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

Ocean

Woman

after sex or after menopause. He also recommends seeing your doctor if you experience any of the following symptoms, especially if they last two weeks or longer:

• Change in bathroom habits, including having blood in the stool or urine, going to the bathroom more often than usual, or feeling constipated.

COUNTY

• Pain in your pelvis or abdomen, especially when urinating or having sex.

Reduce Your Risk.

An Educational Resource for Women and Their Families While most gynecologic cancers cannot be FREE ~ Please Take One

Gynecologic Cancer Affects All Women – Lower Your Risk Barnabas Health Medical Group Ocean County Ob/Gyn

Page 30

prevented, women can reduce their risk by eliminating specific factors or behaviors that may contribute to the disease.

To reduce their risk, women should: • Receive regular pelvic exams • Maintain a healthy diet Contemplating • Not smoke Bankruptcy? • Limit their number of sexual partners (to reduce risk of HPV) You’re Not Alone. • Monitor their bodies Financial distress. Everyone feels it, not many • Speak with their physicians actually talk about it. In today’s difficult economic times, hardship knows no boundary with respect to color, class or creed. Page 34

ABSTRAX HAIR DESIGNS HAS REAL SOLUTIONS

The health of your hair is linked to the health of your scalp: you can’t have healthy hair if your scalp isn’t healthy. The scalp is actually the Skin part from where your hair follicles grow. Page 40

Photo By Tracy Harman Photography

University of Urology Associates of New Jersey use the latest advances in robotic and laparoscopic surgery to provide the highest quality urological care for their patients. Read more on pages 54 & 55.

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Nov./Dec. 2014

Please Take One

Medical Professionals

Balance And Physical Therapy By: Jennifer Vadas, DPT, All-Care Physical Therapy Center, Whiting Location

Balance plays a key role in the vast majority of typical activities we perform throughout our day. Whether it is reaching for a dish, standing while talking to a neighbor, or swinging a golf club; the importance of maintaining the highest functional level of balance cannot be understated. Balance tends to decline as we age; which puts older adults at an increased risk for falls, and subsequent injury. However, difficulties with varying levels of balance can affect people at all ages. Impairments in balance can often be a secondary effect of many other conditions, including stroke, arthritis, multiple sclerosis, and neuropathy; just to name a few.

Multiple Systems Impact Balance

There are multiple systems of the body that impact balance; they include the visual, somatosensory, vestibular, and musculoskeletal systems. The visual system plays a role in balance by allowing you to see any obstacles in your path, and react accordingly. The brain also receives visual signals to help perceive how the body is oriented in regards to its surroundings. The somatosensory system includes tactile sensation (touch), and proprioception (positional awareness). Tactile sensation in our feet allows us to feel them on the ground below us. This allows us to be aware of any changes in the surface we are walking on. Our proprioceptive system allows us to understand the position of our joints, this is particularly important in our ankles in order to be aware of any postural sway and react accordingly to correct balance. The vestibular system is located in the inner ear; it functions in balance by detecting movements of the head. This allows for clear vision with motion, and maintaining upright positioning. The musculoskeletal system involves our muscles, bones, tendons, and ligaments. It is important to maintain good flexibility and strength in our muscles; as they help to stabilize in balance tasks. If muscles are overly tight, they will be unable to allow for motion required to move correctly, or to compensate if you are losing your balance. Maintaining good muscular strength is important throughout the body. Our postural muscles (i.e. those in the shoulder, back, and abdominals) help to sustain optimal positioning for good balance. Lower extremity strength, from the hips down to the ankles, o is important to preserve stability in both static (standing still) and dynamic (moving) tasks. Should one of these systems become compromised, it is important that the remaining function at the highest possible level to overcome that deficit.

Physical Therapy Is An Effective Tool Physical therapy can be utilized to rehabilitate areas that have been weakened or injured and to increase the functional level of the others. For example, in a patient with visual impairments, physical therapy can be utilized to improve the function of the vestibular system; as well as increase muscular strength and flexibility. Physical therapy allows you to challenge your balance and perform activities that are difficult, while in a safe setting with professionals who can properly cue you for methods to better perform these activities. Your therapist will perform a comprehensive examination to determine where your particular deficits lie, and will then establish a program focusing on your individual needs. Programs tend to encompass all areas that impact balance; including stretching muscles that are overly tight, strengthening those that are weak, using varied surfaces/directions of movement, performing tasks with eyes closed, and decreasing base of support. There is also a focus on incorporating functional tasks into therapy treatments. A common complaint we hear from people who are coming to therapy for balance is they find they have increased difficulty maintaining their balance while walking in crowds, or in grocery stores when trying to look for objects. Therapy will mimic these scenarios by providing patient with perturbations (similar to being jostled in a crowd), and teaching appropriate reaction strategies. Another common exercise is having a patient walk while both nodding and turning their heads, similar to what we do in a grocery store to look for the box of cereal we want while still moving down the aisle. These are just a few examples of the many activities a patient may perform in therapy as part of a balance training program. It is extremely important to feel safe and confident with functional mobility to uphold a high quality of life. Having feelings of limitations in balance will decrease the possibility of this. Fortunately, there are treatment options available to improve balance and mobility to uphold your personal lifestyle goals. Please ask your doctor if balance training at All-Care Physical Therapy Center is right for you!

Now offering In-Home Physical Therapy

1-(855)-3ALLCARE

Come Experience The All-Care Difference For Yourself! Whiting • Toms River • Brick Manchester • Barnegat

Hand Therapy Specialist

Free Transportation For Patients In Need

To make an appointment at the Whiting location, please call 732-849-0700.

Please visit our new and improved website at www.allcareptc.com Jennifer Vadas, DPT

Jennifer graduated with a Bachelor’s Degree in Psychology from Rider University in 2006. She continued her education at the University of Medicine and Dentistry of New Jersey in Stratford; where she received her Doctorate of Physical Therapy in 2009. Since graduating in 2009, Jen’s primary professional focus has been in the outpatient setting; though she also has experience in acute care and sub acute rehabilitation. Jen’s areas of interest include geriatrics, nonoperative and post-surgical rehab, and balance impairments. She has taken continuing education courses in vestibular rehabilitation. Jen strives to provide each patient with individualized care, focusing on their primary concerns and goals.

Whiting Location

www.AllCarePTC.com

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November/December 2014

Featured Articles ^Medical Professionals

All Care Physical Therapy Center, LLC.....................................2 AtlantiCare Regional Medical Center: The Heart Institute........5 Shore Vascular & Vein Center....................................................8 Stephen L. Newman MD MBA..........................................10, 11 Atlantic NeuroSurgical Specialists....................................14, 15 Toms River X-Ray DT & MRI Center........................................16 Acuity Specialty Hospital of New Jersey...........................18, 19 Ocean Plastic Surgery P.A. and Laser Center.........................21 AtlantiCare Regional Medical Center The Center For Surgical Weight Loss & Wellness................25 Barnabas Health Medical Group: Dr. Sumy H. Chang............26 Banks, Kathy A., DMD.............................................................28 South Jersey Fertility Center...................................................29 Barnabas Health Medical Group Ob/Gyn...............................30 Bella Derma Medi Spa.............................................................31 Seaview Orthopaedics & Medical Associates...................35, 84 Premier Pain Centers..............................................................37 Institute for Complementary and Alternative Medicine.....38, 39 Ocean Hematology & Oncology..............................................43 Paonessa Colon and Rectal Surgery, P.C...............................45 Gastroenterologists of Ocean County.....................................48 The Children’s Hospital of Philadelphia...................................50 Whiting Health Care by Revera...............................................51 University Urology Associates of New Jersey...................54, 55 Caring Heart & Brain Imaging............................................56, 57 ^Alzheimer’s Care Alceour Gardens........................................................................3 ^IT Services RS Technical Services...........................................................6, 7 ^Health & Wellness Simply Skin................................................................................6 Meridian Fitness & Wellness....................................................13 Hypnosis For Women..............................................................20 Marin Integrative Therapy........................................................24 Ocean Health & Weight Loss...................................................46

Alzheimer’s Care

Alzheimer’s Community

Yoga Nine Mind/Body Studio..................................................47 Jersey Shore Pharmacy..........................................................58 Skin Genesis Clinique.............................................................60 Full Circle Wellness.................................................................69 ^Professional Dentistry Aesthetic Dental Creations........................................................9 ^Precious Metal Buyer Precious Metal Buyers, LLC....................................................12 Êlder Law Rice Elder Law........................................................................17 ^Financial Management Mark S. Rushwald.............................................................22, 23 Înterior Decorating Decorating Den Interiors.........................................................24 ^Law Matus and Connell LLC...........................................................27 Jay Turnbach, Esq., LLC.........................................................32 Kathleen M. Dotoli, Esq...........................................................33 Straffi and Straffi, Attorneys at Law........................................34 ^Children’s Boutique Sea La Vie................................................................................33 ^Fashion & Beauty Lynne’s Fashion Boutique.......................................................36 Leisure and Lace.....................................................................74 Barbara’s Boutique..................................................................75 ^Wigs & Hair Replacement Abstrax Hair Designs...............................................................40 ^Home Health Care Karing With Kindness..............................................................41 ^Copy, Fax & Notary Services The Wordstation Copy Fax +...................................................42 Êducation Ocean County College............................................................42 Star Career Academy..............................................................61 Kean University.......................................................................82

3 ^Contemporary & Rattan Furniture

Heritage House Interiors.........................................................44 Êlder Life Management Elder Life Management, Inc....................................................49 ^Business & Personal Storage Airship Storage........................................................................50 ^Whiting Business Association..........................................52 Âssisted Living Spring Oak of Toms River........................................................53 Âwnings Giglio Awnings.........................................................................59 ^Specialty Cakes & Chocolate Novelties Chocolate Carousel.................................................................62 Âdult Community Fountainhead...........................................................................63 ^Business & Finance Copiers Plus............................................................................64 Toms River Chamber of Commerce........................................79 Âcupuncture Koehler Acupuncture...............................................................65 ^Woman of Ocean County...........................................66, 67 ^CASA CASA for Children...................................................................68 ^Theatre and Entertainment Stalking the Bogeyman...........................................................71 Iluminate..................................................................................72 Gazillion Bubble Show............................................................72 The Belle of Amherst...............................................................73 ^Travel Vagabond Travel......................................................................77 ^Fine Art Photography Tracy Harman Photography....................................................83 ^Community........................47, 60, 69, 70, 76, 78, 80, 81, 82 Visit us at www.TheCountyWoman.com

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

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

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

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

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November/December 2014

Publisher’s Note

Ocean COUNTY

An Educational Resource for Women and Their Families Since 2008

Woman

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

For advertising inquiries, please call:

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

The County Woman P.O. Box 619 Turnersville, NJ 08012 The County Woman’s Newspaper is published bi-monthly and is available free of charge at display stands in approved private and public establishments and authorized distributors only, or by paid mail subscription. Trademark and U.S. Copyright Laws protect The County Woman’s Newspaper. No part of this paper may be reproduced without the written permission of the publisher. The County Woman’s Newspaper is not responsible for any editorial comment (other than its own), typographical errors from advertisements submitted as camera ready or any reproductions of advertisements submitted as camera ready. If an advertisement does not meet our standards of acceptance, we may revise or cancel it at any time, whether or not it has been already acknowledged and/or previously published. The advertiser assumes sole responsibility for all statements contained in submitted copy and will protect and indemnify the Woman’s Newspaper, its owners, publishers, and employees, against any and all liability loss or expense arising out of claims for libel, unfair trade names, patents, copyrights and propriety rights, and all violations of the right of privacy or other violations resulting from the publication of this newspaper or its advertising copy. The publisher shall be under no liability for failure, for any reason, to insert an advertisement. The publisher shall not be liable by reason of error, omission and/or failure to insert any part of an advertisement. The publisher will not be liable for delay or failure in performance in publication and/or distribution if all or any portion of an issue is delayed or suspended for any reason. The publisher will exercise reasonable judgment in these instances and will make adjustments for the advertiser where and when appropriate. The Woman’s Newspaper assumes no responsibility for unsolicited material or reproductions made by advertisers. This newspaper will be published by the 15th of every other month. Representations by The Ocean County Woman, LLCTM COPYRIGHT 2008.

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The County Woman Magazine

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

Events in Ocean County • Yoga Nine (p. 47) Workshops: November 7-9 Andrew Eppler, November 22 Holiday Party & Sale, December 20 Holiday Retreat, January 10-17 Retreat for 500 Hour Teacher Trainees • NJAWBO Events (p. 69) • Ronald McDonald House (p. 78) December 5 – Growing, Changing, Unfolding Cocktail Party • Toms River Chamber of Commerce (p. 79) December 9 – General Membership Holiday Meeting

Featured On The Front Cover: Back row: (l-r) Joslin Bowers; Alexander Gotesman, MD; Basilia Matey. Seated: (l-r) Parvez Mahmood, MD, FACS; Mukaram Gazi, MD, FACS. Learn more about University Urology Associates on pages 54 & 55. Cover photo by Tracy Harman Photography. Tracy can be contacted for appointments at 732-797-0377. Schedule your family portraits or impressive commercial head shots today! See page 83.

Change Your Life inin 2014 Change Your Life 2014 2015

Licenses Available In Your Area Licenses Available In Your Area Woman Publishing Entrepreneurs Wanted ... Join over 371 other counties that

are publishing have anEntrepreneurs option to publish in the States BEcounties YOUR that Woman or Publishing Wanted ...United Join over 371and other OWN BOSS! We are looking a option few bright, energetic, women and are publishing or havefor an to publish in thecreative United States and BE YOUR men toOWN publish our trademarked, copyrighted newspapers IN YOUR COUNTY, BOSS! We are looking for a few bright, energetic, creative women and IN YOUR STATE, IN YOUR OWN BUSINESS! Join the fastest growing educational men to publish our trademarked, copyrighted newspapers IN YOUR COUNTY, Woman’s Newspaper syndicated in the UnitedJoin States. IN YOUR STATE, IN YOUR OWN BUSINESS! the fastest growing educational Woman’s Newspaper syndicated in the United States. MINIMAL INVESTMENT REQUIRED! Maximum return ... Be your own boss, set your own hours and make your life mean more! MINIMAL INVESTMENT REQUIRED! Maximum return ... Be your own boss, set your own hours and make your life mean more! ALL TRAINING PROVIDED! If you are interested in developing with us in 2014 in yourALL STATE, in yourPROVIDED! COUNTY ...If you are interested in developing with us in 2014 TRAINING in your STATE, in your COUNTY ...

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November/December 2014

Medical Professionals

Early Heart Attack Care: Knowing the Signs May Save a Life

It’s important to know the early warning signs of a heart attack. Sudden or recurring chest pain is one warning sign that should never be ignored. If you or a loved one ever experiences unusual pain or pressure in your chest, call 9-1-1. A Full-Service Heart Program Become an Ambassador for Early Heart Attack Care (EHAC)

AtlantiCare is a proud supporter of the EHAC Oath, a national educational and awareness campaign that encourages early recognition of heart attack symptoms, particularly symptoms that are mild or those that may come and go weeks or days before a heart attack actually happens. The EHAC Oath is an initiative of the Society of Cardiovascular Patient Care (SCPC), which is committed to preventing untimely death and disability from heart disease. The Beginnings

• Nausea • Pain in one or both arms • Jaw pain • Fatigue • Anxiety • Chest pressure or squeezing • Chest discomfort • Back pain • Shortness of breath • Feeling full • Feeling of impending doom • Heartburn, indigestion • Breaking out in a cold sweat

Risk Factors • Smoking (including exposure to second-hand smoke) • High blood pressure • Diabetes • Prior stroke • Sedentary lifestyle • Obesity • High cholesterol • Increased age • Family history

The EHAC Oath • I understand that heart attacks have beginnings and on occasion, signs of an impending heart attack may include chest discomfort, shortness of breath, shoulder and/or arm pain and weakness. These may occur hours or weeks before the actual heart attack. • I solemnly swear that if it happens to me or anyone I know, I will call 9-1-1 or activate emergency services.

Vicky Miesemer and her daughter Taylor Egg Harbor Township, NJ

I believe

you’re never too old for a new lifesaving procedure.

At age 87, Vicky Miesemer was diagnosed with aortic stenosis. Open-heart surgery is usually recommended. But Dr. Dib, her cardiologist, suggested TAVR—a minimally invasive procedure. During a TAVR procedure, a surgeon inserts a new aortic valve within a diseased valve—while the heart is beating. Vicky’s daughter Taylor wanted a second opinion, believing the best of the best are in Philly or New York. However, Vicky trusted her cardiologist and decided on AtlantiCare for the surgery. Her two-hour procedure couldn’t have gone more smoothly. After three days in the care of Drs. Dib, Levite, Axelrod, Dralle and Van Hook, Vicky went home, without needing rehab or pain medication. Her Valve Program Coordinator, Dawn Christensen, MHA, BS RT (R) (CV), was especially appreciated during and after Vicky’s hospital stay, and is now like a member of the family. “The procedure was miraculous,” says Vicky. And it changed Taylor’s belief about where excellent doctors can be found: “The best of the best are right here. I thank them for giving my mom the heart of a 30-year-old!”

Healthcare you can believe in.

The County Woman Magazine

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1-888-569-1000 www.atlanticare.org/TAVR

November/December 2014

IT Services

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

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

Ultimate Day Spa

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

Ultimate Day Spa

At Simply Skin, We Are Grateful For...... All of our customers who have allowed us to introduce them to spa services, all who have loyally... We can all buy our own “stuff.” The best gift you can give is the gift to take care of someone.

come to Simply Skin for all of their spa needs for the past 20 years and for our coworkers and the bond we have created together. Simply Skin has been part of Downtown Toms River for 20 years now.

Written By: JoAnn Juralewicz, owner, Simply Skin. A Day Spa Experience

We offer the finest in service for massage, body care, skincare and nail care for hands and feet. We also have an extensive spa boutique for your homecare, gift giving and shopping pleasure. Over 45,000 people have graced our spa in the past 20 years. Our staff has been together for over 12 years and some as long as 19 years. Thank You! Have a Wonderful Thanksgiving!

At Simply Skin, we understand this and make it very easy for you to purchase gift cards for family and friends. Our gift cards can be purchased in person at our spa, by telephone, or online from your phone/computer. Online gift cards are printable, available to email, or we can snail-mail it to them too! Merry Christmas to All! Happy Hanukkah to You and Yours!

Testimonial from a guest . . . • The service was awesome! I used to live in the area 20 years ago and

would go to Simply Skin regularly. I was going to be in the area and scheduled a facial. 20 years later it is still the most amazing place ever

with courteous and friendly staff, as well as the most excellent service! I felt refreshed, renewed and relaxed. I can’t wait to go back again soon!! Have a wonderful experience every time !!!! Personal and professional. ~ Lisa B.

We are located at:313 West Water Street, Toms River, NJ 08753 (Just a quarter mile east from Exit 81 of the Garden State Parkway.) A DAY SPA EXPERIENCE

The County Woman Magazine Business & Finance

www.simplysdayspa.com

Please call Simply Skin at 732-505-9448 to make your appointment. www.TheCountyWoman.com

November/December 2014

Business Spotlight

~ Interview with Robert Schwartz ~

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

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

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

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

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

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

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

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

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

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

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

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

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

Tell us about the Network Operations Center.

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

What do you like to do in your leisure time?

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

The County Woman Magazine

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November/December 2014

Medical Professionals

Varicose Veins? Not Just A Cosmetic Problem

ne of the most common circulatory system problems affecting individuals of all ages is venous insufficiency, also known as “Venous Reflux Disease”.

This occurs when one-way valves in the leg veins begin to fail and become leaky. This causes blood to pool in the legs and can lead to the development of large protruding legs veins, known as varicose veins. It can also cause a variety of painful or uncomfortable symptoms in the affected legs. Some of the most common of these symptoms are leg pain, leg fatigue and heaviness, swelling and skin itching. In severe cases, this can lead to permanent defects in the appearance and integrity of the skin and even the development of wounds, called venous leg ulcers. It is estimated that 20 to 40 million Americans suffer from venous insufficiency. Both men and women are affected. The most common risk factors are occupations that require standing, a family history of varicose veins, pregnancy, being over weight and increasing age. However, some affected individuals do not have any of these risks. The diagnosis of venous reflux disease is made with physical examination and painless Doppler ultrasound testing. Advances in treatment now make relief of the symptoms and appearance of varicose veins possible without the need for hospitalization or painful vein stripping surgery. For some people, wearing special venous support stockings will help control symptoms. However, when stockings alone are not sufficient, or when individuals require a more permanent solution to varicose veins, new minimally invasive office procedures can often be used to cure venous reflux disease and its symptoms. One of the most effective treatments for venous reflux disease is the VenefitTM Procedure. This is a remarkable new procedure that treats the abnormal veins with radiofrequency (RF) energy. The RF energy is delivered through a device called a catheter that is inserted into the diseased vein. This causes the vein to close down, essentially removing it from the circulation. The body then redirects the blood into the normal leg veins. This eliminates the venous reflux, markedly relieving the symptoms and often improving the appearance of the varicose veins as well. The procedure is performed in a comfortable office setting and takes about 20 minutes. There are usually no incisions or sutures. General anesthesia is not required. Patients typically experience minimal discomfort and are able to return to their usual activities in about a day or two. Shore Vascular & Vein Center in Somers Point is the region’s premiere center for treatment of venous disease. Their Board Certified Vascular Surgeon has extensive experience in successfully treating thousands of patients with varicose veins and other vascular diseases. It is one of New Jersey’s leading centers in performance of the VenefitTM Procedure. They also offer sclerotherapy and Excel V Laser for the cosmetic treatment of spider veins.

If you are experiencing the signs or symptoms of varicose veins and venous reflux disease, the physicians of Shore Vascular & Vein Center are available to help. Call (609) 927-3030 for a consultation, or visit them on the web at www.GetGreatLegs.com

Fall Is A Time For Change! Jeffrey Gosin, M.D. F.A.C.S. 442 Bethel Road Somers Point, NJ 08244

(609) 927-VEIN (8346)

Eliminate your veins, don’t hide them!

www.GetGreatLegs.com The County Woman Magazine

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Frequently Asked Questions

What causes varicose veins?

Will varicose veins get worse over time?

Who is affected by varicose veins?

Does treatment require surgery?

Is vein care covered by health insurance?

Varicose veins are usually caused by diseased valves in legs veins, called venous reflux disease.

As venous reflux is present for a long time, the appearance of varicose veins may worsen, but this does not always happen. Varicose veins that develop during pregnancy will often improve after delivery of the baby.

Typically, men and women who have jobs that require standing, have a family history of varicose veins, or are overweight are at increased risk. Pregnancy is also a risk factor for women. However, it is not necessary to have any of these risks to be affected.

Major surgery should not be required to treat varicose veins. Usually, if procedures are required, minimally invasive office based or outpatient procedures are most effective.

That is determined on a caseby-case basis, however many times vein care is covered. In our center, our insurance specialists work directly with individual’s health insurance companies to deal with that issue.

Jeffrey S. Gosin, M.D. FACS Dr. Jeffrey Gosin is a graduate of University of Pennsylvania and Jefferson Medical College. He completed his General Surgery Residency and an accredited fellowship in Vascular Surgery at Robert Wood Johnson University Hospital. He is Jeffrey S. Board Certified in Surgery and Vascular Gosin, Surgery. Dr. Gosin is a fellow of The M.D. FACS American College of Surgeons and a member of The Society for Vascular Surgery, The Society for Clinical Vascular Surgery, and numerous other national surgical and vascular societies.

November/December 2014

P Professional rofessional D Dentistry entistry

Actual Patient Actual Patient

Why wait? Call us today to see if Strickland Facelife Dentures will suit you. Actual Patient

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July/August November/December 2014 May/June2014 2014

Medical Professionals

Answering Your Common Questions About Snoring Q

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

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

Who snores more often: men or women?

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

Where else do snores come from?

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

What are the effects of snoring?

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

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

◌ Fatigue evaluation ◌ Sleep Apnea ◌ Ambulatory, at home, sleep studies ◌ Overnight in laboratory diagnostics ◌ Driving evaluation ◌ Cognitive Behavioral Therapy of Insomnia ◌ CPAP/BIPAP therapy ◌ Provent therapy ◌ Snoring evaluation and treatment ◌ Narcolepsy evaluation 35 Beaverson Blvd, Suite 7C Brick, NJ 08723 Phone: 732.920.8022 drslnewman@drnewman.org

www.DrNewman.org Community

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

How do we treat snoring?

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

How loud is the loudest snore?

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

What do you do next?

Call Dr. Newman today to schedule a sleep evaluation at 732-920-0822. Dr. Stephen L. Newman, a graduate of Albert Einstein College of Medicine, is the first Board Certified Sleep Specialist in Ocean County. He also established the first Sleep Disorder Laboratory in Southern and Central New Jersey. A resident of Ocean County since 1986, he is married to Merrell Newman and has two children. The pride and joy of his life is his granddaughter, Madeleine.

