Celebrating Our 6th Year
™
July/August 2014
An Educational Resource for Women and Their Families
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Dr. Allen Morgan, M.D., FACOG and his staff celebrate their twentieth year of infertility and reproductive medicine. Read more on pages 28 & 29.
Medical Professionals
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NON-SURGICAL KNEE PAIN RELIEF WITH COLD LASER AND THERMO-ELECTRIC COMPRESSION New Custom Knee Pain Relief Treatment Common Causes Of Knee Pain: REHABILITY of Freehold announces their new, customized Knee Pain Relief treatment ͻ ƌƚŚƌŝƟƐͬ ĞŐĞŶĞƌĂƟŽŶ ƉƌŽŐƌĂŵ ĚĞǀĞůŽƉĞĚ ƚŽ ŚĞůƉ ƚŚŽƐĞ ǁŚŽ ƐƵīĞƌ ĨƌŽŵ ŶĞǁ Žƌ ĐŚƌŽŶŝĐ ŬŶĞĞ ƉĂŝŶ͘ EĂƟŽŶͲǁŝĚĞ ƚŚĞƌĞ ŚĂǀĞ ďĞĞŶ ƌĞƉŽƌƚƐ ŽĨ Ă ƌĞĐĞŶƚ ƐƵƌŐĞ ŝŶ ĚŽĐƚŽƌƐ͛ ǀŝƐŝƚƐ ƌĞůĂƚĞĚ ƚŽ ǀĂƌŝŽƵƐ ƚLJƉĞƐ ŽĨ ŬŶĞĞ ͻ ĂƌƟůĂŐĞ ĂŵĂŐĞ ƉĂŝŶ ĂŶĚ ĂƐƐŽĐŝĂƚĞĚ ŝŶũƵƌŝĞƐ͘ tŚŝůĞ ŬŶĞĞ ŝŶũƵƌŝĞƐ ĂƌĞ ŬŶŽǁŶ ƚŽ ďĞ ŵŽƌĞ ĐŽŵŵŽŶ ŝŶ ͻ dĞŶĚŽŶŝƟƐ ĂƚŚůĞƚĞƐ͕ ŵĂŶLJ ƐƚƵĚŝĞƐ ŚĂǀĞ ĚĞŵŽŶƐƚƌĂƚĞĚ ŵŽƐƚ ŬŶĞĞ ƉƌŽďůĞŵƐ ĂŶĚ ƚŚĞ ƐLJŵƉƚŽŵƐ ƚŚĞLJ ͻ ƵƌƐŝƟƐ ĐĂƵƐĞ ĂƌĞ ŽŌĞŶ ƚŚĞ ƌĞƐƵůƚ ŽĨ ĞǀĞƌLJĚĂLJ ǁĞĂƌ ĂŶĚ ƚĞĂƌ͕ ŽǀĞƌƵƐĞ ĂŶĚ ĐŽŵŵŽŶůLJ ŽĐĐƵƌ ĚƵƌŝŶŐ ůĞŝƐƵƌĞ͕ ŚŽŵĞ Žƌ ǁŽƌŬͲƌĞůĂƚĞĚ ĂĐƟǀŝƟĞƐ͘ ͻ /ŶƐƚĂďŝůŝƚLJ ŽĨ ŵƵƐĐůĞƐͬůŝŐĂŵĞŶƚƐ Cold Laser Therapy (Low-Level Laser Therapy) ͻ ĞŝŶŐ ŽǀĞƌǁĞŝŐŚƚ ŽůĚ >ĂƐĞƌ dŚĞƌĂƉLJ͕ ĂůƐŽ ŬŶŽǁŶ ĂƐ ůŽǁ ůĞǀĞů ůĂƐĞƌ ƚŚĞƌĂƉLJ Žƌ >>>d͕ ŝƐ ĂŶ ĂůƚĞƌŶĂƟǀĞ͕ ŶŽŶͲŝŶǀĂƐŝǀĞ ƚƌĞĂƚŵĞŶƚ ŵĞƚŚŽĚ ĐůĞĂƌĞĚ ďLJ ƚŚĞ & ŝŶ ϮϬϬϭ ĨŽƌ ĂĚũƵŶĐƟǀĞ ƵƐĞ ďLJ Ă ůŝĐĞŶƐĞĚ ƉƌĂĐƟƟŽŶĞƌ ŝŶ ƉĂŝŶ ƌĞůŝĞĨ ĂŶĚ ĂĐĐĞůĞƌĂƚĞĚ ŚĞĂůŝŶŐ͘ ^ŝŶĐĞ ƚŚĞŶ͕ ƚŚĞƌĞ ĂƌĞ hundreds of clinical reports that support the usefulness of cold laser therapy for Clinical Benefits include: ŬŶĞĞ ƉĂŝŶ ƌĞůŝĞĨ͘ /ƚ ŚĂƐ ďĞĐŽŵĞ Ă ǀŝĂďůĞ͕ ŶŽŶͲƐƵƌŐŝĐĂů ƚƌĞĂƚŵĞŶƚ ŽƉƟŽŶ ĨŽƌ ƚŚŽƐĞ ŝŶ ͻ ZĞůŝĞǀĞƐ ĂĐƵƚĞ Θ ĐŚƌŽŶŝĐ ƉĂŝŶ ƐĞĂƌĐŚ ŽĨ ĂůƚĞƌŶĂƟǀĞƐ ƚŽ ĐŽŶǀĞŶƟŽŶĂů ŵĞƚŚŽĚƐ ƚŚĂƚ ŵĂLJ ŚĂǀĞ ĨĂŝůĞĚ ƚŚĞŵ ŝŶ ƚŚĞ ƉĂƐƚ͘ hŶůŝŬĞ ƐƵƌŐĞƌLJ ĂŶĚ ŬŶĞĞ ŝŶũĞĐƟŽŶƐ͕ ĐŽůĚ ůĂƐĞƌ ƚŚĞƌĂƉLJ ŝƐ ƉĂŝŶůĞƐƐ ĂŶĚ ĚŽĞƐ ŶŽƚ ͻ ZĞĚƵĐĞƐ ŝŶŇĂŵŵĂƟŽŶ ;ƐǁĞůůŝŶŐͿ ĐĂƵƐĞ ĂŶLJ ŚĂƌŵĨƵů ƐŝĚĞ ĞīĞĐƚƐ͘ ͻ /ŶĐƌĞĂƐĞƐ ƚŚĞ ƐƉĞĞĚ͕ ƋƵĂůŝƚLJ Θ ƐƚƌĞŶŐƚŚ REHABILITY’S ĐŽůĚ ůĂƐĞƌ ƵŶŝƚ ; LJŶĂƚƌŽŶ yϯͿ ĂůůŽǁƐ ĨŽƌ ĂŶ ĂƉƉůŝĐĂƟŽŶ ŽĨ ƌĞĚ ĂŶĚ near ŽĨ ƟƐƐƵĞ ƌĞƉĂŝƌ infrared light over an injured area which speeds the healing process as it reduces the ͻ /ŶĐƌĞĂƐĞƐ ďůŽŽĚ ƐƵƉƉůLJ ůĞǀĞů ŽĨ ƉĂŝŶ͘ EŽŶͲŚĞĂƚ ƉƌŽĚƵĐŝŶŐ Žƌ ͞ĐŽůĚ͟ ůĂƐĞƌ ĞŶĞƌŐLJ ŝƐ Ă ĚŝƌĞĐƟŽŶ ŽĨ ůŝŐŚƚ ĞŶĞƌŐLJ ͻ ŝĚƐ ŝŶ ŶĞǁ ĐĞůů Θ ƟƐƐƵĞ ƌĞŐĞŶĞƌĂƟŽŶ ǁŝƚŚ ƚŚĞ ĂďŝůŝƚLJ ƚŽ ƉĞŶĞƚƌĂƚĞ ĚĞĞƉ ǁŝƚŚŝŶ ƚŚĞ ďŽĚLJ͛Ɛ ĂīĞĐƚĞĚ ƟƐƐƵĞƐ ƚŽ ƉƌŽŵŽƚĞ Ă ͻ WƌŽŵŽƚĞƐ ĨĂƐƚĞƌ ǁŽƵŶĚ ŚĞĂůŝŶŐ ƉŽƐŝƟǀĞ ŝŵŵƵŶĞ ƌĞƐƉŽŶƐĞ ĨŽƌ ŽƉƟŵĂů ƌĞĐŽǀĞƌLJ ƟŵĞ͘ NEW! Thermo-Electric Compression Therapy REHABILITY’S new Thermo-Electric Compression system (Quad 7) ŝƐ ĂŶŽƚŚĞƌ ƐĂĨĞ͕ ĨĂƐƚͲĂĐƟŶŐ ĂůƚĞƌŶĂƟǀĞ ƚŚĞƌĂƉLJ ĂƉƉůŝĞĚ ŝŶ ŽƵƌ ŬŶĞĞ ƉĂŝŶ ƌĞůŝĞĨ ƉƌŽŐƌĂŵ͘ ĂƐĞĚ ŽŶ ĞĂĐŚ ĐŽŶĚŝƟŽŶ͕ ǁĞ ǁŝůů ĚĞƚĞƌŵŝŶĞ ƚŚĞ ŵŽƐƚ ĂƉƉƌŽƉƌŝĂƚĞ ƚĞŵƉĞƌĂƚƵƌĞ ǁŚĞƚŚĞƌ ŚŽƚ Žƌ ĐŽůĚ͕ ďĞƐƚͲƐƵŝƚĞĚ ĨŽƌ ƌĂƉŝĚ ŚĞĂůŝŶŐ͘ ƐƉĞĐŝĂůŝnjĞĚ ĐŽŵƉƌĞƐƐŝŽŶ ǁƌĂƉ ĚĞƐŝŐŶĞĚ ƐƉĞĐŝĮĐĂůůLJ ĨŽƌ ƚŚĞ ŬŶĞĞ ŝƐ ƚŚĞŶ ĂƉƉůŝĞĚ͘ tŚĞŶ ĂĐƟǀĂƚĞĚ͕ ƚŚĞ ǁƌĂƉ ďĞŐŝŶƐ ƚŽ ĐŽŵƉƌĞƐƐ ƚŚĞ ŬŶĞĞ͕ ƉƌĞƐƐƵƌŝnjŝŶŐ ĚĂŵĂŐĞĚ ƟƐƐƵĞƐ ĂůůŽǁŝŶŐ ƚŚĞ ĨƵůů ƚŚĞƌŵĂů ĞīĞĐƚ ƚŽ ƌĞĂĐŚ ĚĞĞƉĞƌ ůĂLJĞƌƐ͘ ƐŚŽƌƚ ƟŵĞ ůĂƚĞƌ͕ ƚŚĞ ƉƌĞƐƐƵƌĞ ŝƐ ƌĞĚƵĐĞĚ͕ ĂůůŽǁŝŶŐ Ă ƐƵƌŐĞ ŽĨ ŚĞĂůƚŚLJ ďůŽŽĚ ŇŽǁ ďĂĐŬ ŝŶƚŽ ƚŚĞ ƐƵƌƌŽƵŶĚŝŶŐ ŬŶĞĞ ũŽŝŶƚ ƚŽ ĨƵƌƚŚĞƌ ĨĂĐŝůŝƚĂƚĞ ƚŚĞ ŚĞĂůŝŶŐ ƉƌŽĐĞƐƐ͘ DŽƐƚ ƉĂƟĞŶƚƐ͛ ƌĞƉŽƌƚ ŝŵŵĞĚŝĂƚĞ ƉĂŝŶ ƌĞůŝĞĨ ĂƐ ƚŚĞ ĐŽŵƉƌĞƐƐŝŽŶ ƚŚĞƌĂƉLJ ŝƐ ĂƉƉůŝĞĚ͘ LJ ƉƌŽŵŽƟŶŐ Ă ŵŽƌĞ ĞĸĐŝĞŶƚ ƉŚĂƐĞ ŽĨ ƉĂŝŶ ƌĞůŝĞĨ ŵŽƐƚ ƉĂƟĞŶƚƐ͛ ĞdžƉĞƌŝĞŶĐĞ Ă ƐŵŽŽƚŚĞƌ ƚƌĂŶƐŝƟŽŶ ƚŽ ƚŚĞ ƐƚƌĞŶŐƚŚĞŶŝŶŐ ƉŚĂƐĞ͕ ǀŝƚĂů ŝŶ ĂƐƐƵƌŝŶŐ ƚŚĞ ŵŽƐƚ ĨĂǀŽƌĂďůĞ ŽƵƚĐŽŵĞ͘ ͞dŚĞ ĂƌƚŚƌŝƟƐ ŝŶ ŵLJ ŬŶĞĞ ŚĂĚ ƚŽƚĂůůLJ ƚĂŬĞŶ ŽǀĞƌ ŵLJ ůŝĨĞ ĨƌŽŵ ƚŚĞ ŚŽƌƌŝďůĞ ƉĂŝŶ /͛Ě ĞdžƉĞƌŝĞŶĐĞ ĚĂLJ ĂŌĞƌ ĚĂLJ ŶŽ ŵĂƩĞƌ ǁŚĂƚ / ǁĂƐ ĚŽŝŶŐ͘ / ǁĂƐŶ͛ƚ ƌĞĂĚLJ ĨŽƌ ƐƵƌŐĞƌLJ ĂŶĚ /͛ŵ ŶŽƚ ĐŽŵĨŽƌƚĂďůĞ ǁŝƚŚ ŝŶũĞĐƟŽŶƐ͘ / ǁĂƐ ĨŽƌƚƵŶĂƚĞ ƚŚĂƚ Ă ĨƌŝĞŶĚ ƌĞĨĞƌƌĞĚ ŵĞ ƚŽ ZĞŚĂďŝůŝƚLJ ƚŽ ƐĞĞŬ ŽƚŚĞƌ ƚƌĞĂƚŵĞŶƚ ŽƉƟŽŶƐ͘ dŚĞ ƚŚĞƌĂƉŝƐƚƐ͛ ĂƌĞ ƚĞƌƌŝĮĐ ĂŶĚ ƚŚĞŝƌ ŬŶĞĞ ƌĞŚĂď ƉƌŽŐƌĂŵ ŚĂƐ ŵĂĚĞ ŵĞ Ă ŶĞǁ ƉĞƌƐŽŶ͘ / ĐĂŶ͛ƚ ƚŚĂŶŬ LJŽƵ ĞŶŽƵŐŚ͊͟ Ͳ ^ƵƐĂŶ &͕͘ &ƌĞĞŚŽůĚ REHABILITY'S KNEE PAIN RELIEF PROGRAM Phase 1
Phase 2
Phase 3
ŽŵƉƌĞŚĞŶƐŝǀĞ ĞǀĂůƵĂƟŽŶ ŽĨ LJŽƵƌ ŬŶĞĞ;ƐͿ ďLJ ŽƵƌ ƚĞĂŵ ŽĨ ďŽĂƌĚͲĐĞƌƟĮĞĚ ũŽŝŶƚ ƐƉĞĐŝĂůŝƐƚƐ ŝŶĐůƵĚŝŶŐ ĂŶLJ ĚŝŐŝƚĂů yͲZĂLJƐ ;ŝĨ ŶĞĐĞƐƐĂƌLJͿ͕ ƚŽ ĂƐƐŝƐƚ ŝŶ ĚĞǀĞůŽƉŝŶŐ ĂŶ ĂĐĐƵƌĂƚĞ ĚŝĂŐŶŽƐŝƐ͘
ZĞůŝĞǀĞ ƉĂŝŶ ĂŶĚ ƐLJŵƉƚŽŵƐ͘ ,ĂŶĚƐͲKŶ ŵĂŶƵĂů ƚŚĞƌĂƉLJ ĐŽŵďŝŶĞĚ ǁŝƚŚ K> > ^ Z ĂŶĚ THERMO-ELECTRIC COMPRESSION ƚŚĞƌĂƉŝĞƐ͘
ZĞŚĂďŝůŝƚĂƟŽŶ͘ ^ƉĞĐŝĂůŝnjĞĚ ƐƚƌĞƚĐŚĞƐ ĂŶĚ ĂĐƟǀŝƟĞƐ ŐĞĂƌĞĚ ƚŽ ƌĞƐƚŽƌĞ ĂŶĚ ŵĂŝŶƚĂŝŶ ĨƵůů ŬŶĞĞ ƌĂŶŐĞͲŽĨͲŵŽƟŽŶ ĂŶĚ ŬŶĞĞ ƐƚƌĞŶŐƚŚ ƚŽ ƉƌĞǀĞŶƚ ƌĞͲŝŶũƵƌLJ͘
CALL TODAY TO GET STARTED! ;ϳϯϮͿ ϳϴϬͲϲϮϯϬ /Ŷ ŵĂŶLJ ŝŶƐƚĂŶĐĞƐ͕ ƉĂƟĞŶƚƐ ĂƌĞ ŐŝǀĞŶ ƚŚĞ ŽƉƟŽŶ ƚŽ ƉƌŽĐĞĞĚ ǁŝƚŚ ƚƌĞĂƚŵĞŶƚ Ăƚ ŽŶĐĞ ĂŶĚ Ă ϴϯ ^ŽƵƚŚ ^ƚ͘ ^ƵŝƚĞ ϮϬϰ ƉŚLJƐŝĐŝĂŶ ƌĞĨĞƌƌĂů ŝƐ ŶŽƚ ƌĞƋƵŝƌĞĚ ƚŽ ďĞŐŝŶ ĐĂƌĞ͘ KƵƌ ƐĞƌǀŝĐĞƐ ĂƌĞ ĐŽǀĞƌĞĚ ŵLJ ŵŽƐƚ ŵĂũŽƌ &ƌĞĞŚŽůĚ͕ E: ;&ƌĞĞŚŽůĚ ŽŵŵŽŶƐͿ ŵĞĚŝĐĂů ŝŶƐƵƌĂŶĐĞ ƉůĂŶƐ ŝŶĐůƵĚŝŶŐ DĞĚŝĐĂƌĞ͘ ;ϳϯϮͿ ϳϴϬͲϲϮϯϬ WŚLJƐŝĐĂů dŚĞƌĂƉLJ ŚŝƌŽƉƌĂĐƟĐ ĐƵƉƵŶĐƚƵƌĞ Or visit us online at ǁǁǁ͘Z , />/dzŶũ͘ĐŽŵ
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Featured Articles Medical Professionals
Divorce Support Programs
Allen Morgan Fertility and Reproductive Medicine....... 1, 28-29 Rehability Pain and Injury Center.............................................2 Atlantic Neurosurgical Specialists............................................5 Bella Derma Medi Spa..............................................................7 Liberty Pain Center.................................................................10 University Urology Associates of NJ.......................................11 Bogdan Interventional Pain Management..............................15 Monmouth Ocean Medical Services, LLC..............................17 Toms River X-Ray, CT & MRI Center.....................................19 Shore Gastroenterology Associates, PC................................23 Seaview Orthopaedic & Medical Associates........24, 25, 37, 68 Ocean Hematology & Oncology.............................................27 Vein Center for Women..........................................................31 Total Hearing Care.................................................................34 Barnabas Health Medical Group: Dr. Sumy H. Chang...........35 Caring Heart & Brain Imaging.................................................39 Jersey Shore Pharmacy.........................................................41 Institute for Complementary and Alternative Medicine...........46
Divorce Support Net...............................................................13
Adult Community
Fashion and Beauty
Women Of Monmouth County.........................48, 49 Awnings
Adult Day Care
Giglio Awnings........................................................................50
We Care Adult Care, Inc.........................................................18
Hair Replacement and Wigs
Contemporary & Rattan Furniture Heritage House Interiors.........................................................51
Valerie’s Hair Replacement Center & Wigs............................20
Pediatric Therapy Tender Touch Occupational Therapy.....................................21 Speech Start...........................................................................21
Precious Metal Buyer Precious Metal Buyers............................................................52
Carpet & Flooring Best Carpet and Flooring........................................................53
Elder Life Management Elder Life Management, Inc....................................................22
Travel Vagabond Travel Agency Inc.................................................54
Orthodontics Holmdel Orthodontics.............................................................26
Home Show Event Fall Home Improvement Show...............................................55
Specialty Cakes and Chocolate Novelties Chocolate Carousel................................................................30
Home Improvement Progressive Dimensions.........................................................36
Garden & Local Honey
IT Services
From The Garden, Inc............................................................38
RS Technical Services.............................................................6
Fine Art Photography Annette Jenkins Photography, LLC..................................57, 66
Find Us on Facebook
Facebook Coupons................................................................59
Business & Finance Pearls of Wisdom Media, LLC................................................63
Vision Care
Pediatric Dentistry
Crystal Eyecare......................................................................40
Tender Smiles 4 Kids........................................................... 8-9
Financial Management
Law
Mark S. Rushwald..................................................................42
Health
Theatre & Entertainment Sistas......................................................................................64 50 Shades..............................................................................64 Gazillion Bubble Show............................................................65 Iluminate.................................................................................65
& Wellness
Professional Home Organizers
Simple Spaces........................................................................44
✤ Please Take Advantage Of Our Many “Enter To Win” Contests Throughout The Paper And On Facebook! ✤
Health & Wellness
Fountainhead..........................................................................47
Lynne’s Fashion Boutique, Inc...............................................16
Health & Wellness
00
Real Estate Long & Foster Real Estate, Inc...............................................45
Salon & Spa Hair and Company Oasis Spa................................................14
Holistic Care Services..............................................................3 Skin Genesis..........................................................................12 Ocean Health & Weight Loss.................................................43 Yoga Nine Mind/Body Studio..................................................52
Law Offices of Laura D’Orsi, LLC...........................................12 Straffi and Straffi Attorneys at Law...................................32, 33 Ansell, Grimm & Aaron PC.....................................................36
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Women’s Golf Membership Bella Vista Country Club...................................................67
Community......................................56, 58, 60, 61, 62, 63
:H RIIHU SUP | Paddle-Yoga | Paddle Fit classes Aqua Lodge SUPnSpa retreats Holistic RN Wellness Coaching
What do SUP benefits include? SUP offers many health benefits. As the board is floating on water, the paddler must constantly recruit deep stabilizing muscles of the pelvis and spine ´(DFK GD\ LV D QHZ EHJLQQLQJ µ just to stand on the board and paddle it. Taking it further, adding core-based exercises such as Yoga and Pilates to the www.SusanCastiglia.com board will enhance the recruitment of such muscles and provide cardiovascular benefits. This core balance challenge increases core Ongoing! strength, improves muscle mass and increases endurance. SUP n’ Spa Holistic Retreat SUP provides an opportunity to reclaim your life’s purJersey Shore • Scottsdale, Arizona pose, re-balance and re-connect to nature.
When we first went SUP we weren’t sure what we were doing. Then Sue showed us how to! It was a great experience for the whole family and was a great way spend time with the family. We all loved it so much that we had to go twice in three days! Our family learned from the best! -NJ Family
What is SUP (Stand Up Paddle Boarding)?
Stand-up-paddle boarding (SUP) originated in Hawaii/ Polynesia and is a year-round global water sport. SUP provides a replenishment of body, mind, and spirit for health and well-being. SUP is easy to learn and most people are standing up within 10 minutes. SUP lessons are offered by our certified instructors throughout the Jersey Shore. SUP offers many positive benefits such as “decompressing from technological stress (leave your cell phone on shore) and a fabulous head-to-toe workout in Nature!
The County Woman Magazine Filler
What SUP programs do you offer at Holistic Care Services? The SUP programs offered are private and group lessons, Sup n’ SPA Retreats, Adaptive Paddling programs, and excursions for special occasions/celebrations. Some upcoming events that are being offered include paddle yoga/fitness classes and Full Moon Paddle Boarding. Check out our webpage for details www.SusanCastiglia.com and our meet-up “Jersey Shore Holistic Stand Up Paddle, Yoga & Fitness” http://meetu.ps/4kzJK where we have been offering SUP lessons/events at the Jersey Shore since 2010! Best of Health, Susan Castiglia, RN, BSN, HNC-BC, CHHP, HTP
www.TheCountyWoman.com
Susan Castiglia graduated with a BSN from the College of New Jersey, Certified Holistic Nurse, Healing Touch Practitioner, Certified Holistic Health Practitioner, Certified Stand Up Paddle Yoga, and Certified Yoga Teacher.
Susan Castiglia RN, BSN, HNC-BC, CHHP, HTP
July/August 2014
Publisher’s Note
4 Monmouth Since 2008 County Woman County Monmouth Since 2008
Publisher..................................................................... Lynn K. Wolf Woman lynn@acwoman.com • 609-929-4189 Associate Publisher..................................................Kristina Pruitt kristina@thecountywoman.com • 609-412-1914 Regional Marketing Director...........................................Jon Pruitt jon@thecountywoman.com • 609-412-3603 Professional Page/Graphic Designer................. Darlene A. Davis DesignsByDar@comcast.net Art & Production Associate....................................Meghan Morse staff@thecountywoman.com • 856-885-8066 Feature Cover Writer....................................... Gena Ansell-Lande Writer and Production Associate............................Lauren Shover staff@thecountywoman.com • 856-885-8066 Graphic Designer, Real Grafix Design....................... Cathy Tveici Graphic Designer, Golden Design, LLC................... Laura Golden golden.design@verizon.net Website Designer..........................................................P.J. Santos www.digitalartstation.com
Welcome to the July/August 2014 Issue Of Monmouth County Woman
Summer, that wonderful reprieve from winter’s desolation, is the time of year for vacations by the Jersey shore. Whether you enjoy an action-packed vacation - camping, biking, playing ball, swimming – or prefer to lounge on the beach with a good book, the shore provides a great setting for all your summer fun. When you head for the beach with your summer reading, don’t forget to include the Monmouth County Woman magazine, where many top professionals share their expertise in the areas of health, finance, law, fashion, beauty and much more. Readers have told me how valuable they have found the articles in Monmouth County Woman. Many say they have shared information through tweets and emails, and have even sent specific articles to friends and relatives in other states who might benefit from the information. So the impact of the knowledge shared by our contributing writers truly goes beyond the borders of Monmouth County. If any articles have enhanced your life in some way, I would love to hear your story. But more important, please email, Facebook or call the professionals who wrote them, and let them know that they’ve had a positive impact. Summer can be a one of the most beautiful seasons of the year. There’s a vibrancy in the air that winter seems to lack; the sky appears more blue and the future feels more promising. Artist and educator Corita Kent once said, “Life is a succession of moments. To live each one is to succeed.” We hope your summer is a series of magical moments shared with your family and friends. Thank you for your continued support of the Monmouth County Woman publication. We are the Media Partner with “Life is good and gentle in the summertime!” NJAWBO Monmouth, Ocean, Warmest regards, Middlesex Region. Like us on Facebook to enjoy coupon savings
Lynn Wolf & the Staff of Monmouth County Woman
Distribution Manager.................................................. Mike Dziuba
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~ Featured On The Front Cover ~
1-866-398-0898
Allen Morgan Fertility And Reproductive Medicine, Dr. Allen Morgan and his staff. The front row from L-R are: Darlene, Melanie, Kelly, Dr. Allen Morgan, Jacqueline, Diana
All correspondence should be addressed to:
The County All correspondence shouldWoman be addressed to:
Top Row from L-R are: Melissa, Rose, Jennifer, Maryann, Kerri
P.O. BoxWoman 619 The County
Turnersville, P.O. Box NJ 61908012 NJ 08012 The County Woman’sTurnersville, Newspaper is published bi-monthly and is available free of charge at
display stands in approved private and public establishments and authorized distributors only, County Newspaper is published bi-monthly and is available free of charge at orThe by paid mailWoman’s subscription. display stands inand approved private and public establishments authorized distributors only,of Trademark U.S. Copyright Laws protect The Countyand Woman’s Newspaper. No part orthis by paper paid mail maysubscription. be reproduced without the written permission of the publisher. Trademark andWoman’s U.S. Copyright Laws protect The County Woman’s Newspaper. partthan of The County Newspaper is not responsible for any editorial comment No (other this paper may be reproduced without the written permission of the publisher. its own), typographical errors from advertisements submitted as camera ready or any reproducThe County Woman’s Newspaper is not responsible for any editorial comment (other than tions of advertisements submitted as camera ready. its own), typographical errors from advertisements submitted as camera ready or any reproducIf an advertisement does not meet our standards of acceptance, we may revise or cancel it at tions of advertisements submitted as camera ready. any time, whether or not it has been already acknowledged and/or previously published. The If an advertisement does not meet our standards of acceptance, we may revise or cancel it at advertiser assumes sole responsibility for all statements contained in submitted copy and will any time, whether or not it has been already acknowledged and/or previously published. The protect and indemnify the Woman’s Newspaper, its owners, publishers, and employees, against advertiser assumes sole responsibility for all statements contained in submitted copy and will any andand allindemnify liability losstheorWoman’s expense arising out ofitsclaims for publishers, libel, unfairand trade names, patents, protect Newspaper, owners, employees, against copyrights and propriety all violations of theforright privacytrade or other violations any and all liability loss or rights, expenseand arising out of claims libel,ofunfair names, patents, resulting from the publication or the its advertising copy.or other violations copyrights and propriety rights, of andthis allnewspaper violations of right of privacy The publisher shall be under no liability for failure, for any reason, resulting from the publication of this newspaper or its advertising copy. to insert an advertisement. publisher not benoliable by reason of error, omission failure to insert any The The publisher shallshall be under liability for failure, for any reason,and/or to insert an advertisepart ofThe anpublisher advertisement. Thebepublisher not of beerror, liableomission for delay and/or or failure in performance ment. shall not liable bywill reason failure to insert any in publication and/or distribution if allwill or any andelay issue or is delayed suspended for part of an advertisement. The publisher not portion be liableoffor failure inorperformance reason. The publisher will exercise reasonable judgment in these instances and will make inany publication and/or distribution if all or any portion of an issue is delayed or suspended for adjustments forpublisher the advertiser where and when appropriate. any reason. The will exercise reasonable judgment in these instances and will make The Woman’s assumesand nowhen responsibility for unsolicited material or reproducadjustments for theNewspaper advertiser where appropriate. tions by advertisers. Themade Woman’s Newspaper assumes no responsibility for unsolicited material or reproducnewspaper will be published by the 15th of every other month. tionsThis made by advertisers. Representations by be Thepublished Monmouth County LLC TM COPYRIGHT 2008. This newspaper will by the 15th Woman, of every other month. Representations by The Monmouth County Woman, LLC TM COPYRIGHT 2008.
