The Monmouth County Woman - 2014 November/December by The County Woman

Monmouth County Woman Celebrating Our 6th Year

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An Educational Resource for Women and Their Families

Celebrating Our 6th Year

™

An Educational Resource for Women and Their Families An Resource Educationalfor Resource for Women and Their Families An Educational Women and Their Families

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July/August 2011

Brick Woman's Physicians continue to set and Please Take One maintain a new standard in obstetrical and gynecological care for patients in Ocean and Monmouth counties. Read about the doctors and their tips to help combat the flu this season on pages 22 & 23.

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Medical Professionals

hour to warm back up before repeating. Icing the aﬀected area for too long won’t help it heal any faster; and it could cause damage to the tissues.

2. Give your shoulder a good night’s rest.

If you are experiencing pain or discomfort in either shoulder, the best thing you can do at night is to get some proper rest. This means not adding extra strain to your shoulder while you sleep. The best position for sleeping is on your back with your neck supported by one pillow. If you must sleep on your side, however, make sure it’s on the arm that isn’t hurting. Place a pillow on the bed Shoulder pain can affect anyone, making difficult to perform simple tasksa like putting on asleeping. shirt, opening a doo Shoulder pain can affect anyone, making itnext difficult to perform simple tasks like putting on opening door, and even to you, restdebilitating, your soreitcontinuing arm on top ofdays it.a shirt, In some cases, the pain and can be for or weeks on end without relief. The good news is tha

Shrug OffPain Shoulder Pain With Shrug Off Shoulder With These Easy These Tips Ea

In some cases, the pain can be debilitating, continuing for days or weeks on end without relief. The good news is that an aching shoulder can be beat beginning with appropriate the followingcare, helpful tips. With care, persistence professional guid can be beat beginning with the following helpful tips. With persistence andappropriate professional guidance from aand physical therapist or other medical provider if necessary, you can shrug the shoulder pain off and get rid of any stiffness th therapist or other medical provider if necessary, you can shrug the shoulder pain off and get rid of any stiffness that may be hindering you from living a normal, active lifestyle. you from living a normal, active lifestyle. There are many exercises you can do to lessen shoulder pain and improve mobility. Some basic on

3. Perform these simple exercises.

1. Don’t ignore the pain.

If your shoulder starts to bother you, listen it. muscles andwith joints around shoulder could • Shoulder blade squeeze: Sit orto stand up straight your armstheloose at your sides, palms facing If your shoulder starts to bother you, listen to it. The muscles and joints around theThe shoulder could be injured or inflamed or it could be that the shoulder simply needs some rest. To help with pain be injured or inflamed - or it could be that theforward, shouldersqueezing simply needs some rest. To help with pain your shoulder blades backat and down as you Holdat for 3-5anseconds, then re and swelling, apply ice toat the shoulder foryour 15-20 minutes aantime, giving yourdo. body least and swelling, apply ice to the shoulder for 15-20 minutes a time, giving body at least hour toIcing warm back up rolls: before repeating. Icing the affected won’t help it heal any Raise both sh • Shoulder Start in the same position youarea would forlong a shoulder blade squeeze. hour to warm back up before repeating. the affected area for too long won’t help it heal anyfor too faster; and it could cause damage to the tissues. Shoulder pain can affect anyone, making it difficult to perform simple tasks like putting on a shirt, opening a door, and even sleepin faster; and it could cause damage to the tissues. for 2-3 seconds, then slowly rotate the shoulders back and down.

Shrug Off Shoulder Pain With These Easy Tips

In some cases, the pain can be debilitating, continuing for days or weeks on end without relief. The good news is that an aching should can beyour beat beginning withathe following helpful tips. With appropriate care, persistence and professional guidance from a physic Give shoulder good night’s rest. 2. Give your shoulder a good2.night’s therapistrest. or other medical provider if necessary, you can shrug the shoulder pain oﬀ and get rid of any stiﬀness that may be hinderi If you arein experiencing pain orlifestyle. discomfort either shoulder, you from living a normal, activethe If you are experiencing pain or discomfort either shoulder, best thing in you can do at nightthe is best thing you can do at night is

• The pendulum: Lie face down on the edge of the bed so that your aching arm hangs over the sid forth, keeping your neck muscles relaxed, so that your arm swings gently like a pendulum. Do to get some proper rest. means not adding extra to your shoulder while you sleep. The to get some proper rest. This means1.not adding extra strain to your shoulder while you sleep. The increasing howThis far your arm swings as thestrain painsupported subsides. Don’t ignore the pain. best position for sleeping is on your back with your neck by one pillow. If you must best position for sleeping is on your backshoulder with your supported you must For mor If your startsneck to bother you, listenby to one it. Thepillow. musclesIfand joints around the shoulder For more health tips,bed sleep on your side, however, make sure it’s on the arm that isn’t hurting. Place a could pillow on the be injured or inflamed or it could be that the shoulder simply needs some rest. To help with pain sleep on your side, however, make sure it’s on the arm that isn’t hurting. Place a pillow on the bed visitand www.r If performing these exercises makes feel worse, stop doing them immediately se next you, rest arm on top ofminutes it. youratshoulder and swelling, iceyour to thesore shoulder for 15-20 a time, giving yourvisit bodywww.rehabilitynj.com at least an next to you, and rest your sore arm ontotop of and it.apply hour to warm back up before repeating. the affected areadepending for too long won’t it heal anylocation of your pain. different exercises may beIcing recommended on thehelptype and faster; and it could cause damage to the tissues. 3. Perform these simple exercises. 3. Perform these simple exercises.

are many exercises youand can do to lessen shoulder improve mobility. Someinclude: basic ones you can do a 2. to Give your shoulder a good night’s rest. There are many exercises you canThere do lessen shoulder pain improve mobility. Somepain basicand ones you can do at home If you are experiencing pain or discomfort in either shoulder, the best thing you can do at night is Shoulder blade squeeze: Sit or not stand up straight withyour your arms loose at your sides, palms facing back. Slowly r • Shoulder blade squeeze: Sit or •stand straight arms loose at your facing back. Slowly rotate to getup some properwith rest.your This means adding extra sides, strain topalms shoulder while you sleep. The your palms forward, squeezing your shoulder blades back and down as you do. Hold for 3-5 seconds, relax.injuries ma People with chronic shoulder pain conditions along with those suffering fromthen recent position sleeping onyou yourdo. back withfor your supported by relax. one pillow. If you must forward, squeezing your shoulderbest blades backforand downisas Hold 3-5neck seconds, then For more health tips, • Shoulder rolls: Start in the same position you would for a shoulder blade squeeze. Raise both shoulders sleep on your side, however, make sure it’s on the arm that isn’t hurting. Place a pillow on the bed • Shoulder rolls: Start in the same position you would for a shoulder blade squeeze. Raise both shoulders up towards your ears, hold from a specialized therapy protocol tailored to each individual case. If you need relief fromupantowac visit www.rehabilitynj.com next to you, and rest yourslowly sore arm on top of it. for 2-3 seconds, then rotate the shoulders back and down. for 2-3 seconds, then slowly rotate the shoulders back and down. that doesn’t appear toonbe improving itsover own, we encourage youhangs to schedule evaluation wit • The pendulum: Lie face down the edge of hangs theonbed so that your achingmove arm overback the an side. • The pendulum: Lie face down on the edge of the bed so that your aching arm the side. Slowly your arm and Slowly move 3. Perform these simple exercises. forth, keeping your neck muscles relaxed, so that your arm swings gently like a pendulum. Do thisand for 10-15 Wearm have successfully treated hundreds ofmobility. shoulder pain cases, both simple compl forth, keeping your neck muscles There relaxed, so that your arm gently like apain pendulum. Do this for 10-15 at ado time, arespecialists. many exercises you canswings do to lessen shoulder and improve Some basicseconds ones you can at home include: increasing how far your swings as the pain subsides. increasing how far your arm swings•asShoulder the pain subsides. blade squeeze: Sit or stand straight with your armsshoulder loose at your sides, palms facing back. Slowly your palms with favorable results. A up thorough, complete pain evaluation is essential inrotate developing the forward, squeezing your shoulder blades back and downfeel as you do. Hold for 3-5 seconds, then relax. If performing these exercises makes your shoulder worse, stop doing them immediately and see a shoulder pa If performing these exercises makes•your shoulder feeland worse, stop doingtreatment them immediately and seesqueeze. shoulder pain specialist whereby diagnosis customized ensuring aapositive clinical outcome for each Shoulder rolls: Start in the same position you would forplan, a shoulder blade Raise both shoulders up towards yourpatient. ears, hol different exercises may be recommended depending on the type and location of your pain. different exercises may be recommended onslowly the type location of your for 2-3depending seconds, then rotateand the shoulders back and pain. down.

4. Seek treatment from a shoulder pain expert.

treatment plans may include: People with chronic shoulder conditions alongand with those suffering from • Functional physical therapy exercises therapeutic activities People with chronic shoulder pain conditions along with thosepain suffering from recent injuries may benefit mostrecent injuries may benefit most If performing these exercises makes yourtailored shoulder feel worse,individual stop doing them immediately andrelief see a shoulder specialist where from a specialized therapy protocol to each case. If you need from anpain aching shoulder from a specialized therapy protocoldifferent tailored to each individual case. Ifdepending youinflammation needonrelief from aching shoulder •exercises Cold laser therapy to reduce and improve soft tissue healing may be recommended the encourage type andan location of your pain. that doesn’t appear to be improving on its own, we you to schedule an evaluation with our team of that doesn’t appear to be improving on its own, we encourage you to schedule an evaluation with our team of • Thermo-electric compression therapy to reduce pain and speed up recovery We have successfully treated of shoulder pain cases, both simple and complex, most often specialists. We have successfully specialists. treated offrom shoulder pain cases, both simple and complex, most often 4. Seekhundreds treatment a shoulder pain hundreds expert. with favorable results. A thorough, complete shoulder pain evaluation is essential developing the most accurate People with chronic shoulder pain conditions along with those suffering from recent injuriesinmay benefit most with favorable results. A thorough, completeThe shoulder painpain evaluation is essential in developing the most accurate shoulder specialists at REHABILITY will work with you to reduce your painful symptoms, re diagnosis and customized treatment plan, ensuring a positive clinical outcome for each patient. from a specialized therapy protocol tailored to each individual case. If you need relief from an aching shoulder diagnosis and customized treatment plan, ensuring a positive clinical outcome for each you patient. Shoulder pain with our team of Shoulder pain that doesn’t appear to be improving on its own, we encourage to schedule an evaluation plans may include: strengthen associated muscles to prevent re-injury. treatment plans may include: treatment specialists. We have successfully treated hundreds of shoulder pain cases, both simple and complex, most often

• The pendulum: Lie face down on the edge of the bed so that your aching arm hangs over the side. Slowly move your arm back an

keeping your neck muscles relaxed, so that expert. your arm swings gently like a pendulum. Do this for 10-15 seconds at a tim 4. forth, Seekpain treatment from a shoulder pain 4. Seek treatment from a shoulder expert. increasing how far your arm swings as the pain subsides.

with favorable results. A thorough, completeand shoulder pain evaluation is essential in developing the most accurate • Functional physical therapy exercises therapeutic activities • Functional physical therapy exercises and therapeutic activities diagnosis and customized treatment plan, ensuring a positive clinical outcome for each patient. Shoulder pain • Cold laser therapy to reduce inflammation and improve soft tissue healing • Cold laser therapy to reduce inflammation and improve soft tissue healing treatment plans may include: • Thermo-electric compression therapy to reduce paintoand speed up recovery “I recently underwent surgery repair a torn rotator cuff. My surgeon said I would t • Thermo-electric compression therapy to reduce pain and speed upshoulder recovery • Functional physical therapy exercises and therapeutic activities The shoulder pain specialists at REHABILITY will work with you to reduce your painful symptoms, • Cold laser therapy reduce and improve tissue healing The shoulder pain specialists at REHABILITY will worktoat with youinflammation to reduceI was your painfulsoft symptoms, shoulder of Ganon, motionrestore and received REHABILITY. under the care ofrestore Dr. Chickara andranges Jessie PT. Ishoulder cannot strengthen associated muscles to prevent re-injury. • Thermo-electric compression therapy to reduce pain and speed up recovery strengthen associated muscles to prevent re-injury.

received from the entire staff, all warm and caring people. Each time I returned to see my surgeo “I recently underwent surgery repair asaid tornI would rotatorthen cuff.need My surgeon said I would need phys “I recently underwent shoulder surgery tophysical repair atherapists tornshoulder rotator cuff. Myto physical therapy, are doing asurgeon great job!” I am now pain freeGanon, and have full usewhich ofthen myI arm. My tc received at REHABILITY. I was under the care of Dr. Chickara and Jessie PT. I cannot overstate “I recently underwent shoulder surgery to repair a torn PT. rotator cuff. Myoverstate surgeon said I would physicalItherapy,the whic received at REHABILITY. I was under the care of Dr. Chickara and Jessie Ganon, I cannot the care then and need treatment staff for the great care I received.” Rosemarie C; Manalapan receivedfrom at REHABILITY. I staff, was under the care of caring Dr. -Chickara and Each Jessie Ganon, PT. I cannot overstate the carehe and treatmen received the entire all warm and people. time I returned to see my surgeon always en received from the entire staff, all warm and caring people. Each time I returned to see my surgeon he always ended by saying “your

The shoulder pain specialists at REHABILITY will work with you to reduce your painful symptoms, restore shoulder ranges of motion a strengthen associated muscles to prevent re-injury.

receivedtherapists from the entire staff, allawarm and caring people. Each time I returned to see my surgeon he always by saying physical are doing great job!” Iuse am now pain free have full use of my arm. Myended thanks go out“yo to physical therapists are doing a great job!”therapists I am now and have fullnow of my My and thanks gomy out toMy all of the Rehability physical arepain doingfree a great job!” I am pain freearm. and have full use of arm. thanks go out to all of the Rehabil staff for the great careI received.” I received.” - Rosemarie C; Manalapan staff for the great care I received.” - Rosemarie C; care Manalapan staff for the great - Rosemarie C; Manalapan

(732) 780-6230

CALL TODSC (732) 780-6230 CALL TODAY TO SCHEDULE (732) 780-6230 CALL TODAY TO (732) 780-6230 CALL TODAY TO SCHEDULE

YOUR EVALUATION WITH OUR TEAM! YOUR EVALUATION WITH YOUR EVALUATION WITH OUR TE YOUR EVALUATION WITH OUR TEAM!

Chiropractic Spine & Sports Rehab | Physical Therapy | Acupuncture Most major insurances accepted, including Medicare. Most major insurances 83 South St., Suite 204 | Freehold, (Freehold Therapy Commons)| Acupuncture Chiropractic Spine & Sports Rehab |NJPhysical

Chiropractic Spine & Sports Rehab | Physical Therapy | Acupuncture Most major insurances accepted, includin Chiropractic Spine & Sports Rehab | Physical Therapy | Acupuncture accepted, including Most major insurances a Most major insurances accepted, including Medicare. 83 South St., Suite 204 | Freehold, NJ (Freehold Commons) Jessie Ganon, Ellen Policastri, M.S., L. Ac., 83 South St., Suite 204 | Freehold, NJ (Freehold Commons) 83 South St., Suite 204 | Freehold, NJ (Freehold Commons) Medicare.

Robert Chickara, D.C. Clinic Director

Dipl. Ac. (NCCAOM)

The County Woman Magazine

www.TheCountyWoman.com

November/December 2014

Featured Articles

^ Medical Professionals

^ IT Services

^ Specialty Cakes and Chocolate Novelties

Rehability Pain and Injury Center.............................................2 Toms River X-Ray, CT & MRI Center........................................7 Allen Morgan Fertility and Reproductive Medicine.................14 Advanced Thermal Imaging...................................................16 Personal Enhancement Center...............................................17 Bogdan Interventional Pain Management..............................21 Brick Women’s Physicians...............................................22, 23 Atlantic Neurosurgical Specialists....................................26, 27 Seaview Orthopaedic & Medical Associates..........................29 Shore Gastroenterology Associates, P.C................................30 Vein Center for Women..........................................................31 University Urology Associates of NJ................................32, 33 Ocean Hematology & Oncology.............................................35 Caring Heart & Brain Imaging...........................................38, 39 Paonessa Colon and Rectal Surgery, P.C. ............................43 Stephen L. Newman, MD, MBA.......................................46, 47

RS Technical Services, Inc.................................................9, 10

Chocolate Carousel................................................................34

^ Divorce Support Programs

^ Interior Decorating

Divorce Support Net.................................................................9

Decorating Den Interiors........................................................36

^ Adult Day Care

^ Garden & Local Honey

We Care Adult Care, Inc.........................................................11

From the Garden, Inc.............................................................42

^ Pediatric Therapy

^ Business & Finance

Speech Start...........................................................................12 Tender Touch Occupational Therapy......................................12

Pearls of Wisdom Media, LLC................................................44

^ Pilates Studio

Manalapan Spine Care and Rehabilitation.............................15

Pivotal Pilates...........................................................................3

^ Pediatric Dentistry Tender Smiles 4 Kids................................................................5

^ Fashion and Beauty Lynne’s Fashion Boutique, Inc.................................................6

^ Law Law Offices of Laura D’Orsi, LLC.............................................8 Ansell, Grimm & Aaron PC.....................................................20 Straffi and Straffi Attorneys at Law..................................37, 68

^ Health & Wellness Meridian Fitness & Wellness...................................................13 Skin Genesis Clinique............................................................36 Jersey Shore Pharmacy.........................................................40 Abstrax Hair Design...............................................................41 Yoga Nine Mind/Body Studio.................................................57 Marin Integrative Therapy.......................................................58

^ Foot Pain ^ Alzheimer’s Care Alcoeur Gardens.....................................................................16

^ Salon and Spa Hair and Company Oasis Spa..........................................18, 19

^ Hair Replacement and Wigs Valerie’s Hair Replacement Center & Wigs.............................24

^ Elder Life Management Elder Life Management, Inc...................................................25

Pilates Studio

^ Orthodontics

Holmdel Orthodontics............................................................28 v Please Take Advantage Of Our Many “Enter To Win” Contests Throughout The Paper And On Facebook! v

Pilates Studio

Experience Pilates ^ Pivotal’s owner/director Susan Markowitz has created an

environment where people form all economic backgrounds can participate on the Pilates Machines, a truly unique and exciting way to work out. “Pilates is a very exciting, safe and challenging way to take working out into the twilight of your lives. There is no reason why a 75 or 80 year old person can’t continue to gain strength, flexibility, reduce pain, and increase stamina”, says owner Susan Markowitz. “Most of the clients who come in to Pivotal have never been on a Reformer or a Wunda Chair. They are amazed at how different Pilates is at a studio rather than their local gyms. All of our Instructors are certified on all pieces of equipment making for a more trained eye and expansive knowledge base,” says Markowitz. In addition to having an array of Pilates Machines for private instruction and rehabilitation, Pivotal offers intense body conditioning through their Pivotal Barre classes and other Pilates Mat and Mindful Movement classes such as Zenga, (a Merithew Fitness Pilates/Yoga combination class). Pivotal Pilates offers beginner, intermediate and advanced level Pilates and barre and equipment classes, so most people can take advantage of the classes there. Call Pivotal Pilates today and receive your first: • Barre for $10.00 • Equipment for class: $25.00 • Pilates Mat or Zenga: Buy one get one FREE

Filler The County Woman Magazine

Mark S. Rushwald............................................................50, 51

^ Theatre & Entertainment Iluminate.................................................................................52 Gazillion Bubble Show...........................................................52 The Belle of Amherst..............................................................53 Stalking the Bogeyman..........................................................54

^ Career Coaching Gutsy Career Education.........................................................56

^ Adult Community Fountainhead..........................................................................60

^ Fine Art Photography Annette Jenkins Photography, LLC..................................64, 65

^ Travel Vagabond Travel Agency, Inc.................................................66

^ Fine Jewelry The Jewelry Link.....................................................................67

^ Community..........20, 44, 45, 49, 55, 57, 58, 59, 61, 62, 63 Visit us at www.TheCountyWoman.com

Benefits:

ivotal Pilates opened its doors in Matawan, NJ in 2010. Now in its fourth year, the bustling studio is filled with much opportunity to learn, teach and participate in the Pilates Method and other mind-body modalities.

^ Women of Monmouth County........................................48 ^ Financial Management

¨ Strengthen Core Muscles Groups ¨ Banish or Reduce Back Pain

732-256-3898 www. PivotalPilates.com Pivotalp ilates @ yahoo.com

¨ Improve Posture ¨ Improve balance, gait, agility & flexibility ¨ Lengthen and tone all muscle groups

952 Route 34, Suite #206. Matawan, NJ 07747 Client Testimonial . . . Pivotal has provided a vigorous challenging and therapeutic work out experience for me in all of the classes I’ve taken, which includes mat classes and group reformer duet & trio at beginner and intermediate levels. I wouldn’t hesitate to recommend any of the instructors; they’re all highly qualified and very consistent. ~ Joe Melendez, client since 2011

732-2563898 Offer expires 12/31/14

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Susan Markowitz has full certification as a Pilates instructor and is a master instructor trainer with The Kane School in NYC. Susan received Board Certified Holistic Health Counselor through the AADP in 2003. Her other qualifications include: Pre/Postnatal Pilates certification, as well a certification in Injuries and Special Populations.

November/December 2014

Publisher’s Note

An Educational Resource for Women and Their Families Since 2008

Monmouth County Woman

Publisher.........................................................Lynn K. Wolf lynn@acwoman.com • 609-929-4189 Associate Publisher..................................... Kristina Pruitt kristina@thecountywoman.com • 609-412-1914 Professional Page/Graphic Designer............ Darlene A. Davis DesignsByDar@comcast.net Art & Production Executive........................ Meghan Morse staff@thecountywoman.com • 856-885-8066 Public Relations Executive.......................... Lauren Shover staff@thecountywoman.com • 856-885-8066 Feature Cover Writer . .......................... Gena Ansell-Lande Graphic Designer, Golden Design, LLC............. Laura Golden golden.design@verizon.net Graphic Designer, Real Grafix Design................... Cathy Tveici Website Designer.............................................. P.J. Santos www.digitalartstation.com Distribution Manager......................................Mike Dziuba

For advertising inquiries, please call:

1-866-398-0898 All correspondence should be addressed to:

The County Woman P.O. Box 619 Turnersville, NJ 08012

The County Woman’s Newspaper is published bi-monthly and is available free of charge at display stands in approved private and public establishments and authorized distributors only, or by paid mail subscription. Trademark and U.S. Copyright Laws protect The County Woman’s Newspaper. No part of this paper may be reproduced without the written permission of the publisher. The County Woman’s Newspaper 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 Woman’s Newspaper, its owners, publishers, and employees, against any and all liability loss or expense arising out of claims for libel, unfair trade names, patents, copyrights and propriety rights, and all violations of the right of privacy or other violations resulting from the publication of this newspaper or its advertising copy. The publisher shall be under no liability for failure, for any reason, to insert an advertisement. The publisher shall not be liable by reason of error, omission and/or failure to insert any part of an advertisement. The publisher will not be liable for delay or failure in performance in publication and/or distribution if all or any portion of an issue is delayed or suspended for any reason. The publisher will exercise reasonable judgment in these instances and will make adjustments for the advertiser where and when appropriate. The Woman’s Newspaper 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 Monmouth County Woman, LLCTM COPYRIGHT 2008.

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The County Woman Magazine

Welcome to the Winter Issue Of Monmouth County Woman If your holiday season seems to have turned from a time of joyous celebration to a frenzied race through a never-ending to-do list, you’re not alone! Our lives have become more complicated and demanding every year, caused in part by the fact that modern technology allows us to work and communicate 24/7. We are literally tied to the entire world every minute of every day, and the stimulation comes from all directions – our phones, laptops, iPads, televisions, and even our “smart” watches. So I invite you to join me in what I am making an annual tradition in my life: take some time and/ or moments and turn off some of those connections this holiday. Unplug and re-connect to the world in your immediate surroundings. Instead of listening to “Chestnuts Roasting on an Open Fire” on your iTunes, literally roast some chestnuts with your family! Turn off your phone for a little while and bake a batch of cookies. Or just curl up with a good book – maybe a real one, with pages that you can flip through instead of one that glows in the dark! In this relaxed state of mind, we are able to contemplate the many things in our lives that we are grateful for, which helps to put us in the true spirit of the holiday. What comes to mind when I do this are the many rewards I enjoy as the publisher of The County Woman. I have the amazing opportunity to work with talented contributing writers who are committed to bringing you information that is informative and meaningful. My staff is dedicated to ensuring that all information flows through the production process as smoothly as possible. We are also dedicated to distributing the publications to key locations throughout the county to ensure we reach as many readers as possible, in places that are most convenient to them. I couldn’t ask for a more rewarding career than this: producing a valuable resource of information read by thousands of women and their families. For that I am truly grateful. So join me in taking back the holidays! “Unplug” for a little while and enjoy some down-time with your friends and family. On behalf of the staff of The County Woman, We are the Media Partner with I wish you a happy, healthy holiday and a wonderful 2015! NJAWBO Monmouth, Ocean, Lynn K. Wolf, Publisher Middlesex Region.

Events in Monmouth County

• Atlantic Highlands Yacht Club (p. 63) November 16 – Art Show and Sale • Arcadian Chorale (p. 57) Holiday Concerts: December 12 & December 14 • Ladacin (p. 61) November 15-16 - Eat, Drink, and Be Caring, January 17, 2015 – Polar Bear Plunge, March 7 – Rosebud Gala Dinner Dance, April 26 – NJ Marathon… Run for Ladacin • NJAWBO Events (p. 44) • Ronald McDonald House (p. 62) December 5 – Growing, Changing, Unfolding Cocktail Party • Yoga Nine (p. 57) Workshops: November 7-9 Andrew Eppler, November 22 Holiday Party & Sale, December 20 Holiday Retreat, January 10-17 Retreat for 500 Hour Teacher Trainees

Featured On The Cover ~ Brick Women’s Physicians, Personalized OB/GYN Care. L-R: Alfred Parchment, M.D.; Ann Pagano, M.D.; Darlene Morgan, M.D.; Paul Vetter, M.D. Learn more about the doctors of Brick Women’s Physicians and their tips for battling the flu on pages 22 & 23. Cover photo by Annette Jenkins Photography. Schedule your family portraits, weddings, events, and unique pet photography sessions with Annette Jenkins, see pages 64 & 65.

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November/December 2014

Pediatric Dentistry

Remember, Damaged Teeth Do Not Grow Back:

Use A Mouthguard in Sports!

Youth and adolescent sports participation has grown steadily over the years. It is estimated that 20 to 25 million youths currently participate in competitive sports. Along with the rising number of young athletes, there is an increase in the incidence of injury. By some accounts, approximately 36% of all unintentional injuries to children and adolescents occur during competitive sports. Of those injuries, 10-20% are maxillofacial injuries, according to the American Dental Association.

Dr.Max’s “Toothfairy Mobile” is a favorite attraction for children at community events. The children get to know the other side of dentistry beyond drillings and fillings.

Common sense dictates that it’s a good idea to wear a mouthguard if you play contact sports or engage in any activity where you could potentially damage your teeth. Dr. Max recommends wearing a soft plastic mouthguard piece when playing the following sports: basketball, boxing, field hockey, football, gymnastics, ice hockey, lacrosse, racquetball, soccer, handball, squash, surfing, volleyball, weightlifting, and wrestling. Other experts include baseball and softball infielders on that list. Dr. Max further recommends that the mouthguard be worn during all practices and games.

Selecting a MouthGuard

There are three types of mouthguards: • Ready-made or stock mouthguard

• Mouth-formed “boil and bite” mouthguard

• Custom-made mouthguard made by Dr. Max

These mouthguards vary in price and comfort, yet all provide some protection. According to Dr. Max, the most effective mouthguard should be comfortable, resistant to tearing, and resilient. A mouthguard should fit properly, be durable, easily cleaned, and not restrict speech or breathing. Dr. Max will create a customize mouthguard that will fit perfectly and even match your team colors!

Complimentary Initial Consultation For Children Under The Age Of Two.

It’s often said that an ounce of prevention is worth a pound of cure. Sports mouth guards not only protect your teeth, but they can protect against many injuries that can occur in and around your mouth. There are several reasons why people don’t wear mouthguards. Sometimes they don’t know that the activity that they are engaging in requires a mouthguard. Teenagers may not wear them due to peer pressure. After all, nobody wants to be the only one on the team who wears a mouthguard! Others might complain that a mouthguard is uncomfortable or interferes with their speech and breathing.

Complimentary Initial Consultation For Children Under the Age of Two.

However, there are five excellent reasons to wear a mouthguard. They will: 1. Protect against tooth fractures

2. Protect against tooth displacement

3. Protect against knocking out a tooth 4. Protect Against Soft Tissue Injuries 5. Protect Against Jaw Fractures

Should an injury to your teeth occur, you will find the consequences not only inconvenient, but they probably will affect your appearance more than wearing a mouthguard would have in the first place. I hope that this article will increase your awareness of the implications of wearing or not wearing a mouthguard so that you can make an informed decision.

It is important to remember that damaged teeth do not grow back. Protect that perfect smile - wear a mouthguard!

Dr. Max Sulla, D.D.S. and Associates

Pediatric, Laser & Orthodontic Dentistry FREEHOLD • MANALAPAN AREA 122 Professional View Dr. Bldg. 100, 2nd Floor Freehold, NJ 07728

SOMSERSET • NORTH BRUNSWICK AREA EDISON • WOODBRIDGE AREA 1656 Oak Tree Road 1313 Route 27 Edison, NJ 08820 Somerset, NJ 08873

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The County Woman Magazine

www.TheCountyWoman.com

November/December 2014

Fashion

Beauty

The Holidays Will Be Here Before You Know It People tend to wait until the last minute to shop in hopes of losing those last few pounds but we say, don’t wait. Our best selection of items are in October and November, which is when the manufacturers ship their holiday merchandise. So don’t wait to start shopping for yourself and look your best for the holidays. The jackets of today are not like a traditional blazer; there are so many choices from the tailored fit to un-constructed longer jackets, with lots of styles in between. These jackets come in all different fabrications, weights, solids or prints that can really change the look of your outfit and take you from day into evening – there is the perfect jacket to add to your wardrobe. Whether you are more comfortable in a dress or pants or if your event calls for smart casual or black tie, we have something for every occasion. The key is to shop early and often as we receive new items on a regular basis – so there is always something different to find. From off the rack to custom orders, we help you make the choice that will make you beautiful – be it for a night on the town or a wedding. But don’t forget, many of our garments can be special ordered for you. You will need to give yourself plenty of time for the garment to arrive and for your alterations. So don’t wait to start your shopping – start early and your shopping experience will be more pleasurable.

The right accessory: scarves, necklaces, earrings, or handbags - can make a huge difference in updating you wardrobe. While we don’t sell shoes, we can help you accessorize and update your basic black dress or find you an entirely new outfit. We want to show you different ways to change your look. Holiday gifts: For those who want to receive holiday gifts, we do have a “Wish List” on hand or you can purchase a gift certificate for that special someone that likes to shop for them selves. We also provide layaway plan and gift wrap for any purchases made in our store.

e Don’t forget about our huge selection of Mother-of-the-Bride and Groom dresses that will make your shopping experience fun and easy. Plus, the personalized attention you receive from our experienced staff will leave you feeling very special.