Are You Suffering From Panic/Anxiety? Are You Afraid To Ask For Help? P.H.O.B.I.A. - Panic/Anxiety Support Group We are an OFF-LINE self-help support group that meets every wednesday evening from 7pm to 9pm at St. Stephen’s church in Waretown, NJ. Our group helps people who suffer from panic and anxiety to find support and compassion among fellow sufferers. We have been established in Ocean county NJ since 1993. For more information call Cathy at (609) 971-9110 or email at phobia@comcast.net. You can also visit us on the web at www.members.tripod.com/~PhobiaGroup/index.html or on Facebook at www.facebook.com/phobiasupportgroup.

The County Woman Magazine

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November/December 2014

Business Spotlight

~ Interview with Dr. Stephen L. Newman ~

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

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

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

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

AWAKE SLEEP

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

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November/December 2014

Precious Metal Buyers • Rare Coins & Bullion

Looking for some extra spending money for the holidays?

You can find NYC prices for Gold, Silver, Diamonds and more locally in Ocean and Monmouth County

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Testimonial From An Actual Client Of Precious Metal Buyers I

t is with much appreciation and delight that I have met a young, honest businessman by the name of Dov Oppenheim. I have lived in Ocean County for four years and recently, I’ve lost my pension and all of my investments. In order to make ends meet, I had brought phenomenal pieces of jewelry to several places… BIG MISTAKE! Never use cash for gold advertisements - whether at hotels, jewelry/pawn businesses and especially through private person advertising! Unfortunately for me, I was robbed blind. I was not allowed to remove, nor was I paid for the precious stones in my jewelry. All of my stones were substantial in size and karat weight. Some were extremely rare, like my 4.5 karat emerald-cut kunzite, my 2 karat chrome diopside, and my 4 karat Burmese ruby. I was told they only wanted the gold and that the stones would be pulverized. They even deducted weight from the gold because of the gemstones. Approximately one year ago, I had the honor of meeting Dov Oppenheim at Precious Metal Buyers, LLC in Manchester. It was through Dov that I became extremely educated in the “honest way” of business practice with precious metals and gems. Dov also works closely with detectives and notifies them of illicit business transactions. I trust Dov Oppenheim completely. He has become a dear friend. Please beware of any other precious metal/gemstone scams! They are everywhere.

~ Maryellen S., Manchester

Dov Oppenheim, Owner

visit www.pmbuyers.com

The County Woman Magazine

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November/December 2014

Health & Wellness

The {Personalized} Future Of Fitness o

Written by: Julianne Dods, VP , Meridian Fitness & Wellness In 2014 Tilton Fitness Management partnered with Meridian Health to bring the most comprehensive medically-based health and wellness facilities to Ocean County. The result welcomed two brand new facilities in Jackson (which opened in March) and Brick (currently under construction) and one established facility in Manahawkin - formerly The Ocean Club -under the Meridian Fitness & Wellness banner. This year a focus was placed on developing a more personalized and preventative approach to healthcare through fitness. Our mission, to Change People’s Lives, is not limited to our members. We impact our local communities by providing access to educational programming needed to promote healthier lifestyles.

For Optimal Wellness “At Meridian Fitness & Wellness, we understand that there is no one-size-fits-all approach to attaining physical or mental well-being,” says Matt Busacca, Training Director in Jackson. “Each individual’s personal health goals are as distinct as the individual themselves, which is why we developed and launched fitPLAN at all of our locations in 2014.”

GET REAL RESULTS COMPLIMENTARY

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

609.FITNESS

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

fitPLAN is a customizable approach to setting and achieving health and fitness goals. By setting realistic goals based on an individual’s lifestyle we can monitor and provide tangible, long term results. Available to each member free of charge, fitPLAN presents a visual representation of body composition as well as a scientific calculation of their current and goal health age. “We believe that fitPLAN is the most important first step in any health and wellness journey as it provides a structured strategy for better health.” But, according to Busacca, optimal wellness is more than physical capability. “Our unique partnership with Meridian Health provides our members with a more comprehensive approach to fitness; with access to medical step down programs and a Medical Advisory Board of Physicians, Meridian Fitness & Wellness is continually working to better serve the health and wellness needs within our communities.”

For Community Involvement

In 2014, Meridian Fitness & Wellness actively worked to build a positive presence within our local communities hosting Open House Events, Health Fairs, Fundraisers, and offering fitness and educational programming for Youths, Seniors, and Special Populations. “By participating in outreach programs and fundraising events to benefit various grass-roots initiatives, we can provide a forum or a presence to help educate the community about the importance of health and wellness therefore becoming an advocate for healthier living,” says Chris Wild, General Manager in Manahawkin. Meridian Fitness & Wellness also took a proactive step in the fight against breast cancer by becoming a Pink Partner in Meridian Health’s Paint the Town Pink Campaign. Besides raising awareness for breast cancer prevention, detection and treatment, Meridian Fitness & Wellness members, staff and guests helped raise funds to provide screening mammography to underserved women within the community.

For the Future

“We have long embraced the concept of exercise as medicine,” says President and CEO Sam Young. “We realize that, in the future, health system reimbursement will be increasingly tied to the health status of the communities they serve making hospitalaffiliated fitness facilities like ours an important component of the continuum of care.” As such, Meridian Fitness & Wellness recently announced their participation in the Horizonbfit program. Offered to select Horizon BCBSNJ members ages 18 years and older, Horizonbfit can help members maintain a healthier lifestyle by granting them access to medically integrated fitness facilities like Meridian Fitness & Wellness and providing incentives that make it easier, and more affordable, for them to exercise regularly. At Meridian Fitness & Wellness, we are committed to not only making each member’s health a top priority, but providing a thoroughly rewarding and successful fitness experience to members of all ages and fitness levels. After all, total body wellness starts from the inside out. For more information on how to Change Your Life through fitness contact Meridian Fitness & Wellness at 609-FITNESS or visit us online on www.MeridianFitnessandWellness.com, TODAY!

Making Fitness Your Family’s Focus

COMING SOON TO

BRICK!

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

Julianne Dods, Vice President, Meridian Fitness & Wellness

Stay Connected with Meridian Fitness & Wellness!

November/December 2014

Medical Professionals

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

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

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

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

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

10/15/14 11:50 AM

November/December 2014

Medical Professionals

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

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

The County Woman Magazine

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

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

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

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

10/15/14 11:44 AM

November/December 2014

Medical Professionals

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

What are the types and causes of hematuria?

How is hematuria worked up?

What is a CT urogram?

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

What if a patient cannot have a CT urogram?

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

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

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

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

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

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

732-244-0777

EXPERIENCE & EXPERTISE

you can count on.

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

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November/December 2014

Elder Law

Legal Documents For All Ages 18-118 - Part 1 By: Nancy M. Rice, Esq., CELA

What are the “top 3” legal documents everyone should have?

1) Advanced Medical Directive/Living Will 2) Durable General Power of Attorney 3) Last Will and Testament

Which document is most important?

Arguably, the documents are listed above in order of importance, meaning that the Advanced Medical Directive/Living Will is arguably the most important. When a child attains the age of eighteen (18) years, he or she becomes “legally competent” and parents lose their right to make medical decisons for the child. In fact, the HIPAA privacy law can make it impossible for parents to gain access to the child’s medical information, let alone make medical decisions in the event the child becomes incapacitated. Of course, this same HIPAA privacy law applies to the elderly, and everyone in between. In order to allow your loved ones to have access to your medical information and make decisions for you when you can’t (without involving a court, you must have a properly signed and witnessed Advanced Medical Directive/Living Will.)

What is a “Living Will”?

• Health Care Proxy • Health Care Power of Attorney • Medical Power of Attorney • Medical Proxy Directive I favor the term “Advanced Medical Directive/Living Will” so that people can figure out from the title what it is.

Why do they ask me for my Living Will when I go to the Hospital?

In 1990, Congress passed a law, known as the “patient Self-Determination Act which requires all Hospitals & Nursing Homes to ask you, upon admission, whether you have an Advance Directive/Living Will, to follow the Directive if you have one, and to offer dispute resolution in the event there is a question regarding your Directive.

What are the Legal Requirements to make a valid Living Will in New Jersey?

In order to sign an Advance Directive, New Jersey and most other state’s laws require: 1) That the signer be over 18 and competent to sign a legal document; 2) That the witnesses must attest to the fact that you are of sound mind and free of duress or undue influence when you sign the document; 3) That the document be witnessed and/or notarized.

The term “Living Will” was coined in the mid1970’s following the Karen Ann Quinlan matter which reached the New Jersey Supreme Court. The Court strongly recommended that every person over the age of eighteen (18) have a document in writing- with his or her wishes concerning life support.

What is a “Health Care Proxy”? Is it the same as a “Living Will”?

The New Jersey Advance Directive law went into effect in January, 1992. After that time, a Living Will came to be known by many different terms such as: • Advance Directive • Advanced Medical Directive

a) New Jersey law requires either two (2) witnesses or a Notary Public. Pennsylvania law (which we must consider because many patients choose or end up in a Philadelphia hospital for certain procedures) requires two (2) witnesses, and does not recognize just a notary. For this reason, I set up my Advance Directive document for both two (2) witnesses and a Notary Public to sign. b) Your Witnesses cannot be one of the people you have designated as your Health Care Representative!! This is especially important to remember if you are signing your Living Will around the kitchen table . . . .

c) Your Witnesses cannot be your attending physician or the Administrator or Employee of the health care institution you are residing in unless he or she is also your relative.

What are some of the issues to consider when making a Living Will?

A: Perhaps the most important thing to keep in mind is that you need to choose a person or persons whom you know will carry out your wishes. You are not required to name family members, and you might not want to tell anyone who you have named if you feel that others may put pressure on you to change your mind. You should always name a “backup” person in the event your first Representative falls ill or dies. Remember, you can only sign this document NOW when you are healthy! In Part 2, we will discuss another document which all of us should have in place: Durable General Power of Attorney.

Call to Schedule an Appointment Ocean City: 609.398.3447 Cherry Hill: 856.673.0048

Nancy Rice has been practicing Estate Planning and Elder Law in New Jersey and Pennsylvania since 1986. She was Certified as an Elder Law Attorney in 1997, and has maintained offices in Camden and Cape May counties, specifically in Cherry Hill and Ocean City. Call 609-398-3447.

• Estate/Trust Administration • Guardianships • Will Contest • Special Needs Trust

• Medicare, Medicaid, Long-Term Care Elder and Disability Nancy M. Rice, Esquire, CELA Certified as an Elder Law Attorney by the National Elder Law Foundation The County Woman Magazine

& Disability Planning

200 Asbury Avenue • Ocean City, NJ 08226 • 609.398.3447 1236 Brace Road, Suite F • Cherry Hill, NJ 08034 • 856.673.0048

www.RiceElderLaw.com www.TheCountyWoman.com

November/December 2014

Medical Professionals

Wound Care At Acuity Written by: Claire Brown BSN, RN

Mr. Henry J. Borchers Shares His Experience As A Wound Care Patient At Acuity Mr. Henry J. Borchers turned the corner of the hospital corridor in his snazzy, motorized wheelchair, his face lit up with a beaming smile and a twinkle in his sparkling blue eyes. He had come back to visit the staff and to perform a video testimonial regarding the excellent care he received at Acuity. “I can’t give the staff enough credit for the way they cared for me, especially the nurse in charge of wound care - he was so professional and had a wonderful demeanor,” said Mr. Borchers. “I don’t know what would have happened to me if I had not come to Acuity.” Mr. Borchers, a 64-year-old gentleman, had been a paraplegic for 17 years following a fall from a ladder. Although he sustained a permanent spinal cord injury following his accident, he had always strived to be as independent as possible, driving and caring for himself with the assistance of his wife. Several months prior to Mr. Borcher’s visit to Acuity, his daughter, Beth Downing, had called the admissions office to ask about the wound care services offered, and to see if Acuity might be the right venue for her father’s care. Beth was very worried about his medical condition but she lived in Massachusetts and was unable to visit him. She was dismayed to learn that he had been placed in a facility that did not specialize in wound care. “It is such a struggle sometimes, trying to help my parents when I am so far away,” said Beth. She shares this problem with many adult children of parents living longdistance, who find it very challenging to

help with their parents’ growing healthcare needs. After having researched Acuity Specialty Hospital’s services online, Beth said she felt compelled to call and ask if he could be assessed and possibly transferred to Acuity. An Acuity clinical nurse liaison visited the nursing facility to evaluate him and see if he would benefit from the care offered at Acuity. Although this was an excellent nursing facility, its staff agreed that they did not have the resources to care for his wound as intensively as would be possible at Acuity.

A full assessment made . . .

After a full assessment and in collaboration with his surgeon, Mr. Borchers arrived at Acuity Specialty Hospital for intensive wound care and surgical interventions. Unfortunately, he had developed a wound in the lower portion of his body which had grown larger and deeper because he was unable to see or truly feel it. This is a common complication in the life of a person with paraplegia or quadriplegia, as also experienced by the late actor, Christopher Reeves.

Dietary regime started ...

the wound healing treatment regime, and committed to the prevention of further recurrence,” said Dr. Saad. Dr. Saad worked closely with Acuity’s Wound Care Nurse, Ronnel Alumnia, RN, CWCN, OMS. Ronnel, who was recently awarded the title of “Employee of the year,” is a highly qualified wound care and ostomy nurse. He is well known to patients and other colleagues as a very competent and passionate healthcare provider, yet very self-effacing and humble about his skills and expertise. As is a fulltime employee, his sole function is to provide dedicated wound care to all patients. This ensures continuity of care for patients with wounds and ostomies alike. Mr. Borchers also received Wound Vacuum Therapy treatment and was on a specialty mattress to suit his medical needs. If indicated, he could also have

The County Woman Magazine

received other treatment modalities at Acuity that are not offered in other facilities, such as ultrasound wound therapy.

Complete wound care . . .

After all Mr. Borchers had endured with his long and debilitating condition, he was still able to maintain an endearing disposition and smile with those twinkly blue eyes. We are proud to say that Mr. Borchers had complete wound care healing and is living independently today.

Acuity Specialty Hospital of New Jersey is a long term

Mr. Borchers was also found to be anemic with abnormal sugar and salt blood levels. It was explained to him that one of the primary goals during his treatment Lauren Beier, Dietician would be to correct his dietary insufficiencies. Under the guidance of Lauren Beier, Acuity’s dietician, he was to undergo a specific dietary regime that offered a substantial protein intake to promote tissue regranulation and improve wound healing. Another integral component of his treatment would be to relieve all physical pressure from the wound site. In order to accomplish this, Mr. Borchers had to be repositioned frequently and placed in a prone position for many hours while in bed. It was also essential that the wound not become infected and that consistent appropriate wound care be performed.

acute care hospital located

For Information or Referrals, Call 609-441-8123

inside of AtlantiCare Regional Medical Center in Atlantic City. Our hospitalwithin-a-hospital provides 30 private rooms to the medically complex and critically ill. Patients meeting acute care criteria are seen by physician specialists daily and typically discharged to acute and sub-acute rehabilitation centers, skilled nursing facilities or their homes.

Dr. Saad treats the wound . . .

Ronnel Alumia performing wound care on a patient at Acuity.

Ronnel Alumia and Mr. Borchers.

Dr. Saad, MD, Plastic Surgeon and Wound Care Consultant at Acuity, was able to treat the wound effectively with a complex skin flap closure. “It is a pleasure to treat a patient such as Mr. Borchers who is highly motivated, engaged in www.TheCountyWoman.com

Acuity Specialty Hospital congratulates and celebrates our 2013 Employee of the Year, Wound Care RN Ronnel Alumia. Our team specializes in the care of patients with needs that include: •

Ventilator weaning

•

Complex wounds

•

Infectious diseases

•

Medically or surgically complex care

•

Multi-system organ dysfunction

www.acuityatlanticcity.com

November/December 2014

Featured On The Cover

Monica, CEO Of Acuity Specialty Hospital ~ A Proven Leader

hief executive officer Monica Titus MBA, BSN, RN, Acuity Specialty Hospital of NJ, has more than 20 years experience in the health care industry.

She began her career as a registered nurse in trauma. She earned a Bachelor of Science degree in Economics from Widener University in 1991, a Bachelor of Science in Nursing from Thomas Jefferson University Hospital, and a Master of Business Administration with a concentration in Health and Medical Services from Widener in 2000.

Leading Acuity Specialty Hospital of NJ With Vision And Strategy “I always dreamt of being a nurse however by the time I went to college, I had also developed a strong interest in business,” says Monica. “Because of that, I chose the business route and graduated with a degree in Economics. At that time, however, the market was difficult and the work opportunities did not interest me. So I pursued my childhood desire to become a nurse.” Before joining Acuity, Titus last served as Trauma Program Director, Neurosciences Institute Director and Critical Care Extenders Director for AtlantiCare Regional Medical Center, which included directing clinical and administrative operations, coordinating and developing clinical and educational programs, and managing finances. Monica has earned many advanced certifications throughout her career and is currently working towards becoming board certified in healthcare management through the American College of Healthcare Executives and becoming a ACHE Fellow. “Monica is a proven leader, a professional in every aspect of health care,” says Mark Stepanik, Executive Vice President and Chief Operating Officer of Acuity Healthcare. “She has extensive medical expertise, and leads with vision and strategy. Her enthusiasm is an inspiration. She’s decisive and leads by example.” In her new role as CEO, Monica is excited about leading her team and partnering with community hospitals in an effort to better serve her hospital’s patients. The biggest hurdle hospitals are currently facing, she says, is establishing and showing evidence of the core skills and outcomes needed to thrive in a rapidly changing healthcare market. “As healthcare executives, many of us face the challenge of needing to improve performance by evaluating every key operational, clinical and governance

function,” explains Monica. “We also need a strong vision for the future, the ability to act on it and the leadership to bring all stakeholders along with us.”

Monica Believes In “Work-Life Integration” Monica grew up and resides in South Jersey with her husband Glenn, her daughters Gabriella,7 and Adriana, 3, a severe macaw named Bentley, a Labradoodle named Dudley, and an Aussiedoodle named Comet. As a wife and mother, Monica values the importance of a work-life balance and always uses the expression “work-life integration” to describe her daily life. “I believe that meaningful work should be integrated with a very meaningful personal life,” she says. “There should not be a conflict between the two. My integration happens as soon as I get home and I am greeted by my family and pets. I do find it hard to turn off my work life at times, as technology is always at your fingertips, but I try to find a balance in my weekly schedule, including some form of physical activity.” She enjoys attending music concerts and sporting events with her husband and friends, and spending time with her family enjoying all the Jersey Shore has to offer.

(l-r) Gabriella and Adriana, the beautiful daughters of Glenn and Monica Titus, pose for a picture.

The County Woman Magazine

www.TheCountyWoman.com

Acuity Specialty Hospital Focuses on Patient Centered Care Acuity Specialty Hospital of New Jersey (AHNJ) is a highly specialized Long Term Acute Care Hospital (LTACH) with 30 beds, located within AtlantiCare Regional Medical Center in Atlantic City. It provides advanced and intensely focused care for patients who require extended hospital services subsequent to short-term treatment in traditional hospitals, thereby ensuring patients a continuum of care. Patient stays are relatively long – approximately 25 days – and during this time, patients have access to extended services such as surgical procedures and diagnostic testing. The hospital provides specialty programs for the ventilator-dependent respiratory failure patient, patients needing post-operative care, and patients with cardiovascular disease, infectious diseases, complex and severe wounds, and traumatic injuries. Having recently undergone a complete renovation of its private rooms, Acuity offers state-of-the-art critical care bedside monitoring capabilities in all rooms. The hospital utilizes a patient-focused care model throughout its interdisciplinary staff that ensures excellent clinical outcomes. For information call Acuity at 609-441-8123 or visit www.acuityatlanticcity.com.

Monica Titus pictured with her husband Glenn.

November/December 2014

Health & Wellness

The Science Behind Hypnosis

Oily or dry scalp

or many years, people have used hypnotic techniques to bolster their ability to make changes – like releasing negative habits, reducing fears, improving sleep quality, building confidence, enhancing relaxation, etc. There were a lot of theories as to why this approach worked when other methods failed, yet there was no real ability to Oily or dry scalp demonstrate the positive impact on the brain – until recently.

Following are some interesting points concerning hypnosis and the science behind it: • Hypnosis is a state characterized by heightened imagination and increased receptivity to appropriate suggestions. Focus of attention becomes narrow, and the ability to tune out distractions increases. It’s often combined with relaxation.

P IS TALKING TO YOU H

The field of neuroscience – which studies the brain and nervous system – has been rapidly evolving. And with that emerging information, we continue to develop a better Seasonal or understanding of the benefits of hypnosis on hairloss the mind and body. medical & eplacement In the past, air hypnosis was synonymous with stage shows, and was lumped together tchiness with corny magic and mysticism. Because of that, people were often hesitant about Oily or dry scalp using this approach as a way to make desired changes. However, it’s become increasDry, brittle or ingly difficult to dismiss it as hype or entertainment,Psoriasis when scientists at leading research dull hair or eczema facilities continue to demonstrate its capabilities. Advancements in neuroimaging techniques (like functional MRIs and PET scans) reflect a variety or of brain changes when individuals enterSeasonal a hypnotic medical hairloss state. Also, it’s become clear that humans have the Dry or oily tchiness capacity to alter patterns dandruff for most of their lives, if Androgenetic Oily or dry scalp they choose to. The term neuroplasticity refers to hair loss Dry,our brittle or change in response to findings that show brains Itchiness Psoriasis dull hair thoughts and actions. They can be “rewired,” so to or eczema speak, in beneficial ways.

• EEGs show an increase in lower frequency brain waves under hypnosis, similar to when a person is daydreaming or in a light sleep state. There appears to be reduced activity of the conscious, analytical aspect of the mind and greater access to the part of the mind that deals with emotions, memories and behavior patterns.

47 • Neural pathways in the brain are changeable. When in a hypnotic state, it

appears that nerve cells in the part of the brain that controls habit formation lose some of their electrical charge, and the mind becomes more subject to change. New connections among nerve cells can be formed.

PTOISYOU. TALKING TO YOU

• The bottom line: In this state, it’s easier for people to alter unhealthy or inappropriate patterns of behaving and thinking. The human mind is indeed complex, and even with scientific advances, it is still not fully understood. We do know, however, that for many people, hypnosis is a potent method for making positive change, and it is supported by advances in the field of neuroscience. Simply put, hypnotic techniques help people neutralize ineffective behavior patterns, beliefs, and emotions – and prepare them to move in the direction they want to move.

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Medical Professionals

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The County Woman Magazine

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November/December 2014

Financial Management

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

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

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

Determine how you will track your expenses.

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

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

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

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

Mark S. Rushwald

Understand essential vs. nonessential spending. The

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

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

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

Plan to track your expenses for four to eight weeks.

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

Everything counts. Don’t forget about the quarters you

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

Analyze. Once you’ve logged your expenses for the

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

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

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

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

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

Please contact us with any questions or to set up a complimentary initial consultation: 700 Hooper Avenue, Suite 201, Toms River, NJ 08753

Certified Financial Planner™

(732) 505-4422

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

700 Hooper Avenue, Suite 201 • Toms River, NJ

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The County Woman Magazine

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November/December 2014

Business Spotlight

~ Interview with Mark S. Rushwald ~

Mark S. Rushwald

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

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

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

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

(732) 505-4422 msr@rushwald.com

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

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

November/December 2014

Health & Wellness

Managing Holiday Stress

Health & Wellness

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

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

Running On Empty? W

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

accompany it-please give us a call.

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

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ught up. We feel guilty because there are so Beth Kane, M.S.W., at never-ending list. There’s a reason we refer to it LCSW, co-founder of Marin Interior Decorating Integrative Therapy, LLC, g anywhere. This is the key. started her career working for themselves because they feel selfish. They with individuals with severe do the things that inspire and nurture them. medical and mental health g, feeding, and fueling yourself mentally is about issues. Sought after for professional interviews and articles you can be even better to those around you. in her field, she has developed gift really. a specialty for depression, mind and spirit. If someone accuses you of being selfish, you can look anxiety, coping with chronic “This is my gift to you”. medical illness, and grief. We’ll come to you with custom design and products to fit your style and budget. u find the way to obtaining better balance in your life Marin Integrative Therapy, (732) 244-2210. nd stop “running on empty”! Marin Integrative Therapy, (732) 244-2210. 86 E. Water Street, Toms River, NJ 08753

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November/December 2014

Medical Professionals

Making Every Meal Count After Surgical Weight Loss Surgery Nutrition counseling with a registered dietitian is an essential part of the personalized care provided to patients at the Center for Surgical Weight Loss & Wellness at the AtlantiCare Regional Medical Center (ARMC) Atlantic City Campus. Weight reduction surgery – also known as bariatric surgery – is a treatment option for people who want to improve their health through weight loss that they otherwise would not be able to achieve without surgery. People with a body mass index (BMI) of at least 40, and those with a BMI of 35 to 39.9, plus at least one weight-related medical problem (such as type 2 diabetes or high cholesterol) may be good candidates for bariatric surgery. “Adhering to the program’s dietary and nutrition regimen, as explained by the dietitian before and after surgery, is essential to both losing weight and making sure your body gets the nutrients it needs. For the best outcomes, patients must make a lifetime commitment to making changes in their daily eating habits,” says Alexander Onopchenko, MD, FACS, medical director of the Center for Surgical Weight Loss & Wellness at ARMC. Before weight-reduction surgery, patients meet individually with the dietitian for a nutrition consultation. During the consultation, patients receive helpful meal plans, practical strategies for dining out and meal planning at The County Woman Magazine

home, and in-depth education about dietary guidelines specific to the type of surgical procedure they are having. “For example, sleeve gastrectomy reduces the capacity of the stomach to hold food. I teach patients how to choose the right foods to meet their nutritional needs after this type of procedure,” says Allen Beier, RD, a registered dietitian at the Center for Surgical Weight Loss & Wellness at ARMC.

with you at all times so you are keeping hydrated throughout the day. If you have a smartphone, set up a repeating reminder to take a sip every hour,” Beier suggests.

so you know how much to eat,” suggests Beier. “At a restaurant, share your entrée or put some of it on a bread plate to eat and take the rest home. Or, order from the appetizer menu.”

