Fe br ua ry
nth is Heart Mo
An Educational Resource for Women and Their Families
FREE ~ Please Take One WORKERS COMPENSATION
EARLY HEART ATTACK CARE: KNOWING THE SIGNS MAY SAVE A LIFE
It’s important to know the early warning signs of a heart attack. Page 9
CONCUSSION: YOUNG ATHLETES AND HEAD TRAUMA
Many times, there are issues arising from a work injury that lead a workers’ compensation insurance carrier to deny a claim or suspend treatment. Page 17
Imaging is an excellent way to detect injuries that may require immediate medical . therapy or surgery.
Page 26
Christine Matus, Esq., loves to bring relief to families by creating a plan that gives them peace of mind and security. Read more on pages 38 and 39.
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Medical Professionals
2
What is Patellofemoral Pain Syndrome? Patellofemoral pain syndrome is a broad term used to describe pain in the front of the knee and around the patella, or kneecap. It is a very common cause of knee pain; it is the source of 25-40% of all knee problems. It is sometimes called “runner’s knee” or “jumper’s knee” because it is common in people who participate in sports, but patellofemoral pain syndrome can occur in non-athletes as well. Specific populations at risk for developing patellofemoral pain syndrome include runners, bicyclists, basketball players, cheerleaders, and females. The pain and stiffness it causes can make it difficult to climb stairs, kneel down, or sit for prolonged periods of time.
What causes it?
Patellofemoral pain syndrome can be caused by overuse from athletics, training, or activities that put repeated stress on the knee such as jogging, squatting, and climbing stairs. It can also be caused by a sudden change in activity or a change in footwear. Patellofemoral syndrome may also be caused by the kneecap moving abnormally as you bend and straighten your knee, which causes irritation of soft tissue surrounding the kneecap. Factors that contribute to the kneecap moving abnormally include problems with alignment between the hips and ankles and weak or tight muscles surrounding the knee joint, especially the quadriceps muscle. The quadriceps muscle is located in the front of your thigh and helps to keep the kneecap in place as it moves when you bend and straighten your knee. Tight calf and hamstring muscles as well as a tight IT band may also contribute to the abnormality. The IT band is a thick band of tissue that runs from the outside of your hip to the outside of your knee. The structure of your feet can play a role in patellofemoral pain syndrome as well. Having flat feet can contribute to increased knee pain by creating additional stress on the knee joint when running. Therefore, it is important to wear footwear with adequate arch support while exercising.
may be weak or tight. Typically, strengthening exercises of the knee and hip are provided to help support the knee. Your therapist may also apply tape around your kneecap to help maintain the kneecap in position to move properly and reduce knee pain during exercise. In addition, your therapist may prescribe exercises and interventions to address foot abnormalities, such as with flat feet or feet with high arches, or recommend the use of an orthotic. You will receive a specifically designed home exercise program to get you started after the physical therapy examination is completed.
How can I prevent Patellofemoral Pain Syndrome from reoccurring? Patellofemoral pain syndrome may be prevented by: � Wearing shoes appropriate to your activities; make sure to have proper arch support � Warming up thoroughly before physical activity � Incorporating stretching and flexibility exercises for the quadriceps and hamstrings into your warm-up routine, and stretching after physical activity � Increasing training gradually � Reducing any activity that has hurt your knees in the past � Maintaining a healthy body weight to avoid overstressing your knees VISIT www.AllCarePTC.com or call 732-505-1300 for the Toms River Facility.
What are the symptoms of Patellofemoral Pain Syndrome? The most common symptom of patellofemoral pain syndrome is a dull, aching pain in the front of the knee. The pain often cannot be pinpointed. Other common symptoms include:
� Pain during exercise and activities that repeatedly bend the knee, such as climbing
stairs, running, jumping, or squatting.
� Pain after sitting for a long period of time with your knees bent, such as one does in a
movie theater or when riding on an airplane.
� Pain related to a change in activity level or intensity, playing surface, or equipment. � Popping or crackling sounds in your knee when climbing stairs or when standing up
after prolonged sitting.
Maria Kaminski, DPT Toms River Physical Therapist
Maria graduated with a Bachelor’s Degree in Biology from the College of New Jersey in 2011. She continued her education at Rutgers/UMDNJ Graduate School where she received her Doctorate in Physical Therapy in 2014. Maria has completed affiliations at HealthSouth of Tinton Falls and Jersey Shore Medical Center, where she studied cardiac and pulmonary rehab, orthopedic rehab, and neurologic rehab post-CVA. Her main focus has been in the outpatient orthopedic setting where she completed a clinical affiliation at AllCare in Toms River.
Her areas of interest include manual therapy techniques, post-op orthopedic and cardiac surgery, and the geriatric patient population. Maria believes in patient centered practice and that truly listening to your patient is the key to successful outcomes. She has continued her education by taking a course in rehab for post-spinal surgery.
� Swelling around the kneecap.
How can Physical Therapy help?
Your physical therapist will conduct an examination to determine the cause of your knee pain, which includes testing the strength and flexibility of the muscles surrounding your knee. The initial goal is to decrease pain and inflammation through activity modification and through the use of pain relieving modalities, such as ice. You will be advised to take a break from any activity that is increasing your pain or to reduce the amount of time spent performing that activity. You will also receive specific strengthening and stretching exercises to address muscles in your leg that
The County Woman Magazine
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January/February 2016
Medical Professionals
Q
3
Dr. Renata Flaks Welcomes New Patients!
Quality Dermatology was built on the ideals of Dr. William O’Grady, who as a practicing dermatologist for over 40 years has seen generations of patients. When he was looking to retire he happened to meet Renata Flaks, DNP at just the right time. Renata is a family nurse practitioner and a dermatologist who worked at a different office. She adds, Dr. O’Grady was worried about the thousands of his patients who would need a skilled dermatologist to look after them.” After several discussions it did not take long for Renata to accept the position to take over his practice. “I don’t know what made me say yes to him right away but I have never regretted the decision.” As the present owner of Quality Dermatology, Renata has helped thousands of patients achieve and maintain healthy skin, hair, and nails. She treats all dermatological issues, including malignant and benign conditions. The office specializes in all aspects of the Dr. Renata Flaks, DNP field with a concentration in medical, minor surgical and cosmetic dermatology across a patient’s lifespan. Some of the other conditions they treat are: Abnormal moles (dysplastic nevi) Pre-cancer growths (actinic keratosis) Skin cancer (squamous cell carcinoma, basal cell carcinoma, melanoma, etc.) Pimples (acne vulgaris) Rosacea (facial redness) Scars (keloids) Hair loss (alopecia) Excessive hair growth (hypertrichosis)
Excessive sweating (hyperhidrosis) Poison Ivy, Oak or Sumac (contact dermatitis) Chiggers Psoriasis (reddish patches covered with silvery scales) For a complete listing please visit their website at www.qualityderm.com
Renata became interested in the speciality when her daughter developed white patches on her skin when she was just seven years old. She was diagnosed with a condition called Vitiligo, for which there is no cure. Vitiligo is a chronic skin condition characterized by portions of the skin losing their pigment. Renata maintains a trusting relationship with her patients from the very start. She adds, “I love working with people and the key to our success is that I treat each of my patients as if they were part of my own family.” She derives great pleasure from her profession but there are challenges at times. “One of the more challenging aspects of my job is when I find a melanoma that has metastasized. This is very difficult because we know that it can be easily preventable through regular dermatology checkups and skin cancer screening,” she adds. Patients will find a family-like atmosphere at her office. They offer same day appointments and all of Dr. O’Grady’s principles have been carried over. “We offer Quality of care and that is why we named the business Quality Dermatology instead of Quantity.” Most of the issues she sees on a daily basis range from pimples and hair loss to Dermatitis and skin cancer. In fact, Quality Dermatology offers a free skin cancer screening to all new patients. Renata received her graduate degree (MSN) and her doctorate degree (DNP) from Monmouth
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January/February 2016
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Construction & RREM
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At Dream Homes, our Elevation Elves had a great year in 2015 and completed over 60 successful projects, including both RREM elevations and new homes. Our Rebuilding Blog, Rebuilding Seminars and our sponsorship of Stop FEMA Now have helped many people and we’ll continue to make the rebuilding process as painless as possible for homeowners who need to rebuild. We’re looking forward to another busy year in 2016 and are currently filling our schedule for the 1st quarter of next year.
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January/February 2016
Business Spotlight
5
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Building Your Dream Home Is His Passion Vince Simonelli is the majority owner of Dream Homes, Ltd., a company that develops and builds new single-family homes and townhomes, and completes home elevation projects throughout New Jersey. Prior to Storm Sandy, he had constructed over 1500 new homes and apartments since 1993. “Since Storm Sandy, a majority of our work has been on elevation projects, as well as demolition and the rebuilding of new homes,” he says. Vince has always been actively involved in real estate, at first on a smaller scale with rentals and single-family homes that he would renovate and eventually sell. In 1993, he purchased his first development and since that time has completed over 200 developments from approvals of raw land, installation of roads and utilities, through to sale and construction of finished homes.
Vince Simonelli
OCW: What is the most rewarding part about your profession? Vince: Helping people through challenges related to their home is extremely rewarding. I approach each client from a standpoint of what they actually need to fix their problem, not what I want to build for them. Unlike many builders, I am constantly discussing the cost and benefit of additional improvements, as well as more economical and methods of building. It is satisfying to help a homeowner get a project completed on time and within their budget, especially if we can do that through value engineering the design or suggesting alternatives that are more cost effective. OCW: What is the most challenging? Vince: Dealing with local, state and often neighborhood bureaucracies is easily the most frustrating and thankless portion of my profession. One example is the fact that it takes longer to prepare and have plans approved by a township, than it does to build or elevate a home. In New Jersey it takes three to five years to get major subdivision or project approval in order to first begin installing roads and infrastructure. These impediments to progress cost our residents significant amounts of wasted time and money. It can add $25,000 to the cost of a new home and $7,000 - $10,000 to the cost of an elevation project. Those costs make it difficult for us to compete with other states, where the costs and delays are a fraction of what they are here. OCW: Tell us about your blog and how it got started. The County Woman Magazine
Vince: We’ve built over 1500 new homes in New Jersey since 1993 and have a long list of satisfied clients for whom we’ve built multiple new homes through the years. When Storm Sandy hit, we received numerous inquiries about how to proceed with storm damaged houses and realized that the issues facing our clients were not ordinary construction problems, but an entire new world that would become the new normal in shore construction. We decided to focus our energies on elevation and reconstruction work and bring our 22 years of construction experience to the table to help as many people as possible. The Nearly Famous Rebuilding Blog and the seminars were the best way to get information to as many people as possible in the most effective way. OCW: D escribe the process for home elevations. Vince: The first steps are to determine the BFE (base flood elevation), the ABFE (advisory or design base flood elevation) and the current FF (finished floor) elevation of the existing home. At that point, one can determine how high the home must be elevated in order to comply with the FEMA regulation. That point is measured to different points in the house, based on the particular flood zone in which the home is located. Once the proposed height is determined, soil borings and geotechnical engineering can be done to determine the soil bearing capacity, as well as the particular type of foundation system that is required to support the new elevated home. Once plans have been designed and submitted www.TheCountyWoman.com
to the township, utility disconnects are scheduled. When the review is completed, a permit is issued and work can begin. The home is then prepared and elevated. When the new foundation is complete, the house is lowered and secured to the new foundation. The entire process generally takes 60-120 days, depending on the level of complexity of the new foundation and the size of the home. OCW: What are the most common issues you see in your profession? Vince: The extensive overregulation in our industry and the bureaucracy in New Jersey is the cause of much delay and expense. We add an average of $25,000 to the cost of a new home and probably $10,000 to the cost of a home elevation due to excessive inspections, permitting fees, delays and inefficiency at both the planning board and township levels. Another important issue facing the industry is the lack of skilled builders, general contractors, licensed trades people and laborers. After Storm Sandy a number of people arrived from other states to address the rebuilding needs and many are unqualified and unscrupulous. Victims of Sandy continue to be taken advantage of by both incompetent and dishonest local (and out of state) contractors, which is an issue we need to address industry wide. Vince shares a home with his partner Kathy and their two “lazy” animals. When he is not busy working on houses, he enjoys reading and being around the water.
January/February 2016
Publisher’s Note
6
Welcome to the January/February Issue Of The Ocean County Woman!
An Educational resource for Women and Their Families Since 2008 Ce leb ra
r ea ting Our 7th Y
Publisher.......................................................... Lynn K. Wolf lynn@acwoman.com • 609-929-4189 Art & Production Executive........................Meghan Morse Public Relations Executive .........................Lauren Shover staff@thecountywoman.com • 856-885-8066 Graphic Designers..........................................Laura Golden Stephanie Wolfgang • Paula Brewer • Mary Wilsbach Katz For advertising inquiries, please call:
A New Year offers fresh opportunities for success and the potential for much joy and happiness. It is due to the Ocean County Woman’s contributing writers, readers, distributors and staff that we are able to continue bringing you six issues a year full of educational articles written by professionals who are leading experts in their fields. We are grateful for this opportunity and Thank You for the support we receive from you in the form of emails, Facebook posts, tweets and phone calls. It is our privilege and honor to continue to supply the most informative articles, events coverage and special deals to the residents of Ocean County! We wish you a prosperous, happy and successful 2016! Best,
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Featured on the Cover The Matus Law Group Christine L. Matus, Esq., owner of the Matus Law Group, featured with her husband Steven, and their two daughters, Emma, 8-years-old, and Juliana, 6-years-old. Read more about Christine Matus and her law firm on pages 38 & 39.
Cover photo by Tracy Harman Photography.
Schedule your family portraits, modeling and promo head shots, and corporate and commercial photography sessions with Tracy Harman, see page 73.
Lynn & the Staff at the Ocean County Woman Publication EVENTS IN OCEAN COUNTY N AtlantiCare Regional Medical Center: The Heart Institute (p. 13) Feb. 11 – Red Dress Reception. N Ocean County College (p. 42) Jan. 10 – March 18 – Jay and Linda Grunin Center for the Arts. N Yoga Nine Mind/Body Studio (p. 45) Jan. 22-24 – Tripsichore Workshop Weekend with Edward Clark. Jan. 14 – Welcome Beginners, 5 Week Sessions Begin. March 11-16 - Wellness retreat. N CASA (p. 55) March 19 – CASA Go Bragh Irish Celebration. Ocean County Library (p. 57) Feb. - Honoring Black History Month. N Two River Theatre (p. 62) Jan. 9 – Feb. 7 – Lives of Reason. N WEforum (p. 63) April 20 – Health and wellness conference featuring local medical practices, businesses and healthcare facilities, products for mind, body and soul, and free giveaways and raffles. N Greater Toms River Chamber of Commerce (p. 72) Feb. 4 – 3rd Annual Mardi Gras Networking Event. June 13 – 9 & Dine Scholarship Dinner. EXCLUSIVE DEALS N Quality Dermatology (p. 3) Complimentary skin cancer screening. N Monmouth/Brick Electrolysis (p. 3, 25) Mention their article and receive 50% off your first treatment with a free consultation. N The Body Wrap Shoppe & Spa (p. 4) Enter to win a $50 gift certificate.
N Senior Helpers (p.18, 32) $50 off first week of service. $75 off first week of service. N New Jersey School of Massage (p. 20, 24) $500 OFF tuition. N Ocean Plastic Surgery (p. 23, 38) $100 off fillers per vial. Botox, $11/unit. N Koehler Acupuncture (p. 24) Enter to win a $100 gift certificate. N Simply Skin Day Spa (p. 30, 34) Ultimate Hydrating Facial and 50-Minute Swedish Massage for a special price of $180. N Two River Theatre (p. 36) Enter to win two tickets to see Lives of Reason. N Yoga Nine Mind/Body Studio (p. 45) New to the studio? 30 days for $30. N Mrs. B’s Boutique (p. 45) 20% OFF online shopping. N Institute for Complimentary and Alternative Medicine (p. 49, 52) All new patients receive a $100 gift certificate towards their initial visit. Current patients receive a $50 credit on your next visit. N Airship Storage (p. 50) Now offering first month’s rent for only $1, new customers only. N Barbara’s Boutique (p. 52) 20% off most apparel. N Plays (p. 53) Enter to win a pair of tickets to see one of two great shows. N Full Circle Wellness (p. 54) 20 minute complimentary session. N The Friendly Cobbler (p. 54) 20% OFF ugg cleaning. N Copiers Plus (p. 70) Contractors Special: Up to 20% off design, production, and installation. N Interventional Pain Management (p. 76) Complimentary first exam and consultation for pain management ($250 value).
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January/February 2016
Featured Articles
Medical Professionals
All-Care Physical Therapy Center, LLC....................................2 Quality Dermatology.................................................................3 Shore Vascular and Vein Center..............................................8 AtlantiCare Regional Medical Center: The Heart Institute............................................................9, 13 Acuity Specialty Hospital of NJ.........................................10, 11 AtlantiCare Regional Medical Center: The Center for Surgical Weight Loss & Wellness.................19 Ocean Plastic Surgery PA and Laser Center ........................23 Toms River X-Ray CT and MRI Center..................................26 University Urology Associates of New Jersey........................27 Atlantic Neurosurgical Specialists..........................................29 Mona Lisa Touch® North Dover............................................30 Kathy A. Banks, DMD.............................................................31 Ocean Otolaryngology Associates, PA...................................32 Bella Derma Medi Spa............................................................35 Reproductive Science Center of New Jersey.........................36 Barnabas Health Medical Group, Dr. Sumy H. Chang...........37 Gastroenterologists of Ocean County..............................40, 41 Ocean Hematology & Oncology.............................................43 Barnabas Health Medical Group: Ob/Gyn..............................44 Paonessa Colon and Rectal Surgery, PC..............................47 Caring Heart & Brain Imaging.................................................48 Institute for Complementary and Alternative Medicine...........49 Medimorphosis.......................................................................53
Construction & RREM
Dream Homes, Ltd................................................................4,5
Precious Metal Buyer
Precious Metal Buyers..............................................................7
Elder Law
Rice Elder Law.......................................................................12
Law
Jay Turnbach, Esq., LLC........................................................14 Kevin B. Riordan, Esq............................................................15 Kathleen M. Dotoli, Esq..........................................................17 Straffi & Straffi, Attorneys at Law......................................20, 21
Health & Wellness
The Body Wrap Shoppe & Spa..............................................16 Ideal Body Revolution Center.................................................34 Simply Skin Day Spa..............................................................34 Yoga Nine...............................................................................45 Hypnosis For Women.............................................................51 Full Circle Wellness, LLC.......................................................54 Jersey Shore Pharmacy.........................................................56 Plyoga Fitness........................................................................61
In-Home Care
Senior Helpers........................................................................18
Funeral Planning
DeGraff Lakehurst Funeral Home..........................................22
Massage School
New Jersey School of Massage.............................................24
Permanent Hair Removal
Monmouth/Brick Electrolysis..................................................25
Assisted Living
Spring Oak of Toms River......................................................25 Spring Oak of Forked River....................................................46
Professional Dentistry
Aesthetic Dental Creations.....................................................28
7 Business & Personal Storage
Airship Storage.......................................................................50
Shoe Repair
The Friendly Cobbler..............................................................54
CASA
CASA for Children..................................................................55 Women of Ocean County. ..........................58, 59, 60
Business & Finance
Pearls of Wisdom...................................................................60 Copiers Plus...........................................................................70 Greater Toms River Chamber of Commerce..........................72
Theatre & Entertainment
Lives of Reason......................................................................62 Clever Little Lies.....................................................................66 The Woodsman......................................................................67
Adult Community
Fountainhead..........................................................................64
Travel
Jensen’s Marina.....................................................................65 Yoga Retreat in Mexico..........................................................69
Acupuncture
Hair Designs
Koehler Acupuncture..............................................................68
Featured on the Cover
Tracy Harman Photography...................................................73
Education
Interventional Pain Management................................74, 75, 76 Community......................................................57, 63, 71
Abstrax Hair Designs..............................................................33 The Matus Law Group......................................................38, 39 Ocean County College...........................................................42
Fine Art Photography Pain Management
Fashion & Beauty
Mrs. B’s Boutique...................................................................45 Barbara’s Boutique.................................................................52
Information Destruction
Green Office, LLC...................................................................48
Copy, Fax & Notary Services
Please Take Advantage Of Our Many “Enter To Win” Contests Throughout The Paper And On Facebook!
The Wordstation, Copy Fax +.................................................50
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The County Woman Magazine www.TheCountyWoman.com
January/February 2016
8
Medical Professionals
Groundbreaking New Technology for Laser Tattoo Removal treatment of all color tattoos and skin types, even the traditionally very difficult ones, with a single device. This provides effective results in approximately half the number of treatments of prior lasers.
Number of Treatments Required and Results
Shore Vascular & Vein Center / Aesthetic Laser Center announces enlighten™, the newest, most complete solution available anywhere for laser tattoo removal.
enlighten™ is the most advanced laser system available
for safe and effective tattoo removal. It is the world’s first laser system to combine both picosecond and nanosecond technology with dual wavelength lasers. This allows individualized treatment of all colors of ink and skin types for the fastest, most complete laser tattoo removal ever available.
The “Pico” Difference
Lasers remove tattoos by delivering high energy over a very short period of time to break up ink. Inks of different types, colors and depth can provide significant challenges to remove. It has been shown that shorter duration pulses are more effective in completely removing tattoos than longer duration pulses. Our new enlighten™ laser can deliver energy at picosecond intervals. A picosecond is one trillionth of a second. This is one thousand times shorter than prior lasers for tattoo removal. Picosecond, sometimes referred to as “pico,” lasers have been shown to remove tattoos more completely and with fewer treatments, than with lasers used in the past.
Flexibility
Picosecond lasers are the newest, most advanced tattoo removal technology available. Our enlighten™ laser combines this “pico” technology with the flexibility of both 1064nm and 532nm dual wavelength lasers. Never before has this combination of power and versatility been available. This now allows for the
People often ask how long it will take to remove their tattoo, and will it be able to be removed completely. Laser tattoo removal typically takes multiple treatments. That is because tattoo ink is deposited deep into the skin and multiple treatments are needed to reach all of the ink and break it up completely. In addition, tattoos of various sizes, colors and ages may respond differently to treatment. Some colors are more difficult to clear completely than others. Therefore, it is impossible to know in the very beginning how many treatments will ultimately be needed or how completely it will be removed. However, our new enlighten™ picosecond laser has been shown to be faster and more effective than the prior lasers used for tattoo removal. In fact, many people can expect to obtain excellent results in half the number of treatments, or less, than with prior lasers. Our doctor can give you a good idea of the number of treatments that will be needed after your tattoo is examined.
Partial Tattoo Removal
Due to change in circumstances, relationships and other factors, some people desire to have their tattoos changed. We can remove parts of tattoos, while leaving other parts intact, to allow for tattoo changes.
Cost
Cost will vary depending on a number of factors including the size of the tattoo and the number of treatments needed. Keep in mind that with enlighten™, you should anticipate requiring far fewer treatments than required with other lasers. You can also anticipate more complete results. However, since the exact number of treatments will not initially be known, we offer complete tattoo removal packages. That gives you a set price in the beginning and eliminates the uncertainty of not knowing the exact number of treatments that will ultimately be needed. Our staff can give you more information about pricing after we examine your tattoo.
About Us
Our medical director, Dr. Jeffrey Gosin, is a Board Certified Vascular Surgeon. He has years of experience in performing cosmetic vascular laser procedures using the highly acclaimed Excel V™ laser. Over those years, he has been asked by many patients if he could also remove their tattoos with his laser. While the Excel V™ laser is best-in-class for vascular applications, it is not designed for removing tattoos. Other prior lasers also had significant limitations. FREE Consultations for a limited time. Therefore, he previously would not provide this service. Call today for more information! When the new enlighten™ laser finally became available, that completely changed things. Dr. Gosin researched the technology, attended conferences, and personally consulted with laser experts from around the country who were involved in the very early use of this remarkable new device. It became clear that this technology would set the new standard in laser tattoo removal. We are very pleased to be the first center in the entire Delaware Valley to be able to offer this cutting-edge technology.
If you are experiencing “tattoo regret” and would like to have your tattoo removed or changed, call us for a consultation. 442 Bethel Road Somers Point, NJ 08244
(609) 927-VEIN (8346) www.EndTattooRegret.com
The County Woman Magazine www.TheCountyWoman.com
Visit www.EndTattooRegret.com
January/February 2016
Medical Professionals
9
Health &Wellness Early Heart Attack Care: Knowing the Signs May Save a Life FEBRUARY IS AMERICAN HEART MONTH
Law
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
Manage Your Heart Health with Free Apps from AtlantiCare
Elder Law
Heart disease impacts more than 40 million U.S. women — and takes more women’s lives each year than breast cancer and other types of cancer combined. To help you be as heart healthy as possible, AtlantiCare Regional Medical Center (ARMC) has developed the following online risk-assessment tools and apps — all free for your use.
HeartCheck evaluates factors such as weight, Theater &Entertainment blood pressure and cholesterol readings, Risk Factors • Smoking (including exposure to second-hand smoke) • High blood pressure • Diabetes • Prior stroke • Sedentary lifestyle • Obesity • High cholesterol • Increased age • Family history
Education
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.
For more information about AtlantiCare’s Heart Institute, visit www.atlanticare.org or call the AtlantiCare Access Center at 1-888-569-1000.
HeartCheck Risk Evaluation
smoking status, and family history to calculate your risk of developing cardiac disease. HeartCheck is confidential, quick and easy to use — and it provides you with a personal report that you can print and share with your doctor. You also can submit an online appointment request right from the report page if you need help connecting with a doctor near you. Take the risk assessment now: heartcheck.atlanticare.org.
Fine Art Photography Heart Failure WOW ME 2000mg App If you or a loved one is diagnosed with heart failure, the WOW ME 2000mg iPhone® app will help you self-manage your condition. This app is a great way to support the care you receive from your primary care provider or cardiologist. Use the app to keep track of your daily self-management routine, such as monitoring your weight, intake of liquids and sodium and physical activity; taking medications as prescribed; evaluating symptoms of heart failure; and more. Download this app today: Search for “AtlantiCare” in the iPhone® App Store.
Business &Finance The AtlantiCare App
The AtlantiCare app brings reliable health content and tools right to your iPhone® and iPad®. With the AtlantiCare app, you can integrate with other health and fitness apps, read health news headlines and healthy-living tips, and stay up to date on the latest medical research for your own health interests. Users also have simple one-touch access to AtlantiCare’s physician directory and patient portal. Download this app today: Search for “AtlantiCare” in your smartphone’s app store. The Heart Institute at ARMC has the region’s only full-service cardiac program. Call 1-888-569-1000 or visit www.atlanticare.org/heart to learn more about our services.
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January/Feb January/February 2016
Medical Professionals
10
“There Are Only Two Ways To Live Your Life. One Is As Though Nothing Is A Miracle. The Other Is As Though Everything Is A Miracle.” – Albert Einstein Written by Claire Brown BSN, RN, Director of Provider Relations.
Maryann Miller,
52, was admitted to Acuity Specialty Hospital in Atlantic City on September 23, 2015 with acute respiratory failure and septic shock. She was transferred from Thomas Jefferson Maryann and Laura University Hospital (TJUH) on a ventilator. Prior to this, Maryann had been diagnosed with lung cancer and mixed connective tissue disease, an autoimmune disease. She was extremely ill and debilitated with various blood disorders and a very serious infection. Although Maryann had a tracheostomy and Percutaneous Gastronomy placed at Jefferson and she had numerous setbacks during her stay at Acuity, such as a small bleed to her brain and a heart disorder, Maryann was successfully weaned from the ventilator. When Maryann was able to leave Acuity, she was wheelchair bound with the ability of ambulating short steps with the aid of a walker. During her stay at Acuity, Maryann and her life partner Laura, remembered a very special staff member, a respiratory therapist named Erin
McCartney. Maryann had suffered from extreme anxiety during her devastating illness and felt helpless without any hope of survival. Erin spent time comforting her and showing her pictures of her own children, a son and a daughter and how they were progressing in life. Laura said that this soothed Maryann and made her think of her own family instead of her severe illness. Laura stayed loyally by her side, but when she left for short periods of time, she felt Maryann was in a place that was more like home instead of a hospital. During times when Maryann’s favorite football team, the Eagles, played, the staff came in and teased her about her passion for football. According to Maryann, the staff was always attentive to all her needs until she was finally discharged to a subacute rehabilitation unit. Maryann is now at home receiving Physical Therapy and Occupational Therapy twice a week. She is able to ambulate further with the walker. She stated that she feels a million times better even though she is still continuing to recover. Maryann credits her recovery in part to the wonderful care she received at Acuity and Jefferson, but also because she maintains a positive attitude and says that the glass is always half full to her, instead of half empty.
Judith Martin,
Acuity Specialty Hospital of New Jersey is a long term acute care hospital located
For Information or Referrals, Call 609-441-8123
inside of AtlantiCare Regional Medical Center in
Marie Senat, Judith Martin and Ron Higgins
71, from Salem, Ohio, was on a bus trip to Atlantic City when friends found her in her hotel room confused and unable to answer simple questions. According to her friends she had suffered from
abdominal pain and decreased appetite for two days prior to her arrival to Atlanticare Regional Medical Emergency department on July 2, 2015. Judith was treated emergently with a perforated Pictured L-R: Joe Chong, Ronnel duodenal ulcer and Alumia, Susan McGettigan, later transferred to Judith Martin and Marie Senat Acuity on July 28th with a duodenal and gastronomy tube. A wound Vacuum was placed on her abdominal incision. During her hospitalization, Judith received antibiotics for a fungal infection around the incision site and extensive wound care. Judith is very grateful to be able to go back to her home in Ohio and to receive homecare for her debilitated condition and further healing. She is now fully recovered and started to drive again. She credits her recovery in part to the staff at Acuity for her continuing care in the management of her nutritional status, wound care and treatment of her infection.
Visit www.acuityatlanticcity.com
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
Kristi Forvour– 2014 Clinican of the Year.
rehabilitation centers,
Our team specializes in the care of patients
skilled nursing facilities or
with needs that include:
their homes.
•
Ventilator weaning
•
Complex wounds
•
Infectious diseases
•
Medically or surgically complex care
•
Multi-system organ dysfunction
www.acuityatlanticcity.com
The County Woman Magazine www.TheCountyWoman.com
January/February 2016
Business Spotlight
11
Acuity Hospital: A Saving Grace
B
eing faced with a loved one in need of a long-term acute care hospital is a difficult process for families to endure. Traditionally, hospitals are equipped and staffed to manage critically ill and medically complex patients for a limited amount of time. Acuity Specialty Hospital is specifically designed to treat and care for these same patients over an extended hospital stay averaging 25 days. CW: What clinical conditions are treated at Acuity Specialty Hospital of New Jersey?
Kathy: Patients admitted to Acuity Specialty hospital typically have one or more medically complex conditions. We have developed expertise in several clinical programs, including pulmonary care, wound care, and infectious disease.
CW: How is care delivered at Acuity Specialty Hospital?
Kathy: Acuity Specialty Hospital utilizes a physician-driven interdisciplinary team approach to deliver comprehensive and personalized care to each patient. Patients are seen and examined by their attending physician daily and have access to the services of the following physician specialties: Pulmonology, Cardiology, Infectious Disease, General Surgery and surgical specialties, Gastroenterology, Neurology, Nephrology, and Psychiatry. Each patient is assigned to a Case Manager who works directly with the family, the physicians and the interdisciplinary team members to ensure that communication is effective, care is coordinated and patient and family goals are met.