We have a seamstress on premises available by appointment. • We Carry Sizes 2 to 20. • A Wonderful Selection of Evening Attire, Specializing in the Perfect Mother-of-the-Bride and Groom Dresses and Gowns. • Fabulous Jewelry. • Sportswear. • Belts and Accessories. • Handbags and More! • New Trends For Winter

“An experience you will not soon forget.”

Since 1999

e Lynne Goldberg, owner of Lynne’s Fashion Boutique

31 Church Street • Little Silver, NJ • (732) 530-5443 • www.lynnesfashionboutique.com Hours Tuesdays - Fridays 10:30 am to 6:00 pm • Saturdays 10:30 am to 5:00 pm • Closed Sunday & Monday

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The County Woman Magazine

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November/December 2014

Medical Professionals

Blood In The Urine Last year one of my friends called me, expressing concern that her family doctor found blood in her urine during a routine examination. She couldn’t see any blood, and in fact she felt fine. This condition, called hematuria, has many benign causes, but my friend was understandably worried because it could also be Cyrus Khorrami, M.D. a symptom of a more serious condition such as cancer.

What are the types and causes of hematuria?

How is hematuria worked up?

What is a CT urogram?

Hematuria (blood in the urine) can be seen in up to 21 percent of the population. In fact, up to 18 percent of normal individuals can have some degree of hematuria. However, it can be a symptom of an important medical condition requiring work-up and treatment. Things that can cause hematuria include kidney stones, infection or injury to the bladder and/or kidneys, overly aggressive exercise, and cancer. In men, prostate enlargement or prostate infection can cause hematuria. There are two types of hematuria. Gross hematuria is visible blood in the urine. Often the urine is red or brown and occasionally contains clots. Microhematuria is indicated by red blood cells in the urine and can only be seen under a microscope. Microhematuria is often an incidental finding discovered on urine tests as part of a routine medical evaluation. Painful hematuria is more likely to have a non-cancerous cause such as the passing of a kidney stone or a urinary tract infection. Painless hematuria may also have a benign cause; however, cancer is also a possibility that should be considered. A detailed analysis of the urine should be performed to look for signs of kidney disease and to detect cancer cells. Often a urologist will have to perform a cystoscopy. This is a procedure that uses a tiny camera to look inside the bladder to provide a more detailed view. The diseases that cause hematuria can occur can anywhere from the kidneys (which makes urine) to the bladder (which stores the urine) to the ureters (the tubes that carry urine from the kidneys to the bladder). One of the most effective diagnostic tools for this condition is the CT urogram. During this process, a CT (CAT) scan uses an x-ray beam that rotates around a patient’s body to be absorbed by detectors. A computer processes the information to create images. Intravenous contrast is injected into the patient so it can be taken up by the kidneys, ureters and bladder. Using the most sophisticated computer software, the radiologist can recreate and analyze the kidneys, ureters, and bladder in exquisite detail. This examination can accurately look for kidney stones as well as kidney infections. The real advantage of this test is the ability to detect very small cancers in these organs.

What if a patient cannot have a CT urogram?

The CT urogram requires injecting a small amount x-ray dye into the veins. If a patient has a dye allergy or has poor kidney function that prevents the safe administration of the x-ray dye, a CT scan without a contrast injection can be performed instead. In addition, MRI and ultrasound of the kidneys and bladder can be performed to examine these organs. The good news for my friend is that her CT urogram was negative and her hematuria was cleared up without treatment. Much to her relief, her hematuria was due to aggressive exercise (she was training for a marathon around that time). But only by taking pro-active steps to obtain an accurate diagnosis was she able to obtain this peace of mind.

CT urograms provide exquisite detail of the kidneys, ureters, and bladder.

Subtle cancer in the right kidney which was only detected using a CT urogram.

Subtle bladder cancer in a patient with hematuria that is best seen using a CT urogram.

Patient Testimonials . . . “The staff are professional and they work as a team. They go above and beyond the call of duty.” ~ Michael, Manchester “I was informed by the staff regarding my procedure and what it entailed. This really relieved any anxieties I may have had!” ~ Jean, Toms River

As always, contact our office where our staff will be more than happy to assist you.

732-244-0777

EXPERIENCE & EXPERTISE

you can count on.

About The Author ... Dr. Cyrus Khorrami is an Ocean County native who attended kindergarten through twelfth grade here in Toms River. He is a graduate of Temple University Medical School and completed his radiology residency at Cooper University Hospital. Dr. Khorrami completed a Cross Sectional Imaging Fellowship at Johns Hopkins Medical Center. He has returned to Toms River to work with his family at Toms River X-ray, CT, and MRI Center.

The County Woman Magazine

www.TheCountyWoman.com

November/December 2014

Law aw L

Divorce And The Holidays: Making It Work ... Christian, it makes sense that the parent who celebrates a certain holiday be able to enjoy it with the children. As a compromise, if the Christian parent gets Christmas with the children, then perhaps the non-Christian parent then gets another special holiday with the children or the New Year weekend.

Presented by: Law Offices of Laura M. D’Orsi, L.L.C.

ivorce can be stressful enough, just add the holidays and they can be explosive. When children are involved, the holidays and divorce can be a stressful time for all. In some of the more amicable divorces I have been involved with, the individuals who have taken the high road, have been able to work out the holidays in a manner that is in the best interests of Please send (check one) the children.

Yes!

When You Can’t Agree . . .

Some clients cannot reach an agreement on who is spending Thanksgiving or Christmas Eve with the children. They insist that the tradition of “their” side of the family is superior to the tradition of the other parent. I can tell you from experience that the Court does not appreciate emergent applications brought on Christmas Eve or on the day before Thanksgiving, because the parties cannot agree on a holiday parenting schedule. It is possible that counsel fees may be awarded to the less accommodating party.

Spending The Holidays Together ...

enjoys Thanksgiving Day, you then have the rest of the long weekend with the children, and take a short road trip. Divorce means transition for all. Speak with your attorney about creative ways that the holidays can be handled. The funds If you have legal concerns, spent on litigating this issue in court would be better spent on Celebrating Our 4thcall the Law Offices of Year an enjoyable long weekend M awayonmou Laura M. D’Orsi, L.L.C. th C ounty with the children or some actualWom an 732-741-3121 Call gifts for the children.

Some clients actually choose to spend holidays (or part of a holiday) together, again acting in what they believe is in their children’s best interests. I commend www.lauradorsilaw.com cean COUNTY the client who says, “My ex and Establish A Tradition... Celebrating Our 4th Year I are buying gifts for the children Woman It is always in your best intertogether and then she is coming ra h ❑ on Atlantic ❑ Ocean Monmouth est to❑ resolve issues involving the Law Offices of Laura M.ting OD’Orsi, LLC over Christmas morning so holidays well in advance of the that we can watch the children “WhatName is the _____________________________________________________ A thea COUNTY nticof divorce, actual day. It may involve comA law firm dedicated totl practice open them together.” These are perfect holiday One Celebrating Our 6th Year promise. In fact, because you Woman mediation and collaborative divorce. individuals who, again, are placYear HOme Address ___________________________________________________ visitation schedule?” are now divorced, you may have Divorce DeliverY ing the interests of their chilfOrMediation, tHe cOuntY Of Litigation, Collaborative Divorce This isCity a question my clients to modify traditions that July/August ________________________ State ______ Zipold_________ dren before their own interests. YOur cHOice 2012 frequently ask. I tell them there have been in existence for a long Total of Post-Judgment Divorce These are usually the same clients $ 6 issues Phone # schedule, ____________________ is no perfect holiday time. Instead of spending every Enforcement of Divorce Judgments, Child Support and who agree to take the children Alimony Modifications, Out of State Relocations with Children just the one that is best for you Thanksgiving with the children, trick or treating together, again Email: ____________________________________________________ Post-Judgment Division of Retirement Assets and your family. If one paracting in the best interests of the which may be heartbreaking to ent is Jewish and the other is you, you may establish a tradiGeneral Family Law Follow Note: If ordering more thenchildren. one county, please send $24 per county. Child us onCustody/Parenting Time Issues, DYFS Matters tion, where when your spouse e re F

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Certified by the Supreme Court of New Jersey THe COunTY WOman 1-866-398-0898 Laura D’Orsi was raised in Monmouth County. She is certified by the Supreme Like Us On as a Matrimonial Law Attorney PO ofBox Court New619 Jersey as a Matrimonial Law email: Attorneylynn@ACWoman.com and practices matrimonial lawFacebook Visit Us Online... Free Telephone Consultation inTurnersville, Red Bank, at theNJ Law08012-0619 Offices of Laura M. D’Orsi, LLC. She has been a licensed www.TheCountyWoman.com

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The County Woman Magazine www.TheCountyWoman.com

November/December 2014

IT Services

Internet Security: Are You At Risk? It seems like these two words go together like oil and water. E-mail scams, viruses, malware, Trojan horses, key loggers; the list just goes on and on. What is a person to do? Every time you venture out into the Internet you are at risk. The numbers are staggering. Hacking in its many forms has touched almost every business, government agency and person worldwide. Depending on the reporting source billions of attacks occurred in 2013. Attacks can come from anywhere. If you are connected to the Internet you are connected to every country in the world. So what can you do? If you work in a business environment that is managed by an Enterprise staff, they usually take measures to prevent data breaches or the introduction of viruses or malware onto your computer system. In a small business there are many things you can do to help prevent attacks or data breaches. Here are some highlights: • Have a comprehensive computer usage policy in place. If you do not have one, call RSTS to develop one for you. • Make sure all servers and PC’s are well maintained and fully updated with all security patches and operating

systems updates. Use wide-ranging virus protection on all systems. Be sure your Internet connection has a router and a firewall between your network and your Service provider. These tools provide your first line of defense. • Treat all e-mail as suspicious. Never click on a link in any e-mail. No one is going to give you $15,000,000.00. Treat all offers (coupons, gift cards etc.) from any company as junk. Do not respond to them. No one from Microsoft or any other company is going to contact you unsolicited to help you fix your computer. Never respond to any request for personally identifiable information. Legitimate companies will never ask you to respond to a security issue via e-mail. • Never let any person you do not know, remotely access your computer. Do not share passwords. Business computers and business networks are for business use. Do not use them to access personal e-mail, web sites or any other service that are not business related. We have only scratched the surface. If you suspect you have been the target of an attack, data breach or other similar security issue or you want to secure your network, reach out to me I can help. Call 732-792-0707.

Robert Schwartz, President and CEO, RS Technical Services, Inc. Robert Schwartz received his education in Electrical Engineering Technology from MSOE with additional training in Electronics courtesy of the US Navy. Prior to creating RSTS in 1993 Robert spent 15 years as the CEO of American Instruments, Inc. A scientific instrument company providing equipment and support to organizations like, AT&T, IBM, NASA, Intel, the DOD, other government, research facilities, universities and large enterprise companies. Robert brings to our clients strong analytical and problem solving skills. His technical experience spans more than thirty five years in Electronics, Computer Science, Physics, and Chemistry.

Testimonial from a long-time client: “We have used RS Technical Services for the past seven years. Robert’s level of knowledge and expertise impressed us from the get go. He literally

changed the way our infrastructure was constructed within days of a major internal IT disaster. My company could not function without the prompt care and dedication of Robert and RS Technical Services. He is always there when called upon within minutes, and I know that I can rely on his advice at all times. It is a rare occurrence these days to find someone as competent and trustworthy as Robert.” ~ Stewart Lenner, President, Arrow Environmental Services

Divorce Support Programs

What Divorce Can Look Like…

Jennifer Cory, MS, LCSW & Stacey Rose, PhD, LCSW Divorce Support Net

When you hear the word divorce, what do you think?

Many people think something negative. We would like to redefine the word DIVORCE. While divorce is an ending, similar to a death, it is also

a beginning. Think about the letters in the word divorce. D is for Daily. I is for Introspection. V is for Void. O is for of. R is for Resentment. C is for Combined. Last, E is for empathy. In other words, the process of divorce can go a lot more smoothly if you engage in daily introspection; possibly meditation, exercise, or prayer. Next, we encourage you to let go of any resentment you may be holding onto. Resentment does not hurt anyone but yourself. Letting go of it does not mean you are condoning any of their behavior. Instead, you are giving yourself permission to begin healing. Last, we invite you to combine this approach with empathy. While challenging, when you see your soon-to-be-ex-spouse with compassion and empathy,

The County Woman Magazine

it is easier to have a more civil relationship. We all came into this world innocently. Most people do not take a course in how to have a healthy marriage, or a healthy divorce. As with all pain, there are gifts. Even if we can’t fathom how something positive can manifest from a divorce, trust us… it can happen. There are hidden lessons and opportunities during the divorce process and in its aftermath. Divorce does not have to look like ‘The War of the Roses’ but instead it can be a situation where two people were meant to be together for a time. Now those words take on a whole new meaning with a longer life span. If you are getting divorced, there is potential for a positive transformation.

www.TheCountyWoman.com

November/December 2014

Business Spotlight

~ Interview with Robert Schwartz ~

Robert Schwartz President and CEO RS Technical Services, Inc. P.O. Box 108 Englishtown, NJ 07726 E-mail: robert@rsts.com 732-792-0707

Robert Schwartz Offers His Business Clients Over 35 Years Of Technical Experience How did you become involved in IT Services?

My education and background is in electrical engineering and science. In my early career I started American Instruments, a Scientific Instrument company manufacturing and in support of analytical X-Ray Spectroscopy and X-Ray Diffraction instrumentation. At the time, computer systems were only starting to become more commonplace in the business climate. IBM® with the creation of the PC, put computing power (albeit modest) into the hands of everyday business users. This shift from Mainframes and mini-computers to desktops began my focus on computer systems. When I sold American Instruments and started RS Technical Services (RSTS), my focus was on providing engineering, implementation and support in the Information Technology arena to business clients.

Tell us about the services that you provide for companies large or small.

For Enterprise clients, RSTS provides project and program management. An example would be the consolidation of two or more facilities into an integrated environment. For small businesses RSTS is their IT support department. RSTS can provide every aspect of your computing needs from Internet access and Telephony to Servers, building wiring and desktop support. In partnership with companies like Hewlett Packard®, Microsoft®, Intel®, Symantec® and others, the resources available to RSTS are substantial.

What is the most prevalent reason a company, small or large, would seek your expertise?

Our call center is staffed by people not technology. No menu system, no call back. You speak to a person who takes ownership of your issue and is responsible to get it resolved. There is a place for technology and in our opinion; customer service is not one of them.

What is the single most important aspect of your business that sets it apart from others like it?

RSTS provides a level of comfort to our clients, which give them piece of mind. We are accountable for keeping your computing environment running at a high degree of availability. Your success is our success. Over the course of time is has become apparent to me that while technology changes, the need to provide customer service has not. While RSTS is a very knowledgeable technology company, our attention to the customer and the delivery of our services is what we are most proud of. Clients need and deserve the quality service that they expect and pay for.

What is the most common reason why people seek your expertise?

I have developed a skill set for making clients feel comfortable in accepting technological change. I encourage my clients to ask any question regardless of how trivial it may seem. Technological change is inevitable and embracing it is important to a successful business. Educating others with what I know and helping them succeed is important to me. As my clients grow, it provides RSTS more opportunity as well.

What are some of the best aspects of owning your own business?

Constant challenges keep me engaged. So often I hear people who feel a job is just a means to an end. I have the wonderful experience of taking my passion for science and technology and being able to profit from it, both intellectually and as a means of making a living. As a business owner I create the policy that drives RSTS in the direction that I believe it needs to go. Trying new things and creating new business opportunities provide a great deal of satisfaction. Of course while I take the credit for successes I am also responsible for when operations do not go as planned. It is part of being a business owner. Robert Schwartz President & CEO Photo by: Tracy Harman Photography

Tell us about the Network Operations Center.

The Network Operations Center (NOC) is a private cloud environment that allows RSTS to perform remote management and monitoring of our clients network. It also provides for cloud services such as remote backup, storage and desktop services. We also offer public cloud partnerships for larger requirements. The NOC is at our office location in Englishtown, NJ. The RSTS NOC provides a robust platform for the small business owner who may not be able to take advantage of public cloud services.

What do you like to do in your leisure time?

Spending time with family is most important to me. Outside of family time I have many interests. I consider myself an automobile enthusiast and enjoy participating in events relating to high performance sports cars. I have spent time at racing venues, traveling to automotive themed events and enjoy working on my vehicles. I also have attended classes on high performance driving and automotive technology. I enjoy two types of leisure travel. The first is going to a quiet resort for relaxation and the second is to visit anyplace where I can learn something; culture, history, exploration or otherwise.

The County Woman Magazine

www.TheCountyWoman.com

November/December 2014

Adult Day Care

We Care Adult Care Supports Caretakers As Well As Members A story often heard at We Care . . . Max and Muriel were married for more than 60 years when he noticed her forgetfulness was more than occasional. She asked him to drive her to places she had visited every week for decades. Once fastidious, she was now casual about her hygiene. She needed help to make decisions, and she could not be left alone. Dementia was taking away the wife that Max loved and while he still enjoyed going to his office a few days a week, that would have to take a backseat to Muriel’s care. She would not hear of an aide in her home. The stress of caring for Muriel was taking its toll on Max, and his health was suddenly in jeopardy, including a bout of pneumonia. Relief arrived in the form of We Care Adult Care, the quality adult day care center conveniently located in Union Square Mall, Route 35, in Middletown, NJ. “Max and Muriel’s story is not uncommon,” said Tracey Wolfman, Administrator of We Care Adult Care. “Whether it is the spouse, sibling or children of an adult needing care, the challenges are emotional, financial and logistical. Whether chronically ill, suffering from dementia or other limitations, our members receive patience and kindness from our knowledgeable and compassionate staff. While we care for your loved one, you are free to work, shop or pursue your own interests without concern. “Not everyone is suitable for or able to afford full-time home or institutional care,” noted Wolfman, a Middletown resident and a registered nurse with a Masters in nursing administration. “We provide an alternate resource of care and respite. Our society understands the importance of day care for our toddlers and puppies, well, our senior citizens can benefit with a similar approach, maintaining their quality of life with stimulating activities, nutritious gourmet meals, nursing care, physical therapy, occupational therapy and social services to name a few.” Max was able to recover from his illness, return to work a few days a week and feel confident that Muriel was in good hands at We Care Adult Care. He also addressed his concerns and questions by joining a We Care Adult Care support group for caretakers. ✦ The We Care Adult Care program includes exercise, which improves the thinking process, elevates the mood and increases the functionality of the members.

Activities offer the opportunity to share talents, abilities and self-expression. Strong ties with friends, family and community groups are helpful in preserving brain health. At We Care Adult Care, A staff of experienced, compassionate professionals including, the WE CARE ADULT CARE, INC. Registered Nurse who is present to check blood pressure, sugar levels and weight, as well as admin- is an adult day care center whose purpose is to provide the highest ister medication, working in conjunction with the member’s physician. The Social Worker assists quality of alternative care to all members and their families with financial assistance through grants, accessing community resources, seniors. assessing members and organizing support groups for their caretakers.

Call Today for your Complimentary Day! 732-741-7363 Tracey L. Wolfman a resident of Middletown for the last 40 Tracey Wolfman years who always had a passion for senior citizens launched “We and her fabulous team at We Care Care Adult Day Care” in 2000. Tracy is a Registered Nurse Adult Care. with a Master’s in Nursing Administration from Teacher’s “Our home away College, Columbia University. She has spent the last 26 years from home” Union Square Mall working with the elderly population specializing in Alzheimer’s 552A State Route 35 disease. Her dedication and knowledge have helped many people afflicted Red Bank, NJ 07701 by Alzheimer’s disease and their family caregivers. (P) 732.741.7363 (F) 732.741.9188 Opening We Care Adult Care gave Tracey the opportunity to provide superior services to those families fortunate enough to utilize her serwww.WeCareAdultDayCare.com • Providing Care • Promoting Excellence vices. A nurse, expert speaker, caregiver, and entrepreneur Tracey has provided a “Quality of • Preserving Independence Life” unparalleled by any other Adult Day Care Center in Monmouth County. ‘We Care’ was nominated and won the Small Business Success Award by the NJ Small Business Development Want to know more, call us at Center, received Proclamations from Former Governor McGreevey and Senator Joseph Kyrillos for outstanding Service to the Community, Highlighted on News 12 New Jersey A New Jersey television station, Expert guest speaker on WS Radio-focus on seniors and has had numerous Newspaper articles written about Adult Day Care in local and regional papers and magazines. Licensed by the Department of Health and Senior Services

(732) 741-7363

www.wecareadultdaycare.com

Toy Gallery

GRAND OPENING!

TOYGallery of Union Square

470 Rt. 35 • Red Bank, NJ 07701

732-224-1332

(diagonally across from Whole Foods)

“Get To Know You” Special:

Buy One Get One 1/2 OFF (With presentation of this ad. Lower priced item is half off. Offer good until November 30, 2014.)

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Toys, Games & Puzzles for all ages

November/December 2014

Pediatric Therapy

Group Learning At Speech Start

Bernadette Mullen MA, CCC-SLP Business owner of Speech Start, p.a. Speech and Language Pathologist/ Special Education Teacher

Fall is here! The weather is getting

cooler and the leaves are falling. The kids have been in school for a month now and it is time to re-evaluate our children’s programs. What’s missing from their programs? What can we add? How many times should we participate in an activity? All great questions!

About the Owner…

For years, Speech Start has consistently provided group learning to the community. We provide groups for facilitating language on a number of levels. Group learning is the natural progression from individual 1:1 learning. Group learning provides our students with a forum to practice the language skills that they have learned. We believe that group learning provides a segue for children with social skill challenges and that application is key to future success. Speech Start is currently offering a variety of social skills groups ranging in age from 3 years to 16 years. We start the week with toddler group on Tuesday morning from 1012. The purpose of the group is to provide language enrichment to students who have speech-language challenges. The students can also practice their individual speech language goals during the session. The group is facilitated by a licensed speech-language pathologist and we provide support staff depending on enrollment. This class includes

Bernadette Mullen, MA, CCC-SLP is a Speech and Language Pathologist and owner of Speech Start, p.a. since 1993. She provides evaluation, planning, and therapy to children from birth to age 21. In conjunction with these therapies, she provides companion training for the parents of speech and language clients. Bernadette also professionally develops and trains adults who work with special needs children.

art activities, music, and movement. Our social skills training program called Social Skill Gamers is being offered in both our facilities. “Social Skills Gamers,” is a new and exciting program where children learn to be social beings! We use direct teaching, cartooning, formalized computerized games, and board games to address social skill deficits. Students created there own scenarios to practice targeted social skills. They use the above named programs to accomplish this task. The “Social Skills Gamers” class is currently being offered at 5:15-6:30 on Thursdays in our Fair Haven location. This

program is being offered in conjunction with the staff at Small Factory. If your child enjoys cartoons, computer games, and art this social skills program is for them! We also have an after school social skills group on Tuesdays from 4:30-5:30. The group is for upper middle school students at our Speech Start location in Hazlet. This group incorporates cooperative activities such as game play, cooking, season themed crafts, and pizza night once a month. This group encourages self expression in a safe environment and a place where these older children can practice social skills comfortably.

Pediatric Speech & Language Services Include:

1 Bethany Rd. Suite 60, Building 5 Hazlet, NJ 07730

Receptive and Expressive Language Disorder Autism Spectrum Disorder P: (732) 888-3912 Semantic Pragmatic Disorder Articulation/Phonological Disorders Social Skills Groups • Apraxia 560 River Rd., Suite C Summer Programs • Dyads Fair Haven, NJ 07704

speechst ar tnj.com

P: (732) 212-1088 (Newly opened!)

Making Sense of Your Child’s Sensory System

About the Owner…

As the owner of Tender Touch Occupational Therapy, Terry Moser has worked with children for over 30 years. She is certified in Sensory Integration, Therapeutic Listening and has extensive training in Sensory Processing Disorders, Visual Processing Disorders and in working with children on the Autism Spectrum. She has lectured across the country on Sensory Strategies for Self Stimulatory Behaviors with Keynote Figures such as Temple Grandin and Dr. Andrew Bondy. She has also lectured at Brookdale Community College, Monmouth University and has worked and consulted in many school districts in Monmouth and Ocean County.

Sensory integration is the ability to take in, sort out and connect information from the world around us. This process is controlled by our central nervous system (our nerves, spinal cord and brain). The information we take in comes through our senses, and our spinal cord and our brain sort out and connect this information. A well integrated nervous system is necessary for all of us, without that, we are not able to interact comfortably with the world around us. Sensory integration provides us with the ability to move through and interact in our environment efficiently with the use of all of our sensory systems. These sensory systems include: vision, hearing, smell, taste, touch, movement and proprioception. We need efficient communication with all of these systems in order to move our body through space, interact with our friends and participate in our daily activities. Listed below are a few signs that you can look for: • Does your child cover his ears with loud noises? • Is your child a picky eater? • Does your child have difficulty with a change of routine?

• Does your child crash into the floor/ pillows to seek input? • Is your child overly sensitive to touch, noise, smell or movement? • Is your child in constant motion or have difficulty calming himself? Herself?

If you answered yes to any of these questions, we can help you!!

Please call us at 732-335-4030. We are also offering free parent workshops on the first Monday of each month. Please call for information.

Ten d e r To u c h

Occupational Therapy

“Enrichment Beyond the Classroom!”

Give us a call!

732-335-4030

1 Bethany Rd. Suite 64 Hazlet, NJ 07730

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Connect with us!

November/December 2014

Health

& Wellness

The {Personalized} Future Of Fitness Written by: Julianne Dods, VP , Meridian Fitness & Wellness In 2013 Tilton Fitness Management partnered with Meridian Health to bring the most comprehensive, medically-based health and wellness facility to Monmouth County. The result: Meridian Fitness & Wellness in Hazlet. In 2014, a focus was placed on developing a more personalized and preventative approach to healthcare through fitness. Our mission, to Change People’s Lives, is not limited to our members. We impact the communities we serve by providing access to educational programming needed to promote healthier lifestyles.

For Optimal Wellness At Meridian Fitness & Wellness, we understand that there is no one-size-fits-all approach to attaining physical or mental well-being. Each individual’s personal health goals are as distinct as the individual themselves, which is why we developed fitPLAN: a customizable approach to setting and achieving health and fitness goals. “By setting realistic goals based on an individual’s lifestyle we can monitor and provide tangible, long term results,” says Personal Training Director and Exercise Physiologist, Erin Walsh.

GET REAL RESULTS COMPLIMENTARY

7-DAY PASS Activate this pass at any of our six locations.

732.335.4200

1420 HWY 36 HAZLET www.MeridianFitnessandWellness.com

Must be 23 years of age. ID Required. See club for details.

Available to each member free of charge, fitPLAN presents a visual representation of body composition as well as a scientific calculation of an individual’s current and goal health age. The most important first step in any health and wellness journey, fitPLAN provides a structured strategy for attaining better health. But, optimal wellness is more than physical capability. “Our unique partnership with Meridian Health provides our members with a more comprehensive approach to fitness; with access to medical step down programs and a Medical Advisory Board of Physicians, Meridian Fitness & Wellness is continually working to better serve the health and wellness needs within our communities,” says Walsh.

For Community Involvement In 2014, Meridian Fitness & Wellness worked diligently to become an advocate for healthier living by hosting Open House Events, Health Fairs, Fundraisers, and offering complimentary fitness and educational programming for Youths, Seniors, and Special Populations within the community. “We welcome any opportunity in which we can provide a forum or a presence to help educate the community about the importance of health and wellness,” says Asst. General Manager, Erin Walsh. “From nutrition seminars to diabetes counseling and heart health risk factors, it is our mission to provide the latest in health and wellness information so that our members and the community can make healthier choices.” Meridian Fitness & Wellness also took a proactive step in the fight against breast cancer by becoming a Pink Partner in Meridian Health’s Paint the Town Pink Campaign. “Besides raising awareness for breast cancer prevention, detection and treatment, Meridian Fitness & Wellness members, staff and guests helped raise funds to provide screening mammography to underserved women within the community,” says Mendoza.

For the Future

“We have long embraced the concept of exercise as medicine,” says President and CEO Sam Young. “We realize that, in the future, health system reimbursement will be increasingly tied to the health status of the communities they serve making hospitalaffiliated fitness facilities like ours an important component of the continuum of care.” As such, Meridian Fitness & Wellness recently announced their participation in the Horizonbfit program. Offered to select Horizon BCBSNJ members ages 18 years and older, Horizonbfit can help members maintain a healthier lifestyle by granting them access to medically integrated fitness facilities like Meridian Fitness & Wellness and providing incentives that make it easier, and more affordable, for them to exercise regularly. At Meridian Fitness & Wellness, we are committed to not only making each member’s health a top priority, but providing a thoroughly rewarding and successful fitness experience to members of all ages and fitness levels. After all, total body wellness starts from the inside out.

For more information on how to Change Your Life through fitness contact Meridian Fitness & Wellness in Hazlet at 732.335.4200 or visit us online on www.MeridianFitnessandWellness.com, TODAY!

Making Fitness Your Family’s Focus

COMING SOON TO

BRICK!

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At Meridian Fitness & Wellness, we are committed to creating a healthy and fun atmosphere the whole family can enjoy.

Julianne Dods, Vice President, Meridian Fitness & Wellness

Join Meridian Fitness & Wellness’ social networking followers on November/December 2014

Medical Professionals

Fertility Testing . . . Is It Right For Me? Simple Fertility Testing: 1. Bloodwork Purpose: To test hormone levels and determine whether ovulation is occuring. Procedure: Blood is drawn to test the female hormones associated with egg maturation and uterine receptivity to receive an embryo. 2. Ultrasound Purpose: To determine whether the uterus, ovaries, and fallopian tubes are normal. Procedure: an intravaginal sonogram is performed where the doctor looks for follicles (eggs are inside these) on the ovaries and abnormalities in the lining of the uterus or fallopian tubes. By Dr. Allen Morgan Morgan Fertility and Reproductive Medicine

ou’ve been thinking of starting a family for some time now. But now you’ve noticed that it just isn’t happening as quickly as you thought it would. So you’re wondering ... When should I think about seeing someone? There are many factors that would suggest a trip to a fertility specialist would be a good idea. You should consider your partner’s age, whether you are generally healthy, the method of birth control you’ve been using up until the point you decided to try to become pregnant, and you and your partners family medical history, etc.

Early Testing Could be Key Made popular by celebrities such as Jennifer Aniston, Kim Kardashian and Janet Jackson. Many women are now opting to visit a fertility specialist even if they are relatively young and healthy. Reasons for early testing are varied, but possibilities may include pre-existing conditions in one of the partners, a family history of health issues, or simply because a woman may want to pursue a career before starting a family.

Over or Under Thirty? Rules to Remember If you are over the age of 30 and have been trying to conceive for more than six months, American Society for Reproductive Medicine (ASRM) suggests that you make an appointment to see a fertility specialist right away. The earlier would be the better in fact.

The County Woman Magazine

If you are under the age of 30 and have been actively trying to get pregnant for more than 12 months, it is time for you to see a fertility specialist. There could be something simple and relatively easy to fix that’s blocking you from becoming pregnant. Or, perhaps you are becoming pregnant but don’t know it. You won’t know until a fertility doctor orders and reviews fertility testing.