• Downsize your plate. Trade in your full-size dinner plate for a bread plate or the saucer of a teacup for every meal, and use a food scale to measure portions

For more information about the Center for Surgical Weight Loss & Wellness, visit www.AtlantiCare.org or call 1-888-569-1000.

Strategies for Success

• Pump up the protein. A diet high in protein and low in fat, sugar and starchy foods is recommended after bariatric surgery. “The protein is essential because it fuels your muscles and keeps your body performing the way it should,” explains Beier. Skinless chicken or turkey, fish, eggs, beans, and low-fat cottage cheese are good sources of lean protein. Protein drinks such as Ensure® and homemade smoothies can be added to supplement basic nutritional needs. • Wet your whistle. Keeping the body well hydrated is an important part of recovery from weightreduction surgery. Avoid all beverages sweetened with sugar, carbonated beverages and fruit juices. Reach instead for water, unsweetened or diet iced tea, and low-fat or fat-free milk. “One helpful tip is to keep a water bottle

WEIGHT LOSS SURGERY SEMINARS Minimally Invasive Bariatric Surgery Join us to learn about these minimally invasive surgical procedures for weight loss: • Laparoscopic Sleeve Gastrectomy • Laparoscopic Biliopancreatic Diversion (BPD) with Duodenal Switch (DS) • Laparoscopic Gastric Bypass Roux-En-Y • Laparoscopic Adjustable Gastric Banding (LAP-BAND®) Registration required, call 1-888-569-1000.

REGIONAL MEDICAL CENTER The Center for Surgical Weight Loss & Wellness

View our weight loss webinars at www.atlanticare.org/bariatricseminars

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November/December 2014

Medical Professionals

High Risk for Breast Cancer? Dr. Sumy H. Chang Provides Options Fellowship-trained Sumy H. Chang, MD, FACS, a board-certified general surgeon dedicated to breast health, recently joined Barnabas Health Medical Group (BHMG), in partnership with Community Medical Center, to provide Ocean County women with access to the latest prevention, detection and treatment options for breast-related issues. Dr. Chang is fully committed to helping women with breast health issues, including those who are high risk. As a follow-up to the high risk breast cancer Q&A featured in the last issue of Ocean County Woman, Dr. Chang focuses on options for those at high risk.

Are You High Risk? The key high risk factors for breast cancer are: strong family history – having a first-degree relative nearly doubles a woman’s risk and having two first-degree relatives increases risk

three-fold; radiation exposure to the breast, chest wall and neck when between the ages of 10 and 30 years old; and testing positive for the BRCA1 or BRCA2 gene mutation. So, once it’s determined that a woman is high risk, what are her options? “Women who are high risk can opt for aggressive risk-reducing surgery as a cancer prevention option,” says Dr. Chang. “While the options may differ from woman to woman, I explain, in complete detail, what these options entail and what to expect. Working closely with the patient, I will recommend the best path for her.”

Risk Reduction Surgery Options Bilateral Mastectomy Women with the BRCA1 or BRCA2 gene mutation may opt for a bilateral mastectomy – removal

Sumy H. Chang, MD, FACS Breast Surgeon Board Certiﬁed in General Surgery 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: Community Medical Center 67 Highway 37 West Riverwood 1 Building, First Floor Toms River, NJ 08755 732.557.2153 Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center 300 Second Avenue Long Branch, NJ 07740 732.923.7702

The County Woman Magazine

About Barnabas Health Medical Group Barnabas Health Medical Group is a multispecialty 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. of both breasts – if they have cancer in one breast, but not the other. This is because the risk of eventually developing breast cancer in the other breast is higher for women who are BRCA-positive. The National Comprehensive Cancer Network (NCCN) guidelines recommend that a bilateral mastectomy only be considered on a case-by-case basis for women at high risk of breast cancer. “Many high risk women don’t want to worry about getting cancer in their other breast, so they make the decision to get both breasts removed,” says Dr. Chang. “It’s a personal decision and offers peace of mind for some women.” Also, women who undergo single- or bi-lateral mastectomies have more options for reconstruction, including beginning the reconstruction process at the time of surgery. “It’s becoming the standard of care,” says Dr. Chang. “Again, it’s each woman’s personal choice, weighed against her individual situation and risk factors.”

Removal of Ovaries Women who test positive for the mutated BRCA gene may choose to have their ovaries removed (prophylactic surgery) as an extra precaution to reduce the risk of ovarian cancer. Removing the ovaries reduces the amount of estrogen in a woman’s body, therefore reducing the

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risk for breast cancer. It’s important to note that women who opt for this surgery will no longer be able to have children. Studies show that removal of the ovaries decreases the risk of breast and ovarian cancers significantly. Additionally, research shows that women with BRCA2 mutations who chose prophylactic surgery also reduced their risk of developing breast cancer by 72 percent, while those with BRCA1 mutations reduced their risk of breast cancer by 45 percent.

Preventive Therapy Patients who are high risk can also take tamoxifen, a preventive medication to reduce the risk of breast cancer. Tamoxifen blocks the effects of estrogen – a reproductive hormone that can fuel the growth and development of breast cancer cells. This drug may be used by women whether or not they’ve gone through menopause. It’s typically administered as a pill, once a day.

Close Follow-up Dr. Chang encourages high risk women to take charge of their breast health and to be diligent with extensive follow-up, including annual mammograms, a clinical breast exam every six months and annual breast MRIs for some patients.

November/December 2014

Law

The Highs And Lows Of Being An Executor Article Written by: Christine L. Matus, Esq.

large portion of my practice is in estate planning. And with that many times we have clients who come in who want us to help them with their last will and testament, and they have already had in their mind set who they will designate as their executor. An Executor is the person who is in charge of the Will and to carry out their wishes.

Part of what we do is to educate the executor as to what to expect when they have this role. Often time’s life is complicated but death can be complicated too. The executor should be made aware that concluding the financial affairs of a deceased loved one does require organizational skills, as well as time. And if the deceased loved one wasn’t organized themselves, it takes skills of Sherlock Holmes to uncover assets that were either forgotten or not mentioned in any obvious documents. We recently helped an executor wrap up the estate of her late husband. The estate consisted of dealing with assets for various relatives and step-relatives. It took almost 2 years to close out the estate. Thankfully we had a very organized executor as well as an organized deceased loved one. But not all is always in place and not located in places where you would expect. Oftentimes things are missed such as unclaimed property in a safe deposit box. As an executor, you should feel honored that you were asked to serve in that position. That position, however, comes with great responsibility. It’s important for an executor to feel that they are fully capable of handling their duties.

Here are some things to think about in regards to executors:

Time. An executor needs to set aside time to make phone calls, go to the post office to mail registered letters, and even go to the courthouse to record financial information. You will need to have information from life insurance companies, asset protection firms, mortgage servicers and banks that had a role in the deceased person’s home and other companies that were involved in your deceased loved one’s life. Also, one of the most difficult things is to go through the actual personal items located in the deceased loved one’s home. Trying to discern which heir would like a certain item from the decedent can be challenging because of emotions and the relationships throughout the years. Often we recommend our clients when drafting their estate documents to have a Letter of Instruction, which details certain items and who it, should go to and when.

Community

Are you organized?: it is a skill that is essential for many executors. Recording communications and letters from contacts such as lawyers and bankers is important. The paperwork could pile up very quickly for someone who is not organized and especially with dealing with another person’s assets and belongings. An even temperament: the role of an executor is to settle affairs openly. Each beneficiary has their own personalities and therefore it is very important for an executor to be calm and transparent to the heirs when wrapping up an estate. Knowing the rules: as an executor, there are certain timetables imposed to perform duties and to file certain important documents. Furthermore each state is different. You need to be familiar with the state law in which you are settling the estate. Oftentimes executors consult attorneys to manage the entire process or to handle certain portions of the estate. In our firm we have a hybrid of services that we offer from taking care and settling the estate from soup to nuts to only answering a few of the important questions that an executor may have since they are capable and have the time to do the tasks required as an executor. Can you afford it?: if your loved one had died in another state or is far from you as the executor, there is travel required. You will be required to go to the decedent’s home and deal with the paperwork and other tasks. Filling out papers and forms nowadays can be made simpler through the use of technology. But there are often times where your physical presence is important and needed. Expenses incurred by an executor on behalf of the estate for the most part may be reimbursed. But again each state is different, and it depends on what the specific service you performed as an executor.

3 4

decedent’s name that an executor would be provided. D. Let the executor know: it’s important that you notify the person that you are appointing as executor know that they have been appointed. Often times people provide us names for their executor. Next we ask, do they know? And if they don’t know we encourage them to talk to the executor to make them aware that they have been appointed and to set up an appointment with us to explain what their duties would consist of and answer any questions. Many times we have clients who say to us that being executor is like a second job. Fortunately, however, all of the executors that I have dealt with throughout my career have always said that not only were they honored but they were relieved that they were able to accomplish this one last task for their loved one.

Christine L Matus, Esq. 250 Washington St., Toms River, NJ 08753 732-281-0060 fax: 732-908-8026

So to make your executor’s life easier, make sure to:

A. Make a list: try to create a list of all the important assets and documents that you have in your name with their account numbers and contact persons. It is important to write down all your life insurance policies, passwords to online accounts, and locations of safe deposit boxes among other things. This will greatly help your executor so that they will not be scurrying around the home and turning it upside down to find basic information. B. Be specific. If there is a specific item that you would like a beneficiary to have such as your favorite watch or ring, list it. This separate list can be attached to your last will and testament. C. Be clear on fees. In your will you can indicate that the executor shall be compensated for their time. There is a formula used in New Jersey based upon the assets in the

Do you have someone in your life with a Disability? are they financially protecteD? • Special Needs Trusts • Wills & Estate Planning • Guardianships • Health Care Proxies • Long Term Care • Powers of Attorney • Inheritance Tax Planning • Trusts

Visit us at www.matusandconnell.com (732) 281-0060 250 Washington St. Suite C-1 Toms River, NJ 08753

Best Holiday Shopping Apps

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

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

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

The County Woman Magazine

SaleSorter

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

ShopKick

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

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ShopAdvisor

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

eBayNow

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

November/December 2014

Medical Professionals

How Do I Know If My Wisdom Teeth Need Treatment?

Kathy A. Banks, DMD

he initial decision to remove third molars (wisdom teeth) is most often made by a general dentist or orthodontist. Most patients who are referred to the oral and maxillofacial surgeon (OMS) do not have healthy wisdom teeth that have erupted, or grown into a cleansable and/or functional position in the mouth. By HEALTHY we mean free of gum disease and caries (dental decay). So there are no pockets present in the gums between the wisdom tooth and the next tooth forward, or around the wisdom tooth itself, and there will be no redness or swelling or other signs of infection. A healthy wisdom tooth will have no cavities, or there was a cavity that has been treated successfully with a dental filling. By CLEANSABLE, we mean that the wisdom tooth is in a position in the mouth where all the surfaces of the tooth can be successfully maintained, at home, by brushing and flossing. If the area is difficult to clean, then bacteria can colonize and

create gum disease. By FUNCTIONAL, we mean that the tooth contacts another tooth during chewing. Usually, but not always, a non-functional tooth will be in a location that is not normal and will become bothersome because it causes cheek biting, ulcerations or other related problem. So, removal of wisdom teeth is always appropriate when there is pathology present such as gum disease, dental decay, or infection. Another obvious reason to remove wisdom teeth is when there is a cyst or a tumor present at or around the wisdom tooth, or if the wisdom tooth is causing damage to a neighboring tooth. BUT… if your dentist or orthodontist determines that your wisdom teeth are not healthy, cleansable or functional, or that retaining your wisdom teeth may lead to these problems in the future, you will need expert consultation to further review your options and seek treatment. Pain free doesn’t necessarily mean disease free…

Results Of A Study... Dr. Banks was a member of the American Association of Oral and Maxillofacial Surgeons (AAOMS) Task Force on Third Molar Clinical Trials in 2011 and 2012. The Task Force was charged with reviewing some 80 different scientific publications resulting from a long term, ongoing study of third molars (wisdom teeth) conducted at the University of Kentucky and

the University of North Carolina. Importantly, part of the project concentrated on what happens when third molars are not removed. Third molars with periodontal infection don’t necessarily cause Impacted wisdom tooth Wisdom tooth and Wisdom tooth with pain or show overt signs with cyst causing bone periodontal pathology neighboring tooth of infection like swellloss and damge to the with decay ing or pus. The studies second molar tooth. mentioned above actually show that some 60% of patients with asymptomthat the third molars change seek the advice of your general atic third molars (wisdom teeth position in the mouth over time, dentist, orthodontist or oral and with no symptoms of pain) had and the eruption of these teeth maxillofacial surgeon. Every signs of infection with increased is unpredictable. There are other patient considering wisdom pocketing depths-- and that the publications that discuss the tooth surgery is unique. Based periodontal status is expected to movement, or eruption of third on an examination of your worsen in the area of the second molars; generally speaking, the mouth, and a dental panoramic and third molars in about 40% position and angulation of the x-ray or cone beam scan, your of the patients within 2 years. wisdom tooth within the jaws, OMS can tell you about the conThe good news is that the study and the presence or absence of dition of your wisdom teeth, and also showed that the periodonavailable space to accommodate the position of the wisdom teeth tal disease is likely to improve the teeth, seem to be the best in the jaws. The OMS can tell following removal of the third predictive factors. But again, you if there is pathology associmolars. there is no formula for predicting ated with the wisdom teeth that The study also showed that what a wisdom tooth is going you are not aware of, or the wisamong the patients whose third to do. dom teeth are likely to molars were visible in the mouth, cause future problems. When in doubt—get them 28-77% of the patients will have checked out! Schedule your appointment cavities in these teeth, depending If you have wisdom teeth, with Dr. Banks by calling on their age. the best course of action is to Practice Limited To Oral & 609-488-2325. In patients who chose to Maxillofacial surgery retain their third molars, it was shown that mechanical cleaning 249 S. Main Street, Unit 4 of the third molar teeth did not Barnegat, NJ 08005 lower the levels of pathogenic bacteria and inflammatory mediTel: 609-488-2325 ators. There is new evidence that Kathy A. Banks, DMD kbanks@drbanksoms.com these bacteria can travel from the Practice Limited To Oral & Maxillofacial Surgery mouth to the bloodstream, and 249 S. Main Street, Unit 4 Kathy A. Banks, DMDBarnegat, NJ 08005 may cause illnesses affecting the Fellow of The American Association Practice Limited To Oral & Maxillofacial Surgery of Oral & Maxillofacial Surgeons Tel: 609-488-2325 heart, kidneys and other organs. 249 S. Main Street, Unit 4 Diplomate of The American Board Fax: 609-488-2342 Barnegat, NJ 08005 And finally, the study showed of Oral & Maxillofacial Surgery

KATHY A. BANKS, DMD

Fellow of The American Association of Oral & Maxillofacial Surgeons

Diplomate of The American Board of Oral & Maxillofacial Surgery Tel: 609-488-2325 Specialty Permit # 4070 Specialty Permit #4070 Fax: 609-488-2342

Fellow of The American Association of Oral & Maxillofacial Surgeons Diplomate of The American Board of Oral & Maxillofacial Surgery Specialty Permit # 4070

KATHY A. BANKS, DMD

Dr. Banks is a graduate of Rutgers University College of Arts and Sciences, Camden with a B.A. in biology, and Temple University School of Dentistry, Philadelphia. She completed a one year Advanced Practice Limited To Oral & Education in General Dentistry Residency Program at the University of Medicine and Dentistry of Maxillofacial surgery New Jersey in Camden and Stratford, NJ, and then completed a four year Post- Graduate Residency S. Main Unit 4 Program in Oral and Maxillofacial Surgery at the University of Medicine and Dentistry of New Jersey in Newark. She is a Diplomate of the 249 American BoardStreet, of Oral and Barnegat, NJ 08005 Maxillofacial Surgeons and the American Board of Dental Anesthesiology. She is a member of the dental staff at Jersey Shore University Medical Center in Neptune, New Jersey and is involved with teaching the postgraduate GPR residents in the Tel: 609-488-2325 clinic and in her private office setting. She has been instrumental in the development of several New Jersey State Board of Dentistry approved continuing education courses Kathy A. Banks, DMD kbanks@drbanksoms.com offered by J.S.U.M.C Department of Dentistry Continuing Education Department for dentists, hygienists and dental assistants. Practice Limited To Oral & Maxillofacial Surgery 249 S. Main Street, Unit 4

The County Woman Magazine

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Kathy A. Banks, DMDBarnegat, NJ 08005

Fellow of The American Association Practice Limited To Oral & Maxillofacial Surgery

November/December 2014 of Oral & Maxillofacial Surgeons Tel: 609-488-2325

Medical Professionals

A Woman’s Egg Reserve – A Marker Of Fertility What Are The Risks After 40

Presented by: South Jersey Fertility Center

“My husband and I didn’t meet until I was 36 years old. Now I am 40 and we’ve been trying to start a family for the past year without success.” This is a common refrain we hear in the fertility world. Most women are already aware of the sobering fact that fertility declines as their age advances past the 35 year mark. But we’ve all heard of examples of someone having a baby at age 44 or a similar age. There is large individual variability when it comes to reproductive aging. The age-related decline depends on the woman’s eggs, not the aging of her uterus. It can be useful for a woman to get an assessment of her “egg reserve” when she is making decisions about when to reproduce. To understand ovarian reserve assessment we must first review the workings of a woman’s ovaries.

Women Are Born With All Of Their Eggs

“Isn’t age related to risk for Down’s Syndrome?” Many women have fears that their chances of having a baby with Down’s Syndrome or other chromosomal abnormalities is outrageously high. In fact at age 40, the chances of having a pregnancy with such an abnormality reach the 4th month of pregnancy is fairly low – only 3%. One risk, however, that is increased is the chance of miscarriage. On average 40% of the pregnancies in women over the age of 39 will spontaneously abort. The common reason for these miscarriages is a chromosomal imbalance that is not compatible with further fetal development. It’s also important to understand the fertility of your male partner. He can have a semen analysis done to identify if his “swimmers” are plentiful and moving well. There is a gradual decline in sperm numbers and quality as men age, but it is not as steep a decline as seen in women. Men don’t have an absolute reproductive cut-off analogous to a woman’s menopause. Some men have fathered children in to their 70’s. A man continues to make new sperm every day of his adult life, so his reproductive cells are at most only a few days old. However, one study reported a slightly higher risk of schizophrenia in the offspring of new fathers over age 50. A woman who has a diminished number of remaining eggs has a lower chance of conceiving a pregnancy with her own eggs than a similarly aged woman with good egg reserve. But it doesn’t mean she has to give up hope. It still only takes one good egg. For those women who don’t want to settle for a low chance of success, there is the option of using eggs donated by a woman with a normal egg reserve. Naturally, it’s easier to become pregnant if a woman does not wait until her late 30’s or beyond. But in today’s society that’s not always a choice. Egg reserve testing can often help in these situations.

A woman is born with all of the eggs she will ever have. The eggs then ripen before they can ovulate. Other cells in other organs in the human body are replaced with new ones as we age, but not so for the egg cells in the ovaries. So a 40 year old has only 40 year-old eggs. Not all eggs are perfectly normal. The eggs that ripen earlier in her life have a higher chance of being normal. And since a woman’s supply of eggs is limited it eventually runs low. As the reserve of eggs becomes low, the percent of eggs that are normal drops considerably (perhaps to 10% or so). Menopause marks the time when no more usable eggs remain. The average age of menopause is 50. At puberty a woman has approximately 300,000 immature eggs, each in a tiny follicle in her ovaries. So what became of those egg follicles between puberty and menopause? Were they all released during the once-a-month ovulation process? No. Usually only one egg will reach the fully mature state necessary to ovulate during each menstrual cycle. The average woman has 450 menstrual cycles during her lifetime. The other Call South Jersey Fertility Center to schedule your appointment. 299,550 or so eggs slowly degenerate over time at a rate of about 25 per day. Fertility For more information, visit www.sjfert.com medications will not alter this rate of egg degeneration. SJFC Celebrating 25 Years of Creating Families in the South Jersey Area! Some things speed up the loss of eggs, such as chemotherapy or radiation treatments used to fight cancer. Smoking cigarettes also appears to hasten the depletion of usable eggs. Division of Regional Women’s Health Group, LLC The assessment of egg reserve involves attempting to Full Service Infertility Center With: measure the number of eggs left in the ovaries. Most experts SOUTH JERSEY FERTILITY CENTER · All Of The Doctors Are Board Certified In Reproductive agree that a combination of 3 different tests gives the best is now offering a discount for IVF to Endocrinology And Infertility estimate. These tests can be done by a local fertility special· Top Doctor Awards For 7 Years In A Row ACTIVE MILITARY AND VETERANS · Laparoscopic Tubal Reversals Call 856.596.2233 ext. 1227 for more information. ist. Two of these tests require a tube of blood. One of these · Money Back Guarantee Available For Ivf And Donor Egg assays has been utilized for 20 years. It looks at FSH and · Full Service Fertility Center Estradiol, obtained on the 2nd, 3rd or 4th day of the menstrual · Robotic Surgery Available cycle. A high FSH means the body is struggling just a bit to Robert A. Skaf, MD FACOG find a nice egg to ripen that month. The other blood test Top Row (left to right): Peter G. Van Deerlin, MD FACOG Dr. Gary Packin, is fairly new but yields more consistent results in detecting Dr. Stephen Sawin, Stephen W. Sawin, MD FACOG mildly low egg reserve. It is called Anti-Mullerian Hormone Dr. Peter Van Deerlin, Gary S. Packin, DO FACOOG, Dist. (AMH). A small amount of AMH is secreted by all of her Dr. Oumar Kuzbari Oumar Kuzbari, MD, FACOG Bottom Row (left to right): remaining egg follicles. So a low AMH number correlates Barbara Alice, APN-C, MSN Barbara Alice, APN-C, MSN, directly with a low number of remaining eggs. The third test Tracy Krause, APN-C,MSN Dr. Robert Skaf, is a careful internal pelvic ultrasound to count the number of Tracy Krause, APN-C, MSN visible follicles (egg sacs) in the ovaries. The number of such medium-sized follicles correlates directly with the number of Visit us on our Website www.sjfert.com tiny (microscopic) follicles held in reserve that have not yet 400 Lippincott Drive Harbor Pavilions Burlington Prof Campus AtlantiCare Life Center Suite 130 570 Egg Harbor Rd • Suite B4 500 English Creek Ave. • #225 1900 Mt. Holly Rd #4A begun the ripening process.

South Jersey Fertility Center

Pictured...

Marlton, NJ 08053 856.596.2233

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Sewell, NJ 08080 856.218.8863

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Egg Harbor Twp. , NJ 08234 609.813.2192

Burlington, NJ 08016 609-386-4701

November/December 2014

Medical Professionals

Gynecologic Cancer Affects All Women – Lower Your Risk Each year, approximately 71,500 women in the United States are diagnosed with some type of gynecologic cancer – or cancer of a woman’s reproductive organs, according to the Centers for Disease Control and Prevention. Gynecologic cancers consist of five main types: cervical cancer, ovarian cancer, uterine cancer, vaginal cancer and vulvar cancer. Barnabas Health Medical Group (BHMG) Ob/Gyn offers women across Ocean County access to the high quality continuum of care provided by Barnabas Health in the convenience of their local communities. From routine obstetrics and gynecology and complete pregnancy care to minimally invasive gynecologic surgery, BHMG Ob/Gyn provides comprehensive care for women at every stage of life, from adolescent gynecology to menopause and beyond. “While all women are at risk for developing gynecologic cancers, the risk of some increases as women age and as they are exposed to other preventable risk factors,” says Amadi Rezai, MD, a board-certified ob/gyn at BHMG. “Risks and symptoms vary depending on the type of cancer.”