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Learn more about Dr. Allen Morgan on page 29 and his “ Quick Guide To Infertility” on page 28. Cover Photo by Annette Jenkins Photography. Schedule your family photography with Annette Jenkins, see page 57. Call Annette about adding a photo booth and videography for your special event on page 66.
Events IN Monmouth County Yoga Nine (p. 52) Workshops: September 26-28 David Sirgany: October 17-19 Audrey Lappa Fall Home Improvement Home Show (p. 55) September 20-21
Ladacin Network (p. 60) October 17 – Casino Night Auction Manna House (p. 61) November 1 – Annual Luncheon Fashion Show
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July/August 2014
Medical Professionals
5
Top Neurosurgeons are Speaking Out Against Laser Spine Surgery and Explaining Why. The term “laser spine surgery” has become very popular on the Internet and in magazine ads. But while the laser has created substantial medical improvements in the field of medicine, this is not in the case for spine surgery. Atlantic NeuroSurgical Specialists (ANS) advises all patients to use caution when it comes to “advanced” laser spine surgery procedures. Americans love technology. We are all attracted to shiny, new gadgets or the latest tech fad. This certainly holds true when looking at the recent marketing success of laser spine surgery. The idea of using a laser when performing surgery certainly sounds high tech. On the other hand, lasers are often used to burn through thick metal. Considering that, does one really want that type of cutting-edge device near their spinal cord? The neurosurgical community at large does not believe laser spine surgery provides any clinical benefit over traditional, minimally invasive spine surgery (MISS). On the contrary, most believe laser spine surgery poses unnecessary risks to the spinal cord, and have seen patients damaged by this approach. As a result, many fellowship-trained spine specialists do not perform laser spine surgery, nor use lasers during spine surgery, nor recommend that technology. To appreciate why the vast majority of the neurosurgical spine community has not adopted laser spine surgery, it’s important to first understand that the only real difference between laser spine surgery and MISS is how the damaged disc tissue is removed. Why does this difference matter? As counterintuitive as it sounds, laser spine surgery is actually less precise than scalpel-based procedures. During a procedure, a surgeon will often have to look around corners to see what is causing the problem. A laser is a straight beam of light that cannot bend or remove tissue from around a corner. The importance of a surgeon’s ability to delicately navigate angles cannot be underestimated. But there is more. While lasers destroy and cut tissue, they do so with heat that also causes water molecules to boil, which in turn can produce gas. This mixture of heat and gas can damage healthy nerves. A razor-sharp scalpel in the hands of a skilled surgeon maintains the same precision without the risk of inadvertent thermal injury. And lastly there is the issue of depth of penetration. Think of holding a knife up to a balloon and pressing softly. You can feel the give and take of the pressure you are applying against the balloon and thereby have a good idea of when that balloon will pop. Using a scalpel, surgeons can use this same tactile feedback to access the tissue and thereby achieve the exact depth of penetration. On the contrary, a laser will cut further down, depending on how long the beam sits at one part of the incision. Therefore, structures including nerves and healthy tissue can be inadvertently injured. Atlantic NeuroSurgical Specialists is the largest private neurosurgical practice in NJ. ANS neurosurgeons are affiliated with leading hospitals and health care systems and perform the most minimally invasive spine surgery cases throughout the state. If you’re suffering from back pain, visit www.ansdocs.com or call 732.455.8225.
MCW June Quick Fix #615_r1.indd 1
The County Woman Magazine
Don’t Pin your Hopes to a Quick Fix With back pain on the rise, the number of physicians performing back surgeries and procedures has also increased, making Failed Back Syndrome (FBS) all too common. Don’t put yourself at risk. Know what to look for when choosing a spine specialist. Only trust a qualified neurosurgeon to diagnose and treat your delicate spine. At Atlantic Neurosurgical Specialists (ANS), all of our neurosurgeons are board-certified. Most notably, 5 of ANS’s neurosurgeons are fellowship-trained in spine and hold national recognition in their specialty. In turn, ANS remains the largest and most reputable neurosurgical practice in New Jersey. Don’t let insurance come before your health. ANS sees all patients. 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
464 Hudson Terrace Suite 203 Englewood Cliffs, NJ 07632 973.285.7800
89 Sparta Avenue Sparta, NJ 07871 973.729.0266
2345 Lamington Road Suite 107 Bedminster, NJ 07921 973.285.7800
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July/August 2014
IT Services
6
Purchasing Computer Equipment From A Big Box Store Is Not A Bargain
L
ast month’s article on mobile devices had users commenting on the difference between business environments and home usage. Many began to ask whether these differences also pertain to computers and other devices.
The answer is most definitely yes. Business Computer Operation Needs Are Different Then Home Users Purchasing computers and other equipment from a big box store, office supply or other retail consumer entity is not recommended for your business environment. These stores feature consumer products which are not intended for business operation.
Why you may ask? What is the difference? In the Windows world Microsoft® produces two lines of desktop operating system software; Home and Professional. Almost every computer you can buy from any of the places mentioned above will most certainly have the home versions of the operating system. Without getting too deep into a technical explanation, the professional versions are designed to be part of a Windows Domain model that allows for connectivity and management of the desktop from a server(s) and sophisticated network interoperability. The home versions are not. The hardware usually contains differences as well with additional capacity, performance, management, reliability and warranty features not available in the home consumer line. You can purchase some true business class products at these locations, knowing the difference is the question.
Are you really saving money? Every time a client wants to purchase a hardware device and says “I can purchase it online for X dollars” I am confronted at the prospect of trying to explain that your idea of what you need and what you want are not the same. More often than not, that bargain device turns out not to be a bargain at all, resulting in higher setup and installation costs, performance issues or worse, being useless altogether due to its inability to be integrated into a business environment properly. Enter To Win
Trust A Professional How often have you been confronted in the delivery of your professional services by, “I read this online” or “my friend said”. Building and maintaining a business computer network requires the skills of a technical professional, which will result in lower cost of ownership, reasonable ROI, a higher degree of security and reliability. Purchasing modern computing equipment is a task that should not be taken lightly, and the expectation that “I should just plug it in and expect it to work” is not reasonable. Business class computers, routers, printers, and the software that runs on them require installation and configuration to operate properly.
What about Servers? Servers are a different story that I will address in the future. Some other topics for discussion will be network security, virtualization, cloud computing, wireless and storage technology. You can drop me a line at robert@rsts.com on what topic you would like to see addressed next.
For a free consultation, please call Robert Schwartz at 732-792-0707.
*RS Technical Services provides computer and networking support to small business. All brand name and product specific references belong to the product owners.
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
Ente r to Wi n a Pa ir of T ick ets to Se e On e of Fou r Great Sh ows! Theatre
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p 50 Shades p Iluminate p Sistas p Gazillion Bubble Show Mail To: The County Woman • P.O. Box 619 • Turnersville, NJ 08012
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SINGLE LADIES NOTOT Times Square Chronicles I AM HA IR MYAM N AIR STOP IN THE T SINGLE LADIEI SMY H NAME OF LOVE EC “Spectacular! MILY F WE A SINGLE LADIES DIES FASP ERE NOT AM RE LA PEC TYRONEMagical! TYR I AM HA WE AR IL IR GLE Y T ONE MY SIN CYTHTTYRO NE E E “A Winner!” E W Dazzling!” R IN P S A E I ILY DIERES -NY NAM TOP IN P IN THEOHE HAPPYWDAY S PECTR ESTPPPSOPBeacon OH YREDAOF LOVE TYROENEARE FA ONE HAP The New M GLE LAYork Times E OF TSTO FAMMY ASIN OH HANALME CIOU H OF LOV PY ORDOH HAPPY S THDAY LOVNAEME TYRMILY DAY E E HAIRNOOTT E NOW NLIVE in the heartP INof LBROADWAY! OTV OH H HAPPY DAY RES AY RESPSINECT O OEC S I AM NOT AOHPP TOT GLE I AM IOHAUIR SNRE PY D E FiLuminate.com PEC RES YD GO212-239-6200 LATelecharge.com ECY TYROMYNEHAIR AMSP HAP DIEPRM D I AM RESP T PEC S LORD New TIEWorld ECTW 50th St. AY TOH Y HN AIR340 HS BLEStages, T T RESPEC HILDSSM 308 W 46th LAD EYCTheatre, C TYR I LELuke’s St. St E A DA ECT G T Y P M NO ENSO www.TheCountyWoman.com ONThe IA Telecharge.com SINOH HAPPS212.239.6200 Woman Magazine • SistasTheMusical.com I AMMHA ESP Y RHIRA T E County R ES MY M NO BL Special call MY 212.977.5925 IR OH HAIR T GOD E rates E ILD for groups HAP OT TH CHRESPYRECONT PY DAY T M N AIR A E I H TH E Y RES MY P IN LOV Y DA PEC STOME OF APP T NA OH H
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Or Visit www.Facebook.com/TheCountyWoman to Enter Online! One entry per person. Multiple entries will be disqualified. Entrants may enter for tickets to multiple shows. Entries will be accepted through July 31, 2014. Some shows will be drawn sooner based upon run date. Winners are responsible to redeem their tickets. No refunds or exchanges. Transportation or meals will not be provided. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent. May/June 2014
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Medical Professionals
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July/August 2014
Pediatric Dentistry
8
Sports and Energy Drinks Responsible for Irreversible Damage to Teeth Drinks with a lot of sugar will rot your teeth, right? That’s the conventional wisdom.
But what about the acid? It’s not something we think about much, but dentists say it’s about time we start, especially when it comes to energy drinks we – and young people in particular – are consuming. A recent study published in the May/June 2012 issue of General Dentistry found that an alarming increase in the consumption of sports and energy drinks are causing irreversible damage to teeth. The high acidity levels in the drinks erode tooth enamel, the glossy outer layer that protects the tooth. Once the tooth enamel is gone, teeth are more prone to cavities, and more likely to decay. Researchers examined the acidity levels in 13 sports drinks and nine energy drinks. Specifically, researchers found the drinks contain a high acidity level, which is responsible for the damage. The acidity levels could vary between brands of beverages and flavors of the same brand. Researchers tested acid levels by submerging samples of human tooth enamel in the different drink samples for 15 minutes, then in artificial saliva for two hours, repeating the process four times a day for five days. Samples were stored in fresh artificial saliva the rest of the time. Researchers found that damaged tooth enamel was evident after only five days of exposure to sports or energy drinks. “Young adults consume these drinks assuming that they will improve their sports performance and energy levels and that they are “better” for them than soda,” says Poonam Jain, BDS, MS, MPH, lead author of the study. “Most of these patients are shocked to learn that these drinks are essentially bathing their teeth with acid.” If recent reports are correct, then as many as 62 percent of teens and young adults consume at least one sports drink per day. The damage caused to tooth enamel is irreversible, and without the protections of enamel, teeth become overly sensitive, prone to cavities, and more likely to decay. “Teens come into my office with these types of symptoms, but they don’t know why,” says Dr. Sulla, “I review their diet and their consumption of sports and energy drinks. They don’t realize that these drinks can do a lot of damage to their teeth.” Dr. Sulla recommends that his patients minimize their intake of sports and energy drinks. He also advises them to rinse their mouth an hour after drinking these energy drinks with water or chew sugar-free gum. “Both tactics increase saliva flow,” adds Dr. Sulla, “which naturally helps to return the acidity levels in the mouth to normal.” Dr. Sulla maximizes the importance of finding a better, safer way to hydrate and boost your energy levels.
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.
Complimentary Initial Consultation For Children Under the Age of Two.
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
732.625.8080
732.249.1010
732.549.3773
www.TenderSmiles4Kids.com
The County Woman Magazine
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July/August 2014
Business Spotlight
9
Dr. Sulla’s Dental Practice is Something to Smile About TenderSmiles4Kids is a pediatric and orthodontic dental practice where they see kids as early as age 1 through college. Dr. Max Sulla is known for his gentle and caring approach to dentistry and his ability to calm even the most anxious patient. Additionally, the entire staff has extensive expertise in caring for patients with special needs. Dr. Max uses the most advanced materials and procedures available. He adds, “We practice comfortable, health-centered dentistry with a strong emphasis on getting to know each of our patients.” In addition to his technical proficiency, Dr. Max is a careful listener and will explain beforehand what treatment is best for your child’s individual needs. Getting an early start in regular dental care is an important step on the road to teaching your child healthy lifetime habits. The first dental visit should occur shortly after the first tooth erupts and no later than the child’s first birthday. “Beginning tooth and mouth examinations early may lead to detection of early stages of tooth decay that can be easily treated,” he adds. It takes just one visit to their Eco-friendly office for kids to be intrigued. The office provides a gentle environment and kids instantly feel at ease. There is the prize drawer, balloons and of course their golden tokens for the toy tower to obtain even more prizes. Going to the dentist has never been this fun! Parents will be happy about their free infant exams and orthodontic consultations.
CW: What attracted you to the field of Dentistry, specifically Pediatrics?
MS: I was always interested in the science of the human body and pediatrics. I also liked geometry and the perfect orientation of objects so all of these interests combined brought me into the world of Pediatric Dentistry. Creating a perfect smile, preventing illnesses, and working with kids is what it’s all about.
CW: What kind of services does your office provide?
Dr. Max Sulla, D.D.S.
Tender Smiles 4 Kids Pediatric, Laser & Orthodontic Dentistry
MS: We offer services such as Laser dentistry (No Shots, No Drills), Nitrous Oxide Sedation, Oral Conscious Sedation, and In-office I.V. Sedation administered by an M.D. Anesthesiologist. We also offer General Anesthesia in the Hospital. We use digital radiography which is safer for your child and produces up to 90% less radiation.
CW: What is the most challenging aspect of working with children?
MS: There are many challenges but the most critical one is establishing life long comfort in the dental office at a young age.
CW: What is your favorite part about working with children?
Freehold • Manalapan Area 122 Professional View Dr. Bldg. 100, 2nd Floor Freehold, NJ 07728
MS: Seeing my patients smile and tell us how much they love going to the dentist makes me very happy.
CW: What are the most common ailments you see in your practice?
MS: Cavities, decay of teeth has become the #1 chronic disease in children, bypassing even asthma.
732.625.8080
CW: What is the importance of primary teeth?
somserset • north brunswick area 1313 Route 27 Somerset, NJ 08873
MS: It is very important that primary teeth are kept in place until they are lost naturally. They serve a number of critical functions. Primary teeth maintain good nutrition by permitting your child to chew properly and are involved in speech development. They also help the permanent teeth by saving space for them. A healthy smile can help children feel good about the way they look to others.
732.249.1010
Edison • Woodbridge Area 1656 Oak Tree Road Edison, NJ 08820
CW: Please provide our readers with your top 3 tips for parents for preventative dental care.
732.549.3773
www.TenderSmiles4Kids.com
MS: Avoid nursing toddlers to sleep or putting anything other than water in their bedtime bottle. Also, learn the proper way to brush and floss your child’s teeth. Take your child to a pediatric dentist regularly to have his/her teeth and gums checked.
CW: How do you like to relax after a long day at the office?
MS: I like to exercise, spend time with my family and cook for my friends. My wife Elana and I have been married for 15 years and have 3 children—Matthew, 13, Jordana, 10 and Vivien, 4. Dr.Max Sulla received his D.D.S. from the NYU College of Dentistry followed by his Pediatric Dentistry degree at the University of Medicine & Dentistry of New Jersey. He is a member of multiple accredited organizations. Dr. Max is the President of NJ Academy of Pediatric Dentistry & AAPD Council member. Additionally, Dr. Max and his associates were recognized as three of the “Top Dentists of 2009, 2010, 2011, 2012 & 2013″ by New Jersey Monthly.
Dr. Max looks forward to your child’s visit and to showing you how exceptional dentistry can improve your child’s life.
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Medical Professionals
10
Get on the Road to Recovery with Spinal Cord Stimulators
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The County Woman Magazine
2
about 2-3 inches. Both stages are same day procedures.
last for many years to come and the device settings can be adjusted periodically to keep up with any changes.
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CW: Please describe the procedure â&#x20AC;&#x201C; is it done in the office? Dr. Ghobriel: The treatment
CW: How long do results usually last after having the treatment? Dr. Ghobriel: The results should
different; it masks the sensation of pain by other sensations that are more pleasant such as warmth or tingling.
CW: Does the body develop a tolerance to it after time? Dr. Ghobriel: The percentage of
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involves placement of stimulation leads around the spine. This procedure is done in two stages and is performed in the operating room under mild sedation. The first stage involves testing the device through leads connected to an external battery. The patient will â&#x20AC;&#x153; test driveâ&#x20AC;? the device at home for 3-5 days. They will then be seen in the office to assess the response and to see if it was successful. If successful, the patient is then scheduled for stage two, which involves permanent placement of the leads and the device under the skin.
CW: What is the sensation like from the electrical nerve stimulation? Dr. Ghobriel: The sensation is
patients that develop a tolerance to it is very small. Most continue to use it successfully for several years.
CW: How often do you perform this procedure? Dr. Ghobriel: This is a
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CW: Who is the perfect candidate for Spinal Cord Stimulation treatment? Dr. Ghobriel: Patients
CW: What is the history of this treatment? When did it start gaining in popularity?
Spinal Cord Stimulation ( Medtronic) Use the QR Code below to view the video on this procedure:
CW: Is there any pain associated with it? Dr. Ghobriel: Stage one typically doesnâ&#x20AC;&#x2122;t involve pain. Stage two just involves incisional pain at the skin over the site of the device which is
commonly utilized procedure in pain management and it is performed quite frequently for the right candidates.
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who have had spine surgery and continue to have limb pain or patients who developed limb pain after chemotherapy. Others include patients with peripheral neuropathy due to diabetes, or those with spinal stenosis who havenâ&#x20AC;&#x2122;t responded to epidural injections and are not good candidates for surgery.
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If you are someone who lives with chronic pain, then you realize that it is no laughing matter. Some individuals, with chronic pain, may suffer from depression. Others may experience a loss of interest or pleasure in activities they previously enjoyed. For all of those who suffer, chronic pain
spinal cord stimulation has been around for over 40 years and has become more popular over the last 20 years or so. It is especially beneficial as a modality for those patients who have pain that has failed all other treatments, including surgical intervention.
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Dr. Mariam Ghobriel Liberty Pain Center
Dr. Ghobriel: The concept of
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will give you the peace of mind and confidence in your decision. The more knowledgeable you are, the more comfortable you will be participating in your recovery. Like most things in life, knowledge is power. Approved by the FDA in 1989, spinal cord stimulation (SCS) has become a standard treatment for patients with chronic pain in their back or limbs that have not found pain relief from other treatments. While the treatment does not work for everyone, most patients who qualify for neurostimulation therapy report a significant reduction in overall pain, as well as an increased ability to participate in normal activities.
2
interferes and robs a person of their daily functioning. If any of these symptoms sound familiar to you, then a visit to Liberty Pain Center is long overdue. Dr. Mariam Ghobriel and her experienced staff will design an individualized treatment plan to put you back on the road to recovery. â&#x20AC;&#x153;Pain is often caused by complex, underlying conditions. By using the most advanced techniques and technologies, our physicians employ a multi-disciplinary approach to treating your pain,â&#x20AC;? she adds. Dr. Ghobriel is double boardcertified in anesthesiology and pain management by the American Board of anesthesiology. She is the sole in-house pain management specialist at Centrastate hospital, responsible for managing acute care patients including but not limited to; spine injuries, cancer pain and postoperative pain. Her practice focuses primarily on the treatment of all disorders of the spine using a combination of conservative treatments, as well as state of the art techniques for spine and joint injection and minimally invasive surgery. Because there are a myriad of treatments for back pain it is critical to understand the one best suited for you. Obtaining the information up front about each of them will also help in your recovery because it
Testimonial Dr. Ghobriel Is A Miracle Worker!
Dr. Ghobriel is the appointed Chair of the Division of Pain Management at CentraState Medical Center. Dr. Ghobriel completed her fellowship training in interventional pain management at the prestigious Robert Wood Johnson University Hospital. Following that she joined Liberty Anesthesia as a staff anesthesiologist at Centrastate hospital and now heads the Liberty Pain Center as the Clinical Director. Dr. Ghobriel is double board-certified in anesthesiology and pain management by the American Board of anesthesiology and is the sole in-house pain management specialist at Centrastate hospital. She is responsible for managing acute care patients including but not limited to; spine injuries, cancer pain and postoperative pain. Her training and practice focuses primarily on the treatment of all disorders of the spine and joints using a combination of conservative treatments as well as state of the arts techniques for spine and joint injection and minimally invasive surgery. Dr. Ghobriel also takes a personal approach towards managing her patients with focus on how their ailments affect their daily activities, goals, and sense of well-being. She is very active in her community, conducting a series of community lectures to increase the publicâ&#x20AC;&#x2122;s awareness of the latest in pain management techniques and therapies. Dr. Ghobriel is also involved in staff teaching in the field of pain management with lectures conducted for the nursing staff and the family residency physicians. She is also a member of the following societies: America Society of Interventional Pain Physicians, Interventional Spinal Injection Society, American Society of Anesthesiologists and American Medical Association.
www.TheCountyWoman.com
July/August 2014
Medical Professionals
11
Live Life Dry: Treating Urinary Incontinence
I
t would be difficult to watch an hour of primetime television today without seeing an advertisement for overactive bladder medication or adult diapers.
The fact is more than 37 million adults in the United States – one in six – suffers from overactive bladder, urinary frequency, or urgency. Unfortunately, many people dismiss such urinary symptoms to be a part of “getting older” and do not seek medical intervention. The fact is, overactive bladder and urinary retention (the inability to completely empty the bladder) are not a normal part of the aging process, can cause embarrassment, and can diminish the quality of daily living dramatically. Facts: Women are twice as likely as men to experience urinary incontinence. This is due to pregnancy, childbirth, menopause and the structure of the female urinary tract. Older women experience urinary incontinence more often than younger women. Bladder control problems may also affect younger people, especially women who have just given birth. In fact, a recent study found 25% of women over 18 years old has experienced episodes of leaking urine involuntarily, and one-third of men have experienced loss of bladder control during their adult lives. Only one in eight Americans who have experienced loss of bladder control have been diagnosed. Recent data has shown that women wait and average of 6.5 years from the first time they experience symptoms until they obtain a diagnosis for their bladder control problems. People experiencing bladder control issues often suffer diminished social lives. Even mild symptoms affect social,
sexual, interpersonal and professional function. People with bladder control problems often struggle with simple everyday activities, such as working, shopping, or seeing a movie, for fear of embarrassing wetting episodes or not being near a restroom. Also, overactive bladder sufferers are two to three times more likely to regularly experience disturbed sleep, overeating, and poor self-esteem.
the cause of symptoms such as blood in the urine (hematuria), painful urination (dysuria), urinary incontinence, urinary frequency or hesitancy, an inability to pass urine (retention), or a sudden and overwhelming need to urinate (urgency) and much more.
Diagnosis: Bladder control issues can be caused by a multitude of factors. In certain cases, pregnancy and childbirth, obesity, weak pelvic muscles or diabetes can contribute to overactive bladder. Additionally, certain medications or inactivity also can contribute to such issues. In some people, bladder control problems are caused by miscommunication between nerves. Specifically, the brain and sacral nerves, which control the bladder, do not communicate properly, causing the nerves to tell the bladder to release urine at the wrong time. The first step towards treatment is diagnosing the type of incontinence and then pinpointing the underlying cause or causes. We ask our patients to complete a “voiding diary” which provides great insight and aids in diagnosis. The gold standard for diagnosing urinary issues, including incontinence, is called Urodynamic testing or Urodynamic study. This series of tests, all done in one visit, along with the data from your voiding diary will give the physician objective data related to bladder functions. Additionally, physicians often perform a cystoscopy to further assess the urinary tract. A cystoscopy is a test that allows the doctor to look at the inside of the bladder and the urethra using a thin, lighted instrument called a cystoscope. This study helps find
Treatment: In some instances, behavior modification may be sufficient to deal with urinary incontinence. You may be asked to limit fluid intake, avoid bladder irritants such as caffeine and alcohol, and do pelvic floor exercises – “kegels”. There are also medication commonly used to treat overactive bladder (OAB) and are sometimes prescribed to treat stress urinary incontinence. In certain cases of incontinence involving the miscommunication of nerves to the bladder, a neurostimulator (commonly called a Bladder Pacemaker) may be the best treatment option. Incontinence is a not a hopeless problem. There are many treatment options available, however, only proper diagnosis will lead to proper treatment. Although behavior modification and pharmaceutical therapy work for some, they may be ineffective or poorly tolerated by other patients. It is definitely possible to live life dry.
Mukaram Gazi, MD, FICS, FACS
Director, Robotics & Laparoscopic Surgery Board Certified Urologist Assistant Clinical Professor, Rutgers RWJ Medical School -New Brunswick NJ Monthly Top Docs Consumer Research Council, America’s Top Urologist: 2008-2013 Consumer Research Council, Compassionate Physician Award: 2010-2013
Alexander Gotesman, MD Adult & Pediatric Urology Specializing in Ambulatory Urology 5 Years of Post Graduate Clinical Research Experience Membner - Alpha Omega Alpha Medical Honor Society Vitals - 2014 Compassionate Physician Award
Types of Incontinence
• Stress Urinary Incontinence (SUI) – Leakage on effort, exertion, sneezing, or coughing. • Urge Incontinence – Leakage accompanied by or preceded by urgency (an overwhelming need to For more information, urinate…”Gotta go, gotta go!”) call 609-581-5900, • Mixed Incontinence – Leakage associated with (732)928-5300 urgency AND effort, exertion, sneezing, or coughing. 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.