3. Semen Analysis Purpose: To determine the “quality” of sperm, including number of sperm and motility. Procedure: A sample is produced then examined and compared against specific criteria.

Which Medical Conditions Could Block Pregnancy? Certain conditions such as endometriosis, ectopic pregnancies, blocked fallopian tubes, miscarriages, uterine fibroids or polyps, polycystic ovarian syndrome, pain during intercourse, or irregular menstrual cycles may affect your chances at successful conception on your own. If you have a history of any of these conditions and plan to start a family, you should see a fertility specialist as early as possible. The bottom line is, if you are even wondering whether you should see a fertility expert or not, you should book a consultation. A woman’s instincts are rarely wrong about things like this. As a well-respected infertility physician and teacher practicing in Central New Jersey for over 20 years, Dr. Morgan has compiled an extensive library of knowledge and resources about Artificial Insemination, In Vitro Fertilization (IVF), and all topics surrounding infertility available to readers by visiting MorganFertility.com.

EXCLUSIVE OFFER $399 Couples Fertility Testing

Exclusive Monmouth County Woman Offer Call Before December 31st. www.TheCountyWoman.com

Allen Morgan, MD, FACOG 475 Rt. 70 West, Suite 201 Lakewood, NJ 08701

Get Answers 732-363-4777

Additional office locations in Freehold and Galloway

AllenMorganMD.com

November/December 2014

Foot Pain

Finally a Solution for Peripheral Neuropathy Get Rid of the Pain in Your Legs and Feet Patients Flood Office of Dr. Paul Battipaglia For Latest FDA-Cleared Treatment “If you suffer from frequent or constant pain due to Peripheral Neuropathy; cramping, tingling, numbness, burning pain, or you can’t even feel your feet, I personally invite you to call our office and schedule an appointment to learn more about the newest treatment available. Peripheral Neuropathy, a condition caused by damage to the nerves affects more than 20 million people in the United States alone. This pain alters everything from your work, your play and even your happiness. If neuropathy pain has put you in a corner, I am here to tell you that there is hope. My staff and I can help you get rid of your pain and get your life back. At Manalapan Spine Care & Rehabilitation, our caring staff and advanced technology is ready to help you enjoy a better quality of life. We are so confident that we can help you; we are offering a FREE multi step consultation and evaluation. There is no obligation, and no pressure to accept treatment. We simply determine if you are a candidate for our program and show you what the anticipated results are so that you can make an educated decision about YOUR health.” – Dr. Paul Battipaglia, Clinic Director

Symptoms of Peripheral Neuropathy: • Tingling or numbness • Losing your balance more then often • Unbearable foot pain • Feels like pins and needles • Restless legs • No longer can feel hot or cold sensations • Spontaneous pinching, sharpness, or electric shocks

The non-surgical solution: The latest FDA cleared approach Our advanced program for treating Peripheral Neuropathy is a combination of technology and experience that aids in healing the damaged nerves. Where many other treatments only address the symptoms, we address the root cause. Our treatment protocol can help restore, stabilizes, and rebuilds the nerves in your extremities. The effects are nothing short of miraculous in the eyes of our patients and may feel the results within the first few visits. This latest custom treatment plan for treating Peripheral Neuropathy utilizes a unique combination of non-surgical treatments including the ReBuilder®, a new FDA Cleared Technology shown to relieve the symptoms of neuropathy. The combination of cold laser technology, targeted therapy rehabilitation, low force chiropractic treatments, acupuncture and joint mobilization and stimulation will be customized for each patient pending their needs and severity of conditions. For improved convenience, to confirm the diagnosis of neuropathy, all neuro diagnostic testing is done within the clinic. When dealing with your pain, remember that there is a nonsurgical treatment, with little discomfort and no prescription drugs that is a real option for lasting relief.

What are patients saying?

“I had peripheral neuropathy for three years and suffered from numbness in both feet and lower legs. I tried serveral types of medications, which didn’t work. After treatment on the ReBuilder® the feeling in my feet has returned to normal and I can feel the temperature of the water on my feet when I exercise in the pool.” ~ Pam O.

Is this treatment right for you? Dr. Battipaglia and his staff have made it their mission to treat patients without surgery or drugs. After years of study, training and trials, they have chosen only the most effective non-surgical options and bring them together all under one roof.

No Risk Free Visit “We are so confident that you will find healing and relief at our office that we are offering you’re a free multi step evaluation and consultation. We will personally evaluate your condition and determine how we can help you. There are no strings attached and you have no obligation. Don’t live with pain, fear and doubt any longer. Pick up the phone and take control of your life right now. You have nothing to lose but your pain. Due to demand, we are extending this offer to the first 25 callers only. Time slots fill quickly so call today to secure your free stop one consultation.” • Dr. Paul Battipaglia, Clinic Director • Dr. Paul Saks, D.P.M. (Board Certified Phsyician) • Connie Chordia Khan, D.P.T. • Varsha Pohuja, D.P.T. • Leon Belenitsky, L.A.C.

94 Bridge Plaza Drive, Manalapan, NJ 07726

732-972-5900 www.manalapanspinecare.com

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No referral necessary Most insurances accepted including Medicare

November/December 2014

Alzheimer’s Care

Alzheimer’s Community

“We understand memory impairments and we have worked to design a community that brings the warm familiar feel of an ordinary home, while providing the comfort, safety, and peace that are so vital to the memory impaired.” Denise Van Tassell, Owner

Alzheimer’s Support Group: 1st Saturday of Each Month at Noon. Call for details.

• Private bedrooms Four Locations: • Professional nurses available 24 hours Brick • 320 Herbertsville Road Ocean Township • 111 Bowne Road • 3 meals daily, snacks & beverages Matawan • 447 Matawan Avenue Toms River • 1126 Lakewood Road • Housekeeping and laundry service Call Alcoeur Gardens: 732.290.CARE (2273) • Special diets available to schedule a tour and visit our website at www.alcoeurgardens.com. • Stimulating activities New Jersey’s Premiere Alzheimer’s Community • 24 hour supervision • Alzheimer’s specialists Fully licensed, R.N. directed community regulated by the New Jersey division of Community Affairs and County Board of Social Services. Medical Professionals

QUESTION:

Why Is Thermography Considered the Best Breast Test?

tudies show that a thermogram identifies precancerous or cancerous cells earlier than mammograms, and produces unambiguous results, which cuts down on additional testing – and it doesn’t hurt the body. Thermography’s accuracy and reliability is remarkable too according to the American Journal of Surgery and the American Society of Breast Surgeons, Cornell. Thermography can be used as a whole body approach to wellness with the understanding that there is no “normal” asymmetrical heat in the body. Thermal cameras can detect heat on the skin surface that may show underlying pathologies. Heat is an indication that inflammation exists, and typically inflammation is present in precancerous and cancerous cells, too. (It’s also present in torn muscles and ligaments as well as arthritic joints, which thermography can also detect.) Breast Thermography is a radiation-free state-of-the-art screening procedure that captures heat images of the breast to aid in the early detection of breast cancer. As a tumor grows it develops a blood supply that emits heat that is detected on a modern infrared device. Thermography can establish overall breast health and is an excellent test for assessing fibrocystic breasts and response to treatment. Thermography also can detect many other aliments such as Systematic Dental Disease. Some dentists have long claimed a relationship between oral bacteria and

breast cancer. With Thermography imaging, we can see how the bacteria spread through the lymphatic (immune) system.

Overall Research

The Index Medicus, a comprehensive index of medical scientific journal articles, references more than 800 per-reviewed breast thermography studies, in which over 250,000 women participated. Many of these studies involved very large groups of patients (from 37,000 to over 100,000) and some have followed patients for as much as 12 years. Among other conclusions, these studies found that when thermography has been added to a women’s regular breast health checkups, a 61% increased survival rate was realized, and when used as part of a multi-model approach (clinical examination, mammography and thermography) 95% of early stage cancers will be detected. It is well known that early detection is the best defense against breast cancer and that if treated in the earliest stages, a 95% cure rate is achieved. The “cure” is early detection.

Don’t put it off! CALL NOW to schedule your screening at: Advanced Thermal Imaging

Freehold Executive Center 4400 Route 9 South, Freehold 877-315-7226 (Ext 448) 24/7 • Emergencies: 732-902-1876 www.BTIscan.com

The County Woman Magazine www.TheCountyWoman.com

November/December 2014

Medical Professionals

The County Woman Magazine www.TheCountyWoman.com

November/December 2014

Salon

the cuticle. This treatment will give you 12 weeks of healthy, glossy hair. Another common problem we see a lot of is the dreaded split end. Did you know the scientific name for them is “Trichoptilosis” and is essentially a longitudinal splitting of the hair fiber? Besides getting your hair cut regularly (every six Michele KonopKo –lawson to eight weeks) and using fine products thatthe canmost help prevent hair & coMpany is one of future damage, there is not a whole important days of your life, so making sure lot youyoulook can stunning do. We strongly suggest After being exposed to the protecting your should be a high-priority item your “to do” list. Your hair hairfrom the sun sun, salt water andon chlorine because ultraviolet rays can be all summer long hair is that as damaging should be making you feel likeyour a celebrity day. to your hair as they likely in need of some TLC. are to your skin. We also offer Myforadvice to you, as a stylist andProfessional an artist, Split is End In fact, some people their the new hair can become to leave it so todehydrated us professionals. GivingTreatment. the world Repairing This amazing it looks and feels “fried” and is procedure takes just 10 beautiful hair is what we do each and every day,minutes essentially crying out for moisture. and prevents split ends for up to 4 so hair let us our magic. If your haswork that dry look and weeks. This service will reconstruct is proving to be unmanageable Recently, the wedding season has to include andexpanded repair weak, broken strands; then September come and see all the new and and and October as well asseal Maysplit andends June.instantly, If you are innovative ways Hair & Company damage by heat, planning on tying the knot duringprotects one of hair thesefrom months, can help to restore shine and body dailyinstyling, and environmental Written by: AudreyI suggest least that six months advance. Schedule your to your tresses.booking Did youatknow factors. All of this is possible while Lynn Kockanek, stylist, trial right after you find your dress. Once you know whether when hair dehydrates it becomes preserving the shape and integrity Hair & Company you’re going halter, strapless or anyofother style, starthaircut. lookingThis for will brittle and that causes broken, split your precision endsthat thatwill go complete up the hairyour shaftlook. and Pictures photos of hairstyles of the back of a hairstyle literally put an “end” to your are split cause fuzziness and sometimes useful, but don’t forget about the front. Try to find photos taken ends,ofatcelebrities least for athat littlewere while! breakage? head-on, and compare theirIt’s facedefinitely shapes toa yours to decide what will look good on you. Hair & Company, Oasis Spa cumulative process. hasbe been theyou RedonBank With input fromFrom you and your photos, a stylist ableserving to guide what smoothing treatments, to should area forhis 40or years. The professional conditioning color glosses, we have is right for you when you come in for your trial. Do not leave her chair until you experienced staff you is trained breakthrough that will are completely confident with technology your look. Make sure toand bring any accessories plan and certified to deliver their improve the overall health of your on putting into your hair, including clips or pins, and don’t forget to bring your veil. It’s expertise to you. hair. For example, the Brazilian

Up Do’s & Do Not’s Your Wedding Day

Spa

Janette Conwell

Jannette is a master colorist with eight years of experience in a wide range of product lines and skilled in creating diversified hairstyles.

I have been a designer since 2006. Over the years I have worked to sharpen my skills and evolve with the industry. My goal is to make my clients feel and look their best. Hair is an important factor to self-confidence. My job is to help my clients find their best look and feel great. I am particularly skilled in dimensional and corrective color. My style varies from all natural to edgier looks. Whatever it is you are looking to achieve I guarantee I can get you there!

Audreylynn

Audreylynn is a Master Stylist. She knew early on that She had a talent for creative hair design and has now been a professional hairstylist since 2008. Audreylynn continues attending educational seminars to improve her professional development and ensure staying current with the most modern hair design trends and techniques. Audreylynn truly loves everything about color, especially creative color. Her best outlet for One more piece of advice: handsa can creativity is through styling formal updo’s. She believes newsometimes hairstyle or some highlights can really a positive influence onup life be rough, dry, or“put greasy, which can easily stir ouritself, enemy, especially in New Jersey!” It is important to Audreylynn that all clients frizz. After spraying and securing your hair, be very careful not leave the chair feeling confident & flawless!

to touch it - it is a work of art, after all. Congratulations, good luck, and may your hair look perfect!

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best to have only one trustworthy friend or family member with you during your trial. Too many opinions can leave you feeling flustered and upset. Remember, it is your day and your decision. Once the hairdresser has completed your trial and you put on your veil, it’s an emotional closerKonopko–Lawson (“Things get REAL!”). Michele

hasbig been a stylist at Hairyour & Company 26 years. A good way Michele to relieveKonopko-Lawson some stress on the day is to book weddingfor party in Michele is not only a master colorist for corrective and multi-dimensional a salon. A hotel room is not always an ideal place to have your hair done. Never color, but is also certified in the latest smoothing treatments. From Wella underestimate thetoimportance of she being in front huge salon mirror. This helps the stylist Schwarzkopf, is an expertofinamany services, including creative to see you from the frontand and special to makeoccasion sure every singleMichele piece isalso aesthetically pleasing cutting styles. offers wig services to cancer after believe treatment to help in any from all angles (and the patients pictures before, will be during, from alland angles, me). Beingthem in the salonway during such a difficult time. Michele Konopko-Lawson is one example of with set appointments also makes for faster prep time and a peaceful, easy transition the outstanding personnel at Hair + Company. We hope to see you soon! from one appointment to the next.

No matter what type of hairopen you have, smoothingthrough out your hairSaturday, the night before We’re Tuesday your updo is always acall good us idea.at A little luster goes a long way in the fight 732-747-6983 or stop in.against frizz. Scheduling a blow-out the night before not only assures a perfect canvas on your wedding day, but also ensures perfect hair for your rehearsal dinner. www.hairandcompanyredbank.com

Enter To Win The County Woman Magazine

Tarot Readings Saturdays with Ursula $20 for 20 mins.

September/October 2014

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December 31, 2014.

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November/December 2014

Business Spotlight

The Professionals At Hair & Co. Will Transform You Joann Wiener

Joann Wiener

Owner, Hair & Co. Fourty years later, I am still excited and passionate in leading my hairstylists to perform their craft at their most optimum level. We know that your hair is your “crowning glory” – a sign to the world of your style, health and attitude. Healthy locks are better achieved through appropriate hair care products and regular haircuts. To that end, the relationship between stylist and client is helpful in achieving those goals.

Milena Melone

Facials can accomplish so many things: it can address the concerns of rosacea, acne, pigmentation and relaxed elasticity. In this chaotic world, perhaps the biggest benefit to a facial is the de-stressing that is achieved through a classic face, neck and shoulder massage along with the Dr. Vodder Manual Lymph Drainage (for rejuvenation, sinus decongestion, headaches and acne). Combining these two modalities brings you the ultimate relaxation!

Michele K. Lawson

As a specialist in color and multi-dimensional hair color, I highly recommend a “conditioning color gloss” this time of year to repair and/or tone summer brassiness. This will add shine and a healthy glow to go gracefully into the fall and winter months. We also recommend low-lights to tone down summer blondes or to add a kick of “fashion accent color” for fun!

AudreyLynn Kockanek Audreylynn is a master stylist. Her best outlet for creativity is through styling formal up do’s. She believes a new hairstyle or some highlights can really “put a positive influence on life itself, especially in New Jersey!” It is important to Audreylynn that all clients leave the chair feeling confident & flawless! AudreyLynn Kockanek

Darwin Munoz As a healthy hair enthusiast, I always emphasize a proper home hair color care routine to my clients. I recommend using our Schwartzkopf Pro BC Hair Therapy Color Save sulfate-free shampoo and conditioner. The combination of these products will guarantee 70% color retention.

Karen Liquori Hair takes a beating from summer sun, water and wind. If you need a quick pick-me-up to brighten and shine, a glaze will do the trick!

Tiffany Colelli Having long hair I know sometimes “just a trim” can be scary. It is essential, however, to cut ends regularly (every 6-8 weeks) to allow for long and healthy hair.

Denise Cruz Have you ever been told you don’t have the hair to wear a certain style due to lack of hair, length or volume? I am certified in Hot Heads Hair Extensions and I can change that for you! Extensions can give you the confidence and style you’ve been looking for! With Hotheads’ and my experience, the possibilities are endless with any hair type! Great for special occasions like weddings or proms, or just for having a new look. Book a consultation with me today.

Do you want to get rid of your split ends but don’t want to cut your hair? Now you can instantly repair, strengthen, seal and protect your ends in only 10 minutes with the Brazilian Blowout Split Ends Repair Treatment. You will have shiny smooth hair that will last up to four weeks.

Denise Cruz

12-14 White Street, Red Bank, NJ

732-747-6983 www.hairandcompanyredbank.com Photos by Annette Jenkins Photography. (Janette Conwell photo provided seperately)

Janette Conwell

The County Woman Magazine

Karen Liquori

Tiffany Colelli

Kirstin Roberson

Janette Conwell Janette is a master colorist with eight years of experience in a wide range of product lines and skilled in creating diversified hairstyles. My goal is to make my clients feel and look their best. I am particularly skilled in dimensional and corrective color. My style varies from all natural to edgier looks. Whatever it is you are looking to achieve I guarantee I can get you there!

Darwin Munoz

www.TheCountyWoman.com

Kirstin Roberson

November/December 2014

Law

85 years of dedication, passion, integrity and professionalism. Areas of Practice:

Bankruptcy Civil Litigation Commercial Litigation Commercial Real Estate Contract Criminal Defense DUI

Employment Law Finance & Banking Land Use & Zoning Matrimonial & Family Medical Malpractice Mortgage Banking Municipal Court Defense

Municipal Law Personal Injury Real Property tax Appeals Residential Real Estate Traffic Violations Wills, Trusts & Estates

A commitment to excellence. A commitment to people.

Community

1500 Lawrence Avenue Ocean, NJ 07712 732.922.1000

341 Broad Street Clifton, NJ 07013 973.247.9000

140 Grand St. Suite 501 White Plains, NY 10601 800.569.3886

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Become a foster or adoptive parent Be part of the ride.

Open your heart and your home New Jersey DepartmeNt of ChilDreN aND families For more information contact: (877) NJ FOSTER, www.njfoster.org (800) 99 ADOPT, www.njadopt.org

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November/December 2014

Medical Professionals

Sciatica: What It Is & What It Is Not For most people, when they feel pain around the sacral spine they attribute it to sciatica. By definition sciatica is pain along the sciatic nerve, which runs from the lower back down each leg, passing through the hips and buttocks.

worsen when coughing or sneezing and during prolonged periods of sitting or standing. Some risk factors attributed to sciatica include age, obesity, diabetes, prolonged sitting, and lifestyles. Diabetes affects your body’s blood sugar, and therefore your risk of nerve damage. Certain occupations that require a Sciatic person to sit or stand for long periods of time, Nerve or constant twisting, bending, or heavy lifting, may contribute to sciatica. A healthy and active It is sensory changes or weaknesses lifestyle is a proactive approach and could prealong the sciatic nerve. It is often othervent sciatica. wise known as radiculopathy or radicuSo when could pain, numbness, tingling, litis of the lumbar and sacral spine. Sciatica is most comor weakness in the same general area be something other monly caused by a herniated disk or bone spur on the than sciatica? If you are experiencing loss of bowel and/or spine that presses on the sciatic nerve and causes pain. bladder control, you should seek a medical professional This pain is typically felt in the legs and can be accompaimmediately. You should also see a doctor immediately nied with inflammation and numbness. following an accident, or other violent injury, or if you Pain levels vary for people experiencing sciatica. Some experience loss of feeling in a lower limb. Other condimay report minor sensations radiating from the lower tions such as spinal stenosis, facet hypertrophy, and piriback down the back of the leg. Others experience excruformis syndrome display similar symptoms. ciating pain, numbness, and burning that is aggravated Dr. Bogdan will determine the cause of your pain by by even the slightest movement. Typically, sciatica is first conducting a physical exam. He will measure your only present in one side of the body. Pain will generally Sergey Bogdan, MD, FIPP, Bogdan Interventional Pain Management. Born and raised in Dnipropetrovsk,

Ukraine, Dr. Sergey V. Bogdan received his medical training at Leningrad Pediatric Medical School and then in Saratov State Medical School in Saratov, Russia. In 1988, he started working as a trauma surgeon at the Russian Military Hospital in Leipzig, Germany. He moved to America in 1994 and completed his medical training residencies at New York Hospital and Nassau University Medical Center. His most relevant educational experience was a fellowship done at the Neurology, Headache & Pain Relief Center in Linwood, NJ, where he focused on Interventional Pain Management. Dr. Bogdan now lives in Staten Island, NY with his wife, Irina Bogdan, who is Practice Manager. They have one daughter, Yelena, 29, who is graduating from her residency as an Orthopedic Surgeon and will soon be working in New York City at the Hospital for Special Surgery. Dr. Bogdan has many interests and hobbies including numismatics, playing chess, and reading classic literature novels. He also enjoys taking long hikes in the woods and watching movies, and his favorite place to spend time off is in Aruba. He supports numerous causes and charities including the UJA-Federation of New York and his local Catholic church and police department.

Sergey Bogdan, MD, FIPP Interventional Pain Management Pondview Professional Park 112 Professional View Dr., Bldg. 100 Freehold, NJ 07728 (732) 577-9126

8686 Bay Parkway, Suite M4 Brooklyn, NY 11214 (718) 265-7700

Services: • Back/Spine Pain • Knee Pain • Arthritis/Major Joint Pain

• Headaches • RSD

www.bogdanmd.com

The County Woman Magazine

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pain level and location, as well as assess your muscle strength, reflexes, and range of motion in the lower limbs. He may also need you to have a radiological test, such as an X-ray, MRI, or CT scan. In most cases, treating sciatica is fairly simple. Dr. Bogdan may treat true sciatic pain initially with heat, ice, specified exercises, or Epidural Steroid Injection. More severe cases may warrant implantation of a Transcutaneous Electrical Nerve Stimulation (TENS) unit or Spinal Cord Stimulator. In any situation, physical therapy is highly recommended as a supplement to any treatment plan. Most people will fully recover from sciatica if treated appropriately and within a timely manner. It is helpful if you are able to describe the pain or discomfort you are experiencing, identify where it is occurring in your body, for how long you have felt it, and what exacerbates the pain.

For more information on TENS units, Spinal Cord Stimulator implantation, general questions, or to schedule an appointment, please call us at 732-577-9126. We always welcome new patients.

PATIENT TESTIMONIALS. . . I’ve been coming to Dr. Bogdan’s for many years. He has always taken care of me and I truly feel proud to be one of his patients. He really listens to what I’m saying, even in regards to issues that do not pertain to his pain management practice. I have never been to a more caring doctor. He talks through the entire procedure to make sure I am not nervous and know exactly what is going on. Dr. Bogdan treats me for multiple ailments, including spinal pain and pain in my arms and legs. I have received a number of RF treatments in his office and have always felt safe and taken care of. He and his staff are thorough and efficient. I really feel instant relief after an RF procedure and walk out of the office feeling almost 100% better than I did walking in. I appreciate Dr. Bogdan’s conservative approach. He is able to manage my pain with routine injections, supplemented with home exercise, and physical therapy. Because of him, I am able to travel often and enjoy life with my family. He has gone above and beyond and I wholeheartedly recommend him. ~ Sincerely, Joyce Haseman Dr. Bogdan is one of the most caring and compassionate doctors I have ever been to. He is patient and has excellent bedside manners. He takes his time to explain procedures before they are done as well as any misunderstandings I have about my diagnoses or test results. I have received many different types of procedures in his office but recently decided to try the neurostimulator therapy, because of my ongoing spinal pain. I was apprehensive at first because it seemed invasive and aggressive. Dr. Bogdan gave me a detailed explanation of the process to make sure I was comfortable. I’m so glad I decided to give it a try because I have felt remarkably better since using it. The implantation process was actually much simpler than I thought, and not at all invasive. Dr. Bogdan and his staff were comforting during the entire process and really eased my nerves. I like that I can control the impulse level because some days I feel more discomfort than others. This procedure has greatly improved my quality of life and I’m grateful of Dr. Bogdan for suggesting this to me as an option. ~ Charles B

November/December 2014

Medical Professionals

Ways To Help Combat The Flu Season Influenza (commonly called the flu) is a highly contagious illness that can occur in children or adults of any age. More often, it occurs in the winter months because people spend more time in close contact with one another.

The flu can spread very easily from person to person by coughing, sneezing, and/or touching surfaces. Every year, complications of the flu require more than 200,000 people in the United States to become hospitalDr. Vetter, MD, ized. Serious illness is more likely in the very young, older Brick Women’s Physicians adults, pregnant women and people who have certain health problems such as asthma or other forms of lung disease. There have been several widespread flu outbreaks (called pandemics), which have led to worldwide deaths of many people. Those outbreaks occurred when new strains of influenza viruses formed (often from pigs or birds) and humans were infected because they had no immunity to these viruses. The most effective way to prevent influenza is by getting the influenza vaccine (the flu shot) and using simple infection control measures such as hand washing. Antiviral medicines can also help prevent infection if you are exposed to the flu.

Flu Symptoms — Symptoms of seasonal flu can vary from person to

• Adults and children who have received organ or stem cell transplants. • Children and teenagers age 6 months to 18 years who are taking long-term aspirin therapy and might be at risk for Reye syndrome. • Women who will be pregnant during the influenza season. • Adults and children who might transmit influenza to high-risk individuals (including people listed above). This includes healthcare workers, workers in nursing homes, home health workers and people who live with a high-risk individual.

INFECTION CONTROL — Infection control measures, like hand

washing and covering your mouth when you cough, can help to prevent the spread of influenza. • Frequent hand washing with soap and water can help limit the spread of influenza. You can use alcohol based hand sanitizers when soap and water are not available. Whether you are infected with the flu or are caring for someone with the flu, you should wash your hands frequently. • Cover your mouth and nose while coughing or sneezing and throw away dirty tissues immediately. Sneezing/coughing into the sleeve of your clothing (at the inner elbow) is another means of containing sprays of saliva and secretions and will not contaminate your hands. • Avoid touching your eyes, nose and mouth since germs spread this way. Avoid close contact with infected people. • If you are sick with a flu–like illness, you should stay home for at least 24 hours after your fever is gone except to get medical care or for other necessities. Your fever should be gone without the use of a fever reducing medicine. • While sick, limit contact with others as much as possible to keep from infecting them.

person, but usually include: • Fever (temperature higher than 100° F or 37.8° C) Headache and muscle aches. • Fatigue. • Cough and sore throat may also be present. • People with the flu usually have a fever for two to five days. This is different than fever caused by other upper respiratory viruses, which usually resolve after 24 to 48 hours. • Most people with the flu have fever and muscle aches, and some also have cold like Visit www.brickwomensphysicians.com for more information. symptoms, such as a runny nose and a sore throat. Flu symptoms usually improve over two to five days, Ann Pagano MD • Darlene Morgan MD • Paul Vetter MD • Alfred Parchment MD although the illness may last for a week or more. Weakness and fatigue may persist for several weeks

Flu Complications — Complications

of influenza may occur in some people and pneumonia is the most common complication. Pneumonia is a serious infection of the lungs and is more likely to occur in young children, people over the age of 65, people who live in long term care facilities (nursing homes), and those with other illnesses such as diabetes or conditions affecting the heart or lungs. Pneumonia is also more common in people with weakened immune systems, such as those who have had a transplant.

Who Should Be Vaccinated? — The flu

vaccine is recommended for nearly all people 6 months of age and older. The vaccine is especially important for: • Adults age 50 or older. • People who live in nursing homes and other long-term care facilities. • Adults and children who have chronic lung or heart conditions. This includes children with asthma. • Adults and children with chronic diseases such as diabetes or kidney disease. • Adults and children with HIV infection.

The County Woman Magazine

Two Locations! 1140 Burnt Tavern Rd. Brick, NJ 87 Union Ave, Manasquan, NJ

More evening hours added! Always see a Doctor for every visit

732-202-0700

www.brickwomensphysicians.com www.TheCountyWoman.com

November/December 2014

Featured On The Cover

Meet The Doctors Of Brick Women’s Physicians 1

Dr. Ann Marie Pagano, a native

Dr. Darlene M. Morgan has

of Philadelphia, received her bachelor’s degree from LaSalle University, which she attended on a full-tuition academic scholarship. She went on to earn her medical degree from the Hahnemann University School of Medicine in Philadelphia. She completed her residency in obstetrics and gynecology at Temple University Hospital in Philadelphia, where she trained under Dr. M. H. Terry Grody, one of the nation’s foremost vaginal surgeons. Dr. Pagano is co-author of a paper on uterine surgery that was published in the Journal of Pelvic Surgery. After finishing her residency, Dr. Pagano joined the medical staff of Pineland Associates in Brick, where she was employed until leaving to form Brick Women’s Physicians with Dr. Vetter in 2001. She has spoken to various women’s groups on pregnancy-related issues and health care for senior citizens. She has been a featured expert physician contributor to the Asbury Park Press. She was awarded the prestigious “Physician of the Year” by the nursing staff at Ocean Medical Center in 2005. Dr. Pagano is accepting new patients in her Brick and Manasquan offices.

been practicing medicine for 14 years. Dr. Morgan graduated from the University of Chicago Pritzker School of Medicine in 2000 and completed her OB/GYN residency at Wayne State University/Detroit Medical Center. As of 2013 she is board certified in Obstetrics & Gynecology. Darlene Morgan, MD was a valuable addition to Brick Women’s Physicians OB/GYN medical staff in 2005. She practices medicine in Brick, NJ and Manasquan and specializes in Obstetrics & Gynecology. Dr. Morgan is affiliated with Ocean Medical Center. She is the current Chief of Ob/ Gyn at Ocean Medical Center (Brick Hospital.) Dr. Morgan is accepting new OB/GYN patients in our Brick and Manasquan offices.

Dr. Paul L. Vetter is a lifelong New

Dr. Alfred Parchment is a Board

Jersey resident and has been a licensed physician since 1992. He received his undergraduate degree from the University of Notre Dame, where he received national recognition in the Congressional Record for establishing the first college campus organization dedicated to collecting pledges of organ donations. He received his medical degree from the Robert Wood Johnson Medical School of the University of Medicine and Dentistry of New Jersey. Dr. Vetter completed his residency in obstetrics and gynecology at Camden’s Cooper Hospital University Medical Center, where he was chief resident in his final year. Dr. Vetter was employed as a physician at Pineland Associates in Brick for five years until he left to form Brick Women’s Physicians with Dr. Pagano in 2001. He has lectured extensively to other physicians on pharmaceutical therapy and to senior citizens on elder care issues. He served as Chief of Ob/Gyn at Ocean Medical Center (Brick Hospital) in Brick, NJ from 2005 to 2009. Dr. Vetter is accepting new patients at his Brick and Manasquan offices.