Get Tested. Cervical cancer used to be one of the deadliest forms of cancer among American women – until

the use of the Pap test became common practice. Today, it is the only form of preventable gynecologic cancer due to Pap tests (or Pap smears), which are used to detect precancerous changes on the cervix that may be treated to prevent cervical cancer. Pap tests can also detect cervical cancer early, when prognosis and treatment are best. Women should begin receiving annual Pap tests at age 21. Chronic or untreated human papillomavirus (HPV) infections increase the risk of cervical, vaginal and vulvar cancers. HPV is a common sexually transmitted virus that typically does not cause symptoms. “Many sexually active people will get HPV during their lifetime, but most will not have any symptoms and the infection will clear up on its own,” says Dr. Rezai. “If the infection does not go away, however, it can cause normal cells to turn abnormal and develop into cancer.” HPV can be detected through a simple test administered by an ob/gyn. Once detected, the disease can be treated according to a physician’s instructions. In addition, the HPV vaccine protects against the types of HPV that most often cause cervical, vaginal and vulvar cancers. The HPV vaccine is recommended for girls and women ages 9 through 26.

Barnabas Health Medical Group Ocean County Ob/Gyn locations include: Manahawkin Office James P. McDermott, DO Amadi Rezai, MD 602 Route 72 East, Suite 1 Manahawkin, NJ 08050 609.978.9870

Toms River Offices Ocean Gynecological and Obstetrical Associates 368 Lakehurst Road, Suite 303 Toms River, NJ 08755 732.349.0485

Forked River Offices George G. Trim, MD, FACOG, FACS 34 Manchester Avenue, Suite 102 Forked River, NJ 08731 609.489.4492

Lesley P. Furman, MD Aliona Maxwell, MD 615 Main Street Toms River, NJ 08753 732.797.1510

To make an appointment with Barnabas Health Medical Group Ob/Gyn, please call one of the practices above or visit www.barnabashealthmedicalgroup.org.

Lakewood Office Ocean Gynecological and Obstetrical Associates 475 Route 70, Suite 101 Lakewood, NJ 08701 732.364.8000

The County Woman Magazine

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About Barnabas Health Medical Group Barnabas Health Medical Group is a multispecialty group practice comprised of 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, its physicians and expertly trained supporting staff continuously strive for clinical excellence. For more information visit www.barnabashealthmedicalgroup.org.

Know the Symptoms. “Not all women have the same symptoms of gynecologic cancer, and many symptoms are difficult to recognize because they can be caused by or related to other conditions,” says Dr. Rezai, who stresses the importance of women paying attention to their bodies and knowing what is normal for them – and seeing their doctor if any changes occur. Dr. Rezai recommends visiting your physician immediately if you experience abnormal vaginal discharge or bleeding, especially between periods, after sex or after menopause. He also recommends seeing your doctor if you experience any of the following symptoms, especially if they last two weeks or longer: • Change in bathroom habits, including having blood in the stool or urine, going to the bathroom more often than usual, or feeling constipated. • Pain in your pelvis or abdomen, especially when urinating or having sex.

Reduce Your Risk. While most gynecologic cancers cannot be prevented, women can reduce their risk by eliminating specific factors or behaviors that may contribute to the disease. To reduce their risk, women should: • Receive regular pelvic exams • Maintain a healthy diet • Not smoke • Limit their number of sexual partners (to reduce risk of HPV) • Monitor their bodies • Speak with their physicians

November/December 2014

Medical Professionals

Stubborn Fat Has Met Its Match

Freeze Your Fat Away With CoolSculpting

About CoolSculpting . . . ®

CoolSculpting® is a non-invasive, clinically proven procedure to selectively reduce fat layers in problem areas using a patented cooling technology. It is a safe procedure cleared by the FDA and CE marked in Europe that gently cools unwanted fat cells in the body to induce a natural, controlled elimination of fat cells. This reduces bulges in treated areas of the body without harming surrounding tissue.

Key Benefits of CoolSculpting

It involves no needles, surgery or downtime.

• Since CoolSculpting® is non-invasive, patients can resume daily activities including work and exercise, immediately following treatment

It’s safe.

• Patients can generally sit or lie comfortably and read, work on their laptop or even nap during the procedure. The procedure is performed in a medical office, under the supervision of a physician specializing in cosmetic procedures.

It’s convenient.

• Procedures last about one to two hours, so treatment can easily be performed during a lunch hour or without major disruption to the day.

The results are dramatic.

• On average, each CoolSculpting® Procedure results in a 20% reduction of fat in the treated areas, and patients can start to see results as soon as three weeks following treatment, with the most dramatic results occurring over a period of two to four months in most patients.

How CoolSculpting Works ®

During the CoolSculpting® Procedure, a non-invasive applicator delivers precisely controlled cooling to the treatment area to specifically target underlying fat, leaving surface skin tissue unaffected. When fat cells are exposed to extreme cold, a process of natural removal is triggered, which gradually reduces the thickness of the fat layer. The result is a visible reduction in fat bulges.

Target Patient

CoolSculpting® is not intended as a weight-reduction program for overweight individuals. The best candidates for the procedure are people near their ideal body weight who eat well and exercise regularly and have pockets of fat that have not responded to a healthy lifestyle. They are seeking spot reduction for specific areas of fat but are not considering a surgical procedure.

To schedule your personal consultation, contact:

Bella Derma Medi Spa 1430 Hooper Avenue, Suite 204 Toms River, NJ 08753

(732) 281-1988 www.bella-dermamedispa.com

Efficacy

On average, CoolSculpting® results in a 20% reduction of fat in the treated areas, and patients can start to see results as soon as three weeks following treatment, with the most dramatic results occurring over a period of two to four months in most patients. Clinical studies1 involving hundreds of patients show that, for properly selected patients, CoolSculpting® is an effective way to reduce fat without the risk and recovery time of surgical procedures. The result is noticeable, natural-looking fat reduction in the treated areas.

1. Clinical data on file. ZELTIQ Aesthetics, Inc. Pleasanton, CA. 2. Manstein D, Laubach H, Watanabe K, Farinelli W, Zurakowski D, Anderson R. Selective cryolysis: a novel method of non-invasive fat removal.a Laser Surg Med. 2008,40:595-604. Disclaimer: In the U.S., non-invasive fat reduction is cleared only for the flank (love handle). CoolSculpting® and the CoolSculpting® logo are registered trademarks of ZELTIQ Aesthetics, Inc. The snowflake mark is a trademark of ZELTIQ Aesthetics, Inc. Copyright (c) 2011, ZELTIQ Aesthetics, Inc. The products described in this document may be covered by U.S. Patent 7,367,341. Other patents and patent applications pending worldwide. IC0185-A

To learn about all of our services, visit our website at:

www.bella-dermamedispa.com

The County Woman Magazine

www.TheCountyWoman.com

Dr. Christopher P. Godek

M.D., F.A.C.S. - Certified by the American Board of Plastic Surgery

Dr. Christopher P. Godek and the Staff at Bella Derma Medi Spa are committed to you.

November/December 2014

Law

Two Big New Changes In Divorce Law: Here’s What They Mean ALIMONY REFORM:

Written by: Jay Turnbach, Esq.

In September, Governor Christie signed two new pieces of legislation impacting the family law. The first is the New Jersey Family Collaborative Law Act which represents the cutting edge of dispute resolution, and the second is a purported “alimony reform” law. THE NEW JERSEY FAMILY COLLABORATIVE LAW ACT: Having been a founding member of the Jersey Shore Collaborative Law Group myself – the first collaborative divorce group in New Jersey – it is with great pride that we can announce that New Jersey has, with the passing of this statue, given all divorcing parties an alternative to contentious, costly litigations. The collaborative process is thoughtfully designed to put family interests ahead of all else. In a collaborative divorce, trained divorce professionals work together with the divorcing couple to reach optimal divorce solutions in a private, confidential out of court setting. This new legislation ensures the process remains confidential and secure. If you have children, complex business interests, a desire for privacy, or simply a desire to move forward in divorce by building a healthy new post-divorce relationship with your soon-to-be ex-spouse as co-parents, then you should absolutely investigate and consider a collaborative divorce. It is truly “the thinking person’s” way to divorce. Call my office for more information and visit the Jersey Shore Collaborative Law Group Website at www.jsclg.org. Be sure to seek out a trained collaborative law professional. Lawyers not yet trained in the collaborative process cannot give you the full benefit of the process. Again, call my office for a list and locations to find other collaboratively trained attorneys, mental health professions and financial advisors.

Jay Turnbach, Esq., LLc

After years of percolating around Trenton, an agreement was finally reached among the politicians to change the alimony laws. Those changes do little to alter the ultimate outcome of alimony decisions, but do contain some revisions of the process by which alimony modifications and terminations are adjudicated. The major highlights include: (1) Dispensing with the phrase “permanent alimony” in favor of “open durational alimony.” This, in reality, is little more than a change in jargon to soften the psychological blow to payors. (2) A limitation on alimony terms to no more than the length of the marriage except in cases where marriages are more than twenty years in length; (3) A more regularized process for alimony modification in cases where a payor loses a job (where relief should be faster under the new statute in the event of a job loss); (4) A more regularized process for alimony modification in cases where a payor wishes to retire, whereby there is now a presumption of reasonableness of a payor’s retirement at the age he or she is entitled to receive full social security benefits; and (5) A slightly more liberal definition of cohabitation, making it more likely that having a boyfriend or girlfriend will result in a downward modification or termination of alimony. (This change allows a finding of cohabitation even when parties maintain separate residences if other indicia of “couple-hood” are met. All in all, dependent spouses made out fairly well in the reform process. Of course, it remains to be seen how the courts are going to interpret this legislation. If you are an alimony recipient, you would be wise to consider the impact of any romantic relationship upon your alimony benefits, because the rules seem to have changes materially. Likewise, if you are an alimony recipient expecting to remain single through retirement age and beyond, this legislation makes it clear that you need to plan carefully for the day the alimony may end, which is likely to be the date upon which your payor becomes eligible for full social security benefits.

732.286.4860 Free Telephone ConsulTaTion

Divorce Mediation, Litigation, Collaborative Divorce Post-Judgment Divorce Enforcement of Divorce Judgments, Child Support and Alimony Modifications, Out of State Relocations with Children General Family Law Child Custody/Parenting Time Issues, DYFS Matters Domestic Violence Restraining Order Hearings, Motions to Vacate Old Orders

www.NJFamilyLawyer.net

Certified by the Supreme Court of the State of New Jersey as a Certified Matrimonial Attorney

The County Woman Magazine

Schedule an appointment with Jay Turnbach, Esq., to further discuss your concerns.

732-286-4860.

229 Washington Street Toms River, NJ 08753

www.TheCountyWoman.com

Jay Turnbach has 19 years’ experience handling family law matters in Ocean and Monmouth Counties. He is certified by the Supreme Court of New Jersey as a Certified Matrimonial Law Attorney. He is qualified as a divorce mediator pursuant to Rule 1:40 of the New Jersey rules of Court. He is the immediate past president of the Jersey Shore Collaborative Law Group, and a former chairman of the Family Law Committee of the Ocean County Bar Association.

November/December 2014

Law

Filing A Worker’s Compensation Claim: What are the benefits? Ok, let’s face it. When you hear about someone collecting Workers’ Compensation benefits, the first thing that crosses your mind is “Give me a break, I go to work with aches and pains all the time! People should be working, not complaining!” Well, I want to dispel some of the myths that are associated with Workers’ Compensation claims. People who file Workers’ Compensation claims are JUST LIKE YOU. They are hardworking, honest, dedicated employees who unfortunately experienced an injury at their job. I’m not talking about sprains and strains. Instead, think broken bones, herniated discs, torn rotator cuffs, and traumatic brain injuries. In other words, the types of serious injuries proven and supported by medical evidence that have long term limitations.

But is filing a claim really necessary? By law in New Jersey, injured workers are entitled to three really important benefits - benefits they need in order to get better, pay their bills, and provide compensation for their permanent injury. If you’re ever hurt at work, you’ll need to know about these three benefits. • The first and most important benefit is payment in full for medical treatment. That means emergency room bills, MRIs and X-rays, diagnostic testing, surgery, physical therapy and even psychological testing to help deal with catastrophic injuries. You are not responsible

for any of the bills associated with your injury. Not one cent. No co-pays, no deductibles. Why should you pay anything if you don’t have to? • The second benefit is wage replacement, also known as temporary disability payments. This means that if your authorized doctor says you can’t work due to your injury, you will receive monetary weekly benefits from your employer’s workers’ compensation insurance carrier commensurate with your wage and rate. Those payments will continue as long as you are receiving authorized care, awaiting surgery or recovering. Protecting your right to wage replacement is just another reason to file a claim. • The third benefit compensates you for the long term effects of your injury, also known as permanency benefits. Let’s say you experienced a lifting injury that resulted in a herniated disc in your back. Hopefully you make a full recovery, get back to work, and have little or no residuals from that injury. Unfortunately, there are many people who go on to have physical limitations despite the best care. That doesn’t mean you can’t work or enjoy life! It just means that you have to be more careful. How much you are paid depends on your unique injury, occupation, job function and personal lifestyle. Receiving compensation for your permanent injury is something you are unlikely to get without filing a claim. I hope you see now why Workers’ Compensation benefits are so important! Without them, thousands of NJ workers each year would find themselves lacking medical treatment, income and compensation for their injuries. There’s no two ways about it. Workers’ Compensation benefits help thousands of New Jersey workers each year and are there for YOU if you need them. Have you or a loved one been injured at work and don’t know where to turn to ensure ALL of your rights are protected? Don’t navigate this maze alone! Call me today to discuss your injury. The consultation is FREE

and I am only paid if I get you RESULTS. Take care and work safely! If you have more questions and would like to schedule an appointment with Kathleen M. Dotoli, call 732-228-7534. Kathleen Dotoli is a licensed attorney for over 20 years helping residents of Ocean Written by: and Monmouth CounKathleen M. Dotoli, Esq. ties. Her practice focuses on Workers’ Compensation and Social Security Disability Claims. She is the present Co-Chair of the Workers’ Compensation Committee for the Ocean County Bar Association and a Member of the Workers’ Compensation Executive Committee for the NJ State Bar Association as well as a member of the Vincent J. Apruzzese Mock Trial Committee for the NJ State Bar Foundation.

225 Washington St. The Cottage Toms River, NJ 08753

Phone: (732) 228-7534

Children’s Boutique

Stop by to see all that they offer!

Sea La Vie Children’s Boutique just made its debut in Ventnor City. It is not your average children’s boutique. They offer a mix of hand-made and store brands, embroidery services, fun sewing classes and more! Sea La Vie carries both boys and girls clothing from sizes Newborn to Girl’s size 16 and Boys size XL. The owner, Christina Rubenstein, has been in business for five years making children’s clothing out of her home, selling at craft shows and online under the business, Too Too Cute Tutus. She will be creating clothing and embroidering in the store and will feature other local crafters. Sea La Vie strives to be unique and affordable and new merchandise comes in frequently! 6616 Ventnor Ave

•

Ventnor, NJ, 08406

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• 609-226-3010 • SeaLaVieBoutiqueNJ@gmail.com

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November/December 2014

Law

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

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

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

I times, hardship knows no

n today’s difficult economic

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

Be proactive.

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

Know your rights. “Bankruptcy”

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

Make a plan.

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

Daniel Straffi, Jr. was admitted to practice in the States of New Jersey and Pennsylvania, as Protect Yourself Against Foreclosure, well as the District Judgments & Harassing Creditors Court of New Jersey We are a debt relief agency that helps people in 2001. A gradufile for relief under the bankruptcy code ate of Boston ColChapter 7 & 13 Move forward! lege in 1998 and Individual, Business and Creditor A fresh start can be had, but Rutgers-Camden Representation it doesn’t happen fast or easy. I School of Law in Payment Plans Available am a huge believer in setting 2001, he began his goals and not looking back. The legal career in 2001 Bankruptcy • Criminal Defense Seasonal or hardest part is taking that first medical hairloss serving as a judicial step. Sometimes, it’s more comlaw clerk for the forting to know that you are not Presiding Judge Oily or dry scalp alone in that journey. If there of Family Law in Dry,assure brittle every or is one thing I can Psoriasisthe dull hair Mercer County, person reading this article, it is or eczema Hon. Lee Forrester, that you are in good company – Daniel Straffi Jr., Esq. P.J.F.P. After comthe company of hard working, www.straffiandstraffi.com honest people just like yourselves pleting his clerkship, Mr. Straffi 670 Commons Way who have hit a rough patch. was an associate Toms River, NJ Dry or oily Hopefully these four steps help Conveniently Located Directly Off Of the Parkway Androgenetic at the law firm dandruff you feel empowered to take that Seasonal or hair loss Cooper Levenson medical hairloss first step and move forward. A for two years where Itchiness good night’s sleep is Free Consultations he concentrated his very underrated! Dry, brittle or practice on the area Psoriasis dull hair or eczema of negligence defense. In 2004, he joined his father's law practice. He Contact Straffi & Straffi today for a has focused his practice on representing individuals and businesses in the areas of bankruptcy, divorce and criminal defense. He is further free consultation. Dry or oilyBar Associations. an active member of the NJ and Ocean County 732-341-3800.

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“DURING MY We CHEMO n November/December 2014 fu TREATMENTS,

Medical Professionals

The Aging Spine: A Common Cause Of Back And Leg Pain

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

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

What happens as the spine ages?

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

What are the symptoms?

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

How is it treated?

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

In Conclusion . . .

Seaview Orthopaedic & Medical Associates

Call one of our convenient locations to schedule your appointment.

Board Certified And Fellowship Trained Physicians

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

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

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

■ SATELLITE OFFICE

IN LAKEWOOD

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

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

www.seaviewortho.com • 732-660-6200 The County Woman Magazine

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November/December 2014

Fashion & Beauty

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

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

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

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

“An experience you will not soon forget.”

Since 1999

e Lynne Goldberg, owner of Lynne’s Fashion Boutique

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

Community

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

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

The County Woman Magazine

www.TheCountyWoman.com

November/December 2014

Medical Professionals

Live A Pain-Free Life Thanks To Premier Pain Centers An Interview With Dr. Michael O’Hara About The Practice

Dr. O’Hara currently resides in Monmouth County with his wife and three children. Ocean County Woman sat down with Dr. O’Hara to learn more about this fascinating field of medicine.

Michael O’Hara, DO, Premier Pain Centers

iving with pain is something that, unfortunately, many of us do on a daily basis. It is an invisible, subjective symptom that can lead to anxiety and even depression. When pain interferes with daily activities, it can rob a person of an important part of their life.

Dr. Michael O’Hara has devoted his career to the specialized field of Pain Management. As an expert in his field, he treats various pain conditions like spinal stenosis, degenerative disc disease, whiplash injuries, facet joint syndrome and sciatica. “We treat all types of acute and chronic pain problems and are the largest pain management group in NJ with seven offices spanning over three counties,” he explained. “Because of our superior training, cutting edge technology, and compassionate care, we set the bar for pain management at the highest possible level. We get results.” As a graduate of the University of Medicine and Dentistry he finished in the top 5% of his class and later completed an Anesthesiology residency from the Hospital of the University of Pennsylvania. He later continued his studies as a Fellow in the field of Pain Management.

OCW: What are the most common types of pain conditions that you treat? Dr. O’Hara: The majority of pain conditions that we treat involve spinal pain problems, low back pain, neck pain, sciatica, herniated discs, arthritic conditions in the spine, motor vehicle accidents and workman’s compensation injuries. OCW: What are some typical causes of these conditions? Dr. O’Hara: Back pain can be caused by a variety of things such as discs that are herniated or pinching spinal nerves, arthritic or inflammatory problems, spinal stenosis (narrowing of the spinal canal), or musculoskeletal problems. It is our job to find the primary cause of the pain and direct treatment to reduce or eliminate it. OCW: What are some successful methods of treatment? Dr. O’Hara: Treatment is individualized depending on the cause of the problem and how each person presents. When a patient arrives for an appointment, a complete history and problem-focused physical exam is performed. Pertinent studies are reviewed to assist in the diagnosis of the problem. Treatment can involve a combination of therapeutic or diagnostic injections, physical therapy, psychological counseling, medications or minimal surgical interventional

techniques. We utilize different diagnostic injections guided by X-ray or ultrasound to determine the nerve, joint, or disc that causes the pain. These procedures may be followed by guided injections to reduce inflammation or desensitize painful areas. OCW: Discuss some of the latest cutting edge treatments that are on the rise. Dr. O’Hara: Cooled radiofrequency (Cooled RF) is a minimally-invasive treatment option for patients with knee pain. The goal is to desensitize the pain impulses and relieve pressure to the knee joint. Cooled RF is performed as an outpatient procedure for knee pain before surgical intervention, or after knee surgery or replacement if pain continues post-surgery. This technique is a safe and effective method to bring relief to people suffering from chronic knee pain. OCW: What sets your practice apart from other pain management practices? Dr. O’Hara: All of our physicians are double board certified and fellowship trained in pain management. They have been trained at the finest institutions in the country (University of Pennsylvania, Harvard, Johns Hopkins, Emory, University of Michigan). We treat each patient as an individual—just as we would our own family members. OCW: What are the long-term goals of your treatments? What can a patient expect? Dr. O’Hara: The long-term goal of treatment is to reduce pain, improve function and return people to a purposeful level of activity. Patients participate in the formulation of their care plan

and are active participants in their treatment. We reassess the benefits of treatment at every visit to ensure the patient is progressing in the correct direction. OCW: How did you become interested in this field? Dr. O’Hara: During my anesthesia residency at the University of Pennsylvania I became interested in pain management. It is a natural evolution from anesthesia because of the knowledge of pharmacology and the various nerve blocks utilized. I became interested in the detective work necessary to find the root cause of the patient’s pain syndrome. The patient’s examination, MRI studies, and history became pieces of a puzzle to solve in order to help them.

160 Avenue At The Common, Suite 1 Shrewsbury, NJ 07702 (732) 380-0200 Fax: 732-380-0124

55 Schanck Road, Suite 8A Freehold, NJ 07728 (732) 431-9544 Fax: 732-431-9313

150 Chambers Bridge Road Suite 201 Brick, NJ 08723 (732) 458-0322

1301 Route 72 West, Suite 250 - SOMC Health Village Manahawkin, NJ 08050 (609) 256-4055

14 Woodward Drive, Suite A2 Old Bridge, NJ 0885 (732) 431-9544

Deer Chase Professional Park 150 Route 37 West, Suite A2 Toms River, NJ 08755 (732) 431-9544

The County Woman Magazine

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OCW: What is the most challenging part of your profession? What is the most rewarding part about your profession? Dr. O’Hara: The most challenging part is trying to get some patients involved as an active participant in their own care. The most rewarding part of my profession is getting patients back to a normal life. It is the job of every physician to ease human suffering. I have the privilege of doing that every day!

Our Mission is to provide quality medical care to our patients in an atmosphere of warmth, professionalism and integrity. Cutting Edge, Compassionate Care

561 Cranbury Road, Suite I East Brunswick, NJ 08816 (732) 254-0883

www.premierpain.com November/December 2014

M P HORMONE IMBALANCES: SUFFER ALONE. YourWOMEN Health –DON’T Your Choice edical

rofessionals

Demand better care . . . n this month’s article I would like to present to you the concept Okay so then what is the answer? of choice. In nearly every day experience we have the ability Simple! Demand better care! to make a choice. We choose what we want and don’t want to Would you be accepting of a restauping with your symptoms isn’t controlling your eat and drink, what we watch on TV, our friends, what wesymptoms! do for rant that serves cold coffee, warm n’t alet... living, etc. As far as our healthcare is concerned, we have limited beer and uncooked food? How HOT FLASHES SWEATSwe• purchase INSOMNIA ANXIETY choices in terms•ofNIGHT the coverage and• what is affordable about a carpenter that is building your home and chooses all the fixtures, colors and DEPRESSION • JOINT PAIN • HEADACHES • LOSS OF SEXUAL DESIRE and afforded to us. appliances for your “custom” home? Of course not, so why accept this in your healthVAGINAL DRYNESS • BRAIN FOG • WEIGHT GAIN... care? Is your health not life’s most precious commodity? But,the in regards what treatment we receive from our come ‘new to norm’! physicians and healthcare providers, we are told what we Complementary and Alternative Medicine . . . Despite popular (mis)belief, CAM physicians serve to complement not replace must do and rarely given an explanation why. Take contol and solve your symptoms at their current medical practices. It is the conventionally close-minded practitioners that feel source for natural, lasting relief through You must legally be informed ... intimidated by CAM physicians and principles that make the decision of “should I or The reality is that yourHormone healthcare provider legally must offer Therapy you choices after Bio-Identical Replacement (BHRT). shouldn’t I” consider alternative therapies. The biggest problem arises for those with all pros and cons, including the risks and benefits. Unfortunately, most of us do not exercise this right and believe that the “doctor knows best” and you should follow his/ her recommendations.

critical illness. Despite a patient’s failing health and mental, emotional and physical ailing, the only time a traditional provider will “allow” CAM therapies is when it is often too late to benefit from them.