CW: What is Acuity Specialty Hospital of New Jersey? How does it differ from a regular hospital?
Kathleen Kerstetter, MSN, RN, ACNP-C
Chief Clinical Officer Acuity Specialty Hospital of New Jersey When Kathy started in healthcare as a PCT over 25 years ago she knew immediately caring for patients was what she was meant to do. While working full time and raising her three young daughters with her husband Bob, she was committed to completing nursing school. Her career led her to the trauma ICU for several years. A challenging but extremely rewarding experience to have the opportunity to care for and comfort families in the midst of a life-changing event and to witness the progress of the patients was so incredible. Kathy ultimately returned to graduate school at Thomas Jefferson University Hospital where she achieved her MSN and Nurse Practitioner certification. She continued her work with the trauma population as a trauma APN. This provided additional rewards as she participated in the patients care throughout their entire stay. Now the Chief Clinical Officer at Acuity Specialty Hospital she is able to use her clinical knowledge and commitment to patient care, combined with her leadership skills, across an entire population as well as with her clinical team. Kathy lives in Ventnor with her husband of 31 years and her two huskies. She spends many weekends on the banks of various rivers cheering for the high school rowing team her husband coaches.
Kathy: Acuity Specialty Hospital provides intensive acute care services to medically complex and critically ill patients requiring extended hospital stays averaging 25 days. Patients that are admitted to the Acuity Specialty Hospital of New Jersey must meet acute care criteria. Because we focus on a few specialties we can concentrate on those specific issues. For example, a patient on a ventilator has dedicated respiratory therapy and an aggressive vent weaning protocol, this allows us great success with vent weaning. When a patient is admitted for wound care, we have a dedicated wound care nurse with state of the art technology; this provides consistency and continuity to these complexes wound patients and allows us great success in wound healing.
CW: What are the goals of Acuity Specialty Hospital of New Jersey? What can the patients and families expect?
Kathy: At Acuity Specialty Hospital, our goal is to help patients reach their optimal wellness and we do this by delivering a comprehensive, patient-focused care model with proven clinical outcomes. Patients are discharged from LTACHs to Level I rehab, subacute rehab, home care, home and skilled nursing facilities (SNF).
CW: What is the most challenging part of your profession? What is the most rewarding? Kathy: The most challenging is when a patient does not reach the goal the interdisciplinary team has envisioned, we work closely with the patient and family to realign the goals so the patient reaches their optimum level. The most rewarding is seeing the patients do well. When patients arrive to the LTACH, they are very ill and have just been through a difficult hospital stay. An additional reward that continues to impress me is the passion of the staff caring for these patients. These are complex patients with multiple medical needs and their families, too, have been through a difficult process prior to their loved ones’ arrival. Our staff is amazing in the care they deliver to the patient and the family. In my 25-year career, I have witnessed amazing care delivered, but the dedication of this group of individuals, continues to impress me daily.
The County Woman Magazine www.TheCountyWoman.com
January/February 2016
Elder Law
Elder Law
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YAsk Nancy M. Rice, Esq. Certified Elder Law Attorney
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. She can answer your questions and concerns- just call 609-398-3447.
Nancy Rice AnswersHow Your Questions AboutWork? ” “ WILL CONTESTS: Do They
Retirement Assets, Savings Bonds And More We discussed A.) Fraud and B.) Due Execution in the Atlantic County Woman September/October 2015 issue, Part 1 of 2.
When weweplan or in advise executorswith and C.) trustees who are Today, willestates continue our discussion Testamentary handling estates andUndue trusts,Influence. we need to consider both the income Capacity and D.) tax and the capital gain tax.
C.) Testmentary Capacity
Why? The test for determining testamentary capacity is rather permissive. Indeed,
• Retirement assets (IRA’s, 401(k)’s, profit sharing plans, etc.), annuities and the levelbonds of capacity to execute a Will as is less required enter savings all haveneeded one thing in common: theythan growthat in value overtothe years, into a contract. The key questions are whether the person who made the Will you do not report the income earned and you do not pay income taxes on these (called the “Testator”) understood: earnings. All ofThe these assetsand grow “taxof deferred.” Thissubject is different, course, than words, “tax nature extent the property of theofWill; in other free.” Anwhat example of a tax-free investment would be a Roth IRA, which is funded assets the Testator had and planned to leave under his or her Will. with after-tax dollars (i.e., you do not get a deduction for the amount you put in a Roth IRA) but it grows tax-free. Byher contrast, a traditional rollover IRA is tax The “natural objects of his or bounty,” that is, whoorare the Testator’s deferred:next youofget a deduction for the money you put into a regular IRA, you kin (whether or not he or she wants to leave them anythingand under dothe notWill, pay taxes on the money as it grows, but you do have to pay taxes when the Testator needs to know who they are). you take the money out. • Similarly, annuities and savings bonds tax deferred. You do not following pay taxes The effect of the Will; that the Willare would dispose of property on the money as it grows. However, you are required to pay tax on the increase in death. value-not on the money you initially put in. ThereThe are relation several reasons we pay attention the income taxation of these of eachwhy of these factors to theto other. investments when we write Wills. We need to make our clients aware of the fact that their beneficiaries will have to pay income taxes on the money they receive Notably, lawofpresumes that such all Testators are of IRAs, soundannuities, and competent from certain the types investments, as traditional and US mind when a Will is executed (assuming he/she was at least 18 years of age and savings bonds. not been declared by a court to if bealegally overcome the •has Sometimes, we recommend that client incapacitated). is interested inTo leaving money presumption of capacity, the contestant must prove lack of testamentary capacto charity, that they leave all or part of an IRA to charity, naming the charity as ity at the time theIRA, Willbecause was executed, bydo clear evidence. It is beneficiary of the charities notand payconvincing income taxes. important to know that it is not enough to show that the Testator addicted It is important to keep in mind that only a spouse may “rollover” anwas IRA. If you to drugs or alcohol; you must prove that the person was under the influence leave an IRA to children, they can create “beneficiary IRA’s” which will defer of a substance of theInexecution of the Will. it sufficient the reportingatofthe thetime income. other words, they willNor notishave to reporttoallshow of that the Testator was forgetful at the time, so long as he or she had some capacthe income in one year or over five years; they can “stretch it out” over their life ity to manage his or her business affairs. expectancies.
1 2 3 4
• US savings bonds (E, EE and I Bonds) are also tax-deferred investments. You pay half of theInfluence value of the bond at the time of purchase, and it increases D.)one Undue in value over the years, it canasactually grow to three that or four the Undue influence hassuch beenthat defined any type of exertion cantimes prevent stated value by thefollowing time it is his/her cashed in upon the interest rate). You the Testator from free(depending will. This can include physical, mencan’t tell by looking at a US savings bond what it is worth. You can, however, tal, or moral exertion. Mere suggestions, persuasions or the exertion of some use ainfluence chart to value or to enter the bonds intoOrdinarily, a website program locatedhas at:the is notthem, enough invalidate a Will. the challenger www.treasurydirect.gov/indiv/tools/tools_ savingsbondcalc.htm burden of proving undue influence. If, however, the Will benefits one who
Part 2 of 2
enjoyed a special or “confidential relationship” with the Testator, and there are “suspicious circumstances” surrounding the execution of the Will, the burden of will shift todies the owning defendera of the Will.number of US savings bonds, we have proof When a person significant the option of reporting the accrued interest on the decedent’s final income tax A “confidential foundwith where is some special trust return (1040), whichrelationship” is somethingcan webe discuss thethere executor. between the Testator and a beneficiary under the Will and where theand nature of • When we work with clients whose assets include IRAs annuities savings that special relationship creates some type of reliance or dependency. At times, bonds, with a lot of “trapped interest,” we encourage them to redeem these assets a specialbyormatching confidential relationshipthey has been between Testatoris carefully up deductions mightfound have to (forexist example, if aa spouse and: an adult child; other relative; a healthcare provider; a neighbor; an attorney; in a nursing home and medical expenses are very high). an aaccountant. Notably, while a confidential relationship naturally orOn non-tax note, we emphasize to clients that IRAs, annuities, andexists life between a husband and wife,by thetheir presumption undue influence willofnot generinsurance are not governed Wills! We of spent a good amount time ally arise even when the Testator’s children are disinherited. with clients confirming that the beneficiaries of their IRAs, annuities, and life insurance are consistent with their overall estate plan. As to the circumstances” component of an undue influence Will Capital gain“suspicious tax is different from income tax. Capital gains tax applies when contest, the evidence on this issue can be “slight.” Suspicious circumstances you purchase a quote capital asset (such as a house, or stock in a corporation).have been found a beneficiary the Willbetween engaged the his sales attorney prepare When you sellwhere a capital asset, the of difference pricetoand the the Testator’s Will and where a nursing home patient was removed from the purchase price is generally considered to be “capital gain.” The gain can befacility by the beneficiary of aofWill wasassigned days commissions) later. “adjusted” by the costs salethat (such realtoraorfew broker and improvements you made to the property (e.g. a new roof on the house). If you believe that a Will should be challenged because it was not executed Many times our clients purchased their stock and their residence a long time properly (i.e., it was forged, didn’t have the correct number of witnesses, etc.) or ago and have quite a bit of capital gain, which has not been taxed. Capital gain is because the deceased was not competent when he/she signed it or because the not taxed until you sell the property. The big difference between income tax and Will was the product of undue influence, you should hire a seasoned attorney, capital gain tax is that capital gain tax can disappear at death (whereas income tax who has significant experience in this area of law. Do not delay with your decidoes not). sion to engage an experienced attorney because the law allows only a narrow In other words, when a person dies owning a highly-appreciated house or window time during which and/or Willbasis, contest may bethat filed. stock, the of estate/beneficiaries geta acaveat “stepped up”acost meaning if these assets are sold, the estate/beneficiaries report their “cost basis” as the value of the Rice can There answer your questions concerns! assetNancy on the date of death! are some limitations to this and “step-up” in because of the one year repeal of the Federal Estate tax. For most people however, this tax rule results in them paying little or no capital gains tax when they inherit real estate or stock. • When we advise clients about estate planning, we point out this rule when they want to make gifts during their lifetimes. We counsel against giving highly appreciated capital assets, because gifts of these assets during one’s lifetime do not benefit from the “step-up” in basis at death, and the recipient gets the donor’s basis (“carryover basis”) and will have to pay capital gains tax when the asset is sold. This tax stuff is tough to get through, but understanding it can really save a lot of money.
Call 609-398-3447 today!
Nancy Rice can answer your questions and concerns, call 609-398-3447.
Estate/Trust Administration • Guardianships • Will Contests • Special Needs Trust • Medicare, Medicaid, Long-Term Care & Disability Planning
200 Asbury Avenue • Ocean City, NJ 08226 • 609.398.3447 | 1236 Brace Rd., Suite F • Cherry Hill, NJ 08034 • 856.673.0048
www.RiceElderLaw.com
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November/December 2015 January/February 2016
Community
13
Ladies & GentlemenPlease join us!
RED DRESS RECEPTION Thursday February 11, 2016 5 p.m. - 8 p.m. Smithville Inn • Galloway, NJ $40 per person
Heavy Hors d’oeuvres • Auction • Cash Bar Vendor Marketplace
Shop for your valentine!
Bring someone you love! RSVP by February 5, 2016 To register, call 609-404-7979 or visit www.atlanticare.org/reddress
The County Woman Magazine www.TheCountyWoman.com
January/February 2016
Law
14 00
U nderstanding W hat Divorce anD Your Home D ivorce Lawyers Do
Since the financial crisis of 2008, often Lawyers threesingle essential services in the most provide challenging issue in assisting you getting a divorce. We familiarize many divorces is the disposition of the you with the court system, we provide you marital home. Virtually everyone who advice to help plan your actions, and we owned a home in 2008 saw that asset advocate positions for you with the court and loseother significant value. Very often that loss with lawyers. ofFor value rise divorce to serious manygives litigants, can questions be their first as only to whether it makes economic and brush with the Superior Courtsense of New Jersey. Even those who have served jury duty, to continue making payments toward ormortgage experiencedliens. a civilSuch or criminal courtoften matter, questions put will find that the peculiarities of the family court additional stress and strain on already make it stand out from the rest of the system. troubled marriages. With your judge serving as both the ultimate
through college, you may find that you’ve paid too price.at your post-divorce life.high Wea keep Helping a child through college hand phone numbers, and business is the single most likely way relationships, with accountants, to raise their lifetime earnings. financial planners, appraisers, College graduates consistently therapists, psychologists and other out-earn their peers by up to a professionals whose practices million dollars overuseful the span of often have features to you their careers. Sacrificing your during a divorce. We can help you chance toa help a child team through assemble formidable to help college for the sake of preserving weather the vagaries of the divorce a former marital residence may process. We also provide meaningful advice on well be doing a great disservice to your children. which positions are likely to bear fruit and which Mortgage loans are business transactions positions may not gain traction with a particular and your decision to pay or default should While and therethe aresole fewinterpreter absolutes when arbitrator, mediator or judge. fact finder of theitlaw as likewise be a business decision. In any worstto case personal finances, there areknowledge some Finally, we advocate your positions both farcomes as your is concerned, having case scenario, bankruptcy protection can provide are beset withcase an can in court and in any alternative dispute ofconsiderations what that can when meanyou to your specific you a fresh start. Whatever you do, be sure not mortgage considering resolution process you may be engaged beuntenable invaluable. Lawyersand engaged in thedivorce. family to liquidate retirement assets to catch up on your First and viability of be it collaborative divorce, mediation, courts on aforemost, full time consider basis maythe participate in and/ in, debts. Qualified retirement assets are yours to continued payments. If it is taking every available or arbitration. advocacyOnce is intended to or observe a couple of hundred or more family keep even after aThat bankruptcy. you liquidate dollar you have to stay above water with your persuade is involved not in your matter court hearings each year. Those hours of legal them, youwhomever lose that protection, to mention mortgage,result you in areaprobably high a that your positon on custody, parenting time, “practice” valuable paying store oftoo knowledge putting yourself in a very difficult position with price to remain in your home. Conversely, if you support, asset division, or debt allocation as to how to get through the court system with regard to paying the taxes due on those monies as have negative equity but a reasonable mortgage isa both by the law and is the fair efficiency and confidence. resultsupported of the liquidation. payment, it may make some sense to try and appropriatedivorce way tooften resolve your matter. Beyond the everyday practical information andNowadays, requires difficult weather the storm. The consideration should Advocating a position should involve establishing our clients benefit from, we also provide decisions regarding your home. Your choice be the long-term affordability than your facts and applying legal conclusions to advice. That advice can involverather managing a to buy out a spouse, seek a buyout fromthose your affinity for the home. Keeping your children in a facts in a way which leaves no room for contrary particular crisis, long term planning for your spouse, catch up on a delinquency, pursue a short stable, familiar place is important, but if it comes opinion. It you always ofaboth divorce experience, and expectations regarding sale (where askinvolves the bankelements to forgive portion at the expense of being able to help the children
Jay Turnbach, Esq., LLc
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
rational and emotional persuasion. of the loan to is make the home or allow This area fraught with sellable), danger for aunrepresented foreclosure all carry different consequences and litigants. Lawyers often observe require different considerations. Some lucky folks unrepresented litigants asking the court for can relythat upon from unreasonable, a family member or things arehelp patently or are friend by way of cosigning a loan, or providing a distracting from the larger issues. Since the judge gift to pay down equity in the home and allow a in your case is the sole decision maker in the trial refinance, and these transactions can impact the court, it is generally not wise to exasperate him outcome of your divorce. or her with demands or arguments that have As a divorce professional, I’ve advised little chance of succeeding. Lawyers are trained clients on all manner of dispositions regarding to prioritize and streamline matters, keeping the marital residences. If you are nervous about focus on the major issues, and avoiding landmine the impact of divorce on your home, seek some issues where a client may not have solid footing advice from a divorce professional. Consider to be making demands. Intertwined in all of the issue dispassionately from an economic this is an underlying of issue the law, social perspective, and then evolution consider the from mores, and current thinking an emotional perspective and about weigh the the meaning impact of the marital partnership. Family lawyers of losing the house upon both yourself and work hard children to keep up to date with the involved latest legal your versus the sacrifices in opinions and psychological works on children preserving your ownership of the home. Finding divorceapproach so as to to make arguments aand balanced the compelling disposition of the on their client’s behalf. home may be the key to a successful divorce From basic information about the court outcome. system (whereis to go, when to sit orstruggling stand, where One thing certain: if you are in thea courthouse youacan go to get a has modicum with mortgage on house which lost of privacy, which documents you need to have value, you are not alone. If you feel burdened available) to substantive legal advice by the financial pressure placed upon and you effective by advocacy, family lawyers can be an invaluable that situation, you are not alone. Much of resource to business the divorcing person. Think the court’s in divorcing couples over twice attempting a divorce alone. In a the lastbefore 7 years has entailed efforts to move country founded in part to foster the pursuit people forward following the collapse of theof happiness, the counsel and support of someone local real estate market. There are ideas out who has been in and around the divorce courts there. And like bankruptcy court, which for twentya fresh years can reducestart, your divorce stress and provides financial may provide hope afor a fulfilling post-divorce life. are well provide fresh emotional start. There options for you.
TO TO CONTACT CONTACT
JAY JAY TURNBACH, TURNBACH,ESQ ESQ
www.NJFamilyLawyer.net
Certified by the Supreme Court of the State of New Jersey as a Certified Matrimonial Attorney
2 Hooper Ave, Suite 6A Toms River, NJ 08753
www.TheCountyWoman.com The County Woman Magazine The County Woman Magazine www.TheCountyWoman.com
CALL: CALL: 732-286-4860 732-286-4860or or VISIT: VISIT: www.NJFamilyLawyer.net. www.NJFamilyLawyer.net. November/December 2015 January/February 2016
Law
15
Personal Injury Claims – When You Need A Lawyer When bad things, like a serious injury, happen to good people, a lawyer’s services are necessary to ensure that you get the most compensation for your injuries. (2) years from the date when the accident occurred. There may be other things to consider as well. The New Jersey Tort Claims Act is the controlling authority for how to proceed against a public entity. If you were injured on public property or by a public entity or public employee, you MUST file a Notice of Tort Claim against that entity within 90 days. Factors to consider. When you begin the process of choosing a personal injury attorney, you will want to understand what makes a good lawyer. One important factor is trial experience. While not all cases go to trial and most settle out of court, you will want to hire an attorney who has tried a case What is a Certified Civil Trial before and is not afraid of a trial. Attorney? Know the facts of your case and have as much Designated by the New Jersey Supreme Court documentation as possible. Before meeting with an to have sufficient levels of experience, education, attorney for an initial consultation, write down and knowledge, and skill in civil trial practice. know as many facts of your case as possible. The attorney may want to “I am a long-time client What does it mean of Kevin Riordan. Among see any or all of the following: when an attorney is other things, he has rep- � Police or incident report certified? resented my mother for a A New Jersey attorney who � Medical documents, including is certified by the Supreme Court fall and me in a worker’s bills, diagnoses, and test results as a civil trial attorney must have: compensation case, with � Pictures of the location of the � Been a member in good stand- great results. Sometimes incident or accident, damage, inthe process gets compliing of the New Jersey bar for juries or anything from the scene cated, but I feel confident over five years when he is battling on � Written statements from witnesses � Fulfilled ongoing continuing our side because I know � Your insurance policy (if applilegal education requirements he has a great reputation cable) as a trial attorney.” � Demonstrated a substantial lev Feel comfortable with the attorney. el of experience in civil trial law William H., Manahawkin You are going to be spending a good � Been favorably evaluated by amount of time with your lawyer, so other attorneys and judges you want to make sure they make you feel comfort� Taken and passed a written examination in civil able, will be available to answer any questions you may trial law have, and will have a positive outlook about your case. Why do I need a personal injury attorney? Experience and expertise. Personal injury attorneys often have: � Trial experience (whereas other types of attorneys may not); � Negotiation experience; � An in-depth understanding of medical diagnoses and processes associated with personal injuries; and � An in-depth understanding of negligence law and other torts.
with your lawyer. Your case is not going to get lost in the shuffle or handed off to another attorney. � Lower fees and costs. It is not unusual for a sole practitioner to charge less than a big firm might charge for doing the same type of work. � A more informal working relationship. You are likely to get to know everyone in your lawyer’s office if he or she is a sole practitioner. This can lead to a better one-on-one working relationship, which may make you feel more comfortable. Our firm fights hard to get you the most compensation you deserve for your injury. Kevin B. Riordan has been a Certified Trial Attorney since 1994 with over 25 years of trial experience, serving all of Ocean County and surrounding areas. Mr. Riordan spent many Kevin B. Riordan, Esq. years working for the people who caused injuries, defending against personal injury claims. Mr. Riordan is still often hired to defend personal injury claims. For the last ten years the majority of Mr. Riordan’s cases have been for those injured. This kind of balanced experience is important. Mr. Riordan has experience handling both sides of a personal injury case and knows the issues both sides face.
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How many attorneys are certified in New Jersey? As of 2011, out of 85,000 active attorneys in NJ, only 1,550 were Certified Civil Trial Attorneys. What is the time limit to file a lawsuit for personal injury? You should contact a lawyer immediately to protect your rights. There are laws that set time limits on how long you have to file a “civil” lawsuit. The Statute of Limitations in NJ, depending on the legal claim involved in the case, is usually two The County Woman Magazine
For more information, please call 732-240-2250
FREE Consultations Available
����������������������
Size Matters Law offices range in size from sole practitioners Kevin B. Riordan CERTIFIED BY THE SUPREME to firms with hundreds of lawyers. While large COURT OF NEW JERSEY AS A firms may be more attractive, there are undeniable CIVIL TRIAL ATTORNEY benefits to hiring a smaller firm. Sole Practitioners: Sole practitioners can be excel(732) 240-2250 lent lawyers and so you may want to consider retainkbrlaw@comcast.net ing one if it makes sense, given the nature of your legal problem. Although no two lawyers are the same, 20 Hadley Avenue, Toms River, NJ 08753 potential benefits of hiring a sole practitioner include: fax: (732-240-3334 • www.kbrlaw.com � A more direct one-on-one working relationship � � � � � � � � � � � � � � � � � � � � � � www.TheCountyWoman.com
January/February 2016
Health & Wellness
16
Are You Ready For A Body Wrap?
T
The Body Wrap Shoppe & Spa in Toms River celebrated the grand opening of its 7,000 square foot stateof-the-art facility on December 3, 2015. It was a huge success with more than 200 people in attendance! A tour of the facility, provided by the friendly and talented team, revealed double-sized massage rooms with private showers and all the amenities you need to help you relax and enjoy a fabulous spa experience from start to finish. Three product representatives were on hand to introduce the spa’s superior product lines: Sprayology, a line of homeopathic sprays that rejuvenate the body and relieve symptoms; Pure Inventions, a line of antioxidant extracts developed by nutritionists to fortify your water in a natural way; and Lira Skincare, developed exclusively for licensed professionals to brighten, heal and combat signs of aging. Through the sale of these exceptional products, Body Wrap Shoppe & Spa enables its customers to continue their skincare regimes at home! Here are some basic facts to help you better understand body wraps and their benefits. Q: What is a body wrap? A: I t is an advanced treatment that uses minerals and compression to draw out toxins, tighten skin, reduce cellulite, and lose inches.
Q: How does it work?
A: Using a mineral solution and compression, the body wrap increases lymphatic drainage, which moves excess water and toxins out of the body.
Q: Is this just a temporary water loss?
A: No, these mineral body wraps are a toning, firming and detoxifying process that results in inch-
loss in the wrapped areas by contouring the body.
Q: How long does it last?
A: The toxins will naturally return to your body in 30 – 60 days. However, as long as you maintain your weight and exercise program, your wrap results should last for 6 – 12 months. Avoiding fried foods, alcohol, caffeine, salt, sugar, and other toxic heavy foods will substantially delay the return of the toxins to your body. When the toxins return to your body, some of the inches will also return.
Q: How many inches will I lose?
A: You are guaranteed a loss of 6-20 inches, based on individual body composition.
Q: How long does a body wrap take? A: Plan to be at the spa for two hours.
Q: What should I wear to be wrapped?
A: Women should wear a cotton bra and panties and men should get wrapped in their swim trunks.
Q: How often can I get a body wrap?
A: The body wrap is a safe and effective process that you can do as often as you wish. If you are losing weight, a continuing series of wraps will show immediate results and keep tightening the skin to your new shape. Some people are happy after just one wrap. Others get wrapped on a more regular basis.
Q: What should I do immediately after a body
wrap? A: The wrap continues to work on your body for up to 3 days. During these 3 days, we recommend that you avoid caffeine, alcohol and sugar. We also recommend that you increase your water intake.
Introductory Special Offer
$175.00
for a “Double Whammy Body Wrap,” which targets the midsection as well as the rest of your body. This treatment is actually two wraps in one! Good through February 29th! For more information, call 732-323-3000 or visit www.TheBodyWrapShoppe.com.
732-323-3000 277 Route 70, Suite 201, Toms River, NJ 08755 www.TheBodyWrapShoppe.com
Community
The County Woman Magazine
www.TheCountyWoman.com
January/February 2016
Filing A Worker’s Compensation Claim: 23 Law aw 17 What are the benefits? 33 LawYou Will Qualify For Social Security Worker’s Compensation
L
Disability? 5 Questions to Ask Yourself Now You Need a Lawyer er’s Do Compensation Claim: to Make Sure 23 Ok, let’s face it.aw WhenYour you hear I Treatment is aboutMedical someone the collecting Workers’ hat are benefits?