LOCATIONS:
Hamilton 1374 Whitehorse Hamilton
1
Square Road Hamilton, NJ 08690
2
Robert Peterson, DC, PA-C
Board Certified Physician Assistant Professor - Physician Assistant Program, Philadelphia University
Howell 2364 Route 9 South 3
Lakewood 900 Route 70 East
Dominique Etienne, PA-C Board Certified Physician Assistant Howard University Physician Assistant Program, Cum Laude Honors College of Pharmacy, Nursing and Allied Health: Dean’s List, 2008-2013 Trustee Scholar, 2009-2011
Lakewood, NJ 08701
FOR APPOINTMENTS: (609) 581-5900 (732) 928-5300 UUANJ.COM
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
Howell, NJ 07731
www.TheCountyWoman.com
July/August 2014
Law aw L
12 24
The Future Of Alimony G\UfYX DUfYbh]b[ 5bX 8]jcfWY Obviously it is better if both parents Would can be involvedalimony in the daily lives of their continue children, rather than one paruntil I die ent being to a weekend or a if I assigned am receiving Disneyworld parent role, where he/ permanent alimony? she only spends time with the chil Pursuant to weekend. many of the dren every other
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What ď?˘ď?š: will happen Pď?˛ď?Ľď?łď?Ľď?Žď?´ď?Ľď?¤ Lď?Ąď?ˇ Oď?Śď?Śď?Šď?Łď?Ľď?ł to ď?Żď?Ś Lď?Ąď?ľď?˛ď?Ą M. Dâ&#x20AC;&#x2122;Oď?˛ď?łď?Š, L.L.C. Permanent Alimony? There are presently several ivorce today is New most statutes pending in the very which different Jerseylikely Legislature seek it was 20 oralimony even tothen reform the present 10 years ago. Many men laws in the state of New Jersey. today are very involved Presently, if the parties are parents. They care for married for aneeds set length time the daily of of their there are no help guidelines children, withwhich homework, coachfor their are established the sports length or teams,ofand careupon for them amount alimony the while their spouse is divorce of the parties. Within working. these draft statutes alimony â&#x20AC;&#x153;for an indefinite period of timeâ&#x20AC;? Times have changed ... In certain cases that have would only be awarded inIselect been involved with, it is becomcases where the parties have ing more common that men enjoy been married for time 20 years extensive parenting with or their children, more. not the typical every other
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weekend schedule that men enjoyed in the 1970s and 1980s. Today, What if you are many families who divorce choose married forschedules less than to establish parenting where20 theyears? children enjoy certain days overnight eachofweek For marriages lesswith thanone parent or the other, and also alter20 years, alimony nate weekends. Thiswould enablesbe both awarded based on a percentage of the parents to continue an active role in the lives of children. taken against thetheir amount of
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these shared parenting arrangements work best where both receives Social Security parties get along, the parties live in retirement age, regardless of the same or in nearby towns, and whether theyparty continue working. where neither has a career that requires excessive work hours or travel. Additionally the shared Who is leading the parenting arrangement should be charge to reform implemented to maintain the status alimony? quo that the parties established during their not Senators to establish Theremarriage, are certain an arrangement that is merely selfand Assembly members who serving for purposes of the divorce. have sponsored the alimony It takes diligence ... reform bills. In addition, there Practically speaking, there are are Alimony Reform groupsIt obstacles to shared parenting. iswho not have the easy choice.for It this requires lobbied parents and children to be diligent. legislation. Organizations such Items such as backpacks, books and as the must Displaced Homemakers clothes be transported between of America have spoken outAs momâ&#x20AC;&#x2122;s house and dadâ&#x20AC;&#x2122;s house. we are dealing with children and against the alimony reform their belongings, numerous items legislation. may get misplaced and there may many The New Jersey State Bar be instances where a child Association has favored the discovers that he left something idea at momâ&#x20AC;&#x2122;s house awhen he needs ittoat of forming commission dadâ&#x20AC;&#x2122;s house. These are all pracindependently study thethe state ticalities of dealing with this sort of of New Jerseyâ&#x20AC;&#x2122;s alimony laws parenting arrangement.
and make recommendations Also, a certain responsibilwithout a preordained result. ity goes hand in hand with aIt shared parenting arrangement. If also favors a measure pending itinisthe Dadâ&#x20AC;&#x2122;s dayGeneral and littleAssembly Anthony state wakes up with a stomach flu, Dad practical and work isthat the provides one who has to call into reasonable circumstances under and take Anthony to the doctor. Both parents need can jobs request and employwhich someone ers flexibility to work withorthis andwith receive a modification sort of parenting schedule. termination of alimony, and also provides for considerations
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been an alimony reform statute passed by the New If you have legal concerns, call the If you Dâ&#x20AC;&#x2122;Orsi have legal Laura lives inconcerns, Holmdel, New Jersey, Jersey Legislature. Alimony Law Offices of Laura M. Dâ&#x20AC;&#x2122;Orsi, L.L.C., call the Lawand Offices of Laura M. Dâ&#x20AC;&#x2122;Orsi, was raised in Monmouth County L.L.C., is currently determined based New Jersey. Ms. Dâ&#x20AC;&#x2122;Orsi is Certified Call 732-741-3121 52 Reckless Place, Red Bank, New Jerseyby07701 upon the factors set forth in the the Supreme Court of New Jersey as a alimony statute, which includes www.lauradorsilaw.com Matrimonial Law Attorney. She practices the need and ability to pay, matrimonial lawldorsi@lauradorsilaw.com in Red Bank, New Jersey, www.lauradorsilaw.com, duration of the marriage, age, at the Law Offices of Laura M. Dâ&#x20AC;&#x2122;Orsi, physical and emotional health Dâ&#x20AC;&#x2122;Orsi has been aShe licensed Laura Dâ&#x20AC;&#x2122;Orsi was L.L.C. raised inMs. Monmouth County. is certified by the of the parties, the standard of attorney since 1990. She has practiced mat-and Supreme Court of New Jersey as a Matrimonial Law Attorney living of the parties, the earning rimonial law exclusively for 11 years. She is practices matrimonial law in Red Bank, at the Law Offices of Laura capacities, educational level and a member of the Jersey Shore Collaborative M. Dâ&#x20AC;&#x2122;Orsi, LLC. She has been a licensed attorney since 1990 and has employability of the parties, Law Group and is a Certified Mediator. practiced matrimonial law exclusively for 11 years. Laura is a member among other factors. She regularly assists the Court with Court
732-741-3121
of the Jersey Shore Collaborative Law Group and is a Certified Mediaordered Mediations. Previously, in addition tor. She regularly assists the Court with ordered mediations. In to practicing law, Ms.Court Dâ&#x20AC;&#x2122;Orsi helped run a addition to practicing law, Ms. Dâ&#x20AC;&#x2122;Orsi has also helped run a battered battered womenâ&#x20AC;&#x2122;s shelter in Essex County, womenâ&#x20AC;&#x2122;s shelter in New Essex Jersey. County, which was a project very gratifying to her.
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Shared parenting is probably most difficult with teenagers or college age kids as they are the least malleable. Theyparties. will probably retirement of the be the most resistant to change and object to shuttling their belongings mybetween ex-spouse back Will and forth their parentsâ&#x20AC;&#x2122; be homes. Forto them, life is easiest able modify wherealimony there is a full ifrefrigerator, they lose their XBox and someone who does their job? their laundry. In establishing any Underschedule the statutes which or parenting for teenagers college age kids,there it is recommended are pending, may be to take their of concerns intolaw account provisions the new and to adapt to what they want, whichthan allow a payor spousethat rather force the schedule who has lost a job to modify the parent wants on them.
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www.TheCountyWoman.com
July/August 2014
Divorce Support Program
13
Transformational Divorce…
Jennifer Cory, MS, LCSW & Stacey Rose, PhD, LCSW Divorce Support Net
Typically when people hear the word divorce, images of despair, sadness, loss, anger, pain, and ultimately, (hopefully) liberation come to mind.
And yes, these are certainly a part of the experience of ending a long-term relationship. Like any loss, there is a grieving process - a dark night of the soul if you will. Just ask anyone who has been there. But if this is the only image you have of divorce, then you only have half the story.
Let us tell you the rest:
Mary and Bill were married for 20 years, they had four kids ages 12 to 18. When they married they were both escaping difficult family lives, looking for
a way out. They saw each other as a savior of sorts: Mary - smart, determined and strong minded would take the leadership role in the relationship, making all of the key decisions; Bill - agreeable, steady, reliable and kind would give Mary the stability she longed for. It was an understandable plan but overtime did not cultivate partnering so much as dependence and resentments. They struggled to build a strong foundation together. After many years of working to come together but feeling only further apart, after many years of counseling and emotional stalemate, Mary made the difficult decision to end the marriage. While she was worried about what this would mean for the children emotionally and financially, she felt she had no other choice. Bill, equally unhappy, would have stayed indefinitely. He was blindsided by Mary’s announcement. The decision to divorce is not an easy one and should never be taken lightly. The impact is far-reaching and has the potential to be devastating. But devastation is only one of the possible outcomes. The other is that divorce can be powerfully transformational for both individuals, and a catalyst for positive change. Most couples divorce after years of fighting or worse, apathy, feeling as if the life has been sucked out of the marriage.
Jennifer Cory, MS, LCSW, holds a Master of Science in Social Work from Columbia University, as well as a Bachelor of Social Work from Monmouth University, where she graduated with honors. She maintains a private practice in Red Bank, NJ, where she specializes in grief, bereavement, all phases of life in transition and transformation. Jennifer is also co-founder, with Dr. Stacey Rose, of Divorce Support Net.
The County Woman Magazine
Sometimes marriages end even when no one has done anything wrong, even in the absence of an affair, addiction, or abuse. One or both parties decide they can no longer live together, can no longer stand to be stifled by the relationship, and someone pulls the trigger. If this is you, if everything possible has been done to save the marriage and still you cannot see yourself clear to a lifetime together, if the pain of the relationship outweighs the positive, the question then becomes how are you going to leave the marriage. How can your life and the life of the family be transformed by the very act of leaving in a way that maintains the integrity of the family and cultivates positive change? It begins when you set as your highest intention maintaining the honor and integrity of every person involved. Yes, this is possible in divorce! It is no easy task but it is essential to emerging from this monumental experience transformed instead of broken.
conducting yourself with your soon to be ex in ways that would make your kids proud. It means sometimes being the hero, not taking the bait, breathing long before offering a snap answer, and recommitting to your intention everyday of the journey. Mary and Bill sought out divorce coaching to help them manage through the process. Mary discovered that Bill needed time to process what was happening. She learned how to better regulate her own feelings of grief, anger, guilt and impulsivity in productive ways rather than destructive, and created the time and space to allow Bill to catch up emotionally. Both of them learned how to put the needs of the family before their individual needs, considering the children’s emotional point of view at every turn. They also learned how to view divorce outside of a winlose model and to appreciate what they had created together.
Neither could have imagined how healthy they would feel and how well their family would be doing five years post divorce. Not only liberated but transformed. Today, having gone through the undulations, done the hard work and come out the other side, they are genuinely happy for how well the other is doing and they share joyfully in the milestones of their children’s lives.
Divorce is a difficult path to travel but it need not be a devastating one. The question is what can you do to create the healthiest possible experience both during and post divorce for all involved? It is possible. It begins, simply and courageously, with setting an intention for the best possible outcome for you, for your soon to be ex, for your children, and then doing all in your power to see that intention through. You can begin that journey today.
So what does it mean to go through a divorce with honor and integrity?
It means behaving in ways that allow you to hold your head up high, putting one foot in front of the other, seeking the support that will help you maintain your integrity, and
Stacey Rose, PhD, LCSW holds a Master of Social Work from Fordham University and a PhD from Walden University in Psychology. She maintains a private practice in Ocean township and Red Bank, NJ and is co-founder, with Jennifer Cory, MS, LCSW, of Divorce Support Net. www.TheCountyWoman.com
July/August 2014
Salon
14
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Spa
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We’re open Tuesday through Saturday, call us at 732-747-6983 or stop in.
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H&Co.
July/August 2014
Medical Professionals
15
Two Effective Options for On-going Spinal Pain 1. Cannula Inserted
A needle-like tube called a cannula is inserted and positioned near the irritated medial branch nerves. An X-ray or fluoroscope is used to help position the cannula properly.
2. Electrode Inserted
Sergey Bogdan, MD, FIPP Bogdan Interventional Pain management LUMBAR RADIOFREQUENCY NEUROTOMY
This minimally-invasive procedure, also called radiofrequency (RF) rhizotomy, reduces or eliminates the pain of damaged facet joints by disrupting the medial branch nerves that carry the pain signal. This procedure is performed with local anesthesia and the following steps are then taken:
A radiofrequency electrode is inserted through the cannula. The surgeon tests the electrodeâ&#x20AC;&#x2122;s position by administrating a weak electric jolt. If the stimulation recreates the pain without any other muscular effects, the electrode is positioned correctly.
3. Nerve Treated
The surgeon uses the electrode to heat and cauterize the nerve. This disrupts its ability to communicate with the brain, blocking the pain signals. The surgeon may treat multiple nerves if needed.
4. End of Procedure
After the procedure, the electrode and cannula are removed. Although pain may increase for the first week after the procedure, that patient usually has full relief from pain within a month. Successful RF neurotomies can
After being 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.
The County Woman Magazine
last longer than steroid block injections.
abdomen or buttock area. This device interrupts pain signals to the brain, and replaces them with a tingling sensation that covers the specific areas in which you feel pain. In essence, the stimulatorâ&#x20AC;&#x2122;s impulses reach your brain and stop your bodyâ&#x20AC;&#x2122;s pain signal before you have a chance to feel any discomfort. The impulses travel through thin, insulated wires, called leads, to your spine. You are able to control the impulsesâ&#x20AC;&#x2122;
NEUROSTIMULATION THERAPY
Neurostimulation is a safe, FDA approved, treatment method that is incredibly effective in managing your pain. This therapy works by delivering mild electrical impulses near the spine through a small device that is implanted under the skin, typically in your
delivery location and strength with a handheld programmer that works like a remote control. While all of this may seem intense and overwhelming, the implantation procedure is rather simple and painless. You can even try a temporary external system to determine with your doctor whether or not this therapy would work for you.
TESTIMONIALS Iâ&#x20AC;&#x2122;ve been coming to Dr. Bogdanâ&#x20AC;&#x2122;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 Iâ&#x20AC;&#x2122;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. Bogdanâ&#x20AC;&#x2122;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. Iâ&#x20AC;&#x2122;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 Iâ&#x20AC;&#x2122;m grateful of Dr. Bogdan for suggesting this to me as an option. Charles B.
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July/August 2014
Fashion
16
&
Beauty
What To Wear As The Temperature Rises! This summer the trend is detail, detail, and more detail. From the tailored dresses with unique features, to patterns and embellishments, the trend this summer is pretty and feminine.
H
ere at Lynneâ&#x20AC;&#x2122;s, we personally help you find what looks best for your body type and size â&#x20AC;&#x201C; we do not try to steer you into something just because it is trendy. Our objective is to make you look and feel beautiful. If you go for color and prints, you can take advantage of this by wearing bold bright patterns or black and white. Prints can range from floral to bold geometrics. Another hot trend this season are sparkles and embellishments on clothing and accessories. You can achieve this with a wardrobe that glitters with sequins and crystals on the garment. If buying a sparkly top is intimidating to you, you could choose to dress up your basics from our huge selection of accessories. From simple medallions that twinkle to ornate collars and cuffs, jewelry is always a great way to update your wardrobe. For those who are more conservative, we also have a large selection of unembellished styles with which to accessorize. At Lynneâ&#x20AC;&#x2122;s, we carry a large selection of unique designer jewelry which can only be purchased in specialty boutique stores. During these hot summer days, itâ&#x20AC;&#x2122;s tough to think about fall, but Lynneâ&#x20AC;&#x2122;s starts receiving our transitional pieces in July and our fall fashions arrive in August. That will give you plenty of time to stay in front of the fashion curve this fall. Lynneâ&#x20AC;&#x2122;s is also the best place to find dressy and formal wear. From off the rack to custom orders, we help you make the choice that will make you beautiful, whether you are attending a wedding, a gala event, or having a fun night out on the town. Our huge selection of Mother-of-the-Bride and Groom dresses will make your shopping experience easy. But donâ&#x20AC;&#x2122;t forget, many of our dresses need to be ordered well in advance. You will Lynne Goldberg, owner of need to give yourself plenty of time for the dress to arrive and for any Lynneâ&#x20AC;&#x2122;s Fashion Boutique, alterations. Donâ&#x20AC;&#x2122;t wait to start shopping â&#x20AC;&#x201C; start has been in the womenâ&#x20AC;&#x2122;s early and your shopping experience will be retail clothing business since more pleasurable and less stressful. This will 1989, and her boutique has make your Mother-of-the-Bride or Groom evolved and changed along dress shopping easy and fun. Plus, the with the times. Specializing personalized attention you receive from in mother of the bride or our experienced staff will leave you groom, she also carries feeling very special. a wide selection of casuals, sportswear, and We have a seamstress on premises accessories that will allow you to dress well and available by appointment. feel comfortable everyday for any occasion.
â&#x20AC;˘ We carry sizes 2 to 20. â&#x20AC;˘ A wonderful selection of evening attire, specializing in the perfect mother-of-the-bride and groom dresses and gowns. â&#x20AC;˘ Fabulous jewelry. â&#x20AC;˘ Sportswear. â&#x20AC;˘ Belts and accessories. â&#x20AC;˘ Handbags and more!
Since 1999
31 Church Street â&#x20AC;˘ Little Silver, NJ â&#x20AC;˘ (732) 530-5443 www.lynnesfashionboutique.com Simplify Your Life
Hours Tuesdays - Fridays 10:30 am to 6:00 pm â&#x20AC;˘ Saturdays 10:30 am to 5:00 pm â&#x20AC;˘ Closed Sunday & Monday
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The County Woman Magazine
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July/August 2014
Medical Professionals
17
What Is A Pulmonary Embolism? Most blood clots in the lungs actually form in the legs or pelvic area (where the legs branch from the body) and then travel to the lungs. Anyone who has had a blood clot in the lungs or who is at risk of a clot should know the symptoms of clots in these areas.
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What are the symptoms of blood clots in the lungs?
Written By: Alfred B. Parchment, M.D., F.A.C.O.G. Monmouth Ocean Medical Services, LLC
Blood clots in the lungs can cause:
A pulmonary embolism is a blockage in one or more of the blood vessels that supply blood to the lungs.
Most often these blockages are caused by blood clots that form elsewhere and then travel to the lungs. In rare cases, blockages can also be caused by air bubbles, tiny globs of fat, or pieces of tumor that travel to the lungs.
If a blood clot forms or gets stuck inside a blood vessel, it can clog the vessel and keep blood from getting where it needs to go. When that happens, the lungs can get damaged. Having blocked arteries in the lung can also make it hard to breathe and can even lead to death.
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Why are blood clots dangerous?
What are the symptoms of blood clots in the legs?
Blood clots in the legs cause different symptoms depending on whether the clots form in veins deep in the leg or in the veins near the surface of the skin. Blood clots in the deep veins of the legs are the most dangerous.
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â&#x20AC;˘ Swelling â&#x20AC;˘ Pain â&#x20AC;˘ Warmth and redness in the involved leg Blood clots in the veins near the surface of the skin (called superficial veins) are more painful and can cause redness or infection. These clots sometimes also cause the veins to harden and bulge into ridges that look like cords. This is most common with the veins below the knee. If you think you have a blood clot in your leg, call your doctor or nurse right away. Blood clots in the veins near the surface of the skin are less dangerous. But blood clots in the deep veins of the leg are more serious and are more likely to travel to the lungs. Your doctor or nurse can run tests to find out if you do have a clot and where it is.
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â&#x20AC;˘ Panting, shortness of breath, or trouble breathing â&#x20AC;˘ Sharp, knife-like chest pain when you breathe in or strain â&#x20AC;˘ Coughing or coughing up blood â&#x20AC;˘ A rapid heartbeat If you get any of these symptoms, especially if they happen over a short period of time (hours or days) or get worse quickly, call for an ambulance. At the hospital, doctors can run tests to find out if you do have a clot. Blood clots in the lungs can lead to death. Thatâ&#x20AC;&#x2122;s why itâ&#x20AC;&#x2122;s important to act fast and find out if there is a clot.
Clots in the deep veins can cause:
How are blood clots in the lungs treated?
Blood clots in the lungs are treated with medicines that dissolve clots or that keep clots from getting bigger. Some of these medicines are injected directly into a vein, while others come in shots or pills. Most people being treated for a blood clot in the lung are treated first in the hospital. People who cannot take medicines to treat clots or who do not get enough benefit from the medicines can get a different
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treatment. For them, doctors can do surgery to remove the clot or use a catheter like the one used for angiography to remove it. After being released from the hospital, people who have had clots are usually put on medicines to prevent future blood clots, called blood thinners. Almost everyone is put on a blood thinner that comes in a pill for at least 3 months (and usually longer). Some people are put on a medicine that is injected under the skin called heparin. This might be for the first few days they are home, or longer if for some reason they canâ&#x20AC;&#x2122;t take pills. Blood thinners do not dissolve existing blood clots but they do keep them from getting bigger. They also help keep new blood clots from forming. Being on a blood thinner for a few months is important because it gives the body time to dissolve the old clot. Itâ&#x20AC;&#x2122;s also important because people who have a clot are aat risk of developing another clot, especially in the first few months. Another treatment option that is appropriate only for some people is something called an â&#x20AC;&#x153;inferior vena cava filterâ&#x20AC;? (also called an IVC filter). The inferior vena cava is the large vein that carries blood from your legs and the lower half of your body back up to your heart. IVC filters go inside the inferior vena cava. They filter and trap any large clots that
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form below the location of the filter. Long flights may put you at increased risks for DVT and PE.
Here are a few tips if you have a long flight in the near future:
â&#x20AC;˘ Stand up and walk around every 1 to 2 hours â&#x20AC;˘ Do not smoke just before your trip â&#x20AC;˘ Wear loose, comfortable clothes â&#x20AC;˘ Shift your position while seated, and move your legs and feet often â&#x20AC;˘ Drink plenty of fluids â&#x20AC;˘ Wear knee-high compression stockings â&#x20AC;˘ Avoid alcohol and medicines that make you sleepy, because they can impair your ability to move around.
â&#x20AC;˘ Ultra-Sounds â&#x20AC;˘ Blood Work â&#x20AC;˘ Urological Testing Learn more about our doctors and services by calling
732-477-2727
About The Doctor . . . Dr. Parchment is a Board Certified Physician with a specialty in Obstetrics and Gynecology. He received his medical education at the University of Medicine and Dentistry of New Jersey. He received his medical training at Mount Sinai School of Medicine â&#x20AC;&#x201C; New York University, where he practiced as a fellow in maternal-fetal medicine. Dr. Parchment has medical privileges at Jersey Shore Medical Center in Neptune, N.J., the Kimball Medical Center in Lakewood, N.J., and the Ocean Medical Center in Brick, N.J. Prior to establishing a successful practice in Ocean and Monmouth County, he was director of obgyn at the Hospital Center at Orange in Essex County, NJ. He also speaks fluent Spanish. Dr. Parchment is an alumnus of the United States Naval Academy, Class of 1987. In his free time, you may see Dr. Parchment at the Lakewood Blue Claws game watching his favorite baseball team, playing his guitar, or in the park with his family. He is father to Alexander Joseph and Alexa Joanne Parchment, as well as husband to the lovely Suzanne K. Parchment.
July/August 2014
Adult Day Care
18
Are you trying to MANAGE A MAZE as a Caregiver? We Care Adult Care is ready to help!
Submitted by: Tracey Wolfman, Owner We Care Adult Care
I
f the answer is yes, you are one of many caregivers facing this role today. It is one of the most challenging of life transitions facing adult children as they are hurled into the role of caregiver for an elderly parent, and or spouse, particularly one with a condition like Alzheimer’s disease. It is a complete shift in mindset and role reversal for
adult children and or spouses facing this challenge. How this loved one is cared for is just one of the many decisions adult children must make. We Care Medical Adult Day Care takes great pride in the outstanding services we provide our members and their caregivers. Caring for the elderly, people with dementia and chronic illness takes knowledge, patience, and kindness. Being a caregiver is a full time job and can be overwhelming. Getting help to care for a loved one can provide caregivers with a much needed break. We Care Medical Adult Day Care does just that! With an outstanding staff of professionals caring for their loved one, caregivers can have
confidence they are receiving the best possible care. Our Team at “We Care” has always been our best asset. We Care Adult Care is an alternative resource of care and respite! The cost is about half the price of home care based on an hourly rate. We Care Adult Care has many alternative options to pay for services, including many grants that are available to those that qualify. Listed below are some options; Long-Term Care InsuranceMany policies offer coverage for adult day care centers. Alzheimer’s Association – offers $1,000 non-income based reimbursement to individuals attending an adult day care program for memory-related disorders.
Medicare Waiver Program, We Care Adult Care offers maximum income limit is assistance and guidance $3,296 a month and liquid to obtain grants. Feel free assets of $40,000 or less for an to stop in and see why individual or $60,000 or less for “We Care” makes the a couple. difference! Your loved one GO (Global Options) – Maximum gross income limit is will enjoy a Quality of life environment that provides $2163/mo. for a single person Stimulating Activities, with no more than $2,000 in Nutritious Gourmet Meals, assets. Couple-4,188/mo. with no more than $3,000 in assets. Nursing Care, Physical & State Wide Respite Program – Occupational Therapy, Have income below $2,163 Social Service needs, per month for single, ($4,326 and much more. for couples). Have liquid assets of WE CARE ADULT CARE, INC. less than $40,000 is an adult day care center whose /$60,000 for couples purpose is to provide the highest Medicaidquality of alternative care to all Provides funding for people who are seniors. medically eligible.
Providing Care --- Promoting Excellence --- Preserving Independence
CALL TODAY FOR A COMPLIMENTARY DAY (732)741-7363
for more information or to arrange a visit to “our home away from home”.
www.wecareadultdaycare.com Providing Care • Promoting Excellence • Preserving Independence
(732)741-7363
Want to know more, call us at
for more information or to arrange a visit to
“OUR HOME AWAY FROM HOME”
www.wecareadultdaycare.com
Union Square Mall 552A State Route 35 Red Bank, NJ 07701 (P) 732.741.7363 (F) 732.741.9188 www.WeCareAdultDayCare.com
Licensed by the Department of Health and Senior Services
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July/August 2014
Medical Professionals
19
Detecting Thyroid Nodules Kathy is a friend of mine who had a dilemma. During a routine physical exam, her doctor discovered a lump on her throat and was concerned that she had a thyroid nodule. Although this might be nothing serious, she was Cyrus Khorrami, M.D. worried that it could be cancer. At the same time, she had no symptoms and felt fine. She could not feel the nodule herself. In fact, she was not even sure what the thyroid gland does. She immediately called me with many questions.
What is the thyroid gland? The thyroid gland is a butterfly-shaped gland located at the bottom of your throat, just above your collarbones. It produces hormones, which regulate your metabolism called T3 and T4. It also produces a hormone called calcitonin, which controls the amount of calcium in your blood and in your bones.
How common are nodules on your thyroid? Approximately 50 percent of the population has at least one thyroid nodule. Fortunately, over 90 percent of these are benign (not cancerous). Those that are cancer are very slow growing. The reason most people do not know they have a thyroid nodules are because most of these nodules do not cause symptoms. Rarely, larger nodules can cause jaw pain, difficulty swallowing, or difficulty breathing. Occasionally, a nodule can produce large amounts of thyroid hormone increasing your metabolism. This is called hyperthyroidism and can cause symptoms such as anxiety, irritability, heart palpitations, and difficulty sleeping.