Patients must understand and discuss options for their care . . .

Don’t be a victim of misinformation when it comes to your health. Speak up and In this rapidly changing toxic environment, it is essential that you as a patient play ask questions. Demand answers and alternatives. Run away from the closed-minded an active and integral part of your own healthcare team. It is confusing, troublesome practitioners and play an active and integral role in your own healthcare. and downright scary to hear conflicting reports and opinions regarding various treatInvest in life’s most hormone precious commodity-your health. or most people, the first thought that comes to mind regarding ments in conventional mainstream medicine, not to mention “alternative therapies”. is a women indoctor, menopause. decline hormone levels To learn more about CAM and medical providers offering these services A patient imbalance is placed in the middle between their specialist and A CAM (Comple-in a woman’s mentary and Alternative Medicine) physicians don’t know where is to turn or who seensearch the web ACAM.org (estrogen, progesterone andandtestosterone) generally at a stage inatlife knownor A4M. to believe or trust. As a traditionally trained family physician, I was not taught how as menopause. The decline is usually rapid and dramatic, andAsisanaccompanied aside, I would like toby announce my direct and indirect involvement to interpret a medical study and determine its value and reliability. We were taught in the fight against the Ebola Epidemic through the use of Bio-Oxidative such asrepresentatives hot flashes, moodofswings, weight gain, sleep disorders and a loss tosymptoms trust the pharmaceutical interpretation the study that was biased Therapies. In addition, I am pleased and proud to announce the addition toward theirdrive, drug or product. Theaintent of sex to name few.of this article is not to bash the medical of two new staff members at ICAM. Lucia, our front desk coordinator and system or its providers but rather enlighten the reader as to their right and need to Melanie, our new nurse practitioner. communicate better with their medical providers. patient must understand Unbeknownst to most of Aus, however, men their too go through a period or phase underlying condition and fully discuss options to their care. Wish us well and as always, Be Well and God Bless. similar to a woman in menopause known as andropause. Andropause, sometimes My life’s experiences have taught me that the people who are the most against an Yours Health, every male referred to asor “man-o-pause” experienced by innearly act, thought, theory medical treatment and or “bad“midlife mouth it” arecrisis,” always theisones that Mark James Bartiss, MD know the leastpoint about it.in This is nothing less than and islevels counterproductive at some their lifetime asarrogance, hormone decline, although the onset is much and misleading. To schedule an appointment, call ICAM at 609-978-9002.

more gradual than in women and therefore not as readily noted as are those symptoms 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

504 Hamburg Tpk, Suite 205 • Wayne, NJ | 973-790-6363 By Appointment Only: 639 Stokes Road, Suite 202 • Medford, NJ 08055 | 609-654-5900

www.ICAMBartissMD.com www.ICAMBartissMD.com

The County Woman Magazine

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November/December 2014

Business Spotlight

~ Interview with Mark James Bartiss, MD ~

Institute for Complementary and Alternative Medicine • 24 Nautilus Drive, Suite 5 Manahawkin, NJ 08050 609-978-9002 • 504 Hamburg Tpk, Suite 205 Wayne, NJ 973-790-6363 • By Appointment Only: 639 Stokes Road, Suite 202 Medford, NJ 08055 609-654-5900 www.ICAMBartissMD.com

Mark Bartiss ~ Doctor, Medical Writer, Lecturer and Author Dr. Mark Bartiss has often been referred to as “a doctor’s doctor,” and is frequently called upon for his diagnostic skills. He is founder and Medical Director of The Institute for Complementary and Alternative Medicine (ICAM). He is a member of the American College for the Advancement of Medicine, American Association of Ozone Therapists and the American Academy of Anti-Aging Medicine, and a diplomat of the American Academy of Family Physicians, to name a few. Dr. Bartiss is a medical writer, lecturer and author who are recognized as one of the top ten specialists in the field of Bio-Identical Hormone Replacement Therapy (BHRT).

When did you open your practice and what led you to do so?

ICAM officially opened its doors in May of 2003, however I had been administering CAM in another practice since 1999. The impetus for opening my own practice was having heard multiple patient requests for choices or alternatives to their current treatment modalities. Also, ICAM practices literally having saved my life 15 years prior was a huge motivator!

How would you describe your practice philosophy?

My overall philosophy is to treat underlying cause(s) not symptoms. There are also other key components in my approach of treating my patients: • I look, listen and learn from my patients. • My patients must take an integral part in their own healthcare. • The absence of dis-ease (symptoms) is not equal to the absence of DISEASE. • When referring to lab data, “normal” does not mean optimal: optimal for one may not be optimal for another. Equally important as achieving optimal levels is to achieve and maintain a balance with all body chemistries. • A patient is his/her own best healthcare provider. Be an informed consumer! • If you ignore your health it will leave you, so invest in your most precious commodity—your health!

What sets the Institute for Complementary and Alternative Medicine apart from other practices in your area?

The main component, as previously mentioned, is our commitment to searching for cause of disease not chasing the symptom. My patients have seen very positive results from this basic approach, and have submitted many testimonials to that effect, which one can view on my website or prior County Woman articles.

How has your practice evolved since it opened?

My dedication to tirelessly continue my own education has allowed me to make great strides with the treatments I offer my patients. I have been able to make many successful alternative therapies available, such as ozone therapy, chelation, IV nutrition, and of course BHRT, among many more. I will always continue to do extensive research to ensure my patients enjoy the benefits of cutting edge treatments at ICAM. I have recently been asked to participate in medical trials utilizing various ICAM therapies. I am also developing a formal educational program to train physicians and physician extenders (NP’s/PA’s) the basics of ICAM so that more people in our communities have the opportunity and access to these non- mainstream medical modalities.

What are the most commonly treated conditions at the Institute for Complementary and Alternative Medicine?

Although we see many different conditions here at ICAM, the most commonly treated are: Fatigue, Chronic Pain, Menopause/Andropause, Thyroid disorders, Hormone Imbalance, Mood Disorders, ADD/ADHD/OCD, Chronic Back Pain and Disc disease, Arthritis, Auto-Immune Disorders, Lyme Disease/Chronic Infections, Adjunctive Cancer Therapies and Memory Disorders. We also see a lot of patients who are interested in preventive medicine, because they understand the value of caring for their health before a significant problem ever arises.

What is your biggest challenge in your field today?

Spreading the word. I wish to offer patients – not just in New Jersey but also throughout the country - the option to make a choice when it comes to their healthcare. Although Complementary and Alternative Medicine is a rapidly growing field, it is still in a process of growing in popularity amongst healthcare providers. Since it is not possible to clone myself I am doing the next best thing- training doctors and nurse practitioners who wish to provide the services that I do. Whether it is one practitioner, one patient, one life and one day at a time I want to change the approach to healthcare in America.

Share with us a couple of success stories in regards to your patients and treatments. Mark James Bartiss, MD

The County Woman Magazine

There have been countless successes my patients have shared with me, which is what keeps me going! Here are a few I’d like to share with the readers: v “My hot flashes were the least of my problems since I had been a victim of breast cancer several years before. The treatment appeared almost as bad as the disease itself! Although I am grateful and living because of my specialists, I am ALIVE because of Dr. Bartiss.” ~ T.S v “For seven years I suffered with what I thought was Fibromyalgia. I tried various drugs but most of them made me feel worse. Even other non-medical doctors couldn’t help me. Dr. Bartiss took me under his wing and made me feel like I was his only patient. He nurtured me back to health and me and my family love him for that.” ~ A.A. v “I never knew that I didn’t feel well until I felt better. Bio-identical hormones gave me something back that I didn’t know I lost….” ~ C.H.

www.TheCountyWoman.com

November/December 2014

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Trichology Specialist on Premesis

November/December 2014

Home Health Care

Home Is Where The Story Begins

aring with Kindness can help your loved ones avoid the emotional

trauma of leaving their cherished home. We believe that you and your family should have a choice about where and how you live, as well as who will provide your care. Being able to remain in one’s own home makes a person happier, keeps them healthier, and promotes their independence.

Specializing In Adult Daily Living Care Karing with Kindness is a company specializing in adult daily living care. We strive to provide excellent service so you continue to feel secure and comfortable in your own home. Through Karing with Kindness you can maintain your dignity and independence. This will keep you happier and healthier, making your situation the best it can be. All caregivers are employees of Karing with Kindness and are thoroughly trained, insured and bonded, as well as triple-screened. We also handle the paperwork associated with workers’compensation insurance, Social Security and income tax withholdings, saving our clients the burden of cumbersome paperwork and giving them the comfort of knowing that Karing with Kindness takes full responsibility for its employees.

Offering 24-Hour Live-In Care At Karing with Kindess we offer a 24-hour live in certified home health aide that provides companionship in a safe home environment by assisting clients with remaining in the home. Their responsibilities include assisting with personal hygiene and daily activities such as; brushing teeth, bathing, walking and eating. The home health aide will ensure that the client’s environment is safe. They will create well-balanced meals, updating shopping lists, documenting client’s conditions, assisting clients with selfadministration of prescribed medications.

Our home health aides will provide any and all other related duties as required. You have the choice of Hourly or Round the clock care; any day or time and we work around you and your loved ones schedule.

Homemaker (Hourly/Shift Care) Lastly, we also can provide a homemaker who can provide companionship, maintain and clean the home environment, prepares nutritionally sound meals to specific dietary needs of clients, and grocery shops for those diets as well as general shopping for necessities. A homemaker documents clients’ with self-administration of prescribed medications and informs client or supervisor of refills needed as well as reporting when clients refuse their medications and also performs other related duties as required.

Interested in Karing with Kindness? We’ll set up a free, no-obligation consultation to discuss any special needs your family may have. Together, we’ll then carefully select the caregiver best suited to your situation. For the sake of continuity and building relationships, we do our best to schedule the same caregiver for each visit. You may request a change at any time. We are participating provider for; J.A.C.C, V.A., Alzheimer Grant We service Atlantic, Ocean and Monmouth Counties. Atlantic County: 609-601-2150. Ocean and Monmouth County 732-288-1600. We provide complete CNA and CHHA day and evening training classes. If you are a Veteran looking for any of these services CALL US, We Can HELP!

Medical Equipment

Offering Hourly Care For Daily And Dietary Needs Another service we offer includes an hourly-certified home health aide. Our hourly home health aide assists with personal care such as bathing, eating, shampooing hair, shaving, brushing teeth, and bathroom activities. The critical need for companionship and human interaction is utmost important for the aide while caring for the client. The client’s home environment will always be kept cleaned and safe. Delicious and nutritionally sound meals will be prepared to specific dietary needs of the client, which will include all the grocery shopping for the meals and their staples. Each day will conclude with a documentation of the clients’ condition for all care provided and general description of activities.

Unique Mastectomy Boutique

School

Boutique

732-288-1600

Our boutique offers an extensive selection of mastectomy products, post-surgical garments and recovery products, and bras for everyday use. We feature an extensive inventory of specialized post-mastectomy and breast cancer surgery bras and breast forms (breast prothesis) in all shapes, styles, and sizes. We also offer a comprehensive selection of mastectomy swimsuits, camisoles, wigs, turbans, and hats. Our staff of professional fitters aims to help women look and feel beautiful, attractive, alluring, confident, and comfortable at this difficult time in their lives. We believe that it is important for women to have choices and to be informed about the many different products available to them. Post-surgical garments/recovery products Our goal is to bring you support, comfort, security and a restored silhouette right after surgery. At Karing with Kindness, we also carry a variety of breast cancer recovery and preparation products that women may use before and after their procedures to enhance their comfort during the healing journey, treat their symptoms, and speed up their recovery. Our garments are ideal for breast reconstruction, post-surgical and recovery. The compression bra provides support for breast or chest related surgery. Medicare and/or your private insurance may cover these garments. We at Karing with Kindness help women from A to “K Kups” for the fuller figured woman. You can always count on us for great customer service, a large inventory of products, and competitive prices. Visit us today and get the selection and service you deserve.

The County Woman Magazine

www.TheCountyWoman.com

Grateful Testimonial:

“I’m writing to thank your organization for all that you did, especially your Home Health Aide, Vida, to help make me and my father’s end of life more comfortable. Everyone in your establishment was very professional and caring.” - Gail, Forked River, NJ

November/December 2014

Education

Grunin Center For The Arts Brings Great Performances To OCC Ocean County College received a $5.75

The Performing Arts Series features dance,

The all new Grunin Spotlight Series features top-name talent, master classes, and meet & greet receptions with musician Branford Marsalis, Broadway’s Sutton Foster, New York Philharmonic’s first African-American principal clarinetist Anthony McGill, and The Hit Men featuring former stars of Frankie Valli & The Four Seasons, among other acts.

Back by popular demand, the OCC School of Performing Arts Productions presents something for everyone from the OCC Repertory Theatre Company’s The Glass Menagerie to the OCC Concert Band’s A Christmas Potpourri! and a holiday performance of Amahl & the Night Visitor. The Repertory Theatre and Concert Band come back in the spring with three more exciting programs!

million donation to establish The Jay and Linda Grunin Center for the Arts (formerly Arts & Community Center) on the OCC Main Campus in Toms River. This endowment allows OCC to develop quality performing arts programming and the Grunin Center is proud to announce its 20142015 season line up!

Grunin Spotlight Series • Performing Arts • Concerts Film • Jazz • Theater • Family See the complete schedule at tickets.ocean.edu

Grunin Center Box Office Hours Mon-Fri • 10 am – 1 pm 732.255.0500 • Toms River, NJ

The sounds of hot music and cool vocals sizzle when OCC hosts the popular MidWeek Jazz Series. Come hear acclaimed artists play classic jazz and swing including Ethan Uslan, Ricky Riccardi and His Goodfellas, and the Midiri Brothers’ Salute to Benny Goodman. Join us for the new Friday Film Classics when we view some of the most loved movies including Annie Hall and North by Northwest.

music, and drama. You’ll howl with laughter to the “naughty” comedy, You’ve Got Hate Mail, and the performances continue throughout 2015 with the Duquesne University Tamburitzans, TV and Broadway actor Jeff Blumenkrantz, The Jersey Follettes, and many more.

For performance tickets or information on meet & greets or master classes, call the Grunin Center Box Office at Ocean County College, 732-255-0500. Purchase tickets online at tickets.ocean.edu.

Copy, Fax & Notary Services

Give Yourself A Gift For The Holidays –

Write That Article Or Book You’ve Been Thinking About The Wordstation, Ltd. celebrates its 25th year in business at the Jersey Shore with the grand opening of its new office at 391 Brick Blvd. in Brick. Co-located with Copy Fax + in Drum Point Plaza. What services does the Wordstation provide? In our self-service area, you can make your own letter-size copies (color or black-and-white), send your own faxes, and have access to the Internet and printer. In our full-service area, we can make copies for you in letter, legal, or ledger size. We can send and receive faxes, or scan and email your documents. Your signature can be notarized; there is always a notary on site during office hours (You must have a photo ID). What style of word processing services do you offer? We type letters, resumes, term papers, journal articles, and reports. We can transcribe interviews or seminars from audiotapes or digital audio files. Our specialty is full-length book manuscripts,

formatted to be acceptable for submission to publishers or selfpublishing companies. What steps do you take to proofread a manuscript? We make sure the words make sense, not just that they’re spelled right! We understand punctuation rules. We are especially picky about consistency. Although we are not editors in the sense that we can’t offer rewrites, we will point out any major flaws that we notice. What do you love most about your work? I have always loved to read, and am so lucky to be able to work doing something that I love! I’m constantly amazed by the creativity of the authors I type and/or proofread for, many of whom are seniors who have these wonderful stories to tell, but don’t have the computer skills to get them into digital format, whether they’re going to try to publish or just pass the stories along to their families. It’s also very gratifying to help busy professionals with their special projects, doing the foundation work so they can concentrate on areas that require their expertise.

The Wordstation TheFaxWordstation Copy +

Copy Fax +

Patty and Brian Shannon

Typing • Copy • Fax • Notary Transcription Proofreading Patty and•Brian Shannon

The County Woman Magazine

391 Brick Boulevard wordstation@comcast.net Brick, NJ 08723 Hours: 9-5, Monday-Friday Phone: (732) 477-4800 Fax: (732) 477-4861 www.TheCountyWoman.com

Typing • Copy • Fax • Notary Transcription • Proofreading

Patty Shannon, Owner

Client Testimonial:

Patty, I want to thank you for the impeccable job you did on my manuscript. I have another story that I would like you to do in the same format…Thank you again for my beautiful manuscript. —J.S.

Typing • Copy • Fax • Notary • Transcription • Proofreading

391 Brick Boulevard • Brick, NJ 08723

Phone: (732)477-4800 • Fax: (732)477-4861 wordstation@comcast.net Hours: 9-5, Monday-Friday

November/December 2014

Medical Professionals

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

There are three types of cells in our blood:

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

RBCs contain a pigment called hemoglobin that gives blood

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

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

LEUKEMIA

Part I

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

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

Compassionate Cancer Care, Close to Home

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

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

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

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

Ocean Hematology & Oncology 1255 Route 70, 31S

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

To Learn More, Visit www.oceanhemonc.com The County Woman Magazine

Easily Accessible Location, Near Exit 88 on GSP

Lakewood, NJ 08701

732.961.0010

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

www.TheCountyWoman.com

November/December 2014

Contemporary &Rattan Furniture

Accessories Can Make The Room

o you remember when you were a kid and you saw your mom or aunt do magic with a simple black dress or basic suit by adding a belt, scarf or piece of jewelry? The basic great design was enhanced by these accessories to the point that she would create totally different looks. Here at Heritage House Interiors, our staff will help you do that with your home whether

you are planning to purchase replacement furniture or not. Our showroom is filled with a great selection of art for the wall or table from traditional to contemporary….prints, paintings, pottery, glass, sculptures…. signed and generic for prices that will make you happy. Light up your home in new ways. Heritage House Interiors offers about 150 different lamp styles in stock at closeout prices to brighten a bedroom, living room or great room. We pride ourselves in knowing that our lamp parts are resistant to the shore climate. The salt air and dampness takes its toll on metal here. We are very careful to carry lamps with few or no metal components. When we do have metal, it is painted and coated so it will be tarnish proof or resistant…even those lamps that have metallic finish. Give new life to your sofa or favorite chair by adding pillows. Choose from our silk-screened brightly colored nautical pillows that can be thrown in the washer and dryer. They are created by an American Artist from watercolor paintings of fish, tropical scenes, shorebirds, boating scenes and lighthouses. Use them individually, as an accent, or in themed clusters in different shapes and sizes. If you want to create a more subtle accent with pillows another American arts offers a selection of natural canvas pillows with nautical designs such as shells, fish and nautical flags. These too are washable and will stay fresh for years. Our realistic man-made trees and plants can bring the outdoors indoors at your summer home without the need and worry of caring for them. Our 6’ to 8’ palms and exotics can transform your contemporary into a tropical rainforest without dirtying your hands. Place an arrangement of orchids or tulips onto your tables and you will have spring in the air in December. Once you have the look you want, add the fragrance that will complete the room. Inhale the scent of our wood-wick soy candles and our soaps and you will be transported. They are created by a husband and wife team in upstate New York on their farm. They have created scents for every season and holiday from woods and trees to shore scents; from delicious fruit combinations to home cooking…even fresh air and linen scents. So, this holiday season, if you are not looking to replace your recliner with a new one and you are planning to keep those rickety dining chairs until spring come to Heritage House Interiors for some lively art, lamps and accessories to brighten your home for the holidays.

Remember, everything in the showroom is now a minimum of 25% off, including furniture special orders. Many items are on closeout at 30% to 50% off. Get what you need now and save BIG!

WHY PAY MORE? rating 40 Years b e l e C

Heritage House is here to help you with all your needs. Just call 609 698 7621.

25%-40% OFF*

Customer Testimonial

ENTIRE STORE FURNITURE • LAMPS • ART ACCESSORIES INCLUDING CUSTOM ORDERS *Cash or Check (Charges and debit cards 20% OFF)

HERITAGE HOUSE INTERIORS Let Us Recover Your Cushions & Repair Your Wicker

The County Woman Magazine

CALL FOR WINTER HOURS 408 N. MAIN ST. (RT. 9) • BARNEGAT, NJ - 609-698-7621

w w w.rattaninteriors.com www.TheCountyWoman.com

We wish you a very Happy Anniversary, 40 years in business and always a wonderful staff. Buying from you since 1984 has been a pleasure. You have always been reliable and we love our furniture. This is why we keep coming back. Thanks for your help in the past. See you in the future. ~ As ever, P and B Ealan

November/December 2014

Medical Professionals

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

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

Internal hemorrhoids are classified in four grades:

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

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

What factors cause hemorrhoids?

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

Recognize The symptoms

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

Treatment

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

•

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

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

Colon and Rectal Surgery Board Certified in General Surgery and Proctology

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

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

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

The County Woman Magazine

¢ ¢ ¢ ¢

colonoscopy anorectal surgery pelvic floor disorders office proctology

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

Call 732-282-1500 www.TheCountyWoman.com

November/December 2014

Health & Wellness

Is Your Body Ready For The Holidays?

osing weight takes effort and a great support system. Ocean Health & Weight Loss is here to help you reach your goal of a better you.

In order to take advantage of losing weight and being successful, you must be prepared. Be ready for us to help you on your journey to weight loss success. Learn how our hCG is the Real Deal. NO FAKE DROPS OR PILLS, just pharmaceutical hCG. Our program is medically supervised so you can get the personal care you need at this time of challenge. Nothing is more frustrating than to see that you are gaining weight, or have high cholesterol, or diabetes has taken over your life. Written by: Jill Houston, Be in a position to benefit from your failure. Make the right choice to begin a weight loss program that Clinical Director works. To get started it’s not usually glamorous. It’s not always exciting. It’s not always fun. It is, however, Ocean Health & always necessary and very rewarding in a short period of time. Weight Loss Before Together with Ocean Health & Weight Loss we can create a game plan to get you back on track right away without beating yourself up and devastating your self-esteem. My game plan is taking it a day at a time. We will put you on a 40 program to start. You will start to lose anywhere from a 1/2 of a pound to 1 pound per day. Have I got your attention? You will not be hungry and your energy level will start to increase and you will just begin to feel better and look better as the inches just melt away. You lose the bad fat that you want to lose in those stubborn places and keep the muscle. Maybe it’s taking it a day at a time, but tomorrow will get better and better. Maybe it’s getting angry and becoming more determined then ever to succeed. Have you ever been at those Weight Loss meetings and noticed several people there who are slim and trim? What about those Weight Loss ad’s on TV with their before and after pictures? They make losing weight look so effortless, but remember, in reality, these people have been dieting for years. This is just 40 days to begin the new you. Without effort and action, you will not succeed. You can’t wish your weight away but we definitely make it easier for you. You have to work at it and be prepared for the times when you slip, that’s where we come in. You can text us or call every day if you need to ask question or just to say how good you are doing. So together we help to pick yourself up, dust yourself off, and move on...

After

WE love what we do here at Ocean Health & Weight Loss and you will too. Where all Health Breaks Loose!!!!!

Before

Join the hundreds of men and women who have dropped 20 to100 lbs. at Ocean Health! Call 732-608-9681.

After

AmAzing hCg Weight Loss! Discover a truly remarkable way to lose weight quickly and safely. Reset your metabolism to help you keep the weight off. Stops your body from storing excess fat.

3 Medically Supervised 3 Lose 34 lbs in 40 Days 3 A Natural Hormone

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732-608-9681

www.OceanHealth4You.com

oCeAn heALth & Weight Loss

Community Medical Center: 448 Lakehurst Rd. Toms River, NJ 08755 The County Woman Magazine

www.TheCountyWoman.com

November/December 2014

Health & Wellness

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

“ Re -you-venate” S SE K S A EE CL W A N PE YS O ge DA sa s n 7 ga tio Ma

All that is missing is YOU!

Become a foster orNovember adoptive parent 22 Holiday Party & Sale Ashtanga Yoga & The Yogi Magician

Be part of the ride.

Come celebrate the season and shop our sales

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

MIND/BODY STUDIO 609.404.0999

December 20 Holiday Retreat

Open your heart and your home

609.494.9299

Food, Restoration & Live Music

WWW.YOGANINE.COM

January 10-17 Retreat for 500 Hour Teacher Trainees

Gift Certificates Available for Classes or Massages

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

SMITHVILLE

SHIP BOTTOM LBI

Call for information or go to www.yoganine.com

Yoga 101: Welcome Beginners 5 Week Session Begins January 22

New Jersey DepartmeNt of ChilDreN aND families

Buy Classes at Yoga Nine and get 10% off classes at PYOUR. Forgood more contact: Offer forinformation 30 days after classcard purchase.

Fair Trade, Green & Unique Gifts and Ritual Items

(877) NJ FOSTER, www.njfoster.org (800) 99 ADOPT, www.njadopt.org

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

Community

All that is missing is YOU!