for any of the bills associated with your injury. Not one and I am only paid if I cent. No co-pays, no deductibles. Why should you pay What is a Motion for Med and Temp? get you RESULTS. if you don’t havehelp to? Well,anything that’s something I can Take care and work safely! 4. Can you the work you •AThe wagedoreplacement, alsodid in the past? Even if f you or a loved is considering whether to file an second you with. Motion forbenefit Med &isTemp If you have more quesyour condition is debilitating, as temporary disability payments. This meansbut not on the SSA’s a court document we filemedical for injured application for disability benefits,islet meknown help tions determine and would like to list severe medical conditions, thedue SSAtowill then that if your authorized doctor says you can’t work workers to make sure the of insurance you understand the criteria the Social Security schedule anIfappointment if you are ablemonetary to work inweekly a job that you held in the past. it your injury, you will treatment receive benefits carrier provides all medical Compensation benefits, the to first thing Administration (SSA) uses review your file. with Kathleen M. Dotoli, would be difficult to do any of your past jobs because of your fromI your employer’s workers’ compensation insuryour work injury. That any of the associated with your injury. is Not“Give one and only paid ifwith call 732-228-7534. that crosses your mind meI amassociated ons tobills Ask Yourself Now medical condition, you wage may qualify for benefits. ance carrier with your and rate. means making sure commensurate you are covered t. No co-pays, noSSA deductibles. Why step shouldprocess you pay to make The uses a five decision. get youtheir RESULTS. 5. Can you do any other type of job? The SSA Dotoli will is a licensed Kathleen f you’re reading this article a break, I go to work with aches and Those payments willdiagnostic continue as long as you are receivthing if you don’t have to? for emergency room visits, Take care and work safely! look at your background, education, medical conditions and attorney for over 20 years 4. Can you do the work you did in the past? Even if •leThe second benefit is wage replacement, also anpains all ing authorized care,and awaiting surgery or recovering. in a doctor’s office, there’s studies MRIs, X-rays, EMGs, 1. Are you the time! People should be Ifonyou have more like quesyour medical condition is debilitating, but not the SSA’s own as temporary disability payments. This means aptitude to determine if there’s another type of job you could helping residents of Ocean lp Written by: Protecting your rightmedicines, to wage replacement is just another tions determine and would like to prescription doctor’s visits, Written by: aof severe good chance you’ve presently working? Written by: list medical conditions, thedue SSAtowill then authorized doctor says you can’t work working, not complaining!” do that would allow you to work full time without interference and Monmouth Counyt if your Kathleen M. Dotoli, Esq schedule an appointment reason to file a claim. surgery, and physical therapy, with no Kathleen Dotoli, Esq. If you are not working, if you are able to work in a job that you held in the past. If it Kathleen M. Dotoli, Esq. r injury, you will receiveinjured monetary weekly benefitsand in been at work ties.other Her types practice focuses on from your disability. It’s a good idea to consider of with Kathleen M. Dotoli, • The third benefit compensates you for the long would be difficult to do any of insuryour past jobs because out of your your application of pocket costs from you, no comWell, your employer’s workers’ compensation Imedical want some of the needto of dispel medical treatment. Workers’ benefits. Compensation andKathleen before filing an application for disability call 732-228-7534. Dotoli, Esq. a licensed Kathleen Dotoli is isa licensed you wage may qualify for benefits. e carrier commensurate with your and rate. term of employment your injury, also known as permanency will becondition, reviewed pays, and no effects deductibles. on. Social Security Disability Claims. She is the present Co-Chair attorney for over 20 years 5. Can you do any other type of job? The SSA will If your employer’s workers’ myths that are associated with Kathleen Dotoli is a licensed attorney for over 20 yearshelping helping ose paymentsby willa continue as long as you are receivbenefits. Let’s saytemporary you experienced a lifting injury that Disability forand It also addresses your ofillness the Workers’ Compensation Committee for theand Ocean County atawaiting your background, education, medical conditions residents of Ocean Monmouth attorney over 20 years authorized look care, surgery or recovering. The decision to leave your job due to or compensation insurance residents of Ocean and Monmouth a herniated disc in your back. Hopefully you Workers’ Compensation claims. Determination Services disability (wage in replacement) if your determine if there’s another type ofhelping job youresidents could of resulted Ocean Bar Association and a Member of theHer Workers’ Compensation Counties. practice focuses on Written by: tecting youraptitude right totowage replacement is just another Writtenget by: injury should benot taken lightly. Making sure Counties. Her practice focuses behave responsible and may not be for the carrier is stalling your office. If you are makeyou a full recovery, tonot work, and little for that would allow you to work full time without interference and Monmouth doctorCounsays can’t workM. aback period Executive Committee NJ State Bar Associationand as well Kathleen M.for Dotoli, Esq on toPeople file ado claim. Workers’ Compensation Social Kathleen Dotoli, Esq. who file Workers’ Compensation claims are ties.other Herdemonstrating practice onresiduals your disability. It’s good idea to consider types of focuses onJ. Workers’ Compensation you the best possible position qualify able to afford. youfor pay forVincentSecurity working, then almost by definition, you are that or fromare thatininjury. Unfortunately, thereWhytoshould treatment, you may need • The thirdfrom benefit compensates youa for the long as a member of the Apruzzese MockClaims. Trial Sheand of time duenoto your injury. Disability is the JUST LIKE YOU. They areashardworking, dediWorkers’ Compensation and Kathleen Dotoli is a licensed before filing an application forhonest, disability benefits. Social Security Disability Claims. medical bills when the workers’ comp you CAN work and probably won’t qualify for benefits. This Social Security Disability benefits is an important m effects of employment your injury, also known permanency are many people who go on to have physical limitaCommittee for the NJ State Bar Foundation. present Co-Chair of the Workers’ Many times, there are issues arising my services to file what Social Disability attorney Claims. She the present Co-Chair forisover 20 years helping carrier should be wholly responsible? catedLet’s employees who true unfortunately experienced an Security injuefits. say you experienced aiflifting that more She is the present Co-Chair is especially you injury are making about $1070 tions despite the best care. That doesn’t If mean can’t part ofand that decision. youyou need guidance with your Compensation Committee for of the ofillness thethan Workers’ Compensation Committee for the Ocean County from a work injury that lead a workers’ The decision to leave your job due to or is known as a Motion residents of Ocean Monmouth ulted in their a herniated disc your back. this Hopefully you inand ry at job. I’minnot talking about sprains strains. per month. I realize puts you a terrible spot. You are Bar Association andwork a Member of the Workers’ Compensation the Workers’ Compensation Another important point to Ocean County Bar Association or enjoy life! It just means that you have to be application, don’t hesitate to contact me for compensation insurance deny injury should beTreatment taken sure Counties. Hercarrier practiceto focuses ke a full recovery, back tonot work, and havelightly. little Making forgetbroken Medical Executive Committee for the NJ State Bar Association as well Instead, think bones, herniated discs, torn rotator struggling with a serious and debilitating medical condition, and a Member theOcean Workers’ Committee forofthe County remember is that more careful. How much you are paid depends on yourfiling for NJ State on Workers’ Compensation and you the best possible position for ng residuals that a claim or suspend treatment. Issues a free consultation. no fromare thatininjury. Unfortunately, there to qualify as a member of the Vincent J. Apruzzese Mock Trial and Temporary Disability but at the same time you need money to live and health care Compensation Executive Committee cuffs, and traumatic brain injuries. In other words, the Bar Association and a Member Temporary Disability doesn’t cover Social Security Disability Claims. This people unique injury, occupation, Social Security Disability benefits is anCommittee important many who go on to have physical limitathe NJ State Bar Foundation. likeforpre-existing injuries, failure tojob function and personal for the Workers’ NJ State Bar Association. insurance and cannot quit your job. is the case, itShe is is Receiving the present compensation Co-Chair of 070 Payments, also known as aIfbythat of the Compensation ns despiteofthe best That doesn’t mean you can’t forpermanent more than 26 weeks. Workers’ part ofcare. that decision. If you need guidance with your types serious injuries proven and supported medical lifestyle. foryou your report the injury in a timely manner, uk are In addition, she is a Board the Workers’ Compensation important to speak to me to determine how to balance your or enjoy life! It just means that you have to be don’t hesitate contact me for Executive Committee forMember the NJ Comp, by law,filing covers you for as long as Motion forterm Med & toTemp. injurymisinformation. is something youAn are unlikely to get without evidenceapplication, that have long limitations. or just plain Committee for the Ocean County of the American Red Cross, South retion, careful. How much you are paid depends on your day-to-day financial needs with your disability application. a free consultation. State Bar Association as well as a your authorized doctor says you cannot a claim. hque careinjury, occupation, job function and personal experienced attorney is sometimes what Bar Association and a Member Jersey Division, and is a Member of 2. Is your medical condition so severe that it But is filing a claim really necessary? member of the Vincent J. Apruzzese work. If your injury keeps you out of it is Receiving compensation for your permanent theyou Workers’ Compensation I hope see why style. isof needed tonow sort out Workers’ these Compensation benthe Paralegal Advisory Committee of 225 Washington St. The Cottage with basic work related activities? instance, your Mock Trial Committee for the NJ longerofthan that, you need not Executive Committee for the NJthem,work lawinterferes in you New workers are entitled to Forefits ury isBy something areJersey, unlikelyinjured to get without filing are so important! Without thousands NJ complicated factors to make Ocean County College. on. are you a secretary who can no longer use her hands due State Bar Association as well as a Toms River, NJ 08753 aim. State Bar Foundation. worry about your benefits running out. three really important benefits - benefits they need in each would themselves lacking medical youyear receive thefind benefits to carpal tunnel syndrome? That might prevent youworkers fromsure member of the Vincent J. Apruzzese Don’t get stuck paying for medical I hope why Workers’ Compensation orderyoutoseegetnow better, pay their bills, and benprovide compen225 Washington St. The Cottage treatment, income and compensation stance, you need and are entitled being Without able to type, or useof the of Trial Committee for the NJ for their injuries. s are so important! them, file, thousands NJ phone for long periods Mock (732) 228-7534 benefits somebody else should bePhone: paying e sation for their permanent injury. If you’re ever hurt at Toms There’s noBar two ways it. Workers’ Compensation River, NJ 08753 by law to getabout you back State Foundation. kers each year wouldAre findyou themselves medical time. a long lacking haul truck driver who cannot sit forto om go without your pay while you are work,income you’ll and need to know about these three benefits. help thousands of New Jerseyorworkers each year good health, financial compensation fordue their injuries. Have you or a loved one been long periods of time to a severe back injury? If benefits that’sin the dstment, of Phone: (732) 228-7534 recuperating from your injury. If you • The first and most important benefit is payment 225 Washington St. The Cottage ere’s no two ways about it. Workers’ Compensation and are there for YOU if you need them. stability and protect your or case, your condition will dictate how long you can drive and injured at work and don’t know efits helpfor thousands of New Jersey workers year emergency needathelp inthefull medical treatment. Thattoeach means Have youyou or aorloved one workmaking and sure your rights are Have a loved onebeen beeninjured t’s future. whether you will be able meet delivery deadlines. That’s where to turn to ensure ALL of 225 Washington St. The Cottage for YOU if you need them.diagnostic Toms River, NJ you 08753 e are andtherebills, injured at work don’t know ALL protected, urge to contact me to room MRIs and X-rays, testing, surgery, don’t know where to and turn to ensure of your Irights Think your private what is meant by “interference with your basic work related your rights are protected? Don’t Have you or a loved one been injured at work and That’s where to turn to ensure ALL of schedule your free consultation today. physical therapy and even psychological testing to help Toms River, NJ 08753 are protected? Don’t navigate this maze alone! Call me activities”. health care carrier covers navigate this maze alone! Call n’tated know where to turn to ensure ALL of your rights your rights are protected? Don’t deal withDon’t catastrophic injuries. You areme not responsible We’re always here to help you to discuss your injury. The consultation is FREE protected? alone! Call 3.navigate Is onethis ormaze more of your medical issues on today the SSA your work injury? Think me today to discuss your injury. navigate this maze alone! Call Phone: (732) 228-7534 aySSA to discusslist yourof injury. The consultation is FREE me today to discuss your injury. and there is no fee unless we obtain disabling conditions? Some diagnoses are so severe again! Putting your The consultation is FREE and evere The consultation is FREE and that the SSA will automatically deem them to be totally workers’ benefits for you. comp claim I am only paid if I get you y Children’s Boutique I am only paid if I get you disabling. Others may be severe but require documentation, through your private carrier RESULTS. ation, RESULTS. doctor’s reports, evaluations to assess your condition and can result in co-pays and d For more information, perhaps your testimony. If you’re sure if they your condition is ition is by to see all that they offer! Stop by to see allnotthat offer! deductibles that work you Stop should Take care and safely! Take care and work safely! hrough
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y For Social Security Covered?
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Phone: (732) 228-7534
Call 732-228-7534.
onVie theChildren’ SSA list, consult just withmade me toitshelp you navigateCity. through Sea La s Boutique debut in Ventnor It isSea not your average 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 this most important step. children’sservices, 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 fun sewing 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 beenclasses in Community 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 Theonline Leukemia & the Lymphoma (LLS) the world’s health agency to making children’s clothing out of her home, selling at craft shows and under business,Society Too Too Cuteis Tutus. She largest will bevoluntary creatingbusiness clothing and fordedicated five years embroidering in the andCure will leukemia, feature other local crafters. La and Vie tounder be improve blood cancer. The LLSstore mission: lymphoma, Hodgkin’sSea disease and myeloma, and Thestrives Leukemia & the Lymphoma (LLS) the world’s agency online business,Society Too Too Cuteis Tutus. She largest will bevoluntary creatinghealth clothing anddedicated unique andofaffordable and and newtheir merchandise comes in lifesaving frequently! the quality life of patients families. LLS funds blood cancer research around the
Community
to embroidering in the store and will feature other local crafters. Sea La Vie strives to be blood cancer. The LLS mission: Cure leukemia, lymphoma, Hodgkin’s disease and myeloma, and improve Big Brothers Big Sisters of Ocean County Celebrates National Mentoring Month world and provides free information and support services. unique andofaffordable and and newtheir merchandise comes in lifesaving frequently! the quality life of patients families. LLS funds blood cancer research around the Visit Us On Facebook 09-226-3010 • SeaLaVieBoutiqueNJ@gmail.com or Instagram! world and provides free information and support services. January is National Mentoring month and to celebrate Big Brothers Big Sisters of Ocean County will honor Visit their mentors the heroes they are in the eyes of their Us Onas Facebook 6616 Ventnor Ave Ventnor, their NJ, 08406 • and 609-226-3010 • SeaLaVieBoutiqueNJ@gmail.com Littles! They will also •be honoring volunteers Board of Directors for their continued dedication and support of the agency. or Instagram! Big Brothers Big Sisters of Ocean County provides services to over 500 children throughout Ocean County. As the premier mentoring program, Big Brothers Big www.TheCountyWoman.com November/December 2014 March 28, 2015 Sisters carefully matches volunteer mentors (Bigs) with children (Littles) who are facing adversity, by providing strong and enduring professionally supported one-to-one 2:00 - 6:00PM relationships that change children’s for theNJ,better, • Elks Lodge, 711 West Kenndy Blvd.,lives Lakewood, 08701•forever $15.00 per person at the door www.TheCountyWoman.com The County Woman Magazine November/December 2014 •As Wonderful Raffle and Gift Auction! Visit http://pages.teamintraining.org/nj/nj15/lruane to donate! you make your New Year’s •resolutions this year, we hope that you might consider making a donation, becoming a mentor, or joining a committee. As we all know 2:00 6:00PM strong youth are the backbone of a strong Ocean County. Why not make 2016 the year that you will…. Be Someone Who Matters to Someone Who Matters! • Elks Lodge, 711 West Kenndy Blvd., Lakewood, NJ, 08701• $15.00 per person at the door www.TheCountyWoman.com March/April 2015 • Wonderful Raffle and Gift Auction! • Visit http://pages.teamintraining.org/nj/nj15/lruane to donate!
2nd Annual Come enjoy all-you-can-eat spaghetti Spaghetti Dinner with meatballs, bread, and salad! Honoring The
Come enjoy all-you-can-eat spaghetti with meatballs, bread, and salad! March 28, 2015
To find out how you can help make a difference call 732-505-3400.
www.TheCountyWoman.com The County County Woman Woman Magazine Magazine www.TheCountyWoman.com The
March/April 2016 2015 January/February
In-Home Care
18
Caregivers Raise Awareness About the “Winter Blues”
In-Home Care Company Helps Seniors Cope
M
ore than two million seniors, over the age of 65, are diagnosed with some form of depression every year. Yet research shows 68 percent of seniors know little or nothing about depression. That’s why Senior Helpers is raising awareness about senior depression this winter – a time when many people experience what’s referred to as the “winter blues.” “During the holidays near the end of the year, seniors are used to a lot of social activity and spending time with friends and family. But between the New Year until about Easter, all of that social activity dramatically declines for many seniors, especially if their family lives out of state. Add cold weather or reduced sunlight to their days, and you have seniors who may suddenly be faced with the “winter blues,” says Linda Panarella, Director of Operations, Senior Helpers of Manchester. “We want people to know that at the very least, you can turn to our caregivers to provide instant companionship and comfort to help seniors cope with their emotions. Our caregivers can also assist with many types of supportive services that help seniors remain safely at home.”
Know the Signs (Source: Mental Health America) � Persistent sad, anxious or “empty” mood � Changes in sleep patterns � Reduced appetite and weight loss, or increased
appetite and weight gain � Loss of pleasure and interest in once-enjoyable activities � Restlessness, irritability � Persistent physical symptoms that do not respond to treatment, such as chronic pain or digestive disorder. � Fatigue or loss of energy � Feeling guilty, hopeless or worthless “The three most common signs of senior depression listed above are lack of appetite, fatigue and problems concentrating,” says Linda Panarella, DO. “But coupon
50
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First Week of Service (12 Hour Service Minimum)
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The County Woman Magazine
the problem is, these common symptoms are often passed off as being part of the aging process instead of senior depression. Our caregivers can be an extra set of eyes and ears to help discover whether a senior is sad or could be depressed. It’s important to recognize the difference.”
Kevin Herman, MSPT has owned and operated Senior Helpers since 2007 and has been providing care to seniors for over 15 years as a Physical Therapist. Linda Panarella, CDP has managed personalized care to seniors for over 10 years, first as an Activity Director, specializing in dementia care and most recently as Director of Operations for Senior Helpers.
Senior Helpers is one of the nation’s largest inhome senior care providers, helping you and your aging loved one with everything from Alzheimer’s and dementia care to personal hygiene, errands, light housekeeping, and meal preparation. Senior Helpers’ caregivers are available for just a few hours a week or more full time. Care schedules can be adjusted to accommodate increasing or decreasing care needs.
Professional Care
You can count on consistent, quality care with 24/7 support when you hire Senior Helpers. For all personal care situations, a registered nurse provides a comprehensive functional assessment to determine the type and level of care and delivers on-going care management. Senior Helpers’ caregivers take a positive approach to Alzheimer’s and dementia care using a unique Senior Gems® training program. This method focuses on what those with dementia can do, instead of what they cannot do. Senior Helpers hires caregivers based on professionalism, enthusiasm, and compassion for seniors.
WE CAN BE YOUR EXTRA HAND
Each and every caregiver is: � Hired and employed by the company, never
subcontracted � Licensed (for personal care), bonded and insured � Thoroughly screened and evaluated Let Senior Helpers provide the in-home care your loved one needs to enjoy life carefully and comfortably. Call today for a free at-home assessment.
Visit www.SeniorHelpers.com/Manchester Sources: *Mental Health America
coupon
Call today!
732-657-3600
Our in-home caregivers are available to assist you or your senior loved ones for a few hours a week or around the clock. Whether it is for personal assistance or expert guidance in working with those who have Alzheimer’s or dementia, call today and let us be your extra hand.
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Visit seniorhelpers.com/Manchester for more information. Senior Helpers of Ocean and Burlington Counties 67 Lacey Road, Suite 6, Manchester, NJ 08759
Expires 2/29/16
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January/February 2016
Medical Professionals
19
Health &Wellness Helpful Ideas from AtlantiCare
BE ACTIVE AFTER WEIGHT LOSS SURGERY:
L
Exercise is a critical success factor for reaching and maintaining a healthy weight after bariatric surgery. “For the best aw outcomes, patients must make a lifetime commitment to making changes in their daily lifestyle, including incorporating more activity into their daily routine. We recommend you start out slowly and move your body a little more every day,” says Alexander Onopchenko, M.D., FACS, medical director of the Center for Surgical Weight Loss & Wellness at AtlantiCare Regional Medical Center (ARMC). According to Dr. Onopchenko, “For our bariatric patients, ultimately, the goal is to exercise for at least 60 minutes every day; however, most people can benefit lderfrom increased aw physical activity levels —not just those who’ve had weight-loss surgery.”
E
Theater &Entertainment
L
Easy Ways To Get More Exercise • Get up and go
Winter can still be a great time to take your workout outdoors. When the weather allows, take a brisk stroll on the beach or boardwalk. Walk the dog a little farther than normal. Find a walking path or local running track and get moving. If you don’t have time for one long walk, try shorter walks at different times. For example, if your goal is 30 minutes of walking per day, try two 15-minute walks or three 10-minute walks.
E Park your car away from your workplace or the
• Sneak in more steps ducation
store. Use the stairs over the elevator or escalator. If you sit a lot at work, take short activity breaks throughout the day — or spend your break time doing something active.
• Pedal it out
Bike rides are a great way to burn calories, strengthen your muscles, and improve your cardiovascular fitness.
Fine Art Photography
WEIGHT-LOSS SURGERY SEMINAR Minimally Invasive Bariatric Surgery
B
&F
Join us to learn about these minimally invasive surgical procedures for weight loss: • Laparoscopic Sleeve Gastrectomy • Laparoscopic Biliopancreatic Diversion (BPD) with inance Duodenalusiness Switch (DS) • Laparoscopic Gastric Bypass Roux-En-Y • Laparoscopic Adjustable Gastric Banding (LAP-BAND®) Registration required, call 1-888-569-1000 to reserve your seat. View our weight-loss webinars at www.atlanticare.org/bariatricseminars
• Strike a pose
The health benefits of yoga are numerous. Try a beginner’s yoga class to help you increase flexibility, muscle strength and endurance, balance, self-confidence and inner well-being.
www.TheCountyWoman.com The Magazine County Woman Magazine www.TheCountyWoman.com The County Woman
January/Feb January/February 2016
20
Q
Law
Ask Daniel Straffi, Jr. Esq. What are some common bankruptcy myths?
Answer: B
ankruptcy is not something anyone wishes to think about. This is especially so for people who are accustomed to paying their bills regularly and on-time by any means necessary. Unfortunately, this is not always an option in today’s economic climate. As folks figure out ways to survive, many times they think of bankruptcy as an absolute last resort – an end, figuratively and literally – as opposed to the fresh start it is intended to be. This is likely due to a lack of knowledge of bankruptcy laws and only a familiarity with the many myths associated with filing bankruptcy that stop people from being proactive in protecting themselves and moving forward. Let’s start debunking some of those myths in this article:
Myth #1: I will lose my house!
Bankruptcy laws are crafted in order to provide a person every opportunity to try and save their home. In some instances, bankruptcy can also be a tool for stopping a foreclosure and allowing a person to catch up on their mortgage arrears. Strategically, the question becomes more whether a home is worth saving in light of its value in today’s market. It is important to consult with a bankruptcy attorney in order to evaluate these options and protect that which is most important.
Myth #2: I will never get credit again!
Many of my clients are surprised by the amount of credit opportunities they will be inundated with after filing for bankruptcy. This
is likely due to the fact that credit card companies know that a person can only file for bankruptcy once every eight years (not that anyone wishes to have to file again), and therefore wish to begin the cycle of using cards again. I always recommend to clients to start slow by applying for a secured card. Using credit helps to improve your credit; however, it is best to proceed with caution.
Myth #3: I will never be able to purchase a home or vehicle again!
This is simply not true. Will it take time to rebuild your credit to the point of acquiring a new mortgage or refinancing? Absolutely. Usually it takes a minimum of two years of rebuilding one’s credit before a mortgage lender will consider you for same. Car lenders are far more lenient, but the important thing to note is that the sooner one files a bankruptcy, the sooner the slate is cleaned. I think it is extremely important for people to move forward with their lives in as expeditious a manner as possible rather than continuing to spin their wheels and getting nowhere.
Myth #4: I will have trouble finding a new apartment!
Although it is true that many apartment buildings and landlords pull credit reports in evaluating potential tenants, this simple caveat also rings true: at the end of the day, cash rules. The money that my clients are able to save in not having to pay minimum fees to credit card companies and the like can be socked away toward putting together a security deposit, first month’s rent, last month’s rent, and maybe something in between. In today’s rental market, landlords are hard pressed to turn away folks who have the ability to put that kind of money down.
I hope this article proved helpful in dispelling some of the myths regularly associated with bankruptcy. Obviously, everybody’s situation is different and factsensitive, so it is important that one receives professional advice regarding his or her specific situation. Regardless, the worst thing one can do is to not do anything!
For more information or to schedule an appointment, Contact : Daniel Straffi Jr. at 670 Commons Way Toms River, NJ, CALL: 732-341-3800
Daniel Straffi, Jr., Esq. VISIT: www.straffiandstraffi.com. Protect Yourself Against Foreclosures, Judgments, & Harassing Creditors
We are a debt relief agency that helps people file for relief under the bankruptcy code.
Scan here!
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917-5 North Main St. Toms River, NJ 732-505-0055 www.njschoolofmassage.com January/February 2016
Law
21
Find Out if Bankruptcy is Right For You
Protect Yourself Against Foreclosure, Judgments, and Harassing Creditors! We are a debt relief agency that helps people file for relief under the bankruptcy code. Take the first step to a financial fresh start and call 732.341.3800 for a free consultation.
Chapters 7 & 13 • Debt Negotiation & Loan Modification Individual, Business and Creditor Representation
670 Commons Way • Toms River, NJ Conveniently Located Directly Off of the Parkway
Website: www.StraffiandStraffi.com
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January/February 2016
22
Funeral Planning
DeGraff Lakehurst Funeral Home
Many people are unaware that cremation must be authorized by a spouse or
“Where knowledge & courtesy go along with years of compassion & understanding” Written by: Sherry DeGraff
D
eGraff Lakehurst Funeral Home is family owned and operated. Founded by Donald & Wanda DeGraff in 1979 in historic downtown Lakehurst. The building itself has a funeral history dating back to the early 1900’s. In 1990 the DeGraff family saw the future trends were leaning toward cremation, as a result, their daughter Sherry opened DeGraff Cremation Service offering a wide variety of cremation service options. The move towards more cremation represents the largest shift in the funeral industry. In fact, many consumers believe the cremation itself is performed at individual funeral home or DeGraff Lakehurst the cremation service they hired. Funeral Home This is not correct. Crematories are owned by cemeteries. Most people are surprised when they hear that. 119 Union Ave.
Lakehurst, NJ 08733
www.DeGraffFuneralHome.com
Call: 732-657-7868 Family Owned and Operated Serving All Faiths Sherry DeGraff
Manager, NJ Lic. No. 3921
Testimonials
blood kin under New Jersey State Law. This can cause undue stress for people who do not have a spouse or family. In 2004, New Jersey law provides for the designation of an individual to control the funeral or cremation of another person regardless of whether or not the named person is related by marriage or blood. People in relationships involving unmarried co-habitants, civil unions or just close personal friends may find this provision beneficial. This designated person is called a “Funeral Representative” and must be named as such in a will. With this designation, they can bypass any blood kin and can authorize a cremation and control the funeral. Choosing cremation for final disposition in lieu of traditional burial does not change service options for a family. A funeral celebrates someone’s life bringing together family and friends
to console each other and share memories of a life well lived. In addition to cremation, the services can still include a traditional viewing, memorial service at the funeral home or church or graveside services when or if the cremains are placed at a cemetery. Providing excellence, honesty and dedication to every family we serve is our primary goal. If you would like additional information on the services we offer or prearrangement options, please do not hesitate to contact our dedicated staff.
Call: 732-657-7868 Visit: www.DeGraffFuneralHome.com
Sherry, Thank you for your kindness, caring and compassion. I will always be grateful for your heartfelt warmth in my time of need. Sherry, Thank you for all the kindness, sincerity and care, all with the utmost professionalism you have given to my sister and myself and our family during this most difficult time of mom’s passing. Sherry, I can’t thank you enough for what you did for me. I was so anxious, not knowing what to expect, but you made everything flow so smoothly. You really made a very difficult time easier. Thank you again.
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January/February 2016
Medical Professionals
23
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OCEAN PLASTIC SURGERY P.A. AND LASER CENTER Toms River, NJ • Manahawkin, NJ • Office: 732-255-7155 Sandy
Jump Start Your New Years Resolution By Looking Your Best! Tired of those parenthesis folds from the sides of your nose to the corners of your mouth? Perhaps it’s the furrows or “11s” between your eyebrows. Feel like your cheeks have sunken or your lips have thinned? Look no further! With Juvederm, Restylane Silk, and Botox you can have a natural smooth look at any age! These treatments are a great way to look more youthful without surgery and can be performed in the office, often on the same day as your consultation. Your treatment will be customized by Dr. Stephen Small, a board certified plastic surgeon who specializes in cosmetic procedures of the face, breast, and body.
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BOTOX $11/UNIT Void Where Prohibited by Law. Must be 18 years of age or older. Non- transferrable, not redeemable for cash. The areas to be treated will determine where clinically indicated by Dr. Small. The patient and any other person responsible for payment has a right to refuse to pay, cancel payment, or be reimbursed for pay¬ment for any other service, examination, and/or treatment that is performed as a result of and within 72 hours of responding to the advertisement for free, discounted fee, and/or reduced fee service, examination or treatment. Offer subject to change without notice. Photos and logos courtesy of Allergan Inc.
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Facelift Cheek Lift Neck Lift Eyelid Surgery Fat Transfer~ Lipoaugmentation Rhinoplasty Chin Augmentation Otoplasty
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1301 Route 72 West • Suite 260 • Manahawkin, NJ 780 Route 37 West • Suite 240 • Toms River, NJ
www.oceanplasticsurgerynj.com • 732-255-7155 Under the Direction of Dr. Stephen Small, we provide comprehensive Laser skincare and Plastic surgery of the Face, Breast and Body. We seek to enrich lives by enhancing or restoring your natural beauty. We listen to every patient’s unique needs and desires and look to see that they have an exceptional experience. Dr. Stephen Small is an experienced, board certified, plastic surgeon who is a naturally artistic innovator on the cutting edge of medicine to serve his patients in the most up-to-date and personalized manner.
January/February 2016
Massage School
24
Consider A Great New Career In Massage Therapy Meet Alice Marin, Owner of the NJ School of Massage my students face knowing they have a life long career of helping others ahead of them.
Alice Marin, LMT, CMA New Owner/Director
A
lice Marin has a way of making her students feel comfortable and right at home. As the new owner of the NJ School of Massage, she has over 15 years of experience with massage therapy. She began her career with her own massage therapy practice, and then began teaching at the school four years ago which she purchased in March. In addition, she is certified as a Medical Assistant and is CPR and first aid certified.
Q: What is the most rewarding part about A:
your profession?
I love helping people get relief from pain, stress and other aliments as a massage therapist. I also feel rewarded when I know that we’ve trained an individual to become confident and professional in the field of massage therapy. I enjoy seeing happiness on
Q: What sets your business apart from others in the area?
A: I have worked in this business for a long time
Q:How do you spend your leisure time?
My leisure time is spent taking care of my A: mother and spending time with my husband
Don and our dog, Molly. My hobbies include speed walking, singing and studying the bible.
and I can honestly say that the NJ School of Massage is an extraordinary environment. The school has been around for 20 years. Our classes are created to be interesting and fun and we offer free, personal tutoring in special situations. Our facility is accessible to the parkway, near shopping areas and restaurants with plenty of parking available. Additionally, we let the students know that we will do whatever it takes to ensure they graduate with confidence and job placement.
you offer different massage programs? Q: Do If so, what is included? massage programs consist of day and night A: Our classes. Day classes are three days a week from
9 a.m. – 5 p.m. and it is a six-month program. The night classes are for 10 months, two nights a week from 6 p.m. – 10 p.m. However, if the student has a problem with this schedule, we will try to accommodate them to make it more comfortable for them and their family. With the tuition, we include a massage table, textbooks, a school t-shirt, lotion samples and free tutoring for special situations. Our tuition is very affordable and our payment plans do not have interest.
917-5 North Main Street corner of Route 37 & 166 Toms River, NJ
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Koehler Acupuncture 128 Drum Point Road • Brick, NJ 08723
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Please clip out and mail to: The County Woman • P.O. Box 619 • Turnersville, NJ 08012
One entry per person. Valid for new patients/clients only. Value not to exceed $100. Multiple entries will be disqualified. Entries will be accepted through February 29, 2016. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent.
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January/February 2016
Permanent Hair Removal
25
What’s With The Hairs On My Chinny-Chin-Chin? Submitted by Lorraine Fetherman, L.E., C.P.E. Licensed and Certified Electrologist
S
o, you noticed a few hairs growing on your chin, cheeks and/or upper lip.
WHY!?
And maybe the hair on your head is thinning, too? The entertainment is endless with our bodies; it’s just not all good entertainment. Hormones are the answer Whether it is an increase, a decline or an off-balance, it is your hormones doing the trick. As you know, men and women, many times throughout our lives, go through “changes” such as puberty, childbirth, breastfeeding, perimenopause, menopause, simple aging, etc. Also, there are countless medications that affect hair growth and hair loss as well, and health issues such as
PCOS (polycystic ovary syndrome). Some of these issues problem is too small or too big. Our treatment will help can be addressed through medication and a doctor’s you feel clean, carefree, self-confident and uninhibited. advice. However, that doesn’t mean your hair issue will Take advantage of the free consultation. end. We can help you with that. We will explain in detail how the process works for Hair Removal Areas your individual needs. Everyone is unique in his or her Electrolysis can be applied to most facial and body situation, but we are all the same when it comes to the parts, including: results we want: permanent hair removal. • Abdomen • Eyebrows • Bikini line • Chin Call 732-477-9040 today! • Legs • Upper lip Mention this • Jawline & sides of face article Permanent Hair Removal • Breasts & underarms and receive
As well as the ears, parts of the nose, fingers, toes, feet, etc.
We understand the embarrassment, selfconsciousness and discomfort that comes with unwanted hair. If it is just cleaning up your eyebrows or clearing a beard, we can help. No hair
I am Lorraine Fetherman, L.E., C.P.E.
I am proud and excited to say I just celebrated my 20th year as an Electrologist in March 2015. I love what I do. I am one of the lucky people who looks forward to going to work. I get to help people feel better about themselves, feel more confident and less inhibited. I am passionate about what I do and the people I help. I am always looking to learn more. I will be attending a 3-day Electrolysis Symposium in Quebec City this August for many lectures and workshops in our field. I also attend several lectures, workshops and seminars
WHO ARE WE? l-r Lorraine Fetherman, L.E., C.P.E. Debbie Matusas, L.E., C.P.E.
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your first treatment, with a free consultation.
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Monmouth/Brick
ELECTROLYSIS 2 Locations:
2510 Belmar Blvd. Wall, NJ 07719
522 Brick Blvd. Brick, NJ 08723
732.477.9040
every year in the United States, keeping up with the constant changes in the health and beauty world.
bhairfree.com
Debbie Matusas, L.E., C.P.E.
“It’s a butterfly effect...”
One of my two associates, she has been an Electrologist for over 17 years. She is a great asset to our practice and her clients love her. I hear wonderful feedback all the time. She is very accommodating to our clients’ needs, offering her services days, nights and weekends at our Brick location. Debbie also continues her education, attending workshops, seminars and lectures every year.
Licensed & Certified Electrologists:
Lorraine Fetherman
L.E., C.P.E.
Debbie Matusas
L.E., C.P.E.
Barbara Stoll
L.E., C.P.E.
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732-905-9222
2145 Whitesville Road • Toms River, New Jersey 08755 www.springoaktomsriver.com
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January/February 2016
Medical Professionals
26
A
Concussion: Young Athletes and Head Trauma one hour but just because they feel better does not mean they are better. Some symptoms can return in 2-5 days.
Approximately 3.8 million concussions occur annually in US sports. The media has recently begun paying more attention to the effects of repeated concussions suffered by professional athletes, particularly in the National Football League. These concerns have been highlighted by the lawsuit 2,000 former professional football players filed against the NFL, which claims the League withheld information related to the long-term effects of repeated head trauma. Repeated concussions can lead to traumatic brain injury (TBI), which has been linked to severe neurologic disorders, mental decline, anxiety, and depression—which can lead to suicide. Appropriately, there is increasing popular support for protecting our young athletes from such injuries.
Some institutions have their student athletes take a computer or written standardized test in the preseason. These tests examine neurocognitive function including memory, attention, brain processing speed, reaction time, and post-concussion symptoms. Returning to play may be considered once their scores return to their preseason baseline.