How are thyroid nodules diagnosed? How can you tell if they are cancerous? Nodules larger than 1 cm can be detected by physical exam. The most common way thyroid nodules are diagnosed is by ul-
Thyroid nodule which contains tiny calcifications and blood flow was proven to be cancer. trasound. Ultrasound uses high frequency sound waves (much like sonar in submarines) to show the thyroid gland and to detect disease. Ultrasound is a great tool for diagnosis because it is relatively inexpensive, the tests are performed quickly, and it does not use radiation. In addition to detecting nodules, ultrasound can help determine the character of the nodule. Nodules, which cause suspicion of cancer, are made up of solid tissue (as opposed to being entirely filled with fluid), are larger than 1 cm, have internal blood flow, and have microcalcifications. Ultrasounds are ideal to characterize thyroid nodules and predict, which is more likely cancer and which are more likely benign. The definitive way to detect cancer is a biopsy. A biopsy is removing a small piece of tissue and examining under a microscope. Most biopsies are performed using an ultrasound for guidance. If a nodule is determined to be cancerous or the nodule is causing symptoms such a hyperthyroidism, it is removed by a skilled surgeon.
If a thyroid nodule is not determined to be cancerous, what then? Most thyroid nodules are followed by ultrasound once a year to be sure they remain stable. If a nodule increases in size, develops microcalcifications, or has increased bloodflow, there is a fear that nodule is becoming cancerous. At that time, a repeat biopsy may be performed. Kathy had an ultrasound that showed a 1.5 cm solid nodule. The good news is a thyroid biopsy showed her nodule was not cancer. Kathy followed up with her doctors, had her annual thyroid ultrasound and she feels very confident she is in good hands.
Thyroid nodule detected on physical exam was shown to be a benign cyst on ultrasound.
Patient Testimonial
I have been going to your facility for many years and have always been well treated and satisfied. Keep up the good work! ~ Sylvia, Lakewood
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
July/August 2014
Hair Replacement
20
&
Wigs
Remarkable Non-Surgical Hair Replacement Options
Valerie Boblick Valerie’s Barber & Beauty
Hair loss affects most men and women at some stage in their lives. When it comes to hair loss, everyone’s situation is different and personal. While heredity is the primary cause of hair loss in most cases, the severity of hair loss, its pattern, and the impact on that person’s life is really unique. For many men and women, the benefits of a nonsurgical hair system could
make all the difference. Custom, nonsurgical hair replacement is presently the only solution that works for all types of hair loss for men and women, including patients who lost their hair from chemotherapy, as well as alopecia areata patients, alopecia totalis patients, and severely scarred hair transplant patients. This is the only solution that can completely restore one’s hair in any density, color and texture. 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.
I
n addition to scalp treatments, Valerie’s Barber & Beauty offers many styles of hair replacements. European and synthetic hair is available in hair systems, wigs, falls, braids, or extensions- all of which may be custom designed with the latest styles and fitted especially for you. They are meticulous with the maintenance and styling of your hair. At all times, Valerie’s Barber & Beauty promises professional service and a natural style suited to you individual needs. Remember, if it looks like a wig, it isn’t from Valerie’s Barber & Beauty. They also offer a selection of medical and theatrical wigs at reasonable prices. While other hair replacement businesses require a deposit and a signed contract, Valerie’s Barber & Beauty does not require a contract. As an extra bonus, Valerie’s Barber & Beauty offers a very private and comfortable location in which all the hair replacement services are done on the upstairs level of the salon for the ultimate privacy. For more information or to make an appointment, please call 1-732-363-4758 or visit us at Valshair.com. Consultations are ALWAYS free!
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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.
After
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Suffering from HAIRLOSS? Looking for a SOLUTION? Come out of the SHADOWS and into the LIGHT...
After
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.
Before
HAIR REPLACEMENT can change your life! Testimonial “Thank you so much Valerie, for all the wonderful work you do. You change the lives of those stricken with hair loss and you gave us our pride and dignity back again. You truly are a special person to so many, and on those days where you feel slighted and unappreciated, please remember the women like me who came to you so desperate, so sad, and so ready to give up. Remember the gift of beauty you’ve given us, with all of your special touches, and the wonderful things you do and how much we 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 Valerie Boblick, you’re truly a special fit to this earth from God.”
O
Salon Hours: Tues.-Sat.: 9am-8pm
Additional services include: Cuts | Barber Cuts | Waxing Hair Extensions | Shaitels & More!
By Appointment Only!
O “We don’t just cut hair, we change lives!” 232 New Central Avenue, Jackson, NJ Phone: (732) 363-4758
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Fax: (732) 961-3440
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We don’t just cut hair, we change lives!
The County Woman Magazine
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July/August 2014
Pediatric Therapy
21
Can Occupational Therapy Help Your Child? Tender Touch Occupational Therapy was established in 1999 to fulfill a dream by owner Terry Moser to provide occupational therapy services such as evaluations, treatments, and consultation services to children in a warm supportive environment. Terry had a desire to provide occupational therapy to children and incorporate the family for more intense carry over of skills into the home. Since its inception, Tender Touch Occupational Therapy has provided therapy and training programs in a variety of environments. After a considerable growth over the years, several highly skilled therapists now provide services in Monmouth County. Tender Touch Occupational Therapy is highly regarded for its services to children with autism spectrum disorder, pervasive developmental disorder, Aspergers syndrome, cerebral palsy, developmental delay, learning difficulties, sensory processing, communications disorders and behavioral problems. The therapists at Tender Touch address the childâ&#x20AC;&#x2122;s sensory processing and sensory integration needs with advanced techniques and treatment. Treatment is designed to provide challenging therapeutic activities with an enriched sensory experience in order to maximize your childâ&#x20AC;&#x2122;s ability to participate in daily life activities.
About the Ownerâ&#x20AC;Ś
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.
Fun and effective programs include: Handwriting Camp Yoga Group Sensory Motor Preschool Group Executive Functioning Group Individual Occupational Therapy for children from birth to 21 years of age Please call us at 732-335-4030 for more information about the exciting programs that we offer at Tender Touch.
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Does Your Child Need A Speech Program? Speech Start, p.a. provides children a safe, supportive and compassionate environment where they can learn and apply the fundamentals of speech and language skills efficiently.
Bernadette Mullen MA, CCC-SLP Business owner of Speech Start, p.a. Speech and Language Pathologist/ Special Education Teacher Our experienced clinicians create opportunities for children to cultivate natural language and other developmental and social skills. Through beneficial, caring, and hands-on experience, we employ a
variety of strategies and teaching modalities as we work with the child and their family. Our therapists develop and tailor programs that meet the developmental requirements of children with special needs and those of their typical peers. We work to provide therapies and services for apraxia of speech, autism spectrum disorder, language disorders, voice disorders, articulation and phonological processes, and social skills. Our therapists and clinicians can provide services related to academic tutoring (Language Arts pre-K â&#x20AC;&#x201C; 12, Mathematics through grade 8), behavioral feeding, contributing to sensory integration and fluency disorders. We believe that working together with families and schools is key to the individual childâ&#x20AC;&#x2122;s success. Our resources include agencies and associations that may assist families in understanding their childâ&#x20AC;&#x2122;s
About the Ownerâ&#x20AC;Ś
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.
The County Woman Magazine
challenges. Our doors at Speech Start are always open. Come visit us or call to learn more.
Super Saturdays in September!
Super Saturdays is a recreational program for kids and an educational series for parents focusing on sensory issues, language and social skills. Call for more information!
ASK!
Ask Speech start, headed by Elizabeth McCormack, is a forum for families and educational professionals to ask and share information, articles, and resources related to children with special needs. We will provide overviews of changes to laws and supports for our amazing students as well as helping you with more specific questions and needs.
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July/August 2014
Elder Life Management
22
Why Older Adults Often Refuse to Accept Help • They don’t want to forgo their privacy. Allowing and accepting someone new into your home is not easy and it’s even harder for a generation that puts so much value on privacy. It can also put you at risk when vulnerable.
By Judith S. Parnes
I
t isn’t easy for most people to accept help, even when it’s needed, but it can be particularly challenging for older adults to accept care. While many of us understand the need for temporary help, many older adults need help due to declining health. They typically realize that the need for elder care may be permanent. Many mistakenly believe the longer they wait to seek and accept care, the longer they preserve their independence. Present seniors grew up considerably different than the generations following them and the generations helping them. They are the generation who experienced some part of the Great Depression; they worked hard, stayed in their jobs for decades, and saved their money. Asking for help has not been part of their vocabulary and accepting it is even harder. When providers and family members notice a loved one’s decline, they commonly find their offers of help are refused. Below are listed some reasons why older adults are reluctant to accept help, followed by proven concrete suggestions as to how to intervene: • Distress about loss of independence. Accepting support is frequently interpreted as being synonymous with losing control and independence. How profoundly significant this factor is was validated in past studies, one, which spe-
cifically found that many seniors, fear losing their independence more than they fear death. • How to help.It is often the services being suggested that will maintain the independence of your loved one. The older adult needs to feel empowered to make the decision to accept assistance as a means to an end of remaining independent “with supports.” Discuss ways accepting help can allow the person to continue to participate in their community and stay at home. If possible give the older adult choices so that he/she can contact the organization directly. • Denial: Nobody likes to admit that their health is failing. Being faced with that eventuality can also make it clear that things potentially are not going to get better. Denial can prevent someone from taking a very necessary action. • How to help. Be realistic about the situation, without judgment. Help them to understand that this health issue requires a proactive approach, and that accepting assistance in the process can make the situation more manageable for your loved one and the family.
• How to help. If privacy is a key issue for your loved one, it may be advantageous to start by suggesting service options that are out of home options. Enrolling in an adult day program can offer care away from the home, and not impact personal living space. Medical alert systems offer monitoring from a distance. • Money: Even those older adults who have the financial resources to pay for some of the services that they need, often state that they can’t afford it. The thought of paying someone $20 an hour to come in and clean their house, or shovel their walk is often incomprehensible. Many often worry about spending funds on a regular basis as they will have nothing left to leave their children. • How to help.Discuss the fact that many of the services you are recommending can ultimately help them spend less in the long run. Bringing in supportive services at home can delay long term care placement and maintain independent living. Sometimes it is necessary to actually use the old guilt comments “Mom, please do this for me as I cannot sleep at night knowing you may fall.”
• Cognitive Impairment may be clouding the individual’s judgment: Even if the person doesn’t officially have a diagnosis of dementia, mild cognitive impairment may cause the individual to be unable to understand and/or acknowledge that there is a need for any assistance. Or, if they are aware that their memory is failing, some individuals want to keep family at arms distance so as not to allow anyone to really see what is happening. • How to help.Try to identify the best time of day to discuss things with your loved one, as well as the best person to initiate this dialogue. Having a comprehensive assessment of cognitive and decision making abilities may also be helpful at this time. Most importantly, identifying the older adult’s physician as the source for these recommendations is often a key factor contributing to successful acceptance of services. Physicians remain in charge of health care needs, in the minds of many older Americans and it is the Geriatric Care Manager that will work in conjunction with the physician to coordinate the necessary care plans.
Call Elder Life Management, 732-493-8080.
• 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. ELM 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.
3
Testimonials Say It All . . .
On behalf of my entire family, I would like to express my most heart-felt appreciation to Elder Life Management. The services provided to my mother were invaluable.” “I would also like to thank your Care Manager Sue H. Her professionalism was evident in every aspect of the care she provided. She always listened very carefully and her responses were always constructive and positive. Her attentiveness and availability was very comforting. Sue’s genuine compassion and concern were always present. — Anne D., Middletown, NJ
3
There really are no words to express the thankfulness we all feel. This would have been such a monumental task without you, if we could have done it at all. Knowing my mother is safe in her new environment and the Medicaid process was handled so efficiently is more than we could have ever hoped for. ~ Carol D., Stuart, FL
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Medical Professionals
23 15
What Is Gastroesophageal Reflux Disease (GERD)? What are the causes of GERD?
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What is GERD?
Gastroesophageal reflux disease (GERD) is a chronic digestive disease where stomach acid flows back or refluxes into the food pipe, or the esophagus. During swallowing, the lower esophageal sphincter relaxes so that food and liquid can go into the stomach. If the valve is abnormal or weak, the acid will come back to the esophagus. The lining of the esophagus is not designed to tolerate the acidity of stomach contents. Therefore, reflux of acid into the esophagus causes symptoms. It is reported that more than 60 million Americans have heartburn at least once a month. More than 15 million people have heartburn daily.
What are the symptoms of GERD?
Symptoms include heartburn, which is a burning sensation in the chest. Patients can have acid regurgitation, which feels like a sour bitter fluid in the throat. The burning can often last for up to 2 hours and is often worse after eating. Other signs of GERD include chest pain, difficulty swallowing, dry cough, hoarseness or throat, and occasionally a sensation of a lump in the throat.
Many conditions can lead to the reflux of acid into the esophagus. A hiatal hernia can cause the lower esophageal sphincter to get weak. A hiatal hernia occurs when the upper portion of the stomach moves up into the chest cavity through a small opening in the diaphragm. While a hiatal hernia may let stomach contents to reflux more easily, many people with a hiatal hernia do not have problems with gastroesophageal reflux disease. Other conditions that can contribute to GERD are smoking, obesity, and pregnancy. Some foods and beverages can also play a role in GERD. These include chocolate, fried or fatty foods, peppermint, citrus foods, tomato products, pepper, coffee and certain alcoholic beverages.
What are the complications of GERD?
for GERD. It is important to avoid foods and beverages that can weaken the lower esophageal sphincter. These include chocolate, peppermint, fatty foods, citrus fruits, coffee, and alcohol. Doctors also recommend eating meals at least 3 hours before bedtime. Smoking cessation is also important. Many patients also find relief by elevating the head of the bed using 6 inch blocks or using a wedge. This allows gravity to reduce the reflux of stomach contents in the esophagus. When lifestyle changes are not enough, antacids can be used to neutralize stomach acid. Long term use
risk of esophageal cancer.
How is GERD diagnosed?
The most important part of diagnosing GERD is your history, or your signs and symptoms. Your physician may suggest additional tests as needed. These can include an x ray of the upper digestive tract known as an upper GI series. This entails drinking a barium liquids which fills the inside lining of the digestive tract and then having x rays taken of the esophagus, stomach, and small intestine. Another test is an upper endoscopy or EGD. During this procedure, a gastroenterologist will insert a thin flexible tube equipped with a light and camera into the throat while you are sedated. The doctor can then examine the stomach and esophagus and take a biopsy looking for Barrettâ&#x20AC;&#x2122;s if needed. In some difficult cases, patients may also need a test to monitor the amount of acid in the esophagus. This is done by using an acid measuring device. A monitor that is a clip is placed in the esophagus during the endoscopy. The probe transmits a signal to a small computer that is worn around the waist for 2 days, and the probe then falls off and is passed in your stool.
If you have heartburn more than twice a week or take over the counter reflux medications, it is important that you see your doctor. Chronic untreated reflux can lead to complications. These include esophagitis, esophageal ulcers, or narrowing of the How is GERD esophagus from formation of treated? scar tissue. These can all make Dietary and lifestyle changes swallowing difficult. Another are the first line of treatment significant complication of GERD is a precancerous change in the lining of the esophagus known as Barrettâ&#x20AC;&#x2122;s esophagus. In this condition, the lining of the esophagus is composed of Services: different cells and can be associated Adult Gastroenterology with an increased Colon Cancer Screenings
of antacids can result in side effects. Medications that reduce stomach acid can also be used. These include H2 blockers such as Tagamet, Zantac, or Pepcid. Another type of drug known as the proton pump inhibitor (PPI) can block an enzyme used to produce acid in the stomach. Examples include Nexium, Prevacid, Prilosec, Dexilant, and Protonix. If you are experiencing the symptoms of GERD, please call 732-517-0060 to schedule an appointment at Shore Gastroenterology Associates with Dr. Shamina Dhillon.
Standing: Drs. Terrany, Schwartz, Maki, Akhtar Center: Maggie Doherty and Denise DiPierri, Nurse Practitioners Sitting: Drs. Turtel and Dhillon
Board BoardCertiďŹ ed CertifiedPhysicians Physicians Our Female Physicians
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.,
Endoscopic Procedures Gastrointestinal Diseases Liver Diseases
OurNurse NursePractitioners Practitioners Maggie Doherty,N.P. N.P. Denise DiPierri, Maggie DeniseDoherty, DiPierri,N.P. N.P.
BOARD CERTIFIED GASTROENTEROLOGY
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732.517.0060
Magazine The County Woman Magazine
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July/August 2014 January/February
Medical Professionals
24
The Doctors Of Seaview Orthopaedic & Medical Associates • STEVEN BERKOWITZ, MD, PA, FAAOS • KENNETH CHERN, MD, PA, FAAOS • VINAY Chopra, MD • HARALAMBOS DEMETRIADES, MD, PA, FAAOS • JOEL FECHISIN, MD • KEIRON GREAVES, MD • ARON GREEN, MD, PA, FAAOS • PAUL HAYNES II, MD • ARTHUR MARK, MD, PA, FAAOS • KEVIN MCDAID, MD, PA, FAAOS • ADAM MEYERS, DO, FAAPMR • ROY MITTMAN, MD, PA • HOAN-VU NGUYEN, MD, PA, FAAOS • ROBERT PANNULLO, MD, FAAPMR • CHRISTOPHER SPAGNUOLA, MD, PA, FAAOS • SUNIL THACKER, MD, PA, FAAOS • ARTHUR VASEN, MD, PhD, PA, FAAOS • PRAVEEN YALAMANCHILI, MD
{Steven Berkowitz,
MD,
FACS, FAAOS, CIME
Dr. Berkowitz attended medical school at the College of Medicine, SUNY Health Science Center at Brooklyn, NY and completed a residency at NYOH/ New York (Columbia) Presbyterian Medical Center. He is board certified by the American Board of Orthopaedic Surgery, as well as the American Board of Independent Medical Examiners. He is an attending physician at Jersey Shore University Medical Center and Ocean Medical Center.
{Kenneth Chern,
MD,
FAAOS
Dr. Chern is a graduate of the College of Physicians and Surgeons Columbia University, NY and completed his residency at NY Orthopaedic Hospital/ Columbia Presbyterian Medical Center, NY. He completed a Fellowship in sports medicine at Southern Sports Medicine and Orthopaedic Center in Nashville. He is board certified by the American Board of Orthopaedic surgery with a subspecialty certification in sports medicine. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.
{Vinay Chopra,
MD
Dr. Chopra earned his undergraduate degree from Rutgers University, and medical degree with honors from Ross University School of Medicine. He completed his residency in Family and Community Medicine at University of Maryland Medical Center in Baltimore, and completed his fellowship in Sports Medicine at Atlantic Health, Morristown Medical Center, in affiliation with the prestigious Mount Sinai School of Medicine. Dr. Vinay Chopra specializes in non-surgical orthopaedics, concussion management, sports performance, and rehabilitation.
The County Woman Magazine
Dr. Chopra is the head team physician at Felician College and school physician for Manalapan and Feehold High Schools. He is certified in Combat Medicine and appointed by the New Jersey State Athletic Control Board as a ringside physician. He has covered numerous mixed martial arts events such as Cage Fury Fighting Championships, Ring of Combat, and Dead Serious.
{Haralambos Demetriades,
MD, FAAOS
Dr. Demetriades attended Mt. Sinai School of Medicine in New York and completed his residency training at Mt. Sinai Medical Center. Dr. Demetriades continued on to obtain a Fellowship in Spinal Surgery Fellowship at Beth Israel Medical Center. He is board certified by the American Board of Orthopaedic Surgery. His specialties are spine surgery, spine trauma and deformity and scoliosis. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.
{Joel Fechisin,
MD, PA
Dr. Fechisin is a graduate of UMDNJ-Robert Wood Johnson Medical School. Following a one-year surgical internship at Abington Memorial Hospital in Abington, Pennsylvania, he completed his residency in orthopaedic surgery at Monmouth Medical. He went on to earn his Fellowship in Adult Reconstruction at Insall Scott Kelly Institute in New York, NY. Dr. Fechisin specializes in all disorders and injuries of the knee, total joint replacement, and also has subspecialty training in arthroscopy and cruciate ligament reconstruction. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.
{Keiron Greaves,
MD
Dr. Greaves graduated UMDNJ Robert Wood Johnson Medical School. He completed his residency in Anesthesiology at SUNY Downstate Medical Center in 1993. Dr. Greaves completed his Fellowship training in Pain Management at SUNY Heath Science Center at Brooklyn University Hospital, Kings County Department of Anesthesiology, and Long Island College Hospital Veterans Administration Hospital in Brooklyn, NY. Dr. Greaves is board certified in pain management. He is an attending physician at Monmouth Medical Center.
{Aron Green,
MD, FAAOS
Dr. Green is a graduate of the University of Medicine and Dentistry of New Jersey/New Jersey Medical School. He also completed a Foot and Ankle Fellowship at Allegheny General Hospital in Pittsburgh, PA. He is board certified by the American Board of Orwww.TheCountyWoman.com
thopaedic Surgery and is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.
{Paul Haynes II,
MD
Dr. Paul Haynes completed medical school at UMDNJ/New Jersey Medical School in Newark New Jersey. Following medical school, he completed internship and residency at Albert Einstein College of Medicine at Montefiore Medical Center, Waters Place, in Bronx New York. He went on to complete his fellowship in Orthopaedic Surgery and Pediatric Sports Medicine, Limb & Pediatric Deformity at Albert Einstein College of Medicine Montefiore Medical Center at Waters Place, in Bronx New York. He also completed an Arthroscopic Fellowship at Staten Island Orthopedics & Sports Medicine, in Staten Island, New York. Dr. Haynes is a general orthopaedic surgeon, specializing in Pediatric Sports Medicine, Limb & Pediatric Spine Deformity as well as General and Pediatric Orthopaedics/Surgery. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center, Monmouth Medical Center and Saint Peter’s University Hospital.
{Arthur Mark,
MD, FAAOS
Dr. Mark is a graduate of Temple University School of Medicine. He completed his residency training at Albert Einstein Medical Center. Dr. Mark then obtained a Fellowship at Massachusetts General Hospital in Adult Reconstruction. He presently is a Clinical Assistant Professor of Orthopedic Surgery at Drexel University College of Medicine. His specialties are general orthopaedic surgery and total joint replacement and revision. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.
{Kevin McDaid,
MD, FAAOS
Dr. McDaid is a graduate of Thomas Jefferson University in Philadelphia, Pennsylvania. He completed his residency at Monmouth Medical Center and his Fellowship training in upper extremity/hand surgery at The Hand Center of San Antonio in Texas. He specializes in general orthopedic surgery and upper extremity and hand surgery. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center. ABOUT SEAVIEW ORTHOPAEDICS: At Seaview Orthopaedic & Medical Associates, we have been committed to providing you with quality orthopedic care for over 30 years! Our patients’ total experience with our practice is our number one priority.
July/August 2014
Medical Professionals
25
Seaview Orthopaedics is committed to providing quality care in Monmouth and Ocean Counties. We specialize in surgical and non-surgical care of orthopaedic-related injuries.
{Adam Meyers,
DO, FAAPMR
Dr. Meyers received his medical degree from the University of Health Sciences College of Osteopathic Medicine and also trained at the University of Pennsylvania and the Hospital of the University of Pennsylvania. He completed his residency training at The Hospital of the University of Pennsylvania and is certified by the American Board of Physical Medicine and Rehabilitation and the American Academy of Electrodiagnostic Medicine. He is an attending physician at Monmouth Medical Center.
{Roy Mittman,
MD
Dr. Mittman attended Albert Einstein College of Medicine in New York. He completed his residency at Montefiore Medical Center in New York. He specializes in general orthopaedic surgery, total joint replacement and arthroscopic surgery. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.
{Hoan-Vu Nguyen,
MD, FAAOS
{Robert Pannullo,
MD, CIME, FAAPMR
Dr. Pannullo is a graduate of Wayne State University School of Medicine and also trained at KDV Orthopaedics and Rehabilitation in York, PA. He completed his residency at New York Hospital/Cornell Medical Center (currently NY Presbyterian Hospital) and completed an Interventional Spine Techniques and Pain Management Fellowship at KDV Orthopaedics & Rehabilitation, LTD. He is a specialist is Physical Medicine and Rehabilitation and EMG Testing. He is certified by the American Board of Physical Medicine and Rehabilitation and the American Board of Independent Medical Examiners. He is an attending physician at Jersey Shore Medical Center, Ocean Medical Center and Monmouth Medical Center.
{Christopher Spagnuola,
MD, FAAOS
Dr. Spagnuola is a graduate of The University of Medicine and Dentistry of New Jersey. He completed his residency at Monmouth Medical Center. He received his Fellowship at Thomas Jefferson University in Sports Medicine. He completed further training at Monmouth Medical Center and Children’s Hospital of Philadelphia. He is board certified by the American Board of Orthopaedic Surgery with sub-specialty certification in sports medicine. Dr. Spagnuola worked as an Assistant Team Physician for the Philadelphia Phillies and Wings organizations. He specializes in arthroscopic surgery. He is presently a Clinical Assistant Professor of Orthopaedic Surgery at Drexel University College of Medicine. He is an attending at Jersey Shore University Medical Center, Ocean Medical Center, and Monmouth Medical Center.
Dr. Nguyen is a graduate of Temple University School of Medicine and completed his residency training at Penn State Milton S. Hersey Medical Center. From there he obtained his Fellowship in spine surgery at San Diego Center for Spinal Disorders. He specializes in general orthopaedic surgery, neck and back surgery and disc replacement. He is an attending physician at Jersey Shore University Medical Center, TEAM APPROACH: We encourage you to become part of your healing process by asking questions and actively participating in you doctor’s instructions. Your confidence Ocean Medical Center and and trust in your doctor will ultimately lead to a quicker recovery period to put you back Monmouth Medical Center. on track with your daily activities and pleasures. Should you require medical treatment for orthopaedic injuries or bone disease, please give us a call. We would be happy to be there for you in your time of need.
Seaview Orthopaedic & Medical Associates
Call one of our convenient locations to schedule your appointment.
Board Certified And Fellowship Trained Physicians
If you have questions or concerns, call Seaview Orthopaedic & Medical Associates, 732-660-6200.
{Sunil Thacker,
MD, FAAOS
Dr. Sunil Thacker is a graduate of UMDNJ-New Jersey Medical School. He also completed his residency at UMDNJ-New Jersey Medical School. He went on to earn his Fellowship in sports medicine at the University of Pennsylvania in Philadelphia, PA and is board certified by the American Board of Orthopaedic Surgery. His practice also focuses on joint preservation arthroplasty in active adults. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center, Monmouth Medical Center and Saint Peter’s University Hospital.
{Arthur Vasen,
MD, PhD, FAAOS
Dr. Vasen attended the University of Medicine and Dentistry of New Jersey- Robert Wood Johnson Medical School. He completed his residency at Case Western Reserve University Cleveland, OH. He earned his Fellowship at Brigham and Women’s Hospital in hand and upper extremity surgery. His specialties are general orthopaedics, trauma surgery, hand and upper extremity surgery and arthritis surgery. Dr. Vasen is board certified by the American Board of Orthopaedic Surgery. He is presently an Assistant Clinical Professor at Drexel University College of Medicine. Also, he is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.
{Praveen Yalamanchili,
MD
Dr. Yalamanchili 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 particuOfficial Doctors lar interest inTeam cervical (neck) surgeryOf: as well as minimally invasive and motion sparing procedures. Dr. Yalamanchili is a fellowshiptrained Spine Surgeon, who completed his training at Emory University in Atlanta, Georgia. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center, Monmouth Medical Center and Saint Peter’s University Hospital.