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

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

The County Woman Magazine

www.TheCountyWoman.com

November/December 2014

Medical Professionals

The Dreaded Bowel Preparation For A Colonoscopy . . . Written by: Jill Collier, MD, Chairperson, Department of Gastroenterology, Community Medical Center, Medical Director, Endoscopy Center of Toms River

our doctor has informed you that you need to have a colonoscopy. It may be for a routine screening due to your age or to investigate a problem, but regardless you know the dreaded bowel preparation will be needed.

will awaken early on the day of your procedure to complete the second half of your laxative preparation. With the split dose prep you can easily work the day before your colonoscopy.

When do I stop drinking liquids?

Finally, because you will be receiving anesthesia for your examination, your stomach must be empty of all fluid and food for at least four to six hours prior to the exam. Those patients with a morning scheduled procedure are not to eat or drink anything after midnight the night before the exam. Those with procedures scheduled after 1 pm, are not to drink or eat anything after completing their morning laxative.

You may have heard horror stories from your friends and family and often it is the thought of the bowel preparation which stops patients from having this needed test. It is important for you to know that there are many preparation options and adjustments in timing that have made the bowel preparation for today’s colonoscopy much improved over that of the past.

Why do I need a Bowel Preparation? The intent of the bowel preparation for colonoscopy is to remove all debris and stool from the colon so that your physician can have the clearest possible view of the colon. Any stool left in the colon will hinder your doctor’s ability to see small polyps and may lead to the need to repeat the exam.

Will I need to starve before the test?

What if I have questions or I take medications?

It is very important that you read all your directions thoroughly. Your doctor and their nurses and office staff are available to answer any questions. Your doctor will instruct you about which medications to take and which to hold. Diabetic medications may be adjusted, but typically blood pressure, heart or seizure medications are taken as usual. Some medications, like blood thinners may be held for up to a week before your procedure and some preps need to be prepared the night before so look at your directions before your scheduled date. you should realize that although the bowel preparation may not be the zFinally, easiest part of your exam, it is certainly one of the most important. Your doctor

and their staff are there to ensure that the preparation chosen is the right one for you and that you complete it properly, so that the important and needed colonoscopy can be completed as effortlessly as possible.

Starving is not required but you will be limited to fluids only for about 24 hours before your exam. These fluids do have nutrition and taste. You are allowed to drink water, broth, coffee, tea, Gatorade, fruit juices, soda, ice pops and Jell-O. No red fluids should be taken. There should be no pulp or sediment in the liquids. A small amount of milk added to your coffee or tea is allowed, as are sugar or artificial sweeteners.

Patient

Testimonials

“Staff here always receptive, pleasant and caring, including Dr. Collier, as always! Everyone was very attentive and efficient. It was my first time using Dulcolax and Miralax prep. It was easy to take and worked VERY well!” Jane, 64, Brick

Will I have to drink a nasty tasting laxative to prepare?

There are multiple methods to cleanse the colon and the majority don’t have a bad taste. Which preparation is chosen may vary depending on your health and your doctor’s preference. MiraLAX laxative is a colorless powder that can be dissolved into any fluid without leaving any taste or grit. Citrate of Magnesia is a salt solution which can be diluted with other liquids to make it more palatable. Flavored buffered solutions like Golytely can also be utilized by prescription. Lastly the pill prep, Osmo-prep, can be taken in select individuals without any history of high blood pressure, kidney disease or seizures.

When will I have to drink the laxatives and can I work that day?

Meet The Doctors Of Gastroenterologists Of Ocean County.

The timing of your preparation will vary with your scheduled arrival time, your doctor’s preference and your individual health needs. Typically for procedures scheduled before noon you will begin your preparation when you awaken the morning the day before your exam, starting your liquid diet with breakfast and taking the first dose of laxative about 10 am. For those patients with a procedure scheduled later in the day you may have what is called a split dose prep. This allows you to have a solid breakfast the day before your exam and start your liquids at lunch time. You will begin the laxative Hospitalcomponent of your preparation at 5 pm the day before the exam and you

Gastroenterologists of Ocean County

(Sitting l-r) Omar Tamimi, MD , Jill Collier, MD, and Allan Cohen, MD. (Back row l-r) Jai Mirchandani, MD, Edgar Bigornia, md and Kenneth Glazier, MD. We perform endoscopic procedures in the convenience of our two office based endoscopy centers.We aim to provide the highest quality of compassionate medical care and perform endoscopies in a convenient, friendly, non-threatening office setting. We serve patients from many different backgrounds which is mirrored in the diversity of our physicians.

Board Certified Gastroenterologists

Allan Cohen, MD • Omar Tamimi, MD • Jill Collier, MD • Edgar Bigornia, MD • Kenneth Glazier, MD • Jai Mirchandani, MD Hospital Privileges at Community and Ocean Medical Centers

• Colonoscopy and colon polyp removal • Colon cancer detection & screening • Rectal bleeding evaluation • Ulcer pain evaluation and treatment

473 & 477 Lakehurst Road Toms River, NJ 08755 732-349-4422

• Swallowing disorders • Endoscopic treatment of hemorrhoids • Capsule Endoscopy • Bravo pH Monitoring

7 Sherwood Drive Lakewood, NJ 08701 732-367-3338

Medicare, HMO’s and most insurance accepted.

The County Woman Magazine

355 Route 9 Bayville, NJ 08721* 732-349-4422

* Limited hours by appointment.

How Bad Will It Actually Be?

Now you can have your Colonoscopy, Polypectomy and Upper Panendoscopy in our tranquil and private endoscopy centers. You will receive intravenous sedation, which will make you sleepy and comfortable. Our colonoscopy preparation does not require you to drink a gallon of solution of Golytely or Colyte. 939 Lacey Road Forked River, NJ 08731 609-971-5949

www.GastroOfOcean.com www.TheCountyWoman.com

1617 Route 88 West Brick, NJ 08724 Now seeing 732-249-4422

patients in our new Brick office location!

“The medical staff was excellent. Dr. Collier has a great bedside manner and explained things very clearly. All staff double checked and confirmed all of my information before the procedure. Very professional.” Jeff, 49, Forked River “It was and is a real blessing to be handled by such a competent staff. Love Dr. Collier- she is awesome. Adrienne, 74, Jackson “I was treated very well by all. In comparison to other facilities (by word of mouth with coworkers), my experience was easier than others. Thanks to Dr. Collier and staff. Dorothy, 63, Bayville

November/December 2014

Elder Life Management

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

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

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

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

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

Testimonials Say It All . . .

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

3 3 The County Woman Magazine

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November/December 2014

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Medical Professionals

Care Close to Home As part of The Children’s Hospital of Philadelphia Care Network, our practices, conveniently located in Cape May, Smithville and Somers Point, provide comprehensive primary care for children from birth through age 21. We accept most insurance plans, and our doctors have staff privileges at local hospitals, in addition to The Children’s Hospital of Philadelphia. We look forward to partnering with you to help your children stay their healthiest. We are accepting new patients, as well as children vacationing with their families. CHOP PRIMARY CARE LOCATIONS AND HOURS: Harborview/Cape May Harborview/Smithville 1315 Route 9 South 48 South New York Road Cape May Court House, NJ 08210 (Route 9) 609-465-6100 Smithville, NJ 08205 609-748-2900 Monday – Friday 8:30 a.m. – 5 p.m. Monday – Friday 8:30 a.m. – 5 p.m. OUR CLINICIANS: George P. Bross Jr., D.O. • Yasmin D. Deliz, D.O. • Christopher W. Drexler, D.O. • Sharon L. Held, D.O. • Mark P. Jacobson, D.O. • Christopher J. Keenan, D.O. • Courtney G. Kivel, C.R.N.P. • Lisa J. Share, M.D. • Andrea R. Thorp, D.O. • Gerald E. Vekteris, D.O.

Harborview/Somers Point 505 Bay Ave. Bayside Commons Somers Point, NJ 08244 609-927-4235 Monday and Friday 8:30 a.m. – 5 p.m. Tuesday, Wednesday and Thursday 8:30 a.m. – 7:30 p.m. Saturday 8:30 a.m. – Noon

The County Woman Magazine

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November/December 2014

Medical Professionals

That’s The Spirit! . . . Whiting Healthcare By Revera A REHAB FACILITY THAT FOCUSES ON YOUR RECOVERY AND HELPS YOU FEEL AT HOME DURING THE HOLIDAYS

Jennifer L. Causer Executive Director, Whiting Healthcare by Revera

or Joan, the holiday season is her favorite time of year. An avid cook, she makes holiday meals for family and friends and loves to entertain. She also makes wreaths that she sells at local holiday bazaars and donates to charities. Last year, however, Joan didn’t get to do a lot of celebrating at her home.

She broke her hip after falling off a stepladder while decorating her house. Her daughter lived over 400 miles away and worked full-time; it wasn’t an option for her to come and live with or care for her mother. After doing extensive research on rehab facilities in the Whiting, NJ area, Joan and her daughter chose the STAR (Specialized Therapy and Rehabilitation) program at Whiting Healthcare Center.

Spending The Holidays In A Rehab Facility

Sue Jacobson Star’s Senior Director

Spending the holidays away from home, in a rehab facility, is not on anyone’s “wish list” but unfortunately, accidents and injuries happen at any time of the year. If you or a loved one is in a situation similar to Joan’s, STAR’s Senior Director of Rehabilitation, Sue Jacobson, has the following suggestion. “Look at the positive side of the situation and put things in perspective; it’s one holiday, one day. And, you won’t have to cook dinner for everyone! We’ll take care of you and help get you on the road to recovery so that you can enjoy many more holidays with your loved ones.”

Newly renovated STAR unit

The STAR team

The 11-person STAR rehab team consists of four physical therapists and one PT assistant, three occupational therapists and one OT assistant; one speech language pathologist and STAR rehab assistants to support the department. Physical Therapist Lauren Resnick has been with the STAR program for over seven years, two and a half years, specializing primarily in geriatric care at Whiting Healthcare Center. She uses a hands-on approach to patient treatment that involves the patient in the process of setting goals and prioritization. Then, she creates a personalized, one-on-one Lauren Resnick treatment program. Physical Therapist “When choosing a rehab facility, patients and their family should choose a place they can see themselves recovering in,” says Lauren. “It should be a place that offers comfort, compassion and the motivation they need to get better; a place where the staff is smiling and excited to work with their patients. During the holidays, all of these things are especially important.” She notes that finding a therapist who embraces treating a patient’s overall well-being is also key. “At STAR, we go beyond therapy – it is a center wide approach where all staff works toward the comfort and happiness of the patient. We develop strategies that will not only get patients back home but keep them healthy and active for the long term.”

For Joan, this holiday season is bustling with activities, including a lot of wreath making and baking – at home. Whiting Healthcare Center is part of Revera Nursing and Rehab’s outstanding network of skilled nursing facilities across New Jersey and the United States.

To learn more about STAR rehab and the entire range of services at Whiting Healthcare Center, call (732) 849-4400 or visit reverawhiting.com.

The recently renovated STAR unit features stateof-the-art exercise and therapy equipment, a new coffee bar complete with bistro chairs and comfortable couches, and a new spa bath. Computer stations have also been added for the convenience of residents.

STAR Program team uses team approach

Joan’s daughter was impressed with the STAR program’s emphasis on using a team approach to make patients feel comfortable and happy during a difficult time; she knew her mother would appreciate this, especially since she wouldn’t be at home. “Providing patients with fun and therapeutic activities is one way a rehab facility can help make the holidays upbeat,” says Jacobson. “We offer patients a number of activities including holiday crafts and preparation of seasonal food favorites. Occupational therapists involve patients in holiday cookie creation thus allowing them to have fun while still practicing the same movements they’ll be using when they return home.”

The County Woman Magazine

Whiting Healthcare Center 3000 Hilltop Road, Whiting, NJ 08759

732-849-4400

Visit www.reverawhiting.com www.TheCountyWoman.com

Our locations include: Bey Lea Village in Toms River, Hamilton Plaza in Passaic, Laurelton Village in Brick, Linwood in Linwood, Meadow View in Williamstown, Neptune in Neptune, Oak Ridge in Wayne, and Willow Creek in Somerset.

November/December 2014

Whiting Business Association

Whiting Business Association is committed to serving the Fighting Osteoporosis Through Physical Therapy needs of the community. re you one of

Replacement Therapy was the calcium consumed in foods such These exercises, in conjunction by preventing bone destroying most common intervention. as dairy products, oatmeal, tofu, with manual therapy techniques osteoclasts from digesting bone. the 44 million soy seaweed, dark green vegetables, Currently, Selective Estrogen to elongate muscle tissue and The final class of Receptor Modulators (such as fish and some types of nuts. For reduce compression forces on the Americans suffering pharmacological treatment is a Nolvadex, Evista, Fareston) are those who are lactose intolerant bone, can drastically reduce the bone forming medication known from Osteoporosis or more commonly recommended (meaning they are unable to incidence of fractures. A physical as Forteo. This is generally Osteopenia? for the prevention and treatment therapist can determine if a simple breakdown calcium into a bone prescribed for those osteoporotic of osteoporosis in postexercise program can alleviate your building product) lactase drops patients at high risk for fracture. Through research, the medical menopausal women. may be utilized. symptoms. Currently the FDA only community has discovered Antiresorptive medications or 3. Pharmacology: 2. Nutrition: recommends No one wants to give the up utilization their of th methods not only to combat Biophosphates (such asindependence Fosamax, One of the biggest developments Nutrition and lifestyle play a key class of drug for 2 years due to while living at home, Osteoporosis, but also prevent it. Boniva, Actonel, Reclast, over the past 20 years in the role in bone loss. Individuals potential side effects. Fortical but sometimes the day-to-day tasks In order toWhiting treat this condition, who are not receiving adequate and Miacalcin) are nowbecome commonly Branch • Donna Gould, Branch Manager,treatment and prevention more difficult to accomplish, let’s discuss the facts. nutrition (low calcium or Vitamin of Osteoporosis has been in Treatment utilized in the treatment of requiring someSpecialized home care assistance. Founding Member of the Whiting Business Association • Osteoporosis is a condition pharmacology. Initially, Hormone osteoporosis. Biophosphates D) or an excessive intake of At All-Care Physical Therapy, we work Our non-medical home care services that causes bones to become thin specialize in the treatment 732.350.9500 • Visit myinvestorsbank.com range from minimal assistance to 24 and and porous, decreasing bone Osteoporosis hour/7 day a prevention week care.ofOur services and strength and leading to increased Osteopenia. We are one of the are provided on an as needed basis risk of breaking a bone. only facilities in Ocean County and do not require a written contract. Ocean County Location: • During their lifetime 50% of that have been certified in the all women and 25% of all men treatment of Osteoporosis. It is over the age of 50 will have an essential that a physical therapist osteoporosis related fracture. is aware of the risks of treating • Fractures from osteoporosis Phoebe Shagan, Osteoporosis and understand are more common than heart the most optimal therapeutic RN, CCM attack, stroke and breast cancer interventions to not only preven • Insurance to Protect You (Health, Medication combined.(732) 784-7017 & Travel Insurances and Identity Theft Protection) the progression, but combat the Phone: • Women and men alike begin disease itself. to lose bone in their mid-30s. As they approach menopause, women • Knowledgeable, experienced, fully Our family-owned outpatient facilitiesWin Brick,BToms River,yWhiting, informed , friendly and compassionate ritten y: Michael orke, MPt lose bone at a greater rate, from Barnegat, and Manchester, NJ are directed by a practicing physical 2-3% per year due to hormonal Michael Yorke graduated with honors from • Independent Broker who works with therapist, Michael Yorke. Our primaryGettysburg goal is to provide optimal pain-free changes. College in 1997, majoring in Exercise "A" rated plans to meet your needs physical therapy for all patients. Pain Science is a physiological response to damage with a focus in Athletic Training. Risk Factors: Age, sex, tobacco/ or injury. The old adage “No Pain- NoHeGain” could not be more incorrect continued his education at Hahnemann alcohol use, vertebral compression in the field of rehabilitative medicine.University We stressearning handsa Master’s on manual degreetherapy in Physical fracture, fragility fracture, family in 1999. as well as consistent therapist/patient Therapy interaction. history of hip fracture, medical www.rhsinsurance.com Michael has continued to expand his conditions or use of medications Here’s how we differ from other physical therapy facilities: knowledge through continuing education hours with focus in that inhibit absorption of nutrients ( Now Offering In-Home & Occupational Therapy or contribute to bone loss. Orthopedics asPhysical well as Geriatric Medicine. He has completed courses in the treatment of osteoporosis and postural changes. In 2005, Michael ( Free Transportation Help Is Out There: opened All-Care Physical Center with a focus on personal, one( Innovative, pain-free approach to Therapy physical therapy Over the past 20 years, treatment on-one, hands-on care. Michael has been For all of your Estate Planning, ( Our large, cozy facilities offer the utmost in a member of the American and prevention of osteoporosis Physical Therapy Association since 1997. Michael’s experience has led have come a long way. Solutions patient comforthim and satisfaction Estate Administration to develop an innovative, pain-free approach to physical therapy. can be broken down into 3

We are proud to support the Women of Ocean County

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( Certified in LSVT, an innovative treatment and Elder Law needs. categories. for Parkinson's Disease 1. Physical Therapy: protein, sodium and caffeine By far the most conservative 108 Lacey Road, Ste. 2 are considered at increased risk. ( Our energetic, family-like staff, and upbeat treatment for Osteoporosis is Interventions such as calcium Whiting, NJ atmosphere supports rapid rehabilitation exercise through Physical Therapy. or vitamin supplements have Beaver Dam Road With the correct exercise program, been1622-A recommended for many ʓʐʚʗʗʐʕʣʮʮʥʣʴʧ the human body has the ability individuals,Point as research has Pleasant, NJ Jim Yorke not only to prevent the loss of indicated that 1200-1500mgs of Executive Director, All Care Physical Therapy Center Come Experience The All-Care bone density, but also increase calcium a day along with 7-80 President, Whiting Business Association bone strength via the S.A.I.D. IU of Vitamin D reduced the Difference For Yourself! Principle (Specific Adaptation fracture rate in post-menopausal ʹˊˋ˖ˋːˉ ͙ ʶˑˏ˕ ʴˋ˘ˇ˔ ͙ ʤ˔ˋ˅ˍ The County Woman November/December 2014 to Imposed Demands). By Magazine women by 50%. This is generally www.TheCountyWoman.com

732-350-7800

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Assisted Living

Do You Believe In Magic?

Come find out about the Free Exercise Classes offered at Spring Oak of Toms River.

pring Oak of Toms River is proud to invite anyone over 55 years of age to join us for Fox Rehab’s Strength, Mobility and Balance Programs at no cost. A Fox Exercise Physiologist supervises this program with extensive work history in cardiac and pulmonary rehabilitation every Tuesday and Friday morning from 10am to 11am. The Strength, Mobility and Balance Program is an evidence-based progressive exercise program for active 55+ adults designed to relieve everyday aches and pains, increase strength and improve cardiovascular stamina. In an editorial published in the Journal of American Medical Directors Association (JAMDA), exercise has been described as the “Magic Bullet” available for clinicians to treat dementia along with a multitude of other diseases and dysfunctions. Editor in Chief of JAMDA, Dr. James Morley MD, BCH, states, “Exercise clearly is better than medications for dementia.” Exercise also has proven to: • Decrease depression • Decrease risk of frailty • Decrease incontinence • Reduce pain • Enhance sleep • Reverse sarcopenia • Improve Glycemic control

• Decrease falls/injuries • Decrease constipation • Decrease behavior disturbances • Decrease cognitive impairment • Slow bone loss • Improve quality of life

Dan Dexter, Fox Rehab Exercise Physiologist instructs Spring Oak’s seniors at the morning exercise class.

Prescribed by Physicians and administered and dosed properly by Fox Physical and Occupational Therapists, therapeutic activity can help ward off cognitive impairment and help older adults achieve optimal function to rehabilitate their lives. Fox specializes in reversing the detrimental effects of muscular weakness, regardless of age or cognitive status. By partnering with Fox Rehab, Spring Oak has therapists that can help lead enriching exercise programs for the community. Additionally, Fox Rehab therapists

can also perform regular screening for residents and communicate any potential medical issues needing attention to healthcare providers. Residents also benefit from additional wellness programs and educational seminars. When a resident’s physician prescribes therapy, there is no need for transportation to an outside facility, and no need for coordination with home health agencies. Fox Rehab has licensed therapists that are on-site at Spring Oak of Toms River at least 3 days a week and will perform the prescribed therapy according to a residents treatment plan. Continuity of care is imperative for successful therapy and Fox Rehab ensures that resident’s receive quality care from the same therapists who build strong relationships with the residents over time.

To learn more about Spring Oak and what they have to offer, please call Tara Heisman at 732-905-9222. Tara Heisman has been working with seniors and their families in assisted livings in NJ since 2003. She enjoyed being an Activities Director before becoming a Marketing Director. A resident of Toms River since 2007 , Tara is married to her husband Steve and has a 4 year old boy named Lucas. Please call or email Tara to schedule a tour. 732-905-9222, theisman@springoak.net

Spring Oak of Toms River Testimonials “If I knew it was going to be this good, I would have gotten here sooner. Everyone at Spring Oak has been so good to me. I have always been a family person and everybody here is like family. It is a beautiful place just like home. I am always doing things, I have been to the aquarium and went on a boat ride. They have the library, the theater, and pool table. Everybody is right there to help you.” ~ Mary E. “I love it here. I do not want to leave ever. It is the best place for me. Thank God for my concerned children. They have helped me feel alive again. I thank you from my heart.” ~ Mary M.

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November/December 2014

Medical Professionals

Understanding Prostate Cancer How curable is prostate cancer?

Background

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

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

What are the symptoms of prostate cancer?

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

Risk Factors for Prostate Cancer

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

How do you screen and treat prostate cancer?

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

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

University Urology Associates of New Jersey was established in 2003 and

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

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



1 2

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

 Howell 2364 Route 9 South Howell, NJ 07731

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

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

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

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

Business Spotlight

~ Interview with Mukaram Gazi, MD ~

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

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

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

What is the most rewarding part about your profession?

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

What sets your practice apart from others like it?

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

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

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

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

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

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

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

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

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

The County Woman Magazine

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

www.TheCountyWoman.com

November/December 2014

Medical Professionals

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

Caring Heart & Brain Imaging

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

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

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

The County Woman Magazine

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

Caring Heart & Brain Imaging

Lorraine Catalano, CNMT and Imaging Director

www.TheCountyWoman.com

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

E-Mail: service@caringheartcoronaryimaging.com

November/December 2014

Business Spotlight

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

Caring Heart & Brain Imaging

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

Lorraine Catalano CNMT and Imaging Director

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

2414 Highway 35, Manasquan, NJ 08736

Tell us a little more about CHCI.

732.292.1008

service@caringheartcoronaryimaging.com www.CHCI.biz.

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

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

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

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

Have you experienced any setbacks when starting your business?

Lorraine Catalano

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

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

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

The County Woman Magazine

www.TheCountyWoman.com

November/December 2014

Health & Wellness Health & Wellness

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It’s that time of the year again...

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

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Health & Wellness

A Healthier Approach To The New Year

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delivered to 2. American Council for Exercise: "Reaching Your Goals the SMART Way." Available at: http://www.acefitness.org/fitfacts/fitfacts_ 580 St, Accessed April 18, 2012. 580 St., Barnegat, ded. For North example,Main if changes.aspx. JSRX Holdings LLC,Main RxPrescriptions Development , 08005 display.aspx?itemid=2637. Accessed April 18, 2012. Arrival Next Day! CallNorth 609-660-1111 580 North Main St.,LLC Barnegat, 08005 3. Hungtington Medical Foundation: "Making lifestyle changes that the stick." Available at: http://www.huntingtonmedical.com/aboutBarnegat, 08005 2. American Council for Exercise: "Reaching Your Goals SMART Way." Available at: http://www.acefitness.org/fitfacts/fitfacts_ 3. Hungtington Medical Foundation: "Making lifestyle changes that stick." Available at: http://www.huntingtonmedical.com/abouto lose weight, you can display.aspx?itemid=2637. Accessed April 18,Accessed your home or office! Phone: 609-660-11 2012. hmf/hmf-newsletter/making-lifestyle-changes-that-stick/. April 18, 2012. hmf/hmf-newsletter/making-lifestyle-changes-that-stick/. Accessed April 18, 2012. www.jerseyshorepharmacybarnegat.net Phone: 609580 North Mainwww.jerseyshorepharmacybarnegat.net St., Barnegat, 08005 ody mass index (BMI)3. Hungtington Medical Foundation: "Making lifestyle changes that stick." Available at: http://www.huntingtonmedical.com/aboutWe also offer a hmf/hmf-newsletter/making-lifestyle-changes-that-stick/. Accessed April 18, 2012. www.jerseyshorepharmacybarnegat.net Phone: 609-660-1111 can Competitive get the zipper up Jersey Shore Pharmacy ships Pricing! medication disposal program. prescription orders by UPS pair of Call pants.For Quote!

