educate patients.”

- Vincent Perrottta, M.D., Peninsula Plastic Surgery

“The Women’s Journal is the most successful advertising we have ever done.” - Focal Point Opticians “A priceless educational vehicle to allow patients quality, objective information about our various procedures.”

- Andreus V. Strauss, M.D., Director of Oncology Beebe Medical Center

“The Women’s Journal is the best advertising I have ever done, I can’t believe I waited so long to try them. They are the only advertising I am doing now.” - Carmella, Permanent Cosmetics “Magnificent response to our advertising.”

- Dave Crowley, President, Bethany Bay Resorts

Did you know?

Women’s Buying Power • • • • • • • • • •

94% Home Furnishings 93% OTC Pharmaceuticals 93% Food 92% Vacations 91% of New Homes 89% Bank Accounts 85% Auto Purchases 81% Riding Lawn Mowers 80% Healthcare 66% PCs

Women account for 85% of all consumer purchases.

• Women carry 76 million credit cards, 8 million more than men.

• In 2001, U.S. women’s purchasing power constituted the number 3 market in the world; the collective buying power exceeded the entire economy of Japan.

• By 2010, women are expected to control $1 trillion, or 60% of the country’s wealth, according to research conducted by Business Week and Gallup.

(Sources: The Business and Professional Women’s Foundation, Trendsight, Business Women’s)

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