Certified Physician with a specialty in Obstetrics and Gynecology. He received his medical degree at the University of Medicine and Dentistry of New Jersey and then went on to receive his OB/GYN training at Mount Sinai School of Medicine – New York University. Dr. Parchment has medical privileges at Medical Center of Ocean County in Brick, N.J. and Monmouth Medical Center in Long Branch, N.J. He performs minimally invasive hysterectomies and surgeries using the da Vinci robotic surgical system. He speaks fluent Spanish. He is also an alumnus of the United States Naval Academy, class of 1987. Dr. Parchment is accepting new patients at his Brick and Manasquan offices.

• Every doctor visit includes personalized attention and a consultation with a Board-certified Ob/Gyn.

• We offer hassle-free acceptance of insurance plans including Aetna, Horizon, Cigna, UHC, Qualcare and Medicare.

• At Brick Women’s Physicians, you are always treated like the unique individual every woman is - not like a number in a huge, impersonal group practice.

• Designated as a preferred provider for Horizon, Aetna & United Healthcare.

• Convenient on-site lab which accepts most insurances.

• MORE evening hours.

• On-site American College of Radiology Accredited Facility for ultrasounds

• Appointments can be made on brickwomensphysicians.com

• Cloth gowns and heated speculums for your visit.

• Received the Cigna Care Designation awarded for Cigna Specialists.

• Brick Women’s Physicians performed one of the first robotic single site da Vinci hysterectomies in Monmouth County!

Brick Women’s Physicians: Personalized Ob/Gyn Care 1140 Burnt Tavern Road Suite 2A Brick, NJ

•

87 (Route 71) Union Ave Manasquan , NJ

Call (732) 202-0700 to make your appointment at our Brick or Manasquan Office.

The County Woman Magazine

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www.brickwomensphysicians.com November/December 2014

24 Hair Replacement, Wigs &Extensions

Look Your Best This Holiday Season There was a time, not too long ago, when baldness was something you lived with if you were a man, and covered with a wig if you were a woman. Then men, bothered by their receding hairlines, began to wear hairpieces and toupees. Well, things have changed!

Today, if you have thinning hair and don’t want to live with the status quo, the professionals of Valerie’s Barber & Beauty take hair loss very seriously. They have over 30 years experience in hair replacement for men, women, and children. With their exclusive non-surgical system of replacing hair, your natural hair replacement will look perfect. Physicians recommend their methods to persons suffering from hair loss due to chemotherapy, illness, or accident. Their services are also suggested to the many individuals losing hair from the natural effects of inherited traits.

Schedule your free consultation.

New customers only. For more information or to make an appointment, please call 732-363-4758 or visit us at Valshair.com. Consultations are Looking for a hair ALWAYS free! replacement specialist with some Like us on Facebook! following to join our team.

Allores Hair Extensions Valerie’s Barber & Beauty offers the most amazing Allores hair extensions. It is the first extension that does not require braiding, weaving, or applying harsh bonding chemicals to your scalp. They are tracks of the highest quality human hair attached to a polyurethane base. The polyurethane base is the tool for attachment of the hair. This is a durable system that does not need to be replaced upon every maintenance visit. When you need a maintenance service, we will simply remove and clean them, and then they are ready for another application. At all times, Valerie’s Barber & Beauty promises professional service and a natural style suited to your individual needs.

Valerie Boblick, Valerie’s Barber & Beauty Valerie’s

career began in Florida in 1982. She worked for the Hair Club, mastering the techniques of hair replacement for men and women. She traveled to Dallas, Memphis and Spokane training others in the field of hair replacement. She opened her own salon in 1989 in Spokane, Washington, and then followed in 1998 with her salon in Jackson, New Jersey. Valerie’s Barber & Beauty offers top notch professional services in a very private and comfortable setting. Valerie is also an expert in color, cuts, barber cuts, razor cuts, foils, and extensions.

See why people switch to Valerie’s Barber & Beauty for all their hair needs!

Give the gift of beauty this holiday season with a Valerie’s Barber & Beauty gift card!

A Variety Of Styles Hair Replacements And Hair Extensions In addition to scalp treatments, Valerie’s Barber & Beauty offers many styles of hair replacements, wigs and hair extensions. European and synthetic hair is available in hair systems, wigs, falls, or extensions – all of which may be custom designed with the latest styles and fitted especially for you. Valerie’s also offers a selection of medical and theatrical wigs at reasonable prices. They are meticulous with the maintenance and styling of your hair. While other hair replacement firms require money up front and a signed contract, Valerie’s does not have any requirements and also offer a very private and comfortable location. Remember, if it looks like a wig, It’s not from Valerie’s Barber and Beauty!

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Hair Replacement Center, Wigs, & Extensions

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Client Testimonial . . . “Thank you so much Valerie, for all the wonderful work

Valerie’s Barber & you do. You change the lives of those stricken with hair loss and you gave us our pride and Beauty, Jackson, dignity back again. You truly are a special person to so many, and on those days where N.J., is a unique you feel slighted and unappreciated, please remember the women like me who came to salon because of you so desperate, so sad, and so ready to give up. Remember the gift of beauty you’ve given their expertise us, with all of your special touches, and the wonderful things you do and how much we and quality of hair love and appreciate you. You bend over backwards and go that extra mile to send us out into the world with a smile and a boatload of confidence that was once lost. God bless you and services and products. Valerie Boblick, you’re truly a special fit to this earth from God.”

The County Woman Magazine

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Before

After

Before

After

November/December 2014

Elder Life Management

Planning For Adult Children With Disabilities By Judith S. Parnes, L.C.S.W., C.M.C., Gerontologist And Elder Care Consultant is Executive Director Of Elder Life Management, Inc., Ocean, NJ.

n entire generation of parents are now growing older and facing the reality that their children with disabilities will outlive them. Presently, close to a million developmentally disabled adults are living with caregivers over the age of 60 in the United States. While parents are growing older, many are not only caring for their own parents but also caring for an adult child with special needs. They may feel financially stretched. Medical advances have enabled people with developmental disabilities to live longer. At the same time, these advances have enabled their parents to live longer as well. However as both populations age, they have increased care needs. Consider the circumstances of Helen P. Helen first called Elder Life Management to discuss her concerns. As the sole provider and caregiver for her 49 year old son, Ted, Helen knew that Ted was “different” but he was never diagnosed. Had Ted been born today, he would have surely been diagnosed as being on the autism spectrum. However, in the 1950’s very few sought help from schools or outside agencies. Her reason for seeking help from this office and her biggest fear was what would happen to Ted as she aged (she had already suffered a minor stroke) and both of their care needs increased . I worked with Helen to develop a plan including short term solutions and long term planning. We were able to obtain Social Security benefits for Ted as a disabled adult. Our agency found a local program to assist with developing socialization skills to increase his ability to ultimately live independently. Simultaneously, a care manger began to meet with Ted and as a result, developed a rapport and trusting relationship. As Helen’s health continued to decline, she knew the time had come that she could no longer live at home and care for Ted. Together we sought alternative living arrangements for both Helen and Ted. Helen went into an assisted living program and Ted was able to obtain housing in an apartment that offered limited help and supervision. We continue to assist Ted even now, 15 years later. A commitment was made that Ted would remain a client of Elder Life Management. Ted now continues to live in supervised housing. Elder Life Management oversees his medical and care needs

and also pays his monthly bills. A care manager continues to “check –in” with Ted and of course, is available in an emergency. Elder Life Management is now Ted’s family.

In Summary, below is a list of things you should consider when developing a plan for your special needs loved one. 1. Tell your child’s story. Take the time to put together some guidelines on caring for your loved one with special needs. This will be a non-legal document, but it will be a useful resource. 2. Identify who will be guardians and/or trustees. Guardians and trustees will be responsible for the welfare of your loved one, so think carefully before naming any individual to this role. Don’t assume that the closest relative is always the best choice. Instead, choose a person who you feel will be able to handle the responsibility and look out for the best interest of your loved one. A professional Care Manager can be consulted. 3. Work together with your relatives to coordinate planning. Involve the rest of your family in your planning efforts. This will ensure that everyone is aware of what is going on, which will minimize the risk of disruption and conflict after your death. 4. Find a supportive community. Planning for a special needs family member can be a challenge, but you are not alone. Seek out other families who are dealing with the same issues as you. They will be able to provide valuable support and guidance to help you in your planning efforts. 5. Seek Professional help in planning for now and beyond. Financial institutions are now including professional care managers and advisors who can address, monitor and develop optimal care plans for enhanced quality of life and increase assurance that health and safety needs are met.

Elder Life Management provides quality elder care planning, management and Medicaid application services to older adults and their families. Please visit www.elderlifemanagement.org or call (732) 493-8080 for more information. 931 West Park Avenue, Ocean, New Jersey, 07712.

Testimonials Say It All . . .

I was so pleasantly surprised at how quickly I received my father’s Medicaid approval. I know this is your job but I am so grateful for your help. I don’t believe this would have happened without you and Elder Life Management. James B., Toms River, NJ Once Again, It is amazing to me that anyone can expect an elderly person to actually make sense of this all. I am a lawyer and my wife is an accountant and if we didn’t have Elder Life Management helping, there is no way we could have navigated this maze. Robert D, Aberdeen, NJ Just wanted to say thank you again for all your help, guidance, expertise, patience and understanding. Elder Life Management saved my life and sanity. I could never have done it without you. Barbara G., Red Bank, NJ

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The County Woman Magazine

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November/December 2014

Medical Professionals

Local Brain Tumor Foundation, ANS Center of Hope, Celebrates its Brain Cancer Patients

Atlantic NeuroSurgical Specialists (ANS) brain tumor support group celebrated their members at their annual BBQ. The event was held Thursday, August 28th at 6:00 p.m. at their Morristown office. The annual BBQ has grown remarkably in size since its inception in 2012 and is a place where patients can find love, hope, and support from their doctors and family members. At the picnic, food and activities were enjoyed by guests, including a dunk tank where patients could dunk one of the many neurosurgeons on staff. “Our annual picnic gives us a chance to thank our patients for being such a driving force of inspiration to us all,” says Marketing Manager Tom Wood. The Partnership of Hope support group, made possible by the ANS Center of Hope Foundation, meets regularly on the fourth Thursday of every month. The group meets to dine and exchange personal stories about individual journeys through their illness, but mostly they laugh and celebrate life.

Monmouth County Woman Nov/Dec What's the Point #1028_r2.indd 2

The County Woman Magazine

The purpose of the ANS Partnership of Hope is for patients of all ages and walks of life to find solace in being around people who understand their daily struggles. Volunteers also work outside of the meetings to accommodate the everyday needs of patients who are not able to care for themselves. The event had over 100 people present, including many patients. One patient, Kevin McGuire, has had a brain tumor for 14½ years. The tumor has grown and shrunk over the years, and is now classified as “brain cancer.” He said, “Still I am a fighter.” Another patient present, Elaine Geraghty of Staten Island, a survivor of brain tumor surgery, nodded in agreement. She is also a fighter. “I love it here,” she said. She noted that when the support group meets, “We talk about life and check in with each other.” The result of having a brain tumor is you have a lot of residual effects, both physical and emotional, said Geraghty, who attends support group meetings and doctor appointments.

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“I use both a cane and a walker because I suffer from a lot of dizziness,” said Geraghty. Dr. Jack Knightly, an ANS neurosurgeon, explained that a brain tumor can “run its course from being really serious to mild. Sometimes there is a cure, and other times treatment must continue indefinitely.” Knightly says part of the treatment regimen is deciding how surgery will affect the patient. “If we take the whole tumor out, the result may leave you with lasting physical effects. However, if we don’t take it all out, it could come back.” ANS invites all to attend Partnership of Hope. Please call the dedicated brain tumor support hotline at 855-267-2667 to answer any questions about the group, to attend the next monthly gathering, or to make a donation. For more information about ANS, please call 973.285.7800 or visit ansdocs.com.

10/15/14 11:50 AM

November/December 2014

Medical Professionals

Acting F.A.S.T. Can Save Your Life If you were having a stroke would you know? Recently, Atlantic NeuroSurgical Specialists (ANS) held their monthly stroke survivor program, Partnership of Strength, and the stories being told by patients were concerning. ANS Marketing Manager Tom Wood explains, “We have the opportunity to meet a lot of stroke and aneurysm survivors. As you start to listen to the patient stories, it becomes clear that many of our patients didn’t realize they were having a stroke and continued to ignore symptoms.” Symptoms of a stroke may be as dramatic as the sudden inability to move or talk, but more subtle signs like dizziness and numbness are just as significant and often missed, stated a study on WebMD.(1) According to a study published in Stroke, 70 % of patients who suffer a minor stroke do not recognize their symptoms and 30 % delay seeking medical attention for more than 24 hours.(2) One such example happened recently to ANS patient David Kaplan, 44, a resident of Boonton Township. He suffered a stroke in late May. David experienced warning signs while riding a bus to his car from work, leaving him with no feeling in his right arm. Ignoring the signs of stroke, David tried to drive himself home instead of calling 9-1-1. On his way home, he blacked out, and awakened to find himself upside down in his car. From there, he was transported to Morristown Memorial and was operated on by ANS neurosurgeon Dr. Ronald Benitez. Through the combination of a minimally invasive procedure and the clot-reducing drug TPA, Mr. Kaplan was released from the hospital just 8 days later, with few remaining physical side effects. While this case shows a successful outcome, David did not recognize his stroke symptoms. In another similar story, an ANS stroke survivor missed the signs of stroke while he was working out at the gym. The gentleman stated, “I felt a severe headache come out of nowhere. I figured I was hungry or just needed to rest. The next thing I knew, I passed out during my workout.” Dr. Benitez cautions patients to do the following: “Do not wait when it comes to stroke symptoms. The fact that this patient had a severe headache was an evident sign something was wrong. Every second counts when it comes to stroke treatment. In some cases, waiting too long could result in a fatal outcome.” In a telephone survey done by the Centers for Disease Control and Prevention (CDC) in 2008, a study of more than 71,000 adults in 13 states and Washington, DC, has revealed that shockingly few people know the warning signs of a stroke. In fact, only 68.8% were aware that change in vision was a warning symptom and only 60.4% knew a severe headache without an event was a symptom of stroke.(3) One specific way you can help identify if you or someone else is having a stroke is to follow these simple steps: F.A.S.T. Make sure the person’s Face is symmetrical and their smile is correct and equal. Have the person raise both Arms in front of them and check that they can hold them out strongly with no drift. Ask them to Say a simple phrase like, “The sun is out today.” Does the sentence make sense? Are the words in the right order? And finally, Time is of the essence. You only have hours to receive the proper treatment for a stroke. “There is never enough education out there when it comes to stroke awareness,” says neurosurgeon Ron Benitez. “There’s only about a 4 hour window for a patient to receive a clot-busting drug that can effectively treat a stroke, but I see many cases where stroke victims are still not getting to the hospital fast enough and the residual effects are more common from these cases.” In fact, in a recent CDC study, they found that almost 44 % of patients who had strokes between 2005 and 2010 took more than 4.5 hours to get to the emergency room after their first symptoms.(4) “ANS will continue to support and engage public awareness on stroke,” says Tom Wood. “Early detection is important and can be the difference between life and death.” For more information about ANS, Dr. Benitez and Partnership of Strength visit www.ansdocs.com or call 732.455.8225. 1. http://www.webmd.com/stroke/news/20030320/subtle-stroke-symptoms-often-ignored 2. http://www.everydayhealth.com/stroke/am-i-having-a-stroke.aspx 3. http://www.aarp.org/health/doctors-hospitals/info-03-2012/stroke-victims-hospital-arrival-health-discovery.html 4. http://www.aarp.org/health/doctors-hospitals/info-03-2012/stroke-victims-hospital-arrival-health-discovery.html

Monmouth County Woman Nov/Dec What's the Point #1028_r3.indd 1

The County Woman Magazine

WHAT’S THE POINT? RECONSIDER LASER SPINE SURGERY The term “laser spine surgery” implies that surgery is accomplished without an incision. This is a common misconception. In laser spine surgery, as in regular surgery, an incision is made and bone, ligament, and sometimes discs are removed using traditional surgical tools. Using a straight beam of light, a laser makes it impossible to delicately navigate angles and runs the risk of inadvertent thermal injury, spinal fluid leakage and even severe spinal headaches. The numerous drawbacks of laser spine surgery have been recognized in the medical community for many years. So what does the laser do for laser spine surgery? In reality, not much. At Atlantic Neurosurgical Specialists (ANS), we will help you understand which surgery, if any, is best for you. ANS remains the largest and most reputable neurosurgical practice in New Jersey. Don’t let insurance come before your health. Call to speak with our insurance counselor. For more information visit www.ansdocs.com or call 732.455.8225.

3700 Route 33 Neptune, NJ 07753 732.455.8225 11 Overlook Road Suite 180 Summit, NJ 07901 908.516.2941

www.TheCountyWoman.com

310 Madison Avenue Suite 300 Morristown, NJ 07960 973.285.7800 89 Sparta Avenue Sparta, NJ 07871 973.729.0266

2345 Lamington Road Suite 107 Bedminster, NJ 07921 973.285.7800 464 Hudson Terrace Suite 203 Englewood Cliffs, NJ 07632 973.285.7800

10/15/14 11:44 AM

November/December 2014

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The will officialguide name ofyou Orthodontics comparing your stature your usually not great butoverwhelmingly iftothere expander procedurethe airway her caring staff Donâ&#x20AC;&#x2122;t panic orEmail: trybyto yank any ifsessions construction of the of theher actually uth County the and stress management, which has supportive. parents. oceanorthodontics@hotmail.com to answer anyfor the airway if construction usually not great but ifbeen there expander Generally, three to six are is suggested. caring staff will guide you you ually usually not great but if there expander procedure yd for thefor ss management, which has been overwhelmingly supportive. parents. nasal passages blocking the her caring staff will guide the specialty is â&#x20AC;&#x153;Orthodontics and Dento-facial mouth sets offprocedure receptors that actually Generally, three to six sessions are suggested. County the d stress management, which has been overwhelmingly supportive. parents. was a tooth that was really involve? in making the right decision. piece off quickly. Broken or nasal passages is blocking the the in making the right decision. Generally, three to six sessions are is suggested. rsng and deals withwaswould ems, extensions nasal passages blocking ationships. everyone be using it,â&#x20AC;? commented David Spiegel, MD,brain tooth that was really involve? relationships. lsdrug, with was ausing tooth that was really involve? in making theâ&#x20AC;&#x153;Itright decision. airflow. Orthopedics.â&#x20AC;? She adds, is not just correction normally tell your to pre- consists veryone would be abe using it,â&#x20AC;? commented David Spiegel, MD, nd deals with rug, everyone would berotated it,â&#x20AC;? commented David Spiegel, MD, loose braces should repaired in The palatal expander airflow. relationships. ation that tooth will be more es and misalignments airflow. The palatal expander consists rotated that tooth will be more alignments The palatal expander consists of crooked teeth, but also facial/jaw bone been practicing pare the body to digest food. So rotated that tooth will be more Expect Truly Personalized Itâ&#x20AC;&#x2122;s important, though, to recognize that your pain may be a signal that somend misalignments Clear Upper Retainer Retainer Wired Hawley Retainer the orthodontist office but you to canmove. cticing ofthat a screw that isimportant, attached to though, important, though, to recognize that your pain may be aWired signal that somejaws. The likely likely nand practicing Clear Upper Retainer Fixed Retainer Wired Hawley Retainer Itâ&#x20AC;&#x2122;s toFixed recognize pain may be aHawley signal that someof a screw isItâ&#x20AC;&#x2122;s attached to Care with Every Clear Upper Retainer Fixed Retainer that yourproblems, Retainer The to move. such as under and over bite issues.â&#x20AC;? of a screw that is attached to when these receptors encounter dntics jaws. The likely to move. inspecialty thing wrong and to be addressed. Anyone considering the use of hypnosis prevent the bracket ds, &the Pictures) themeans teeth by means of bandsisand that Office Visit me ofin is from wiggling isbands wrong toneeds be to addressed. Anyone considering the use hypnosis nt, President the teeth ofthing bands that cs isthat wrongneeds and needs be addressed. Anyone considering theofuse of hypnosis pecialty is the by teeth by means ofthing f by the specialty isof wax to cover it. using a bit go around your teeth. In order to )ne.net toto alleviate painfirst should first be evaluated by a physician, licensed physician, as hypnosis is neve th County for ics and Dento-facial go around your teeth. In order RVLV )RU to alleviate pain should be evaluated by a licensed as hypnosis is never nty for ento-facial go around your teeth. In order to )RU to alleviate pain should first be evaluated by a licensed physician, as hypnosis is never County for and Dento-facial VLV )RU So how do keep Convenient Office Hours. Flexible Payment Options. You should carefully remove any loose bands, asyou they can be fitted for this appliance, three So how do you keep n, NJ 08527 s.â&#x20AC;? She adds, â&#x20AC;&#x153;It is not be fitted for this appliance, three intended to replace sound medical care. It is often used in conjunction with conven So how do you keep 11 years and ds, â&#x20AC;&#x153;It is not be fitted for this appliance, three intended to replace soundsound medical care. Itcare. is often used in conjunction with convenand She adds, â&#x20AC;&#x153;It is not intended tovisit replace medical It is often used in conjunction with convencause buildups of saliva and germs. If the wire is poking years and ZZZ +\SQR)RU:RPHQ FRP QDO +\SQRVLV &RDFKLQJ visits need to occur. The first 732)-961-3440 ZZZ +\SQR)RU:RPHQ FRP QRVLV &RDFKLQJ on ofteeth, crooked teeth, your teeth straight visits need to occur. The first visit ZZZ +\SQR)RU:RPHQ FRP ked your teeth straight O +\SQRVLV &RDFKLQJ tional medicine, or can be used when other methods are not effective or advisable. visits need to occur. The first visit tional medicine, or can be used when other methods are not effective or advisable. It of crooked teeth, h discrepancies your teeth straight into your cheek, use a ball of wax on the tip of the wire pancies tional medicine, or can be used when other methods are not effective or advisable. It I isfive-minute a quick five-minute visit to put discrepancies is a quick visit to put bone problems, ne problems, is a quick five-minute visit to put mial/jaw May/June 2014 :KDWÂˇV 7KDW 2QH 7KLQJ is safe, efficient, naturally relaxing. â&#x20AC;&#x153;foreverâ&#x20AC;?? aw bone problems, May/June 2014 is safe, and relaxing. â&#x20AC;&#x153;foreverâ&#x20AC;?? toand prevent itbite from poking or call your orthodontist to spacers lignments of At what age :KDWÂˇV 7KDW 2QH 7KLQJ isefficient, safe, efficient, andand naturally relaxing. spacers between the teeth that willnaturally â&#x20AC;&#x153;foreverâ&#x20AC;?? nts of:KDWÂˇV 7KDW 2QH 7KLQJ At what age should ashould between the teeth that will er over nments of AtTo what age should a a 2014 m er bite spacers between the teeth that will July/August and over bite keep the teeth straight, schedule an appointment. IfToSeptember/October you accidentally swallow any 2014 keep the teeth straight, RX 0RVW :DQW 7R &+$1*( $ERXW <RXUVHOI" RVW :DQW 7R &+$1*( $ERXW <RXUVHOI" on them. About child get screened? keep the teeth straight, get screened? have bands on bands them. About one jaws. The Tochild X 0RVW :DQW 7R &+$1*( $ERXW <RXUVHOI" ws. The child get screened? havehave bands on them. About oneone dand jaws. The Make Your Mind Work FOR You â&#x20AC;&#x201C; Instead MakeMake Your Mind Work FOR You â&#x20AC;&#x201C;You Instead of of o part of your braces, donâ&#x20AC;&#x2122;t freak out â&#x20AC;&#x201C; unless it prevents ideally, retainers have to ideally, retainers have to Your Mind Work FOR â&#x20AC;&#x201C; Instead week later, the orthodontist must The American Association ,V LW D 1HJDWLYH +DELW OLNH RYHUHDWLQJ VPRNLQJ HWF The ideally, American Association the orthodontist must must 1HJDWLYH +DELW OLNH RYHUHDWLQJ VPRNLQJ HWF retainers have to week later, The American Association week later, the orthodontist ,V LW D 1HJDWLYH +DELW OLNH RYHUHDWLQJ VPRNLQJ HWF ame of the Article Written By: Rhoda Kopy the Article Written By: Rhoda Kopy Â&#x152;Â&#x2021;Â&#x2C6; ÂŁĂ&#x201E;Ă&#x2021;Ă&#x2030;Â˝ Â&#x2014;ÂşÂşĂ&#x2021;Ă&#x2C6; Â¨Ă&#x2030;Ă&#x2021;ÂşÂşĂ&#x2030;Â you breathing normally, itâ&#x20AC;&#x2122;sOrthodontics notthe aand major problem. me of from the Â&#x152;Â&#x2021;Â&#x2C6; ÂŁĂ&#x201E;Ă&#x2021;Ă&#x2030;Â˝ Â&#x2014;ÂşÂşĂ&#x2021;Ă&#x2C6; Â¨Ă&#x2030;Ă&#x2021;ÂşÂşĂ&#x2030;Â Article Written By: Rhoda Kopy be worn time the first D )HDU /LIHVW\OH 6WUHVV /DFN RI &RQĂ&#x20AC;GHQFH Â&#x152;Â&#x2021;Â&#x2C6; ÂŁĂ&#x201E;Ă&#x2021;Ă&#x2030;Â˝ Â&#x2014;ÂşÂşĂ&#x2021;Ă&#x2C6; Â¨Ă&#x2030;Ă&#x2021;ÂşÂşĂ&#x2030;Â be worn full time first year D )HDU /LIHVW\OH 6WUHVV /DFN RI &RQĂ&#x20AC;GHQFH Ocean Orthodontics fit the braces around the teeth723 North of and Ocean Orthodontics of fit thefit braces around the four North Beers Street, Beers Street, beOrthodontics worn fullfull time the first yearyear D )HDU /LIHVW\OH 6WUHVV /DFN RI &RQĂ&#x20AC;GHQFH Ocean Orthodontics ispalatal a palatal of Orthodontics and the braces around theteeth fourfour teeth atal 723723 North Beers Street, Â¨Ă&#x160;ÂžĂ&#x2030;Âş Â&#x2021;Â&#x2013; Ăš Â?Ă&#x201E;Ă Ă&#x201A;ÂšÂşĂ Â ÂŁÂ&#x; Â&#x2026;Â&#x152;Â&#x152; Â¨Ă&#x160;ÂžĂ&#x2030;Âş Â&#x2021;Â&#x2013; Ăš Â?Ă&#x201E;Ă Ă&#x201A;ÂšÂşĂ Â ÂŁÂ&#x; Â&#x2026;Â&#x152;Â&#x152;Â&#x2C6;Â&#x2C6; a is â&#x20AC;&#x153;Orthodontics Practicing in Ocean for 11 years hodontics Practicing in Ocean Township for Township 11 years PIRUW 6OHHS 3UREOHP 3HUIRUPDQFH ,VVXH Âł RU VRPHWKLQJ VLPLODU" Â¨Ă&#x160;ÂžĂ&#x2030;Âş Â&#x2021;Â&#x2013; Ăš Â?Ă&#x201E;Ă Ă&#x201A;ÂšÂşĂ Â ÂŁÂ&#x; Â&#x2026;Â&#x152;Â&#x152;Â&#x2C6;Â&#x2C6; HHS 3UREOHP 3HUIRUPDQFH ,VVXH Âł RU VRPHWKLQJ VLPLODU" â&#x20AC;&#x153;Orthodontics Practicing in Ocean Township for 11 years Suite 2A and at night after that. This and make an impression of your Dentofacial Orthopedics Suite 2A and at night after that. This Dentofacial Orthopedics and make an impression of your RUW 6OHHS 3UREOHP 3HUIRUPDQFH ,VVXH Âł RU VRPHWKLQJ VLPLODU" Suite 2A and at night after that. This Dentofacial Orthopedics and make an impression of your der? My teeth feel 804 West Park Avenue, 804 West Park Avenue, Â&#x152;Â&#x2C6;Â&#x2021;Â&#x201A;Â?Â&#x2030;Â&#x152;Â&#x201A;Â&#x2C6;Â&#x2026;Â&#x2039;Â&#x160; Â&#x152;Â&#x2C6;Â&#x2021;Â&#x201A;Â?Â&#x2030;Â&#x152;Â&#x201A;Â&#x2C6;Â&#x2026;Â&#x2039;Â&#x160; Rhoda Kopy is a nationally certified consulting Rhoda Kopy is a nationally certified consulting r? 804 West Park Avenue, Â&#x152;Â&#x2C6;Â&#x2021;Â&#x201A;Â?Â&#x2030;Â&#x152;Â&#x201A;Â&#x2C6;Â&#x2026;Â&#x2039;Â&#x160; lose â&#x20AC;&#x201C; is that normal? Rhoda Kopy is a Ă&#x152;Ă&#x152;Ă&#x152;Â&#x192;Â˝Ă&#x201E;Ă Ă&#x201A;ÂšÂşĂ Ă&#x201E;Ă&#x2021;Ă&#x2030;Â˝Ă&#x201E;Â&#x192;Â¸Ă&#x201E;Ă&#x201A; nationally certified consulting to-facial Holmdel, 07733 lexpander, NJ 07733 teeth are on them. Holmdel, recommends that children areteeth while recommends that are the while braces arebraces onare them. protocol will minimize relapse. protocol will minimize relapse. Holmdel, NJ NJ 07733 recommends that children are teeth while the the braces on them. A Building ABuilding Ă&#x152;Ă&#x152;Ă&#x152;Â&#x192;Â˝Ă&#x201E;Ă Ă&#x201A;ÂšÂşĂ Ă&#x201E;Ă&#x2021;Ă&#x2030;Â˝Ă&#x201E;Â&#x192;Â¸Ă&#x201E;Ă&#x201A; protocol willchildren minimize relapse. r,facial also also also <RX &DQ 'R ,W Building Ais a <RX &DQ 'R ,W Ă&#x152;Ă&#x152;Ă&#x152;Â&#x192;Â˝Ă&#x201E;Ă Ă&#x201A;ÂšÂşĂ Ă&#x201E;Ă&#x2021;Ă&#x2030;Â˝Ă&#x201E;Â&#x192;Â¸Ă&#x201E;Ă&#x201A; <RX &DQ 'R ,W pander, hypnotist and wellness coach, and is a 2004 hypnotist and wellness coach, and 2004 hypnotist and wellness coach, and is a 2004 Yes. For braces to work, pressure from the screened by age 7. The earlier the The braces are then removed and Like us Â&#x203A;ÂśĂ?Â? Â&#x152;Â&#x2C6;Â&#x2021;Â&#x201A;Â&#x2021;Â&#x2020;Â&#x152;Â&#x201A;Â&#x2C6;Â&#x2039;Â&#x2021;Â&#x2C6; The braces are then removed and screened by age 7. The earlier the Â&#x203A;ÂśĂ?Â? Â&#x152;Â&#x2C6;Â&#x2021;Â&#x201A;Â&#x2021;Â&#x2020;Â&#x152;Â&#x201A;Â&#x2C6;Â&#x2039;Â&#x2021;Â&#x2C6; Ocean Township, NJ 07712 Ocean Township, NJ 07712 he adds, dics.â&#x20AC;? She adds, Ocean Orthodontics screened by age 7. The earlier the The braces are then removed and Ocean Orthodontics Â&#x203A;ÂśĂ?Â? Â&#x152;Â&#x2C6;Â&#x2021;Â&#x201A;Â&#x2021;Â&#x2020;Â&#x152;Â&#x201A;Â&#x2C6;Â&#x2039;Â&#x2021;Â&#x2C6; Some settling is expected. Ocean Township, NJ 07712 Some settling is expected. s.â&#x20AC;? Sheexpander adds, expander pid palatal expander Some settling is expected. 723 North Beers Street, Ocean Orthodontics 723 North Beers Street, palatal 723 North Beers Street, Â&#x161;Ă&#x201A;ÂśÂžĂ Â? Â˝Ă&#x201E;Ă Ă&#x201A;ÂšÂşĂ Ă&#x201E;Ă&#x2021;Ă&#x2030;Â˝Ă&#x201E;Â&#x2022;Â˝Ă&#x201E;Ă&#x2030;Ă&#x201A;ÂśÂžĂ Â&#x192;Â¸Ă&#x201E;Ă&#x201A; Â&#x161;Ă&#x201A;ÂśÂžĂ Â? 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About bite is corrected, more 732-847-3065 in Ocean Townshiphypnosis for 11 years is corrected, the the more replaced withwith spacers. About oneone nce against rection an appliance against cross just correction against stappliance correction 723 North Beers Street, Suite 2A 804 West Park Avenue, Building ABuilding 723 North Beers Street, Suite Suite 2A â&#x20AC;˘ Holmdel, NJ 07733 804 West Park Avenue, A07733 Suite 2A â&#x20AC;˘ Holmdel, 0773 school. She earned a B.S. degree in Biomedical 723 North Beers Street, Suite 2A 2A school. She earned a B.S. degree in Biomedical pushed or pulled to a new location. As teeth shift, some 804 West Park Avenue, Building A NJ stable the results are. week later, the expander will then www.holmdelortho.com Suite 2A â&#x20AC;˘ Holmdel, NJ week later, the expander will then stable the results are. XU 0LQG :RUN )25 <RX Âł ,QVWHDG RI $JDLQVW <RX www.holmdelortho.com 732-493-4747 school. 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The Aging Spine: A Common Cause Of Back And Leg Pain

ost people will experience back pain at some point in their life. As people age, their joints (such as hips and knees) experience wear and tear. The spine also consists of a complex set of joints that can degenerate. When this degeneration leads to a narrowing of the spinal canal in the lower back, it is referred to as lumbar spinal stenosis. Anatomy

It is important to understand some of the basics of the anatomy of the spine to understand lumbar spinal stenosis. The spinal column consists of a series of bones connected to one another by intervening discs, joints and ligaments. The bones are referred to as vertebrae. The vertebrae have a space within them called the spinal canal where the spinal cord and nerve roots travel. Generally in the low back region the spinal cord has ended and there are nerve roots that supply the legs. The sections of the spinal column have different names, where the low back section is referred to as the lumbar spine.