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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

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November/December 2014

Awnings

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Retractable Screens The County Woman Magazine

Retractable Shelters www.TheCountyWoman.com

Retractable Window Walls November/December 2014

Health & Wellness

Acne Treatment & Age Management Skin Care Center Achieve extraordinary skin rejuvenation with

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Community

November 3rd Annual Holiday Bazaar Saturday & Sunday, Nov. 8 & 9: 10am-5pm Location: Noyes Museum Shop, Hammonton Adults Basic Drawing Classes Drawing Fundamentals with David Rhodes: SCOSA Wednesday, Nov. 12, 1:30-3:30pm Creative Sparks - Self Portraits Saturday, Nov. 15, 1-2pm

Events & Classes 733 Lily Lake Road Oceanville, NJ, 08231

609.652.8848 Hours: Mon – Sat: 10am-4:30pm Extended hours: Thurs until 8pm Sun: Noon-5pm

Noyes Independent Film Series - Galloway Saturday, Nov. 15, 7-9:30pm Landscape Painting Workshop - “Beautiful Winter” Instructor: Bonnie Cavalier Wednesday, Nov. 19, 10am-2pm Kids Basic Drawing Classes Drawing Fundamentals with David Rhodes Wednesday, Nov. 19, 1:30-2:30pm Holiday Concert Members of the Atlantic Youth Orchestra Sunday, Nov. 30, 3-4pm

December Art At Night

Thursday nights the museum is open until 8pm! Join us for special programs.

Dec. 4: Artist Discussion: The Aftermath Dec. 11: Sketch Night, 5-8pm Dec. 18: Last minute holiday shopping, 5-8pm Painting Workshop: Winter Landscapes Instructor: Diane Tomash Saturday, Dec. 6, 12:30-3:30pm Holiday Paper Craft: SCOSA Instructor: Diamond Frandsen Wednesday, Dec. 10, 10:30am-12:30pm Creative Sparks - Snow Globes Saturday, Dec. 13, 1-2pm Kids Basic Drawing Classes Drawing Fundamentals with David Rhodes Wednesday, Dec. 17, 1:30-2:30pm

RAW: 3rd Annual Juried Photography Exhibition Opening Reception Thursday, Dec. 18, 6-8pm Location: Noyes Gallery at Kramer Hall, Hammonton

To find out more information, please visit www.noyesmuseum.org. The County Woman Magazine

www.TheCountyWoman.com

November/December 2014

Education

IT’S TIME TO LOVE WHAT YOU DO... Start your future with Star Career Academy!

Dialysis Technician • Medical Assistant Surgical Technology Egg Harbor Township Campus

Brick Campus

3003 English Creek Avenue, Unit 212 Egg Harbor Township, NJ 08234

150 Brick Boulevard Brick, NJ 08723

(609) 407-2999

(732) 451-9710

Call or Visit Online Today! StarCareer.edu For more information about our graduation rates, the median debt of students who completed the program, and other important information, please visit our website at www.starcareer.edu/faq. Salon services available by appointment. Performed by students, overseen by instructors. Star Career Academy is an approved BONENT program.

Community

Join us for our 32nd Season at the Celebrity Theater Claridge Hotel-Atlantic City Tickets Now on Sale Until December 23rd Season Subscription and Mini Subscription Available Boardwalk Hall ~ 2301 Boardwalk ~ Atlantic City, NJ 08401 609-348-7201/7202 www.acballet.org

The County Woman Magazine

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November/December 2014

Specialty Cakes & Chocolate Novelties

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

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

Plan

Ask for Help

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

Warm it Up

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

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

Use your Kitchen Timer

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

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

Put a Bow on it!

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

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

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

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

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

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

Customer Testimonials:

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

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

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

2510 Belmar Blvd., Colfax Plaza in Wall, NJ

732-280-0606

732-280-0606 www.chocolatecarousel.com

The County Woman Magazine

www.TheCountyWoman.com

November/December 2014

Adult Community

So Many Houses For Sale, So Many Adult Community Choices

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

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

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

Nancy Viviano Fountainhead Properties

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

Pets: You Luv ‘Em, We Luv ‘Em Too!

• New Homes

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

www.NJFountainheadHomes.com

• Pre-Owned Homes • Rental Homes The County Woman Magazine

Like us on Facebook at Facebook.com/FountainheadNJ www.TheCountyWoman.com

November/December 2014

Business & Finance

What really works out • real estate postcards great is that we use many • direct mail of the products we sell in • letterheads the equipment division to • booklets and binding Written By: produce the work created in • invitations and Robert P. Matthews our copy centers. This enables announcements President, Copiers Plus Inc. us to become experts on • promotional items the capabilities of all of the • format banners and products we represent and posters Our professional sales staff will recomaward winning lines of Lanier, Ricoh, hadRobert just finished WritteneBy: P. Matthews Sr., • blueprint remain extremely competitive renovating our new mend the right product to fit your needs Samsung, and Kyocera office products. with our pricing. • reprographic services President Copiers Plus Inc. store in Ocean City when • graphic design yet remain withinservices your budget. Our I.T. We offer traditional office copiers, large format copiersand printers; cian may encounter in install termsand of configure weather, bert P. Matthews Sr. Hurricane Sandy hit.of Soyou have am sure many NEW JERSE • document shredding professionals will format printers; black black & white& Look forcopiers futureand “Custom work is our specialty!” white and full color multi-function prodtraffic or any unforeseen event that may are a year later to s here Plus we Inc. Custom work is our these products to work within your announcements enviand full color multi-function products, experienced frustrations Plus is your go to place when everyone else sa as we Copiers COPY PRODUC reintroduce our newest specialty. I find this part ofproblem. ucts, printers, scanners, fax machines, delay the resolution to their ronment regardless if you’re using Mac, printers, scanners, fax machines, and all hand drawn invitations to life size photo cutouts to ela with your SOHO (small the business to be the most expand our service printing services location. the software to improve As a medium sized office products memorials…..we do it all. Let our expert staff help you PC, or both. They will even program the and the all software necessary tonecessary improve business office/home 1-800-834-359 Copiers Plusoffice) is nowprinters, offering rewarding. We get to be very offerings. next project. processes. dealer, Copiers device toPlus workhas fromthe youradvantage tablets or smart- business workflows. printing services at our newest copiers, and multi-function creative with the various to offer custom phones. service agreements, billCopiers Plus offers our products and Additional Services... location at 935 West Ave. requests we get. Things like devices. Things like running ing and financing programs tailored Copiers Plus and Samsung are now services to all of Southern Ocean City, N.J. scanning and touching up In addition, we New Jersey, with out of ink at the worst possible a complete line of fully featured offices located in Egg Harbor Township, anyoffering businesses’ individual needs. With this latest addition, to fitoriginal artwork, creating lifeare an Authorized moment … when the stores are economical multifunction devices. Copy, Ocean City, and Palmyra. we are bringing much neededDecisions are made locally,events, speeding up size cut-outs for special DocStar Dealer, proservices to the businesses, scan, and emailacquisition in both black all closed. alongprint, with custom greeting the entire process -fax, from the viding a variety of residents, and tourists of cards,and photo white and full color. of equipment, tocollages, billing -almost timely and electronic document ndent Thenoffice only toequipment find out after spending anything Ocean City. you can imagine. in 1986 by Robert and Debra accurately. Founded We on have a very compecomfortable $$$$$ cartridges, there is still some- Out latest capabilities onstantly battling Matthews, Copiers Plus Inc. enjoys serving storage and retrieval Copiers Plus and Samsung are now offering We have implemented all the same retail store where solutions. atraditional 64” wideoffice eco-solvent thing wrong thecustomers printer. And otherinclude ronts. Fromwith large nationas a products company. a complete line of fully featured economical toolsplotter, and programs that the large compaand a 64” laminator Copiers Plus now little annoyances likeuse when thePC’s Automatic rscan andcome chaininstores, toour the At Copiers Plus, we selland and service the multifunction devices. nies contour use to analyze overallproducts copy and print offers our products to send and receive cutter. These Document Feeder jams e-mails, or out of their garage, wepulls multiple usage sheets one time, image quality takes a so that we can make educated and services to all of ng foratways to differentirecommendations for new equipment or dive, or the device mysteriously drops off southern and central y to bring value to our redeploy your Wi-Fi network or just plain loses con- assets so they are better utilized New Jersey, with in our customers’ environments. nectivity. offices located in Egg ow MFP’s), laser printCopiers Plus recently celebrated 23 When you factor in how many of these Harbor Township, chines have become years in business. Our goal is to continue Palmyra, and our latproducts you’ve gone through, combined commodity, the service with the high cost of cartridges, it might growing our company by educating our est affiliation with quired to maintain uptime make sense to source your next SOHO customers and maintaining the loyalty New Jersey Copy aximum efficiency is now product from Copiers Plus. Let Copiers we have experienced for many years. We Products in Old ofessional service. Plus and Samsung makeWith life easier for areyou. very proud to say that we still have

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Bridge. ming an integral part of many of the same clients that started operations, it is imporwith Convenient us from the beginning.Locations! Three nderstand this and posiJust The Right Size... or success in the future. 935 West Ave Fire Road, Unit 21 East Broad Street At 3112 Copiers Plus, we are justC,the right part ... Egg Harbor NJcopying, 08234 print-Palmyra, N.J. 08065 Ocean City, N.J. 08226size to handle all Twp., of your lus, we believe that local ing, and overall document management1-800-834-3598 609-398-7676 609-645-7587 the ability to be nimble needs. m the Wal-Mart strategy in 1986 by Robert and Visit usFounded at www.copiersplus.com ealers and manufacturer Debra Matthews, Copiers Plus Inc. services such as physienjoys serving as a traCPA’s, and architects ditional and specialty onal relationships. office automation nt someone who knows company. At Copiers rstands their businesses Plus, we sell and serand also treats them vice the award winning lines of Lanier, echnology, customers Ricoh, Savin and call someone hundreds Kyocera-Mita office miles away to place a products. h a dispatcher that only We offer traditional a number. There is no office copiers, large o know what a techni-

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om TheGraphics County Woman Magazine

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21 East Broad Street November/December 2014

Acupuncture

65 55

Acupuncture For Pain meridians (pathways) throughout Pain management is Low back pain is one of the most the body. This flow can be disthe number one acucommon reasons why people seek rupted by a trauma, like a fall or a medical attention. I have treated puncture treatment car accident, or a repetitive strain, many cases of low back pain. that is covered by health insurance. like carpal tunnel or tennis elbow, Most of these people are dealing Plans vary, but the ones that cover or even stress, like tight shoulders with chronic pain and have tried acupuncture do cover acupuncture or tension headaches. To correct for pain management. The best way all that conventional medicine the flow and ease the pain, an to find out if you have coverage is to has to offer. Many people find acupuncturist inserts small needles acupuncture as a last resort to come in for a consultation, and let into the skin at specific points. hopefully avoid surgery, or to deal the acupuncturist verify your benefits Many patients experience relief with pain that is not fully relieved with your insurance company. Submitted by: while on the treatment table or by a surgery. Usually, I can help Keith Koehler, MAOM, CA shortly after completing the treat- to decrease the person’s pain and Koehler Acupuncture & ment. The amount and duration of increase his or her quality of life Chinese Herbal Formulas relief varies from patient to patient enough to avoid surgery or significupuncture is one of and is affected by the severity and cantly decrease pain medication. the oldest forms of medicine duration of the pain. Most patients Acupuncture can also be used for in the world, yet it has only feel a consistent, noticeable change acute back pain, like when somerecently been getting atten- in three to five treatments. one throws out their back after tion here in America. In conventional medical terms, raking leaves or shoveling snow. acupuncture has a natural antiPatients who receive So what are people using inflammatory effect on the body, acupuncture within acupuncture for? PAIN. The most which helps to calm inflamed Commonly Treated Conditions: a day or two of common reason for Americans to injuring their back, receive acupuncture is low back nerves, and strained or sprained • Allergies • Insomnia pain, followed by neck pain, joint tendons and ligaments. Acupunc- can usually see 50 • Anxiety & • Menopause ture also releases endorphins and – 75% relief from pain and headache/migraine. Depression • Migraine increases serotonin levels, which just one treatment. In Traditional Chinese Medi- helps the body to relax and feel These kinds of re• Arthritis • Muscle cal terms, pain is caused by a • Asthma Spasm better. Acupuncture also increases sults are typical, not disruption in the natural flow of • Bronchitis • Prostate blood circulation, which helps the just for back pain, the body’s Qi (pronounced chee). • Back Pain Disorders body heal from injury or surgery at but for any pain. Qi is the life force or vital energy, • Carpel Tunnel • Sciatica an accelerated rate. which flows through a series of

Enter to Win a Consultation & Treatment at Koehler Acupuncture Name: ________________________________________________________________ Address: ______________________________________________________________ City: ________________________________ State: _________ Zip: _______________

Syndrome • Cold & Flu • Constipation • Diarrhea • Earache • Fatigue • GYN Disorders • Headache • High Blood Pressure

• Sinusitis • Smoking • Sprains & Strains • Stress • Tendonitis • Weight Control • Whiplash

Phone: (______)______________________ Email: ____________________________ Mail To: The County Woman • P.O. Box 619 • Turnersville, NJ 08012 ❏ Check Here to Receive Specials from Koehler Acupuncture

One person.Valid Validfor fornew newpatients/clients patients/clientsonly. only.Value Valuenotnotto toexceed exceed $100. Multiple entries be disqualified. Entries willaccepted be accepted through One entry per person. $100. Multiple entries willwill be disqualified. Entries will be through September 30, 2013. Company does not providedoes anynot personally information to these third party ad servers ad networks consent. December 31, 2014. Company provideidentifiable any personally identifiable information to these thirdorparty ad serverswithout or ad your networks without your consent.

The County Woman Magazine

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Koehler Acupuncture 128 Drum Point Road • Brick, NJ 08723

732.262.0637

www.koehleracupuncture.com

November/December September/October 2014 2013

Women Of Ocean County

Beth S. Kane, M.S.W., LCSW, DBTC

Brenda Mattessich, BA, RN-BC

Beth is a licensed clinical social worker who grew up on the Jersey Shore. She graduated from Rutgers University with her master’s degree in social work after feeling her entire life she was meant to help people. It’s been a lifelong endeavor. Beth has experience working with people of various ages, beliefs, and cultural backgrounds in the medical and mental health fields. During her career, she worked with those who suffer from chronic and severe medical illnesses and was the Director of an outpatient mental health program for many years. Also, Beth is an avid animal lover being owned by several dogs and her cat, many of whom are rescues. Her love for animals led her to become a Certified Pet Loss Counselor. Beth is the co-owner of Marin Integrative Therapy, LLC with her husband, Kevin, who also is an LCSW. Their practice offers a variety of counseling services as well as complementary services such as weight loss, writing groups, and meditation. Beth can be contacted at (732) 244-2210, or please visit her website at www.marinintegrativetherapy.com.

Brenda Mattessich, BA, RN-BC, is a Clinical Liaison for Acuity Specialty Hospital of New Jersey in Atlantic City. Brenda has been a long time resident of Ocean County since 1998. She has two college-aged children, a son and daughter. “My daughter just left for college and though I am proud of her, I miss her so much,” she laments. Brenda worked as a nurse in various hospitals in Ocean County, most recently as a Critical Care Nurse. “Although I am not a nurse at the bedside now, I still understand the needs of the critically ill patient.” Brenda understands how frightening and overwhelming it is to have a critically ill friend or family member. In Brenda’s current position, she travels to all the hospitals in Ocean County to assess patients for admission to Acuity Specialty Hospital. “Many of the hospital staff and residents of Ocean County may not understand the level of care and the specialized services we offer. Our hospital is also very accessible to Ocean County.” Brenda enjoys social networking and also known by her colleagues to be a “computer whiz!” She recently started the Ocean County Nursing Professional Network, which has 150 members to date. If you would like to contact Brenda, she can be reached at 609-975-2970, or visit www.acuityatlanticcity.com to find out more information about Acuity Specialty Hospital.

Marin Integrative Therapy, LLC

Acuity Specialty Hospital

Photo by Tracy Harman Photography

Dr. Nina Paonessa

Colon and Rectal Surgeon

Barbara Alice

South Jersey Fertility

Dr. Paonessa was born and raised in Albany, NY. She was raised to value a strong work ethic and to take pride in her work. Two principles she grew up on were “if you are going to do something , do it right or don’t do it at all” and “do unto others…” This is how she lives her life and runs her practice. Dr. Paonessa knew from a very young age that she wanted to become a surgeon. She volunteered as a candy striper in high school and then as an Emergency Medical Technician in college. She attended the Lake Erie College of Osteopathic Medicine in Erie, PA and completed a general surgery residency at Wyckoff Heights Medical Center in Brooklyn, NY. Dr. Paonessa completed a colon and rectal surgery fellowship at Lehigh Valley Hospital in Allentown, PA, where she remained in private practice before moving to New Jersey . She loves the Jersey shore and taking care of its community. In her spare time, Dr. Paonessa loves to read, travel and cook. She unwinds by taking tap and classic jazz classes. Her most cherished times are those spent with her family and playing with her four nephews and niece. You can contact Dr. Paonessa at her office by calling 732-282-1500.

Barbara Alice is a Certified Nurse Practitioner with 35 years of nursing experience. Raised in Edison, NJ she currently resides in Gloucester County. After graduating from Villanova University, Barbara first pursued a nursing career in pediatrics at The Children’s Hospital of Philadelphia. Her interest in the health care of women then led her to the University of Pennsylvania for her Master’s in Nursing. Barbara joined South Jersey Fertility Center in 1999. Her current roles include clinician, nurse manager, and coordinator of the In Vitro Fertilization and Pre-implantation Genetic Diagnosis programs. She is sensitive to the stress patients encounter as they undergo fertility treatments and has a unique ability to convey understanding and support. Barbara initiated “the balance approach to fertility” program at South Jersey Fertility which allows patients the opportunity to incorporate acupuncture, nutrition, and stress reduction techniques into their treatment plan. Barbara is a member of the nurse specialty group of the American Society for Reproductive Medicine and has completed ASRMs certification course for Reproductive Endocrinology and Infertility Nurses. In her free time Barbara enjoys golf and vacationing with her family. Contact South Jersey Fertility Center at www.sjfert.com or by calling 856-596-2233.

Photo by Tracy Harman Photography

Photo by Donna Andrews Photography

The County Woman Magazine

www.TheCountyWoman.com

November/December 2014

Women Of Ocean County Stacey Hurden

Lynne Goldberg

Ronald McDonald House of Central & Northern New Jersey

President of Lynne’s Fashion Boutique

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

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

Photo by Tracy Harman Photography

Photo by Annette Jenkins Photography

Laurie Greene, PhD & ERYT

Yasmin D. Deliz, DO

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

Yasmin D. Deliz, DO, is a board certified pediatrician and sports medicine specialist with Harborview Pediatrics. Dr. Deliz was born in New York and raised in New Jersey. She received her medical degree from Rowan University School of Osteopathic Medicine (formerly UMDNJ-SOM) in Stratford, NJ. She completed her Pediatrics residency at Cooper University Hospital in Camden, NJ. Her experience as a collegiate athlete led her to pursue a sports medicine fellowship at Jersey Shore University Medical Center in Neptune, NJ. Dr. Deliz joined Harborview in 2012, and is very happy to be part of the practice. In addition to general pediatric care, Dr. Deliz specializes in care of the pediatric athlete, including management of concussions, treatment of sports injuries, and athlete nutrition. “I want to help my young athletes be healthy and active competitors in any activity they choose to pursue.” Dr. Deliz stays true to her athletic roots by running. You can catch her in many local 5K/10K races. She hopes to complete a ½ marathon in the next year. She also enjoys traveling, music, and shopping. Dr. Deliz resides near LBI with her spouse, Kerin. To contact Dr. Yasmin Deliz, please contact the Children’s Hospital of Philadelphia, 609-927-4235.

Owner, Yoga Nine Studio and Fair Trade Store

Children’s Hospital of Philadelphia

Photo by Donna Andrews Photography

The County Woman Magazine

www.TheCountyWoman.com

November/December 2014

CASA

I Am For The Child This Holiday Season Submitted by: CASA of Ocean County, Inc.

t’s hard to believe the end of the year is fast approaching and the holiday season is almost here! For many of us this means planning parties, shopping for gifts and spending extra time with our families. As the hustle and bustle of the holiday season gets underway it is important to remember that there are many individuals, including children who are not going to have the same holiday experiences that many of us are so fortunate to have.

❆

The sad reality of it all is that there are about 500 children who are victims of abuse and neglect in foster care in Ocean County who will be experiencing a holiday season filled with sadness, confusion and a sense of longing for a stable, forever home. Fortunately for these children CASA of Ocean County is here to provide as much holiday magic as possible in order to give them a positive experience in a world that might seem like everything is crashing down. CASA of Ocean County dedicates their time and resources to abused and neglected children in foster care to ensure that each child has the best chance of a happy, safe and stable future when their case comes to a close.

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This holiday CASA will pay special attention to the emotional needs of our children as they are facing the loss of everything that they have ever known. The CASA staff, board and volunteers are working especially hard to organize two major events for Ocean County’s foster children. The first is a large holiday party in December that allows the children to participate in arts and crafts, dance to the music of a live DJ and tour our Winter Wonderland full of donated gifts. Mr. and Mrs. Claus will also be in attendance and there will be plenty of delicious food for all. The second event is a coat/winter wear drive that spans the extremely frigid months of January and February. Our goal is to get as much winter outerwear as possible for the 150 children involved in our advocacy program. These two extremely important programs would not be possible without support from the community. In the holiday spirit of giving we are seeking Winter Ambassadors for Children to sponsor our projects for the months of December,

January and February. In order to become a Winter Ambassador an individual must donate $25 a month from December to February. In return the donor will receive a taxdeductible receipt and the feelings of warmth and happiness associated with knowing they are helping to fulfill the winter wishes of Ocean County’s most vulnerable children. If you are interested in becoming a sponsor, please call the office and request a registration form. For less than the cost of a cup of coffee a day, your support will provide a warm coat and gifts over the holidays for innocent children who have had their world flipped upside down.

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In addition, CASA is always in need of volunteers to serve the 500 children in the foster care system in Ocean County. We provide a thirty-hour training program, which gives volunteers the proper skills necessary to make recommendations regarding the placement and service plan for the child to the Family Court Judge. CASA Volunteers investigate and report objectively by reaching out to family members, health care providers, and teachers and report back to the Judge, so he/she may make the best possible decisions regarding the future of each child. The CASA volunteer is truly an advocate for a child in need. If you cannot make a donation to the program, we ask that you consider the gift of your time and service as a volunteer. We hope you have a safe, happy and healthy holiday season and that you can help us change the life of a child in need. Please call our office today, if you are interested in learning more about the CASA program, sponsoring a child, or becoming a child advocate. Ask for, Vicki Weiss, the Executive Director, at (732) 797-0590. www.casaofoceancounty.org

History and Mission of CASA:

Since 2006, the Court Appointed Special Advocates (CASA) of Ocean County, Inc., which is an independent, non-profit organization located in downtown Toms River, has been committed to advocating for the best interest of at risk children in foster care who are victims of abuse and neglect. The CASA volunteer serves as the child’s voice in court and is committed to moving the child towards a safe and permanent home.

Holiday Toy Drive

CASA of Ocean County is partnering with the Division of Child Protection and Permanency (formerly DYFS) to bring happiness to children in need this holiday season. CASA will be holding a

Winter Wonderland Christmas Party

Where all received donations will be distributed. Plus much more entertainment for the children.

Santa & Mrs. Clause Santa's Elves LIVE DJ Food and Tons of Toys Arts & Crafts and other activities for teens (Manicures, up-Dos & games with prizes)

Donate new toys & clothing for boys and girls ages 0 to 18 years old. Please donate new, unwrapped toys and include batteries if needed. All donations are tax deductible. Thank you. Drop off location: 1108 Hooper Avenue Building 1, Suite C Toms River Drop Off Hours: Mon-Thu 9AM - 5PM now thru Dec. 14th Last day to drop off is Saturday, Dec. 14th 10AM - 5PM For information on gift ideas

Visit us online at casaofoceancounty.org 1108 Hooper Avenue, Building 1, Suite C Toms River, NJ 08753 Phone 732.797.0590 | Fax 732.797.0594

I am for the child™

The County Woman Magazine

CASA volunteers at the recognition awards ceremony given by the Toms River Chamber of Commerce.