Specializing in:
Spinal Surgery/Scoliosis • Hand & Upper Extremity Total Joint Replacement • Trauma/Fracture Care Bone Density Testing • Osteoporosis Management Workers’ Compensation Independent MedicalOFFICE Exams ■ FREEHOLD OFFICE ■ MONROE•OFFICE ■ BARNEGAT 222 Schanck Road 294 Applegarth Road, Suite C 500 Barnegat Blvd, Bldg. 200 Foot & Ankle • General Orthopaedics Freehold, NJ 07728 Monroe Twp., NJ 08831 Barnegat, NJ 08005
Official Team Doctors Of:
STEVEN BERKOWITZ, M.D., P.A. ROY D. MITTMAN, M.D., P.A. ■ SATELLITE ■ OCEAN OFFICE ■ BRICK OFFICE OFFICE ARTHUR P. VASEN, M.D., PH.D., P.A. 1200 Eagle Avenue 1640 Route 88 West IN Ocean, NJ 07712 Brick, NJ P.A. 08724 KENNETH Y. CHERN, M.D., LAKEWOOD Ph: (732) 660-6200 Ph: (732) 458-7866 Ph: (732) 462-1700 Ph: 609-495-1888 Ph: 609-488-3988 Patriot’s Park HARALAMBOS DEMETRIADES, M.D., P.A. www.seaviewortho.com • 732-660-6200 222 Schanck Road • Freehold, NJ ARTHUR K. MARK, M.D., P.A. CHRISTOPHER J. SPAGNUOLA, M.D., P.A. www.TheCountyWoman.comSeaview The County Woman Magazine July/August 2014 Pavilion
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a psychiatrist at Stanford University. â&#x20AC;&#x153;Changing your mindset can change whatâ&#x20AC;&#x2122;s Youâ&#x20AC;&#x2122;ve probably heard of â&#x20AC;&#x153;fire walkersâ&#x20AC;? â&#x20AC;&#x201C; individuals who prepare mentally to going on in your body,â&#x20AC;? he noted. Hypnosis has been used successfully to diminish the walk over a bed of hot coals, and who do so â&#x20AC;&#x201C; without any physical discomfort when the top jaw (maxilla) is too your upper jaw must not be rigidly be placed in. Turningheadaches, the discomfort of arthritis, fibromyalgia, spine problems, skin conditions, IBS, or harm. Itâ&#x20AC;&#x2122;s not hocus-pocus or make-believe, and the laws of physics can explain narrow for the bottom jaw. This is attached to the restand of the skull. If screw, which is done with other types of pain. It is used pre- and post-operatively to lessen the stress and dissome of it. Fire walkers really do walk over intensely hot coals. They accomplish this called cross bite. It could be that the sutures that attach your upper a key, then activates the comfort surgery,expander. and to promote a speedy recovery. People undergoing chemotherapy feat through proper preparation, a strong andorpositive expectation. Thistoistheanrest of your skull of onlydesire, one side, both sides, and/ jaw are After the screw find itwill useful unpleasant side effects. Women who use hypnotic techinteresting example of the power of the â&#x20AC;&#x201C; andis how it can be used tostill handle ormind all around too narrow. open,pain this appliance be in countering is done being turned, the niques during pregnancy and birthing find the entire process more joyful, comfortable, able to widen the jaw itself. If the screw will then be turned and discomfort. sutures have already fused, this starting the following and less centered on the â&#x20AC;&#x153;agonyâ&#x20AC;? of childbirth. Who can get a palatal appliance can openly widen the morning, and once at expander? Millions of people in this country suffer from pain and discomfort, and along upper jaw if you have had surgery night before removing the how you perceive pain: your emotions, Thecapacity crucial part about their the lives, and feelings There are many factors that influence with that - high levels of stress, limited to enjoy your upper jaw from your skull in expander. palatal expander is timing. your perception of what that pain may signify, your personality and thought patof Sezer sadness.Olcay, They are evaluated, have diagnostic tests, are referred for physical therapy, DMD key areas. The orthodontist can estimate What are withthe pain. Using hypnosis and coaching, these issues are gobble up painOrthodontics medication like candy,the theamount list goesofon and on. And, yet, for many â&#x20AC;&#x201C; the terns, and previous experiences Holmdel skeletal growth benefits of the addressed, and . . . pain and emotional stress are still there, are muted by medication, youorhave remaining by taking and they feel slugexpansion? t :PVS TUSFTT MFWFM JT SFEVDFE Olcay gishDr. andSezer â&#x20AC;&#x153;foggy.â&#x20AC;? Itâ&#x20AC;&#x2122;s not unusual for these people toradiograph. be told, â&#x20AC;&#x153;Thereâ&#x20AC;&#x2122;s nothing more a Hand-Write For The palatal expander Thanks to the amazing not be your typicalItorthodontist. females, your skeletal growthperspective. is t :PVS QFSDFQUJPO PG QBJO JT BMUFSFE thatiscan done.â&#x20AC;? may seem true from a strictly physiological However, creates space for crowded technology in the field of In fact, it is not uncommon for largely complete by age 14. For t :PV CFDPNF BCMF UP GPDVT NPSF FBTJMZ PO PUIFS UIJOHT pain or discomfort can be lessened for many individuals who are willing to be partners front teeth, corrects a cross-bite of orthodontics, patients now her patients to keep in touch males, your orthodontist may be t :PV HBJO B GFFMJOH PG FNQPXFSNFOU BOE PQUJNJTN the back teeth, if one was present, in the process of pain relief. have more options when it with her and actually form able to get a sense of how much improves the width of the smile t :PVS PWFSBMM TFOTF PG XFMM CFJOH JT FOIBODFE comes to braces. You can be caring relationships. She has more skeletal growth you have left and its appearance, and improves does the palatal t :PV QSBDUJDF TFMG IZQOPTJT BOE VTF SFJOGPSDFNFOU $%T assured that Dr. Olcay and There is a vastOrthodontics amount of professional literature hypnobeen practicing by comparing yourinvestigating stature to yourthe role ofWhat the airway if construction of the expander procedure her caring staff will guide you in Monmouth County the sis in pain and stressformanagement, which has been overwhelmingly supportive. parents. Generally, three to six sessions are issuggested. nasal passages blocking the involve? in making the right decision. past 11 years and deals with â&#x20AC;&#x153;If this were a drug, everyone would be using it,â&#x20AC;? commented David Spiegel, MD, airflow.
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May/June2014 2014 May/June July/August 2014
Medical Professionals
Women and Cancer:
PART II
Cancer Of The Uterus
Submitted by: Dr. Sarah J. Easaw, MD, FACP, Ocean Hematology & Oncology
U
terine cancer, also known as endometrial cancer is the most common cancer of the reproductive organs among women in the US. It is estimated that about 52,000 women will be diagnosed with endometrial cancer this year. Uterine cancer is rare in women 45 and under. Most cases are diagnosed in women over 55. Risk Factors: Hormonal factors: Prolonged exposure to the female hormone estrogen is directly linked to developing endometrial cancer. Women who had more menstrual cycles during their lifetime have an increased risk of getting cancer of the uterus. For example, if you started your period before age 12, and you have your menopause in the late fifties, you have an increased risk of endometrial cancer. Women who take estrogen alone as hormone replacement therapy also have a high risk. The number of pregnancies a woman had plays a protective role. In women who never had children, the risk of uterine cancer is high. Tamoxifen, a drug used in the treatment of breast cancer, may lead to endometrial cancer in a minority of patients. Obesity: Endometrial cancer is common among overweight women than those who are lean. Estrogen, the female hormone produced in the ovaries, is also made from fat cells. Having more fat tissue increases the amount of estrogen in the body and thus increases the risk of endometrial cancer.
Diet and exercise: Diets high in fat will increase the risk of uterine cancer. Exercise has a protective effect. Women who exercise regularly are less likely to develop endometrial cancer than those with sedentary habits. Diabetes: Uterine cancer is four times more common in women who have diabetes; this is true for those who are obese as well as those with normal body weight. Family History: Some genetic mutations, which are hereditary, can lead to endometrial cancer and colon cancer.
Lower abdominal pain, pressure sensation, feeling a mass or lump in the lower abdomen and unexpected weight loss are some of the other symptoms of uterine cancer. Diagnosis is made by doing a biopsy of the lining of the uterus. Before doing a biopsy, an ultrasound of the pelvis can be done to evaluate the size of the uterus and the thickness of the endometrial lining.
Treatment: Hysterectomy is the main treatment for cancer of the uterus. In addition to removing the uterus, both ovaries and surrounding lymph nodes will be removed. Depending on the stage of the cancer and a few other factors, some women may require Radiation Therapy and/or Chemotherapy after surgery.
As with any other cancer, prevention, early detection and treatment are three important steps in reducing the fatality of uterine cancer. Lifestyle modifications, including eating a low fat diet, and daily exercise are key in lowering your risk. Awareness of the symptoms and seeking prompt attention is equally essential. For details about treatment of endometrial cancer or for any other cancerrelated questions, contact Dr.Sarah J. Easaw MD at 732-961-0010
Compassionate Cancer Care, Close to Home
Signs and Symptoms of Endometrial cancer: Bleeding: Most patients diagnosed with endometrial cancer have abnormal vaginal bleeding. It could be a change in their periods or bleeding between periods or after menopause. It is important to seek medical attention for any irregular bleeding immediately. If you have gone through menopause, it is especially important to report any vaginal bleeding, spotting, or abnormal discharge to your doctor. Non-bloody vaginal discharge may also be a sign of endometrial cancer. Even if you cannot see blood in the discharge, it does not mean there is no cancer. In about 10 percent of cases, the discharge associated with endometrial cancer is not bloody. Any abnormal discharge should be checked out by your doctor.
Patient Testimonials: • “I am so appreciative and grateful that I was put in contact with Dr. Easaw and staff. They are so compassionate about your treatment and personal well being… the doctor gave me the confidence and reassured me. They certainly kept me lifted even when I would get so depressed that I would want to quit. Something about the doctor and staff always gave me an uplift, even when things got very tough.” ~ Cecile , Brick, NJ • “Dr. Easaw has continued to monitor me with regards to my Hodgkin’s Disease in a very professional yet compassionate manner. From the moment I enter her office I am greeted warmly by her staff, and I know I will be well cared for by someone who cares.” ~ David , Manchester, NJ
Visit www.oceanhemonc.com
27
The County Woman Magazine
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 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
July/August 2014
Medical Professionals
28
A Quick Guide to Infertility Infertility means not being able to get pregnant after one year of trying (or six months if a woman is 30 or older). The following are commonly asked questions about the causes of infertility and ways to increase your chances of conceiving. • Is infertility a common problem? Yes. Roughly one in eight couples experience difficulty getting or staying pregnant. That’s about 10 percent of women (6 million) in the United States. • Is infertility just a woman’s problem? No. Men can have problems that cause infertility. About one-half of infertility cases are caused by women’s problems. Another one-third of fertility problems are due to the man, and the rest are a combination of both partners. Luckily, most of these problems can be easily remedied. • What causes infertility in men? Infertility in men can be caused by different factors and is typically evaluated by a semen analysis. A specialist will evaluate the number of sperm (concentration), motility (movement), and morphology (shape). A slightly abnormal semen analysis does not mean that a man is necessarily infertile. Instead, a semen analysis helps determine if and how male factors are contributing to infertility. • What increases a man’s risk of infertility? A man’s sperm can be affected by his overall health and lifestyle reducing the number of healthy sperm cells. These include; heavy alcohol use, drugs, smoking cigarettes and marijuana, age, environmental toxins, including pesticides and lead. Also, mumps as a child and serious conditions of the kidney, or hormone problems, some medicines, radiation treatment and chemotherapy for cancer may put a man at risk. •How does age affect a woman’s ability to have children? Many women are waiting until their 30s and 40s to have children. One out of 5 women in the United States now
have their first child after age 35. Age is a growing cause of fertility problems. About one-third of couples in which the woman is over 35 have difficulty conceiving. Aging decreases a woman’s chances of having a baby since the health and vitality of her eggs decrease over time. * What causes infertility in women? Many cases are due to problems with ovulation. Without ovulation, there are no eggs to be fertilized. A woman is not ovulating normally if she has very irregular or absent menstrual periods. Ovulation problems are often caused by polycystic ovarian syndrome (PCOS). PCOS is a hormone imbalance problem that can interfere with normal ovulation. PCOS is one of the most common causes of female infertility. Primary ovarian insufficiency (POI), or ovarian failure (premature menopause) is another cause of ovulation problems. POI occurs when a woman’s ovaries stop working normally before she is 40. Blocked fallopian tubes due to pelvic inflammatory disease, endometriosis, or surgery for an ectopic pregnancy can lead to inability for the egg to meet the sperm. Problems with the uterus such as fibroid tumors, which are non-cancerous growths in the muscle on the walls of the uterus, can affect the ability of an embryo to implant on the wall on the uterine lining. * What things increase a woman’s risk of infertility? Many things can change a woman’s ability to have a baby. Age, smoking, excess alcohol use, stress, poor diet, excessive athletic training, being over or underweight, sexually transmitted infections (STIs), health problems that cause hormonal changes, such as polycystic ovarian syndrome and primary ovarian insufficiency. * How does a person know whether to go for fertility testing? If you are over the age of thirty 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, the better in fact.
If you are under thirty years old and have been trying to conceive without success for more than six months, then it may be time to book a consultation with a fertility specialist to determine whether a simple three step testing process to answer four specific questions would be recommended.
Fertility Testing Involves: 1. Bloodwork to evaluate ovulation and hormone levels 2. Ultrasound to check the uterus, ovaries, and fallopian tubes 4. Semen Analysis to evaluate sperm count and motility The best advice a fertility specialist can give to anyone is to be aware of your body, think ahead, and it is always better to be over cautious and test early than to wait until a small problem becomes a big issue.
20th Year Celebration!
2,500+ Babies Conceived Allen Morgan, MD, FACOG 475 Rt. 70 West, Suite 201 Lakewood, NJ 08701
732.363.4777 Additional office locations in Freehold and Galloway
AllenMorganMD.com
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Featured
On The
Cover
29
Making Miracles Happen Dr. Allen Morgan was drawn to the world of obstetrics and gynecology by way of his father. His dad practiced obstetrics and gynecology in the Ocean County area for many years and played a major role in guiding his son in that direction. He adds, “Four of my five brothers became OB/GYN’s, and I also have a sister who is in women’s health as an ultrasound technologist. So, I guess you could say women’s health runs in the family!” “As a fertility specialist, one must constantly be up to date as new technology advances. Our pregnancy rates are among the highest in the country because of knowing what regimes of medications and procedures work best. We are also required to maintain a deep level of compassion and patience. I enjoy helping my patients through an emotional, yet joyful journey,” he says.
CW: Tell us about your educational background.
Dr. Morgan: After completing my bachelor’s degree at Columbia University, I attended medical school at Far Eastern University in Manila while a Captain in the U.S. Army Reserves. I then did my residency in Obstetrics and Gynecology, both at Long Island Jewish Medical Center, New York, and Jersey City Medical Center. Finally, I completed my Fellowship in Reproductive Endocrinology and Infertility at The University of Kentucky.
CW: What is the best part about working in this specialty? What do you find the most rewarding?
Dr. Morgan: Working with my team of nurses, embryologist, and technical staff to help my patients carry a pregnancy they thought would never happen is amazing. We all work together with one goal in mind; that couples’ future baby. The joy and happiness they receive is the best part. I love what I do from start to finish. Of course, it is the final product that is the most awesome part for me, especially when they come visit with their bundle of joy.
CW: What is the most difficult part?
Dr. Morgan: The most difficult part of being a fertility specialist is to witness the frustration some couples experience. It seems unfair for these young healthy couples to have to go through something that is supposed to be natural. The truth is, science is not perfect and we can’t help everyone, but we’re getting better all the time.
CW: Why do you think fertility testing is more common these days?
Dr. Allen Morgan, M.D., FACOG Allen Morgan Fertility and Reproductive Medicine 475 Rt. 70 West, Suite 201 Lakewood, NJ 08701
732.363.4777 Additional office locations in Freehold and Galloway
AllenMorganMD.com
Dr. Morgan: Fertility testing is more common today for a number of reasons. First, the percentage of couples experiencing infertility has increased substantially in recent years. Today, 1 in 8 couples reportrequiring assistance to start a family. Of those couples, 90 percent report they wish they had started the fertility process sooner. Moreover, many experts believe that number is actually higher since many couples don’t report such issues due to the stigma surrounding infertility. Also, many young women are now choosing to freeze their eggs while they are young and healthy in order to pursue careers and become pregnant at a later time. So, there is a buzz out there about that.
CW: How has your profession changed over the past 20 years?
Dr. Morgan: Pregnancy rates with assistance have improved dramatically. Many more can achieve their dream today than ever before. In terms of technology, we now have a safer and more effective egg retrieval process, a new and better embryo culture and freezing technique, and a process called ICSI, which revolutionized treatment for male factor infertility. This allows fertilization to take place even in cases of severe male factor infertility. The greatest improvement Dr. Morgan has seen in this field over the last 20 years is that of access to treatment. He adds, “When I started, there was no insurance coverage for infertility treatment. Then, several states recognized infertility as a disease and a disability, creating laws requiring insurance coverage for fertility treatment. One of those states is New Jersey. Increased insurance coverage equals increased access to care.”
CW: Who is a good candidate for fertility testing and why?
Dr. Morgan: a fertility specialist should test any woman who is under 30 and has been trying for one year or more right away. The longer a person waits, the more difficult treatment might become. If a woman is close to, or over 40 years old and has been trying to become pregnant for more than six months, she should make an appointment immediately. The health of a woman’s eggs deteriorates over time. Additionally, any couple with a background or family history of reproductive system issues should be tested as soon as they decide to have children. Many issues can be greatly minimized the earlier the problem is identified.
CW: What are some suggestions for couples that are trying to conceive?
Advancing the Science of Reproduction
Dr. Morgan: Understand the female cycle and know when it’s best to conceive. There’s lots of smart phone APPS for that now. Men and women should stop smoking cigarettes, which is linked to low sperm counts and sluggish motility as well as double miscarriages rates, and it is toxic to eggs. Decrease your drinking, as alcohol can reduce the production of normally formed sperm needed for a successful pregnancy. Watch your weight. Both overweight and underweight men and women can have fertility problems. In women, it can cause ovulation problems. Exercise at least 3- 5 hours a week. Most fertility problems are easy to fix and do not require expensive treatments.
Contact Dr. Morgan at 732.363.4777
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
30
Specialty Cakes
&
Chocolate Novelties
Wedding Cakes, Whatâ&#x20AC;&#x2122;s Hot in 2014 used in cakes every weekend and the results are stunning.
Ruffled Cakes
By Lisa Poradaâ&#x20AC;¨Owner, Cake Designer Chocolate Carousel
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f ever thereâ&#x20AC;&#x2122;s a time for having your cake and eating it too, itâ&#x20AC;&#x2122;s your wedding day. Lisa Porada, Owner of Chocolate Carousel, and her professional staff offer tips on what is popular in 2014 and how to navigate the layers of options. At your wedding reception, the wedding cake may arguably be one of the most important aspects. It is displayed as a centerpiece throughout the night for all the guests to enjoy and then is served as a delicious dessert at the end of the event. I have always felt that the wedding cake should be a representation of the couples style and personality. For this reason, our staff personally assists every couple design their dream cake. In doing so, it is helpful to understand some of the current trends in wedding cake design. Below are some of the hottest cake design trends for this season. We are seeing these styles
The Ruffled Cake is very popular this season. It accomplishes a hint of rustic charm to your reception. When done in sugar the ruffles are fine and very detailed. A similar look can be accomplished in buttercream giving the cake a softer finish. This detailing is airy and doesnâ&#x20AC;&#x2122;t need much embellishment, perhaps just a flower or two to complete the look.
Naked Cakes
Yes, I said naked. The naked cake is a deconstructed cake style where the inside of the cake becomes the design. There is no icing covering these cakes. These will be extremely popular this summer paired with fresh berries and filled with fillings, such as raspberries or strawberries that gently overflow the layers. These cakes are beautiful and very appetizing!
White-on-White Wedding Cakes
The all white wedding cake is always a wedding cake classic. However, the modern style adds all white embellishments onto the traditional all white cake. Piped lace, embroidery, or pearls are an excellent way to jazz up the all white cake.
lace overlay on the cake. These cakes look best when the base color is just one shade different from the lace color adding just a touch of contrast. It is really fun to match the lace design to the lace on the brides dress adding that subtle personal touch.
Rustic Wedding Cakes
Rustic, earthy weddings are all the rage in 2014. With these rustic styles we use a very neutral color pallet with a soft textured or stucco type icing and finish the cake with a touch of greenery or soft hued fresh flowers. The feel is very inviting and warm. Just as important in accomplishing the rustic feel is the way the cake is displayed. Donâ&#x20AC;&#x2122;t forget to think about how to decorate your cake table to achieve the perfect look.
Geometric Wedding Cakes
Geometric Wedding Cakes are the perfect style for a contemporary reception or urban setting. Adding Squares, Stripes, Diamonds or Chevron patterns to the wedding cake makes the cake very interesting and fun. Square cakes set offset or mixed shapes can add to the look. It is important not to add too much color to these designs. We want the cake to look chic, not busy.
Lace Wedding Cakes
I have seen a jump in popularity of the lace-covered wedding cakes. These designs can be achieved by hand piping a lace design onto the wedding cake or by using a fondant
Rosette Wedding Cakes
The rosette trend is one of my favorites of the season. It adds texture to the cake but in a vintage and elegant way. These cakes are completely covered in hand piped rosettes or sugar roses. Rosettes can be done in white or ivory and can be enhanced with an occasional rosette in a color that matches your theme. The rosette design can also be reserved for just one or two tiers, alternating with smooth iced tiers for a very interesting look
Ombre Wedding Cakes
Both elegant and whimsical at the same time, color ombre cake designs are popular in 2014. Using the color palette of your wedding in a soft fading style from dark to light makes your centerpiece a truly complimentary part of your reception. We have done these cakes in very subtle hues such as blush pink to ivory or in more bold hues like blue fading to orange and yellow to mimic a sunset.
different options, which can become a bit overwhelming to guests and servers.
Monogrammed Wedding Cakes
We all know that we can add a monogram to the top of the cake with a shiny, blingy topper, but this trend requires including your monogram as part of the cake design. I like creating a plaque, which gets placed on the cakeâ&#x20AC;&#x2122;s center tier with a hand piped script monogram. Other ideas would be to use the letters of your monogram within the scroll design Buttercream Wedding Cakes on the tiers or to hide the groomâ&#x20AC;&#x2122;s last I have been saying this for years name within the design. These are but once again the buttercream cake fun ways to truly personalize your is preferred to fondant in 2014. There cake. is no need to sacrifice taste to get a É&#x2030;Č?Č&#x192;ȨǸȾÉ&#x153;É´ ǸȰČ?É&#x2022;your ŃĽ ČŁÉ&#x201E;Č&#x192;É&#x201E;ȾǸÉ&#x153;Č? Whatever style, be creative beautifully finished wedding cake. and work with a cake professional that Just choose a bakery experienced in can help you bring your personal style buttercream cake designs and your to your cake. Your wedding cake is cake can be gorgeous and delicious at such a central part of the wedding day the same time! and will live on for years to come in Wedding Cake Multiples pictures so it definitely deserves some Multiple wedding cakes in time an attention during its creation. different sizes, shapes and flavors Chocolate Carousel is a family owned set up at different height levels on and operated bake shop in Wall, NJ. a table makes for a very interesting have a staff ofand trained professional are the on flavor on how elaborate or bridal consultationWe is, â&#x20AC;&#x153;What Chocolate detailed the design is. is a groomâ&#x20AC;&#x2122;s cake?â&#x20AC;? The and tasty option for guests. exactly Guestâ&#x20AC;&#x2122;s pastry chefâ&#x20AC;&#x2122;s with expertise in cakes made som Tradition says the groomâ&#x20AC;&#x2122;s groomâ&#x20AC;&#x2122;s cake is a tradition love getting a variety of flavors to Southern help you accomplish perfect cakes inclu cake should bethe displayed madeon popular in the cheesestea beside the wedding cake and part of the United States, but their plate and the look is spectacular. wedding cake. hunting c should serve as an alternative has mainstreamed everywhere Just be sure not to choose too manytimes. Itâ&#x20AC;&#x2122;s a great and fries, to the wedding cake. That in recent
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way to make the groom feel a part of the festivities and to honor him at the wedding or rehearsal dinner. Once, viewed as an â&#x20AC;&#x153;unnecessaryâ&#x20AC;? expense, the groomâ&#x20AC;&#x2122;s cake has made a huge comeback with most brides taking advantage of this opportunity to do something special for her guy! The Groomâ&#x20AC;&#x2122;s cake is designed to represent the groomâ&#x20AC;&#x2122;s favorite flavors and past times. And of course, the price ranges based on
is no longer the only option. Todayâ&#x20AC;&#x2122;s budget conscious and practical minded couples often opt to serve the groomâ&#x20AC;&#x2122;s cake at the rehearsal dinner in lieu of another type of dessert. Alternatively, the groomâ&#x20AC;&#x2122;s cake is sometimes cut and boxed as a wedding favor after it has been displayed at the wedding. Groomâ&#x20AC;&#x2122;s cakes are made to represent a groomâ&#x20AC;&#x2122;s favorites sport or teams, favorite foods, cars, pets or more. Your creativity and imagination
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The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Ch operat
Medical Professionals
31
So I Have DVT? (Deep Venous Thrombosis)
Girija Surya, M.D.
Board Certified in Thoracic & Cardiovascular Surgery
Hi Friends, A few years ago, while making rounds in the hospital, I was asking for a nurse on the floor. She was a beautiful, young woman in her early 40s, a committed nurse and a mother of 2 young children. I was shocked and saddened to hear that she had died of Pulmonary Embolism (PE) from an undiagnosed Deep Vein Thrombosis (DVT).
W
hen you know the person, it hits you harder. Many people are not lucky to receive treatment. Approximately 200,000 deaths occur each year in U.S. of the 600,000 cases of P.E. Statistics show that every year 2 million individuals suffer Venous Thrombotic event. It is important to know that 2 out of 3 deaths can be prevented and Venous Thrombosis (VTE) remains the leading cause of preventable hospital deaths. Public awareness of VTE is improving but continues to still be far from where we should be. A telephone survey of 1000 people revealed that 95 percent of them had never been told about DVT from their physician. Surgical Treatment of DVT In past articles, I have explained about DVT, prevention protocols recommended, and medical treatment with intravenous
anticoagulation with heparin, or outpatient subcutaneous injection of low molecular weight heparin and Coumadin. Today we will discuss the techniques that are available to treat DVT. DVT untreated can lead to not only PE, but also PTS (Post Thrombotic Syndrome) and Chronic Secondary Pulmonary Hypertension secondary to chronic untreated PE. Post Thrombotic Syndrome: PTS is a debilitating chronic condition following DVT, in fact, in almost 75 percent of patients treated with anticoagulants. This causes edema, pain, skin pigmentation, itching and complications of cellulitis and ulcer. Standard treatment of DVT, after starting initial anticoagulation, is to use graded compression stockings. In addition, Catheter Directed Treatment (CDT), which includes thrombolytics and mechanical thrombectomy, use newly developed devices. At the same time, to correct the underlying venous abnormality, such as narrowing, using balloon angioplasty and possible use of stents, can resolve the edema by correcting the venous and lymphatic pressure in the affected leg. Catheter Directed Thrombolysis: While the first line of treatment for DVT remains anticoagulation, 13 studies involving iliac and femoral veins showed resolution only in 10 percent of patients. The objective of restoring venous flow is to prevent valve damage, venous hypertension and recovering from DVT, without developing PTS. The following circumstances are when CDT is recommended: Acute iliac and femoral vein DVT, less than 14 days from onset of symptoms, or acute findings on venous ultrasound, in patients with life expectancy of more than 1 year with good functional status, and low risk of bleeding. However, cases with some deviation from above have also been treated with success. In general, a catheter with multi-side holes is positioned in the thrombus, usually for 24 hours, and parked in the area to deliver thrombolytics (TPA)[the strong agent used to dissolve clots in heart attacks, strokes etc,] through the catheter directly to the thrombus. The vein is evaluated with a venogram in 12 hrs. and then the catheter is removed. Patient is
The County Woman Magazine
Pulmonary Embolisms
source: http://www.sirweb.org/images/patients/DVT_clot_illustration.gif
then treated with iv heparin and oral anticoagulants such as Coumadin. With these procedures, there is risk of bleeding with the thrombolytic therapy but only has been seen in 11 percent cases in some trials.