What happens as the spine ages?

With aging, the normal discs and joints that connect the vertebrae degenerate. This leads to narrowing of the discs and arthritic changes of the joints, which can subsequently lead to pain in the low back. In addition, the ligaments overgrow and bone spurs form. All of these factors together cause the spinal canal to get narrower over time. Once the spinal canal narrows to a certain point, the nerves that travel to the legs get pinched causing lumbar spinal stenosis.

What are the symptoms?

The symptoms of lumbar spinal stenosis include back pain, which can vary depending on the severity of the arthritis. There can also be pain in the buttocks that can travel down the back of the legs, oftentimes referred to as “sciatica.” There can also be numbness or tingling in the buttocks or legs. As the pressure on the nerves roots worsens, weakness can occur, especially in the foot. Patients will often times report that the pain is worse by standing up straight and walking, but gets better with sitting and leaning forward. As time progresses, patients will not be able to walk as far they once did without feeling pain in their legs. Some patients, however, note that leaning forward on a shopping cart will allow them to walk farther without pain.

How is it treated?

The treatment begins first with seeing a physician trained in dealing with the spine and obtaining an accurate diagnosis. The diagnosis is made based on the history and physical exam, and also with X-rays and MRI. Generally, treatment is started with non-surgical options. This includes physical therapy, medications, acupuncture and steroid injections. Oftentimes patients will feel good pain relief from these treatments. If a patient has a poor quality of life due to lumbar spinal stenosis, and non-surgical treatments have not worked or only worked temporarily, then surgery is considered. The main stay for treating lumbar spinal stenosis is to remove the ligaments, bone spurs and other compressive factors from placing pressure on the nerve roots. This process is referred to as decompression, or a laminectomy. The surgeon does not remove all of the vertebrae, only the elements in the back that are placing pressure on the roots. Sometimes a spinal fusion is also needed for various reasons. The laminectomy can be done using a traditional incision, a small “mini-open” incision or a minimally invasive approach. The choice of approach will be determined based on the severity of the stenosis, the individual patient and surgeon factors. Most people experience good pain relief in their legs after surgery and are able to resume their normal lifestyle after recovering from surgery. However, improvement in the back is variable.

In Conclusion . . .

Seaview Orthopaedic & Medical Associates

Call one of our convenient locations to schedule your appointment.

Board Certified And Fellowship Trained Physicians

Spinal Su Total Jo STEVEN BERKOWITZ, M.D., P.A. Bone De ROY D. MITTMAN, M.D., P.A. Workers’ C ARTHUR P. VASEN, M.D., PH.D., P.A. Fo ■ OCEAN OFFICE KENNETH Y. CHERN, M.D., P.A.■ BRICK OFFICE 1200 Eagle Avenue 1640 Route 88 West HARALAMBOS DEMETRIADES, M.D., P.A. Ocean, NJ 07712 Brick, NJ 08724 ARTHUR K. MARK, M.D., P.A. Ph: (732) 458-7866 Ph: (732) 660-6200 CHRISTOPHER J. SPAGNUOLA, M.D., P.A. HOAN-VU T. NGUYEN, M.D., P.A. ARON M. GREEN, M.D., P.A. SUNIL R. THACKER, M.D., P.A. KEVIN C. MCDAID, M.D. PAUL T. HAYNES II, M.D. 294 JOEL P. FECHISIN, M.D. ROBERT P. PANNULLO, M.D. ■ MONROE OFFICE ■ FREEHOLD OFFICE 222 Schanck Road D.O. 294 Applegarth Road, Suite C ADAM M. MEYERS, Freehold,W.NJGREAVES, 07728 KEIRON M.D. Monroe Twp., NJ 08831 Ph: (732)GARLA, 462-1700 Ph: (609) 495-1888 SUDHA M.D. Official Team Doctors Of:

■ BARNEGAT OFFICE 500 Barnegat Blvd, Bldg. 200 Barnegat, NJ 08005 Ph: 609-488-3988

Lumbar spinal stenosis is one cause of back and leg pain that affects people as they age. It is important to see a physician trained in treating this disease to obtain an accurate diagnosis. Once that is achieved, there are multiple treatment options that can help improve a patient’s quality of life.

■ SATELLITE OFFICE

IN LAKEWOOD

Seaview Orthopaedic & Medical Associates has provided the highest quality of care in Monmouth and Ocean Counties for over 30 years.

Praveen Yalamanchili, MD. Dr. Yalamanchili is a fellowship-trained Spine Surgeon, who completed his training at Emory University in Atlanta, Georgia. A native of New Jersey, Dr. Yalamanchili has returned home after completion of his Fellowship training. He attended medical school at UMDNJ – Robert Wood Johnson Medical School and completed his orthopaedic residency at UMDNJ- New Jersey Medical School. He specializes in the treatment of spinal disorders including degenerative, deformity and trauma and has particular interest in cervical (neck) surgery as well as minimally invasive and motion sparing procedures.

www.seaviewortho.com • 732-660-6200

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November/December 2014

Medical Professionals 31 Medical edical P Professionals rofessionals M 30

tisWhat C? Is A Colonoscopy And Is It Necessary?

ou may have heard your family members sedation will make it unsafe for you to drive until the next day. Your doctor will also want to know if you have heart disease, lung disease, or any or friends talking about having a need therapy. If you doctorscondition advise determine if you have a positive medical that may need special attention. Who Should Get colonoscopy orYour perhaps your thathas you don’t need to be treated, antibody. doctor will also doctor Tested for already advisedmeasure are monitored withthe risks of the exam? the schedule quantity of virus, you to an exam.your liver will beWhat

ing of ne. Most hepatitis C eel sick. The is a generally a very safe procedure, but as in any medical test there are knows as a viral load. The hepatitis blood work and ultrasound. Hepatitis C? Often times, patients Colonoscopy are frightened or misinformed e can drugs used to treat the virus include C virus has several subtypes or You should discuss getting certain risks. The risks include adverse reaction to the anesthesia, like allergic reaction about the exam because theyIt may not understand what it and ribavirin. er many interferon Patients genotypes. is important to tested for Hepatitis C with your or suppression of the breathing. These can be promptly treated as soon as they are truly involves or have heardthestories about harsh preparations ngoing liver with genotype 1 are also candidates determine genotype as this doctor if any of the following identified. The tube inside the colon can rarely cause a perforation, or a hole being It isaffects important theoftruth about use liver for newer therapies which increase the typeto andknow duration statements applyor to discomfort. you. placed in the colonoscopy and to schedule thisvirus. important rring of the Hepatitis C intestine, that could require surgical correction. Bleeding can occur if a treatment of the A liver exam.the chance for cure. 1. You were born between Shamina Dhillon, MD polyp is removed so your doctor may ask you to stop certain medications like aspirin iver failure. biopsy may also be recommended. treatment is not always easy. Side 1945 to 1965. What is a colonoscopy? Shore Gastroenterology before your exam to minimize the risk. ver failure effects of interferon treatment 2. You are a current or former Is Treatmentof the entire A colonoscopy is aThere visual examination large PC forAssociates, liver include flu like symptoms, injection drug user, even if Risks of the examination are lowered by having a experienced, board certified Available a lighted,for flexible colonoscopy. Tolow blood counts, and United fatigue, you injected intestine many years(colon) ago using gastroenterologist perform your exam. All of our doctors meet these requirements. In be15,000 certain you are will be sedated In fact, There is tremendous out or comfortable only once. and relaxed, you Chronic C? through an I.V.depression. addition, be sure to have your examination performed at a certified endoscopy center. titis C related research underway to develop nonmost patients3.are asleep duringfor thea entire andisremember little tofornothing about You were treated blood processThere treatment available treatment,can whichbe found? clotting problem before 1987 hepatitis C. However, not everyone interferon based What it. have lower side effects. 4. Your received a blood with a diagnosis of hepatitis C may If polyps (very small growths of tissue) are found, your doctor can perform a biopsy kWhy should I have a Colonoscopy? transfusion or organ immediately. The biopsy involves passing an instrument through the scope to remove C? Colonoscopytransplant is recommended as 1992. a tool your physician can use to reduce the risk before July the polyp, which is sent to a laboratory to be analyzed. erally 5. You are on long-term of colon cancer. Colon cancer is the third leading cancer in the United States. Colon om an most often You should feel nothing when a biopsy or polyp is taken, and you should experience hemodialysis cancer starts withtherapy small growths within the colon called polyps. A polyp is s the body no recovery pain. While the overwhelming majority of polyps are harmless, your treatment. like a bump or wart-like structure on the internal surface of the colon, which in many ot infected. physician will have it tested and confirm your results with you, usually within 24-72 6. Your liver tests have been cases causes no symptoms. When your doctor looks into your colon with a colonoscopy e sharing abnormal. hours depending on the day of the week of the procedure. Furthermore, since most can identify and remove these growths before they have an opportunity to grow d they needles, 7. You are a health care worker colon cancer starts as a benign polyp, when these are removed, the possibility of them ninto healthcancer. exposed to a needle stick. growing into cancer is removed as well. ngHow born todo I prepare? What happens afterwards? patitis C. Thorough cleansing of the entire bowel is essential for effective results so there will roducts Is There A Vaccine for Once your recovery nurse determines that most of the effect of the sedation has not be reened fora need for retesting. Instructions for doing this will be given by your physician, worn off, you will be released, however, you cannot drive. Even though you will feel Hepatitis C? but this can include a combination of the following: enema, restriction from eating ipients Currently, there is no vaccine solid foods a day or two before the test and taking pill-form and/or liquid laxatives. You fine, the lingering, subtle effects of the sedation will make it dangerous for you to drive, nsplants for hepatitis C; however, research so a responsible adult must be there to take you home. You should be able to resume atmay risk. be told to stop taking aspirin or other blood-thinning medications for several days is under way to develop one. There normal activity the next day. methods beforeofthe test as well. are vaccines for hepatitis A and Hopefully this information about colonoscopy has helped you to realize that this include To avoid dehydration, patients should drink clear, fat-free bouillon or broth, gelatin, hepatitis B virus. procedure is a safe, comfortable and important tool your doctors can use to help items that strained fruit juice (no grape juice or any liquid with red color), water, plain and How Is Hepatitis C prevent colon cancer. ontact Standing: Drs. Terrany, Schwartz, Maki, Akhtar unsweetened coffee or tea, or diet soda. Unless otherwise instructed, continue taking blood, Center: Denise DiPierri and Maggie Doherty, any regularly Diagnosed? prescribed medication. Your physician may also ask you to stop taking Call Shore Gastroenterology to hbrushes Nurse Practitioners Hepatitis C is initially iron preparations a few weeks before the test if you are on them. Finally, you need to act with a schedule your appointment, 732-517-0060. Sitting: Drs. Turtel and Dhillon diagnosedtowith blood tests to afterward because arrange for someone drive you home lingering, subtle effects of the

Board BoardCertified CertifiedPhysicians Physicians

The Doctors of Shore Gastroenterology Associates, PC

Our Female Physicians

Services: Adult Gastroenterology Colon Cancer Screenings Endoscopic Procedures Gastrointestinal Diseases Liver Diseases

Mitchell S.Shamina Schwartz, M.D., M.D. F.A.C.G., F.A.C.P. Dhillon, PennyS.S.Turtel, Turtel,M.D., M.D.,F.A.C.G., F.A.C.G., F.A.C.P. F.A.C.P. Penny Our Male Physicians Ben Terrany, M.D., F.A.C.G., F.A.C.P. Reza Y. Akhtar, M.D. Shamina Dhillon, M.D. Junsuke Maki, M.D. Junsuke Maki, M.D. Mitchell S. Schwartz, M.D., F.A.C.G., F.A.C.P. RezaM.D., Y. Akhtar, M.D.F.A.C.P. Ben Terrany, F.A.C.G., OurNurse NursePractitioners Practitioners Maggie Doherty,N.P. N.P. Denise DiPierri, Maggie DeniseDoherty, DiPierri,N.P. N.P.

BOARD CERTIFIED GASTROENTEROLOGY

1907 Highway 35 • Oakhurst l 60 Highway 36 • West Long Branch l 233 Middle Road • Hazlet

www.ShoreGastro.com • 732.517.0060

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Standing: Drs. Terrany, Schwartz, Maki, Akhtar. Center: Denise DiPierri and Maggie Doherty, Nurse Practitioners. Sitting: Drs. Turtel and Dhillon.

November/December 2014

Medical Professionals

29 31

What Chemical Varicose Veins? Highis Mechanico Heels, Gait, And Ablation Venousof Dysfunction

strengthen muscle, improve their balance, and increase their range of motion. It is crucial that patients maintain proper form while walking and exercising. Once the proper heel-to-toe gait is learned, it is important that adequate walking occurs for at least 30 minutes a day to maximize the benefit. As an added bonus, this will also improve overall health.

hronic venous insufficiency (CVI), a medical condition where the veins

cannot pump enough blooddevice, back Clarivein®. to the heart,Clarivein® is a common problem but there are many ways to treatis it. In addition to surgical a special motorized catheterprocedures, there are with a rotating tip. It differs from more conservative measures such as compression stockings, weight loss, leg elevation, and local treatment of venous ulcers.other modern treatments, such as laser and radiofrequency that

Gait Testing Helps Target Treatment use heat to seal and close the vein

Instead, it Since an individual’s gait (manner(thermo-ablation). of walking) plays an important role in the funcuses chemo-mechanical ablation. tion of leg veins, patients with painful venous ulcers should also be assessed to make “Chemo” stands for the liquid that sure that their gait pattern strikes a good balance between mobility and stability. Some has special chemical properties common causes of abnormal gait patterns include of different that destroy theweakness inner lining of the muscle groups, any condition that affects balance, and improper footwear such open-backed sandals vein. “Mechanical” stands forasthe that causeSurya, the wearer to shuffle. There have been showing extremely rotating tip ofno thestudies catheter that howtolerable than all other endovenous Girija M.D. spraysthey thisdo liquid onto techniques. high heels affect varicose veins, but since affect thethe gaitinside of the wearer, that Board Certified in Thoracic & wall of the vein. The rotating would suggest a link between high heels and CVI. Gait testing can detectPROCEDURE: which of Cardiovascular Surgery action of the catheter tip within these is at the root of the problem, allowing for appropriate treatment. The Clarivein® catheter is purged

starts and continues to be pulled back, at the speed of 1 – 2 mm/ second. Once the entire catheter and sheath is removed, the patient wears compression stocking, and is discharged from office to go to normal daily activities.

consistent in subsequent follow up for two years. There are no complications of DVT or nerve damage reported. the inside of the faulty, leaky vein with saline first, and assembled at In almost all published and the sprayed liquid act together the table just where the procedure Exercise Can Be An Effective Treatment series, closure rate of more than Hi Friends, to close and seal the veins. is done. The first few steps are 90 percent is reported. In an Treatment may include gait training and strengthening of the lower extremities. As Clarivein® does not use heat, similar to the endothermal observational study retrospectively We have talked before about Providing a patient can participate initan exercise program, exercise should be done does not cause pain, and there is technique. After the patient’s conducted, there is less post procedures to treat Less painful withdifferent compression garments in place.no This helps to improve venous returnveins by assisting risk of burning structures close are mapped, under sterile procedural pain in comparison to large varicose veins, which is a treatment of varicose the calf muscle. Comfortable, well-fitting shoes should be worn that will conditions, allow for a the wire and the to the vein. Tumescent anesthesia’s, other procedures. medically necessary procedure, the uncomfortable injections given catheter sheath is inserted into heel-to-toe walking pattern. The simple way to help a patient achieve this is to have The procedure is may be veins is possible. and not cosmetic. Today, we with other endovenous procedures, the vein. Without any incision performed in under 30 minutes, themwill take the longest steps they can safely take. Obviously this recommendation is talk briefly about another are therefore not required when the catheter sheath is retracted due to no requirement of procedure thatcan hasbalance a high level for patients who and have the ability to maintain using Clarivein®. This is why to expose the wire tip, which is tumescent anesthesia. Since there RESULTS: of limb efficacy and isSome a lesspatients painful will require more exercises to single stance. most patients find the Clarivein® positioned 2cm from the junction is no nerve damage, veins close to The first procedure in a human treatment of varicose veins. procedure more comfortable and of the Greater Raphenous Vein, ankle can be treated using MOCA. was done in 2009 and 96 percent This is possible through a new with femoral vein. This is definitely a good successful ablation of treated Once the image is checked, alternative to be considered, when vein was noted, and this result the motor is tuned “ON” and treating major varicose veins. have been reproduced by many Girija Surya, M.D. Please Center Women, to the wire rotating starts along callfor 732-254-0500 surgeons. We have done a fewcall Vein Please Certified with the pull back.Board After the first in Thoracic schedule an appointment. in our offices with success. This 732-254-0500 to schedule an appt. cm, injection of sclerosant also & Cardiovascular Surgery 96 percent success rate has been

Plaza Hill, 646 Rte. 18 Bldg. A #101 East Brunswick, NJ 08816

Colonial Commons, 670 N. Beers St. Bldg. 2, Ste 4. Holmdel, NJ 07733

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November/December September/October 2014

Medical Professionals

Understanding Prostate Cancer How curable is prostate cancer?

Background

Prostate cancer is the most common non-skin cancer in America, affecting 1 in 7 men. Approximately 233,000 men will be diagnosed with prostate cancer in 2014, and more than 29,000 men will die from the disease. One new case occurs every 2.3 minutes and a man dies from prostate cancer every 18 minutes. A non-smoking man is more likely to develop prostate cancer than he is to develop colon, bladder, melanoma, lymphoma and kidney cancers combined. In fact, the latest statics reveal that a man is 35% more likely to be diagnosed with prostate cancer than a woman is to be diagnosed with breast cancer. As serious as prostate cancer can be, most men diagnosed with it do not die from it. In fact, more than 2.5 million men in the United States who have been diagnosed with prostate cancer at some point are still alive today.

Because nearly 90% of all prostate cancer is detected in the local and regional stages, the cure rate for prostate cancer is very high—nearly 100% of men diagnosed at this stage will be disease-free after five years. This is largely due to advancements in healthcare. By contrast, in the 1970s, only 67% of men diagnosed with local or regional prostate cancer were disease-free after five years.

What are the symptoms of prostate cancer?

In the earliest stages, most men with prostate cancer will not experience any symptoms. Some men, however, will experience frequent, hesitant, or burning urination, difficulty in having an erection, or pain or stiffness in the lower back, hips or upper thighs. Because these symptoms can also indicate the presence of other diseases or disorders, we do a thorough “work-up” of each patient to determine the underlying cause of the symptoms.

Risk Factors for Prostate Cancer

Race, age and family history all affect the likelihood of a man being diagnosed with the disease. African American men are 60% more likely to develop prostate cancer compared with Caucasian and Hispanic men and nearly 2.5 times more likely to die from the disease. As men increase in age, their risk of developing prostate cancer exponentially increases. Although only 1 in 10,000 under age 40 will be diagnosed, the rate increases to 6 in 10 for ages 65 and older. Men with a single first-degree relative—father, brother, or son—with a history of prostate cancer are twice as likely to develop the disease, while those with two or more relatives are nearly four times as likely to be diagnosed.

How do you screen and treat prostate cancer?

We screen for prostate cancer by doing a prostatespecific antigen blood test (PSA) and a digital rectal exam (DRE - often referred to as a “prostate exam”). If there are any abnormal findings, a biopsy will be recommended to make a definitive diagnosis. Prostate cancer treatments vary from one individual to another. Once a patient is diagnosed, his treatment can be tailored to his specific needs.

For more information, call 609-581-5900, (732) 928-5300 or visit www.uuanj.com

University Urology Associates of New Jersey was established in 2003 and

is proud to be serving Mercer, Monmouth and Ocean Counties. Our mission is to be a solutions based practice, maximizing the value of the service we deliver our patients with commitment to excellence, integrity, innovation and treatment. We continually strive to provide comprehensive state of the art urological services with emphasis on patient education and shared decision making. Treating patients with compassion, dignity, mutual respect, and trust remains out steadfast goal.

Patient Testimonials . . . The staff at University Urology have helped me and my family get through the most difficult time in my life. I had a biopsy after my PSA test came back abnormal. My wife and I were devastated to hear that I had prostate cancer. The doctors and physician assistants were very caring and knowledgeable. They gave me all my options and discussed the pros and cons of each treatment option. They walked us through the entire process and care plan and provided us with all the literature so we could refer back to it when needed. I couldn’t ask for a better team. ~ B.B, Howell, NJ



1 2

 Howell 2364 Route 9 South Howell, NJ 07731

I have been a patient at University Urology since 2005. My family doctor referred me to Dr. Gazi because of his good reputation amongst the doctors and he was right. I was suffering day and night with urinary issues. At my worst, I was going to the bathroom every hour and would dribble urine. I was diagnosed with BPH. I tried the medications and they helped but I did not feel completely better. After a flow test, the doctors recommended I have a procedure. After reviewing all the information, I was willing to proceed. Within a few weeks after the procedure, I noticed a remarkable change. I am peeing like I was 20 again! ~ S.P. , Jackson, NJ

Adult Urology • Pediatric Urology • Urologic Oncology • Male Infertility Sexual Dysfunction • Urodynamics • Stone Disease • Female Urology Laparoscopic Surgery • Robotic Surgery • Reconstructive Urology

The County Woman Magazine

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LOCATIONS: Hamilton 1374 Whitehorse Hamilton Square Road Hamilton, NJ 08690

3 4

 Lakewood 900 Route 70 East Lakewood, NJ 08701 River:  Toms 20 Hospital Drive Toms River, NJ 08755

FOR APPOINTMENTS: (609) 581-5900 (732) 928-5300 UUANJ.COM November/December 2014

Business Spotlight

~ Interview with Mukaram Gazi, MD ~

University Urology Associates of New Jersey • Mukaram Gazi, MD, FACS • Parvez Mahmood, MD, FACS • Alexander Gotesman, MD For more information, call 609-581-5900, (732) 928-5300 or visit www.uuanj.com

Dr. Gazi Shares His Experience As A Urologist How did you become involved in the field of urology?

I always knew that I wanted to be a surgeon. During medical school I chose a variety of elective surgical rotations. I took a liking to urologic surgery and found that I excelled in the field. After completing medical school at the University of Miami, I went on to complete my residency training in Urology at UMDNJ RWJ Medical School in 2001. I have been in private practice in urology ever since.

What is the most rewarding part about your profession?

I find patient care to be the most rewarding part of medicine. In my practice, we treat patients with multiple conditions that affect their daily lives. In many cases we are able to offer solutions that ultimately give the patients a better quality of life.

What sets your practice apart from others like it?

In our practice we cover all facets of urology. We treat both and male and female urological issues and pediatric and adult urology. We also offer minimally invasive surgical treatment options for many urological conditions.

What are the most common issues you see in your profession?

As a urologist, our most common complaints stem from urinary issues. Having said that, we treat everything from urinary incontinence to urologic cancers.

How did it feel to win the award of “Top Doc”?

The unique aspect of NJ Monthly’s Top Doc award is the nomination and voting process. Voting is limited to licensed physicians, and the fact that my fellow physicians are confident in my abilities is truly an honor.

Can you explain how your expansion into Toms River will improve services at your office?

The most important factor in our expansion is the addition of Dr. Mahmood to the UUANJ family. Dr. Mahmood has been a practicing urologist in Ocean County for 40 years and has developed and maintained strong ties to the community. We look forward to continuing to provide excellent customer service to our patients in Ocean and Monmouth Counties.

Parvez Mahmood, MD, FACS Dr. Mahmood has been in practice in Ocean County since 1974. He received his training in New York City at Mount Sinai Hospital Services, New York University Medical Center, Bellevue Hospital Center and Memorial Sloan Kettering Cancer Center. He has active clinical privileges at Community Medical Center in Toms River and Shore Outpatient Surgicenter in Lakewood. He is the former chief of urology at Community Medical Center in Toms River and Kimball Medical Center in Lakewood. He is also former clinical instructor in urology at New York University Medical Center. Dr. Mahmood is board certified in urology and is a Fellow of the American College of Surgeons.

Mukaram Gazi, MD, FACS Using the latest advancements in robotic and laparoscopic surgery, Dr. Mukaram Gazi provides the highest-quality urologic care for his patients. In practice since 2001, this exceptionally skilled, minimally invasive surgeon treats the full range of urinary tract and male reproductive disorders-from no-scalpel vasectomies, erectile dysfunction and urinary incontinence to state-ofthe-art robotic surgery for prostate cancer and enlarged prostate (BPH). Dr. Gazi is devoted to his patients, treating them like family in a compassionate and caring manner. He says, “We spend time with our patients, creating a true partnership to help them manage their health.” A board-certified urologist, he is a leader, teacher and author, consulting for several top pharmaceutical and biotech companies and maintaining a strong affiliation with national medical organizations. He has advanced training in sub-specialties such as uro-oncology and pelvic floor reconstruction, as well as pediatric urology. Dr. Gazi’s background and expertise, combined with honest communication, have earned him recognition as one of America’s Top Urologists by Consumers’ Research Council of America and Castle Connolly Medical, Ltd., and again this year as a Top Doctor by New Jersey Monthly Magazine.

The County Woman Magazine

Alexander Gotesman, MD Dr. Gotesman completed medical school at State University of New York in Stony Brook and completed his urologic residency training program at Mount Sinai Medical Center in New York in 2005. Dr. Gotesman specializes in adult and pediatric ambulatory urology. He has five years of postgraduate clinical research experience and is a member of the Alpha Omega Alpha medical honor society. Dr. Gotesman maintains strong affiliations with local and national medical associations including the American Urological Association and the American Medical Association. He joined UUANJ in 2012.

www.TheCountyWoman.com

November/December 2014

Specialty Cakes

& Chocolate

Novelties

Holiday Baking Advice From Chocolate Carousel have those prepared ahead. When baking day arrives make sure you have plenty of space to store your finished creations.

elieve it or not, the holiday season is upon us. This is a very busy time for many of us with so much to do in preparation. Between the shopping, cooking, decorating, socializing, gift wrapping and more, many of us have to fit in some baking too. With that in mind, I though I would offer some tips to help make your holiday baking go a little smoother and perhaps you’ll even have some fun!

Plan

Ask for Help

Don’t make your holiday baking feel like a chore. Enlist the help of family and friends by making baking an event. Get everyone involved and baking and cleanup will be a breeze!

Warm it Up

Planning is the key to a successful baking experience. Make a list of all the different recipes that you would like to make this holiday season and use those recipes to create a shopping list of the items you will need. Midbaking runs to the grocery store can be stressful so take some time in advance to make sure you have everything you will need. Some parts of your recipes, like piecrust or certain types of cookie dough can be made in advance, so make a decision to

Many people don’t realize that using cold ingredients is a baking no-no. Unless your recipe specifically calls for a cold ingredient, always take the time to let your ingredients like eggs, butter etc. come to room temperature before using them. They will be easier to work with and you will get better results.

Use your Kitchen Timer

With all the excitement of the holiday season, no one needs the added excitement of the smoke detectors going off during your baking time. The simple solution is to use a kitchen timer. Most people will begin doing something else while the cookies bake and completely forget they are in the oven. The kitchen

timer is an easy solution and will alert you when it’s time to go to the oven. Set your timer for the halfway mark and be sure to rotate trays at that point to ensure even baking.

Put a Bow on it!

With so many gifts to give this season, baked goodies are a perfect choice for neighbors, co-workers and friends. Getting creative with the way your wrap up the treats can turn them into some of the cutest and most creative gifts of the season.

Visit your Favorite Bake Shop You can’t do it all! Specialty bake shops like Chocolate Carousel that use fresh ingredients and bake in small batches can be a perfect solution to your holiday baking needs. Whether you order all your sweet treats or supplement your baking with some of ours, we are a great resource for our customers. Stop in to check out some of our homemade holiday specialties.

Chocolate Carousel Life’s Short ... Eat Dessert First! Old-Fashioned Bakery & Sweet Shop

• Holiday Cakes • Specialty Cakes • Wedding Cakes • Dessert Tonight • Gourmet Stuffed Cupcakes • Pastries, Pies & Cookies • Hand-dipped Chocolate • Novelty Candy • Gifts, Gift Baskets & Favors • Chocolate Fountain

Happy Holidays from Chocolate Carousel and remember to place your holiday orders early!

Kids love to help when it comes to holiday baking. If you are organized and follow these few tips, the experience can be very memorable. Visit Chocolate Carousel for delicious, mouth watering, homemade pies of the season!