Gobble Wobble 5K and 1 Mile Drumstick Dash November 27th, 2014

1 Mile Kids Run 8AM/5k Run 8 AM Bay Ave Municipal Bldg, Manahawkin, NJ Proceeds Benefit CASA of Ocean County and Stafford Twp DARE. 5k-$25 (Race day is $30)/1 mile kids run $10 Please bring a new unwrapped toy for the Holiday Toy Drive and canned food for the food pantry.

www.gobble5k.com

Hosted by: Southern Ocean Ladies (SOL) Running Club

www.TheCountyWoman.com

Vicki Weiss, Executive Director CASA of Ocean County 1108 Hooper Ave. Bldg. 1 Suite C Toms River, NJ 08753

November/December 2014

Community

Letter From NJAWBO Shore Region President Liz Milio In the past few issues, I pointed out a number of benefits NJAWBO members have available to them. However, there is one I haven’t written about and some members haven’t thought of as a benefit: serving on Regional and State Board of Trustees. Service on a Board of Trustees can provide and fine-tune invaluable professional development skills that can advance your professional career and business, such as public speaking, networking and leadership experience. It also provides exposure to other disciplines that you may encounter in your business, but in which you do not have much experience, such as financial reporting, strategic planning, or market analyses, to name a few. Many professionals view board service as a rewarding way to share their skill sets and talents with NJAWBO. Your help and guidance will help raise funds toward our events, projects, and scholarship. Working on the boards can give you unique access to business leaders across New Jersey and provides the opportunity to demonstrate your professional value through meaningful participation in board meetings. As a result, you might secure several new business leads and/or networking opportunities that will help further your business.

Enjoying gains in your business as a benefit of a board appointment is not something you should feel guilty about. In fact, most professionals will tell you they are serving on a board as part of their company’s business development efforts. That doesn’t mean they won’t meet their fiduciary duties as a board member. You have to put in the work to reap the benefits, so joining the board of your NJAWBO Region and remaining on it as an active steward justifies any and all results. That being said, business development shouldn’t be your only reason for joining the board. Joining NJAWBO gives you access to a wide range of benefits. As I have noted in previous columns, these include (but not limited to) networking, education, access to affiliate groups, and support. However, becoming active in your Region and/or on the State Board, will help you reap the benefits available to all active volunteers. Your involvement need not be very time consuming; little portions of larger projects strengthens those projects and brings them to a quick and strong conclusion. To volunteer for any committee, please contact me at president@njawboshore.org or call me at 732-683-0092. We have lots of little things you can do. NJAWBO Membership Drive Join NJAWBO before December 31, 2014 and receive a $50 discount on your first year membership dues. Join on line at http://www.njawbo.org. Use coupon code njawbonm14 to receive your discount.

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

Health & Wellness

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

feWater For Healthy Living

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Community

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

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

DHHOA MISSION

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

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

The County Woman Magazine

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

November/December 2014

Theatre &Entertainment

“

DON’T MISS IT! HIGHLY RECOMMENDED.

”

REX REED, NY OBSERVER

“

RUN & SEE IT!” BROADWAYBOX

“

THRILLING!” THE NEW YORKER

“

A MUST-SEE!” BROADWAY.COM

BREATHTAKING!

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

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

The County Woman Magazine

www.TheCountyWoman.com

November/December 2014

Theatre &Entertainment

“IT WILL BLOW YOUR MIND” -OPRAH

“Move over Blue Man & Stomp, iLUMINATE

is in the house!”

Times Square Chronicles

“Spectacular! Magical! Dazzling!”

The New York Times

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

The County Woman Magazine

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

www.TheCountyWoman.com

November/December 2014

Theatre &Entertainment

FULL OF PASSION and POETRY and HEART.”

“

New York Daily News

WRITTEN BY

DIRECTED BY

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

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

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

The County Woman Magazine

www.TheCountyWoman.com

LOGO DESIGN: FRAVER PHOTO: KIM KNOTT

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

November/December 2014

Fashion & Beauty

Visit Leisure and Lace For Your Dreamy Holiday Gifts from Oh So Soft Winter Sleepwear

Leisure and Lace

It is time to gear up your winter sleepwear for the fierce winter reports. Cozy, warm flannel and thermal sleepwear in fun prints or contemporary styling are here waiting to make you comfy and happy. Another big hit, Not to get? A gift certificate from Leisure our warm soft lounge jackets and robes will not onlysure keepwhat you comfortable, but make you even happier with and Lace is always a winner. Hand written and beautifully wrapped, our gift certificates are our 20 percent discount.

more personal than your average plastic card.

Sleepwear is a great holiday gift. Our cute prints may

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t in garGifbetter We are receiving reports that our customers are sleeping catethe rtififrom Cechip, ments made from Modal. Modal fabric is made from wood beech tree. It absorbs moisture, is light in weight and oh so soft. We offer everything from pajamas and nightgowns to panties and camisoles made out of this luxurious fabric. We assure you will sleep better.

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After: A visit to Leisure & Lace Assures a proper fit every time. See for yourself!

Betty Vasser (Seated) Owner, Phyllis Doran, 24 Year Employee

199 New Road, Suite 9 • Central Square • Linwood, NJ 08221 • 609 927 5572 The County Woman Magazine

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November/December 2014

Fashion & Beauty

he holiday season is fast approaching, as the cool autumn air gives way to the frosty days of November and December. From family gatherings on Thanksgiving to parties on New Year’s Eve, these are some of the most festive months of the year. It’s a time of year you want to look and feel your best, and also the time of year when you’re searching for the best gifts for your friends and loved ones. The perfect gifts for mother, daughter, mother-in-law, aunt, grandma, girlfriends and all the other women in your life are waiting for you at Barbara’s Boutique. Guidance from the professional and caring staff at Barbara’s will eliminate all the stress involved in selecting just the right fashion items and accessories for your loved ones. Or, you can opt for Barbara’s Boutique gift certificates, sure to bring a smile to women of any age. The bright fall fashion colors of cobalt, lime and fuchsia, will greet you when you enter the boutique. You’ll find cozy cashmere sweaters and slim-fit trousers. Animal prints and fringes add flare to jackets, scarves, skirts and shirts. Soft, rich, textures are the hallmark of the causal yet elegant fashions found at Barbara’s. Accessories include Lieberskind leather cosmetic bags, matching cashmere scarves and gloves, iPhone cases, Lina-Pella leather bags and one-of-a-kind jewelry art wear. Get a head-start on your search for the perfect gifts with a visit to Barbara’s Boutique. Include a purchase that will compliment your holiday wardrobe. Tis the season! n

Enter To Win

Ente r to Wi n a Pa ir of T ick ets to Se e On e of Fou r Great Sh ows! Name: ________________________________________________________________ Address: ______________________________________________________________ City: ________________________________ State: _________ Zip: _______________ Phone: (______)___________________ Email: ________________________________ p Iluminate p The Belle of Amherst p Gazillion Bubble Show p Stalking the Bogeyman Mail To: The County Woman • P.O. Box 619 • Turnersville, NJ 08012

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 December 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.

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November/December 2014

Community

WE THANK YOU!

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

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

We are so grateful to so many: the individuals, families, The money raised at the Walk will be used to help fund businesses, clubs, and organizations who made donations Alzheimer’s Association research, care and support proand contributions: Celebrity Champion Laurie Cataldo of grams that beneﬁt individuals and families throughout the 94.3 The Point; Point Pleasant Beach Mayor Vincent Bar- New Jersey communities we serve. rella, the Police Department, the Township Administration and Public Works Department for use of this special venue; We look forward to seeing you all at the 2015 Walks! and our tireless volunteers for helping to plan and realize the event. Alzheimer’s Association Greater New Jersey Chapter, Southern Regional Ofﬁce, 732.832.7818, alz.org/nj

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November/December 2014

Travel

Travel ravel

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

55 63

Taking It With You: A Packing Primer

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

suitcase.

Now the big question is:

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

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

✿ BEACHES, TURKS & CAICOS

✿ DISNEY CRUISE

Create memories that will last a lifetime.

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

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

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Over 25 Years

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

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

May/June 2014 2014 November/December

Community

COCKTAIL PARTY

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

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November/December 2014

Business & Finance

Toms River - Ocean County Chamber of Commerce News A Letter from the President:

It is hard to believe the holiday season is already upon us. The Chamber has had a busy fall season. In September we honored, The Jay & Linda Grunin Foundation, as Distinguished Organization of the Year at our 50th Annual Awards Reception at Eagle Ridge Golf Club. We also gave special recognition “Wave Awards” out to Ocean County Vocational Technical School, Ocean County College & CASA of Ocean County at that event. In October, we had another successful Maureen Stankowitz, Business After Hours at Tuscan Bistro Bar & our Technology Committee hosted Dina M. Vicari, Esq. President Chairwoman another informative Seminar on Security. The Chamber continues to offer a variety of networking opportunities for our members to take advantage of. Please join us for our General Membership Holiday Meeting on Tuesday, December 9, 2014 at Ramada Toms River where we will present Ocean County YMCA & Your Grandmother’s Cupboard with the “A Season of Giving – A Season of Living Award”. To register for this event www.oc-chamber.com News & Events Page.

TOMS RIVER-OCEAN COUNTY CHAMBER OF COMMERCE GENERAL MEMBERSHIP HOLIDAY MEETING honoring COUNTY TOMS RIVER-OCEAN CHAMBER OF COMMERCE Ocean County YMCA &

SEPTEMBER 17, 2014 YourWEDNESDAY, Grandmother’s Cupboard

EAGLE RIDGE GOLF CLUB, 2 AUGUSTA BLVD, LAKEWOOD, NJ

with

“A Season of Giving - A Season of Living Award” Special Recognition Award:9, 2014 Tuesday, December

~ Business Beautification of the Year ~ Non-Profit Partner of the Year ~ Business Partner of the Year at Sponsorships-Submit by AUGUST 28, 2014

Ramada Toms River, 2373 Route 9, Toms River ( ) COCKTAIL RECEPTION SPONSOR - $2,500.00 Registration 11:30 a.m. ~ Buffet Lunch 12:00 p.m. *10 Reception Tickets *your name on signage as Cocktail Reception host at Event

*special recognition at dinner Sponsored *premium location full page color ad in virtual ad journal by: TD Bank *listed on ad journal recognition page *recognition in all media and newsletters

Cost: $35.00 Members / $40.00(Non Members • Limited- $2,000.00 number of Exhibit Tables Available $25.00 ) FLASH DRIVE SPONSOR *4 Reception Tickets *your nameby onVersatile signage as Flash Drive sponsor at Event Entertainment Event Designs *name on event flash drive *Full page color ad in virtual journal Please bring an unwrapped giftonfor a needy child - page any age (voluntary) Door Prizes *listed ad journal recognition

( )your HORSbusiness D’OEUVRE SPONSOR - $1,500.00 with card attached are welcome!

*6 Reception Tickets *your name on signage as Dinner Sponsor at Event ****VIRTUAL AD JOURNAL TO *Full BE DISPLAYED EVENT**** *listed as Dinner sponsor in virtual ad journal page color ad inAT virtual ad journal

Email your ad as an attachment( in) the following formats: JPEG/GIF/PNG to danielle@oc-chamber.com DESSERT SPONSOR - $1,500.00

*your name on signage as Dinner Sponsor at Event ___Full Page (color) 10” x *6 7”Reception - $100.00Tickets ___Half Page (color) 5” x 7” - $50.00 ___¼ Page (color) 5 ½ x 3 ½ - $25.00 *listed as Dinner sponsor in virtual ad journal *Full page color ad in virtual ad journal

(Landscape Orientation Only)

(Portrait Orientation Only) (Portrait Orientation Only) ( ) MAJOR SPONSOR - $1,000 *4 Reception TicketsTO *your name on signage as Major Sponsor at2, Event DEADLINE ADVERTISE DECEMBER 2014 *listed on ad journal recognition page *Full page black & white in virtual ad journal

Please register online at www.oc-chamber.com NEWS & EVENTS PAGE ( ) AWARDS SPONSOR - $500.00 or call: 732 349-0220 email: info@oc-chamber.com *your name on signage as Awards Sponsor at Event *half page black & white ad in virtual ad journal

as Awards sponsor in journal **GENERAL MEMBERSHIP HOLIDAY *listed MEETING - R.S.V.P byadTuesday, Dec. 2, 2014** No Shows will be charged

( ) SUPPORTING SPONSOR - $250.00

NAME(S):

*your name on signage as Supporting Sponsor at Event *quarter page black & white ad in virtual journal *listed as supporter in ad journal

COMPANY NAME: ( ) RECEPTION TICKETS ~ $125.00 per person ADDRESS:

# of Tickets: ________________

Guest(s) Name:______________________________________________________________________________________________________ PHONE: EMAIL: ________________________________________________________________________________________________________________________ I’D LIKE TO RESERVE AN EXHIBIT TABLE AT THE EVENT Company Name:_____________________________________________________________________________________________________ Address:______________________________________________________________________________________________________________ # ATTENDING: VISA/MC/DISCOVER/AMEX#: Phone:_________________________________Email:________________________________________________________________________

EXP. DATE: AGREEMENT

SEC#:

PLEASE REGISTER ONLINE: WWW.OC-CHAMBER.COM TOTAL AMOUNT: DEADLINE FOR ADVERTISING: AUGUST 28, 2014

PAYMENT ENCLOSED $_____________ AD IN PDF to PRIZE UNWRAPPED GIFT FOR A NEEDY CHILD PLEASE EMAIL YOUR DONATE A FILE DOOR Payment Type (circle one): Check/Visa/MC danielle@oc-chamber.com TOMS RIVER-OCEAN COUNTY CHAMBER OF COMMERCE Card #:_________________________________________ TOMS RIVER-OCEAN COUNTY CHAMBER OF COMMERCE Exp. Date____/____ Hooper Avenue,NJ Suite08753 301, Toms River, NJ 08753 1415 Hooper Avenue, Suite 301,1415 Toms River, Phone: 732 349-0220 Fax: 732 349-1252 info@oc-chamber.com Sec. Code______________ Phone: 732 349-0220 Fax: 732 349-1252 info@oc-chamber.com • www.oc-chamber.com

❑

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Welcome New Members Institute for Prevention/DART Coalition Michele Buldo 1691 US Hwy. 9, Toms River, NJ 08754 732-886-4757, fax: 732-886-4809 www.instituteforprevention.org Organizations/Charities/Non Profits GTS Telephone, Inc. Cassandra Pierce 209 Center Street, Lakehurst, NJ 08733 732-323-8620, fax: 732-323-8660 www.gtstelephone.com Information Technology & Telecommunications Wireless Zone of Toms River Denise Koerner 1334 Lakewood Road, Unit #36, Toms River, NJ 08755 732-818-0300, fax: 732-818-0122 www.wirelesszone.com/tomsriver Information Technology & Telecommunications Gannett Co., Inc./Asbury Park Press Frank Cannamela 3600 Highway 66, Neptune, NJ 07754 732-643-3150, fax: 732-643-2777 www.app.com News & Media Bahr & Sons Electrical Robin Bahr 82 Shorewood Drive, Bayville, NJ 08721 732-269-5333 Construction & Home Services Crest Construction Group, LLC. Scott O’Donnell 401 N. Main Street, 1st Floor, PO Box 1035, Barnegat, NJ 08005 609-698-2122, fax: 609-698-2422 www.crestconstructiongroup.com Construction & Home Services TSYS Merchant Solution Ignacio Pereyra 219 Sunset Drive North, Seaside Heights, NJ 08721 609-444-6223, fax: 609-798-0327 www.tsys.com Business Services DVH Capital Ventures David Harak 7 Hometown Court, Little Egg Harbor, NJ 08087 732-803-3048, fax: 609-296-0386 www.davidsdiscounts.net Internet & Web Services Scala Italian Deli & Catering Anthony Scala 896 Fischer Blvd, Toms River, NJ 08753 732-506-0099 Restaurants John F. Peto Studio Museum Sally Gauntt 102 Cedar Avenue, PO Box 1022, Island Heights, NJ 08732 732-929-4949 www.petomuseum.org Organizations/Charities/Non Profits Immediate Medical Walk-In of Toms River Rey Bolic, Director of Marketing Toms River Shopping Center 1 Rte. 37 West, Toms River, NJ 08753 732-335-9400 www.immcare.com Hospitals & Healthcare Jenni Cakes Jennifer Richmond 815 Hooper Avenue, Unit 6, Toms River, NJ 08753 732-608-0832 www.jennicakesnj.com Food Services & Bakeries

November/December 2014

Community

OCEAN COUNTY LIBRARY Visit www.theoceancountylibrary.org for information about other great programs and library resources

Ocean County Library Offers Pronunciator Language Service The word “anyong” is the word for hello in Korean, but how would you go about saying it correctly? That is where Pronunciator comes in. Ocean County Library is excited to announce the addition of the language learning service Pronunciator to its online resources that are available from the website www.theoceancountylibrary.org. Pronunciator is a language learning service that features eighty languages, from Afrikaans to Xhosa. The services offers a combination of digital flash cards, audio clips of spoken word and music,and excerpts from television programming and animation. Users can create a learning plan customized specifically to them.

Each interactive language course has a minimum of 1,500 phrases to learn, and most have approximately 10,000 phrases. The service is completely web based and can be accessed using a computer or tablet. One of the key features of Pronunciator is that it offers the ability for users to study English as a Second Language. It teaches English to speakers of fifty different native languages. Pronunciator is offered in addition to Mango Languages, which offers both in-depth and basic language learning courses. Both are free to Ocean County Library cardholders and can be accessed from www.theoceancountylibrary.org. Users will be prompted to enter their library card number and start an account with the service.

DO YOU FOLLOW US ON SOCIAL MEDIA?

Ocean County Library is on Facebook, Twitter and Pinterest! Follow us today for the latest information about our latest programs, services, booklists and much more.

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November/December 2014

Community

Patriot’s Day at Four Seasons at Mirage Submitted by: Marie Tansey Pictures by Tom Sangemino On September 11th, the residents of Four Seasons at Mirage celebrated Patriot’s Day. The annual ceremony sponsored by the Mirage Remembrance Committee and chaired by Frank Healey is one of Mirage’s patriotic events. The program began with a color guard procession under the direction of CSM Charles Thomas retired. The American flag, the 911 flag and the flags representing each of the military branches of the service were carried by women residents of Mirage in honor of veterans and those serving in the military. This was followed by the laying of a wreath by retired first responders presently residing at Mirage. After the Pledge of Allegiance and the singing of the Star Spangled Banner, an invocation was given by Rev. Joseph Feraldi. The Mirage Choral Group sang several patriotic songs in recognition of the day.

The speaker at the ceremony is a 911 survivor, Eileen Fagan. Ms. Fagan conveyed her personal experience of that fateful day. Eileen and her sister Pat traveled to Manhattan daily and on September 11th, as they did routinely, they left their widowed father at home with the promise of returning that evening. Unfortunately only one sister arrived home after experiencing the most hellish day of her life. Eileen conveyed the events of the day from the time of the attack until she finally arrived home that evening. The tragedy experienced by the Fagan family and thousands of others will always be remembered and live in our hearts forever. The ceremony concluded with a closing prayer delivered by Sam Green and the playing of Taps by Bob Perez. “We will never forget”. God Bless America.

Community

CENTRAL OCEAN ROTARY CLUB Toms River, NJ The Central Ocean Rotary Club of Toms River is proud to announce a great fundraising and charitable year. In Rotary year 2013-2014, the club gave over $32,000 to local and national charities and $18,000 in scholarships to deserving high school seniors. Each year, the club holds annual fundraisers such as our Gift Auction, BugFest, and our 50/50 Raffle to raise money. The club’s 25 members donate their time and effort each week to fundraising, performing service projects and working with charities to find the right place for each dollar we raise. Some of the charities and non-profit organizations we sponsored last year include: • Ocean County Library • Carmelena Cares • Rotary District 7500 Gift of Life Foundation • Providence House The Central Ocean Rotary Club meets every Tuesday at Artisans at 12:15PM. • Ocean Mental Health If you are interested in contributing to the Central Ocean Rotary Club or are interested in • Big Brothers and Big Sisters membership, please email us at centraloceanrotary@gmail.com • IHMC Food Bank or call Michael Bucca at 732-581-7910. • Habitat for Humanity and more

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November/December 2014

Education One Year Later: Kean Ocean Increases Enrollment In Its Four-Year College Degree Program At Its Gateway Building 82

Opened in October 2013, Kean Ocean’s Gateway Building on Ocean County College’s (OCC) Upper Campus in Toms River now actively symbolizes the partnership established between OCC and Kean University in 2006. Today, on the anniversary of the building’s dedication ceremony, Kean Assistant Acting Associate Vice President Steve Kubow announced that the building now houses more than 1,220 Kean Ocean students which is the Kean Ocean’s highest enrollment number to date. “It’s hard to believe one year has passed since we officially opened the state-of-the Gateway Building to Kean Ocean staff and students,” said Kubow. “The muchneeded building provides a distinctive learning environment for students who are looking to earn their four-year degree from a world-class institution that is closer to home,” he added. Kean Ocean is an educational partnership formed between Kean University in Union, NJ and Ocean County College in Toms River, NJ, that allows students to earn a Kean University degree on the OCC campus. Kean is the only public university with a campus in

Ocean County. “Through this partnership Kean Ocean has developed a quality curriculum specifically for New Jersey’s community college students, so they can easily transfer and complete into their junior and senior year at a four-year college uniquely designed with them in mind,” stated Kubow. Under the terms of the Kean Ocean agreement, Ocean County College students, in good standing enrolled in designated programs for which the two institutions have articulated program agreements, are guaranteed admission into Kean. “What we’ve realized is that there is an even greater need for our region’s community college students who are ready to complete a four-year degree,” noted Kubow. “We are seeing students travel to Kean Ocean’s Gateway building from Monmouth, Mercer, Burlington and Atlantic counties. There is a clear need, and we are meeting it through this partnership.” New Jersey’s community college graduates who have earned their associate’s degree can continue their studies for a Kean University degree at its Kean Ocean Campus. Kean University undergraduate, graduate and post-graduate degrees are offered at its Kean Ocean campus, including a PhD in Nursing Educational Leadership, through courses offered in its Gateway Building.

(left to right): Dr. Lamont Repollet, Kean University Board of Trustees, Ocean County Freeholder John C. Bartlett Jr., Dr. Jon H. Larson, president of Ocean County College, and Ada Morell, Chair of Kean’s Board of Trustees celebrate the grand opening of the Gateway Building, home of Kean Ocean, one year ago – on October 2, 2013.

During its inaugural 2013-14 academic year as an institution of learning, the Gateway Building

The Gateway Building, home of Kean Ocean, celebrated its grand opening one year ago this week – on October 2, 2013. The partnership between Ocean County College and Kean University, established in 2006, provides students who live near the Jersey Shore an opportunity to earn credits toward a degree from Kean while taking classes at the Toms River campus.

housed close to 1,100 students. A year later, the Kean Ocean enrollment numbers have increased to 1,220 while keeping the faculty to classroom ratio reasonably low at about 20 to one. Admission into a specific baccalaureate degree program is contingent upon completing the appropriate associate’s degree and admission requirements to the specific program. There are 30 degree programs available through the Kean Ocean campus. To set the stage for further growth, the 74-thousand-square-foot, five-story Gateway Building was built to enhance the Kean Ocean student body experience and attract increased enrollment in Kean Ocean degree programs. Kean Ocean faculty had formerly been housed in the OCC Library and students were taught in OCC classrooms. Concluded Kubow: “We are excited to see the steady growth and student success of the Kean Ocean partnership, which is fully embodied by the daily activity and learning that takes place daily in the Gateway Building. We have gained a foothold to supporting the higher education needs of Ocean County and beyond in 2013-2014, and we are well-positioned to see what the next year will bring.”

Founded in 1855, Kean University has become one of the largest metropolitan institutions of higher education in the region, boasting a richly diverse student, faculty and staff population. Kean continues to play a key role in the training of teachers and is a hub of educational, technological and cultural enrichment serving nearly 15,000 students. The Nathan Weiss Graduate College offers three doctorate degree programs and more than 60 options for graduate study leading to master’s degrees, professional diplomas or certifications. The University’s five undergraduate colleges offer 50 undergraduate degrees over a full range of academic subjects. With campuses in Union and Toms River, NJ, and Wenzhou, China, Kean University provides a world-class education. Visit Kean online at www.kean.edu.

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There are 30 degree programs available through the Kean Ocean campus, including: • BS in Accounting • BA in Biology • BA in Biology, Teacher Certification Option • BA in Biology, Teacher Certification Option with Dual Cert. in Special Education • BA in Criminal Justice • BA in Communication Studies • BA in Communication Studies/ Public Relations • BA in Elementary Education, K-6 Certification • BA in Elementary Education, K-6 and 5-8 Subject Certification • BA in English, Standard Option • BA in English, Teacher Certification Option • BA in English, Teacher Certification Option with Dual Cert. in Special Education • BS in Finance • BA In Global Fitness and Wellness • BFA in Graphic Design • BA in History • BA in History, Teacher Certification Option with Dual Cert. in Special Education • BA in History, Teacher Certification Option • BS in Management • BS in Marketing • BA in Mathematics • BA in Mathematics, Teacher Certification Option • BA in Mathematics, Teacher Certification Option with Dual Cert. in Special Education • BSN in Nursing • BA in Physical Education and Health • BA in Psychology • BA in Public Administration • BA in Sociology • BA in Special Education, K-6 • BA in Special Education K-6 with 5-8 Subject Certification

November/December 2014

Fine Art Photography

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November/December 2014

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November/December 2014