In some cases, the broken clots can cause acute PE. These emboli are treated by the thrombolysis and anticoagulation. No fatal P.E. has been reported, however about 30 percent patients undergoing CDT can show distal emboli. This raises the question of placement of filters for prophylaxis, but the indications for filter in cases of CDT still evolving. The recommendation from ACCP is however for standard anticoagulation at this time, over
:
CDT, awaiting further results. There is a new trial – results of which are awaited. “ATRACT” – trial, from which more evidence would evolve regarding catheter, directed thrombolysis. The current practice ideally would be aggressive management including CDT in younger patients and being a little more conservative in older age group, selecting treatment tailored to the patient.
Ekosonic Endovascular system:
Ekosonic Endovascular System (EKOS) is the placement of an ultrasonic (US) wire, through the catheter. The tip of the US wire should hit the catheter and is parked at least 1 cm further than the catheter tip. Thrombolytic agent is delivered through the catheter, and ultrasound is delivered through a mobile unit to deliver US energy. The ultrasound breaks up the clot and the clot is dissolved with TPA.
Stenting Venous and Angioplasty:
The absolute indications are still debatable. This procedure is done when there is significant residual stenosis or narrowing of the vein is present after thrombolysis. This is diagnosed with venography or IVUS, which is a venous ultrasound, performed from inside the vein. IVUS can be used to see the correction of the stenosis after placing stent, and angioplasty. This can be followed by a traditional IV heparin and Coumadin.
Complications:
Minor bleeding at puncture site. Major bleeding requiring blood transfusion is possible, and bleeding usually is seen in brain, reteoperitoneum, muscles and urinary tract or gastrointestinal system.
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July/August 2014
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35
Protect Yourself Against Foreclosure, Judgments & Harassing Creditors
Chapters 7 & 13 Individual, Business and Creditor Representation
We are a debt relief agency that helps people le for relief under the bankruptcy code. Payment Plans Available
BANKRUPTCY
732.341.3800
www.straffiandstraffi.com
670 Commons Way • Toms River, NJ Conveniently Located Directly Off Of the Parkway
FREE CONSULTATIONS
Daniel Straffi Jr., Esq.
TheCounty CountyWoman WomanMagazine Magazine The
www.TheCountyWoman.com www.TheCountyWoman.com
November/December 2013 July/August 2014
Business Spotlight
33
~ Interview with Daniel Straffi, Jr. ~ Straffi & Straffi are the Key to Your Financial Health
Straffi & Straffi Attorneys At Law Daniel Straffi, Jr. 670 Commons Way Toms River, NJ 732-341-3800 www.straffiandstraffi.com
You could say that Daniel Straffi Jr. has bankruptcy law in his blood. After joining his father’s law practice in 2004 his own knowledge and expertise in the field grew. Daniel’s father is a Chapter 7 Bankruptcy Trustee and his background has been invaluable in assisting Daniel with his own personal practice. He has focused his practice on representing individuals and businesses in the areas of bankruptcy and criminal defense. Filing for bankruptcy is a serious and sometimes very emotional step. It is critical to have the right representation as well as someone you feel you can really trust. Personality, as well as professionalism matter and you must believe the person you hire is working to service your best interest. Why did you select bankruptcy law as your specialty?
I enjoy bankruptcy work because I am able to truly set a course for navigating clients from what is usually the most difficult time in their lives to a path of hope and rebuilding.
What are the most challenging aspects of your profession?
There are many challenging aspects to the legal profession. As any attorney will attest, time management usually requires the most work and attention.
What are your top three tips for financial “health” for young families?
My advice to any young family starting out is to communicate with each other about your respective finances. Openness about spending, bills, and income can help find or address problems before they become too difficult. With good communication comes greater financial health in terms of budgeting and spending.
What are the primary reasons the average person files for bankruptcy?
The majority of people I represent are hard working individuals accustomed to paying their bills. With the cost of living in the state of New Jersey being so high, it does not take much to fall behind. The primary reasons for filing bankruptcy are loss of income, medical reasons and divorce or separation.
What are the average fears or anxieties surrounding filing for bankruptcy?
Most clients are very concerned with the effect a bankruptcy will have on their credit. They view it as an “end” rather than (what it is) which is a “new beginning.” It is the intent of the courts to provide the honest debtor with a fresh start. This includes the ability to rebuild one’s credit over time.
Protect Yourself Against Foreclosure, Judgments & Harassing Creditors We are a debt relief agency that helps people file for relief under the bankruptcy code Chapter 7 & 13 Individual, Business and Creditor Representation Daniel Straffi, Jr. Payment Plans Available
Bankruptcy • Criminal Defense
Why is there so much incorrect information out there about bankruptcy?
Unfortunately some people wait too long to get accurate information they need from a reputable attorney. Some fall prey to the misinformation spread by debt consolidation companies, banks or other creditors that have an interest in preventing debtors from obtaining the powerful relief that bankruptcy can provide.
How long will the “average” bankruptcy be on a person’s credit report?
Usually it will be on a credit report for a period of ten years. Generally speaking, it takes folks about two years to rebuild their credit. In the interim, the cash that will be freed up from not having to pay the exorbitant minimum fees from credit cards will help most debtors operate their households while simultaneously rebuilding their credit.
How do you like to relax after a long day at the office?
I’ve never been opposed to the occasional cocktail or “three.”
Please tell us about your family.
Daniel Straffi Jr., Esq. www.straffiandstraffi.com The County Woman Magazine 670 Commons Way
I have been married since 2002 to my wife, Danielle. My wife is an art therapist with a private practice in Mt. Laurel. We reside in Medford, with our 9-year-old daughter, Emma, dog, Tinkerbell, and guinea pig, Scarlet. For the record, I was not involved in the naming of said pets, nor is the guinea pig red in color.
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July/August 2014
Medical Professionals
34
Hear What You’ve Been Missing! Your sense of hearing is precious. Hearing contributes to personal safety, emotional well-being, and independence. Through your hearing you are able to communicate directly with others and experience the sounds in your environment. Did you know more than 10% of the US population has hearing loss that affects everyday life? That’s more than 31 million people. A surprising fact is that 65% of individuals with hearing loss are below retirement age. About 15% of Baby Boomers, age 41-60, and more
than 7% of Gen Xers, age 29-40, already have significant issues with their hearing.
their teeth checked on a regular basis, so why not look after your ears too?
Hearing loss occurs gradually and its effects are sometimes not immediately obvious. People get their eyes tested and
Awareness is the first step. People with hearing loss often do fairly well in quiet, face-to-face situations and signs of hearing
loss often may not be obvious to the doctor. Only a small percent of doctors routinely screen for hearing loss. It’s up to you to be alerted to the signs and tell your doctor if you suspect that your hearing may be changing.
Do you suspect that your hearing is not as good as it used to be? The following questions will allow you to make a quick assessment. 1. Do you have trouble hearing over the telephone? 2. Do you have a problem following the conversation when two or more people are talking at the same time? 3. Do people complain that you turn the TV volume up too high? 4. Do you have to strain to understand conversation?
Yes
No
If you have answered “yes” to one or more of these above questions you will benefit from a hearing consultation.
If you, a spouse, a parent, or someone you care about is wondering if they have a hearing loss:
Call Total Hearing Care Today!
Schedule an appointment for a FREE hearing screening and consultation.
Neptune: 732-474-8977 444 Neptune Blvd., Suite 1
Brick: 732-474-8949
525 Jack Martin Blvd., Suite 104
Sea Girt: 732-800-4581 700 Brooklyn Blvd.
Call today and you will also receive a: • Check for ear wax using a fiber optic video otoscope. • Demonstration of the latest Multi-Channel Digital and Open Fit hearing solutions. • An expert hearing assessment. • Adjustment, cleaning, and check of your current hearing aids at no charge.
Like us on Facebook/Total Hearing Care Follow us on Twitter/Total_Hearing Enjoy Hearing Again! www.njhearingaids.com ACCREDITED BUSINESS ®
Elizabeth W. Cook, M.A., F-AAA, Chief Audiologist, NJ Hearing Aid Supervising Dispenser Lic. #697
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Medical Professionals
35
Breast Health Q&A with Dr. Sumy H. Chang Breast cancer is indiscriminate, affecting women of different races and ages. According to the American Cancer Society, in 2013 alone, more than 39,000 women in the U.S. were expected to die from breast cancer. However, by taking matters into your own hands and educating yourself and taking action, you can help detect early breast cancer. Fellowship-trained breast surgeon Sumy H. Chang, M.D., FACS, a boardcertified general surgeon dedicated to breast health, recently joined Barnabas Health Medical Group (BHMG), in partnership with the Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center, to provide Monmouth County women with access to the latest prevention, detection and treatment options for breast-related issues. Dr. Chang addresses some of the most common questions about breast health. What’s your general breast health advice? Know your breasts! Pay attention to how your breasts normally look and feel, and report any changes to a health care professional immediately. While most breast changes and lumps are not cancer, we can only know for sure after assessing it. What are your thoughts about breast self-exams?
Breast self-exams (BSE) are critical. First, it forces you to pay attention to how your breasts typically look so you’ll be more aware of any irregularities. Monthly breast self-exams - beginning at age 20 and throughout your life - will help detect early breast cancer. The best time to examine your breasts is when breasts aren’t tender or swollen- typically after a menstrual cycle. How do I conduct a BSE? There are three ways to conduct a BSE. Select the method that works best for you. • In Front of a Mirror – Stand in front of a mirror with your hands pressed firmly down on your hips. Look at your breasts for any changes of size, shape, contour or dimpling, or redness or scaliness of the nipple or breast skin. Also pay attention to the symmetry of your breasts and nipple. • In the Shower – Using the pads of the tips of your fingers, gently press and feel around the entire breast in a circular pattern moving from the outside to the center. Check both breasts and armpit area for any lump, thickening or hardened knot. • Lying Down – Lie down on your back and place a pillow under your right shoulder and put your right arm above
Sumy H. Chang, MD, FACS
Barnabas Health Medical Group is a multi-specialty group practice comprising highly trained and experienced world class primary and specialty care physicians. Barnabas Health Medical Group physicians provide compassionate and innovative cutting edge care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources of Barnabas Health, the largest not-for profit integrated health care delivery system in New Jersey and one of the largest in the nation, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence. To learn more, visit barnabashealthmedicalgroup.org. your head. When you lie down, the breast tissue spreads out evenly along the chest wall and is as thin as possible, making it easier to feel all the breast tissue. Reach over with your left hand and gently press the pads of your fingers around your right breast, moving in small circular motions. Use light, medium and firm pressure along the entire breast and armpit area. Repeat these steps for your left breast. What am I looking for during a BSE? Look for changes in your breast such as: • A lump • Skin irritation • Dimpling, puckering, bulging, or ridges of the skin on the breast • Nipple retraction (nipple turns in) • Redness, warmth, swelling, or pain • Itchy, scaly sore or rash on the nipple • Nipple discharge other than breast milk • Change in color, shape, size or texture of a breast
Breast Surgeon
Contact your physician right away if you see any of these changes!
Board Certified in General Surgery
What is a mammogram and why is it so important? A mammogram is the best screening tool we have for early detection of breast cancer! It’s an X-ray exam of the breast that’s used to detect and evaluate breast changes. Today’s mammograms expose the breast to much less radiation compared with those in the past and are more accurate than ever before. The standard recommendation is an annual mammographic screening for women beginning at age 40.
Dr. Chang is affiliated with Community Medical Center in Toms River and the Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center in Long Branch. To schedule an appointment with Dr. Chang, contact: Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center 300 Second Avenue Long Branch, NJ 07740 732.923.7702 Community Medical Center 67 Highway 37 West Riverwood 1 Building, First Floor Toms River, NJ 08755 732.557.2153
About Barnabas Health Medical Group
The County Woman Magazine
What are the different types of mammograms? Screening mammograms are used for women who are at “average” risk and have no breast symptoms. The goal is to find breast cancer when it’s too small to be felt by a woman or her physician to greatly improve her chance for successful
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treatment. If you have a strong family history, be sure to tell your primary care doctor as you may need to be referred to a specialist or require more imaging.
Diagnostic mammograms are performed if abnormalities are found in a screening mammogram or if there are noticeable breast problems. It’s still an X-ray of the breast, but more images are taken to carefully study the area of concern while the patient is waiting. A diagnostic mammogram may also provide a closer look and clarify that an area that appeared abnormal on a screening mammogram is actually normal. A diagnostic mammogram could also show that an area of abnormal tissue is probably not cancer. In this case, the radiologist may require the woman to be re-checked. Conventional (Film) Mammography • Uses X-rays to produce an image of the breast • Image is stored directly on film Digital Mammography • Uses X-rays to produce an image of the breast • An electronic image of the breast is stored as a computer file • The image can be enhanced, magnified or manipulated for further evaluation 3D Mammography • X-ray machines take images of thin slices of the breast from different angles and computer software is used to reconstruct an image. • Uses very low dose X-rays, but is generally performed at the same time as a standard 2D digital mammography, so the radiation dose is slightly higher If an abnormality is detected during a mammogram, what happens next? The physician may request additional views of the mammogram and an ultrasound. Barnabas Health Medical Group accepts most major insurances.
July/August 2014
Law
36
More than 80 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
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Municipal Law Personal Injury Real Property tax Appeals Residential Real Estate Traffic Violations Wills, Trusts & Estates
A commitment to excellence. A commitment to people.
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
Home & Garden
HfUbgZcfa Mcif ?]hW\Yb K]h\ BYk 7cibhYfhcdg =b ( 9Ugm GhYdgÂŽ 1. Get an estimate 2. Pick out your slab 3. Get a template 4. Install countertop â&#x20AC;Śall in 7 to 10 days! Progressive Dimensions Countertops, now entering
its 17th year in business, has been built by following a simple model of offering premium products at competitive price points, providing speedy digital fabrica-
tion and installation by highly trained professionals, and above all, excellent customer service. To this day, most of the business we do still comes from referrals. We offer a wide selection of granite, marble, and quartz on site, along with a showroom that shows design ideas and also examples of sinks and faucets. No appointment is necessary. Just bring in a drawing with rough measurements to get the process started. Your consultation and estimate is free. To make choosing your countertops easier, bring
in a drawer or a cabinet door so you can see how your cabinets will look with your new countertops. Here are some questions most frequently asked by our customers:
Q
How is quartz different from granite?
Quartz is a man-made product engineered by grinding quartz into a powder and adding in color to make beautiful pattern designs. Granite is a natural stone made when the earth was formed millions of years ago.
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Granite Marble Quartz
Granite comes in patterns with flowing motion, movement, and color variations. Both are attractive, strong and resistant to heat and moisture.
Q
Do you sell remnants?
Yes. We can sell you a piece of granite at any size. You can also use these for bath vanities, fireplace surrounds, windowsills and other projects.
granite difficult to QIsmaintain? Q No. It is very resilient to heat and wonâ&#x20AC;&#x2122;t scratch or chip. You can easily clean it with soap and water on a daily basis. The only thing to remember is to have it sealed every year. We will apply the first sealant at the time of install.
Are your countertops warrantied?
Yes. We offer a full 1-year warranty. Stop by our showroom today and weâ&#x20AC;&#x2122;ll get you on your way to beautiful countertops!
COUNTERTOPS Slab Yard & Showroom
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The County Woman Magazine
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July/August 2014
Medical Professionals
37
Treating Pediatric Orthopaedic Fractures
Part II of II
Written by: Dr. Paul Haynes
Seaview Orthopaedic
Baseball, field hockey, soccer, basketball, football, wrestling, cheerleading, etc… The variety of sporting and recreational activities available to children abounds.
& Medical Associates
Call one of our convenient locations to schedule your appointment.
In part I of this article we spoke about why fractures and other orthopaedic injuries in children are different than those of adults, as well as, what types of fractures occur in children. Now we will go further into the treatment options, what types of complications can occur, and what to do if you suspect a fracture.
Q
How are children’s fractures treated?
Ironically, the characteristics that make children prone to certain types of fractures also allow them to heal uniquely. The majority of fractures that happen in children are amenable to conservative treatment – casts, splints or slings. Also, treatment times are often reduced with fractures in children as opposed to adults. A fracture in the lower leg or thighbone of a child will often heal in a cast in a relatively short period of time whereas; a similar fracture in an adult will require a lengthy time in a cast or an operation. Special consideration is warranted regarding fractures involving the growth plate. There are times that a fracture in and around the growth plate requires manipulation or surgical intervention. Manipulation (to move the fracture fragments into acceptable position) may be accomplished with local but may also require general anesthesia in the emergency or operating rooms. Alternatively, some fractures require an operation that will secure the fracture fragments in better position using smooth pins, screws or thin rods. A unique treatment plan is created for each child and fracture – this often is devised in consultation with a pediatric orthopedist.
Q
What types of complications can occur with pediatric fractures?
Complications may certainly happen with any fracture but there is a higher likelihood of complications with fractures in and around growth plates. The more the growth plate is disturbed, the higher the potential for complications. Growth plates allow for longitudinal growth – their disruption may lead to deformity (limbs growing in a bent fashion) or for limb length discrepancy (the opposite limb being shorter or longer than the injured extremity). For this reason, fractures involving the growth plate warrant closer and often longer observation after injury. Approximately 2-8% of fractures involving the growth plate result in complications. If such a complication arises, there are many treatments devised to correct the issue.
Q
What should be done if you suspect a fracture in a child?
A fracture will often declare itself as pain, swelling, redness, tenderness and/or deformity. Immediate treatment should ensue. An evaluation by an orthopaedic surgeon should be sought in a timely fashion particularly with regards to fractures involving the growth plate. Dr. Paul Haynes is a recent addition to the staff at Seaview Orthopaedics – one of the oldest and best-known orthopaedic groups in Monmouth and Ocean Counties. Seaview Orthopaedics has physicians representing many of the orthopaedic subspecialties including: general, adult reconstruction, foot and ankle, hand and upper extremity, spine, sports and pediatric orthopaedics as well as pain management.
Board Certified And Fellowship Trained Physicians
Spinal Su Total Joi STEVEN BERKOWITZ, M.D., P.A. Bone Den 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, NJ 07728 KEIRON W. GREAVES, 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
■ SATELLITE OFFICE
IN LAKEWOOD
Seaview Orthopaedic & Medical Associates has provided the highest quality of care in Monmouth and Ocean Counties for over 30 years.
Dr. Paul Haynes completed medical school at UMDNJ/New Jersey Medical School in Newark New Jersey. Following medical school, he completed internship and residency at Albert Einstein College of Medicine at Montefiore Medical Center, Waters Place, in Bronx New York. He went on to complete his fellowship in Orthopaedic Surgery and Pediatric Sports Medicine, Limb & Pediatric Deformity at Albert Einstein College of Medicine Montefiore Medical Center at Waters Place, in Bronx New York. He also completed an Arthroscopic Fellowship at Staten Island Orthopedics & Sports Medicine, in Staten Island, New York. Dr. Haynes is a general orthopaedic surgeon, specializing in Pediatric Sports Medicine, Limb & Pediatric Spine Deformity as well as General and Pediatric Orthopaedics/Surgery. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center, Monmouth Medical Center and Saint Peter’s University Hospital.
www.seaviewortho.com • 732-660-6200
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Garden
38
&
Local Honey
The Many Health Benefits of Local Raw Honey Raw honey is full of enzymes, minerals, vitamins and proteins.
In order to enjoy the health benefits of honey, it is important to remember not to heat your honey above 140˙F. Doing so can destroy all of the enzymes that are beneficial to your health. Pasteurizing is an unnecessary step in honey, since it kills the elements of the honey that are healthiest and most important. Pasteurized honey has little more benefit than the other sugars we seek to avoid. Due to its low water content, honey does not easily grow harmful bacteria. It can last indefinitely without refrigeration. It acts as a cough suppressant, boosts immunity, and can be used to improve blood sugar and sensitivity to insulin. When other topical antibiotics are not well tolerated, honey can be made into an ointment and be applied to diabetic ulcers, eczema and canker sores. When honey is used as a supplement in tea with ginger or apple cider vinegar, it can relieve nausea caused by morning sickness. At 64 calories in a tablespoon, it’s one of the healthiest sweeteners you can find.
Bee Pollen And 10 Benefits Of Regular Use Collected by the bees, and condensed into its pellet-like form, bee pollen is used to feed young bees inside the hive. It’s loaded with nutrients and serves plenty of everyday purposes.
Booster- The range of 1Energy nutrients found in bee pollen makes it
a great natural energizer. Carbohydrates, protein and b vitamins are great for keeping you going all day by enhancing stamina and blocking fatigue.
Soother- Bee Pollen is often 2Skin used in topical products that aim to treat inflammatory skin irritations like psoriasis. The amino acids and vitamins protect the skin and aid the regeneration of cells.
System- Bee Pollen 3Respiratory contains a high number of antioxidants that may have an anti-inflammatory effect on the tissues of the lungs preventing the onset of asthma.
Allergies- Pollen reduces 4Treating the presence of histamine, improving many allergies, which is great for the coming summer season.
System- In addition to 5Digestive healthful vitamins, minerals and protein, bee pollen contains enzymes that aid in digestion. Enzymes assist your body in getting all the nutrients you need from the food you eat.
6Pollen is good for the intestinal tract Immune System Booster-
and thereby supports the immune system. According to health expert Dr. Joseph Mercola, bee pollen has antibiotic-type properties that can help protect the body from contracting viruses. It’s also rich in antioxidants that protect the cells from the damaging oxidation of free radicals.
7used holistically for healing addictions Treats Addictions- Bee pollen is
and inhibiting cravings by suppressing impulses. It helps to curb appetite, which is very helpful for people who may be over eaters.
system8Cardiovascular Bee pollen contains large amounts of
Rutin; an anti-oxidant that helps strengthen capillaries and blood vessels. It also assists with circulatory problems and corrects cholesterol levels.
Aid- Men who suffer from 9Prostate benign prostate hyperplasia can find relief by using bee pollen. Bee pollen can help reduce inflammation to stop frequent urges to urinate.
problems10Infertility Bee pollen stimulates and restores
ovarian function and works as a hormone booster.
Fresh Cut Flowers
We also grow many varieties of cut flowers. We have dahlias, zinnias, sunflowers, coxcomb hydrangeas, snapdragons and more. We can cut flowers right on the spot, and make a wonderfully fresh bouquet for you. We can also do arrangements in baskets as well. Our fresh cut flowers are a great way to liven up your day. We also sell fresh fruit from our orchard, which are typically ready for picking by mid July. Apples, pears, peaches and blackberries are just a few of the varieties of fruit we have to offer as well as an array of vegetables from our garden. With all these options available to you, you can get just about anything you need for a sweet and beautiful summer.
Favors
A great idea for making either a small get together or a large-scale party special is a favor that your guests can take home at the end of the day. From The Garden Inc. has a unique idea that your guests will love: HONEY FAVORS! Jars of honey can be fitted with customized labels that will add a little something special to your special day. Another option is sleeved honey sticks that make a great treat and come folded in a paper sleeve that will remind your guest of the fun time they had. Whether it’s a wedding, bridal shower, baby shower, anniversary, or fundraiser you can be assured From The Garden Inc. can offer you a treat unlike any other.
Orange Raspberry Elixir
1 oolong-tea bag, like twinings 1 two-inch piece of orange peel 6 fresh raspberries 2-½ tsp. honey
Steep tea bag, orange peel and raspberries in 1-cup hot water for two minutes. Remove the tea bag and strain. Stir in honey, makes 1 serving. (Bonus: The d-limonene in orange peels soothes heartburn.)
Drew and Patty would love to meet you and share the benefits of real, local honey with you. Stop by our honey farm on Fairfield Road!
732-866-1745 www.FromThe Garden.com
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Medical Professionals
39
Lorraine Catalano, CNMT
C
aring Heart Coronary Imaging is proud to provide non-invasive, your family correct information about the cause of your cognitive impairment. neurological testing to help diagnose Alzheimer’s disease and =V\QT \PQ[ [KIV _I[ I^IQTIJTM \PM WVTa LMÅVQ\Q^M _Ia WN SVW_QVO QN I dementia. PET is a fantastic tool for distinguishing between person had Alzheimer’s disease was by an autopsy. Many doctors have been types of dementia and for identifying pharmaceuticals to slow treating patients with medications used to treat Alzheimer’s, without the the progress of the disease. Recent academic journals have JMVMÅ\ WN SVW_QVO LMÅVQ\Q^MTa QN \PI\ XI\QMV\ ZMITTa PI[ )TbPMQUMZ¼[ =[QVO reported that PET is the most accurate test for differentiating between \PM[M UMLQKI\QWV[ UIa VW\ JM JMVMÅKQIT \W XI\QMV\[ IVL QV [WUM KI[M[ KW]TL Alzheimer’s disease, front-temporal dementia, multiple-infarct-dementia be detrimental to their health. and normal aging in the early stage patients. <PQ[ [KIV _QTT OQ^M \PM QVNWZUI\QWV VMMLML NWZ LWK\WZ[ \W UISM At Caring Heart Coronary appropriate treatment decisions or Imaging, there is reduced radiation QLMV\QNa \PM TQSMTQPWWL WN LM^MTWXQVO exposure to the patient. The Positron Alzheimer’s disease later in life, at a This scan will give the information needed for doctors to Attrius Scanner does not use CT time when more treatment options make appropriate treatment decisions or identify the likelihood of in obtaining brain images. This is will be available. developing Alzheimer’s disease later in life a huge factor for our patients who Caring Heart & Brain Imaging may have had substantial exposure Q[ \PM ÅZ[\ QUIOQVO KMV\MZ QV 6M_ to radiation in the past. Jersey to perform the Amyvid PET If you are experiencing memScan and we have completed more ory loss, and/or have a family Amyvid PET Scans than most history of Alzheimer’s disease, the medical centers throughout the Amyvid PET Scan could help you United States. This means that do just that… help your children. our reading expert has interpreted as Alzheimer’s disease affects the many, if not more, Amyvid PET entire family. Help protect your Scans than most nuclear radiolchildren by getting an early diagogists. If we can slow down the nosis; the neuritic plaque that is a progression of Alzheimer’s disease, precursor to Alzheimer’s disease we can give patients and families can be present in our brains years the time to plan ahead. It also before symptoms occur. Early allows the person with Alzheidetection and treatment can help mer’s to participate in health care, slow down the progression of ÅVIVKQIT IVL TMOIT LMKQ[QWV[ I[ Alzheimer’s disease. Having the well as giving them precious quality Amyvid PET Scan can give you and time with their loves ones. Q
The County Woman Magazine The County Woman Magazine
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May/June 20142014 July/August
Medical Professionals
40
Eye Care Goals Beyond Vision: When Was Your Last Exam?
A
s an eye care provider, I am dedicated to your visual health. Did you know that through
your eyes, I’m one of the first healthcare professionals to see systemic issues as well? An optometrist is trained to prescribe glasses and contact lenses, as well as diagnose and treat disease. Before I go into a diatribe of how you should all get your eyes checked annually, reminiscent of a parent telling you to eat your vegetables, let me tell you a few stories. They are short, I promise you.
A patient came to see me with a concern. His pupils were persistently
dilated and the patient was having problems with light sensitivity. Our pupils dilate and constrict to adjust for light intensity, so the brighter it is, the smaller the pupil; the darker it is, the bigger the pupil. As part of the exam, I shine a light into each eye to see how the pupils react. In this case, there was no reaction. This simple test helps us to determine if nerve health has been compromised in some way. Further examination did not indicate nerve damage. The patient could, with ease, read the letters on the chart displayed at far, yet reading close-up was a challenge. A thorough history revealed the patient recently returned from a cruise, which coincided with the onset of his symptom. I asked the patient if he has a history of motion sickness. After he affirmatively answered, I questioned if he had worn a patch during his trip to help his nausea. He said he wore a patch placed on the skin behind his ear. This patch, in particular, was prescribed by his family doctor and aside from preventing nausea, its active ingredient is known to dilate eyes. Upon removing the patch, he had rubbed his eyes and inadvertently deposited some of the chemical into his eye. His dilated pupils were the cause of his light sensitivity and difficulty with close-up vision. His symptoms resolved without further treatment and vision shortly returned to normal. A classic condition I treat is dry eye syndrome, which is a very common and under diagnosed condition that may cause blurry vision, burning, tearing and tired eyes. In our modern world of electronic devices, we have developed the bad habit of staring at our computer screens, tablets and smart phones, which can exacerbate these symptoms. Certain medications can also contribute to dry eye symptoms. Dry eye syndrome has created great difficulty for patients in performing their day-to-day work, enjoying their hobbies and wearing contact lenses. If you experience any ocular symptoms, please know there are treatment options that may alleviate these symptoms and return you back to a better quality of life. Dr. Greenfield is a life-long New Jersey resident. She received her Doctor of Optometry degree from the Pennsylvania College of Optometry in 2006. She is certified by the New Jersey State Board of Optometry for the diagnosis and treatment of eye diseases. She brings a wealth of experience from her training in ocular disease, primary care, and contact lens practices. Dr. Greenfield provides a full range of comprehensive eye care for adults and children. Dr. Greenfield is an active member of the American Optometric Association and the New Jersey Society of Optometric Physicians.