Customer Testimonials:

• The cake we got from Chocolate Carousel has to be the best cake that I’ve ever eaten! The cake was so moist and the filling was perfect. The design that we picked out during our appointment was above and beyond what we expected to see in person. She does amazing work and I would recommend to everyone even for birthdays. • I loved working with Lisa. I showed her a picture of a cake I liked and my invitations to match the color scheme and the cake turned out perfect! It was also really delicious. I was 100% satisfied with them!

Add Chocolate Carousel to your holiday list! It’s not too early to order your custom made sweets.

Chocolate Carousel 732-280-0606 Old-Fashioned Bakery and Sweet Shop Voted Best Bakery In Monmouth County For 5 Years In A Row!

2510 Belmar Blvd., Colfax Plaza in Wall, NJ

732-280-0606

732-280-0606 www.chocolatecarousel.com

The County Woman Magazine

www.TheCountyWoman.com

November/December 2014

Medical Professionals

Getting To Know Your Blood Cells Submitted by: Dr. Sarah J. Easaw, Ocean Hematology & Oncology

There are three types of cells in our blood:

Red Blood Cells (RBCs), White Blood Cells (WBCs) and Platelets.

RBCs contain a pigment called hemoglobin that gives blood

its red color. Hemoglobin carries oxygen to the different parts of the body. Hemoglobin contains two parts: Heme, which is made of iron, and Globin, which is a protein. Iron is essential to make hemoglobin. When there is less iron in the body, the production of hemoglobin becomes slow and that will affect the supply of oxygen to the different parts of the body. Having not enough RBCs/hemoglobin is called anemia, regardless of the reason behind it. Anemia can result from a lack of production, or excessive loss. Lack of production of RBCs mainly occurs due to deficiency of iron, Vitamins such as B12, folic acid or other nutrients. Diseases that affect the bone marrow can also result in less production of blood cells. Excess loss of blood mostly occurs due to severe bleeding. In young women, this usually occurs due to excessive menstrual blood loss. If you are experiencing increased menstrual bleeding, your requirement of iron increases. If the body does not get enough iron to keep up with the loss of blood, then the production becomes less and results in iron deficiency anemia. Hence menstruating women need to have enough iron in their diet. Iron rich foods include red meat, green leafy vegetables and liver. Another cause of blood loss, especially in people older than 50, is from the intestines. Occult bleeding in the stool would be from a bleeding polyp or cancer in the colon. Anyone over 50 is strongly encouraged to get a stool test annually to look for the presence of blood. A colonoscopy is also required at age 50 to screen for colon cancer, even in the absence of anemia. Excess blood loss can also be due to destruction of blood cells, a process known as hemolysis.

WBCs. White cells (WBCs) fight against infections. Our body is constantly ex-

LEUKEMIA

Part I

There are two main kinds of leukemia: Acute and Chronic. • Acute Leukemia is a life-threatening illness if not treated urgently. There is rapid production of immature white cells, called blasts. There are two different kinds of acute leukemia: AML and ALL, depending on the cell that is affected. The prognosis and treatment are very different for the two. • Chronic Leukemia runs a slower course. Depending on the cell type, there are two different kinds: CML and CLL. CML typically results from a specific genetic mutation that results in an abnormal chromosome called the Philadelphia chromosome (Ph chromosome). Development of newer treatment modalities that target the Philadelphia chromosome has been a major breakthrough in this disease. Now, almost 95% of CML cases can be cured by taking a pill. Diagnoses of leukemia and other bone marrow diseases are made by examining the bone marrow cells. This is done by doing a bone marrow aspiration and biopsy. Some people confuse bone marrow tests with bone marrow transplants. When obtaining a sample from the bone marrow, a few drops of the red marrow are drawn into a syringe and the cells are examined carefully. The sample is sent to special laboratories for analysis. A bone marrow aspiration and biopsy is an outpatient procedure that is easily done in the hematologist’s office. The test takes less than thirty minutes and is done under local anesthesia. There are few complications associated with the procedure and the patient will be able to resume normal activities almost immediately.

To learn more, contact Dr. Sarah J. Easaw MD at 732-961-0010.

Compassionate Cancer Care, Close to Home

posed to infectious agents such as bacteria and the body’s defense mechanisms fight them off. This process is mainly mediated by the white cells. There are different kinds of white cells: mainly neutrophills, lymphocytes, and eosinophills. Neutrophils fight against bacterial infections. Lymphocytes are important in the production of antibodies that help in the body’s defense mechanisms. WBCs: Too many or too few? Normally, the WBC count in the blood ranges from 4,000-10,000. Too many white cells in the blood would be an indication of an infection or an inflammation in any part of the body. If there is no evidence of an infection or the number of white cells is very high, a bone marrow disorder such as Leukemia has to be considered. When the white cells are low, a person becomes susceptible to infections. The number of neutrophils in the body is more important than the actual white count. If the absolute neutrophil count(ANC) is lower than 1,000, risk of infections is high. Neutropenia can be transient, from viral infections or from medications; or it could be an indication of an underlying bone marrow disorder. Cancer treatment, including chemotherapy and radiation, can lower the neutrophil count temporarily, thus increasing the risk of infections. Leukemia refers to a bone marrow disorder where the production of white cells becomes excessively high. This usually happens as a result of some mutations that affect the normal production of white cells.

We now hold Group Therapy sessions for cancer patients and caregivers, led by certified psychotherapists.

W We offer a full range of Hematology & Oncology services. W We are dedicated to providing state-of-the-art cancer care in a warm and personalized manner. W Our newly renovated, spacious infusion room provides a peaceful and friendly atmosphere to patients while they receive chemotherapy and other infusions. W Our staff is highly qualified, experienced and compassionate.

Sarah J. Easaw MD, FACP Diplomate of the American Board of Hematology, Oncology & Internal Medicine

Ocean Hematology & Oncology 1255 Route 70, 31S

Patient Testimonials every day that Dr. Easaw became an oncology doctor and that I was lucky enough to kIhavethankfoundGodher… Donna, Toms River. Dr. Easaw took the time to answer every one of my questions and guided me to make the best deciksion for my Mom’s care… Melissa, Howell.

To Learn More, Visit www.oceanhemonc.com

The County Woman Magazine

Easily Accessible Location, Near Exit 88 on GSP

Lakewood, NJ 08701

732.961.0010

www.oceanhemonc.com Accepts Most Insurances Affiliated with Kimball Medical Center, Ocean Medical Center and Community Hospital Access to Clinical Trials

www.TheCountyWoman.com

November/December 2014

Health

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Interior Decorating

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The County Woman Magazine www.TheCountyWoman.com

November/December 2014

Law

Contemplating Bankruptcy? You’re Not Alone. ruptcy. Instead of keeping yourself up at night worrying about the future, I’m hopeful that these four steps can help to shine a light at the end of the tunnel:

1 Presented by: Daniel Straffi, Jr. Straffi & Straffi, Attorneys At Law

Financial distress. Everyone feels it, not many actually talk about it.

I times, hardship knows no

n today’s difficult economic

boundary with respect to color, class or creed. However, many of us feel stifled by the perceived stigma attached to suffering financial difficulties and, more specifically, contemplating bank-

Be proactive.

Like any difficult issue we encounter in life, the first step in dealing with a problem is to acknowledge that there is a problem. Although there is no such thing as a “point of no return”, the fact of the matter is that far too many clients I encounter on an everyday basis have suffered through long periods of emotional pain and suffering as a result of ignoring their financial difficulties. Ignorance is, most certainly, not bliss. Being proactive – even if it’s just a conversation – can help you start to move your life forward.

Know your rights. “Bankruptcy”

is a scary and dangerous word for many people I meet with. The rumors about its perceived ill-effects are vast and, mostly, unfounded. In order for folks to move forward with their lives, they need to know what their rights are. Seeking information is the only solution for overcoming fears and any alleged stigma associated with bankruptcy.

Make a plan.

Knowledge is not enough. Everybody’s goals are different as far as how people wish to shape their future. Property and personal issues are different in every case. Strategizing and making a plan customized to every person’s unique set of circumstances is essential to moving forward. There are a number of ways that bankruptcy or debt solution alternatives can be crafted in order to meet those goals.

Move forward!

A fresh start can be had, but it doesn’t happen fast or easy. I am a huge believer in setting goals and not looking back. The hardest part is taking that first step. Sometimes, it’s more comforting to know that you are not alone in that journey. If there is one thing I can assure every person reading this article, it is that you are in good company – the company of hard working, honest people just like yourselves who have hit a rough patch. Hopefully these four steps help you feel empowered to take that first step and move forward. A good night’s sleep is very underrated!

Contact Straffi & Straffi today for a free consultation. 732-341-3800.

Daniel Straffi, Jr. was admitted to practice in the States of New Jersey and Pennsylvania, as Protect Yourself Against Foreclosure, well as the District Judgments & Harassing Creditors Court of New Jersey We are a debt relief agency that helps people in 2001. A gradufile for relief under the bankruptcy code ate of Boston ColChapter 7 & 13 lege in 1998 and Individual, Business and Creditor Rutgers-Camden Representation School of Law in Payment Plans Available 2001, he began his legal career in 2001 Bankruptcy • Criminal Defense serving as a judicial law clerk for the Presiding Judge of Family Law in Mercer County, the Hon. Lee Forrester, Daniel Straffi Jr., Esq. P.J.F.P. After comwww.straffiandstraffi.com pleting his clerkship, Mr. Straffi 670 Commons Way was an associate Toms River, NJ Conveniently Located Directly Off Of the Parkway at the law firm Cooper Levenson for two years where Free Consultations he concentrated his practice on the area of negligence defense. In 2004, he joined his father's law practice. He has focused his practice on representing individuals and businesses in the areas of bankruptcy, divorce and criminal defense. He is further an active member of the NJ and Ocean County Bar Associations.

732.341.3800

Holiday Recipes

Fun, Easy, Holiday Appetizers Sweet Potato Rounds

Ingredients: Unpeeled sweet potatoes Spicy black beans Crumbled cotija cheese Cilantro leaves Cheese Chutney, salsa, or pesto (optional)

Preheat oven to 400 degrees. Slice sweet potatoes 1/2 inch thick, and place in a single layer on a lightly oiled baking sheet. Roast until browned on bottoms, 30 to 35 minutes. We topped these with spicy black beans, crumbled cotija cheese, and cilantro leaves. You can also try them with the cheese of your choice and chutney, salsa, or pesto.

The County Woman Magazine

Hot Artichoke and Crab Dip

Ingredients: Preheat oven to 350 degrees F (175 degrees C). Combine 1 (8 ounce) package cream cheese, softened cream cheese and mayonnaise in a large 1 cup mayonnaise bowl until smooth; stir in garlic. Gently stir 1 clove garlic, pressed artichoke hearts, crab, 1 (14 ounce) can artichoke hearts in water, drained and chopped Parmesan cheese, 1/3 cup green onion, 1 1/2 cups cooked crabmeat 1/3 cup red bell pepper, and cayenne 3/4 cup grated Parmesan cheese pepper into cream cheese mixture. Trans1/3 cup chopped green onion fer the dip to a 9-inch pie dish and sprinkle 1/3 cup chopped red bell pepper top with bread crumbs. Bake in the preheated oven until crumb 1 teaspoon ground cayenne pepper topping is golden brown and dip is hot, 20 to 30 minutes. Garnish 1/2 cup dry bread crumbs with 2 teaspoons green onion and 2 teaspoons chopped red bell 2 teaspoons chopped green onion pepper. 2 teaspoons chopped red bell pepper

www.TheCountyWoman.com

November/December 2014

Medical Professionals

Most Parents Would Do Anything To Help Their Children Written by Lorraine Catalano, CNMT and Imaging Director If you are experiencing memory loss, and/or have a family history of Alzheimer’s disease, the Amyvid PET Scan could help you do just that… help your children. Alzheimer’s disease affects the entire family. Early detection and treatment can help slow down the progression of Alzheimer’s disease. Having the Amyvid PET Scan can give you and your family correct information about the cause of your cognitive impairment. Until this scan was available, the only definitive way of knowing if a person had Alzheimer’s disease was by an autopsy. Many doctors have been treating patients with medications used to treat Alzheimer’s, without the benefit of knowing definitively if that patient really has Alzheimer’s. Using these medications may not be beneficial to patients, and, in some cases, could be detrimental to their health. This scan will give the information needed for doctors to make appropriate treatment decisions. 2414 Highway 35, Amyvid, a radioactive diagnostic agent for Positron Emission Tomography (PET) imaging of the brain is used to estimate betaamyloid neuritic plaque density in adult patients with cognitive impairment who are being evaluated for Alzheimer’s disease and Manasquan, NJ 08736 other causes of cognitive decline. Phone: 732.292.1008 • A negative Amyvid scan result reduces the likelihood that a patient’s cognitive impairment is due to Alzheimer’s disease at the time of image acquisition. www.CHCI.biz. • A positive Amyvid scan result indicates moderate to frequent amyloid neuritic plaques; neuropathological examination has shown this amount of amyloid neuritic plaque is present in patients with Alzheimer’s disease. Amyvid is an adjunct to other diagnostic evaluations. Caring Heart & Brain Imaging is the first imaging center in New Jersey to perform the Amyvid PET Scan. This fantastic imaging tool can diagnose and differentiate the forms of dementia at even earlier ages. Diagnosing and staging is vital for doctors to prescribe the appropriate pharmaceutical treatments and therapies to slow the progression of these diseases. If we can slow down the progression of Alzheimer’s disease, we can give patients and families the time to plan ahead and spend quality time with their loved ones.

Caring Heart & Brain Imaging

At Caring Heart & Brain Imaging, you are in our caring hands.

Ask For The Newest Version of a Cardiac Stress Test, Now!

Caring Heart & Brain Imaging has made the latest cardiac technology available to residents of the Jersey Shore, who could only benefit from this same testing if they traveled to New York City, Philadelphia or Northern Jersey. Unfortunately, patients are not aware that they can ask their family practice doctor or cardiologist to write a script for the test that will accurately and specifically determine if your heart muscle is receiving adequate blood flow and if that blood flow is evenly distributed. The test to ask for is called a Cardiac PET Perfusion study with Rubidium. The Cardiac PET Perfusion study is the newest version of a cardiac stress test. For those people who have had the old test, the most compelling reasons for having the Cardiac PET Perfusion study performed at Caring Heart & Brain Imaging are: • Speedier Scan Times – approximately 45 minutes as opposed to 2-1/2 to 4 hours for the old SPECT scan, • Patient Exposure to Radiation is cut in half - the Attrius scanner reduces patient exposure to radiation, and Rubidium, the agent used in the scan, has a short half-life, so the amount of radiation exposure is substantially less than a chest x-ray. • Improved Images – PET provides clearer, more precise 2D images better suited for detection of disease. • Avoidance of Unnecessary Procedures – Test images are so accurate, procedures such as stent implantation and even coronary bypass surgery might be avoided.

The County Woman Magazine

• We will provide transportation, if necessary. If you have some, or all of the risk factors mentioned below, you should see your family practice doctor and ask if you would benefit from the Cardiac PET Perfusion study performed at Caring Heart & Brain Imaging. • Smoking. • High LDL, or “bad” cholesterol and low HDL, or “good” cholesterol. • Uncontrolled hypertension (high blood pressure). • Physical inactivity. • Obesity (more than 20% over one’s ideal body weight). • Uncontrolled diabetes. • Uncontrolled stress and anger. • Family history of heart disease • Post-menopausal • Race (African Americans, American Indians, and Mexican Americans are more likely to have heart disease than Caucasians) Don’t let this opportunity to receive the best and most accurate technology for cardiac care slip away from you. Tell your doctor you want only the best. We are happy to answer any questions you or your doctor may have.

Caring Heart & Brain Imaging

Lorraine Catalano, CNMT and Imaging Director

www.TheCountyWoman.com

We can be reached at 732-292-1008, or visit our website at www.CHCI.biz

E-Mail: service@caringheartcoronaryimaging.com

November/December 2014

Business Spotlight

~ Interview with Lorraine Catalano ~ Caring Heart & Brain Imaging Gets to the Heart of the Matter

Caring Heart & Brain Imaging

Lorraine Catalano has a unique passion for matters of the heart. As a technologist performing Nuclear Cardiology scans for over 10 years, Lorraine brings a specific technological expertise to her profession that is unparalleled. She is not only a technologist, but she and her partner, Dr. Anthony DeLuca are the brains behind the startup and operation of Caring Heart Coronary Imaging, (CHCI). Together they have been active in the medical field as a family practice specialist, and a nuclear medicine technologist, bringing over 30 years of experience to the field. The mission of CHCI was to utilize state of the art technology for Cardiac Stress Tests, reducing patient exposure to radiation and the amount of time spent having the test done, as well as giving more definitive results that could prevent unnecessary procedures from being performed. Cardiac PET is far superior to the present stress testing and will further eliminate any unnecessary procedures such as cardiac catheterization.

Lorraine Catalano CNMT and Imaging Director

Ocean County Woman spent some time with Lorraine learning all about the joys and challenges she has faced in this important, often life-saving industry.

2414 Highway 35, Manasquan, NJ 08736

Tell us a little more about CHCI.

732.292.1008

service@caringheartcoronaryimaging.com www.CHCI.biz.

Here are the responses to the questions we asked: We offer the latest in cardiac perfusion study technology. A cardiac PET scan is the newest version of a test you may have already had or are familiar with. Also called a cardiac PET PERFUSION study, it allows your cardiologist to determine if your heart muscle is receiving adequate blood flow and if that blood flow is evenly distributed. If the flow is not what it should be, it can be corrected by effective, targeted treatment that your cardiologist can offer to you. Essentially, the perfusion scan provides him with accurate and specific information.

What sets CHCI apart from other local imaging centers? Our office has been lovingly designed to provide a warm, caring environment for all those who may be at risk for, or may be experiencing, heart health issues. When you walk into CHCI, you will notice the undeniable difference from other imaging facilities you may have gone to before. Your comfort, confidence and well-being are of utmost importance to us. You will be greeted in our reception area by one of our welcoming staff members, and from start to finish; you will experience all the comforts of home.

Describe some of the benefits of the Cardiac PET. It is far superior to the present stress testing and will further eliminate any unnecessary procedures such as cardiac catheterization. Patients will benefit from the scan by dealing with speedier scan times –approximately 45 minutes as opposed to a 2-4 hour SPECT scan. More importantly, it cuts patient exposure in half because the Attrius scanner reduces patient exposure to radiation. PET scans also provide clearer, more precise 2D images better suited for detection of disease. We use applications exclusive to CHCI that provides extensive data and measurements that guarantee appropriate diagnosis and treatment.

Tell us about the AMYVID Pet Scan. This is the scan that can identify the plaque that is present when Alzheimer’s disease is suspected. Although MEDICARE does not reimburse for the costly AMYVID Pet Scan, we still offer the procedure. By developing voucher programs with Eli Lily and educating physicians, we continue to be the only imaging facility offering this scan in the area.

Have you experienced any setbacks when starting your business?

Lorraine Catalano

Yes. In fact, three days after Caring Heart received a license to operate, the FDA recalled the one radioactive agent used to perform the PET Cardiac Perfusion studies, making testing virtually impossible. Instead of giving up, we reinvented CHCI by performing PET Brain Scans, which helps distinguish between Alzheimer’s disease and other forms of dementia. Our company, now known as Caring Heart & Brain Imaging is making great strides in both Monmouth and Ocean counties.

Tell us about the Attrius Scanner? This is the most advanced cardiac PET scanner available today. Speedier scan times, less exposure to radiation and improved images provide for better detection of the presence (or absence) of disease. We have a great deal of compassion for our patient’s well-being and like to do whatever it takes to make them comfortable. This includes playing their favorite music or offering them a cup of tea and a snack while they wait to be scanned. This is the only system that uses CFR - cardiac flow reserve - to guarantee accurate calculation of presence of obstruction and how much cardiac blood flow is compromised.

What do you do enjoy doing in your leisure time? My Calvalier King Charles Spaniel, Dillinger, is the light of my life and we enjoy long walks along the Jersey Shore. Also, he is our therapy dog at Caring Heart, bringing smiles to patients and their families.

The County Woman Magazine

www.TheCountyWoman.com

November/December 2014

Health & Wellness Health & Wellness

40 40

It’s that time of the year again...

A Healthier Approach To The New Year Should You Get a Flu Shot? Here we Attainable. Maybe you want

yourself up. Just get back out clothes within easy reach. By the same to lose 50 pounds by your class horse and keep going.3 token, remove things that will undercut he flu is a respiratory infection that’s caused by many 2 go again. reunion this summer. But seriously, now, is your will. For example, if ice cream is Need more ideas ab different viruses.It’s Upanother to one in five get the Instead, flu in the your weakness, it won’t help to know that thispeople really realistic? have a converchanges you can make there’s a half-gallon of mint chocolate chip sation with yourworse doctorealth about safe methods U.S. each year.1new It comes on suddenly, causes symptoms & ellness year, Stop by the pharma and rates ofAs weight loss. Losing one or two in the freezer with your name on it. But, than the cold, and can be serious for some people. you know, last year, and you can discuss your goals. remember: slip-ups happen. So don’t beat pounds a week might be more reasonable. a new strain of flu was thrown into the mix. Called swine flu at first, Or, maybe you’d like to quit smoking cold know then H1N1, it caused symptoms similar to regular flu,know suchthat as fever, cough, turkey, but you tapering off what that 2 will make it easier for you. Set yourself up out clothes within easy reach. aches,Jaychills, Restoring Hormone Balance Attainable. Maybe you want yourself up. Just get back on the proverbia By the same Grecoand , rPfatigue. h Here we Call Jersey Shore Pharmacy for success by tosetting goals that are truly 3 means. lose 50 pounds by your class horse and keep going. token, remove things that will undercut 2 2 goyear? again. Attainable. Maybe want yourself up. on the proverbial out clothes within easy By the same For example, if ice cream isJust get back reunion thiswho’s summer. 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JSRX Holdings LLC on a smaller pair of pants. on a smaller pair of pants. orders, within 300 miles of the Jersey Shore surable,Rx you can evaluchanges.aspx. Accessed Development LLCApril 18, 2012. Holdings LLC, RxRPhDevelopment LLC H ormone Replacement Sources Veterniary Jay Greco, Jersey Shore Pharmacy Topical Pain Free Jay RxJSRX Pick-Up 1. American Psychological Association: "Making lifestyle changes that last." AvailablePharmacy, at: http://www.apa.org/helpcenter/lifestyleress and2. American know when Greco, RPh Jersey Shore Pharmacy by UPS. CouncilSources for Exercise: "Reaching Your Goals the SMART Way." Available at: http://www.acefitness.org/fitfacts/fitfacts_ changes.aspx. Accessed April 18, 2012. T herapy (HRT)* Creams 1. American Psychological last." Available at: http://www.apa.org/helpcenter/lifestyleand Delivery JSRX Holdings LLC, Rx Development LLC , display.aspx?itemid=2637. Accessed April Association: 18, 2012. "Making lifestyle changes thatMedicine

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or Fed Ex. Jay Greco, RPh Jersey Shore Pharmacy essed April 18, 2012. JSRX Holdings LLC, Rx Development LLC , Arrival next day! cil for Exercise: "Reaching Your Goals the SMART Way." Available at: http://www.acefitness.org/fitfacts/fitfacts_ d=2637. Accessed April 18, 2012. 580 Northcompounding Main St., agency. Barnegat, 08005 www.jerseyshorepharmacybarnegat.net www.jerseyshorepharmacybarnegat.com * For more information on customized hormones, call our professional dical Foundation: "Making lifestyle changes that stick." Available at: http://www.huntingtonmedical.com/aboutwww.TheCountyWoman.com r/making-lifestyle-changes-that-stick/. Accessed April 18, 2012. The County Woman Magazine www.jerseyshorepharmacybarnegat.net Phone: 609-660-1111 January/February

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The County Woman Magazine

www.TheCountyWoman.com

November/December 2014

Health

Psoriasis or eczema

dull hair

&Wellness

YOUR SCALP IS TALKING TO YOU

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health of your scalp: you can’t have healthy hair if your scalp isn’t healthy. The scalp is actually the skin part from where your hair follicles grow. When an ailment is present, the solution should be in the realm of dermatologyst and trichology, rather than Nowstyling thru March 31 which 2012 –ingive your of speech hair products, turn, are scalp aimedfreedom at with a complimentary scalp analysis.trichology You will be the health of the hair shaft. Therefore, is astonished to discover your scalp is of key to capillaryand health. the sciencethat at the crossroads dermatology st This offer ends on June 1 ,that 2014. Limit of (1) coupon per client. Valid at Capilia London only. cycle cosmetology aims to bring back the hair to its normal state.

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The County Woman Magazine www.TheCountyWoman.com

November/December 2014

Garden

& Local

Honey

Experience the Benefits of Real Local Honey Year Round! Honey Health

Gift Season

Consuming honey daily is becoming an increasingly popular natural alternative to allergy medications. Honey works like a vaccine against local seasonal allergens; eating honey harvested within 50 miles of your home prior to and during an allergy season can fight allergies and irritating sinus issues. We typically associate seasonal allergies with the spring and fall months, but did you know honey can benefit you throughout the winter as well? Honey is a fantastic cough suppressant, working better than most over the counter medications. Honey also offers incredible immune system support, which becomes especially important during the cold winter months when the body is more susceptible to illness. Taking your vitamins can be as easy as taking some honey, as raw honey contains healthy amounts of B vitamins and vitamin C. Honey is also a source of calcium, iron, potassium, and zinc.

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The County Woman Magazine

www.TheCountyWoman.com

November/December 2014

Medical Professionals

Hemorrhoids: The Bottom Line Did you know we are born with hemorrhoidal tissue? Hemorrhoidal tissue lies within the anal canal and perianal area and consists of blood vessels, connective tissue and a small amount of muscle.

Hemorrhoids are described as varicose veins of the anus and rectum because they are enlarged, bulging blood vessels in the anus and lower rectum. The only time we actually feel hemorrhoids is when they become enlarged or symptomatic. Dr. Paonessa likes to use the analogy: “We all have teeth, but we all don’t have cavities”. Likewise, we all have hemorrhoids, but we all don’t have symptomatic hemorrhoids. There are two types of hemorrhoids, internal and external. Both can have different symptoms and often-different treatments. Internal (inside) hemorrhoids form in the anus beneath a lining called mucosa, which is not sensitive to touch, pain, stretch or temperature. As such, internal hemorrhoids are commonly associated with painless bleeding and protrusion during bowel movements. It is only when the hemorrhoid completely prolapses from the opening of the anus and cannot be pushed back inside that it becomes severely painful.

Internal hemorrhoids are classified in four grades:

• Grade One: The hemorrhoid is not protruding from the opening of the anus (no prolapse). • Grade Two: The hemorrhoid protrudes from the anus but it goes back in on its own. • Grade Three: The hemorrhoid protrudes and requires the patient to push it back inside the anus. • Grade Four: The hemorrhoid cannot be placed back into the anus by the patient. This is often very painful.

External (outside) hemorrhoids form around the anus and are covered by very sensitive skin. The most common complaints associated with external hemorrhoids are occasional swelling, pressure or discomfort. When a hemorrhoid is symptomatic it becomes a bluishcolored, painful lump outside the anus. If the external hemorrhoid develops a clot (thrombosis) it becomes a hard, painful lump. When the pressure becomes elevated it can cause the thrombosed hemorrhoid to breakdown the overlying skin and the clot begins to leak out. Even after the hemorrhoid has healed some patients complain about soft tissue outside the anus called an anal skin tag. An anal skin tag is the residual effect from the thrombosed external hemorrhoid. A skin tag may hinder a patient’s ability to clean after a bowel movement. Although there is no treatment for anal skin tags, they can be removed if hygiene becomes an issue for the patient.

What factors cause hemorrhoids?

There are several factors that can cause hemorrhoids although the exact cause is unknown. Upright posture, alone, increases pressure on the rectal veins and can cause them to bulge. Additional factors include aging, chronic constipation or diarrhea, straining during pregnancy, heredity, straining during bowel movements, overuse of laxatives or enemas, and extended periods of time on the toilet (i.e. reading).

Recognize The symptoms

Here are some symptoms you should be aware of to determine if you may have a hemorrhoid problem. . If you are having bleeding during bowel movements, itching in the anal area, pain, sensitive lumps or prolapsing during bowel movements. If you do experience any of the symptoms do not treat with over the counter medication. Call and make an appointment with your doctor. It is very important to understand that NOT all rectal bleeding is caused by hemorrhoids. As such, it is crucial to seek consultation with a specialist such as a colon and rectal surgeon to be sure that the rectal bleeding is not caused by a serious disease such as anal or colorectal cancer.

Treatment

How hemorrhoids are treated depends on how severe the condition is. If the symptoms are mild your doctor may simply have you increase your fiber intake in your diet (i.e fruits, vegetables, breads and cereals) or by adding an oral fiber supplement. It is recommended that you consume 20-35 grams of fiber per day. It is very important to make sure that you drink 8-10 glasses per day of water. Other beverages that contain caffeine or alcohol will dehydrate you so try to decrease your intake of those beverages. These measures help to create a soft, formed stool thereby eliminating excessive straining during bowel movements. This in turn will decrease the pressure on the hemorrhoids. The use of warm water soaks (sitz baths) will also provide relief. There are several outpatient treatments that may be performed in the office to help treat symptomatic hemorrhoids. These include: rubber band ligation, infrared photocoagulation and sclerotherapy. All of these procedures are painless. Dr. Paonessa’s procedure of choice in the office is sclerotherapy. Sclerotherapy involves an injection of a chemical irritant into the hemorrhoid, which causes scarring and shrinkage of the blood vessels present within the hemorrhoidal tissues. This procedure is painless and has few, if any, complications. Sclerotherapy is safe for patients on blood thinners. As with any procedure, you will need to discuss this with your physician. External Hemorrhoids may also be treated on an outpatient basis as well. Excision of the hemorrhoidal tissue can be performed. The hemorrhoid will be injected with a numbing agent and excising of the hemorrhoid along with all blood clot (thrombus) is done. In this case the entire external hemorrhoid is removed not lanced, so as to avoid any residual skin tag once healed. This procedure provides instant pain relief for those patients suffering from severe pain. Often hemorrhoids that are not thrombosed can be treated with dietary change and sitz baths. There are other procedures that can be done on an outpatient basis at surgery centers or hospitals. These include: traditional hemorrhoidectomy, Transanal Hemorrhoidal Dearterialization (THD), and stapled hemorrhoidectomy. As with any surgery you will need to have your physician evaluate your condition and see what the best option for you is. With advances in local anesthetic and surgical technique, hemorrhoidectomy is not the painful procedure it had been associated with in the past.

•

If you are experiencing any of the symptoms or conditions discussed please contact Paonessa Colon and Rectal surgery to make an appointment with Dr. Paonessa. Dr. Paonessa is well trained in all aspects of hemorrhoid management and surgery. In fact, she is the co-editor of the textbook Surgical Treatment of Hemorrhoids, 2nd edition and authored three of the chapters within this textbook.