Q A
What about imaging?
Q A
What is a concussion?
Q A
It is important to note that these injuries are not just in football. It can happen to girls or boys in any contact sport. It is important for our young athletes to compete and have fun but it is more important to have proper education and treatments in place to make sports safer for our children and grandchildren.
A concussion is a traumatic brain injury (TBI) which alters the way our brain functions. It is caused by a blow to the head or a blow to the body which causes the head and brain to violently move back and forth. The brain can swell, which can cause electrical and metabolic disruptions.
Why are concussions dangerous?
Most concussions are mild and result in full recovery. People who receive a concussion are more susceptible to having additional concussions. Many times it takes less force to have a second or third concussion. It is very important to let the brain heal fully. If an athlete returns to the sport too early and receives additional concussions, it can lead to serious long-term mental issues, irreversible brain damage, and possibly death.
QA
Q A
Imaging is an excellent way to detect injuries that may require immediate medical therapy or surgery. In the emergency setting, a CT of the brain is the best method to exclude a skull fracture or bleeding in the brain. An MRI of the brain is better for evaluating long-term effects of possible injury and evaluating an athlete who has prolonged concussion symptoms. Unfortunately, we cannot actually see a concussion on any modality nor can we see if a patient is fully recovered from a concussion. However, with advancing technology, exciting new imaging is being created that may be available to allow us to see how brain functionality is affected by mild trauma.
How do I recognize a concussion?
Contrary to popular belief, most concussions occur without a loss of consciousness. Symptoms can be subtle. These include headache, nausea/ vomiting, dizziness, blurred vision, confusion and feeling groggy. A coach or parent may notice the athlete moves clumsily, appears dazed, cannot concentrate or follow instructions, answers questions slowly, has personality changes, and cannot recall events prior to or after the injury.
What should we do if a concussion is suspected? Immediately remove the athlete from play. The athlete should promptly be evaluated by a health care professional, and they should abstain from play until they are symptom-free for at least one week. An athlete can feel better in less than
Visit www.TomsRiverXray.com As always, contact our office where our staff will be more than happy to assist you.
About The Author...
Dr. Cyrus Khorrami is an Ocean County native who attended kindergarten through twelfth grade 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 Ricer to work with his family as Medical Director of Toms River X-Ray, CT, and MRI Center.
732-244-0777 • PET/CT • Diagnostic X-Ray • Ultrasound • Digital Mammography • CT Scan • Nuclear Medicine • High Field Open Bore MRI • Bone Densitometry
Deer Chase Professional Park • 154 Route 37 West • Toms River, NJ 08755 Cyrus Khorrami, M.D.
www.TomsRiverXray.com5
EXPERIENCE & EXPERTISE you can count on.
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January/February 2016
Tel: 732-244-0777 • Fax: 732-244-1428
5 The County Woman Magazine
PARVIZ KHORRAMI, M.D. Founder CYRUS KHORRAMI, M.D. Medical Director PARVIN MOTEMADEN KHORRAMI, M.D.
Medical Professionals
P
27
Understanding Prostate Cancer
rostate cancer is the most common non-skin cancer in America, affecting 1 in 7 men. Approximately 233,000 men were diagnosed with prostate cancer in 2014, and more than 29,000 men died 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 statistics 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, however, 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.
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 increases. Approximately 1 in 10,000 under the age of 40 will be diagnosed; the majority of prostate cancer is found in men 65 or 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 curable is prostate cancer?
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?
RISK FACTORS FOR PROSTATE CANCER Race, age and family history all affect the In the earliest stages, most men with prostate likelihood of a man being diagnosed with the cancer will not experience any symptoms. Some disease. HOWELL Parvez Mahmood, MD, FACS 2364 Route 9 South Howell, NJ 07731 Mukaram Gazi, MD, FACS
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HAMILTON 1374 Whitehorse Hamilton Square Rd. Hamilton, NJ 08690 TOMS RIVER 20 Hospital Drive Toms River, NJ 08755
609-581-5900 www.UUANJ.com
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.
How do you screen and treat prostate cancer?
We screen for prostate cancer by doing a prostate-specific 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.
Visit www.UUANJ.com
University Urology Associates of New Jersey was established in 2003 and it 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, and treatment.
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January/February 2016
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Professional Dentistry
Professional Dentistry
The www.TheCountyWoman.com TheCounty WomanMagazine Magazine www.TheCountyWoman.com CountyWoman Woman Magazine
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September/October January/February 2016 March/April2015 2015
Medical Professionals
Treatment for Life-Threatening Brain Aneurysm Has Patient Law Back on Her Feet in No Time
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DOCTOR’S HealthORDERS &Wellness Avoid Bridges and Tunnels
Elder Law
Maureen Myers went back to work in the Food Services Department at Manasquan There’s no need to travel to a big city to see a top High School just four after surgery.ntertainment Tweeks heater &E
After the summer, Maureen Myers couldn’t wait to get back to making lunches and manning the cash register as a member of the Food Services Department at Manasquan High School. She’s been working there for 17 years and adores her job.
Her excitement for starting the new school year was dampened over Labor Day weekend. Maureen wasn’t feeling well and soon found herself in Brick Hospital’s emergency room with multiple heart exams being done. All tests were negative – and she was released with the diagnosis of an ulcer. A few days later, she still didn’t feel right … plus now she had a terrible headache.
Education
Maureen went back to the hospital where a CT scan of her head revealed a large brain aneurysm. Immediately, she was transported by ambulance to Jersey Shore Medical Center knowing it could rupture at any moment. Within a few hours, Dr. Pinakin Jethwa, a neurosurgeon at Atlantic NeuroSurgical Specialists (ANS), and his team were operating on her. “Maureen had a large aneurysm located just behind the left eye,” explains Dr. Jethwa. “An aneurysm is a ballooning of a blood vessel, similar to a bubble on a tire. When an aneurysm this large causes a severe sudden headache, as it did in Maureen’s case, you worry that is has ruptured or is about to rupture. It is essential to get that aneurysm treated right away before bleeding occurs. Traditionally, the treatment was open surgery where we remove the skull and close off the aneurysm with a metal clip. Thankfully, today we have another, minimally invasive, option called coiling.”
neurosurgeon. Now, there’s a nationally renowned expert right here in Neptune.
Fine Art Photography Dr. Pinakin Jethwa, one of the few neurosurgeons nationwide trained in both complex and minimally invasive spine and endovascular surgery, has joined Atlantic NeuroSurgical Specialists (ANS). ANS, New Jersey’s largest neurosurgical practice, offers cuttingedge treatment options with unparalleled expertise.
So if you’re looking for a vascular, tumor, or spine neurosurgeon, don’t look any further than your own backyard.
Business &Finance For more information about Dr. Jethwa and ANS, visit www.ansdocs.com or call 732.455.8225. Not sure about your insurance coverage? We can help! Ask to speak with our insurance counselor.
Luckily, Maureen’s aneurysm could be treated with coiling. Dr. Jethwa was able to take a catheter from an artery in her leg up to her brain. He was able to place this very small catheter inside the aneurysm and packed it with coils to block it from the inside. Maureen and her family were amazed. There was no head shaving. No need for longterm medication. No visible scars. It was as if nothing had happened. “It took a few weeks to recover completely, and when I returned to work, my colleagues couldn’t believe anything had been wrong with me – let alone the fact that I had been through five hours of surgery,” Maureen shares. “I feel great, and I owe that to Dr. Jethwa; Dean Barone, a physician assistant at ANS; and the Jersey Shore team. They were all reassuring, kind, compassionate, and patient. In fact, the last time I was in the office, I had a clean CT scan. I was so excited – and so grateful – that I hugged Dr. Jethwa. It was the only way I knew how to thank him!” For more information on life-saving treatments for brain aneurysms and ANS, 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 781 Route 15 South Jefferson, NJ 07849 973.729.0266
MCW/OCW December Doctor’s Orders V2 (Jethwa) #1234.indd 1 www.TheCountyWoman.com The Magazine County Woman Magazine www.TheCountyWoman.com The County Woman
310 Madison Avenue Suite 300 Morristown, NJ 07960 973.285.7800 Glenpointe Centre Atrium 400 Frank W. Burr Blvd. Teaneck, NJ 07666 201.530.7035 www.ansdocs.com
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D
Become Yourself Again: New Laser Therapy For Women maintain its natural protective barrier and reduces the risk of infection. One simple treatment lasting only a few minutes, without pain, side effects or recovery time, can give the tissue the tone and elasticity it once had, with positive effects on one’s quality of life and personal relationships. Percentage of improvement after three MonaLisa Touch® treatments:
Do you suffer from vaginal discomforts? Vaginal discomforts as dryness, burning, urinary incontinence can occur during pre-menopause or after childbirth. The main cause is often atrophic vaginitis: a disease that can adversely affect your life and the relationship with your partner. Around 17% of women aged 18-50 experience problems with vaginal dryness during sex, even before the menopause takes place1. What is vaginal atrophy? Vaginal atrophy, also known as atrophic vaginitis, is an uncomfortable condition that many women suffer from in silence. For those who find current treatment options for this condition to be ineffective, the FDA recently approved a new procedure, MonaLisa Touch®, to combat this problem. Vaginal atrophy is often caused by hormone changes associated with menopause, but may also occur in women who experience decreased estrogen production due to cancer or breastfeeding. It is characterized by thinning, drying, and inflammation of the vaginal walls and causes intercourse to be painful and may also contribute to problems with urination.
How can Mona Lisa Touch® help? MonaLisa Touch® is a functional vaginal rejuvenation treatment based on a special fractional CO2 laser, specifically created for the vaginal mucosa. MonaLisa Touch® prevents and resolves estrogen drops in the vaginal tissue (typically occurring during menopause or after childbirth) by re-activating the production of new collagen and reestablishing the conditions that the vaginal mucosa once had. MonaLisa Touch® is now the most effective non-surgical and non-pharmacological solution for preventing and treating vaginal atrophy and its af-
ter-effects, which many women suffer from during menopause and after childbirth. What does the procedure entail? The CO2 laser gently acts on the vaginal walls through a special scanner, creating indistinguishable micro-lesions that are required for triggering a neocollagenesis process (production of new collagen) and reorganizing and re-equilibrating the components of the vaginal mucosa. The laser’s action therefore safely and painlessly reactivates and reestablishes the proper function of the relative urogenital structures while also improving the symptoms associated with urinary dysfunction (mild incontinence due to stress). A tissue regeneration process lasting numerous weeks is triggered, but stimulation occurs immediately and significant improvements can be seen even after the first treatment. What are the expected results from MonaLisa Touch® treatments? The mucosa tissue thus becomes more nourished and hydrated and the epithelium becomes thicker, more toned (vaginal tightening) and elastic. It also reestablishes the correct vaginal pH, which helps
LAXITY:
54.22%
DRYNESS:
74.16%
IRRITATION:
65.39%
DYSPAREUNIA:
63.53%
*Courtesy of Prof. S. Salvatore – Hospital San Raffaele, Milan (Italy) Source: 1 Laumann EO et al. Sexual Dysfunction in the United States. Prevalence and Predictors. JAMA 1999; 281(6): 537-544
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January/February 2016
Medical Professionals
31
Have You Been Told You’re Not A Candidate For Dental Implants? If So… Come And See Dr. Banks—There May Be A Solution For You! What are the main reasons that patients are told they can’t have dental implants? Dr. Banks: Most patients who come to me for second opinions regarding dental implant surgery have been told they can’t have dental implants because they “don’t have enough bone.” Many of these patients don’t have enough bone at the time of that appointment, but if they are willing to undergo a minor or major bone grafting procedure first, they can become a candidate for dental implants.
What does “bone grafting” mean?
Dr. Banks: In a nutshell, bone grafting means to take bone from one source, and to graft that bone, or place it, into an area where there is a bone deficiency. This may be done for many reasons; for example, to reconstruct the jaw when a large portion of bone is removed in the treatment of pathology (e.g., cancer, cysts or tumors) or in the event of a traumatic injury, or a congenital (birth) condition such as cleft lip and palate.
How does this relate to dental implant surgery?
Dr. Banks: Sometimes when a patient has bone loss due to longstanding periodontal disease, bone grafting done at the time of tooth extraction can replace or restore the height and width of the bone. Once the bone graft has healed, then dental implants can be placed. Sometimes, when a patient is missing teeth for a long time, the bone of the jaw undergoes a process called atrophy. This means that the size and bulk of the jawbone in the area where teeth are missing is diminished over time. Bone grafting on the lower ridge, also called “guided bone regeneration,” will correct that problem. In the upper jaw, sometimes the sinus will dip down into the area where teeth are missing. This is routinely corrected with another grafting technique called a “sinus lift” procedure. Grafting the tooth extraction’s socket at the same time as the tooth extraction procedure can even prevent bone atrophy.
How do I know if I need bone grafting? Dr. Banks: When you come in for your consultation,
I will examine you and review your medical and dental history. We may perform a 3D dental cone beam scan. Using a virtual implant planning software, I will show you right then where implants would be ideally located in your jaws, and any bone grafting that would need to be done to make that happen. Also I will be able to show you the neighboring teeth, sinus cavity, nerves, or any other structures that we need to consider in planning the best treatment for you. Then I will be able to discuss your options so you can make the best choice for your treatment goals, lifestyle, and I hate to say it, but your pocketbook.
Ridge Bone Grafting
Bone Loss Due to Missing Teeth
Is bone grafting painful?
Dr. Banks: Most bone grafting procedures can be performed safely and comfortably in the office setting with intravenous sedation or general anesthesia. That way, anesthesia medications as well as local anesthesia (numbing the gums and bone) assure our patients a very comfortable procedure. Minimal to moderate swelling and some discomfort can be expected for a few days afterwards, and our patients are treated with comprehensive medication protocols to manage their post-treatment phase.
Bone Grafted to Replace Lost or Deficient Bone
Are there alternatives to grafting?
Dr. Banks: Yes, there are implant options other than traditional implant. There are narrow diameter implants that may be used in some situations where the jawbone is thin. In the past these implants were called “mini implants” and were intended for temporary use. The modern narrow diameter implants are now approved for permanent use. There are also short body implants that may be used in some situations. These implants can be used in certain patient situations where the bone height is too short for conventional implants. If you have been told that you are not a candidate for dental implants, please see Dr. Banks. With extensive training, expertise and experience in bone grafting and dental implant treatment, she has the solution for you!
“Sinus Lift” Bone Grafting
Visit www.drbanksoms.com Kathy A. Banks, DMD
Kathy A. Banks, DMD Practice Limited To Oral & Maxillofacial surgery 249 S. Main Street, Unit 4 Barnegat, NJ 08005
609-488-2325
Fellow of The American Association of Oral & Maxillofacial Surgeons Diplomate of The American Board of Oral & Maxillofacial Surgery Specialty Permit #4070
kbanks@drbanksoms.com The County Woman Magazine
www.TheCountyWoman.com
January/February 2016
Medical Professionals
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Are You Tired Of Sinus Pain And Pressure? Did you know that sinusitis affects 37 million people each year, making it one of the most common health problems in the U.S.? It is more prevalent than arthritis and hypertension and has a greater impact on quality of life than diabetes or congestive heart failure. Symptoms may significantly affect people physically, functionally and emotionally. What are the sinuses? Sinuses are air-filled pockets in the areas surrounding the nose. There are four groups of sinuses on either side of your face. What is Sinusitis? Sinusitis is an inflammation of the sinus lining tissue cause by bacterial, viral or fungal infections. Allergies may also contribute to sinusitis. When there are anatomic obstructions, or when the sinus openings shut, normal mucous drainage is blocked and infection and inflammation develop within the sinus. Over the past year, the approach to treating patients with sinusitis has changed. Now, treatment can include Balloon Sinuplasty. What is Balloon Sinuplasty? Balloon Sinuplasty is a breakthrough procedure that relieves the pain and pressure associated with chronic sinusitis. It is used by surgeons to safely and effectively treats chronic
sinusitis patients who are not responding Balloon Sinuplasty well to medications such as antibiotics, nasal Stages steroids, or over-the-counter (OTC) drugs, and are seeking relief from uncomfortable and painful sinusitis. Similar to how angioplasty uses balloons to open blocked arteries, Balloon Sinuplasty, a system of FDA-cleared, catheterbased instruments, opens blocked sinuses. This procedure is less invasive than traditional sinus surgery. It allows most patients to return to normal activities quickly. How is Balloon Sinuplasty performed? The majority of Balloon Sinuplasty is performed under general anesthesia in an outpatient setting, however, some surgeons are choosing to treat certain patients in their office under local anesthesia. The reported complication rate for Balloon Sinuplasty is low. Is this procedure painful? In select patients, Balloon Sinuplasty may be performed in the office under local anesthesia. Local anesthesia is first applied via cotton applicators inserted in the nose. Injections of local anesthesia follow, but the majority of patients have no discomfort due to already being “numb.” Post-procedure pain medicine is provided but few patients use more than two doses. Patients who suffer from chronic sinusitis and are not responding well to medications may benefit from seeing an Ear, Nose, and Throat (ENT) physician who performs Balloon Sinuplasty to determine if the procedure is right for them.
1
Stephen Kupferbuerg, MD, FACS
3
Christina Gillespie, MD
Ocean Otolaryngology Associates, P.A. 54 Bey Lea Road Suite 3 Toms River, N.J. 08753 61 Lacey Road Whiting, N.J. 08759
Testimonial:
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Dr. Bruce Peters is a board certified Otolaryngologist who established his practice in Ocean County in 1997. A graduate of Philadelphia College of Osteopathic Medicine and residency at Thomas Jefferson University Hospital, Philadelphia, Dr. Peters then completed his Fellowship in Facial Plastic Surgery at the University of Miami Hospital. He specializes in functional and cosmetic nasal surgery, sinus surgery, thyroid surgery and skin cancer surgery. Dr. Peters is a member of the American College of Surgeons, the Academy of Otolaryngology, Head and Neck Surgery, the Academy of Facial Plastic Surgery and the N.J. Academy of Otolaryngology. He resides in Wall, N.J. with his wife and two daughters and enjoys golf and fishing in his leisure time.
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Having suffered with chronic sinusitis for years, I was advised by Dr. Peters I needed nasal surgery. Being 79 years of age, I was a bit reluctant and, truly, not looking forward to the surgery. The ease and convenience of having Balloon Sinuplasty performed in Dr. Peters’ office lessened any anxiety I had. I was very pleased with the outcome and had no complications. I am very grateful for the care and service I have received from Dr. Peters and his wonderful staff. Blessings, Rev. Lorraine Merritt
Bruce W. Peters, DO, FACS
732-281-0100
www.OceanENTFacialPlastics.com 4
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Hair Designs
Hair Designs
33
Real Solutions From Hair Loss To Hair Design At Abstrax Hair Services Let our experienced stylists cater to your distinct hair type, facial shape and life style! During your visit we will teach you how to obtain the salon finish look everyday and recommend products for your daily, at home maintenance. The hair industry is a visual art form. Please feel free to bring pictures, magazine clippings, and any other examples to aid your stylist in grasping your vision. Other helpful hints include a description of your lifestyle, job requirements, and the amount of time you allot for daily care. HAIR EXTENSIONS Abstrax Hair Designs and their professional staff have over 20 years of experience in hair extensions. Hair extensions are perfect for adding more length, fullness, volume, body, highlights, lowlights, fixing a bad hair cut, growing out bangs or just driving your boyfriend crazy! Look like the celebrities with great natural hair extensions. We use the “Great Lengths,” bonding method. We’ll start with the consultation to determine what look you would like to achieve with the extensions. Remember to ask us all of your questions regarding extensions. We want you to have a clear understanding of all the benefits of extensions. The method of bonding your hair extensions is attaching the extension to the base of your own hair using natural proteins to bond the extensions in place! This special technique used in this process allows the extensions to be attached higher on your hair shaft, which results in healthier, more natural flow of your hair.
A VARIETY OF HAIR REPLACEMENT AND WIGS Abstrax Hair Designs offers many styles of hair replacements and wigs. Our hair replacement systems are individualized to satisfy your specific needs and desires. Services are offered with compassion and integrity to ensure your confidence and trust. In addition, Abstrax also offers a selection of wigs at reasonable prices. Wigs are available in silky straight, curly, multidirectional, layered, and much more! The professionals at Abstrax feel the more natural you look, the better you’ll feel not only about your appearance, but yourself, too, which is why they are meticulous with the maintenance and styling of your hair.
Visit www.abstraxhairdesign.com
What is Theradome? IN THE WORDS OF THE EXPERTS: Laser hair therapy, the most powerful
and effective treatment for hair restoration, is exploding on the market with the introduction of Theradome. With its revolutionary technology, four out of five hair rejuvenation experts such as Bosley, Hair Club and other prominent medical clinics and high-end salons recommend the FDA-cleared Theradome LH80 PRO from all around the world. Multiple clinical trials prove that our powerful helmet is one of the safest and most effective hair loss solutions amongst all other medications.
How does it work?
The Theradome™ LH80 PRO brings you advanced technology to enjoy from the comfort of your own home. Unlike Light Emitting Diodes (LEDs) devices, our laser light targets the stem cells at the base of hair follicles. This allows the
formation of a new photonic pathway that can restore hair to a healthy state. Our one-of-a-kind laser helmet was engineered based on four crucial scientific criteria, which together provide the most powerful and efficacious laser hair therapy out on the market.
What to expect?
Good things come to those who wait. When it comes to achieving the thicker, luxurious hair* you’ve been dreaming of, a little patience will go a long way. While not an overnight solution, the process couldn’t be simpler. All it takes is a commitment to using your Theradome helmet twice a week for just 20 minutes. You are taking the best action possible against hair loss with the next-generation Theradome LH80 PRO. Results may vary from person to person.
www.TheCountyWoman.com The www.TheCountyWoman.com TheCounty CountyWoman WomanMagazine Magazine
January/February May/June2016 2015
Health
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&Wellness
Live Healthy In 2016 With The Help From Ideal Body Revolution
M
An Ideal Protein Weight Loss Management Center What you will learn:
ost dieters know weight loss is possible given adequate motivation and guidance. However, according to the National Institute of Health, there is a strong tendency to regain weight after dieting. This is why Ideal Protein is a comprehensive weight loss method – “Not just a diet, a lifestyle change!”
The Ideal Protein Difference
• How your body fat is burned • The relationship between insulin and weight gain • Which foods are best suited for healthy weight management • When, why and in what combination to eat carbohydrates, fats and proteins • And…. much more!
A Program Designed For You!
Maintaining a stable weight after dieting often requires changes to your lifestyle habits. This is why Ideal Protein strongly emphasizes education and understanding. You must learn to eat “smarter” or risk regaining your lost weight. Therefore, when you begin the program you will be assigned a personal weight loss coach. Your coach will assist you through each of the four phases of the Ideal Protein method. In Phases one and two your coach will help you set your weight loss goals and support you on the journey. In phases three and four your coach will shift focus to weight stabilization and post diet living, teaching you weight maintenance habits that may assist you in keeping the excess pounds off after dieting. Health & Wellness
For more information, Call our office at 732-349-4994.
The wellness and weight loss program that my office offers is a medically designed protocol that results in fat loss while sparing muscle. Our method helps to control carbohydrate cravings and stabilize blood sugar by controlling the amount of carbohydrates that your body consumes. Benefits include improved sleep, better mobility, reduced joint pain, and much more! It is also an excellent support for cellulite reduction! We will teach you about the three types of food that affect your weight—those that cause weight gain, those that do not, and those that can prevent you from losing weight. You will also add our protein-based foods, which consist of high biological value proteins, to build complete meals. Weight loss is quick and permanent, if you follow our recommendations during maintenance.
Dr. Deborah Camiscoli
Ideal Body Revolution Center A Weight Loss Management Center
Start 2016 with a Healthy Lifestyle! Coastal Healthcare - Internal Medicine 1314 Hooper Ave., Bldg B 2B Toms River. NJ 08753
Angela Adelizzi, DO Deborah Camiscoli, MD Christine Gigliuto, MD 732-349-4994 #5 Coach Kristen Email: kacosta@coastalhealthcareNJ.com
Now Is The Time To Tend To Your Skin At Simply Skin our staff of professionals have come to the conclusion that an Ultimate Hydrating Facial and a 50-Minute Swedish Massage is just the antidote for cold weather! Let us help you with rehydrating your facial skin and at the same visit, we will untie those kinks out of your muscles. Sound good? For a limited time, we are offering a special price of $180. No memberships necessary. Just give us a call to book your appointment. Our estheticians and massage therapists have many years of experience in professional skincare and massage. We promise to take good care of you and/or someone you love. We can also help end the confusion as to what to use at home for your skin. Ask your esthetician for her assistance. We have quality products. Products that work!
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Please call Simply Skin at 732-505-9448 to make your appointment.
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January/February 2016
Medical Professionals
Law
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Health &Wellness Elder Law
Theater &Entertainment
Fine Art Photography Education
Business &Finance
www.TheCountyWoman.com The Magazine County Woman Magazine www.TheCountyWoman.com The County Woman
January/Feb January/February 2016
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36
Endometriosis and Infertility What is endometriosis?
Endometriosis is a condition where tissue normally located in the uterus is abnormally found elsewhere in the abdomen. It affects women primarily from the late teenage years to the time of menopause. Classically, endometriosis is responsible for much of the chronic pelvic pain symptoms in women of reproductive age, and a common cause of infertility. Although the exact cause is unknown, evidence supports a genetic predisposition to developing endometriosis.
What are the symptoms?
Women with endometriosis often experience painful periods and pelvic pain varying from a mild annoyance to severe debilitating pain. It is estimated that endometriosis may be present in up to a third of reproductive-age women with pelvic pain, and up to 40% of women presenting with infertility.
How is endometriosis diagnosed?
A detailed medical history, physical exam, and pelvic ultrasound are common components in the workup of a patient with suspected endometriosis. Medical history may be consistent with painful menstrual periods, including pain with intercourse and pain when having a bowel movement or voiding. Ovarian cysts can be found on ultrasound that may or may not be symptomatic. A definitive diagnosis is based on surgical exploration of the abdomen, with visual evidence of endometriosis.
Pictured (L-R): Drs. Mann, Ziegler, and Martinez
What causes endometriosis?
Although the exact cause of endometriosis is unknown, this benign disease is thought to arise from menstrual fluid that backflows from the uterus into the fallopian tubes and enters the abdomen. Another likely factor is cellular changes that create endometriosis implants in the abdomen, or that an altered immune system response allows these endometriosis cells to successfully survive and grow outside of the uterine cavity.
How does endometriosis affect my chances of fertility?
Women with endometriosis have a strong association with infertility. It is estimated that between 20 and 40% of infertile women have endometriosis, and that the extent of infertility is directly associated with the severity of disease.
What are my treatment options?
At the Reproductive Science Center of New Jersey, we are available to answer your fertility questions, perform a complete fertility evaluation, and present you with individualized options for conception, all in a comfortable and caring setting. Our patients are made to feel like guests in our home. We are a full-service fertility center experienced in all the latest technologies and look forward to helping you achieve success. Reproductive Science Center of NJ has three locations: Toms River, Eatontown, and Lawrenceville. Our center offers convenient hours along with Free Phone Consultations and Free Second Opinions.
Visit www.FertilityNJ.com
Treatment of endometriosis depends on the clinical symptoms, which include pelvic pain and/or infertility. Medical treatment includes the use of anti-inflammatory medications or oral contraceptives in those women with mild symptoms not desiring pregnancy. Medications that decrease the production of estrogen in the body are also being utilized to treat this disease. Although medical therapies address the symptoms, they do not provide a measurable benefit regarding fertility. Therefore, on a case-by-case basis, surgical treatment may be beneficial in restoring ovarian and fallopian tube anatomy, and to remove endometriosis implants. Fertility treatments may often be required to achieve pregnancy. Endometriosis can affect many facets of a woman’s health. It is important that patients be educated about the implications of this condition, and that proper evaluation and care is implemented by their provider.
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LIVES OF
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A world-premiere play by Two River Founder Robert Rechnitz and Kenneth Stunkel. Set at an English Department faculty party, Lives of Reason brings audiences inside the world of academia — and what happens when one woman’s secret passions explode. Lives of Reason is directed by Jonathan Fox, the former Artistic Director at Two River and now the Executive Artistic Director of the Ensemble Theatre Company of Santa Barbara.
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Dr. Sumy H. Chang Shares Perspective New ACS Health on &W ellness Mammography Guidelines About Barnabas Health Medical Group Law
The American Cancer Society (ACS) recently released new guidelines about how often women at average risk for breast cancer should be screened. Fellowship-trained Sumy H. Chang, MD, FACS, a board-certified general surgeon dedicated to breast health, provides perspective to help women make sense of the new guidelines. A member of Barnabas Health Medical Group, in partnership with Community Medical Center, Dr. Chang provides Ocean County women with access to the latest prevention, detection and treatment options for breast-related issues – including breast cancer. She is also affiliated with the Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center in Long Branch. According to Dr. Chang, the ACS guidelines have made it more confusing for women and their providers. Now, women need to understand their risk. If women don’t know their risk and aren’t proactive in their own health care they may not follow any guideline. The risk is not just about their family history, it’s whether they’ve taken hormones in the past, have ovarian and other cancers in
Elder Law
Theater &Entertainment their family and more. Although these guidelines are for average risk women who have no family history of breast or ovarian cancer, the highest risk of breast cancer is being a woman and having breast tissue.
The new ACS guidelines recommend women with an "average risk" of breast cancer should start getting regular annual mammograms starting at age 45. Previously, the ACS suggested age 40. Dr. Chang: I disagree with this recommendation and feel that women at “average” risk for breast cancer should have mammograms starting at age 40. Why? Because mammography is still the best screening tool available to detect cancer. While mammograms aren’t 100 percent accurate, it doesn’t
Education
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
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.
mean we should stop using them. Mammograms help detect cancer at an earlier stage, when it’s the most treatable. The bottom line: in larger breasts, if you don’t screen women, you will detect cancer at a later stage which requires higher chemotherapy doses for patients, and possibly a different outcome. While ACS’s viewpoint is certainly starting the conversation, it’s putting our heads in the sand. I’m concerned that patients with a risk calculation of 12 – 20% - who are considered higher risk, but not high risk - may fall through the cracks following a false sense of security thinking they don’t need annual mammograms and don’t need to start until age 45. They may be the ones whose diagnosis would be affected by changes in these guidelines.
ACS recommends women 55 years and over should get mammograms every two years after turning 55. Dr. Chang: This concerns me as I find the majority of my patients end up getting mammograms every year and a half – rather than every year – just because they are busy with life and lose track of time. To set the mammogram to every two years may turn into three years. In one analysis, the United States Preventive Services Task Force concluded that mammography reduced breast cancer related death among women 40 to 74 years old with a greater benefit in women greater than 50. This clearly shows the importance of yearly mammograms in this age group.
Fine Art Photography
The ACS does not recommend breast exams, either from a medical provider or self-exams. Dr. Chang: This is a “bury your head in the sand” reaction. People get maintenance checks for their cars even if there aren’t any problems. To tell women not to be familiar with their bodies makes no sense. As a medical student, we spend so much time learning how to get history and physical exam from a patient. In fact, the majority of diagnoses are made after a patient’s history and physical exam. If a patient doesn’t conduct self-exams, we cannot tell if the breast issues are new, how long they’ve had it for or if any changes occur with their menstrual cycle. This may lead to more women finding lumps that are larger. We have to resort to tests to keep track of patients rather than patients keeping track of their own symptoms. When a patient doesn’t know if something is new or not, it can escalate the testing we have to do. Patients need to be vigilant about changes in their body - not just their breasts.