The County Woman Magazine
Another memorable experience involved a rather young patient.
The patient did not have any complaints at all. Actually, everything looked normal and healthy until the retinal examination. The retina is the light sensitive tissue lining the inside of our eyes. It was evident that the patient had a growth under the retina, not present the last time the patient was examined. It was a cancerous lesion. Upon referring the patient to the appropriate specialist, the cancer was treated in time, without evidence of cancer anywhere else in the body. This patient made a full recovery without any loss of vision. Routine examinations are critical, even in the absence of symptoms. While the last story is an uncommon occurrence, it shows the importance of maintaining ocular health. Routine visits allow the doctor to establish a baseline and monitor changes over time. Many of you know the eye doctor’s office as the place for eyeglasses or contact lenses. I hope I have illustrated that eye care goes beyond vision. Our knowledge of optics and optical devices can help people who have needs beyond their everyday glasses. We can place prescriptions in various mountings, such as scuba masks, swimming goggles and sports eyewear. Patients with drooping eyelids, that are inoperable, can wear glasses with ptosis crutches, individually and affordably designed. It’s no surprise then that your family eye doctor is the doctor you spend the most amount of time with. We are physicians who have a dramatic influence on your quality of life and your health.
Your Choice For Customized Vision Care We provide customized services • Comprehensive eye care for pediatric to geriatric patients • Management of eye diseases, including treatment of dry eye and ocular allergies • Custom contact lens exams including daily disposable and bifocal contacts • Wide selection of quality frames, stylish sunglasses and sports eyewear
We look forward to working with you and your family for all of your eye care needs.
Visit us on the web www.CrystalEyecareNJ.com We are conveniently located at:
226 Middle Road, Ste #8 • Hazlet, NJ 07730 Any questions, please call us for assistance
(732) 615-9300 We accept most major medical and vision plans.
www.TheCountyWoman.com
Lic#6064, Cert#48400
July/August 2014
Health & Wellness Health & Wellness
40
41
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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
609.660.1111 ological Association: "Making lifestyle changes that last." Available at: http://www.apa.org/helpcenter/lifestyle-
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Financial Management
42
A Financial Review Can Pay Off At Year End
T
oday, many people find themselves bombarded by a constant stream of financial news from television, radio, and the internet. Yet, does all this, information age, data really help you manage your finances any better than in the past? Often the old fashioned practices, such as performing periodic financial reviews, lead to greater success in the long term. Why not spend a few hours reviewing your finances? The changes you make today could result in increased savings.
Maximize your contributions to retirement accounts. And if possible make catch-up contributions. In accordance with the Economic Growth and Tax Relief Act of 2001, taxpayers who are 50 and older, are allowed to make additional contributions (catch-up) to their retirement plans. In 2014, traditional IRA and Eligible Roth IRA holders can save an additional $1,000 a year bringing the contribution limit to $ 6,000. Those with eligible 401K, 403B, or 457 plans can save an additional $ 5,500, bring their total contribution to $ 22,500 in 2014.
Consider the following important items:
v Analyze your cash flow: When your income is greater than your expenses, the
v Minimize income taxes: Consider taking advantage of all income tax deduc-
v Develop a plan for special goals: For every financial and retirement goal you
v Beat inflation: Your income and retirement savings must keep pace with infla-
v Boost your retirement savings: Pensions and Social Security may not provide
v Manage unexpected risks: Without warning, a disability, death or unexpected
excess is called positive cash flow. When your expenses exceed your income, the shortfall is termed a negative cash flow. A positive cash flow means that you may have funds you can set aside as savings. A negative cash flow indicates that it may be time to reorganize your budget to minimize unnecessary expenses. establish, identify a projected cost, a timeline, and a funding method (through savings, liquidating assets or taking a loan). Consider your goals in terms of hierarchy of importance. The bottom or foundation tier may include emergency money to cover at least six months of expenses. The middle tier may include essentials, such as your children’s education. Place less importance goals, such as home renovations, on the top tier. sufficient income to maintain your current lifestyle in retirement. Thus, it is essential to identify your retirement needs and plan a disciplined savings program for the future.
Mark S. Rushwald
Certified Financial Planner™
(732) 505-4422 msr@rushwald.com
700 Hooper Avenue, Suite 201 • Toms River, NJ
www.rushwald.com
SecuritieS Offered thrOugh cOmmOnwealth financial netwOrk, member finra/SiPc
Full Landscaping Service
Mike Meiners NJ HIC# 13VH06777800 Fully Insured
The County Woman Magazine
tions to which you are entitled and exploring ways of reducing your income taxes. For instance, under appropriate circumstances, losses or expenses from prior year may be carried over to the next year. A qualified tax professional can help you implement a tax strategy that meets your needs. tion in order to maintain your buying power. This means that if the inflation rate is currently 3%, you need to achieve at least a 3% annual increase in income just to break even. If your long term savings plan fails to keep pace with inflation, your buying power will actually be decreasing. You will not be able to maintain your current standard of living. calamity (Sandy) can cause financial hardship. Review your insurance, it is important to have adequate coverage.
v Consult your financial professional: In today’s complex financial world, everyone needs help making informed decisions. Planning can help ensure that your financial affairs are consistent with your current needs and long term goals.
Please contact us with any questions or to set up a complimentary initial consultation: Mark S. Rushwald 700 Hooper Avenue, Suite 201, Toms River, NJ 08753 Telephone: (732) 505-4422, Fax: (732) 240-4797 E-mail: msr@rushwald.com
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July/August 2014
Health
& Wellness
43
THE HCG DIET EXPLAINED
â&#x20AC;˘ The Human Corionic Gonadatrophin (HCG Diet) is not something that we created. â&#x20AC;˘ It is not the next new celebrity diet fad being pushed by someone trying to make a quick buck.
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The HCG Diet is probably the easiest and safest way to lose a quick 30-40 pounds. Â
What makes dieting difficult is the anxiety and hunger associated with muscle burn. Over the years our bodies have accumulated old fat that has become so grizzly that our bodies find it easier to metabolize muscle than old fat. The solution to this problem is. â&#x20AC;&#x153;The HCG Diet!â&#x20AC;? Â When new patients come to us and say â&#x20AC;&#x153;tell us about the HCG dietâ&#x20AC;?, we immediately ask them, â&#x20AC;&#x153;Have you done any research on it, Googled it, YouTubed it, anything at all?â&#x20AC;? The diet sounds too good to be true. I studied with doctors and pharmacists for 2 years and losing a friend to a gastric bypass I knew there had to be a safer way to get people healthy and lose weight. Â We urge you to do your own research! We are confident that you not only will come to believe that the HCG Diet is an easy, effective and safe diet, but that Ocean Health & Weight Loss is the place to do it. Â History of the HCG Diet The HCG is not a new concept, in the 1950â&#x20AC;&#x2122;s, Dr. Simeons discovered that by injecting small doses off the pregnancy hormone HCG into obese patients, their appetite decreased and they had consistent weight loss results. By using the hCG injection in conjunction with a very low calorie diet, Dr Simeons discovered his clients could more easily maintain the restrictive
diet and lose significant amounts of weight especially around hips, thighs, buttocks and stomach.  Dr. Simeons experimented with injecting various levels of HCG into men and women and discovered that at an extremely low dose combined with a very specific low calorie diet; people burned fat at an incredible rate and did so without the hunger or anxiety normally associated with dieting. HCG Is Very Safe & Effective Doctors prescribe HCG to help lower cholesterol, maintain a personâ&#x20AC;&#x2122;s Diabetes, or control weight loss, whether it is 10 lbs. or 100 lbs.  The standard therapeutic dose is 8,000 units per 40 days, however youâ&#x20AC;&#x2122;re going to get a daily dose of 150 units on the HCG Diet. HCG is very benign. Youâ&#x20AC;&#x2122;re never going to hear of someone dying from HCG, itâ&#x20AC;&#x2122;s a natural human hormone. Realize that 10,000 HCG units is a dose a person would take to increase ovulation and during pregnancy a womanâ&#x20AC;&#x2122;s HCG level could be 200,000-300,000 units. Statistically, HCG is safer at 10,000 units, than aspirin, flu shots, or any antibiotic. Take a look at the dose were prescribing, only 150 units. Thatâ&#x20AC;&#x2122;s 150 units versus 10,000 units, which is 1/60th of the FDA
approved dosage. The safety at 1/60th of the FDA approved dosage should not be questioned. What doctors might be concerned with is not the safety of HCG, but â&#x20AC;&#x153;How can you safely diet on only 500 calories per day? Wonâ&#x20AC;&#x2122;t your muscle be burned?â&#x20AC;? At Ocean Health and Weight Loss we do not believe in doing 500 calories a day. We up the ante with calories from 800 to1500 a day depending on your life style. The muscle everyone is concerned with is the heart. Well, the fact is that when a person experiences muscle burn they feel hungry or anxious, thatâ&#x20AC;&#x2122;s what typically makes dieting difficult. This is Mother Natureâ&#x20AC;&#x2122;s mechanism for survival. With the HCG Diet, muscle burn is almost non-existent compared to other diets. The HCG causes your body to tap into the fat that typically canâ&#x20AC;&#x2122;t be accessed. Since you burn 2,000-3,000 calories a day in fat on the HCG Diet, which are composed of the exact combination of nutrients your body needs.
MJ doing well after 2 years weight loss.
Call 732-608-9681. Join the hundreds Before & After of men and women who have dropped the hCG Diet . . . 20 to100 lbs. at Iâ&#x20AC;&#x2122;m proof that it Ocean Health!
really works!
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Though HCG has been in the headlines for then last couple of years, it is by no means a â&#x20AC;&#x153;newâ&#x20AC;? diet. Itâ&#x20AC;&#x2122;s roots go back almost 60 years to Dr. Simeon research into malnutrition for expectant mothers as well as obesity causes and effects; especially for patients with pituitary disorders. HCG or Human Chorionic Gonadtropin is a hormone produced within pregnant women. Dr. Simeon discovered that this hormone actually regulates the hypothalamus. The result for you and me is that when we eat a calorie restricted diet, our bodies burn fat for fuel while leaving the lean muscle tissue untouched. And it does this faster than anyone would have ever believed possible.
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www.OceanHealth4You.com
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Professional Home Organizers
44
Get Organized to Simplify Your Life Don’t put it down, put it away Katie Tracy is a professional organizer and owner of Simple Spaces. She helps clients reclaim their spaces and bring simplicity back to their lives. For more information about simplifying your life visit her website at www.simple-spaces. com or call 732.610.6655.
by
Katie Tracy of Simple Spaces
This is the simplest organizing advice. Taking a few extra seconds to put things back where they belong has the compounding effect of less and less clutter.
Walk into each room of your house or office with fresh eyes
Look for the things that are out of place and taking up space. Simply being aware of the clutter brings you one step closer to getting it under control.
“Have nothing in your home that you do not know to be useful and believe to be beautiful” - William Morris. We spend so much of our day in our homes that it makes sense to fill our spaces with things that make us feel good. Put silly-faced pictures in the frames. Hang the curtains that you’ve never put up because they are “too nice to use.” Use the good china on a Tuesday night! And perhaps more importantly, let go of those things in your home that don’t add to your happiness.
Reevaluate your schedule and routines Find ways to eliminate things that don’t HAVE to be done or that you don’t enjoy doing. Just because you’ve always done something doesn’t mean you have to continue to do it.
Have you become so accustomed to the clutter in your home, office, and life that you barely even see it anymore? Has clutter just become part of your Reframe your thinking Instead of looking at organizing as a project, think of it as a process. A process life’s landscape? It is easy to be overwhelmed by the thought of an organizing project. The piles of mail seem too big. The kids’ toys have taken over every room or you try to go through the clothes in your closet, but you never seem to make a dent. It feels so complicated and it is stressful. The first week of August is Simplify Your Life week. Individuals and families can simplify by reclaiming their spaces from disorganization. Here are some tips that are simple to try:
One in/One out For every new item that comes into your home, an old item goes out. When shopping ask yourself, “What would I remove from my home to make room for this?” At the very least this one routine stops the amount of clutter from increasing.
has times of fervent success and times of slow drudgery. Some days you will accomplish a lot, other days you will accomplish a little. What matters is that, even on the days that you accomplish a little, you are closer to your goal. Focus on where you want to be - how you want your space to look and function. Use that as motivation to keep going. You can do it!
Don’t feel the need to implement all of these tips at once. Pick one or two that resonate the most with you and focus on those. Even small steps create big change over time. Not quite the first week of August yet or has it already passed? A positive change doesn’t need to wait for the calendar. Decide today what change you can make to simplify your life and start doing it - TODAY!
Everything needs a home Everything in your home should have a place where it belongs. Consistency is key. Consider the daily mail - how often does it end up on the kitchen counter, then the table, and then your desk, just to be moved again? Having a place for everything eliminates the “stuff shuffle.”
Use labels Once everything has a place, use labels so things can be easily found and, more importantly, easily put back. For young children who don’t read yet, use pictures instead of words.
732.610.6655 www.simple-spaces.com
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Real Estate
45
Step Into a Better Real Estate Experience Buying and/or selling real estate can be a daunting and often frustrating process. How do you know what to ask for your home? How do you keep from paying more than a home is truly worth? How do you know that your home will get the exposure it needs in order to attract the right buyers? These are just a few of the many questions that people face as they try to navigate the complex waters that are today’s real estate market. Many people think that they can go it alone because the internet has made information about real estate so much more accessible than ever before. However, the information that you find on the internet is often misleading, outdated and flat out incorrect. The best way to get the most for your home or find your dream house continues to be by engaging the services of an experienced, qualified realtor. Diana has been a topproducing real estate agent in Monmouth County for 30 years because she has always been keenly focused on providing
the best possible service in a professional and courteous manner. Your home is usually the biggest single investment you will ever make, and you need to be sure you work with someone who understands just how important it is to YOU!
If Selling Your Home Choosing the right Realtor to market and sell your home can make all the difference, turning an otherwise difficult, stressful process into a comfortable, informed experience that you are in control of. As a top area agent, Diana will make sure that you get the best price for your home, in the least amount of time. Diana analyzes and determines home values in the market every day, so she knows what your home is truly worth. Diana will aggressively market your home not just locally, but on a national basis. Through her professional contacts and affiliations, as well as her advanced technology tools, social media and international networking she will instantly put your home listing in all of the places qualified buyers are looking. Within minutes, she can alert every Realtor in the Monmouth. Ocean & Middlesex county areas, as well as national firms that specialize in helping people relocate to new areas.
The County Woman Magazine
Diana will protect your best interests throughout the entire process. You can leverage her years of experience as a top real estate professional to answer all of your questions about every aspect of the selling and closing process. You will be informed and in control, every step of the way.
If Buying A Home
For most families, choosing a new home is the biggest financial decision they will ever make. There are many complicated decisions involved in the process. To protect your interests and assure that you make the best possible decisions, it’s important that you have an agent on your side who is an expert in the local real estate market. As your agent, Diana’s focus is on getting you the best possible home at the best possible price. She will work hard not only in finding you potential new homes to see, but also in keeping you informed of everything that takes place. She will negotiate the best prices and terms for you and answer all of your questions as they arise. She will be representing you, not the seller.
www.TheCountyWoman.com
With 30 years experience in the local market, Diana has a vast network of professionals that you’ll need as part of the process. Whether you need a referral
for a mortgage rep, a qualified attorney, home inspector or more, Diana can ease the process by recommending the most qualified to assist you.
Here’s What Diana’s Customers Say About Her “Diana was instrumental in helping me through a very difficult short sale. She followed through and pushed the attorneys, banks, and all involved to insure that the sale proceeded. Without her, the sale would not have been completed. I owe her all my gratitude in making this sale happen. I wouldn’t just recommend her, I’d insist on anyone considering the purchase or sale of a house to contract with Diana. She covered ALL aspects of the process and more!!! Phenomenal agent!!!” - John Doyle
July/August 2014
M P HORMONE IMBALANCES: WOMEN DON’T SUFFER ALONE.Testing ICAM Offers Affordable Non-Invasive edical
46
rofessionals
ning growth hormone and other anti-aging Hello patients and readers! therapies. This too is an affordable test at Today, I would like to present to $125. Coronary Artery Disease youwith the various non-invasive testing ping your symptoms isn’t controlling your symptoms! Coronary Artery Disease (CAD) is still procedures performed at ICAM. n’t let... the number one killer of men and women
HOT FLASHES • NIGHT SWEATS • INSOMNIA in• America ANXIETY today. As eluded to above, it With the rising costs of healthcare, it is becoming DEPRESSION • JOINT PAIN • HEADACHES • would LOSSbeOF SEXUAL DESIRE very useful and comforting to more difficult to obtain “necessary” diagnostic tests and VAGINAL DRYNESS • BRAIN FOG • WEIGHT GAIN... procedures in attempts to control healthcare costs. Don’t know the actual underlying condition of your blood vessels without undergoing the come the ‘new norm’! get me wrong, I agree this is a problem that needs to be expensive and risky procedures utilized addressed. But an even bigger concern lies in the “need” today. Cardiovision testing fulfills this (at times) to perform these tests for the sole reason to symptoms Take contol and solve your at their need as a completely non invasive proce“cover the butts” of physicians from frivolous lawsuits. source for natural, lasting relief through dure to help the practitioner diagnose as Our litigious society is in large part a contributing factor wellTherapy as follow CAD. Bio-Identical (BHRT). in rising healthcare costs. Hormone Replacement ease. Until the invention of CardioVision®, there was no What’s more, many of the tests that are ordered in easy, inexpensive or quick way to determine if a person’s CARDIVISION: THIS IS A mainstream medicine truly don’t give the provider the vessels had lost flexibility. Many people are never aware NONINVASIVE PROCEDURE TO HELP necessary, valuable or correct information required to act that they are walking around with this “silent killer” until upon in formulating a treatment plan. For example, an DETERMINE YOUR UNDERLYING they experience their first heart attack from occluded vesexercise stress test and cardiac catheterization are often RISK FOR HEART ATTACK, STROKE sels. It has been estimated that 60-70 million Americans misleading causing more unwarranted testing and ultiAND OTHER CIRCULATORY DISEASE harbor this “silent killer” and should make both life-style mately unnecessary procedures. Another example is a changes, such as getting more exercise, changing their STATES. PSA testing in which people, now has beenthe discouraged by ormenmost first thought that comes to mind regarding hormone diet, quitting smoking, and reducing their cholesterol. many medical societies for this reason. In addition to blood pressure and pulse information, While everyone needs to adopt these changes, sometimes women menopause. A decline in a woman’s hormone levels Invasiveimbalance procedures are is notaonly costly butin often very the CardioVision® also generates information on the life-style changes alone are not enough. CardioVision® risky in(estrogen, terms of immediate death, complications involv- stiffness or of theseen brachial Called progesterone and testosterone) is flexibility generally atartery. a stage inthelife known identifies people who don’t even think they have a cardioing organ damage and the need to take these risks again Arterial Stiffness Index (ASI), the ASI is a number that vascular menopause. The decline is usually correlates rapid and dramatic, and is accompanied by problem because they are non-smokers, exercise toas verify that the procedure that follows the examination with arteriosclerosis. Because arteriosclerosis regularly, watch their diet and worse, they don’t have was successful. such as hot flashes, mood swings, symptoms weight gain, the sleep loss Consequently, the ASI can be viewed as reduces flexibility in arteries, higherdisorders the ASI, the and asymptoms!!!. more likely someone is to have hardening of the arteries, Dementia and Memory another cardiovascular “risk factor”, just like high blood ofICAM sexoffers drive, to nameLoss a few. the lower the number, the less likely. state of the art testing for dementia and pressure or a cholesterol level above 200. Additionally, we Why is it important to know how flexible arteries are? think that the ASI can be used to follow cholesterol lowmemory lossUnbeknownst through a computerized program known as to most of us, however, men too go through a period or phase Arteries are responsible for moving the majority of the MCI-CANS. It is probably the most reliable and accuering therapy and other “risk factor” changes. similar a woman in menopause as andropause. sometimes blood through the vascular tree.Andropause, Consequently, non-flexrate cognitiveto testing program available today at a mere known iblecrisis,” or hardened cause the heart work much cost of $125. to as “man-o-pause” or “midlife For more information on these tests and other referred is arteries experienced bytonearly every male harder when it is forced to push blood through partially We have another extensive battery of tests aimed at services offered by ICAM, please call or visit us on at someones point in age their as hormone levels decline, the and onset occluded vessels. This extra although strain on the heart the is much determining biologic versuslifetime their chronologic the web at www.ICAMBartissMD.com. resultingnot blockages are a root cause of cardiovascular dis- sympage. At ICAM this is used on all prior to beginmore gradual than inpatients women and therefore as readily noted as are those
F
toms affecting women in menopause. Mark James Bartiss, MD is a medical writer, lecturer, and author, REMEMBER…. When and isMD recognized as awriter, top ten specialist in the and fieldis of Bio-Identical it comes to your health, Mark James Bartiss, is a medical lecturer, and author, recognized as a top ten specialist in the field of Bio-Identical Hormone Replacement (BHRT). He has helped numerous take their lives backyou anddoreclaim their health. have options HormoneTherapy Replacement Therapy (BHRT). He hasindividuals helped numerous
individuals take their lives back and reclaim their health.
and a choice.
Institute for Complementary and Alternative Medicine
24 Nautilus Drive, 5 • Manahawkin, NJ and 08050 Alternative | 609-978-9002 Medicine Institute for Suite Complementary 50424Hamburg Tpk, Suite Suite5205 • Wayne, NJ NJ08050 | 973-790-6363 Nautilus Drive, • Manahawkin, | 609-978-9002
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www.ICAMBartissMD.com www.ICAMBartissMD.com
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Adult Community
The County Woman Magazine
www.TheCountyWoman.com
47
July/August 2014
48
Women
of
Monmouth County
Lorraine Catalano
Shamina Dhillon MD
Certified Nuclear Medicine Technologist at Caring Heart & Brain Imaging Lorraine is a member of the American Registry of Radiologic Technologists (ARRT) and the American Society of Radiologic Technologists (ASRT). Lorraine 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. As a technologist performing Nuclear Cardiology scans for more than 15 years, Lorraine brings a technological expertise to the Caring Heart team that is unparalleled. Lorraine is dedicated to, and successful in, developing patient care resources in the Jersey Shore area. She has been active in the medical field long enough to guarantee absolute patient care without compromising imaging results. Lorraine has great compassion for her patient’s well being and comfort, often playing their favorite music and offering them a cup of coffee/tea and snack after the scan is complete. Next to her patients her greatest passion is for her Cavalier King Charles Spaniel, Dillinger. As a matter of fact, she has had him certified as a therapy dog and he can often be seen at Caring Heart & Brain Imaging bringing smiles to patients and their families.
Physician at Shore Gastroenterology Associates Dr. Shamina Dhillon is a physician at Shore Gastroenterology Associates in Oakhurst, NJ. She is board certified in Internal Medicine and Gastroenterology. Dr. Dhillon completed her internal medicine and gastroenterology training at the renowned Mayo Clinic in Rochester, MN. During her years at the Mayo Clinic, she received several national research awards for her work in ulcerative colitis, Crohn’s disease, reflux disease, and Barrett’s esophagus. She has also authored book chapters on abdominal pain. She has been recognized on the Best Doctors list since 2009. In addition to her gastroenterology and liver practice, Dr. Dhillon serves as a clinical assistant professor of medicine at Robert Wood Johnson Medical School. She is also the Chief of Gastroenterology at Jersey Shore University Medical Center. She is involved with the American College of Gastroenterology and is a member of the Women In Gastroenterology committee. Dr. Dhillon will be a panelist on two sessions at the upcoming ACG National Gastroenterology meeting. Dr. Dhillon resides in Ocean Township, NJ with her husband and two children. To contact Dr. Dhillon, call Shore Gastroenterology Associates at (732) 517-0060 or visit www.shoregastro.com for more information.
CARING HEART & BRAIN IMAGING 2414 Highway 35, Manasquan, NJ 08736 732-292-1008 www.CHCI.biz
Photo by Tracy Harman Photography
Liya Ostrow, DMD
Photo by Annette Jenkins Photography
Jackie Berman Tender Smiles 4 Kids
Owner of Pearls of Wisdom Media
Liya S. Ostrow, known as Dr. Liya, emigrated from Russia in 1992 at the age of ten. She was a Summa Cum Laude graduate in 2003 from Hunter College in New York. That same year she relocated to Philadelphia to attend the University of Pennsylvania Dental School where she earned her Doctor of Dental Medicine Degree, Cum Laude. While at UPSDM she was keenly involved in programs and visits providing underprivileged children and adults with much needed dental care and education.
Jackie is a true “Jersey girl”, was born in NJ, growing up in Fair Lawn, graduating from The College of New Jersey and now resides in Manalapan. She is the immediate past President for the New Jersey Association of Women Business Owners Shore Region, where she received many awards for her dedication to the organization.
Advanced studies in her field of Pediatric Dentistry took place at Lutheran Medical Center in Brooklyn, New York. There she served as Chief Resident. Dr. Liya takes pride in providing exceptional dental care with a warm sense of humor and gentle style, which helps the children and parents relax during their visits. Caring for children and their dental needs is paramount to everything she does.
She started using social media for her business, Cartridge Renewal Systems and saw the many benefits it had with growing her business. She branched out and started her own social media company, Pearls of Wisdom Media, about 5 years ago. Jackie has a large assortment of clients ranging from business professionals to a radio station.
Dr. Liya is Board Certified by the American Board of Pediatric Dentistry and is a standing member of AAPD (American Academy of Pediatric Dentistry), the NJDA, NJDPA, and the ADA. She currently works at Tender Smiles 4 Kids and has clinical and teaching privileges at Monmouth Medical Center where she teaches residents and performs dental and surgical procedures under general anesthesia for kids with special needs and those who are unable to be treated in the office. Dr. Liya is surrounded by medical professionals in her family. She resides in Morganville with her husband Vlady, who is a pediatrician and their two children, Julian (7yrs.) and Kayla (3yr.) plus a 10yr. old Pekingese named Archie. Dr. Liya enjoys entertaining at home and traveling. To contact Dr. Liya, please call 732-625-8080, or visit www.tendersmiles4kids.com.
Photo by Annette Jenkins Photography
The County Woman Magazine
www.TheCountyWoman.com
Jackie can be heard Monday through Friday live from 3-6pm with the Tommy G Show. It is heard on 1450WCTC and www.tommygshow.com. She is on the board of Rose’s Fund, a fund for animals, www.rosefund.com. Her passion for animals and dedication for rescues has been added to the show, which can be heard every week. She has two grown children and loves spending time with her great niece and nephew. If you would like to contact Jackie, please call 732-610-1567. You can also find her on www.facebook.com/ PearlsofWisdomMedia or www.twitter. com/jackieberman.