Paonessa Colon and Rectal Surgery, P.C. Nina J. Paonessa, DO, FACOS

Colon and Rectal Surgery Board Certified in General Surgery and Proctology

2101 Route 34 South, Suite H • Wall, NJ 07719

732-282-1500 • Office Hours: M-F 9AM to 5PM ¢ ¢ ¢ ¢ ¢

laparoscopic surgery abdominal/pelvic surgery fecal incontinence endoanal/rectal ultrasound anorectal manometry/physiology

The County Woman Magazine

¢ ¢ ¢ ¢

colonoscopy anorectal surgery pelvic floor disorders office proctology

Board-certified in general surgery and proctology and a fellow of the American College of Osteopathic Surgeons, Dr. Paonessa specializes in colon and rectal surgery. She has been in practice for 10 years. She completed her colon and rectal surgery fellowship at Lehigh Valley Nina Paonessa, DO, FACOS, Hospital in Allentown, PA. She is co-editor of the textbook Surgical Treatment of Hemorrhoids, 2nd edition. Dr. Paonessa believes in patient-centered care and preserving each patient’s independence, well being and dignity. She provides the latest, up-todate treatments and tailors each plan of care to the individual patient’s needs.

Call 732-282-1500 www.TheCountyWoman.com

November/December 2014

Business

Finance

Marketing Tips Keeping up with the latest social media changes is not always easy, but here you will find some quick tips to help get your posts noticed. The most important thing is knowing whom you are marketing to. Build stronger connections by tagging some people you are marketing to or are leaders in the area. This will more likely get action on your posts by sharing and liking the post.

Pearls of Wisdom Media LLC

Take an honest look at your content. Does it invoke emotion? Is it relevant? Is it useful? Is it timely? Be a connector. The best way to grow your business is to help others succeed. Promote your connections. Mention them on Twitter, LinkedIn and Facebook. Be sure to use an @mention. Spending your time helping your most valued connections makes you more memorable to them and builds you as an influence. This leads to better business connections.

Bigger is not always better. Social media has changed. Respond to every Facebook wall post, comment, @mention and share.

Have you provided a prize for sharing your content? This does motivate some to share material.

On Facebook create posts that highlights fans doing great work. On Twitter, pick a day and tweet out to 3-5 of your audience members’ posts to give them exposure.

Instead of looking at social media as a “what”, look at it as a “who”. Who can you connect with? Who can you serve and who can you offer value to?

Jackie Berman 732.610.1567 PearlsOfWisdomMedia@gmail.com www.twitter.com/jackieberman

Social Media For Your Business - Don’t have the time? Let Pearls of Wisdom take over, call Jackie at 732-610-1567!

Social Media –Don’t have the time? Let Pearls of Wisdom take over.

Community

Jackie Berman, Pearls of Wisdom Media

732 610 1567

www.twitter.com/JackieBerman • www.facebook.com/PearlsofWisdomMedia

Community

Letter From NJAWBO Shore Region President Liz Milio In the past few issues, I pointed out a number of benefits NJAWBO members have available to them. However, there is one I haven’t written about and some members haven’t thought of as a benefit: serving on Regional and State Board of Trustees.

Service on a Board of Trustees can provide and fine-tune invaluable professional development skills that can advance your professional career and business, such as public speaking, networking and leadership experience. It also provides exposure to other disciplines that you may encounter in your business, but in which you do not have much experience, such as financial reporting, strategic planning, or market analyses, to name a few. Many professionals view board service as a rewarding way to share their skill sets and talents with NJAWBO. Your help and guidance will help raise funds toward our events, projects, and scholarship.

Working on the boards can give you unique access to business leaders across New Jersey and provides the opportunity to demonstrate your professional value through meaningful participation in board meetings. As a result, you might secure several new business leads and/or networking opportunities that will help further your business.

Health & Wellness

Enjoying gains in your business as a benefit of a board appointment is not something you should feel guilty about. In fact, most professionals will tell you they are serving on a board as part of their company’s business development efforts. That doesn’t mean they won’t meet their fiduciary duties as a board member. You have to put in the work to reap the benefits, so joining the board of your NJAWBO Region and remaining on it as an active steward justifies any and all results. That being said, business development shouldn’t be your only reason for joining the board. Joining NJAWBO gives you access to a wide range of benefits. As I have noted in previous columns, these include (but not limited to) networking, education, access to affiliate groups, and support. However, becoming active in your Region and/or on the State Board, will help you reap the benefits available to all active volunteers. Your involvement need not be very time consuming; little portions of larger projects strengthens those projects and brings them to a quick and strong conclusion. To volunteer for any committee, please contact me at president@njawboshore.org or call me at 732-683-0092. We have lots of little things you can do.

NJAWBO Membership Drive Join NJAWBO before December 31, 2014 and receive a $50 discount on your first year membership dues. Join on line at http://www.njawbo.org. Use coupon code njawbonm14 to receive your discount.

Health

Upcoming November & December Events • November 3, 2014, FREE NJAWBO Open House: 6:30:pm to 8:30:pm; Networking Event at Miller Buick in Woodbridge Township • November 5, 2014, Tech Gagets & Toys suitable for Holiday Gifts: 8:30:am to 10:00:am; Join us to find out about the latest tech gadgets and toys that are suitable for the techie and kids on your holiday gift list. Cost: Free to members and $5 for non-members; Networking Breakfast At the Microsoft Store • November 20, 2014, Speaker: Willa A. Edgerton-Chisler PCC BCC; Topic: Diversity. Vendor Tables available, 5:00:pm to 9:00:pm. Location: Bella Vista Country Club, Marlboro • December 4, 2014, Holiday Dinner with optional Gift Grab Bag; Vendor Tables available, 5:00:pm to 9:00:pm. Location: Bella Vista Country Club, Marlboro To register for any of the above events, please visit our website www.NJAWBOShore.org. Liz Milio, President, NJAWBO Shore Region (Monmouth/Ocean/Middlesex) emilio@innovativebusiness. net • 732.682-0092

& Wellness

The County Woman Magazine www.TheCountyWoman.com

Non-members are invited to attend a Shore Region event at member price – mention this article! To register, visit NJAWBOShore.org Limit one per person. Valid for NJAWBO Shore Region (Monmouth/Ocean/Middlesex) events only.

November/December 2014

Community

Historic Dennisville Christmas House Tour Saturday, December 20, 2014 • 5:00 PM to 9:00 PM Submitted by: Dennisville Historic Home Owners Association

n the 3rd Saturday of December each year a minimum of eight beautifully decorated 18th and 19th century historic homes, as well as several public buildings and two churches, are open to the public. Please think about starting your holiday season with a festive glimpse of history in Dennisville at Christmas time! Carolers will stroll through the village as well as perform two mini concerts through the evening. There will be refreshments at the Dennisville Church Social Hall and at the Dennis Volunteer Fire Company. The fire company will also display a piece of vintage fire equipment. House Tour Tickets will be sold at the Dennisville Post Office, the night of the tour, only for $10.00. Greeters will get tour visitors started and answer questions about the tour. The featured house is the Enoch and Nancy James House - ca. 1820 – 1830. Current owners, Don and Lin Gooch, have done a magnificent job restoring the former “Sutton House” and rebuilding and expanding the barn on the premises. “Floor boards from the house attic were removed and used as flooring in the main rooms on the first floor” states Don Gooch. In response to a question by Jack Connolly, DHHOA president, what drew them to Dennisville, Lin Gooch relays the following: “we had been doing research online and on Ancestry. com about my great-great-grandfather, Capt. Charles Crawford. My grandmother remembered visiting her mother at a home in Dennisville when she was young. After finally contacting the DHHOA and many questions later, we realized that the Capt. Charles and Lydia Crawford House (the featured house of the 2013 House Tour) was in fact my ancestral home—the home that my grandmother used to visit as a child. Years ago, all houses in Dennisville were white with green shutters. Now most of the houses sport beautiful colorful coats of paint which distinguish the houses from how they appeared in the past.” A separate soup and sandwich supper will be available at the South Dennis Trinity United Methodist Church on state Route 47 in South Dennis, just south of Dennisville. It begins before the house tour at 4:00 pm until food runs out. The price of the supper is $8.00 for adults and $3.50 for children under 12.

DHHOA MISSION

“Preserve what you have—you can never replace it.” Jef Buehler, Main Street New Jersey, NJDCA

The Dennisville Historic Home Owners Association is a private, non-profit 501 (c) (3) corporation incorporated in April, 1990. Its mission is: “to study the history of the area and to encourage the preservation of the historic homes in the Dennisville Historic District and Dennis Township so that future generations will be able to view them and learn about the area’s rich history”. The village of Dennisville is on both the National and State Registers of Historic Places as a Historic District comprising more than 60 structures. As a result of its long term preservation, beautification, and educational efforts, the DHHOA is considered the Custodian of the Dennisville Historic District.

Additional information is available on the website, www.dhhoa.org, by email at dennisvillechristmashousetour@verizon.net or by phone at 609.861.1338.

The County Woman Magazine www.TheCountyWoman.com

November/December 2014

Medical Professionals

Answering Your Common Questions About Snoring Q

How long have human beings snored? Why do people snore?

Snoring was documented in biblical times! JOB 39:20 states, “Et fremitum patulis sub naribus edit ad arma,” which roughly translates to “Did you give it the ability to leap like a locust? Its majestic snorting is terrifying.” Some scientific investigators feel that animals snore to mark and defend their territory at night.

Who snores more often: men or women?

In general, men snore more commonly. However, when women reach the age of menopause, they often snore as well. During menopause, estrogen levels decline and become relative to testosterone, which may cause floppiness of the upper airway resulting in an intense vibration.

Where else do snores come from?

A snore is typically generated from a stuffy nose, causing one to take deeper breaths while sleeping, which in turn vibrates the tongue palate and the area above the voice box intensely. This may be one of the reasons that those who snore wake up with a dry mouth or the sensation that there is a lump in the back of their throat.

What are the effects of snoring?

Snoring alone, without any other concomitant risk factors such as high blood pressure, obstructive sleep apnea, hyperlipidemia or smoking, may not be dangerous. However, more often than not, snoring is associated with these factors. Beyond disrupting the sleep of your bed partner and the rest the household, snoring associated with sleep apnea can result in sleepiness during the day, stroke, heart attack and sudden death.

Stephen L. Newman MD MBA Diplomat American Board of Sleep Medicine

◌ ◌ ◌ ◌ ◌ ◌ ◌ ◌ ◌ ◌

Fatigue evaluation Sleep Apnea

My husband/wife stops breathing and snores. Should I be concerned? What should I do? If your spouse stops breathing mid-snore repeatedly throughout the night, this could be a sign of sleep apnea. Sleep apnea is a condition that is potentially fatal. Technology allows us to record respiratory effort, the flow at the nose, heart rate, sound and oxygen in the setting of one’s home without a technician. In rare circumstances, in-laboratory monitored sleep studies are required.

How do we treat snoring?

Approaches throughout time have varied: George Washington ordered his snoring soldiers to sleep on cannonballs. It’s unclear how effective this approach was, but there are modern treatments that have all proven to be quite successful: abstention from alcohol within 5 hours of bedtime, elevating the head of your bed, avoiding sleeping on your back, custom-fitted mouth devices, continuous positive airway pressure devices fitted by a sleep disorders medicine specialists, and when needed, surgical intervention.

Ambulatory, at home, sleep studies

How loud is the loudest snore?

I have personally recorded a snore at 140 decibels from a distance of 2 feet, which exceeds the noise level of a jackhammer!

Overnight in laboratory diagnostics Driving evaluation Cognitive Behavioral Therapy of Insomnia

CPAP/BIPAP therapy Provent therapy Snoring evaluation and treatment

What do you do next?

Call Dr. Newman today to schedule a sleep evaluation at 732-920-0822.

Narcolepsy evaluation

35 Beaverson Blvd, Suite 7C Brick, NJ 08723 Phone: 732.920.8022 drslnewman@drnewman.org

Dr. Stephen L. Newman, a graduate of Albert Einstein College of Medicine, is the first Board Certified Sleep Specialist in Ocean County. He also established the first Sleep Disorder Laboratory in Southern and Central New Jersey. A resident of Ocean County since 1986, he is married to Merrell Newman and has two children. The pride and joy of his life is his granddaughter, Madeleine.

www.DrNewman.org Community

Best Holiday Shopping Apps

Source: www.forbes.com These apps are available on iOS and Android.

With long lines and an inbox overloaded with discounts, it can be difficult to determine where to shop. Now the digitally savvy are in luck. There are countless smartphone apps that can help navigate the best deals in-store and online. These apps are also time-savers, so once you’ve wrapped your presents, you can sit back and enjoy some latkes and eggnog. SnipSnap

SnipSnap lets users snap photos of their favorite coupons and store them within the app, making them readily searchable. SnipSnap also allows you to browse the coupons of other users.

The County Woman Magazine

SaleSorter

The SaleSorter app uses your smartphone’s location to show which discounts are currently available at your local stores. SaleSorter uses a map to show you where the deals are.

ShopKick

Even if you don’t purchase anything, ShopKick will reward you for stopping by. Get points, or “kicks,” whenever you walk into a store. The app uses your location to show which stores are participating.

www.TheCountyWoman.com

ShopAdvisor

Scan the barcode of your favorite product and ShopAdvisor will put it on your “watch list,” alerting you when the item goes on sale. It charts price history and finds the best deal at a nearby location.

eBayNow

Until December 24th, eBay Now is offering free same-day delivery from nearby stores. Just sit back, relax, and the app will notify you when the “valet” is on their way.

November/December 2014

Business Spotlight

~ Interview with Dr. Stephen L. Newman ~

Stephen L. Newman, MD MBA Diplomat American Board of Sleep Medicine 35 Beaverson Blvd, Suite 7C Brick, NJ 08723 Phone: 732.920.8022 email: drslnewman@drnewman.org www.DrNewman.org

Dr. Newman Has Been Solving Your Sleep Problems for Over 30 Years! Tell us about your educational and work experience background. Over 30 years ago, I helped start the very first Sleep Center in all of Eastern Canada. It was located at McGill University, Montreal. At that time, Continuous Positive Airway Pressure (CPAP) was a novel therapy. Upon my return to my native United States, I was instrumental in founding the first Sleep Center at the Jersey Shore, which is located at Community Medical Center. With technological evolution, sleep diagnostics has moved from laboratory-based study to the home, and I have employed such technology for the last 12 years. When did you decide to become a Sleep Specialist and why? In life, as well as medicine, sleep disorders are unusual and fascinating. They hold promise that not only can the condition be identified and treated, but can also be cured, unlike many other areas of medicine. The fascination extends to learning the function of the brain both as it is awake and asleep and, as each piece of that puzzle is solved, three or more are added to the mix. What is the best part about working in this specialty? What do you find the most rewarding? Always, the best part of medicine is helping people. To look at a problem, determine its cause, originate and apply a therapy approach to treating or curing an issue is tremendously rewarding. In sleep, those issues range from sleepwalking, sleep talking, restless legs, dream activated behavior, insomnia and snoring. There are always new challenges. What is the most difficult part? Diagnostic dilemma or more commonly, therapeutic standstill, which occurs when the patient and I have tried everything, is very difficult to deal with.. but I never give up. What is the most common reason for women and men to schedule an appointment at your practice? People most commonly schedule an appointment with me if they snore, stop breathing in sleep, or fall asleep at inopportune moments (such as behind the wheel of a car). The next most common reason is the inability to fall asleep, stay asleep, feel unrefreshed upon awakening, or just feel constantly tired and fall asleep all day. How is your practice different from other Sleep Specialists? As opposed to most other sleep doctors who are involved in a university-based practice or group practice, I am a solo practitioner. As such, I feel distinct sense of partnership in my patientâ&#x20AC;&#x2122;s problems. I treat the patient as a person, never as a file in a cabinet. How has your profession changed over the past 20 years?

Dr. Stephen L. Newman Photo by: Tracy Harman Photography

Awareness of the fact of sleep disorders has mushroomed in the last 20 years beyond the medical office to the media and entertainment. In addition, advances in technology have permitted sleep studies at home without the patient having to enter a laboratory. How do you spend your free time? Any hobbies?

AWAKE SLEEP

The County Woman Magazine

I try to spend as much time as possible with my granddaughter, Madelein, who is four. I attempt to play golf (and am occasionally successful), enjoy photography and making jewelry.

www.TheCountyWoman.com

November/December 2014

Women Of Monmouth County

Stacey Hurden

Susan Markowitz

Ronald McDonald House of Central & Northern New Jersey Stacey is a life-long resident of Long Branch, NJ. She graduated Long Branch High School in 1996 and went on to start her career as an Administrative Assistant, eventually leading her to a position at the Ronald McDonald House of Central & Northern New Jersey (RMH) from 2001-2003. While employed at RMH she was given the opportunity to act as liaison for several event committees, still maintaining all administrative duties. She was instrumental in coordinating two of three major fund-raising events, one of which was the most successful, netting the organization over $70,000. However, in 2003, Stacey moved on to pursue other career opportunities that began as a contractor for Ft. Monmouth and eventually moving on to such organizations as The Eastern Monmouth Area Chamber of Commerce and Metano, Inc. After an 11-year gap, Stacey was invited back to Ronald McDonald House of Long Branch & New Brunswick as the new Event Coordinator in August 2014. A mother to two little girls, Stacey likes to unwind by playing with her children and spending time with family. She enjoys photography and spending time outdoors or doing crafts. Contact Stacey at (732) 222-8755 Ext. 31 or StaceyH@rmh-cnj.org to learn more about the exciting fundraising and volunteering opportunities at RMH. Photo by Tracy Harman Photography

Photo by Annette Jenkins Photography

Laurie Greene, PhD & ERYT

Lynne Goldberg

Holding a PhD in Anthropology, Laurie Greene has taught linguistics and anthropology at Stockton College since 1986 and practiced yoga since age 15, having grown up in a “yoga family”. Laurie is now the owner and director of Yoga Nine Studio and Fair Trade Store in Smithville and Ship Bottom, LBI. Always an enthusiastic student, Laurie combines her training in a variety of classical “hatha” yoga traditions, bringing insights and techniques from all these to her eclectic teaching and practice. Her teaching in anthropology and yoga blends these various influences into a practice that is passionate, creative and fun. Laurie’s dedication to Fair Trade and the “greening” of businesses has led to the creation of a Yoga Nine community of aware individuals making a difference. Yoga Nine was voted Third in the national “Green Business of the Year Award” 2007 by Co-Op America. As a teacher, she has had a positive impact on the lives of a wide variety of people. In an effort to provide outreach to the community, Be Well Do Good, a nonprofit associated with Yoga Nine, offers yoga, meditation and breathwork to high risk populations, schools and those who are surviving serious illness or addiction in Atlantic County. She can be reached by calling (609) 404-0999, or visit www.YogaNine.com.

Lynne was born and raised in Monmouth County and attended public schools there. Like many women of her generation, Lynne began her career as a teacher. Lynne married and soon became a full time mother to two sons. Although her career of teaching was cut short, her love of fashion blossomed. She was always interested in clothing and design. Her professional career in the retail field began in 1989. She has always enjoyed shopping with an appreciation for excellent quality. She selects designer clothing only available in specialty shops, and not found in department stores. Together with her exceptional staff, Lynne provides women with expertise in choosing styles that flatter and enhance a person’s physical assets. Her clients have come to appreciate the personal attention they receive. Currently, Lynne resides in Ocean County and enjoys spending time with her husband, sons and their wives. Her pride and joys are her three grandchildren and two miniature schnauzers. Lynne is a member of the Little Silver Professional and Business Association. She can be reached at 31 Church St. in Little Silver and at www.lynnesfashionboutique.com.

Owner, Yoga Nine Studio and Fair Trade Store

Photo by Donna Andrews Photography

Owner, Pivotal Pilates Fitness

Susan graduated from Hunter College with a Bachelor’s Degree in English Literature. She has multiple Pilate’s certifications offering her clients a combination of Classical and Contemporary methods of Pilates. STOTT, The Kane School and Pilates on Fifth, are some of the Pilates institutions Susan has been certified through. She also holds certifications for Injuries and Special populations such as vertebra herniation, pregnancy, or joint replacement. Susan is also a registered Holistic Health Counselor with the AADP, (American association of drugless practitioners). After the birth of her son she was unable to recover her deep abdominal muscles so she sought out a Pilates professional. So fascinated with the depth of Pilates, Susan changed her career from a nutritional counselor to specialize in rehabilitation techniques using the Pilates Method. Now a Master instructor trainer, Susan is able to certify people to become Pilates instructors. She holds Kane School certifications at her studio once a year. “I am so excited to be able to create jobs for people. The Pilates industry grows every year. There are never enough great instructors. I feel so fortunate to have some of the best right here at Pivotal”. To find out more information about Pivotal Pilates, please call Susan at 732256-3898 or visit www.pivotalpilates.com.

The County Woman Magazine

www.TheCountyWoman.com

President of Lynne’s Fashion Boutique

Photo by Annette Jenkins Photography

November/December 2014

Community

Social Community Activities Network SCAN is an adult social education and resource center headquartered in the basement level of Monmouth Mall. Founded in 1988 as the Senior Citizen Activities Network, the agency has since updated the acronym to stand for Social Community Activity Network. This better reflects the action-oriented profile of its members and the vibrancy and social networking strength of the organization. SCAN is a not-for-profit 501C (3) overseen by a dedicated 14-member Board of Directors. The main draw of membership, which is open to anyone aged 50 and over, is the opportunity to socialize and stay healthy. SCAN is a place “where active adults meet to be Informed, Empowered and Inspired.”

Pat Bohse Executive Director

SCAN’s facility houses two classrooms, a computer lab with 14 stations, a large workout room for fitness classes, and a TV studio. SCAN produces three TV shows per month which can be seen on Comcast, Cablevision, FiOS networks in Monmouth and Ocean Counties, and SCAN’s own YouTube Channel.

SCAN has over 30 classes each semester that are open to anyone, but discounts and freebies are available to SCAN members. Students can choose from classes in art, computers, technology, digital photography, fitness (yoga, chair yoga, tai chi and other low-impact exercise classes), health, languages (Italian and Spanish) , music, TV production, finance, and more. All are offered over the course of three 13-week semesters each year. SCAN’s classes are offered in Monmouth County and will be offered in 2015 in Ocean County. SCAN signature programs include “Take Control of Your Health,” which is an evidence-based program created by Stanford University. Certified peer leaders instruct students on how to be their own best health advocates. It is presented at SCAN as well as other locations throughout Monmouth County. (If you wish to have SCAN give this presentation in your local club or residential location, please contact us.) Other popular courses include “Financial Literacy for Women (and Men),” which helps members better understand their benefits, entitlements, and retirement strategies; and “Healthy Aging/Brain Fitness.” In addition, SCAN has launched a Walkers Club, open to anyone and free of charge. Each Thursday from 9-10AM, the Walkers meet in the Monmouth Mall Food Court for a presentation and some socialization. You can read about all these classes and activities on SCAN’s website (www.scannj.com). Great news! SCAN has been accepted into a second pilot project created by the National Council on Aging. SCAN will be able to give away tablets and free internet service to 25 low income seniors. SCAN will provide training on how to use the internet to research topics of interest, how to Skype to get in touch with family, friends, and much more. SCAN plans to roll the program out in January 2015. Applications and the guidelines are available at SCAN.

L-R: Marie Lerner, Ben Waldron, Roberta Sheridan, Pat Bohse, Freeholder John Curley

Mayor Gerald Tarantolo of Eatontown congratulates award winning artist, Vince Matulewich, while representatives of Horizon Blue Cross Blue Shield Watch.

Mike Ruane, Executive Director of the Monmouth County Office on Aging and Ben Waldron of MODC

Back: Freeholder John Curley, Mike Ruane of Office on Aging. Front L-R: SCAN Board of Directors - Susan Skola, Ben Waldron, Amy Mallet, Roberta Sheridan, Pat Bohse, Executive Director, Joan Wills, Mayor Gerald Tarantolo of Eatontown.

PLEASE MARK YOUR CALENDARS: SCAN’s fall semester classes are in full swing and they end on December 5th. There is still time to sign up for classes at a prorated fee. SCAN’s winter semester class listing will be available on 12/19/2014. SCAN’s Second Annual Brain Health Fair: November 7, 9:30 am – 1 pm at SCAN. We will have two Keynote speakers: Dr. Shira Goldberg, a full time attending geriatric physician on staff at the Anna Greenwell Geriatric program at Monmouth Medical Center. She will introduce us to the Monmouth Medical Memory Institute and explain what it offers. The other speaker is Mike Schatzki, MPA, CSP, and creator of the “No Sweat Couch Potato Recovery Program.” Mike is a nationally known speaker and author with a clear message about the links to fitness and good health. There will also be 15 interactive brainteaser stations as well as refreshments and prizes. Space is limited and you must register to participate. • SCAN is partnering again with the FoodBank of Monmouth and Ocean Counties to provide guidance during open enrollment for the Affordable Care Act: November and December, watch for more details. • SHIP (State Health Insurance Program) counselors are on site very Thursday to help you decide about Medicare health care coverage for 2015: You need to make an appointment – book early. • Free computer classes are available for Veterans on Wednesdays. You need to register; see class listings. • We are working with the Monmouth County Office on Aging and we have a support group at SCAN especially for caregivers. Join us on 11/4, 11/18, and 12/2. The Social Community Activities Network (SCAN) is located at 180 Route 35 in Eatontown (basement level of Monmouth Mall); for more information and a schedule of other upcoming events,

call 732-542-1326 or visit www.scannj.com.

The County Woman Magazine www.TheCountyWoman.com

November/December 2014

Financial Management

How Women Can Make Sense Of Their Dollars And Cents With Budgeting Confusing spreadsheets and penny-pinching are just a few things that come to mind when we hear the word budget. Indeed, budgeting can be a tedious task that we tend to do only when absolutely necessary. Yet the value it can provide in helping us continue to meet our financial goals cannot be discounted. And while budgeting is a detailed task, it doesn’t have to be a painful one.

Why should I budget? The economic downturn has forced many individuals, regardless of their net worth, to pay greater attention to their bottom line. Maybe you’ve experienced a life change and you’ve had to tighten your purse strings, or you need to save for a specific goal, or you simply want to know where your money goes each month, a budget can shed light on your financial situation.

How to create a budget If you work with a financial professional, you may already have access to a budget template. If not, you can easily track your budget in the way that works best for you. The following guidelines will help you get started:

Determine how you will track your expenses.

You can use a software program, a worksheet, a spreadsheet, or even a notebook. How you format your budget will vary depending on how detailed you choose to be, but the following example may be a good start. Being consistent in your record keeping can save you time later when you go back to analyze your expenses. Date 9/1/2014 9/1/2014 9/1/2014 9/1/2014 9/2/2014 9/2/2014 9/2/2014

Expense Name Coffee and muffin Meter Lunch out Groceries Car payment Insurance premium Move tickets and treat

Expense Amt. $3.19 $1 $12.50 $48.12 $419.35 $287.32 $20.25

Essential? Yes or No Yes or No Yes or No Yes or No Yes or No Yes or No Yes or No

Mark S. Rushwald

Certified Financial Planner™

(732) 505-4422

(732) 505-4422 msr@rushwald.com msr@rushwald.com

700 Hooper Avenue, Suite 201 • Toms River, NJ

Community SecuritieS Offered thrOugh cOmmOnwealth financial netwOrk, member finra/SiPc

Understand essential vs. nonessential spending. The

example above allows you to indicate whether an expense is essential or nonessential, which makes it easier to analyze your spending. An essential expense is something that is a must-have, as opposed to a good-to-have. Examples are things like: Essentials: • Mortgage or lease payments • Car payments • Insurance premiums • Utilities • Groceries

Nonessentials include: • Meals out at restaurants • Entertainment expenses • A new designer handbag • A concert

Whether an expense is essential or nonessential often depends on the individual. If you live in an urban area, for example, where you can access all you need via public transportation or on foot, a car payment may not be essential. And when it comes to the nonessential items, this doesn’t mean that you cannot spend money on entertainment or things you love; the goal is to help you take an objective view of which expenses are necessary and which ones could be considered luxuries. This will come in handy when you start to look for areas where you can potentially save money.

Plan to track your expenses for four to eight weeks.

To gain a true picture of your spending and all of your fixed expenses, it makes sense to track your spending for 2 months. Another, shorter method is to simply log all of your fixed expenses for the month and then keep a two-week inventory of other variable items. The choice is yours.

Everything counts. Don’t forget about the quarters you

put in the parking meter, or the soda you got from the vending machine. For your budget to be truly effective, you need to log even small incidental purchases. Also, if you know of quarterly expenses that you won’t capture in your regular tracking period, be sure to account for them on a prorated basis. ie: property taxes, water bills etc.

Analyze. Once you’ve logged your expenses for the

period, categorize items as essential and nonessential. Still coming up short for a specific goal? See if you can cut down on some of those items you deem essentials. Is your morning store-bought coffee on your personal essentials list? Consider making coffee at home for a fraction of the cost.

Don’t cut items that impact your future. It can be

tough to do the right thing when trying to decide between splurging on that dream vacation or continuing to contribute to a retirement account or maintaining adequate insurance coverage. You may tell yourself that you’ll make a larger contribution down the road when you have more money (which is harder than it sounds), but consider the impact on your future and the future of your loved ones. Maybe it makes more sense to continue saving and to cut out the nonessential expense, rather than sacrifice your long-term financial health.

Benefits of budgeting . . . • Stress relief. Knowing exactly what you spend—and that

you have enough to meet your essential expenses—is liberating. • More cash to put toward other goals. By analyzing your spending habits, you may very well find additional cash to put toward other goals. It could be a vacation, a new wardrobe, or even more money for your investment accounts. It’s hard to say what personal and financial benefits you’ll derive from budgeting, but it is definitely worth an attempt to find out. If your budget reveals that you need extra assistance in saving toward goals, or inspires you to consider your overall financial plan, you should contact a financial professional to assist you. Mark S Rushwald is a Registered Investment Advisor practicing at 700 Hooper Ave, Suite 201, Toms River, NJ. He offers securities as a registered representative of Commonwealth Financial Network®, a member firm of FINRA/SIPC. He can be reached at732-505-4422 or at msr@rushwald.com. © 2009 Commonwealth Financial Network®

Please contact us with any questions or to set up a complimentary initial consultation: 700 Hooper Avenue, Suite 201, Toms River, NJ 08753 Let me put my professional expertise, experience and client commitment to work for you and your family. I will do the heavy lifting so you can focus on what you prefer to do best and stop spending time and worrying about what you haven’t done. Let me show you how I can help you.

www.Rushwald.com

www.rushwald.com

Veteran’s Day - Tuesday, November 11th, 2014

On the 11th hour of the 11th day of the 11th month of 1918, an armistice, or temporary cessation of hostilities, was declared between the Allied nations and Germany in the First World War, then known as “the Great War.” Commemorated as Armistice Day beginning the following year, November 11th became a legal federal holiday in the United States in 1938. In the United States, an official wreath-laying ceremony is held each Veterans Day at the Tomb of the Unknowns in Arlington National Cemetery, while parades and other celebrations are held in states around the country. Veterans Day is not to be confused with Memorial Day–a common misunderstanding, according to the U.S. Department of Veterans Affairs. Memorial Day (the fourth Monday in May) honors American servicemembers who died in service to their country or as a result of injuries incurred during battle, while Veterans Day pays tribute to all American veterans – living or dead – but especially gives thanks to living veterans who served their country honorably during war or peacetime. Did You Know? Red poppies, a symbol of World War I (from their appearance in the poem “In Flanders Fields” by John McCrae), are sold in Canada and the United Kingdom on Remembrance Day to raise money for veterans or worn in the lapel as a tribute.