Business &Finance
ACS also worries about a higher false-positive rate in younger patients that may lead to unnecessary biopsies and other tests which ultimately lead to more anxiety. Dr. Chang: I find the contrary as the risk of death has decreased by about 30% since we started performing screening mammograms and have changed our chemotherapy. It is estimated that 20% reduction in death is due to screening mammograms. As women undergo screening and testing, they need to know there will be false positives and benign biopsies. Therefore, it is very important to educate women that the radiologists who interpret these mammograms are just as important as the technology. At Barnabas Health affiliated facilities, our radiologists are dedicated to reading mammograms, breast ultrasound and breast MRI.
www.TheCountyWoman.com The Magazine County Woman Magazine www.TheCountyWoman.com The County Woman
January/Feb January/February 2016
Law
38
Have An Estate Plan? Great! However, You Need To Follow Through Written by Christine L. Matus, Esq.
O
ne of the most common mistakes people make in estate planning is that they finally create a complete, thorough, highly advantageous estate plan-and then forget to follow through and put it all into effect. It’s not uncommon for people to have detailed documents drawn up, and then not get around to signing them. Or they create a trust, but forget to transfer assets in order to fund it. Or they decide whom to name, as beneficiaries of their IRA, 401(k), bank and brokerage accounts-and then don’t fill out the paperwork to make the change. A recent case involved Allen Kagan, a Minnesota pharmacist who had a $415,000.00 life insurance policy through his employer. Allen died of a sudden heart attack, and was survived by his new wife, Arlene and three children from a previous marriage. The life insurance policy said that if Allen didn’t name a beneficiary, then by default the beneficiary would be his wife-Arlene. The children claimed that Allen and Arlene “fought constantly” and had sought marriage counseling. Shortly after Allen’s death, the children found a form on which Allen had designated the children as the life insurance beneficiaries, and cut out Arlene. Allen had signed the form-but he hadn’t submitted it to the insurance company before he died.
The case went all the way to a federal appeals court, which sided with Arlene. Although the signed form suggested that Allen had intended to change his beneficiary, he never followed through, the court said. Because Allen never submitted the form, the court couldn’t assume that he had fully made up his mind to do so. Therefore, Arlene got the money. The bottom line is that the best estate plan in the world isn’t worth the paper it’s printed on if you don’t follow up and take the necessary steps to make it a reality.
Visit www.MatusLaw.com
Do you have someone in your life with a Disability? are they financially protecteD?
About Christine...
Christine L. Matus, Esq. is an Economics graduate from Rutgers University and continued her education at Touro Law School, where she has been helping people protect assets for special needs children and conduct smooth real estate for over almost two decades in Toms River, NJ. She is an active member of the Filipino American Cultural Development Center of Toms River and a legal advisor for the Filipino American Medical Society as well as the Philippine Nurses Association of Ocean County.
The Matus Law Group is here to help! • Special Needs Trusts • Wills & Estate Planning • Guardianships • Health Care Proxies
• Long Term Care • Powers of Attorney • Inheritance Tax Planning • Trusts
81 East Water St. Suite 2C • Toms River, NJ, 08753 Tel: (732) 281-0060
www.MatusLaw.com5
5
Christine L. Matus, Esq.
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732.255.7155 • www.oceanplasticsurgerynj.com
The County Woman Magazine www.TheCountyWoman.com
January/February 2016
Featured On The Cover
39
A Lawyer With a Heart of Gold
(732) 281–0060 www.matuslaw.com
Christine Matus with her husband Steven and their two daughters, Emma, 8-years-old, and Juliana, 6-years-old.
Christine Matus is an attorney that cares an awful lot about the relationships she has with her clients. Her practice helps protect the assets of those families who have loved ones with special needs. She does this in two areas: estate planning and real estate. “I have always had a desire to help those who can’t help themselves,” she adds. This area of the law was a perfect fit for her, as she is the proud Mother to two beautiful daughters, one who was born with Down syndrome. She became focused on helping other families with special needs children by sharing the information she has gathered in an effort to make their lives a little bit easier. Assisting families’ plan for their future is what she does best. After Christine helps her clients create a plan she follows up and calls them regularly. She adds, “We invite our clients to workshops, outings and provide the latest news via our newsletters.” OCW: What is the most rewarding part about your profession? Christine: I love to see the relief we bring to families when we create a plan that gives them peace of mind and security. OCW: How did you become interested in Real Estate? Christine: My parents exposed me to the buying, selling and renting of property early in my childhood. Although my father was a physician and my mother a nurse, they both liked investing in property. They would often take me along during their transactions whether it was negotiating terms or interviewing a prospective tenant. In fact, when I was just 18 years old they left me in charge of their property while they went on vacation. As luck would have it, one tenant called because of a backed up sewer and another one called about a broken furnace. Talk about trial by fire! OCW: What is the most challenging part about your field? Christine: The most challenging part is making sure we address as many issues as possible for our families. We may not have all the answers with the changes in real estate and special needs planning, but we make sure to find those answers for our clients. OCW: What are the most common issues you see in your profession? Christine: I see a great deal of procrastination when trying to help families with estate planning. It can seem overwhelming or just morbid talking about death and dying, but if you have a special needs child, you cannot delay. If something happens to you, isn’t it better to know that your loved ones will be taken care of? They will be so thankful for your foresight and wisdom to protect them in the long run instead of wishing you did things differently. OCW: What are some common misconceptions about your area of the Law? Christine: A common misconception is that attorneys don’t have the time to explain the information to the client. A majority of lawyers that I know, and especially our firm take the time to make sure our clients are heard and they understand our solutions. OCW: How does your experience having a child with disabilities affect what you do in your practice? Christine: As a mother of a special needs child, we live in a land of extremes. There is an indescribable high we get when our child accomplishes a goal like saying a two-syllable word or walks up and down the stairs with little, or no help. Then, there are the lows that hit when you start worrying about the future or their progress. I can honestly say to a parent or guardian, “I know what you’re going through” and help them with the tough issues. OCW: How do you balance your career with motherhood? Christine: I am so grateful for my family support system. My husband is patient and supportive with not just me, but with both of our children. I am also grateful that my parents are so involved in our lives. They know the children’s schedules better than I do and help me concentrate on my clients when I am at work so I do not have to worry about what is happening at home. Christine has been practicing law since 1995. She graduated with a degree in Economics from Douglass College, Rutgers University and then went on to study law at Touro Law School. She was awarded the highest grade for the Course on Mental Disability Law and was Senior Staff Member for the International Law Review. Recently, she was awarded Special Needs Lawyer of the Year by Corporate Live Wire. She and her husband Steven live in Ocean County and have two daughters, Emma, and Juliana.
The County Woman Magazine www.TheCountyWoman.com
January/February 2016
40
Medical Professionals
The Dreaded Bowel Preparation For A Colonoscopy… How Bad Can It Actually Be? Written by Jill Collier, MD Medical Director, Endoscopy Center of Toms River
Y
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. 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?
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.
Will I have to drink a nasty tasting laxative to prepare?
There are multiple methods to cleanse the colon and the majority doesn’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?
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 split dose prep. This allows you to have a solid breakfast the day before your exam and start your liquids at lunchtime. You will begin the laxative component of your preparation at 5 pm the day before the exam and you 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, you should realize that although the bowel preparation may not be the 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.
Visit www.GastroOfOcean.com
Jill Collier, MD, Medical Director, Endoscopy Center of Toms River
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 morningscheduled 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.
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.
The Endoscopy Center of Ocean County • The Endoscopy Center of Toms River
Patient Tesimonials:
“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 “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
Hospital Privileges at Community & Ocean Medical Centers
“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
The County Woman Magazine www.TheCountyWoman.com
January/February 2016
Medical Professionals
41
Meet the Doctors of Gastroenterologists of Ocean County Allan Cohen, MD
Doctor Allan Cohen is Board Certified in Gastroenterology. He attended Medical School at the SUNY Health Science Center at Brooklyn (formerly Downstate Medical Center) and completed his Internal Medicine and Gastroenterology training at State University-Kings County Hospital in New York. Doctor Cohen is highly skilled and has extensive experience and has performed over 30,000 gastrointestinal endoscopic procedures. Doctor Cohen served as Chairman of the Gastroenterology Subsection at Community Medical Center in Toms River, NJ. Dr. Cohen enjoys gardening, fine wines, and collecting sports memorabilia.
Jill Collier, MD
Doctor Jill Collier is Board Certified in Gastroenterology. She is a graduate of the University of Pennsylvania, where she was Phi Beta Kappa and Magna Cum Laude. She attended medical school at Mt. Sinai School of Medicine in Manhattan where she was elected to the honor society, Alpha Omega Alpha. Her medical residency was also completed at Mt. Sinai. Her Gastroenterology fellowship was completed at Montefiore Hospital/Albert Einstein College of Medicine in New York. She received extensive training in all aspects of Gastroenterology and has performed over 20,000 procedures. She has been chosen as one of “America’s Top Physicians” annually since 2007. Doctor Collier is currently Medical Director of the Endoscopy Center of Toms River . She was chairperson of the Division of Gastroenterology at Community Medical Center from 2010-2104. Doctor Collier and her husband Douglas have two children. She enjoys skiing, reading, travelling and being involved with her children’s activities.
Omar Tamimi, MD
Doctor Omar Tamimi joined Dr. Cohen in 1992. He is Board Certified in Gastroenterology. He is a graduate of Rutgers University and University of St. George’s Medical School. His medical training was completed at Seton Hall University, St. Joseph’s hospital, Patterson, NJ. Since completing his medical training he has performed over 25,000 endoscopic procedures and has vast experience in all aspects of the practice of Gastroenterology. Doctor Tamimi had been a member of the executive committee at Kimball Medical Center since 2003 and served as the Chief of the Medical Staff from 2007-2009. Doctor Tamimi and his wife Patty have three children with whom they are very involved. Doctor Tamimi enjoys outdoor sports, coaching Toms River Little League, vacationing and spending time with his family and is a big fan of Rutgers sports teams and Bruce Springsteen.
Edgar Bigornia, MD
Doctor Edgar Bigornia is Board Certified in Gastroenterology. He is a graduate of Brandeis University and attended Medical School at SUNY Health Science Center at Brooklyn (Downstate) in New York. His Internal Medicine training was completed at Albert Einstein College of Medicine and he served as a Chief Medical Resident at Booth Memorial Hospital. His Gastroenterology fellowship was at New York Medical College. He is the recipient of the Lawlor Award for the best scientific paper submitted by a fellow at the American College of Gastroenterology meeting. He previously practiced in Poughkeepsie, NY. He enjoys outdoor sports with his family. He listens to all types of music and relaxes by playing the piano and guitar.
Kenneth Glazier, MD
Doctor Kenneth Glazier is Board Certified in Gastroenterology. He graduated from the University of Michigan and Northwestern University Medical School. He completed his medical residency at Boston City Hospital and his training at Columbia University College of Physicians and Surgeons in Manhattan then Robert Wood Johnson Medical School in New Jersey. He has extensive experience in the treatment of Inflammatory Bowel Disease at the Crohn’s and Colitis Center of New Jersey and published a manuscript on the use of 6MP in treating Crohn’s disease. He is presently a Clinical Assistant Professor of Medicine at Rutgers-Robert Wood Johnson Medical School and joined the group after five years in private practice in the Marlboro-Freehold area. Doctor Glazier and his wife, pediatrician Kim Glazier, MD are the parents of two children. Dr. Glazier enjoys sports including golf and softball.
Call today to schedule your procedure in one of our tranquil and private endoscopy centers! We hope this enlightens you about the consultative gastroenterlogical services that we provide. We perform endoscopic procedures in the
473 & 477 Lakehurst Rd. Toms River, NJ 08755 732-349-4422
1617 Rte. 88 W. Brick, NJ 08724 732-249-4422
Jai Mirchandani, MD
Doctor Jai Mirchandani is Board Certified in Gastroenterology. He graduated from Johns Hopkins University and the University of Medicine and Dentistry-New Jersey Medical School. He completed his medical residency at the University of Illinois at Chicago, and his Gastroenterology training at New York Medical College in Valhalla, NY. He served as an attending physician and instructor at Maimonides Medical Center for three years, where he was the Director of Capsule Endoscopy, Director of the Colon Cancer Screening program, and the Assistant Program Director for the Gastroenterology Fellowship program. Dr. Mirchandani has presented half a dozen abstracts at the national gastroenterology meetings, and his work has won two awards at the American College of Gastroenterology. He is the author of a chapter published in “Curbside Consultation of the Pancreas”. Dr. Mirchandani and his wife, neurologist Lakshmi Nadiminti, D.O., are the parents of two young children. Dr. Mirchandani enjoys spending time with his family, listening to music, and is an avid sports fan.
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.
939 Lacey Rd. Forked River, NJ 08701 609-971-5949
355 Rte. 9 Bayville, NJ 08721 732-349-4422
7 Sherwood Dr. Lakewood, NJ 08701 732-367-3338
www.GastroOfOcean.com
The County Woman Magazine www.TheCountyWoman.com
January/February 2016
42
Education
Ocean County College Grant Helps Transform Students’ Lives
Looking to make your dream of earning a college degree come true? If so, Ocean County College can help you succeed! Ocean County College was awarded a $1.1 million TRIO Student Support Services grant from the United States Department of Education. The grant was renewed for five years and will be disbursed at $220,000 a year, totaling $1,100,000. You or someone you know may qualify for this exciting opportunity! The Student Support Services program provides academic support to Ocean County College students who are first generation, low-income, and/or disabled who also have academic need. A comprehensive program dedicated to increasing the academic success rate of students by providing support in an accessible and respectful environment, Student Support Services connects you with a staff member, who can help you with every aspect of being an Ocean County College student. Program benefits include personal, academic, and career coaching that encourage excellence and promote success through educational opportunities and the use of campus resources. This grant also provides much needed funding for tutoring, advice on course selection, information and assistance applying for financial aid and scholarships, economic and financial literacy activities, along with transfer services. In addition, program participants will have the opportunity to join in a variety of social and cultural activities (previous trips included The Bodies Exhibit and United Nations in New York City; the Franklin Institute, Independence Hall, National Constitution Center, and Reading Terminal in Philadelphia; and the National Aquarium in Baltimore). “We are very pleased with this renewal grant,” said Dr. Kate Pandolpho, Director of Career, Employment, and Personal Counseling at Ocean County College. “The College had the Student Support Services program from 2010-2015 and has had very positive results, increasing the persistence, retention, and graduation of students who have academic need. This $1.1 million renewal grant will go I’m struggling a long way in assisting these I’m confused in Math... students.” I hate writing about my Are you thinking about papers! degree... starting college? You may CAN YOU qualify for this program if RELATE? I want you meet any of the following I’m unsure a sense of eligibility requirements: Then we have the y about m community... program for you! • You are a first-generation future... student, meaning neither of your parents earned a bachelor’s degree; • You meet federal income A program guidelines; of Career, • Or you have a documented Employment, and Counseling physical, learning, and/or Services mental health disability. If you meet any of these eligibility requirements... You are a first generation student, or You meet federal income guidelines, or You have a documented disability... ...then contact us to take advantage of our free program benefits! Applications are available via phone, email, online, or in person. phone 732-255-0400 ext. 2352 • email studentsupportservices@ocean.edu web www.ocean.edu • office Main Campus College Center Rm. #103
JAN 10
John Pizzarelli
Tom Wopat
JAN 30
with Special Guest Bucky Pizzarelli
Broadway’s Next H!t Musical
FEB 6
FEB 12
Peter Yarrow
FEB 20
Home Free
FEB 26
MAR 18 Aaron Neville Duo
Renee Marie
Jan 10 Jan 30 Feb 6 Feb 12
______________ 2016 ______________
Tom Wopat John Pizzarelli Peter Yarrow Broadway’s Next H!t Musical Feb 20 Home Free Feb 26 René Marie Mar 4 De Temps Antan
Mar 16 Mar 18 Mar 19 Apr 2 Apr 8 Apr 16 Jun 3
Cameron Carpenter Aaron Neville Duo Buddy Holly Tribute The Skivvies I Am Ireland Salut Salon Adam Pascal & Daphne Rubin-Vega
For the complete 2015-2016 performance schedule, visit
grunincenter.org
Box Office Hours P Mon.-Fri. P 10:00am-5:00pm 732.255.0500 P College Drive P Toms River P NJ
TO CONTACT STUDENT SUPPORT SERVICES PROGRAM OR ON CAREER, EMPLOYMENT, AND PERSONAL COUNSELING AT OCEAN COUNTY COLLEGE
CALL: 732-255-0400, ext. 2945 or VISIT: www.ocean.edu.
The County Woman Magazine www.TheCountyWoman.com
The Student Support Services program provides academic support to Ocean County College students. January/February 2016
Medical Professionals
43
“ Why Did I Get Cancer, Doc? ” Submitted by Sarah J. Easaw, MD, FACP
T
h is is a question I hear at least once a day. Whether it is Mark,
who was diagnosed with leukemia at age 45, or Marge, who was diagnosed with colon cancer at age 80, or Mary, who was diagnosed with breast cancer in her thirties, they all have the same question, ultimately:
“Why me? Why did I get cancer? How long did I have it? What could I have done to prevent it?” The answer is not simple. Scientists have been researching for decades to find the answer to this question. In fact, there is no one simple explanation to why one person developed cancer, while another person in the same environment and genetic background may not develop it in his or her lifetime. But scientists have found links between certain things and the development of cancer. It is known that cancer is caused by changes in one’s DNA. DNA is a component of the nuclei in the cells. When the DNA is damaged somehow, it makes the cells multiply in abundant numbers. Usually, abnormal cells that are made in the body are destroyed by the body’s own defense mechanism, a process called ‘apoptosis’ or programmed cell death. When there is a defect in apoptosis, cells accumulate and become tumors. The damage to the DNA can be caused by several factors. There are some changes or mutations that are inherited and are present from birth, which can later make a person susceptible for cancer. Only a small percentage of cancers
develop this way. In the majority of cases, certain environmental factors play a major role. Some factors that play a role in the development of cancer are: • Lifestyle factors (nutrition, tobacco use, physical activity, etc.) • Naturally occurring exposures (ultraviolet light, radon gas, infectious agents, etc.) • Medical treatments (chemotherapy, radiation, immune system-suppressing drugs, etc.) • Workplace exposures • Household exposures • Pollution Substances and exposures that can lead to cancer are called carcinogens. Some carcinogens do not affect DNA directly, but lead to cancer in other ways. For example, they may cause cells to divide at a faster than normal rate, which could increase the chances that DNA changes will occur. Carcinogens do not cause cancer in every case, all the time. Substances labeled as carcinogens may have different levels of cancer-causing potential. Some may cause cancer only after prolonged, high levels of exposure. And for any particular person, the risk of developing cancer depends on many factors, including how they are exposed to a carcinogen, the length and intensity of the exposure, and the person’s genetic makeup. There are several substances that are proven to be carcinogens. Still others are felt to be involved with a high risk for cancer, but their role is not substantially proven. The International Agency for Research on Cancer (IARC) is a part of the World Health
Organization (WHO) that works on identifying causes of cancer. IARC classifies potential carcinogens into five different groups, depending on the level of evidence that links each to the cancer. Some of the known Group 1 carcinogens are: alcohol, afflatoxins, benzene, coal tar, hepatitis C virus, radioactive materials, tobacco smoking, etc. A detailed list of the carcinogens is available on the American Cancer Society’s website, cancer.org. Even though exposure to carcinogens increases the chance of developing cancer, a variety of other factors also play a role. While most of it is beyond our control, there are some things which a person can do to reduce their chance of getting cancer. 1. Practice a healthy lifestyle and good dietary habits. Eat more fruits and vegetables and lower the amount of fatty foods. 2. Exercise daily. 3. Avoid obesity. 4. Quit smoking. 5. Avoid excessive alcohol use. 6. Avoid prolonged exposure to sunlight. Use protective sunscreen. 7. Get regular medical check-ups for screening. This includes screening mammogram, PAP smear, colonoscopy, chest CT in heavy smokers, and dermatology evaluation for screening against skin cancer.
Visit www.oceanhemonc.com Scan Here!
Ocean Hematology & Oncology Center for Cancer & Blood Disorders We offer a full range of Hematology & Oncology services.
1255 Route 70, 31S Near Exit 88 on GSP
Lakewood, NJ 08701
732.961.0010
www.OceanHemOnc.com Accepts Most Insurances. Affiliated with Kimball Medical Center and Community Hospital Access to Clinical Trials.
We are dedicated to providing state-of-the-art cancer care in a warm and personalized manner. Our newly renovated, spacious infusion room provides a peaceful and friendly atmosphere to patients while they receive chemotherapy and other infusions. We have a highly qualified, experienced and compassionate staff.
Sarah J. Easaw MD, FACP Diplomate of the American Board of Hematology, Oncology & Internal Medicine
Compassionate Care, Close to Home
The County Woman Magazine www.TheCountyWoman.com
January/February 2016
Medical Professionals
44
Annual Exams Post Childbearing Health Years &Wellness Barnabas Health Medical Group is a multi-specialty group practice How often do you get a comprising highly trained and experienced world class primary and specialty care physicians. Barnabas Health Medical Group preventative gynecological Law physicians provide compassionate and innovative cutting edge exam? Hopefully, the answer care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast is every year – even after continuum of resources of Barnabas Health, the largest not-for your childbearing years profit integrated health care delivery system in New Jersey and one Eourlder Law of the largest in the nation, dedicated physicians and expertly have completed. trained supporting staff continuously strive for clinical excellence.
Dr. Eric Lehnes Makes the Case
Eric G. Lehnes, MD
Eric Lehnes, MD, a board-certified ob/gyn specializing in minimally invasive and laparoscopic surgery at Ocean Gynecological and Obstetrical Associates, part of Barnabas Health Medical Group, weighs in on this topic. At any age – during childbearing years, menopause and beyond – it’s important for women to get an annual exam to avoid and treat health problems. Annual assessments – which include screening, evaluation and counseling - enable gynecologists to counsel patients about maintaining good health. Many women are under the
Claims such as “An annual pelvic T heater &E ntertainment exam in an asymptomatic woman Prevention is Key misconception that they no longer need an annual exam as they age. This can’t be farther from the truth. It’s no wonder there’s overall confusion about when you should see a physician. After all, many highly regarded health care associations and organizations release guidelines about how often and when women should get particular exams and get screened. I am opposed to blindly following any of these guidelines as most of these claims are based on dollars and cents – not good clinical practices.
Education
Ocean Gynecological and Obstetrical Associates has two convenient office locations: For more than 50 years, women in Ocean County have trusted Ocean Gynecological and Obstetrical Associates (OGOA) to provide comprehensive obstetric and gynecological care. In 2012, OGOA took the bold step of expanding to include a team of experienced, board-certified nurse-midwives to join its seasoned group of boardcertified physicians. Today, OGOA is one of the only practices in the region that offers daily appointments with a midwife for in-office gynecological or prenatal care and around-the-clock midwifery coverage for pregnant women in the hospital. OGOA has one of the lowest C-section rates for obstetrical practices in the region. Toms River Office 368 Lakehurst Road, Suite 303 Toms River, NJ 08755 732.349.0485
About Barnabas Health Medical Group
Lakewood Office 475 Route 70, Suite 101 Lakewood, NJ 08701 732.364.8000
Office Hours Monday through Friday: 8:30 a.m. to 5 p.m.
To learn more, visit barnabashealthmedicalgroup.org.
is unnecessary,” “Mammography before the age of 50 causes more harm than good,” “Pap smears are no longer needed after menopause” are just a few examples. For a large percentage of women, the gynecologist is their primary care provider. Without question, the risk of cancer increases with age. To stop conducting pelvic exams for women who go through menopause is taking a huge step backward as this is the time of life when a woman’s risk for cancer is the greatest. I strongly believe that a screening pelvic exam should be an individualized and shared decision between the patient and her health care provider. Does a 75-year-old woman with a history of a hysterectomy for benign disease need a pelvic exam every year? Probably not, but you can’t issue a blanket statement or guidelines to dictate who needs a screening when. Had I not performed preventative exams on asymptomatic women over the years, I would have missed many problems and diseases that would have progressed further. Early diagnosis is the most critical factor when it comes to many disease states.
Fine Art Photography
Come ainance Long Business We’ve &F Way: Stay the Course
Know What’s Normal When the doctor and patient move to the exam table, it’s a
whole different perspective. As a diagnostic and therapeutic tool, the annual exam is critical. During these annual consultations, patients can talk freely about any changes in their bodies or personal concerns as they age such as incontinence, sexual dysfunction, pelvic prolapse and risk factors for STDs. Physicians can also ask women specific questions about a woman’s health to uncover any issues. It’s a great way to differentiate what is normal and to determine treatment options. Why suffer through certain conditions like pelvic pain or vaginal atrophy - which leads to pain with intercourse - when treatment is available?
www.TheCountyWoman.com The Magazine County Woman Magazine www.TheCountyWoman.com The County Woman
Due to advances in health care, along with a proactive stance on health, women are living longer just look how far we’ve come. At the last turn of the century in 1900, the average age of menopause was 50 and the average life expectancy was 55. Now, a century later, menopause age is still around 50 but life expectancy is climbing into the 90s. Let’s not turn back the clocks on women’s health. Having an annual exam is one great way of taking a proactive stance on your health to detect and treat any issues and avoid major problems down the road.
January/Feb January/February 2016
Fashion
&
Beauty
45
A Toast To A Happy New Year!
From our family to yours, we would like to thank all of our loyal customers for shopping with us and a Happy New Year! Come in today and treat yourself! We have many options for that first new look of 2016. Our store is full of unique fashions, accessories and footwear at reasonable prices. In addition, we have storewide savings on all fall fashions, including fall shoes and accessories.
Madeline
Joseph Ribkoff
2015 has been a memorable year and we have you to thank for that! We appreciate your business and can’t wait to offer you even more fabulous styles and fashions in the New Year! Online Shopping Available. Enter Code NY2016 for
Shipping available! 609-449-8159
Mrs. B’s Boutique
• 7312 Ventnor Ave. January and February open Thursday-Sunday
20% OFF Your Entire Purchase!
or shop online at www.MrsBsBoutique.com
Health & Wellness
2016 Upcoming Events WORKSHOPS - TRAINING - COMMUNITY
“ 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
Yo dita utic ces • pe r vi Me • hera ic Se g T list nin dule • i o i a H h r • ai C er T ss sche la h T • eac ite for c T • e webs
January 22-24: Tripsichore Workshop Weekend with Edward Clark originator of Tripsichore Yoga
MIND/BODY STUDIO 609.404.0999 SMITHVILLE
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Yoga 101: Welcome Beginners 5 Week Sessions Begin January 14 or 16 through February 14 February 18 or 20 through March 20 April 3 or 16 through May 5 Call for information or go to www.yoganine.com
New to the studio?
Kick start your practice for the new year 30 days for $30
WWW.YOGANINE.COM Gift Certificates Available for Classes or Massages
Buy Classes at Yoga Nine and get 10% off classes at PYOUR. Offer good for 30 days after class card purchase.
The County Woman Magazine www.TheCountyWoman.com
January/February 2016
46
Assisted Living
Assisted Living
Is It Getting More Difficult Being Part Of ting More Difficult Being Part Of “The Sandwich Generation”? he Sandwich” Generation”?
nts,
d ....
enter, 0 to 60 is nt, either n to 10 arents
Call for an Appointment Today
609.242.2661
Happy 2016!
www.SpringOak.net
601 N. Main St. (Route 9)
Lanoka Harbor, NJ
ing they can age in place and stay in their apartments here. We do not require any ndwich Generation, a term added to the financial information or minimum monies upon admission and even accept Medicaid apartments here. We do not require any financial information or minimum In some cases, kids go off to college, leaving at admission. other cases, elderly parents need help and kids monies upon admission and even accept Medicaid at admission. Talk to your parents about how they’re doing financially and what plans they’ve ildren of their own. Talk to yourcare parents about made if they become ill or incapacitated and investigate long-term insurance or how they’re doing financially and what plans Once ~ We Can Help they’ve made if they become ill or incapacitated and investigate long-term care savings to cover the costs of assisted living or extended day care. ed in different directions and do not know Get The Power insurance or savings to cover the costs of assisted living or extended day care. nt needs you to help, but your children and If an emergency arises, you’ll need legal authority act swiftly GettoThe Poweron your parents’ he guilt and anxiety is overwhelming many of Center, behalf. Ask parentseight to authorize Power of Attorney to sign checks,arises, pay bills, make According to the PewforResearch oneyour of every Americans If an emergency you’ll need legal authority to act swiftly on your t we take aged care of40 ourselves, too! Relieving some financial and health care decisions and protect the wishes of their living will. to 60 is raising a child and caring for a parent, either physically, parents’ behalf. Ask your parents to authorize Power of Attorney to sign e we comefinancially in. We at Spring Oak Seven AssistedtoLiving you liveare longcaring distance your parents, arrange for papers and documents to be or both. 10 millionIfadults forfrom aging parents checks, pay bills, make financial and health care decisions and protect the s everyday with solutions for their aging loved located in a central place. Suze Orman’s fireproof kit is helpful. It’s so much easier to from a long distance. wishes find what you need in an emergency if it’s all in one place.of their living will. This midlife group is called the Sandwich Generation, a term added to the If youqualify live long Find out what federal, state and local benefits your parents for. distance The rangefrom of your parents, arrange for papers and Merriam-Webster dictionary in 2006. government-sponsored In some cases, kids goand offsocial to college, documents to be located in a central place. Suze Orman’s fireproof kit is service programs varies by country. e challenges of midlife can quickly change and leaving mom and dad in an “empty nest.” In other cases, elderly parents need helpful. Sandwich Generation. You fit the profile if you A Visit to our Community Makes you Feel BetterIt’s so much easier to find what you need in an emergency if it’s all help and kids come home again, sometimes with children of their own. in one Find out what federal, state and local benefits your parents ds of the workplace and the changing needs of a Often times families tell us here at Spring Oak that justplace. walking through our doors You Can’t Be In Two Places at Once ~ We Can Help qualify for. The range of government-sponsored and social service programs ances can pull you, your family and your financ- made them feel better. Families of aging loved ones can set up an appointment to tour Do you feel like you are being pulled in different directions, and torn of pected and unforeseen. Try to avoid surprises our community anytime. We welcome families tovaries bring their loved ones along to make by country. waytotohelp go first? Your aging you to help, The but your grams andwhich assistance you through tryingparent theneeds experience positive. soundadult of active and happy seniors interacting duringMakes you Feel Better A Visit to our Community activities, exercise and mealtime makes as theytimes tour. As they children and husband need help too. Often times the guilt and anxiety is families smileOften familiesenter tell the us here at Spring Oak that just walking through dining room, families are pleasantly surprised by the aromas of home cooking. Our Families of aging loved ones can set up for ~many of us in this situation, but we have to be careful to ne Runs overwhelming Out Of Moneyy our doors made them feel better. menu provides seniors choices and courses of delicacies and entrees, care of ourselves too. Relieving some ofoutstanding the burden of responsibility is with where an appointment to tour our community anytime. We welcome families to M!! all accompanied by fresh vegetables, fruits, not forget those desserts!! come in. We the at Spring Oak Living of Forked River meet and helpand let’s bring their loved to make the experience positive. The sound of of Forked we River understand concerns of AssistedThe happiness continues, as families enter our lovely apartments. Weones offer along 3 models everyday solutions for their aging loved ones. concernedfamilies about expenses andwith if their loved one’s active happy seniors interacting during activities, exercise and mealtime styles to choose from ~ studios, 1 and 2 bedrooms. “Ourand price friendly” schedules of Managing Challenges offer “peace of mind” Midlife to families by accepting makes families smile as they tour. As they enter the dining room, families costs enables families to breathe a sigh of relief, especially in today’s esidents and their loved onesofcan rest easypeople, know- theeconomic For millions working challenges of midlife can quickly are pleasantly surprised by the aromas of home cooking. Our outstanding times.