Photo by Annette Jenkins Photography
July/August 2014
4
Women
of
Monmouth County
49
Lisette Cassidy
Diana Reiman
Lisette Cassidy is Vice President in charge of Advertising & Marketing at Progressive Dimensions Countertops in South Toms River. She has co-owned the company for 17 years with her husband, Edward Cassidy, who is President. Lisette launched her career by using her degree in Communications from Rutgers University to land freelance jobs in various production and post-production houses in New York. Through creative networking and a lot of luck, she was hired by PBS and worked in the Marketing and Program Administration departments where she guided the umbrella series and independent film projects from development to broadcast including the sale of ancillary materials. After moving to New Jersey, she worked as a freelance feature and entertainment writer for local and national publications such as Asbury Park Press and Latina Magazine and wrote copy for various radio stations including 94.3 The Point. Through Progressive Dimensions, Lisette fulfilled her dream of owning a business and still finds it fun to work by her husband’s side. Lisette and Ed live in Toms River with their 5-year-old son, Ethan. They enjoy traveling, riding quads, and absorbing the culture of the city by catching shows, going to the movies, and dining out. She especially likes swimming with her son to stay fit. Lisette also satisfies her love of writing by penning poems and short stories in her spare time. If you would like to find out more about Progressive Dimensions Countertops, please call 732-244-0109 or e-mail lee@progressivedimensions.com.
Diana Reiman has been marketing and selling real estate in Monmouth County for nearly 30 years. She has been a consistent top producer, earning the Circle of Excellence Award for 19 of the last 25 years. Diana has earned several key designations including; Certified Residential Specialist /CRS®, Graduate, REALTOR® Institute / GRI, The Accredited Buyer’s Representative /ABR® and has recently joined Long & Foster, the country’s largest independently owned Real Estate Brokerage company. To better serve her customers Diana continues to educate herself by achieving the multiple real estate designations and keeping up with the ever-changing real estate market. She is always available and will be your trusted partner to help you throughout the full transaction, whether you are buying or selling a home. Her personal goal has always been to have totally satisfied customers who will return again and again, AND will whole-heartily recommend her services to their friends, family, neighbors and associates. Diana’s areas of Expertise include relocation specialist, residential marketing, first time homebuyers, buyers’ representation, strong negotiating skills, exceptional client guidance, resale, residential, single family, town homes, condominiums, estate homes, horse-farms, and water-front properties. Diana has a BA and MA in Education from Brooklyn College and spent many years as a Physical Education teacher and tennis coach. Her passion for tennis continues to this day and you can often find her on the court when she is not working with clients. To contact Diana, call 908-415-7980 or 732-252-2460. You can also email Diana at Realtor.DReiman@gmail.com.
Vice President of Advertising & Marketing at Progressive Dimensions
Long and Foster Realty Inc., Realtor Associate
Photo by Tracy Harman Photography
Jennifer Cory, MS, LCSW
Photo by Annette Jenkins Photography
Donna Belbey
Red Bank Psychotherapy Associates
McDonald’s Owner Operator
Jennifer is a psychotherapist in private practice in Red Bank NJ, and co-founder of Divorce Support Net, an education, skills development and support program designed to help individuals and couples experience healing and positive transformation in all stages of divorce. As a psychotherapist with more than a decade of experience in helping families recover from the fallout from divorce, and the child of a highly acrimonious divorce herself, Jennifer is committed to mitigating the unnecessary damage that typically results through the conventional “win-lose” divorce model, and to teaching individuals and couples a better way of transitioning from the marital/civil union relationship in a way that preserves the integrity of the family. In addition to divorce consultation, Jennifer also specializes in traumatic loss, grief/bereavement, illness and end of life issues, and working with people going through all manner of life transition. Her driving passion as a therapist is to help people, regardless of their circumstance, go beyond surviving to thriving. Jennifer holds a Bachelors Degree from Monmouth University where she graduated with honors, a Masters Degree from Columbia University, where she studied human resilience, and is expected to receive her second Masters Degree from the University of Pennsylvania, in Applied Positive Psychology in May of 2015. For more information please contact Jennifer by visiting her webpage at: www. jennifercory.net or calling 732-842-3001.
Donna Belbey was born and raised in Northern New Jersey. Before relocating to Ocean County, Donna owned a very successful hair and nail salon for twelve years. Since moving to Ocean County twelve years ago, she became the owner operator of two McDonald’s Restaurants and is a member of the Women’s Operators Network. Donna places the customer experience at the core of everything she does and was recently honored with a “Putting People First” award for training and mentoring the young adults in her organization. She is married to her husband Kevin for the past 25 years and is the proud mom of three young men. In her spare time she enjoys long walks on the beach. Donna gives back to her community by hosting Ronald shows at local schools and McTeacher Night events at her restaurants. She volunteers her time and is an active Board Member of the Ronald McDonald House in Long Branch & New Brunswick. The Ronald McDonald House provides a warm, supportive “home away from home” to families of seriously ill children undergoing treatment at area medical facilities. To get involved or learn more please visit: www.rmh-cnj.org or call the Long Branch House at 732-222-8755 or the New Brunswick House at 732-249-1222.
Photo by Annette Jenkins Photography
The County Woman Magazine
www.TheCountyWoman.com
Photo by Tracy Harmon Photography
July/August 2014
Retractable
50
Awnings
Retractable Awnings So Many Benefits For Your Home!
Shade when you need it, Sun when you want it
OUTDOOR COMFORT With A Retractable Awning
With a Sunesta Retractable Awning, you control the shade. Enjoy your outdoor living area more than ever with the convenience of total shade control. Extend and retract your Sunesta Awning with the turn of a handle or push of a button - it's that simple. Your awning can be extended fully, partially, or retracted depending on the amount of shade you need or how much sun you want.
Block the sun, Keep your view
Our strong, streamlined designs eliminate the need for support poles, so our awnings block only the sun or light rain, and not your view. Maximize your usable shaded outdoor living space and your view with the addition of a Sunesta Retractable Awning to your home.
$250
OFF
the purchase of any motorized awning, screen, or shelter. Offer expires 6/15/14
Beautify your home
Your home is one-of-a-kind and your awning should be too. That's why we offer total customization so that each Sunesta is made to the distinct needs and style of each homeowner. And Sunesta Retractable Awnings don't just add beauty and space to your home, they also add equity - your covered outdoor space increases living area and value.
Expand your space
Without protection, you can't fully enjoy your outdoor living area. A Sunesta Retractable Awning allows you to expand your home's livable area, effectively adding a customized outdoor room.
Control room brightness
Authorized Partner Since 1981
Unlike permanent patio awnings, roofs, and enclosures, Sunesta Awnings can be retracted during darker times of the day, or on cloudy days, to brighten the interior of your home naturally.
Protect your indoor furnishings
The sun's UV rays can severely damage and fade furniture, carpet, upholstery, drapes and flooring. You can protect your valuable interior furnishings and prolong their life with a retractable awning from Sunesta.
Save on your utility costs
Our awnings help lower energy costs year-round. On warm days, extend your awning to block the sun from entering your home. Shading your interior will naturally cool your home and reduce air conditioning costs up to 25%. On cold days, you can retract your awning, allowing the sun to help heat your home. In snowy and stormy climates, your Sunesta Awning can be retracted, eliminating the need for expensive awning removal and reinstallation which are necessary for permanent-frame awnings.
Giglio Awnings also offers:Retractable
Awnings • Hurricane Shutters • Sun Covers • Free standing Canopies • Door Hoods & Domes
609-494-3004
• Furniture Covers …and more!
www.giglioawning.com
David Voris
Authorized Partner Since 1981
Visit Our Showroom 7802 Long Beach Blvd. Harvey Cedars Mon-Sat 9am-4pm Sun 10am-2pm
David Voris, owner and operator of Giglio Awnings, is a life long resident of LBI. He is a lifetime member of the Beach Haven Volunteer Fire Company (Station 15). He is also a member, Lieutenant and Training Officer of Barnegat Light Volunteer Fire Company (Station 13). “We are truly excited,” explains David, “because our partnership with Sunesta is solid, and they continue to develop several new products that can truly bring shade, comfort, to the outdoors. We are looking forward to the future and serving all our loyal customers for a long, long time.” About the company… Giglio Awning has been serving Long Beach Island and its surrounding areas since 1976. The showroom is located in historic Harvey Cedars, and is open year round. The company’s mission is to serve their new and existing customers with exemplary service and quality products. As a dealer of Sunesta brand products since 1981, Giglio Awning has been fortunate to be nominated Dealer of the Year in the United States for the last four years! Sunesta prides itself on quality, quick lead times and a family business atmosphere. This is a perfect complement to Giglio’s dedicated and skilled staff of 20, who are much like a family themselves.
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Contemporary &Rattan Furniture
51
The Old Fashioned Way To New Savings!
C
onsider the security of your purchase when buying. In recent years JCPenny, Marshalls, T.J. Maxx, Target, Neiman Marcus and others retailers have had security breaches during which hackers had stolen personal information from hundreds of millions of customers. These are horrendous numbers. And it takes years to try to overcome the thief of your identity. These headlines make us feel vulnerable and almost helpless. Furniture/Today magazine in recent research found that 44% of consumers buying furniture pay with credit cards. This is the most common way that hackers steal personal identity though the retailer’s stolen or compromised record keeping. In Europe the credit card companies are required to convert to Chip and Pin cards, which are said to be tougher to compromise than ordinary credit cards, but tend to be more costly. The American public should be clamoring to change this technology here in America.
Heritage House Interiors has the answer to keeping secure when buying. Being an old fashioned kind of furniture store for 40 years, we encourage the use of cash or check when buying your furniture. And we make it very worthwhile by giving you a whopping 25% discount off of any item in our store or even custom orders when you pay with cash or check. It is a WIN/ WIN situation. It lessens the costs and paperwork for Heritage House Interiors and you get your furniture, lamps, art and accessories at rock bottom prices. However, those of you who want to take advantage of your Frequent Flyer Points, we welcome you to use your Vise or Mastercard and still get 20% off your purchases.
Take the old fashioned way to new savings and help the planet too….use cash or check. As you may know already The Energy Independence and Security Act of 2007 removed the 100-watt incandescent bulbs from the marketplace in 2012 and the 75-watt in 2013. In 2014 the 60 and Clairidge Sectional 40-watt incandescent bulbs will not be produced any longer. For the past several years Swivel the CFL bulbs (twisted floresant) and the halogen bulbs are on the Rocker store shelves providing more light for less cost and energy consumption. Now we are seeing the LED lighting that is revolutionizing the way we use light at a fraction of Devon Sofa the energy use even to the CFL. Using a combination of these new Stone Harbor pub table bulbs will buy America time to update our power Outdoor Swivel Glider and stools grid which is not adequate for our present use. It is a miracle that we don’t have more brownouts or blackouts across the nation. But Americans are resistant to these new lighting changes and are hoarding incandescent bulbs. This is foolish because at some time in the near future we will have to use the new lighting. Some people use the excuse that the lighting is not the same or the cost of the new bulbs is prohibitive. We had to adjust to the incandescent bulb when it was new. The higher initial cost of the CFL and LED lighting becomes a non-factor when you realize that the bulbs last for years. You will more than pay for them with the energy savings. It makes sense for your pocketbook and makes sense for America. So, see the light and stop hoarding! Now that you have decided to save 25% on your furniture purchases Catalina and to cut your electric bills with your new Modular LED lights, come to Heritage House Interiors with your saved dollars to get that chaise you Beautiful Bedroom Sets Available wanted for the patio or that extension table and chairs for the growing family or the “Oh so comfortable” theater recliners to go with your 60” Flat Screen. Take a break from the sweltering sun or sudden thunderstorm!. Ride over to Heritage House Interiors for an adventurous cool break and see what’s new. Key Largo Heritage House is here to help Hampton Bar you with all your needs. Stool Just call (609) 698-7621.
HERITAGE HOUSE å INTERIORS rating 40 Years Celeb
25% OFF* E N T I R E
S T O R E
STOCK, CUSTOM ORDERS, LAMPS, ART, ACCESSORIES *Cash or Check (Charges and debit cards 20% OFF)
OPEN 10-5 • THURS. • FRI. • SAT. • SUN. • MON. • TUES. • CLOSED WED. 408 N. MAIN ST. (RT. 9) • BARNEGAT, NJ - 609-698-7621
w w w.rattaninteriors.com
The County Woman Magazine
Customer Testimonial
Written By: Wendy Miller
“Henry, thank you so much for your help and expertise regarding the table. I could not believe I got it the same day I visited you. Needless to say I love it and can’t wait to have company over to enjoy a meal. Thanks again for all your help and kindness.” ~ R. Bauer
www.TheCountyWoman.com
July/August 2014
Precious Metal Buyers
52
The Art of Precious Metals… Avoid Being Scammed!
Part II
in case a dispute arises after the sale. This information must include the following: name and address of the buyer, date of transaction, names of the precious metals purchased, the lineman of the precious metals purchased and their weights, the prices paid for the metals at the standard measure of weight and finally, the name, address and signature of the seller of the precious metals. Tip #5 Weigh Your Gold At Home First. Dov recommends that you weigh your gold at home first or text the sellers scale by putting a penny on their scale. The penny should weigh three grams or two pennyweights/dwt. You should also know the fineness/purity (i.e. 10-14 k) and the value of your gold. Never let your items out of your sight and be sure and watch very carefully as the buyer tests your gold. He has heard of jewelers that actually replaced an item with lower purity ones. Some customers have told Dov that the items that they were selling were identified as 10-14k. In these sale occasions, it is actually the jewelers that cheated their customers years ago by selling them a pair of jewelry as 14-18k that were actually only 10-14k. Lastly, Dov shared with us the stigma and negative reputation the industry has acquired. Unfortunately, many fraudulent businesses take advantage of consumer misknowledge and under pay up to 80 percent of what the consumer truly deserves. As the owner of Precious Metal Buyers, LLC, Dov Oppenheim buys, meets and trades gold and other precious metals. His business is about giving people what they deserve for their valuables through a complete transparent transaction. He is fully licensed and bonded with the state of New Jersey and is subject to monitoring the Manchester Police Department. Stay tuned for more important Must Call To Schedule Your tips in the next issue.
Written By: The County Woman Staff In the last issue, the owner of Precious Metal Buyers, Dov Oppenheim, gave our readers some important insight before you sell your precious metals. In this article, he dispels some of the myths and stigmas that are commonly attached to the business of selling gold. Tip #4 Avoid Being Scammed. It is critical to always get a complete sales receipt. If you sell your item, be sure the buyer provides you with a complete receipt with detailed information Dov Oppenheim, Owner
Call 732-597-2225 to schedule your appointment with Dov Oppenheim. Health &Wellness
Personal Private Appointment
visit www.pmbuyers.com
2014 Upcoming Events WORKSHOPS - TRAINING - COMMUNITY
“ Re -you-venate”
September 26-28 David Sirgany An Iyengar Intensive
S SE K S A EE L W C A N E S P Y e O ag DA s s n 7 ga tio Ma
October 17-19 Andrey Lappa Universal Yoga Workshop
MIND/BODY STUDIO
Yo dita utic ices • pe r v Me • hera ic Se T list ing le n • i o i a du H h • ai C er Tr ss sche M la h T CO 99 • eac ite for c . E T • e webs IN 4.92M LBI
s ge sa s 9 e N S A 09.4 OTTO r Ma G 6 HIP B es o O S ass .Y 9 Cl W 99 o W 4.0 LE le f r W .40 VIL ilab 9 TH va 60 SMI tes A a fic rti e C ft Gi
2014 Teacher Training 200 and 500 Levels Begin September 2014 Registration Now Open Call for information or go to www.yoganine.com
Shop In Our Fair Trade Store for Gifts That Give Twice
Organic Cosmetics, Green Products & Therapeutic Massage Unique Jewelry, Bags & Gifts From Around the World
Photo by Paul Dempsey
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Carpet
&
Flooring
t $ e B CARPET &
53
Interest-Free Financing Available.
Lowest Prices & 100% Satisfaction
Guaranteed
FLOORING
50% OFF All Remnants!
Absolutely FREE* Senior Discount Offered! • Heavy Duty Commercial was $1.15
Now 89¢ Sq. ft.
• Berber Fanatastik was $1.99
Now $1.39 Sq. ft.
• Tone-On-Tone Multicolored was $2.29
Now $1.66 Sq. ft.
• Rip Up Old Carpet • Upgrade Pad • Measuring • Normal Stairway Installation • 48 Hour Installation • 35 Installers • Personalized Service
Laminate & Hardwood
• Red Oak Natural Laminate 99¢ Sq. ft. (While supplies last) • Kronoswiss Laminate Commercial Grade Starting at $2.99 Sq. ft. • Shaw Wood & Ceramic Laminate Starting at $1.99 Sq. ft. • Solid Hardward & Engineered Floor Starting at $3.99 Sq. ft.
• Thick & Luxurious Saxony was $2.39
Linoleum Starting at $1.09 Sq. ft.
Now $1.88 Sq. ft.
• Long Lasting Textured Twist was $2.59
Now $1.99 Sq. ft.
• Kitchen Cabinets: Lowest Prices in Town!
45-65% OFF AREA RUGS
3324 Route 37 E. Toms River, NJ
732-929-9200 FREE 5X7 AREA RUG
EXTRA 10% OFF
With any order over $500.
On Already Reduced Sales Prices with a minimum purchase of $1000.
With this coupon. Not to be combined with any previous orders or sales. Offer expires August 31, 2014.
Fischer Blvd.
*Only with carpet installation and actual purchase. Excludes remnants. t& nd pe e nt ar g Sa C On ra st rin un & el er au e B loo S ot Pi est R F M
ge
Brid
Route 37 Aqua Blue Restaurant
Jughandle
With this coupon. Not to be combined with any previous orders or sales. Selected styles only. Offer expires August 31, 2014.
Hardwood • Vinyl • Carpet • Laminate • Hardwood Exotic Wood • Area Rugs • Tile • Rolls & Remnants
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
54
Travel ravel T
55 63
Taking It With You: A Packing Primer You’ve booked your long awaited vacation with your Travel Professional and you’re ready to pack your suitcase. Now the big question is:
What do you take with you?
With so many new fees and restrictions the airlines have imposed for baggage, you will have to consider leaving your entire closet at home from now on. Some airlines are charging for carry-on bags now, and other airlines let you board first if you have no carry-on bags. So what are the essentials to pack? Here is a packing primer from Carole Kaiman, Travel Professional that might help with the process.
For a week in the Caribbean: • 2 swimsuits (put 1 in your carry-on so you can go right to the beach) • 2 cover-ups (1 with sleeves for evenings dining on the beach & 1 Pareo) • Yoga pants and 2 tank tops • 2 shorts and 2 tees • 3 sundresses • SHOES: Flip flops, flat sandals, wedges, sneakers • Pashmina • Sunglasses • Packable sun hat and foldable beach bag • Costume jewelry, (leave the real jewels home) and an evening purse Must Haves: • Insect Repellent, Sun Protection (with at least 30 SPF) • Facial and body moisturizer • Make up Bag: waterproof mascara, eyeliner, hair conditioner and shampoo
If you’re cruising in the Caribbean • Add a few more tee shirts and another pair of shorts • Lightweight sweater, rain poncho, and zippered plastic bags for wet suits. • Whatever you forget you can purchase on board or at the ports or resorts. A few years from now what you will remember is the total experience of your vacation, NOT the things you forgot to pack. *Remember, your Vagabond* Virtuoso Travel Professional can assist you in planning a vacation with the most value and added touches to make your experience a memorable one. Our dedication to our clients before, during and after every vacation makes a world of difference.
Enjoy Your Travel Experience. Your Vagabond Travel Virtuoso Advisor For over 25 years,
Carole Kaiman Vagabond Travel *Check out www.virtuosolife.com for our Digital Magazine and some amazing travel ideas.
Carole Kaiman, Travel Specialist Vagabond Travel Virtuoso Agency 542 Prospect Ave. Little Silver New Jersey 07739
Over 25 Years
732-222-2792 Direct 732-842-2600 Office
website: www.vagabondtvl.com
The The County County Woman Woman Magazine Magazine
www.TheCountyWoman.com www.TheCountyWoman.com
July/August May/June 2014 2014
Home Improvement Show
FALL HOME
Improvement
MEET HOME IMPROVEMENT PROFESSIONALS IN YOUR BACKYARD
SHOW
SEPTEMBER 20-21
MAC at Monmouth University &HGDU $YH Â&#x2021; :HVW /RQJ %UDQFK 1-
55
Interested in Exhibiting? Call us at 732.449.4004
SHOP, COMPARE & SAVE The Only Fall Home Show in Monmouth & Ocean Counties
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'RQ¡W PLVV WKH NEW Fall Home Improvement Show DW WKH MAC at Monmouth University VKRZFDVLQJ KRPH LPSURYHPHQW SURV WR JHW WKH MRE GRQH ULJKW
Interior Design Kitchens & Bathrooms Ceramic Tile Flooring HVAC Contractors Plumbing Contractors Marble
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You don’t want to miss the return of our Fabulous Handbags for Hope Twilight Cocktail Reception and Handbag Auction on Tuesday, August 5th (6pm-8pm) being held at the Turf Room, Monmouth Park, Oceanport, NJ. This year’s event features an expanded collection of designer handbags gently used pocketbooks with the addition of designer costume baubles & bling. The evening is a heartfelt celebration of friendship, laughter and fun with a silent auction of coveted handbags. Our 2012 silent auction featured new and “pre-owned” designer and celebrity handbags including Prada, Fendi, Gucci, Chanel, Judith Ripka, Louis Vuitton, Hermes, Marc Jacobs, Kate Spade and many others who were kind enough to donate to our auction. All handbags are priced reasonably and there’s something for everyone! For more information on attending, sponsoring or donating please contact Diana at 732-222-8755 (ext. 31); Diana@rmh-cnj.org or visit us on the web www.rmh-cnj.org. Become a fan on Facebook. https://www.facebook.com/RMHCNJ
Our 5th Annual Wine Tasting will be held at the Robert B. Meyner Reception Center in PNC Bank Art Center on Friday, October 24, 2014 at 6:30pm. For more details contact Diana Alikas at 732-222-8755 x. 31 or email Diana@rmh-cnj.org Tickets are $75/person
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EVERYONE HAS A REASON TO END ALZHEIMER’S.
SATURDAY, SEPTEMBER 27, 2014
SOUTHERN REGIONAL WALK POINT PLEASANT BEACH, NJ (corner of Arnold and Baltimore Avenues) Registration begins at 9 a.m. Walk begins at 10 a.m.
REGISTER TODAY! PLEASE GO TO ALZ.ORG/NJ/WALK
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Please join us for Falling in Love With Fall Fashions
ANNUAL LUNCHEON FASHION SHOW
Saturday, November 1, 2014 11AM Addison Park 150 Route 35 Aberdeen, NJ 07735
Fabulous Baskets and Live Auction Fashions by Karenâ&#x20AC;&#x2122;s Boutique Spring Lake, NJ Supported by Manna House Manna House is a transitional housing program for women and children who would otherwise be homeless. We provide the opportunity for women to move from dependency and homelessness to self sufficiency and hope.
$58 per person Must buy tickets in advance Contact JoAnne 732-946-2028
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(Just a quarter mile east from Exit 81 of the Garden State Parkway.)
Toms River, NJ
www.simplysdayspa.com
A DAY SPA EXPERIENCE
732-505-9448
Please call Simply Skin at 732-505-9448 to make your appointment.
Community
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Pearls of Wisdom Media LLC
The #1 thing you need is an inviting twitter account. Is your Twitter pictures and bio compelling enough to follow? Avoid using too many #hash tags, but you should know what hash tags are popular for your industry. Are you retweeting any of your followerâ&#x20AC;&#x2122;s tweets? Be active in retweeting, but be selective. When someone retweets your tweets, be sure to say thank you!!! Has someone asked you a question and you ignored it? Answer all queries!!!!! Create meaningful conversations. Respond to any negative comments. Your brain transfers so much information daily, but visual gets the message across so much better, include photos and video whenever possible with your tweets. A study by Buffer has shown that the power of visual increases twitter engagement by 150 percent.
Keep your tweets short and sweet. Twitterâ&#x20AC;&#x2122;s best practices guide cites a report by Buddy Media that itâ&#x20AC;&#x2122;s best for tweets to have 100 or fewer characters. To get the most out of your tweets add some of the following most retweetable words to your tweets: add please, free, check out, how to, you, twitter, retweet, help, please retweet, top or 10 to your tweets Get people talking by asking questions that are relevant to you. Twitter users love to share their opinion. Share interesting content from other sites with your original content. At last, donâ&#x20AC;&#x2122;t forget to ask, â&#x20AC;&#x153;What do you think?â&#x20AC;? Get your audiences advice and hereâ&#x20AC;&#x2122;s to happy twitter conversations!!!!
Social Media For Your Business - Donâ&#x20AC;&#x2122;t have the time? Let Pearls of Wisdom take over, call Jackie at 732-610-1567!
Jackie Berman, Pearls of Wisdom Media
Jackie Berman 732.610.1567 PearlsOfWisdomMedia@gmail.com www.twitter.com/jackieberman Social Media â&#x20AC;&#x201C;Donâ&#x20AC;&#x2122;t have the time? Let Pearls of Wisdom take over.
732 610 1567
www.twitter.com/JackieBerman â&#x20AC;˘ www.facebook.com/PearlsofWisdomMedia
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Theatre
64
&Entertainment
“PURE UNADULTERATED HUMOR.”
“Sweet & Sassy!”
- The Daily Beast
- NY Times
The
ORIGINAL
PARODY
n o i t a r b y! e l e c l l i a m c i a s and f u m l yfu , love o j A f life o
I AM NOT MY HAIR
of
Fifty Shades of Grey Directed by
Al Samuels Rob Lindley
RESPECT
photos of original Off Broadway Cast.
I AM NOT MY HAIR OT SINGLE LADIES I AM HNNAIORT MAYM AIR SINGLE LADIE STOP IN THE I S YH NAME OF LOVE PLEYCT W M LADIES S S I E M R E A TYRONE M NOT F A DIE F E SINGLE R R A A A L E M A E I HAIR W ILY GLE N T I T MY T Y S R EC HE ONE “A Winner!” W E ARE OPP INYT E
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“VERY FUNNY” and “WITTY” - Chicago Tribune
TYROENARE FA ONE
TYRYMILY
“HILARIOUS!”
IN LOVE OH H HAPPY DA P AY RESPSINEGCLT I AM OAUISR I NAME NOT - Cosmopolitan O T D F H T C A T O E O O Y P S P N P E LA RECYIHTYROM GO PY D E S E P M M R A A DIPE M RD Y HTAIR D B I RHNEAAIR AY HH S LO O S S P L E Y H C E T E I M T ECT Call 866-811-4111 or Visit 50SHADESTHEMUSICAL.COM HILDSS 308 W 46th LAD EAYCTheatre, P T S C E E I R C L St. Luke’s St E A D E G T RON Telecharge.com Y P OM THE SINOH HAPSPS212.239.6200 • SistasTheMusical.com SP ELEKTRA THEATRE at Times Square Arts Center I AMMHNYARHIRENSOT E E R E L D for groups call M212.977.5925 Y AIR 300 W. 43rd St. Special GOD Brates E IL
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T The County Woman Magazine E
NOTIR M A HA Iwww.TheCountyWoman.com
50_Shades.NJWomen.4.75x11.5.4C.indd 1
2/4/14 12:46 PM July/August 2014
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“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.
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Woman’s Golf Membership
67
FORE WOMEN ONLY Membership
Includes
A Brand New Set of Clubs
A Logo Golf Bag
An Individual Golf lesson
Professional Women & Men Instructors
Course Instruction
A Group Golf Clinic
A Calendar Year Social Membership
Includes Six Rounds of Golf
Restaurant & Dining Privileges
Aggressive Social & Networking agenda
Golf & Business Networking
Offered at $1000.00 Plus Tax
100 School Rd. East Marlboro NJ 732.308. 4600 www.Bellavistacc.com
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Now offering Concussion Management â&#x20AC;¢ Baseline Testing â&#x20AC;¢ Concussion Rehabilitation i4QFDJBMJ[JOH JO PSUIPQBFEJD DBSF BOE TVSHFSZ GPS UIF JOKVSFE BUIMFUF ,FOOFUI $IFSO .% 7JOBZ $IPQSB .% 4VOJM Ä&#x2021;BDLFS .% BOE $ISJTUPQIFS 4QBHOVPMB .% XJMM HFU ZPV CBDL JOUP BDUJPO w
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