The County Woman Magazine

www.TheCountyWoman.com

November/December 2014

Business Spotlight

~ Interview with Mark S. Rushwald ~

Mark S. Rushwald

Certified Financial Planner TM 700 Hooper Avenue, Suite 201 Toms River, NJ 08753 Telephone: (732) 505-4422 Fax: (732) 240-4797 E-mail: msr@rushwald.com www.Rushwald.com

Mark Rushwald Shares His Experience As A Certified Financial Planner What is a Certified Financial Planner? A Certified Financial Planner (CFP®) is a title conveyed by the International Board of Standards and Practices for Certified Financial Planners. A CFP® must pass a series of exams and enroll in ongoing education classes, as well as pertain a Bachelor’s Degree from an accredited institution. Knowledge of estate planning, tax preparation, insurance, and investing is required, as is at least three years of work in a related field. What are your qualification or licensees as a Certified Financial Planner? The education requirement for now attaining CFP® certification includes two main parts. First complete college or university-level coursework through a program registered with CFP® board, which addresses the major personal financial planning areas identified by CFP® Board’s most recent Job Analysis Study. Second, verify that you hold a regionally accredited college or university bachelor’s degree or higher (accreditation must be recognized by the U.S. Department of Education at the time the degree is awarded). I received by CFP® designation on June 30, 1983 after completion of all the required tests at that time. I also hold a Chartered Life Underwriter designation from the American College that I received in 1979 and a series one securities license from 1972. In 1985, I decided to put all of my investment and financial planning knowledge to work as a Registered Investment Advisor (RIA) with the Securities Exchange Commission. This enabled me to move my practice from commission-based to fee-based. I believed then, and still do, that this aligns my money management with the client’s best interests. With this type of practice, if the client’s assets go up, the fees increase proportionally and if the asset value goes down, the fees reduce proportionately. I cannot think of a more fair system. What financial planning services do you offer? Services include general principles of financial planning, insurance planning, investment planning, income tax planning, retirement planning, and estate planning. Once we complete the initial process of setting up your investments, it doesn’t end there. We’ll monitor the progress your money is making and we’ll meet regularly to ensure your investments reflect your current life circumstances.

Mark S. Rushwald Member FINRA /SIPC Photo by: Tracy Harman Photography

Securities Offered Through Mark S. Rushwald Commonwealth Financial ™ Certified Financial Planner Network

(732) 505-4422

msr@rushwald.com

The County Woman Magazine 700 Hooper Avenue, Suite 201 • Toms River, NJ

How would you describe your investment philosophy? My investment philosophy is growth with reasonable risk, with the assets primarily invested in Exchange Traded Funds. These funds have a much lower management fee than the average mutual fund and offer some added benefits that regular mutual funds do not have. An example of this would be that stop losses can be utilized thereby controlling the amount of risk taken while still being able to participate in stock market advances. I typically work for clients with between $400,000 and $1.5 million to invest. There are few things more important than your financial security, and having a professional on your side makes a world of sense. Financial professionals possess a sound understanding of complex financial issues and can provide an objective opinion without the emotion that can so often cloud judgment. It is my business to know all of the complexities of investing and planning to help you pursue the most practical strategy toward your financial goals. Let me put my professional expertise, experience and client commitment to work for you and your family. I will do the heavy lifting so you can focus on what you prefer to do best and stop spending time and worrying about what you haven’t done. Let me show you how I can help you. Tell us about your family and leisure time. I have been married for over 35 years to my wife Diana. We have two wonderful children and four beautiful grandchildren. I have resided in Ocean County since 1958 and am active in the community in various organizations, including the Rotary. My interests outside of work include fishing, golfing, skiing, and Bonsai trees. www.TheCountyWoman.com

November/December 2014

Theatre

&Entertainment

“IT WILL BLOW YOUR MIND” -OPRAH

“Move over Blue Man & Stomp, iLUMINATE

is in the house!”

Times Square Chronicles

“Spectacular! Magical! Dazzling!”

The New York Times

NOW LIVE in the heart of BROADWAY! Telecharge.com 212-239-6200 iLuminate.com New World Stages, 340 W 50th St.

The County Woman Magazine

Telecharge.com 212.239.6200 GazillionBubbleShow.com New World Stages, 340 W. 50th St. For groups or birthdays call 866.642.0849

www.TheCountyWoman.com

November/December 2014

Theatre

&Entertainment

FULL OF PASSION and POETRY and HEART.”

“

New York Daily News

WRITTEN BY

DIRECTED BY

WILLIAM LUCE STEVE COSSON GOLDEN GLOBE® NOMINEE (Nip/Tuck)

Joely Richardson brings to life the iconic & celebrated poet Emily Dickinson through the poems & letters she left behind.

Telecharge.com or 212-239-6200 BelleOfAmherstPlay.com

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LOGO DESIGN: FRAVER PHOTO: KIM KNOTT

WESTSIDE THEATRE 407 W. 43rd St. (btwn 9th & 10th Aves.)

November/December 2014

Theatre

“

&Entertainment

DON’T MISS IT! HIGHLY RECOMMENDED.

”

REX REED, NY OBSERVER

“

RUN & SEE IT!” BROADWAYBOX

“

THRILLING!” THE NEW YORKER

“

A MUST-SEE!” BROADWAY.COM

BREATHTAKING!

BASED ON THE RIVETING TRUE STORY ADAPTED FROM THIS AMERICAN LIFE, THE PRODUCTION‘S TRIP TO THE STAGE HAS ONLY DEEPENED IT.” THE NEW YORK TIMES

Telecharge.com or 212-239-6200 New World Stages 340 W 50th St.

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November/December 2014

Community

The County Woman Magazine www.TheCountyWoman.com

November/December 2014

In Our Shoes

Career Coaching

Gutsy Moves for Work Moms to Avoid Overwhelm and Enjoy the Holidays. I write about the gutsy moves women need to make to be confident in their communication, self-promote naturally, attract new opportunities armed with an action plan to consistently reach their goals in their career or business. Learn more about In Our Shoes’ Gutsy Career Mentoring for Women at www.InRShoes.com As holiday crunch-time inches its way into your busy enough I-am-onlyone-woman schedule, this year open yourself up to trying something new to fend off the looming family obligations about to weigh down your weary Marisa Santoro shoulders. First throw away the words Contributor “work-family-home balance” and replace them with “I fiercely protect my energy”. Stay with me on this one. As women with a family, career plus household to manage, we are programmed with the nurturing gene. We take care of everyone else before ourselves because we can swing it and do it well. We are really good at multitasking and the superwoman wizardry we seem to orchestrate effortlessly is the expectation and ingrained belief of others (and ourselves unfortunately), which probably won’t change in coming weeks. Having juggled a career as an IT Executive on Wall Street, career mentor and as a single mom, working in global trading markets, stepping back there is no such thing as balance as I have seen it. There is only what responsibility requires your top attention today. What will make the cut and go at the top of the list? You hone in on that priority, sweep down, handle it and go on to the next one. Sound familiar? Now add on the looming deadline of gift shopping and family preparations, we are striving for an impossible human goal. That proverbial “heavenly balance” we seek is causing unnecessary stress in us as women. There’s a name for this self-sabotaging mindset, which creeps in. It’s called Perfection Paralysis. So, what do we do about it? Create a system and be grateful for technology. Make a simple spreadsheet with three columns, color-coded and labeled A, B and C which respectively represent Urgent, Important and Can Wait. The first column A will hold priorities, which deserve the most priority. The B column is not so urgent, but has things, which should get done very soon. Consider the C column as anything

as a “nice to have” but realistically can wait until you have time. Each night, during those holiday crunch time weeks, queue up your priorities in each of these columns the night before. Aim for one or two at most from Column A and set an intention to execute them the very next day. Don’t stretch; choose two, which are realistic. As you start crossing off your A – Urgent column, moving things over from B, after one week you will be surprised at how much you have accomplished, not in stress mode but in calmness and in your power to control what happens next day. Next give yourself permission to let go. It’s time to open up the communication channels and bring in some backup. This can be your partner, your kids, even your manager a la flex time at work if it feels right. Let it be known what you can and cannot realistically do during this challenging period juggling all, which is already on your plate. Then let it go. Intention is everything. Ask loved ones to “help you to help them” and write the following down, pinning it up where everyone can see:

“When there is no more oil left in my lamp, I cannot create any light”. Fiercely protect your energy and you will give everyone you love ten-fold that amount in return.

Marisa Santoro is a career coach and mindset expert for women with an 18+ year career as an IT Executive on Wall Street and motivational speaker. Her unique step-by-step programs and events focus on making a mindset shift about your career using proven tactical tools and strategies teaching exactly what to do, to raise your confidence and consistently attract opportunity to you. Marisa holds monthly after-work masterminds for women in New Jersey and Manhattan. To learn more about Marisa’s Gutsy Career Mentoring for women visit: www.InRShoes.com and sign up to stay posted and for her free gift on CD. Reach out to Info@InRShoes.com to learn more.

Gutsy

Career Education

www.InRShoes.com

The County Woman Magazine www.TheCountyWoman.com

November/December 2014

Health

Wellness

2014 Upcoming Events WORKSHOPS - TRAINING - COMMUNITY November 7-9 Andrew Eppler

“ Re -you-venate” ES S K AS EE L W C A N PE YS e O ag DA s s n 7 ga tio Ma

Yo dita utic ces • pe r vi Me • hera ic Se g T list nin dule • i o i a H h r • ai C er T ss sche la h T • eac ite for c T • e webs Se

Ashtanga Yoga & The Yogi Magician

November 22 Holiday Party & Sale Come celebrate the season and shop our sales

MIND/BODY STUDIO 609.404.0999

609.494.9299

December 20 Holiday Retreat Food, Restoration & Live Music

WWW.YOGANINE.COM

January 10-17 Retreat for 500 Hour Teacher Trainees

Gift Certificates Available for Classes or Massages

The History of Yoga in the West (sign up!)

SMITHVILLE

SHIP BOTTOM LBI

Call for information or go to www.yoganine.com

Yoga 101: Welcome Beginners 5 Week Session Begins January 22

Fair Trade, Green & Unique Gifts and Ritual Items

Buy Classes at Yoga Nine and get 10% off classes at PYOUR. Offer good for 30 days after classcard purchase.

Shop our Sales for the Holidays! Unique Jewelry, Bags & Gifts From Around the World

Community

Arcadian Chorale: 22 Seasons of Great Music

The County Woman Magazine www.TheCountyWoman.com

November/December 2014

Health

Managing Holiday Stress Health

Wellness

& Wellness

Some examples of stress come from not taking time for you; anxiety or depressive symptoms from missing loved ones during the holidays, or financial issues. While there are multiple definitions for the holiday, they usually include festive, celebration, a time of relaxation. ed, exhausted, anxious and and empty. Realistically, what are le it “all”, now feeling irritableusually or unable heard are the By Kevin Kane, more thing”, we feel like empty, complaints over the stress MSW, LCSW of extra work, financial ue selves. concerns, commercialism but we aren’t limited to our physicalorbeing. Weof course, hype, and hat is generally sometimes, family discord. ual components. considered the Emotions tend to be ut what fuels you mentally? “Holiday Season” is more prominent during the and nurtures upon us,you? and with that, family-oriented holidays. urely walk, reading a book, in thecan tub, Emotions be positive the stress that usuallyor soaking when are enjoying the it. simply accompanies sitting appreciating the sounds ofyou nature.

season, but they can also be extra painful when an individual is lonely, sad; missing loved ones who have passed away. These emotions can add to stress because of the “stereotype” that people are expected to be happy during the holiday season, but many times, people feel quite the opposite…and these emotions are real. Suggestions for relieving stress generally describe reducing the amount of stressors, including selfinflicted stress-structure time and spending so you are neither over-extended socially nor financially. Nobody wants to start a family fight, but if the

Running On Empty? W

ught up. We feel guilty because there are so at never-ending list. There’s a reason we refer to it Community g anywhere. This is the key. for themselves because they feel selfish. They do the things that inspire and nurture them. g, feeding, and fueling yourself mentally is about you can be even better to those around you. gift really. mind and spirit. If someone accuses you of being selfish, you can look “This is my gift to you”. u find the way to obtaining better balance in your life nd stop “running on empty”! Marin Integrative Therapy, (732) 244-2210.

consensus is as a family too much is being done, cut back. This can be a time to enjoy the season, and we can help you manage those symptoms of stress that may

accompany it-please give us a call.

732-244-2210 86 E. Water Street Toms River, NJ 08753

Professionals dedicated to total wellness. Let our exceptional staff offer you our many years of experience along with compassionate, individualized attention. We understand total wellness includes services for both your mind and body! Pick one service or choose them all...

We are here to meet your individual needs!

Individual, Couple, and Child Counseling Weight Loss/Nutrition Services Groups and Classes on a variety of subjects

(Please check our website for our latest schedule. Pre-registration is required.)

Hours of Operation: 8am-8pm Mon-Fri Weekends by appointment.

www.MarinIntegrativeTherapy.com Beth Kane, M.S.W.,

LCSW, co-founder of Marin Integrative Therapy, LLC, started her career working with individuals with severe medical and mental health issues. Sought after for professional interviews and articles in her field, shePLEASE has developed SAVE THE DATE a specialty for depression, anxiety, coping with chronic medical illness, and grief. Marin Integrative Therapy, (732) 244-2210. 86 E. Water Street, Toms River, NJ 08753

7:00 - 11:00pm

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November/December 2014

Community

WE THANK YOU!

Thank you to the residents of Monmouth and Ocean Counties and the greater Jersey Shore community who supported our amazing Walk to End Alzheimer’s® event on September 27 at Point Pleasant Beach. With well over 3,000 people in attendance, it was our best Walk yet!

Most of all, we express our sincere and heartfelt thanks to the hundreds of Walk teams who made the day one of such camaraderie and inspiration. Together, we took steps to raise funds and awareness in support of the over 500,000 people in New Jersey directly impacted by this disease.

We are so grateful to so many: the individuals, families, businesses, clubs, and organizations who made donations and contributions: Celebrity Champion Laurie Cataldo of 94.3 The Point; Point Pleasant Beach Mayor Vincent Barrella, the Police Department, the Township Administration and Public Works Department for use of this special venue; and our tireless volunteers for helping to plan and realize the event.

The money raised at the Walk will be used to help fund Alzheimer’s Association research, care and support programs that beneﬁt individuals and families throughout the New Jersey communities we serve. We look forward to seeing you all at the 2015 Walks!

Alzheimer’s Association Greater New Jersey Chapter, Southern Regional Ofﬁce, 732.832.7818, alz.org/nj

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November/December 2014

Adult Community

So Many Houses For Sale, So Many Adult Community Choices

t is a great and sometimes undervalued privilege to have a choice. It is one of the great things about our country- we have many choices, an endless supply of them.

As we grow into the latter stages of life and choose to move where simplification of responsibility will give us the opportunity to spend more of our free time participating in the things we enjoy most, it is time to consider all the choices. Finding The Right Match For You And Your Budget Adult communities can be over-the-top offering amenities we hope to enjoy or plan to enjoy- even currently enjoy. The key is to find the one that matches your wishes and does not break the bank. Breaking out of the same old and exploring all the options are two of the skills we’ve honed along life’s trail. Look into land leased communities; you will find as wide of a selection of amenities as any other 55+ choice locations without the land cost and with much less ongoing ownership expense. Homes may vary in age from proposed-to-be-built, to new and there is always “vintage” too. If you are a conservative buyer and/or not a big risk taker, land leasing may be the right choice for you. A hybrid home ownership option that allows you freedom to be the homeowner you have always been with less costly responsibilities. Fountainhead, a 55+ community in Jackson, New Jersey is one that offers a selection of homeowner services that you choose as you need to. Most homeowners choose a home from a model or a blueprint and customize the interior/exterior colors and design features. Then they move onto designing and maintaining their lot. Maximum privacy due to large lots, mature trees and wide streets evoke a neighborhood that feels familiar and where nice people reside. Land Leases Are Another Option Land leases are very secure, and designated by municipal land use zoning. Leases are auto renewable, and the homeowner’s lease is protected by law. Security, mutual understanding and cooperation, communication; these are some of the elements that make a very good long-lasting lease relationship. At Fountainhead, while there are nearly one hundred more new homes to build, 75% of the households have resided in their homes for 10 years or more. This has allowed for a very good market to satisfy

any budget. The common denominator is the lease fee- nearly all the same monthly cost. The lease is easy to read and simple to follow. New or Newer Homes Are Great Choices The newest homes, some in the established neighborhood, are built to last as long or longer than any other new home. You could choose a high quality home with plywood sub-floor, high peaked roof, composite flooring, or you could choose a more budget friendly version that is also energy efficient- bearing the US EPA Energy Star symbol of commitment, with carpet and linoleum and select some other architectural element to please you. Our experienced home consultants are always available to show and demonstrate the benefits of buying a factory-built home. Some of the more popular interior options would include upgraded kitchen appliances, composite countertops or circle windows. But beyond these upgrades, there is also the option to go with ceramic tile floors, arched doorways and a front door that says “you”. The possibilities are endless when envisioning your new manufactured home, so why not see what is offered? Also in addition to any interior option a perspective buyer can imagine, each manufactured home is standard from the factory to survive hurricane style winds and the nature of their factory built construction ensures all materials to stay at their strongest, for the longest. Once you choose to stay in the middle of NJ, approximately the middle of I-195 between the Shore and Trenton, you must decide to visit Fountainhead 55+. Jackson is home to about 60,000 people with all the services we all need just down the block from Fountainhead. Jackson has award-winning recreation facilities for all ages, preserved land, and a great location. If you must continue to travel outside of Ocean County you won’t find a better township with any easier access to the main commuter routes. We have it all. For directions to the sales center at 1 Rose Drive, Jackson, NJ 08527 call 732-928-3100 or visit www.njfountainheadhomes.com.

Nancy Viviano Fountainhead Properties

The Best Home Choice For 55+ Population Location ~ Great Homes ~ Long Term Affordability

Pets: You Luv ‘Em, We Luv ‘Em Too!

• New Homes

Fountainhead Properties 1 Rose Drive (Just Off County Line Rd.) Jackson, NJ 08527 Call 732-928-3100 and schedule a free consultation. Please visit our website for directions and to download or request a free brochure.

www.NJFountainheadHomes.com

• Pre-Owned Homes • Rental Homes

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November/December 2014

Community

formerly Cerebral Palsy of Monmouth & Ocean Counties

Eat, Drink, and Be Caring Saturday and Sunday November 15th and 16th

Turning Point Restaurants Join us for the 9th Annual “Eat, Drink, and Be Caring” fundraiser. The Turning Point Restaurants are once again partnering with LADACIN Network to raise money for services and programs provided to infants, children and adults with cerebral palsy and other multiple physical and developmental disabilities. When you eat at one of the 7 locations listed below and donate $20 or more to LADACIN Network, you will receive gift cards for free entrees on a future visit to any Turning Point Restaurant. LADACIN Network thanks Pam and Kirk Ruoff, owners of the Turning Point Restaurants, for their continued support. Brick - Costco Plaza, 505 Rt. 70, 732-903-6073 Holmdel - The Commons At Holmdel, 2132 Route 35 South, 732-615-9000 Little Silver - Markham Plaza, 496 Prospect Avenue, 732-224-8718 Long Branch - Pier Village, 92 Ocean Avenue, 732-923-1104 Manalapan - Epicenter, 55 Route 9 South, 732-577-9050 Marlton - Marlton Square, 300 Route 73 South, 856-988-1528 Sea Girt - Brook 35 West Shopping Center, 2157 Route 35 South, 732-974-2400 POLAR BEAR PLUNGE 2015 Saturday, January 17th Manasquan Main Beach

10:30am Registration 12:30pm Plunge into the Atlantic Ocean Pre & Post Event Festivities at Leggett’s Leggett’s Sand Bar & Restaurant, 217 First Avenue, Manasquan, NJ Sponsorships available. All proceeds will benefit LADACIN Network.

MARK YOUR CALENDAR FOR OTHER UPCOMING EVENTS Rosebud Gala Dinner Dance March 7, 2015 Sheraton Eatontown Hotel NJ Marathon...Run for LADACIN April 26, 2015 Long Branch

LADACIN Network is a non-profit agency that provides education, therapy, social, residential and support services for at people with cerebral palsy and other physical and developmental disabilities. Visit www.ladacin.org or www.facebook.com/ladacin. For more information contact Cathy Claps, Community Relations Department at 732-493-5900 Ext. 263 or email communityrelations@ladacin.org.

The County Woman Magazine www.TheCountyWoman.com

November/December 2014

Community

COCKTAIL PARTY

The holiday season is upon us! A special time to gather with our family and friends to toast another year and look forward to what the new year will bring. As we look back and reflect over the year, we are filled with gratitude about all the wonderful gifts given to us throughout the year. We know the uplifting power of giving, because we have experienced it each day! Our home is supported with funds from our event sponsors, attendees, memorials and honoraries and direct donations from people all over the states. Each year we reach out to our donors with our annual appeal mailing. This is one of our major fundraising initiatives. Please look for it in your mail boxes during the month of November, and give from your heart. If you do not receive our appeal, please contact Lynne at (732) 222-8755 ext. 30. Tuesday, December 2, 2014 is #GivingTuesday, unlike Black Friday or Cyber Monday which focus on shopping, #GivingTuesday is a day to spread holiday cheer by giving to others in need. Wonâ&#x20AC;&#x2122;t you take a few minutes of your time and consider a donation, just go to http://bit.ly/1rpi2cn to donate today. We are also looking for people who would like to participate in our Adopt-a-Family program in which you will be paired with a RMHCNJ family in need this holiday season. We will provide you a wish list of items for the family, you select what you wish to purchase for them. To join the Adopt-a-Family program, contact Long Branch House Manager, Katy at 732-222-8755 or in New Brunswick contact our House Assistant Manager Nychey at 732-249-1222 for more information.

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November/December 2014

Community

ART SHOW and SALE

Benefiting 180 Turning Lives Around and Junior Sailing Education Program Scholarships been.” Her subjects incorporate older buildings and notable monuments found throughout the county. You can view her work at: www.monmouthcountyartist.com.

Concetta E. Volpe is an avid en

The Atlantic Highlands Yacht Club, (AHYC), is hosting an

Art Show and Sale on Sunday,

November 16, 2014

from Noon until 4:30 PM. Admission is FREE. The AHYC is located at 6 Simon Lake Drive, 2nd floor of Shore Casino in Atlantic Highlands, NJ Don’t miss this opportunity to view and buy original artwork and mingle with our local and regional artists. Included in the show will be oil, watercolor, acrylics, mixed media, jewelry, photography, ceramics and much more. Complimentary light hors d’oeuvres will be served and the bar will be available. Take in the breathtaking panoramic views of the Harbor and New York City skyline while you shop! “This show is Alive, Fun and Vibrant” said Sharon Herbst, Chairman of the event. Proceeds from a Silent Auction will be donated to 180 Turning Lives Around and the Junior Sailors from the Atlantic Highlands Sailing Education Program will be selling baked goods to raise money for Scholarships. Featured artists include: Mike Quon a graphic fine artist and painter, best known for his colorful, bold brushstroke style and whimsical depictions of favorite places, everyday objects and architecture. He has

Greg Pollack, Co-Chairman Atlantic Highlands Sailing Education Program; Derick Pollack, Atlantic Highlands, Junior Instructor; Mike Quon, Fair Haven, Fine Art and Design; Mike Scherfen, Atlantic Highlands, Watercolor Artist; Sharon Herbst, Middletown, Chairman of Art Show; Megan Heath Gilhool, Seabright, ArtSea Gallery and mural artist.

Left to Right:

sketched al over the world on his travels, on subways in NYC to Tokyo to cafes and landmarks in Australia, South America, Europe and Asia. Living and working now in the Greater NY area, a California native, he graduated from UCLA with a BFA and furthered his studies at Art Center College in Los Angeles studying under the influences of Richard Diebenkorn and pop artist Ed Ruscha. You can view his work at www.quonart.com.

Megan Heath Gilhool is a self-taught

artist and has been painting and working with colors since childhood. Megan is known for her colorful painted murals in restaurants, bars, show houses, private homes and the public library. She is often commissioned to do pet and house portraits. Megan owns and runs ArtSea Gallery along with her husband Michael. ArtSea Gallery is an art gallery featuring local NJ artists and artisans. It is also a gift shop and art classes are held for all ages. It is located at 1112 Ocean Avenue, Sea Bright, NJ.

Art Petrosemolo is a photojournalist

who enjoys photographing actionbased activities. An avid sailor, he specializes in nautical photography as well as thoroughbred and standard bred racing and has been the chief photographer for regional, national and international regattas in the Lightning, Flying Scot, Albacore, Wood Pussy

and A-Cat classes. In addition, Art has photographed non-traditional events including women’s roller derby, bull riding, and hot air ballooning. You can view his work at: Art Petrosemolo-NauticalPhotograpy.us.

Michael Scherfen is a watercolor artist studying under the renowned watercolor artist Donald Voorhees, AWAS, NJWS. His paintings range from portraits to landscapes and seascapes. Originally from the West Coast he holds a Bachelor of Fine Arts Degree from the Art Center College of Design, Los Angeles, CA. He draws his inspiration from the intriguing colors and textures that surround him, from the face of a colorful character to the scales of a resting boa. You can view his work at: www.mikescherfen.com.

Linne A. Grant

plein air painter where she believes in capturing the atmospheric light and the true changing colors of nature. She is known for her illustrious colors on her palette. Her paintings are commissioned by private collectors and are displayed in home and offices throughout Connecticut, New York, Pennsylvania, New Jersey and Nantucket. Her portrait artwork has also been published on t-shirts, sold in music stores and worn by Chris Robinson lead singer of “The Black Crows” rock band. She has received many honors, including: 1st Place award for Oils in 2014 and 2013 juried shows, Art Society of Old Greenwich Bendheim Gallery;. Best in Show 2012 juried show, The Flinn Gallery, Greenwich, CT. Kent Art Association Award in The Ridgewood Art Institute’s 32nd Regional Juried Competition, and Honorable Mention in 2003 at The Riverside Yacht Club Art Show and Sale. You can view her work at: www.concettafineart.com.

Over 20 Emerging and Established artists will be there. For more information about the Art Show and Sale please call 732-291-1118 after 4:00 pm or go to www.ahyc.net/artshow.

began her art studies with Lorraine Niemela and continues with other local artists. A detailed-oriented watercolorist whose main theme is portraying older buildings with character in Monmouth County – “places where we have all

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November/December 2014

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Fine Art Photography

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Fine Art Photography

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November/December November/December 2012 2014

Travel

Travel ravel

FAMILY VACATIONS STARRING THE “KIDS” “Create Lasting Memories”

55 63

Taking It With You: A Packing Primer

More fun, more memories! Part of raising a family is making memories that your children will cherish forever. A family vacation is part of those memories. Today’s opportunities to travel as a family arebooked as wideyour open as your imaginaYou’ve tion. From warm beaches to excitinglong adventures, destination offers a new awaitedevery vacation with your Travel experience. Professional andand you’re We have some suggested kid’s focused resorts destinations with ready to pack your special activities and amenities that the entire family will enjoy:

suitcase.

Now the big question is:

✿ CURTAIN BLUFF, ANTIGUA feels both country-club and cozy at the same What do you take

time. This charming resort with an Alain Ducasse-trained chef for wonderful dining has Ocean views with you? If you’re cruising in the Caribbean from every room, diving a game room and Ceebee Kids WithWatersports so many new including fees and • Add aand fewwaterskiing, more tee shirts and another pairthe of shorts restrictions the airlines have to a• turquoise Club. The beach is beautiful leading Caribbean Sea.poncho, and zippered plastic bags Lightweight sweater, rain imposed for baggage, you will have to consider leaving your entire closet for wet suits. at home from now on. Some airlines are charging for carry-on bags now, • Whatever you forget you can purchase on board or at the and other airlines let you board first if you have no carry-on bags. So was what created to be the ultimate get ports or resorts. are the essentials to pack? together getaway, where everything is Included and unlimited. TheAprotected white sand few years from now whatbeaches Here is a packing primer from Carole Kaiman, Travel Professional that (rated the best in the Caribbean by Travel & Leisure) exciting watersports and unlimited you will remember is the scuba total diving might help with the process. experience of your vacation, NOT (for certified divers). things you forgot pack.and surf are about children. Amazing waterparks withthe body slides, lazy to rivers ForBEACHES a week inresorts the Caribbean: *Remember, your Vagabond* simulator are a favorite of the kids. The Caribbean Adventure with Sesame Street and the XBOX play • 2 swimsuits Virtuoso Travel Professional can (put 1 in carry-onwith so you can goand right to the beach) lounges areyour so popular children families. 19 Specialty restaurants children’s dining areas provide great choices. assist you inand planning a vacation 2 cover-ups It•will be a great family vacation memory. with the most value and added (1 with sleeves for evenings dining on the beach & 1 Pareo) touches to make your experience a memorable one. • Yoga pants and 2 tank tops ships were built with families in mind. A deluxetofamily Ocean view Our dedication our clients before, during and after every vacation • 2 shorts and 2 tees stateroom with Verandah is perfect for a family of 4 or 5. There’s a 3 story AquaDunk body slide for kids makes a world of difference. • 3 sundresses with no fearFlip onflops, deck,flat or for the younger there’s the AquaLab with a looping waterslide. • SHOES: sandals, wedges,set, sneakers Enjoy Yourisland TravelorExperience. Disney destinations vary from Caribbean cruises with Disney’s own private cruising Europe • Pashmina • Sunglasses with special highlights for the kids to enjoy. Your Vagabond Travel Virtuoso Advisor • Packable sun hat and foldable beach bag For over 25 years, The options go on to Mexican all-inclusive resorts, exciting travel to • Costume jewelry, (leave the real jewels home) Carole Kaiman and an evening purse South Africa for families, Alaska tours (Perfect forTravel summer vacation) Vagabond Must Haves: and fabulous Tauck tours of Europe. • Insect Repellent, Sun Protection (with at least 30 SPF) *Check out • Facial and body moisturizer Start your unforgettable vacation www.virtuosolife.com by contacting Travel Advisor Carole Kaiman, at Vagabond • Make up Bag: waterproof mascara, eyeliner, for Digital Magazine Travel, a Virtuoso Agency in Littleour Silver today. 732-222-2792 or 732-842-2600. hair conditioner and shampoo and some amazing travel ideas.

✿ BEACHES, TURKS & CAICOS

✿ DISNEY CRUISE

Create memories that will last a lifetime.

Carole Kaiman, Travel Specialist Vagabond Travel Virtuoso Agency 542 Prospect Ave. Little Silver New Jersey 07739

*Check out www.virtuosolife.com for our Digital Magazineand some amazing travel ideas.

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Over 25 Years

732-222-2792 Direct 732-842-2600 Office

website: www.vagabondtvl.com www.TheCountyWoman.com www.TheCountyWoman.com

May/June 2014 2014 November/December

Fine Jewelry

LOOKING FOR THAT PERFECT

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November/December 2014

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November/December 2014