Caring for older parents, and being needed by your own children…
Spring Oak Assisted Living understands....
change and catapult you into a category called the Sandwich Generation. You menu provides seniors with choices and courses of delicacies and entrees, all fit the profile if you are “sandwiched” between the demands of the workplace accompanied by fresh vegetables, fruits, and let’s not forget those desserts!! and the changing needs of a multi-generation family.The circumstances The happiness continues, as families enter our lovely apartments. We can pull you, your family and your finances apart, especially if changes are offer 3 models styles re than half of American adults have apps on their phones. The US government is trying to fill the gap in services to to choose from ~ studios, 1 and 2 bedrooms. “Our unexpected and unforeseen. Try to avoid surprises by educating yourself and price schedules of costs enables families to breathe a sigh of relief, g information by using apps, too. Here are a few apps that we thought you might find interesting andfriendly” are free to try: finding programs and assistance to help you through trying times. especially in today’s economic times. My Dietary Supplements (MyDS) My MedList 52 Weeks For Women’s Health What Happens if our loved One runs out of money ~ Spring Oak says NO We at a Spring Oak are here Gives you a list of your Stores list of current and for tours 7 days a week to help family PROBLEM!! This app gives weekly and friends of aging loved ones. We offer a full service Assisted Living including past medications (information tips about health topics and We at Spring Oak Assisted Livingpersonal of Forked supplements River understand the concerns dose amounts. Take this list with protected). This list Care can neighborhood be printed, for those in need of dementia and allows you to track your own and Memory of finances. Of course most families are concerned about expenses and if you to the store to buy more or shared, and mailed to anyone you personal health information Alzheimer’s care. their loved one’s monies will support them forever. We offer “peace of mind” directly to healthcare provider for choose. Reminders for taking such as medications, allergies, Call forare your tour 609-607-6002. to families by accepting Global Options Medicaid. Potential residents and medications advice. provided by your and other prevention items. their loved ones can rest easy knowing they can age in place and stay in their healthcare provider or hospital.
hat Health Apps Are Beneficial To Seniors?å
BMI Calculator from the National Institutes of Health A great way to keep track of your weight and risk associated with being overweight. The County Woman Magazine www.TheCountyWoman.com www.TheCountyWoman.com azine January/February 2014
January/February 2016
Medical Professionals
A
47
Got An Itch That Can’t Be Scratched?
As we enter the New Year, a common ailment affects many individuals. This is the time of year when people make New Year’s resolutions to eat “healthy” and diet in order to lose weight for spring break or in preparation for the summer. This is also the time of year for football season and tailgating parties and all of the foods that are associated with it. Because of these unique situations, many people suffer from aggravating symptoms of perianal itching, burning, and discomfort as well as a “wet” or moist feeling in the perianal area.
What is Pruritus Ani?
Pruritus ani is a Latin term literally meaning “itchy anus”. It is an uncomfortable sensation around the anus which produces the desire to scratch. Scratching causes irritation of the perianal skin which in turn causes the desire to scratch more. The skin becomes more irritated and damaged which causes the desire to scratch even more. This becomes a vicious cycle. Pruritus ani affects 1% to 5% of the population. Although it affects both men and women, it is four times as common in men. This condition is most often encountered in patients in their 40’s to 60’s. Pruritus ani is treated medically. An accurate diagnosis is mandatory for proper care.
What causes Pruritus Ani?
The symptom of pruritus or itching is common to many anorectal conditions. Disorders such as hemorrhoids, skin tags, fecal soilage and/or incontinence, anal fistulae, anal fissures and anal warts all may be associated with itching. This is termed secondary pruritus ani. However, pruritus ani may be independent of these conditions. This is called primary pruritus ani. The cause of the syndrome in these cases is usually from topical agents applied to the perianal skin and/or the pH of the stool. The pH of the stool is determined by foods which we eat. In addition to inadequate hygiene, overzealous or aggressive hygiene using irritating soaps, fragrances and lotions may cause pruritus ani. Overzealous cleaning and the use of topical steroids can destroy natural skin barriers and cause trauma to the anal skin, making the problem worse. As such, attempting to keep the perianal skin too clean, is harmful and may worsen the problem. The use of baby/toilet wipes is a common culprit for many patients suffering from pruritus. It is very important to note that there are many medical conditions that may cause perianal itching and are treated differently from basic, primary pruritus ani. There are infectious conditions such as bacterial skin infections,
fungal infections, parasitic infections (pinworms or scabies) and viral infections (anal warts). Skin conditions such as psoriasis, seborrheic dermatitis, contact dermatitis, and lichen sclerosus may cause secondary perianal itching. Local cancers such as Bowen’s disease or Paget’s disease are also potential causes of pruritus ani.
How is Pruritus Ani diagnosed?
In order to accurately diagnose pruritus ani, your physician will obtain a complete history and physical examination. The timing and duration of the symptoms are important factors. Toileting rituals/behaviors, stool frequency and consistency and hygiene/cleansing routines are noted in order to help make a diagnosis. Travel history, medical history and medications taken are also important. It is crucial to include any supplements taken, topical ointments/creams used and whether or not baby/toilet wipes are being used. A careful diet history is also taken in order to identify any possible contributing agents. Your doctor will perform a physical examination. This will include a careful inspection of the perianal skin and a digital rectal examination. Common findings are irritated, swollen, reddened skin that may have linear ulcerations/cracks. Sometimes the perianal skin may be thickened. An examination of the anal canal via an anoscope will also be performed in order to ensure there is not any intra anal pathology causing the symptoms such as hemorrhoids, warts, a polyp or tumor. Considering the serious diseases that may cause the symptoms of pruritus ani, it is very important not to self-diagnose, but rather to seek consultation with a physician. In certain situations, a small skin biopsy may need to be performed.
Where can you find help?
Dr. Paonessa is very familiar with diagnosing and treating pruritus ani as well as all the other diseases/ conditions that may be mistaken for pruritus ani. Since there are many serious diseases that may be mistaken for primary pruritus ani, it is very important to see a physician trained in treating this condition. It is incredible how a fairly simple ailment such as pruritus ani can alter a patient’s daily life and affect his/her quality of life. Don’t hesitate to pick up the phone and call for a consultation. Stop suffering and begin to live life again.
Visit www.paonessacrs.com
How is Pruritus Ani treated?
The first goal of treatment of pruritus ani is to make a correct diagnosis. That means determining if the condition is primary pruritus ani or secondary pruritus ani caused by a medical condition/ disease. Once this has been accomplished and it is confirmed that the patient has primary pruritus ani, the goal of therapy is to restore clean, dry and intact perianal skin. This will help to alleviate the symptom of itching. The first step is to alter the consistency of the stool so as to avoid seepage of stool from the anus. This may be accomplished with diet modification and adding a fiber supplement.
Board-certified in general surgery and proctology and a fellow of the American College of Osteopathic Surgeons, Dr. Paonessa specializes in colon and rectalsurgery. She believes in patient-centered care and preserving each patient’s independence, well being and dignity. The County Woman Magazine
The second step in treatment is to discontinue any offending agents such as cortisone ointments, hemorrhoid creams, lotions, perfumes, soaps and baby/toilet wipes. Topical agents containing alcohol are very irritating to the perianal skin. Likewise, any topical agent that causes the perianal skin to remain moist should be avoided. This includes Vaseline, witch hazel, A & D ointment, antibacterial ointments, etc. Additionally, it is important to remember not to over clean the perianal area. This causes further skin break down and irritation. Believe it or not, plain water is the best way to keep the perianal skin clean and healthy. Finally, the last step in treatment is to modify the diet to avoid a change in pH. Foods related to pruritus ani include: caffeine, colas, citrus, dairy, tomatoes, nuts and beer. As mentioned earlier, these foods are very common during this time of year while watching football or trying to lose weight.
Colon and Rectal Surgery Board Certified in General Surgery and Proctology laparaoscopic surgery colonoscopy abdominal/pelvic surgery anorectal surgery fecal incontinence pelvic floor disorders NEW endoanal/rectal ultrasound office proctology LOCATI ON!! anorectal manometry/physiology 2101 Route 34 South, Suite H Wall, NJ 07719
1172 Beacon Avenue, Suite B Manahawkin, NJ 08050
Phone: (732) 282-1500 Fax: (732) 282-1501 Office Hours: M-F 9AM to 5PM
www.paonessacrs.com www.TheCountyWoman.com
January/February 2016
48
IM nformation D edical P rofestruction essionals
45
Green Office, LLC is pleased to be a leading information destruction service provider. Centrally located at the Jersey Shore, we are proud to serve Ocean and Monmouth Counties. We provide console service with highly secure storage and on-site destruction of your documents. We also offer purge services for larger, one-time shredding needs. We pride ourselves on speedy response and are available to service your company needs seven days per week.
What You Need To Know... Part 2 Why is on site shredding better than off site? The liability of confidential information transport is too large. Once your documents leave your location, you can never be sure what actually happens to them, or who may see or have access to them. A lot can happen from the time documents leave your location until they reach their final destination. Regardless of the amount of insurance a paper shredding company has, no amount of money will redeem the loss associated with the bad publicity of leaked information. Your information will not leave your parking lot until it is shredded.
How does mobile shredding work? We provide on-site document shredding services using our state-of-the-art mobile paper shredding truck. Our truck comes to your location where we will either empty your consoles or transfer your documents from boxes to our collection bin. The paper is deposited directly from our collection bin into the shredding compartment of the truck. Should you care to watch, you can watch the shredding happen on the screen located on the exterior of the truck!
What happens to the documents after they are destroyed? All destroyed paper is taken to our recycling center where the paper is bundled and bailed in preparations of being recycled. We are readily available to service all of your information destruction needs, whether is it once a year or once a week. We have multiple services that can be tailored to your needs.
Medical Professionals Professionals Medical
Contact us at (732) 730-9939 or info@greenofficellc.com. 801A Main Street – Toms River, New Jersey 08753
At At Caring Caring Heart Heart & & Brain Brain Imaging, Imaging, You You Are Are In In Our Our Caring Caring Hands Hands
Q What Can Be Done About Memory Loss Or Family History Of Alzheimer’s Disease? Let’s talk about the brain…Caring Heart & Brain Imaging is the first imaging center in New Jersey to be able to detect plaque in the brain, the precursor to Alzheimer’s disease. Although fighting the disease of Alzheimer’s continues to be an uphill battle, there is great hope on the horizon. That hope comes in the form of new treatments, medications, and most important new methods of early detection. The AMYVID Pet Scan is the new “weapon” on the market to combat this heartbreaking disease. 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. Help protect your children by getting an early diagnosis; the neuritic plauque that is a precursor to Alzheimer’s disease can be present in our brains years before symptoms occur. NORMAL MEMORY LOSS The AMYVID PET SCAN may enable diagnosis of Alzheimer’s disease by identifyNo plaque present Plaque Present ing beta-amyloid plaque in brain tissue. This means that the disease can be diagnosed several years before symptoms actually appear and an individual can receive groundbreaking treatments before the disease develops to advanced stages. Just as Alzheimer’s disease affects the entire family. Help protect your important, the incorrect diagnosis of Alzheimer’s may be eliminated for patients children by getting an early diagnosis. Early detection and treatthought to have it and appropriate treatment decisions can be made based on the ment can help slow down the progression of Alzheimer’s disease. patient’s actual form of dementia. If it’s not important to you for your reasons, it is important for Another important benefit to undergoing a PET scan is the reduced radiation expoyour children and their future! sure. The scanner does not use CT in obtaining brain images. This is a huge factor CARING HEART & BRAIN IMAGING for patients who may have had substantial radiation in the past. This scan will give We can be reached at 732-292-1008, the information needed for doctors to make appropriate treatment decisions. Be sure to stop by and tour their impressive facility and meet their friendly, talented Lorraine Catalano or visit our website at www.CHCI.biz E-mail: service@caringheartcoronaryimaging.com staff.
www.TheCountyWoman.com The County County Woman Woman Magazine Magazine www.TheCountyWoman.com The
November/December 2015 January/February 2016
M P 49 HORMONE IMBALANCES: WOMEN DON’T SUFFER This Season Give The Gift Of Health To YourselfALONE. & Your Loved Ones ICAM Offers Affordable Non-Invasive Testing H &W I edical edical
28
rofessionals rofessionals
“Lemon Rule,” which and is toother ingestanti-aging as much vitamin the most precious gift in our lives ning growth hormone Hellobelieve patients and readers! ealth ellness as you can within bowel tolerance (next to our faith) is our health. The problem Ctherapies. This too is an affordable testtoattreat and In appreciation, for the months of is that Inot many of us have it or if weto do, it is prevent illness. Today, would like to present $125. January and February 2016, ICAM Our bodies are constantly remodeling and far from optimal health. We tend to accept our Coronary Artery Disease youwith the various non-invasive testing new cells. But not all of the organs, tissues would like to help everyone obtain the subtle health changes when we do not feel well, restoringyour Coping your symptoms isn’t controlling symptoms! Coronary Artery Disease (CAD) is still and systems regenerate or degenerate at the same as weperformed go on in years.atWe blame our gift of health by offering: procedures ICAM. Don’tespecially let... aw the number one killer of men and women
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symptoms and ills, aches, pains, memory decline time. This is why, as we age, some of us experience HOT FLASHES • NIGHT SWEATS • INSOMNIAphysical ANXIETY in• America today.but As are eluded to above, it while others turmoil mentally sharp and motivation on the aging Withloss the of rising costs of healthcare, it is process. becomingBut DEPRESSION •we JOINT PAIN • age HEADACHES • are LOSS OF SEXUAL DESIRE would be very useful and comforting to physically young but mentally dull. For years, the reality is that prematurely because of more difficult to obtain “necessary” diagnostic tests and VAGINAL DRYNESS • BRAIN FOG •stresses WEIGHT GAIN... researchers have stated thatofour bodies chronic daily stresses, even when these know the actual underlying condition procedures in attempts to control healthcare costs. Don’t anti-aging are pre-programmed to a life expectancy are not perceived. It is the culmination of stress All new patients receive a your blood vessels without undergoing theof 125 become the ‘new norm’! get me wrong, I agree this is a problem that needs to be but none of us ever make it to the expiration which leads to premature aging and senescence. years expensive and risky procedures utilized $100 gift certificate towards addressed. But an even bigger concern lies in the “need” date. Thus the need to live by the quote: “Life Is Not today. Cardiovision testing fulfills this All to of perform us havethese a maximum stress their initial visit. (at times) tests for the sole point, reason to symptoms at their Take contol and solve your Measured By the Number of Breaths We Take, But By need as a completely non invasive proceafter which our bodies start to shut down as “cover the butts” of physicians from frivolous lawsuits. the Moments Thatpractitioner Take Our Breath Away.” source for natural, relief tothrough help the diagnose as But what our immune system gets overloaded. Thislasting is the Our litigious society is in large part a contributing factor ifdure we could live to the ripe old age of 100+ years? Or, point where we develop symptoms and Replacement (erroneously) wellTherapy as follow CAD. Bio-Identical (BHRT). in rising healthcare costs. Hormone for that matter, 85 years in great health without pain Wethe would alsooflike to thank our ease. Until invention CardioVision®, there was no believe this is when disease begins and conventional What’s more, many of the tests that are ordered in and suffering and live the last few years of our lives easy, inexpensive or quick way determine if a person’s current patients fortoall their trust medical therapies intervene. The reality is the onset of CARDIVISION: THIS ISdestiny? A mainstream medicine truly don’t give the provider the in steady decline until we reach our Within vessels had lost flexibility. Many people are never your disease far preceded the onset of your symptoms! and support by offering all of you aaware PROCEDURE TO HELP necessary, valuable or correct information required to act theNONINVASIVE next decade this will not be a vision but a reality If we wait for symptoms to develop into a decline that they $50 are walking withnext this “silent creditaround on your visit. killer” until upon in formulating a treatment plan.window For example, available to those who look and reach outside the box DETERMINE YOUR UNDERLYING in function, we missed the optimal of timean they experience their first heart attack from occluded vesand pursue Functional/Regenerative This exercise test andillness cardiacbefore catheterization are the often RISK FOR HEART ATTACK,Medicine. STROKE to treat stress or eradicate it takes over sels. It has been estimated that 60-70 million Americans relatively new field of “anti-aging” medicine is upon misleading more testing and command causing centers of ourunwarranted tissues and organs. Thisultiis AND OTHER CIRCULATORY DISEASE harbor this “silent killer” and should make both life-style us and I urge you to consider just how this could Please bring a copy of this article to mately example not theunnecessary point of noprocedures. return but Another rather the point is at a changes, such as getting more exercise, changing their STATES. positively impact your life and the lives of your loved your next appointment and remember…… PSA testing in which now hasabeen discouraged by which our immune system takes bigthe hit. And ormenmost people, firstif we thought that comes to mind regarding hormone diet, quitting smoking, and reducing their cholesterol. ones. If You Ignore Your Health, IT WILL LEAVE many medical societies for this reason. wait longer for further progression of symptoms, we In addition to blood pressure and pulse information, While everyone needs to adopt these changes, sometimes At ICAM Dr. Bartiss has developed a healthy imbalance is a women in menopause. A decline in a woman’s hormone levels YOU. So maintain your most important reach the point of burnout malfunction of our Invasive procedures are notand only costly but often very the CardioVision® also generates information on the life-style changes alone are not enough. CardioVision® intervention he coined as HEART (Hormone entirein(estrogen, immune endocrine system. This may be risky terms of and immediate death, complications involvinvestment—your health. stiffness or flexibility of theseen brachial artery. Called progesterone and testosterone) isAdrenal generally atTherapy) a stage life known identifies people who don’t even think they have a cardioEndocrine Rejuvenation thatinthe referred as “theand point no return.” ing organtodamage theofneed to take these risks again Arterial Stiffness Index (ASI), the ASI is a number that vascular problem because they are non-smokers, exercise aspectsdramatic, of health and illness, making health The decline isabsence usually addresses rapid and and is accompanied by Somenopause. how define HEALTH? Is the it the toas verify thatdo thewe procedure that follows examination correlates with arteriosclerosis. Because arteriosclerosis regularly, watch their diet and worse, they don’t have and longevity the norm, not the exception. ofsymptoms symptoms it the presence offlashes, optimal mood swings, was successful.or issuch as hot weight gain, sleep disorders loss Consequently, the ASI can be viewed as reduces flexibility in arteries, the higher themaintaining ASI, the and asymptoms!!!. The biggest block in achieving and functioning organ systems? I think for all of us this is more likely someone is toishave hardening the arteries, Dementia and Memory Loss health is the cost. This especially trueofwhen we another like high blood sex drive, to name anof easy multiple-choice question.a few. Oncardiovascular behalf of all“risk the factor”, staff atjust ICAM we wish thediscussing lower the number, the less likely. ICAM offers state of the art testing for dementia and are complementary and alternative medical pressure or a cholesterol level above 200. Additionally, Most of us don’t recall what optimal health the best of health and happiness to you, yourwe Why is it important to know how flexible arteries are? memory loss through a computerized program known as therapies, since most insurance companies do not think that the can be used to follow cholesterol lowfeels like. We take for granted when we are young Unbeknownst to most of us, however, men too gomoving through a period or phase families andASI loved ones. reimburse for these services. Perhaps in time, when Arteries are responsible for the majority of the MCI-CANS. It is probably the most reliable and accuering therapy and other “risk that we are invincible. We think of the body as if it -Mark factor” Jameschanges. Bartiss, MD similar to a woman in menopause known as andropause. Andropause, sometimes more patients and practitioners open their eyes and blood through the vascular tree. Consequently, non-flexrate cognitive testing program available today at a mere were a brand new, finely tuned, high-performance minds, these therapies will become mainstream. Until iblecrisis,” or hardened cause the heart work much cost of car. $125. sports Butto unlike that high-priced vehicle, For more information on these tests and other referred as “man-o-pause” orour “midlife is arteries experienced bytonearly every male Visit www.ICAMBartissMD.com then, ICAM offers you tomorrow’s medicine today. harder when it is forced to push blood through partially We have another battery ofand teststhere’s aimednoat bodies do not comeextensive with a warranty services offered by ICAM, please call or visit us on at thing someasones point in age their lifetime as hormone levels decline, the and onset occluded vessels. This extra although strain on the heart the is much determining versus their chronologic such the biologic “Lemon Law”! Instead we have the the web at www.ICAMBartissMD.com. resultingnot blockages are a root cause of cardiovascular dis- sympage. At ICAM this is used on all prior to beginmore gradual than inpatients women and therefore as readily noted as are those
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toms affecting women in menopause. Mark James Bartiss, MD is a medical writer, lecturer, and author, REMEMBER…. When and isMD recognized as awriter, top ten specialist in the and fieldis of Bio-Identical it comes to your health, Mark James Bartiss, is a medical lecturer, and author, recognized as a top ten specialist in the field of Bio-Identical Hormone Replacement (BHRT). He has helped numerous take their lives backyou anddoreclaim their health. have options HormoneTherapy Replacement Therapy (BHRT). He hasindividuals helped numerous
individuals take their lives back and reclaim their health.
and a choice.
Institute for Complementary and Alternative Medicine
24 Nautilus Drive, 5 • Manahawkin, NJ and 08050 Alternative | 609-978-9002 Medicine Institute for Suite Complementary 50424Hamburg Tpk, Suite Suite5205 • Wayne, NJ NJ08050 | 973-790-6363 Nautilus Drive, • Manahawkin, | 609-978-9002
504 Hamburg Tpk, Suite 202B 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
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Copy, Fax
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Notary Services
Tax Season Is Around The Corner And We’re Here To Help! How can you help an individual prepare for filing their taxes? Many of our clients use accountants to prepare their taxes, and are understandably nervous about mailing the tax documents to their accountants without having backup copies. We’re happy to take that folder full of documents and make a copy of everything for you. Once taxes are done and the state and federal returns are in hand, customers frequently need extra copies when applying for loans, scholarships, mortgages, etc. We can help with that too. Confidentiality is as important to us as it is to our clients. We can make the copies while you wait and watch. Our copiers do NOT “scan and save” any information; it is a straight photocopy, with nothing stored or left behind here once you leave.
Does it take long to help someone get his or her tax records together? We always offer same-day service on tax records. Either you can wait and watch, or drop it off, run your other errands, and come back later that same day to pick up your originals and copies. And for those last-minute pages that got left out of the package, we can fax or scan and email them to your accountant. Is notary service available for appropriate documents? There are two notaries in our office, so one of us is always available during office hours, 9 to 5, Monday to Friday. We charge the state-mandated $2.50 per signature.
Patty Shannon, Owner
For more information, call 732-477-4800 today!
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January/February 2016
Health
Hypnosis for Women Professional Hypnosis & Coaching Rhoda Kopy, Director 1541 Rt. 37 East, Suite E Toms River, NJ 08753 732-270-0080 www.HypnoForWomen.com
Make Your Mind Work FOR You – Instead of Against You! Rhoda Kopy is a nationally certified consulting hypnotist and wellness coach, with specialty certification is complementary medical hypnotism. She earned a B.S. degree in Biomedical Communications from Richard Stockton College of N.J., has an academic background in nursing, and 20+ years’ experience in community health education and coaching. Rhoda adheres to strict ethical standards of the National Guild of Hypnotists.
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Wellness
51
Your Ticket to Freedom from Smoking
I
There is a safe and powerful method that actually diminishes the desire to smoke and helps you choose to not smoke.
f you’re sick of being controlled by cigarettes, are concerned about the health risks, hate the smell, feel like a social outcast, or worry about being a poor role model – the time is right for you to stop. Maybe you feel as though a “tug of war” is going on inside of you. A part of you desperately wants to quit smoking, but another part is afraid to let go. After all, you’re deriving something from it, or you wouldn’t smoke. You’ve probably even convinced yourself there are valid excuses for smoking; frankly, they’re totally flawed. A few dumb reasons to continue smoking . . . • Smoking relaxes me: Nicotine is a stimulant that increases your blood pressure, heart rate, and breathing. You may feel that smoking is relaxing you, but that’s because your body and mind have come to depend on the ritual of smoking and the nicotine. Within a week or two after quitting, you’ll actually be more relaxed. • I’ll gain weight if I quit: Weight gain can certainly be avoided, even though smoking slightly speeds up metabolism. As your sense of smell and taste return to normal, you will more fully enjoy what you eat and be satisfied
with less. Urges for cigarettes don’t have to be turned into urges for food. If you’re someone who uses cigarettes to deal with feelings (i.e., stress, boredom, loneliness), or as an excuse to take a break or reward yourself, you’ll learn to deal with these feelings and needs more appropriately. • It helps me concentrate: Smoking constricts your blood vessels and deprives your brain of oxygen, contributing to cloudy thinking. Any trouble concentrating shortly after stopping is temporary. • But I enjoy it – it’s like a friend to me: Friends don’t kill. Cigarettes are toxic – they destroy quality of life, and impact every organ and system in your body. It’s essential to find other sources of pleasure and companionship. • I only smoke a few a day: There is no safe level of smoking. You’re inhaling harmful substances into your body, and there’s a good chance you’re inhaling more deeply and more often. You also run the risk of increasing the amount you smoke when stress builds. Even smoking just one to four cigarettes a day doubles the chance that you will have, or die from, a heart attack. • I’ve tried before – it’s too hard: Thousands of people in the U.S. quit every year – many who have smoked
Commonly Asked Questions about Hypnosis What is hypnosis? It’s a naturally occurring state, like ❀
daydreaming, becoming absorbed in a good book, or zoning out while you’re driving. Used in a clinical setting, it’s a powerful vehicle for change. You are coached into a state in which the deeper part of your mind, the subconscious, is more accessible and open to change. Diverse techniques are used, such as guided imagery, mental rehearsal, NLP, etc. As with meditation, there are many physiologic benefits when it’s practiced regularly. ❀ Do some people lose control? That only happens on TV and in the movies. People use this technique because they want to gain more control over themselves. No one can make you think, say, do, or
several packs a day for decades - and many have also made several attempts before stopping. What’s your life worth to you – and your family? You can do this – and you don’t have to rely strictly on willpower. One-on-one multi-session Hypnosis/ Coaching programs have been successful in creating permanent change for motivated individuals. This drug-free approach makes the smoking cessation process easier, and builds your sense of empowerment. It addresses key physical, behavioral, and emotional issues. You’ll be prompted to replace the ritual of smoking with healthier, smarter behaviors; and you’ll love how good you feel about finally being free! An important side benefit of this approach is that it is extremely relaxing, and enables you to better manage stress. If you would like personalized assistance to help you move forward, call me at 732-270-0080. Integrating hypnotic techniques and coaching paves the way for successful outcomes and boosts your sense of well-being.
Make Your Mind Work FOR You – Instead of Against You!
feel anything that runs counter to who you are and what you want. What if I’m not “hypnotize-able”? It’s rare that someone is ❀
unable to enter this state because it is a naturally occurring state. Therefore, just about anyone who wants to enter the state can do so. And, the more it’s practiced, the easier it becomes. People who would not be good candidates include those with organic brain damage, difficulty processing simple information, and severe and untreated psychiatric disorders. Is it possible to get stuck in hypnosis? No. It is possible to drift ❀ into a sleep state, however, because it’s often quite relaxing; but a good practitioner won’t let that happen. Can I use this approach instead of seeing a medical doctor ❀ or a therapist? This is not intended to take the place of licensed medical or mental health care. If you are having a significant physical or mental health problem, it needs to be appropriately handled. There are times when it is necessary for a hypnosis practitioner to request authorization before seeing certain clients, and hypnosis practitioners often work in tandem with physicians and therapists.
www.HypnoForWomen.com
The County Woman Magazine www.TheCountyWoman.com
January/February 2016
Fashion & Beauty
52
M P HORMONE IMBALANCES: WOMEN DON’T SUFFER This Season Give The Gift Of Health To YourselfALONE. & Your Loved Ones ICAM Offers Affordable Non-Invasive Testing edical edical
00 28
the most gift in our life HelloI believe patients andprecious readers!
rofessionals rofessionals
Health &Wellness
asning thegrowth “Lemonhormone Law”! Instead weanti-aging have the “Lemon and other Rule” whichThis is totooingest much vitamin (next to our faith) is our health. The problem therapies. is an as affordable test at C as you In appreciation, for the months of can within bowel tolerance to treat and prevent isToday, that not Imany of uslike have to it orpresent if we do,to it is would $125. January and February 2016, ICAM far from optimal health. We tend to accept our illness. Coronary Artery Disease you the various non-invasive testing would like to help everyone obtain the Coping with your symptoms isn’t symptoms! Our your bodies are constantly remodeling and subtle health changes when we do not feelcontrolling well Coronary Artery Disease (CAD) is still gift of health by offering: restoring new cells. But not all of the organs tissues especially as we go on in years. We blame our procedures performed at ICAM. Don’t let... the number killer oformen and women systems one regenerate destruct at the same symptoms and ills, aches, pains, memory decline and HOT FLASHES • NIGHT SWEATS • INSOMNIA in• America ANXIETY As eluded to above, it why as we age some of us experience and motivation on the aging Withloss the of rising costs of healthcare, it is process. becomingBut time. This istoday. DEPRESSION • JOINT PAIN • HEADACHES •physical LOSSbeOF SEXUAL DESIRE would very useful comforting to while others turmoil but and are mentally sharp the reality is that we prematurely age because of more difficult to obtain “necessary” diagnostic tests and VAGINAL DRYNESS • BRAIN FOG • WEIGHT GAIN... know the actual underlying condition dull.ofFor years, chronic daily stresses even when thesecosts. stresses procedures in attempts to control healthcare Don’t are physically young but mentally All new patients a $100 your bloodresearchers vessels without haveundergoing stated that the our bodies areme notwrong, perceived. is the stress become the ‘new norm’! get I agreeItthis is a culmination problem that of needs to be anti-aging expensive and risky procedures utilized of 125 pre-programmed to a life expectancy which leads andlies senescence. gift certificate towards their addressed. Buttoanpremature even biggeraging concern in the “need” are years but none of us testing ever make it to today. Cardiovision fulfills thisthe expiration All oftousperform have a maximum stress point after to initial visit. (at times) these testsand for the sole reason Take contol solve your symptoms atneed their date. Thus the live by the quote: “Life Is Not which our bodies start to shut down as our immune need as a completely non invasive proce“cover the butts” of physicians from frivolous lawsuits. Measured By the Number of Breaths We Take, But By system gets overloaded. the point where we relief sourceThis foris natural, lasting through Our litigious society is in large part a contributing factor dure to help practitioner diagnose as the Moments That Take Our Breath Away”. But what develop symptoms and (erroneously) believe this is well as follow CAD. Bio-Identical Hormone Replacement Therapy (BHRT). in rising healthcare costs. Wethe would alsooflike to thank our ease. Until invention CardioVision®, there was no if we could live to the ripe old age of 100+ years? Or the time disease begins as well as the conventional What’stherapies more, many of theThe testsreality that are ordered inthe for that matter 85 years in great health without pain medical to treat. is however, easy, inexpensive or quick way if a person’s current patients fortoalldetermine their trust CARDIVISION: THIS IS A mainstream medicine don’t givethe theonset provider the and suffering and live the last few years of our life in onset of your disease truly far preceded of your vesselsand hadsupport lost flexibility. Many people are you neveraaware by offering all of NONINVASIVE TO HELP that they are walking around with this “silent killer” until necessary, or correct information requiredinto to act steady decline until we PROCEDURE reach our destiny. Within symptoms!valuable If we wait for symptoms to develop $50 dollar credit on your next visit. upon in formulating a treatment plan. For example, an DETERMINE YOUR UNDERLYING a decline in function, we missed the most opportune the next decade this will not be a vision but a reality they experience their first heart attack from occluded vesexercise test to andtreat cardiac catheterization oftenit available thoseHEART who lookATTACK, and reach outside the box windowstress of time or eradicate illness are before RISK toFOR STROKE sels. It has been estimated that 60-70 million Americans misleading causing more unwarranted testing andand ultiandAND pursue Functional/Regenerative Medicine. This takes over the command centers of our tissues OTHER CIRCULATORY DISEASE harbor this “silent killer” and should make both life-style Please bring a copy of this article to mately unnecessary example is a relatively new field of “anti-aging” medicine is upon organs. This is notprocedures. the point ofAnother no return but rather changes, such as getting more exercise, changing their STATES. your next appointment and remember…… I urge comes you to consider just howregarding this could hormone the point which our immune takes a bigthought PSA testingatinor men which now hassystem beenthe discouraged by us andthat most people, first to mind diet, quitting smoking, and reducing their cholesterol. positively impact your life and the your loved hit. And, if wesocieties wait longer further progression If You Ignore Your Health, IT WILL LEAVE many medical for thisforreason. In addition to blood pressure andlives pulseofinformation, While everyone needs to adopt these changes, sometimes imbalance aonlywomen A decline in a woman’s hormone levels of Invasive symptoms we reacharetheis point ofcostly burnout andmenopause. YOU. So maintain your most important procedures not butin often very ones. the CardioVision® also generates information on the life-style changes alone are not enough. CardioVision® At ICAM Dr. Bartiss has developed a healthy malfunction entire immune and endocrine risky in(estrogen, terms of of our immediate death, complications involv- stiffness investment—your health. or flexibility of the brachial artery. Calledinthelife known progesterone and testosterone) is generally seen at a stage identifies people who don’t even think they have a cardiointervention he coined as HEART (Hormone system. This mayand be referred “the point no ing organ damage the need to to as take these risksofagain Arterial Stiffness Index (ASI), the ASI is a number that vascular problem because they are non-smokers, exercise as menopause. The decline is usually rapid and dramatic, and is accompanied by Adrenal Rejuvenation Therapy) that return”. to verify that the procedure that follows the examination Endocrine correlates with arteriosclerosis. Because arteriosclerosis regularly, watch their diet and worse, they don’t have addresses aspects of health and illness making health So how do we define HEALTH? Is it the was successful. such as hot flashes, mood swings, symptoms weightin arteries, gain, thesleep loss Consequently, the ASI can be viewed as reduces flexibility higherdisorders the ASI, the and asymptoms!!!. absence of symptoms or is it the presence of optimal and longevity the norm not the exception. more likely someone is to have hardening of the arteries, Dementia and Memory Loss another like we highwish blood The biggest block in achieving and maintaining functioning organ systems? I think for all of us this is of sexoffers drive, to name a few. On cardiovascular behalf of all “risk the factor”, staff atjust ICAM the lower thecost. number, less likely.true when we are state of the art testing for dementia and health pressure or of a cholesterol levelhappiness above 200.to Additionally, we is the Thisthe is especially an ICAM easy multiple-choice question. the best health and you, your Why is complementary it important to know how flexiblemedical arteries are? think that the ASI can be used to follow cholesterol lowmemory through computerized program known discussing and alternative Mostloss ofUnbeknownst us don’t arecall what to optimal health feels most of us,ashowever, men too go through a period or phase families and loved ones. Arteries are responsible for moving the majority of the MCI-CANS. the most reliable andthat accusince most insurance companies do not like. We takeItforis probably granted when we are young we therapies ering therapy and other “risk factor” changes. -Mark James Bartiss, MD similar to a woman in menopause known as andropause. Andropause, sometimes blood through the vascular tree. Consequently, non-flexrate cognitive testing program available today at a mere reimburse for these services. Perhaps in time, when are invincible. We think of our body as if it were a iblecrisis,” orpatients hardened cause theopen heart tonearly work cost of new $125.finely and practitioners eyes much andevery male brand high performance sports car. more For more information on these tests and other referred to tuned as “man-o-pause” or “midlife is arteries experienced bytheir Visit www.ICAMBartissMD.com harder when it is forcedwill to push blood through partially minds, these therapies become mainstream. Until ButWeunlike that highextensive priced vehicle, body doesat have another battery ofourtests aimed services offered by ICAM, please call or visit us on atcome some point in age their lifetime hormone levels decline, although the today. onset then, ICAM offers youextra tomorrow’s not with a biologic warranty andversus there’s nochronologic suchas thing occluded vessels. This strain onmedicine the heart and the is much determining ones their the web at www.ICAMBartissMD.com. resultingnot blockages are a root cause of cardiovascular dis- sympage. At ICAM this is used on allinpatients prior to beginmore gradual than women and therefore as readily noted as are those
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toms affecting women in menopause. Mark James Bartiss, MD is a medical writer, lecturer, and author, REMEMBER…. When and isMD recognized as awriter, top ten specialist in the and fieldis of Bio-Identical it comes to your health, Mark James Bartiss, is a medical lecturer, and author, recognized as a top ten specialist in the field of Bio-Identical Hormone Replacement (BHRT).Therapy He has helped numerous take their lives backyou anddoreclaim their health. have options HormoneTherapy Replacement (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 202B 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
www.TheCountyWoman.com The Magazine County Woman Magazine www.TheCountyWoman.com The County Woman
In Appreciation...
For the months of January and February 2016, ICAM would like to help everyone obtain the gift of health! All NEW Patients Receive a $100 Gift Certificate Towards Their Initial Visit!
2015 July/AugustJanuary/February 2014 January/February 2016
The County Woman Magazine www.TheCountyWoman.com
All CURRENT Patients Receive A $50 Credit On Their Next Visit For All Of Their Trust and Support In 2015! January/February 2016
Medical Professionals
53
Do You Struggle With Your Weight?
It’s Not Your Fault
A
loss process. In addition, the practice has a trained and experienced behavioral counselor who utilizes cognitive therapies, behavioral techniques, problem-solving and accountability to help those seeking treatment. A professional trainer is on staff as well to help patients get started or improve upon a physical activity program.
re you one of more than 30% of all Americans who struggles with excess weight?
In 2013, the American Medical Association identified overweight and obesity as chronic diseases and recommended they should be treated as such. Not a personality flaw, not a moral judgment, not a lack of personal responsibility or willpower—a disease. Recent research has found almost 100 different obesity-associated genes, meaning overweight commonly runs in families. In addition, scientists have discovered many chemicals, the most important being leptin and ghrelin, that send signals between the digestive system, the fat cells and the brain. Abnormal levels lead to becoming overweight, staying overweight, and difficulty losing weight. These levels are also affected by lack of sleep, stress, medications and other medical conditions. Board-certified family doctor Claudia Huegel, M.D., recognized as a community leader, founded Medimorphosis Physician Assisted Weight Loss in Shrewsbury. She serves the needs of those suffering with weight problems. Dr. Huegel and her experienced team believe that obesity, including its associated medical problems, is a complex condition that must be treated with a compassionate, nonjudgmental approach. With over 10 years’ experience, nonsurgical bariatric (weight management) medicine is her area of expertise. Dr. Huegel and her motivational staff utilize a number of methods to help patients combat these biochemical issues. Dr. Huegel prescribes individualized, safe and proven nutrition plans, various FDA-approved medications, and supplements to aid patients during their weight
As science uncovers more information and as the population battling weight grows, the future of this condition’s treatment will be at medical bariatric centers like Medimorphosis. Visit www.medimorphweightloss.com
Feeling so healthy from going through the Medimorphosis program. For the first time that I can remember I'm able to fit into clothes that don't have an X or XX in front of the size. It's the best feeling in the world.
- B.H., Cranford, NJ Working with Medimorphosis Physician Assisted Weight-Loss has been life changing. I have learned so much about weight loss and management through informative counseling and smart food options. I would recommend Medimorphosis to anyone looking to improve their health and appearance for the long term!!!
- C.P., Shrewsbury, NJ Dr. Claudia Huegel graduated from Rutgers University and Ross University Medical School in 2001. She completed her Family Practice Residency at Mountainside Hospital in Glen Ridge, NJ in 2004. Dr. Huegel is a Board Certified Family Doctor Claudia Huegel, MD and Board Eligible Bariatric Medicine Doctor with seven years experience in weight loss medicine. She is the winner of the Compassionate Doctor Award, Patient's Choice Award, and Vitals Top 10 Doctor. She is a member of the American Academy of Family Physicians and the Obesity Medicine Association.
499 Broad Street, Suite 110 Shrewsbury, NJ 07702 (On the corner of Monroe St.)
732-389-0131
www.medimorphweightloss.com
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&Wellness
Have You Heard? As the sole Watsu practitioner in Southern NJ, I am excited to share this new, highly therapeutic technique with you.
muscle tissue and cells. circumstances that Benefits of Watsu include: contributed to her stress they can walk and exercise more easily with and less pain. • decreased pain emotional state. Physical therapy in warm water is also becoming more • improved sleep The warmth of the widely used for healing and recovery. Watsu® goes step the winter improved immune function water asoothes ver• notice how healing andthey can the walkwork and exercise with less pain. further and does for you.more You easily simply allow chill. Experience Watsu! seem to I conducted Physical in warm is alsoIn becoming more Watsu is a form of aquatic therapy which lively people This spring Watsu session onand a water yourself toa be in atherapy quiet place receive. a oneCall today to find out be when they are in the widely usedstress for healing recovery. Watsu® as goes combines elements of massage, joint mobilization, woman ver struggling with ongoing job and and bouts of recovers hour Watsu® session your body heals and if a step notice how lively how Watsu can help you. Whether it is a water? further and does the work for you. You simply allow pressure points and stretching. The water is people seemShe be when they depression. had particular physical buteffects felt of a Watsu® youno slept for 6 hours. Theissue healing yourself to be in a quiet place and receive. In a onepool, lake, ocean or pond, Whether in the water?session approximately 94 degrees as the client is continually extendwould beyondhelp the her physical but also works on thearewarm-water relaxhealing and relieve when peopleitare thelake, ocean or hour Watsu® session your body heals and recovers as if is ain pool, supported while being floated, rocked and stretched in emotionalyou andslept mental health as well. stress. for 6 hours. The healing effects of a Watsu® water they come pond,alive. whenKids people are www.fullcirclewellnessllc.com. gentle, fluid movements that promote a deep state of After her first session she wrote me: “ItheLOVED the butVisit extend beyond physical healing also works on are jumpinginand theswirling, water they comeBenefits you’ll gain with a Watsu® session. emotional and mental health as well. relaxation. Watsu you gave me! It was like no other experience I’ve Purchase a package Purchase a package of alive. Kids are jumping $ Improves muscle tone, body awareness, laughing and screeching The weightlessness, warmth of the water and with excitement. ever I felt very light and floaty the rest of the day Benefits you’ll gain with a Watsu® session. andhad. swirling, laughing and Testimonials: and posture Adults are of THREE 30-minute THREE Purchase a package Purchase 60-minute package of sensory reduction deeply relaxes the entire body, which $ Improves muscle tone, body and I napped peacefully when I gotand home. I know I awareness, screeching “I felt great after my Watsu session. Went ahome $ Reduces pain fatigue having their fair share with of soexciteWatsu® sessions watsu sessions and posture ment. Adults are having of THREE 30-minute THREE 60-minute decreases muscle tension and pain. was pretty physically relaxed but I feel like I could let and went to bed and had anOR awesome night’s $ Reduces Muscle tension and guarding fun too-body surfing, swimming laps, doing water $ Reduces pain andand fatigue their fairmentally. share of fun I’ve administered sessions to aexercises wide range of with theirgokids more I tend to ‘hold’ onto tension and Watsu® receive sessions a 4th and receive a 4th watsu sessions sleep.” $ Increases energy and range of motion fitness or playing in the $ Reduces Muscle tension and guarding too- body surfing, swimming laps, doing water fitOR populations: from pregnant moms arthritis sufferers; stress, concomitant with my lifelong challenges with $ Increases Circulation water. Thetowater seems to bring out the kid in all of and receive a 4th and receive a 4th session FREE! session FREE! $ Increases energy and range of motion ness exercises or playing with their kids in the water. “I had the image of being moved through liquid to others dealing with chronic to cerebral did get into thatCirculation meditative breathing us as pain; we experience suchpalsy. freedom ofdepression movement that $ Increases The water seems to bring out the kidand in allanxiety. of us$ as IImproves session FREE! sessionValue) FREE! ($200 value) ($340 gold! It was so warm and comforting!” I’ve also conducted sessions individuals working ‘zone’ sure can deeper.” $ go Improves sleep patterns $ Improves breathing theonwater allows. bodiessuch resonate with theI’m water we Our experience freedom ofbut movement thatI the ($200 value) ($340 Value) through emotional issues. like Watsu helpsfork. the body relax limited After aby series regularly sessions, she $ Improves sleep patterns water allows. Our bodies resonate with theofwater like scheduled a tuning We are no longer gravWatsu® helps relieve: a tuning fork. We are no longer limited by gravenough to release the emotions trapped within the was able to make the necessary decisions to change ity. Being in the water allows our bodies to move in Healthy Body, Vibrant Life! Watsu® helps relieve:
Water For Life
WaterE For Life E
$ Chronic Fatigue Syndrome Being in the water allows many ways we ity. wouldn’t dream of on land.our bodies to move$in Fibromyalgia $ Chronic Fatigue Syndrome Audrey S. Filardi many ways we wouldn’t dream of on land. $ Fibromyalgia Audrey S. Filardi, owner Y WATSU WATSU $ Headaches In my years ofInteaching water fitness classes I $ Headaches my years oftechnique, teaching water classes I Watsu is an aquatic based bodywork newfitness to South Jersey, Y Massage Massage $ Arthritis have witnessedhave overwitnessed and overover the and positive healing $ Arthritis over the positive healing which originated in California in the 1980’s. This unique warm water Y Reiki Water Fitness $ Acute$and Chronic Pain Pain effects of watereffects on those whoonhave difficulty moving Acute and Chronic of water who have difficulty who moving massage was developed by Harold Dull,those a shiatsu practitioner Y Swim Swim Lessons Lessons $ Sleeping problems on land. The water is such a powerful therapeutic $ Sleeping problems on land. The water is such a powerful therapeutic began giving his clients shiatsu sessions in the water and found they (609) 839-3810 $ Stress, anxiety, and related disorders tool for recovery and well being. Water walking is tool for recovery and well being. Waterquickly walking is with $ were experiencing positive results much more along a Stress, anxiety, and related disorders full.circle@comcast.net $ Depression, Hyperactivity popular as people who have trouble becoming morebecoming popular as people who have trouble deeper healing experience than more on land. Thus Watsu was born and$is Depression, Hyperactivity $ Neuromuscular Disorders www.FullCircleWellness.abmp.com walking or exercising land find that in the water www.fullcirclewellnessllc.com $ Neuromuscular Disorders walking or exercising land and find on that in around the water Exp. 2/29/2016 now offered in spas, wellness on centers clinics the world. Watsu® sessions are given at the AtlantiCare LifeCenter in Egg Harbor Twp. For more information call 609-965-7229 or 609-839-3810. Watsu® sessions are given at the AtlantiCare LifeCenter in Egg Harbor Twp. For more information call 609-965-7229 or 609-839-3810.
20 Minute Complimentary Session
Shoe Repair
The Friendly Cobbler For over 16 years, Domenick, The Friendly Cobbler, has been cleaning and servicing your boots. With friendly, personalized service, Domenick will attend to those kicks that have been lying around at the bottom of your closet. You can get your Ugg boots patched up just in time for winter! He can dye black or brown boots to return them to their original splendor and have them cleaned and waterproofed before the snow comes. Customizing your boots is Domenick’s specialty, and now he’s conveniently back in Northfield. It’s getting cold out there quickly, so grab those Uggs and come on over to the Friendly Cobbler at 331 Tilton Road (located between the Honey Tree and United Check Cashing) to turn them into new, stylish footwear for all to see! This Valentine’s Day, you can find the perfect gift for your sweetheart! Come see the beautiful, unique leather bracelets, key chains, small purses, and business card holders that were hand-crafted with soft, fine, and supple leather by Domenick himself! You can customize the bracelets and belts by choosing from a variety of styles, studs and charms, and personalize them by adding your loved one’s name directly onto the band. Each leather gift comes in a variety of colors: camel, wine, black, brown, and natural leather. They are absolute must-haves!
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The County Woman Magazine www.TheCountyWoman.com
New! Sewing Machine Repair Done On-Site! January/February 2016
CASA
55
CASA Celebrates A Decade Of Providing Child Advocacy For Children In The Foster Care System Written by: Vicki Weiss, Executive Director
What is CASA of Ocean County? CASA of Ocean County is a non-profit organization that exists to recruit, train and supervise every day-concerned citizen to serve as a child’s voice in court. A CASA Volunteer is a compassionate caring adult that remains in the child’s life until the child has a safe and permanent home. 10 Year Anniversary for CASA of Ocean County Help CASA celebrate its vision to provide a CASA Volunteer to every child in foster care that needs one by volunteering as a Court Appointed Special Advocate. There are over 750 victims of abuse and neglect living in out of home placement in Ocean County. By no fault of their own, innocent children from our community have experienced physical/and or sexual abuse, neglect, witnessed domestic violence, live in extreme poverty and have parents that are struggling with addiction or mental health issues. Children, from ages ranging from birth to 21, are appointed to the CASA office so we may provide them with a CASA Volunteer of their own. The CASA Volunteer ensures the child’s emotional and physical needs are being met while they live in foster care.
What do you need to do to become a CASA Volunteer? Besides patience and a giving heart for children, the CASA Volunteer needs time to donate to be the one person that the children can count and rely on. CASA provides a 30-hour training class for the volunteers to teach them how to become child’s rights advocates in a very complicated court system. A CASA will undergo a background check, visit the child once a month, prepare court reports and attend hearings, and participate in on going training activities. As a Judicial Volunteers they assist the court by visiting foster homes, day care providers, schools, medical providers, and will inform the Judge in a court report. The volunteer will make recommendations to the court so the Children in Court Judge can make the best decisions for the best interest of the children. What does advocacy include? Every child’s situation is different but here are examples of how a CASA can change a life of a child: erve as a voice in the courtroom to keep G Schildren from being moved from foster home to foster home.
the child’s right to have parent, sibling, G Randequest family visitations. isit schools and ensure the foster child is G Vreceiving a quality education.
G Assist with clothing and basic need issues. G Recommend annual health visits and therapy. onitor a parent’s court order for rehabilitation G M and help the child from lingering in foster care. dvocate for the adoption, reunification and G AKinship Guardianship so a child will have the safe and forever home that they deserve.
How can you receive more information? The CASA office hosts monthly Informational Sessions and in person interviews to provide volunteers with answers to all their questions. More information can be found on CASA website and volunteer applications are available to download at www.casaofoceancounty.org . The next training class is in the spring of 2016, and CASA is actively seeking volunteers to become advocates and serve on the Board of Directors/Committees.
Want an excuse to dress down for the day? Now you have one! Donate $5.00 to CASA for Children of Ocean County and you can wear jeans to work on any Friday during the month of April 2016.
For more information, contact:
Vicki Weiss email Vicki@casaofoceancounty.org April is Child Abuse Awareness Month Your company, law firm, day care, school, and/or small business can join this fundraiser to help raise awareness and fundraise to ensure every foster child in Ocean County has a CASA Volunteer of their own. For more information, visit us at 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.
1108 Hooper Ave., Bldg.1, Suite C Toms River, NJ 08753 Phone: 732-797-0590 Fax: 732-797-0594
www.casaofoceancounty.org The County Woman Magazine
www.TheCountyWoman.com
Vicki Weiss
Executive Director CASA of Ocean County
January/February 2016
Health & Wellness
56
B
Cough and Cold Season Is HereAre You Ready?
Believe it or not, cough and cold season is upon us. Our nights are becoming very cold and children have been back in school for about four months now. This is the season everyone dreads. It seems we see people with the sniffles everywhere—at work, at the mall and even at home. Now is the time to take some steps that will reduce your risk of catching a cold and stock up on things that will help with the symptoms when the inevitable happens. You can reduce your risk of catching a cold or flu. Here are some helpful hints: WASH YOUR HANDS FREQUENTLY This will help stop the spread of germs. Everything you touch potentially has cold germs on it—door knobs, handrails, pens, pin pads, etc. Also, keep hand sanitizer easily accessible—keep it in your car and your desk at work. REDUCE STRESS Whenever a big day is coming up, or a deadline you have been rushing to meet, you are more likely to become sick. Relax, your health is more important. Also, try to get at least 8 hours of sleep per night. EAT WELL Certain foods combat colds. Try to include as much of the following as possible in your diet: broccoli, cauliflower, garlic, onions, citrus fruits, and whole grains. Some evidence also exists supporting using vitamin c and Echinacea to boost your immune system. DRINK PLENTY OF WATER Drinking plenty of water helps flush germs out of your body. Water also helps keep your mucous membranes moist, allowing them to trap the virus and dispose of it.
The County Woman Magazine
BREATHE FRESH AIR Try to breathe as much fresh air as possible. Recycled, contaminated air can make you sick! Get outside as much as possible. Cold air will not give you a cold!
Don’t be afraid to ask us, that is what we are here for.
For the most part, everyone catches some degree of a cold at least once a year. Once you feel the symptoms coming on, then what? For starters continue the above tips. Also, cover your mouth and nose when you sneeze or cough (no one else wants your germs). And most importantlyCONTINUE TO WASH YOUR HANDS FREQUENTLY.
Jersey Shore Pharmacy is an independently owned and operated full service pharmacy. Our pharmacists and technicians are here to answer your questions. Stop by and see what a pharmacy experience should be!
There are many cough and cold medications on the market that can help with your cold or cough symptoms. Decongestants in a pill form or a nasal spray can help with a stuffy nose. Antihistamines can help with itchy, watery eyes. Cough suppressants help control a nagging cough. Cough drops or throat lozenges help with a sore throat. Tylenol or Motrin can help any body aches or fever. Before taking any medications, please consult with your pharmacist or doctor to be sure the medication you are buying doesn’t aggravate any existing medical conditions or interact with any current medication you are taking. THIS IS VERY IMPORTANT. Many over the counter cough and cold medications can cause adverse effects.
www.TheCountyWoman.com
Once you have determined which medications are safe, keep some at home so that you are prepared when that cold comes along.
“Your Special Order Is Our Pleasure To Fill!”
Visit www.jerseyshorepharmacybarnegat.com
January/February 2016
Community
57
OCEAN COUNTY LIBRARY Visit www.theoceancountylibrary.org for information about other great programs and library resources
HONORING BLACK HISTORY MONTH Point Pleasant Boro Branch - Saturday, Feb. 13 at 2 pm Long Beach Island Branch - Thursday, Feb. 18 at 1 pm
Black Indian Storytelling
A delightful learning experience about the similarities of both Black culture and the Native American culture through music, storytelling, sign language and dance. Using traditional Native American and African teachings you will learn of women’s roles, the teachings of love and respect for Mother Earth and love for each other. Sponsored by the Friends of the Point Pleasant Boro Library and the Friends of the Island Library. Upper Shores Branch - Wednesday, Feb. 17 at 4 pm
Martin Luther King Jr.: A Chautauqua
Actor and educator Marvin Jefferson portrays one of the most well-known African Americans of the 20th century with a historical characterization which will enlighten and enrich us. A leader in the U.S. Civil Rights movement, a clergyman as well as activist and humanitarian, King’s honors include the Nobel Peace Prize, Presidential Medal of Freedom and Congressional Gold Medal.
Toms River Branch - Saturday, Feb. 27 at 12 pm
Celebration with the Toms River Area NAACP
Come to this wonderful celebration of Black History Month with storytelling by Michelle Washington Wilson. Enjoy a food tasting prepared by members of Toms River Area NAACP as well as step-dancing by the N’Step troupe of Toms River High School North. Sponsored by the Toms River Area NAACP and the Friends of the Toms River Library. Lacey Branch - Tuesday, Feb. 16 at 10 am Barnegat Branch - Tuesday, Feb. 16 at 11:30 am Beachwood Branch - Tuesday, March 1 at 9:45 am Tuckerton Branch - Tuesday, March 1 at 11:45 am
Youth Stages presents: Who’s in Rabbit’s House?: A Masai Tale
This is the story of Rabbit and the many animals who pass by her house on the way to the lake. However, the Long One has taken up residence in Rabbit’s House! Who is the Long One? Who can get it out? The audience will practice various voices and movements in this participatory play for children ages three to six.
The County Woman Magazine www.TheCountyWoman.com
January/February 2016
Women Of Ocean County
58
Alice Marin, Owner, NJ School of Massage Alice, a native of Hoboken, moved to Toms River in 1983. Alice is well known in Toms River having worked for WJRZ fm for 10 years and TR Chamber of Commerce for six yrs. as Event Coordinator. In 2000, she entered the holistic medical field as a massage therapist. In 2008, she continued her medical dream by receiving a certification as a medical assistant and a fitness trainer, which gave her the opportunity to work for Ocean Health Initiatives health clinics. In 2011, she began teaching anatomy and physiology for NJ School of Massage in Toms River, NJ, where she personally trained many students to become professional massage therapists. As of March 2015, she is the new owner of NJ School of Massage. She believes that a career in Therapeutic massage is gratifying, fulfilling and financially rewarding. In addition, she also believes it’s not just about the anatomy and physiology book work or the hands on bodywork practice, however, it’s all about transforming the person to become more than they can be. Alice has participated in choir singing at church, loves biking, hiking, and exercising. She also enjoys going to the beach with her husband Don and their dog Molly and taking care of her mom.
For more information, call 732-505-0055 or visit www.njschoolofmassage.com. Photo by Tracy Harman Photography
Christina Gillespie, MD, Ocean Otolaryngology Dr. Christina Gillespie is a board certified Otolaryngoloigist who has been in practice in Toms River since 2013. She completed her internship and residency in Otolaryngology at Walter Reed Army Medical Center. Before moving to Toms River, she served as Chief of Otolaryngology at William Beaumont Army Medical Center in El Paso, Texas for eight years. At Ocean Otolaryngology, Dr. Gillespie sees patients, at the Toms River and Whiting locations, of all ages with a variety of medical problems. Her specialties include pediatric otolaryngology, sinus surgery, and surgery for sleep apnea. She also treats common medical conditions such as hearing loss, tinnitus, hoarseness and chronic cough. In addition, Dr. Gillespie is also involved in the American Academy of Otolaryngology, American Academy of Otolaryngology Allergy and the American Rhinologic Society. Dr. Gillespie resides in Monmouth County with her husband and daughter. She enjoys spending time with her family as they explore the Jersey Shore. She is also an avid tennis player.
For more information, call 732-281-0100 or visit www.oceanentfacialplastics.com. Photo by Tracy Harman Photography
Jennifer Nosti, RDH Jennifer Nosti grew up in Old Bridge, New Jersey and now resides in Forked River with her husband, John, and their two children, Isabella and Anthony, and their dog Bo. From the time she was young, she had always enjoyed working in the medical profession. When she was in high school, she worked in a dental office and was a volunteer EMT. She continued to further her education in the dental field and graduated as a dental hygienist in 2006. After working in private dental offices for a few years, she took time off to be home with her children. She then changed her career path and decided to focus more on Nutrition, receiving her certification in Nutritional Therapy. Her passion has always been helping people, but now she is able to spend more time with each client, coach others on how to start their own business, and spend more time being home with her family.
To learn more, visit http://jennosti.wix.com/nutrionempowersyou.com. Photo by Tracy Harman Photography
Manpreet K. Kohli, M.D. Barnabas Health Medical Group Board-certified and fellowship-trained breast surgeon Manpreet K. Kohli, M.D. provides women with comprehensive breast care, including prevention, detection and treatment. Being a good breast surgeon draws not only on Dr. Kohli’s technical side but also on her ability to counsel women in a sensitive manner. “I couldn’t have asked for a better field – it requires a marriage of surgical skill with compassionate care,” says Dr. Kohli. Prior to joining Barnabas Health Medical Group, Dr. Kohli served as a general surgery resident and chief resident of general surgery at Monmouth Medical Center, a Barnabas Health facility. During her tenure as chief resident, Dr. Kohli received the Dr. Cyril S. Arvanitis Award for conducting her work with dependability, efficiency and promptness – virtues she continues to uphold today. Dr. Kohli earned her medical degree from Kasturba Medical College in India and completed her breast surgical oncology fellowship at Mount Sinai St. Luke’s Roosevelt Beth Israel Medical Center in New York City. As a member of Barnabas Health Medical Group, Dr. Kohli has access to a wide-range of resources and state-of-the-art technology through Barnabas Health, including a high-risk breast cancer program; genetic testing; breast imaging; skilled medical and radiation oncologists, radiologist and pathologists; and support services – all to ensure women receive the best care when it comes to breast health.
For a consultation with Dr. Kohli, call 732-923-7702.
The County Woman Magazine www.TheCountyWoman.com
January/February 2016
Women Of Ocean County
59
Marian Nashed, Occupational Therapist and Hand Therapy Specialist, All-Care Physical Therapy Center
Marian Nashed is an occupational therapist and hand therapy specialist for All-Care Physical Therapy Center’s Toms River and Whiting locations. She holds a Bachelor’s Degree in Biology from Kean University, and a Master of Science in Occupational Therapy from Howard University. She graduated with honors in 2011 and served as the President of Pi Theta Epsilon, Beta Alpha Chapter, as part of the National Occupational Therapy Honor Society. Marian is continuing her education at Thomas Jefferson University, in Philadelphia, PA, to obtain her Doctorate in Occupational Therapy, with an emphasis on clinical education, and is a certified American Occupational Therapy Association (AOTA) Fieldwork Educator. As an occupational therapist Marian’s professional focus has been on orthopedic care, with an emphasis on hand therapy. Marian is currently working towards obtaining the credentialing as a Certified Hand Therapist (CHT). She believes that each person is unique, and utilizes a client-centered approach to help maximize independence in the performance of activities of daily living, (ADL’s). Marian applies a combination of manual and therapeutic techniques to aid in the recovery of her clients. As an All-Care Physical Therapy Center employee, Marian strives to provide the highest quality care in a comfortable environment to ensure that patients are reaching their full potential.
For more information about All- Care Physical Therapy, please visit our website at www.allcareptc.com or call 1-855-3ALLCARE. Photo by Tracy Harman Photography
Debbie Gullo, RN, CBN, The Center For Weight Loss & Wellness at AtlantiCare Regional Medical Center
Debbie Gullo, RN, CBN, is a perfect fit for her role, as bariatric program coordinator at AtlantiCare’s Center for Surgical Weight Loss & Wellness. It combines her passion for working with people and her love of medicine with her own experience as a bariatric patient 10 years ago. “I understand firsthand what patients are feeling and going through,” says Debbie, who is directly involved in all aspects of patient care before, during, and after bariatric surgery. Debbie shares that she particularly enjoys seeing the transformation that happens in patients after their surgery. “When patients come in to the program, they’re looking to feel better and make their lives better. After surgery, they’re feeling better, mentally and physically. It’s so rewarding to see patients become healthier, happier, and more positive in life,” says Debbie, who grew up in Pomona and now resides in Mays Landing. Outside of work, Debbie enjoys road biking, dancing, and going to the beach. She, her husband, and their three children enjoy traveling together, particularly going on cruises.
For more information, call 1-888-569-1000 or visit www.atlanticare.org.
Theresa Farrell, Caregiver Manger, Senior Helpers Theresa Farrell is proud of her experience in the medical field for over 25 years. She was born in North Jersey and relocated in her early childhood to Ocean County. She studied business and accounting at Ocean County College and she is a certified medical biller and coder. Before joining the staff at Senior Helpers, she was an Office Administrator for a large medical group in Brick, NJ. With her desire to provide quality service and her motivation to help others, she was a perfect fit for her new position as Caregiver Manager at Senior Helpers. She appreciates providing exceptional care that allows seniors to stay at home while they are supported and cared for at levels that are different, but appropriate for each individual. Through Senior Helpers, Theresa recently participated in a conference on A Positive Approach to Dementia Care with internationally known educator and trainer, Teepa Snow. She says, “That experience has given me a new perspective on dementia and a better understanding of what our seniors with dementia and their families experience daily.” Theresa is very dedicated to her work, but her favorite pastimes are reading, music, sports, and caring for others.
To learn more, call 732-657-3600 or visit www.SeniorHelpers.com. Photo by Tracy Harman Photography
Deborah Matusas, CPE, LE, Monmouth/Brick Electrolysis Debbie has been a Board Certified Licensed Electrologist for over 17 years. She is friendly, professional and compassionate about her work, as she loves to help others feel better about themselves. She fully understands first hand about the feeling of having unwanted hair. She attended Ocean County College to receive her Allied Health Degree in Electrolysis and also takes part in continuing education seminars to keep up to date on the latest information, especially with the daily changes in the healthcare system. She practices the highest standards of sterilization, as this is a very important part of electrolysis. Debbie is also trained in the three modalities of electrolysis so she can help her clients individually with the best method for their needs. Debbie was born and raised in Brick, NJ, and has been married to her husband, Tom, for 13 years. She and her husband have two beautiful daughters, Kristen and Aimee. In her free time, she loves spending time with her family and all their pets. Debbie has a flexible schedule that fits into most people’s busy lives, as she works most days, nights and weekends. She is very committed to her profession and loves to accommodate her clients. Although there are two locations, Debbie works full time at the Brick location.
To learn more or to schedule an appointment, call 732-477-9040 or visit www.bhairfeee.com. Photo by Tracy Harman Photography
The County Woman Magazine www.TheCountyWoman.com
January/February 2016
Women Of Ocean County
60
Cheryl Lambert, Chief Financial Officer, Acuity Specialty Hospital of New Jersey Cheryl Lambert has been the Chief Financial officer (CFO) with Acuity Specialty Hospital since 2013 and brings 28 years of Health care finance experience to the organization. As a woman in this field, many of her co-workers admire her strength and resourcefulness to shine in a male dominated profession. Cheryl exhibits a dedication and willingness to help navigate Acuity’s path into the future. “As the financial needs of Healthcare organizations are becoming increasingly more complex, the CFO is a central figure in the success of a highly specialized environment such as Acuity Specialty Hospital”, stated Monica Titus, CEO. Cheryl says that most satisfying part of her job is to be part of a team that provides quality care to patients and who really care about the organization and the patients they help. Cheryl has a BA in Economics from Douglas College Rutgers University and a Master’s Degree in Public Administration (MPA) from Kean University. She also received a Post Graduate Certificate in Accounting from Strayer University Online. Cheryl has one son who attends Boston University where he is studying Computer Science. In her spare time she enjoys exercising, especially running and golfing. She also enjoys spending time on the beach with friends.
For more information, call 609-441-8123 or visit www.acuityatlanticcity.com.
Kelly LaRue, Skin Care Specialist, Bella Derma Medi Spa Kelly joined Bella Derma Medi Spa at the Personal Enhancement Center in 2014. With over 15 years of experience in the skin care industry, Kelly has received her certification from the Rizzeri Institute in New Jersey. She has received her post-graduate certification from the International Dermal Institute of New York and owned a day spa, Spa LaRue, for over 10 years. Kelly’s true passion and knowledge in skin care helps her guide and educate patients on which skin treatments and home care products are best for their individual needs. Born and raised in Toms River, Kelly enjoys baking, working out, riding her bike and going to the beach. She loves spending time with her parents, who have been married for 40 years, and her two brothers. Maintaining a healthy lifestyle is important to Kelly and she loves sharing this quality with others around her.
To learn more, call Kelly at 732-281-1988 to schedule your treatment or visit www.DrGodek.com. Business & Finance
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The County Woman Magazine www.TheCountyWoman.com
January/February 2016
Health &Wellness
61
From Chemo To U.S. Chief Law PLYOGA Fitness Master Trainer E
L
this formataw and share this My name is Christine Conti, and lder I amazing all-encompassing like to think of myself as being in “the fitness program with their business of inspiration!” My plan is clients, athletes, students, simple: do what you love, work hard, friends, families…. the refuse to lose, and believe that you CAN possibilities are endless! ntertainment Inspiring the world CHANGE THE WORLD! Yes! You! Can!
Theater &E
After being diagnosed with Rheumatoid Arthritis five years ago, and having to undergo a round of chemotherapy, I decided that I wasn’t going to let this disease control me. I was going to stay active, healthy, and hopeful. I even decided to sign up for a marathon, something that was always on my “bucket list.” In fact, on November 1, I completed my twelfth marathon in NYC and will run my third Boston marathon in April! Since my diagnosis, it has become my mission to share my message of hope and inspire others by introducing them to both the physical and mental benefits of PLYOGA Fitness. It has changed my life! In addition to raising my two young children in Ocean County, teaching high school English, and coaching volleyball, I am the Chief Master Trainer for PLYOGA Fitness, a fitness program that perfectly unites plyometrics with yoga. After 15 years in the fitness industry teaching classes and training personal clients to reach both their physical and mental goals, PLYOGA creator and fitness guru, Stephanie Lauren, introduced me to this program and it changed my life. PLYOGA revolutionized how I thought about my own fitness capabilities, especially after my devastating R.A. diagnosis. Its use of innovative combinations of high intensity aerobic and strength movements coupled with the balance and flexibility gained from a yoga class made perfect sense. PLYOGA increased my endurance, strength, flexibility, and balance while also allowing me to feel as though I could CONQUER THE WORLD! With each PLYOGA class, I felt a greater sense of confidence and a renewed awareness of my body and my mind! I no longer began to dwell on the looming issue that “one-day I would not be able to exercise or run a race.” I began to let go of my future fears and began to focus on being the strongest and healthiest person that I could be for as long as my body would allow. Today, I am proud to say that I am the U.S. Chief Master Trainer for PLYOGA Fitness. I am blessed to be able to travel the country representing PLYOGA. I schedule and teach PLYOGA Master Classes and hold certifications that train and certify instructors to present this powerful and inspirational program to their clients in either a group or private session! After an intensive one-day certification, PLYOGA instructors are then certified to teach www.TheCountyWoman.com nty Woman Magazine
Christine Conti, Chief Master Trainer, PLYOGA Fitness
through PLYOGA and sharing my personal story of perseverance and success is my goal. I am confident when I say that the future of fitness has arrived in the form of PLYOGA! PLYOGA Fitness is a four-segment fitness system using fundamental yoga postures as an active and fluent recovery for intense plyometric intervals. Efficient, Effective, and Accessible for ALL fitness levels, PLYOGA is taking the world by storm! This program consists of short intervals of high intensity moves that can be modified for all fitness levels paired with basic yoga poses as active recovery between sets. Class begins with an active warm-up called Yoga-Flow and seamlessly transitions into the main part of the class called PLYOGAVERSE, plyometric exercises using yoga poses to control your breath and actively recover. PLYO-Explosion will then engage your anaerobic system through a short series of higher intensity moves before ending with YOGAVILLE, the part of class that EVERYONE loves! This segment of class is devoted to re-centering your body and your mind by practicing a series of yoga postures to lower your heart rate, control your breath, and reflect on all of the hard work you just completed.
Fine Art Photography
Education
Business &Finance
732-575-4768
If you have any questions regarding PLYOGA Fitness, please visit www.PLYOGAFitness.com. And if you are looking to try a PLYOGA class, my weekly schedule of classes can be found at www.contifitness.com. Questions regarding PLYOGA Fitness or the benefits of fitness will be answered by sending your questions to The New Jersey Woman. Your questions will be answered in the next edition!
Be the change you wish to see in the world and always remember #YOURBODYISPOWER! January/February 2015
www.plyogafitness.com
The County Woman Magazine www.TheCountyWoman.com
January/February 2016
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Theatre
&
Entertainment
LIVES OF
REASON BY
ROBERT RECHNITZ & KENNETH STUNKEL DIRECTED BY
JONATHAN FOX JA N 9 – F E B 7/ 2 0 1 6
A world-premiere play by Two River Founder Robert Rechnitz and Kenneth Stunkel. Set at an English Department faculty party, Lives of Reason brings audiences inside the world of academia — and what happens when one woman’s secret passions explode. Lives of Reason is directed by Jonathan Fox, the former Artistic Director at Two River and now the Executive Artistic Director of the Ensemble Theatre Company of Santa Barbara.
TICKETS ON SALE NOW! | 732.345.1400 | TWORIVERTHEATER.ORG | 21 BRIDGE AVENUE, RED BANK, NJ
The County Woman Magazine www.TheCountyWoman.com
January/February 2016
Community
63
WEforum Health & Wellness Conference
we presents
SAVE THE DATE April 20, 2016 Ocean Place Resort & Spa One Ocean Blvd. Long Branch, NJ 07740
F O R U M
educate . empower . evolve
When you educate a woman, she empowers her family, and together WE can evolve a community. LECTURE TOPICS INCLUDE:
VENDOR FAIR FEATURING:
■
■
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Medition and the Power of Positive Thinking
Your Brain on Sugar: The Bitter Truth
Best Non-surgical Options for Looking Youthful
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It’s Not You. It’s Your Hormones!
■
Caring for our Aging Parents
Food Politics; Big Business and many more topics…
Local medical practices, businesses & healthcare facilities in fitness, food, cosmetics and wellness fields
Products for mind, body and soul Free giveaways & raffles
ADMISSION:
$99 Early bird special (by March 15th) ■ $125 Regular Admission ■
PROCEEDS:
■ Proceeds will support free educational
health and wellness programs and services developed by Monmouth Medical Center to make vital health care information accessible to the entire community.
For sponsorship and vendor opportunities call Davina Feingold at 732-923-7521 or by email at dafeingold@barnabashealth.org.
educate
.
empower
The County Woman Magazine www.TheCountyWoman.com
.
evolve January/February 2016
Adult Community
64
Start Your 2016 Retirement At Fountainhead! Land leased communities offer an easy and affordable lifestyle. With less pressure to get it all done in a day or a weekend, living in your own single family home on a 5,000 square foot lot is a great way to relax and unwind after a full life of working, raising a family, and planning.
Home prices in land-leased communities tend to be much lower than land/ home real estate purchases. Land leasing costs are much lower than the usual combination of mortgage, property taxes, utility costs and exterior home/lot care. Land leased communities are located all around the state and many are age-qualified. Fountainhead is a 55+ community in Jackson (Ocean County) offering new and pre-owned homes at prices to satisfy most budgets.
Fountainhead maintains an experienced home sales staff and a la carte services to supplement the services included in the land lease fee. Land leasing is not a new idea, but it is a lifestyle whose time has come. As our state population increases, and our free time decreases, we want to make the most of every day. So why use our time to do a lot of upkeep to the home and yard. The days of enjoying that kind of hard work are passed for many 55+, a little to do is better. Visit Fountainhead online or Facebook and learn more about saving your time for family or your favorite hobbies. New homes available at Fountainhead can be as large as 1,400 square feet or as modest as 900 square feet. Each home lot developed includes an area for parking off the street and a place for a garden building (shed). Each home offered includes the features of natural gas appliances and heat, gutters, air conditioning and easy care exteriors. Every new Fountainhead home is built to high standards and inspected to just as high standards. It is a friendly community on the Jackson-Freehold border, less than two miles from I-195 (the major east/ west artery for central New Jersey). All the services are within a mile or two and for those who don’t drive as much as they used to, Jackson offers free senior transportation.
Visit www.njfountainheadhomes.com
"You'll Love Living Here!"
The “Vista”
The “Madison” • Quality Constructed Homes • Central Air & Gas Heat • Deluxe Appliances • Energy Efficient Insulation • 2 and 3 Bedrooms • Beautiful Kitchens • Land Leasing • Off-Street Parking • 25 min. to Trenton • 20 min. to the Shore • New and Pre-owned Homes
1 Rose Drive, Jackson, NJ 08527 For directions call
732-928-3100
or visit our website
njfountainheadhomes.com
The County Woman Magazine
www.TheCountyWoman.com
January/February 2016
Travel
65
l,
“
Ex
Je nse
a ch lf” Bea ctly on the be u G e h e T ’s “On sort dir Jensen only small re Shell Beach! antic. ’s White e • Rom Captiva Pristine sets • Intimat n king Su 239-472-5800 a t h t a e Br Call
n Style”
sua xed, ca la e r , k c laid-ba 5800. enjoy a u o y 39-4722 If ll . a a C in r s & Ma on spot! Cottage perfect vacati lm a P the Twin Historic phere – this is ’s n e s n s o Je ls. Resort” arina atm n Renta . “Marina istoric island M o i t a c a h V ch
a v pe i rien pt ce True Ca
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s t r o 2 7 s 4 e 9 R s 23 ’ l l n a e C s • Jen .com.
a v t i i t s p i a c V o g . w w w e: t i s b e W g cozy t offerin with a r o s e r run ges Family ites and cotta u s ock beach shing d fi e t a priv ls! at renta o b h it w
Celebrate birthday’s, anniversaries, family gatherings, girlfriend’s weekends, amazing fishing, shelling, manatees, and so much more!
ion a vacat h it w r Yea ! the New Marina today t r a t s o t d n e a tim rts perfect d Reso It’s the ensen’s Islan J
at
There is fun for the entire family! Fisherman • Artists • Musician • Nature Lover • Sheller. Unplug, unwind and relax in “True Captiva Style” at Jensen’s Resorts and Marina.
The County Woman Magazine www.TheCountyWoman.com
ily at tire fam n e e h t Fun for en’s Marina! Jens 800 9-472-5 3 2 ll a C
Boat Rentals • Water Taxi • Fishing Guides Bait • Tackle • Ice • Gas • T-Shirts • Hat Coolers and much more!
January/February 2016
Theatre & Entertainment
66 “
” A COMEDY GEM. YOU WON’T STOP LAUGHING! SHOWBIZ 411
by
directed by
JOE DiPIETRO DAVID SAINT “
MARLO THOMAS GIVES AN EMOTIONALLY
AUTHENTIC AND TOUCHING PERFORMANCE! ” GREG
MULLAVEY
GEORGE
MERRICK
KATE WETHERHEAD
PHOTOS: MATTHEW MURPHY
MARLO THOMAS
CHARLES ISHERWOOD
TELECHARGE.COM | 212-239-6200 | CLEVERLITTLELIES.COM WESTSIDE THEATRE ( UPSTAIRS ) 407 WEST 43RD STREET, NYC
The County Woman Magazine www.TheCountyWoman.com
January/February 2016
Theatre & Entertainment
67
“THE WOODSMAN
is an elemental reimagining of L. Frank Baum’s World of Oz. The puppets are fanciful and gorgeous; the spectacle is handmade, infused with breath and light.” The New York Times
“
“MARVELOUS!
Overflows with vivid imagery and emotion.”
CRITIC’S PICK Evocative and haunting.”
New York Magazine
Time Out New York
THEWOODSMANPLAY.COM RETURNING JANUARY 27
Telecharge.com | 212-239-6200 | New World Stages 340 W. 50th St.
The County Woman Magazine www.TheCountyWoman.com
PHOTO: EMMA MEAD
DISCOVER HOW THE TIN MAN LOST HIS HEART.
January/February 2016
68
Acupuncture
The County Woman Magazine www.TheCountyWoman.com
January/February 2016
Travel
69
Yoga Retreat in Tulum,Mexico
March 11 – 16, 2016
Join Laurie Greene for a 5 night escape to Mexican paradise on the pristine shores of Tulum. Daily yoga practice in front of the Caribbean Sea, plenty of free time for rejuvenating and relaxing in nature, beach walks, optional nature excursions and spa services will fill your retreat experience. Escape with us this winter for some sunshine on your back, quality time on your mat, and a wonderful time with amazing folks to put a smile on your face.
Early Bird sign-ups through January 1, 2016 save $100
O P E N C L A S S E S 7 D AY S A W E E K • Yoga • Pilates
• Meditation • Tai Chi
• Therapeutic Massage • Holistic Services
Gift Certificates Available for Classes or Massages
WWW.YOGANINE.COM 609.404.0999 609.289.8423 SMITHVILLE
VENTNOR
609.494.9299 SHIP BOTTOM LBI
MIND/BODY STUDIO
The County Woman Magazine www.TheCountyWoman.com
January/February 2016
70
Business
&
Finance
MAKE A GREAT FIRST IMPRESSION!
Vehicle wraps are a very memorable way to spread your business’s message. Vehicle wraps for sales, service and delivery vehicles are a powerful branding and marketing tool.
STAND OUT! Brightly colored, attractive vehicle wraps make your company vehicles stand out from all the other cars on the road. Passing drivers won’t pay much attention to a plain white van on the road, but they will notice a well-designed vehicle wrap. Colorful vehicle wraps are so engaging that peoples’ eyes naturally gravitate towards them. COST EFFECTIVE method to promote your business - You can make an initial investment for a fraction of the cost of other long term advertising campaigns and generate results for years.
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Plumbing, Heating and Air Conditioning, Electricians, Landscaping, Builders, Etc. Truck and Trailer lettering and wrapping. Up to 20% off design, production, and installation 2/29/16. 30th. now through November
THREE CONVENIENT LOCATIONS! 935 West Ave. Ocean City, N.J. 08226 609-398-7676
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21 East Broad Street Palmyra, N.J. 08065 1-800-834-3598
www.copiersplus.com • info@copiersplus.com
The County Woman Magazine www.TheCountyWoman.com
January/February 2016
Community
00 71
RONALD McDONALD HOUSE OF CENTRAL & NORTHERN NEW JERSEY LONG BRANCH HOUSE
131 Bath Ave, Long Branch, NJ 07740 732-222-8755
NEW BRUNSWICK HOUSE
145 Somerset St, New Brunswick, NJ 08901 732-249-1222
Providing a “Home away from Home’ Because families are stonger
Together!
What lengths would you go to help your ill child?
It costs an average of $80 a day to house a family. We ask our families for a $10 a night donation to help defray that cost. However, we waive that donation in cases of hardship.
We cannot do this alone! We rely on the This is the question our families have to generosity of you, and our community to answer every day. Since 1987 The Ronald help us continue our mission. Our McDonald House of Central & Northern families are your friends, neighbors, New Jersey has been helping families co-workers and maybe even your family. answer that question. Our mission is to keep these families together by We don’t want to turn providing a warm, welcoming supportive any family away. environment during their time of uncertainty and stress. Please donate: The proper medical treatment is not always available close to home. Families are faced with the trauma of an ill child and then the trauma of needing to travel hundreds and even thousands of miles from their homes. These families find a “home away from home” at our houses. Families are welcomed by staff and volunteers whose primary focus is to make them as comfortable as possible.
www.rmh-cnj.org
Ellianna’s Story “On November 24th 2014 at 3:30 am my life changed forever! I was experiencing intense pain in my lower back and abdomen and I was scared out of my mind because I was only 29 weeks pregnant. The doctor came in and said you are having a baby today. My husband and I started crying she wasn’t due until February 8th 2015. Ellianna was immediately transferred to NICU that morning since she born at 29 weeks and she was only 3lbs. I was worried as our car would not make the trip from the hospital to our home and we didn’t know anyone local to the hospital that we could stay with. We were told not to worry about a place to stay just concentrate on your daughter. We visited with our daughter and were then told to go down the street to a place called The Ronald McDonald House, I was not sure of what to expect. This charity has literally saved our lives and we will forever be grateful for everything they have done. They did not just provide a roof over our heads for two months; they were there to be a shoulder to cry on, someone to talk to, they provided us with meals, they gave us a Christmas to never forget and they really made us feel like a part of their family. The Ronald McDonald House and the people that work & volunteer there are amazing, they made the most horrifying two months of our life the most magical time of our life. We love all of you!” ~ Rodney, Dana and Ellianna
We provide a ‘home away from home’ for thousands of families with seriously ill children while they receive care at nearby medical facilities. Our houses and family rooms offer comforting surroundings where family members can stay together during a time of uncertainty and stress. Your generosity has enabled us to support our families for more than a quarter of a century. We thank you for providing us with the opportunity to continue our mission.
Follow us online! Social Media: RMHCNJ For info or to donate visit our website: www.rmh-cnj.org or email us: info@rmh-cnj.org The County Woman Magazine www.TheCountyWoman.com www.TheCountyWoman.com The County Woman Magazine
January/February 2016 January/February 2016
Business &Finance
72
Greater Toms River Chamber of Commerce
Our 2016 calendar is already filling up with some tremendous events and opportunities - Mark your calendar and join us! Thursday, February 4th at Saturday, July 9th - Lemonade Day is a day Saturday, November 26th Cuisine on the Green - Our annual when “every child in America is introduced to - #WeAreTR Small Business Jeremy Grunin, Mardi Gras event is a time for us to entrepreneurship through the real world experience Saturday “encourages people across Noelle Lotano Chairman network in true New Orleans-style of starting their own business – a lemonade stand. the country to support small, local Executive Director with the culinary specialities only By running their stand, they learn the business businesses”. We are planning found at Cuisine on the Green at Atlantis. and life skills needed to set a goal, make a plan and another great event gearing up to the big day to Wednesday, March 9th at The Grove - During work the plan to achieve their dreams.” elevate our local business community. our Ocean County Business Outlook Seminar Saturday, September 17th at The Toms River Tuesday, November 29th at The TR Hotel lunch, we discover the extrapolated Ocean County Country Club - SUP (Stand-Up-Paddleboard) the #GivingTuesday Membership Luncheon is a fun results from the Annual MODC Business Outlook River is a brand new event for 2016 - celebrating get-together during the holiday season and is sure Survey. economic development in our vibrant coastal to bring a smile to everyone’s faces as we honor an Monday, June 13th at The Toms River community. outstanding non-profit organization. Country Club - After nearly a quarter century, we Thursday, October 20th at The Water’s Edge Please contact the office for more details about, have combined our popular golf outing with our - After over half-a-century, our annual Awards or to register for, any of our 2016 events - hoping longstanding tradition of providing scholarship Reception remains the highlight of the year for to see you there. opportunities to deserving students. We are many of our members. It is a time to celebrate Noelle Lotano, Executive Director pleased to announce our Nine + Dine/Scholarship individuals, organizations, and businesses who Dinner exemplify the mission of our chamber. www.TheCountyWoman.com Woman Magazine January/February 2015
Greater Toms River Chamber of Commerce
3rd Annual Mardi Gras Networking Event
Thursday, Feb. 04, 2016 I 6:00p - 9:00p Cuisine on the Green at Atlantis Golf Club 261 Country Club Boulevard, Little Egg Harbor
- Sponsorships -
Gold Event Sponsor - $1,000.00
Includes: Top Billing on Sponsor Sign, Event Sponsor with your logo displayed on projector, 4 dinner tickets
Purple Sponsor - $500.00 Includes:Name on Sponsor Sign, Signage at dessert table, 2 dinner tickets
Green - $250.00 ! LDSponsor
SO
Includes:Name on Sponsor Sign, name on beads
Dinner Ticket - $50.00 Includes: Signature Drink, passed appetizers, New Orleans style menu, specialty coffee & dessert RSVP by 01.28.16 - REGISTRATION IS MANDATORY No Shows will be charged Register online:
http://tomsriverchamber.com/news-events.html
Maximum Wellness Rehabilitation, LLC Dr. Jeffrey Gurrere Dr. Jacob Schuck Corey Francisco 89 Riverwood Drive Toms River, NJ 08755 732-818-1999 Physical Therapy/ Rehabilitation The Alternative Board NJ Shore James M. Hadley, President 1704 Maxwell Ave, Suite 108 Wall, NJ 07719 609-276-2120 Business to Business Shall We Dance Nelson Ibacache 815 Hooper Ave. Toms River, NJ 08753 732.473.9600 shallwedanceusa.com Dance instruction The Wireless Experience Bryan Quackenbush 181 Route 37 West, Toms River, NJ 08755 732-619-3055 Cell Sales & Repair Toms River Online Robert Henne 1358 Hooper Ave., #131 Toms River, NJ 08753 732-929-0730 www.tomsriveronline.com Communications, Media & Advertising
BenefitMall Payroll Nick VanderPyl 1024 Valley Stream Rd. Toms River, NJ 08753 732-930-4447 Business to Business American Efficient Lighting Meredith Nole PO Box 43607 Toms River, NJ 08756 862-220-1406 Electrical Supplies South Jersey Energy Kelly Irving 1317 Route 73 North, Suite 206 Mt. Laurel, NJ 08054 856-505-4580 ext. 6759 856-608-6845 (www. southjerseyenergy.com Utilities & Oil Companies Urgent Care Now William Recevuto 970 Hooper Avenue, Toms River, NJ 08753 609-978-0242 www.urgentcarenownj.com Healthcare Urgent Care Center Innovative Flooring & Home Design Antonio Piano
792 Fischer Blvd. Toms River, NJ 08753 732-691-1610 www.njfloorcovering.com Flooring Eznergy NJ LLC Judy Ianniello 1561 Route 9 Toms River, NJ 08755 (732) 244-0442 (732) 953-9100 www.eznergy.com General Contractor ADP Matthew Betz 2421 Atlantic Ave Wall, NJ 08735 908-330-6595 Business to Business AXA Advisors, LLC Aaron Paglia 1967 NJ-34 Wall Township, NJ 07719 732-326-5312 Financial Services Lomurro, Munson, Comer, Brown & Schottland, LLC Eric H. Lubin, Esq. 4 Paragon Way, Suite 100 Freehold, NJ 07728 732-414-0300 www.lomurrolaw.com Legal Services
Stilton Company LLC DBA: Toms River Magazine Phil Stilton 6 Kennedy Court Jackson, NJ 08527 (732) 833-2364 www.shorenewsnetwork. com Communications, Media & Advertising
The County Woman Magazine www.TheCountyWoman.com
January/February 2016
Fine Art Photography
The County Woman Magazine www.TheCountyWoman.com
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January/February 2016
74
Pain Management
Interventional Pain Management & Ortho-Spine Center TM
Stop Hurting. Start Living. Neuro-Stim System (NSS™) is an FDA approved pain treatment program. Neuro-Stim System™ produces a low frequency and constant pulse to help reduce post-operative pain and decrease the need for pain narcotics. The device relieves pain without the harmful side effects commonly associated with pain medications The neurostimuator stimulates the patient’s pain modulation systems and leads to the
release of neurotransmitters, such as endogenous endorphins (opioids), helps to normalize the protein expression profile of the hypothalamus caused by neuropathic pain and to exert neuro-protective effects on the dopaminergic neurons. In addition, nerve stimulation has been an approved treatment for many chronic pain conditions, which include widespread pain, by stimulating targeted peripheral and cranial nerves which results in increased endorphin release and concomitant reduction in sympathetic tone, which has an effect on gait mechanisms of chronic pain. The stimulated endorphins result in a reduction of a variety of symptoms and an increase in blood flow into affected tissues of the affected areas. This increased vascular perfusion speeds healing time, helps to reduce localized inflammation and swelling, and decreases pain. An added benefit is that this treatment typically helps to reduce narcotic consumption and need for other medications or treatments used to address pain. The symptom reduction is often cumulative and residual. The majority of patients may require six to nine separate devices/neurostimulator treatments to reach quiescence. When treating chronic pain conditions, suggested protocol is to initially implement five treatments (each treatment requires a separate disposable, single-use neurostimulator device). In acute situations such as surgical procedures, a pre-treatment and post-treatment use of the neurostimulator device (two total treatments) to reduce sympathetic stimulation and increase endorphin production is suggested to minimize post-operative pain, edema, swelling, and to reduce the need for opioid and other pain medications. The neurostimulator treatment will be used as an adjunct modality with the patient’s current pharmacological and medical restoration treatment program, in anticipation of decreasing pharmacological and medical restoration treatment as the neurostimulator treatment affects the patient.
NSS™ is approved for treatment of: • Back pain • Sciatica • Cervical pain • Arthritic and joint pain • Fibromyalgia • Zoster related pain • Cancer pain • Depression and Insomnia • Post-Operative Pain Management • Complex Regional Pain Syndrome • Diabetic Peripheral Neuropathy • Lateral Femoral Cutaneous Neuropathy • Occipital Neuralgia • Trigeminal Neuralgia • Peripheral Vascular Disease Neuropathy • Herpetic Neualgia • Trigeminal Neuralgia • Reflex Sympathetic Dystrophy (RSD) • Complex Regional Pain Syndrome (CRPS) • Other conditions that have failed conventional therapies.
CoNtraiNdiCatioNS:
There are few contraindications for the NSS™. Absolute contraindications are: • Recent transplant • Site infection
Relative contraindications include: • Pregnancy • Pacemakers • Contact dermatitis to adhesives (latex allergy) • Occurrence of an MI within the last six months
1-800-403-1533 www.statewidepain.com
The County Woman Magazine www.TheCountyWoman.com
January/February 2016
Pain Management
75
Interventional Pain Management & Ortho-Spine Center
FrequeNtly aSked queStioNS: How long do I wear the device?
Are there any side effects?
The device should be left on for the period of time recommended by your treating clinician. This will vary according to each patient. The device is designed to run for 120 hours (five days). It will turn on and off every two hours. The device should be professionally removed and properly disposed. Please discuss safe and effective options with your provider.
How many treatments will I need?
Treatment length of time may vary according to your treatment needs and goals. The symptom reduction is often cumulative and residual. The majority of patients may require six to nine separate devices/neurostimulator treatments to reach quiescence. When treating chronic pain conditions, suggested protocol is to initially implement five treatments (each treatment requires a separate disposable, single-use neurostimulator device). Your treatment provider will re-evaluate you at each appointment and will discuss your progress.
How soon will I see results from the treatment?
Often patients receive benefits after one or two treatments. However, this depends on the patient and their particular situation, the amount and type of medications prescribed, how long the symptoms have persisted, etc. Be sure and discuss all medications you are taking including over-the-counter medications, vitamins, herbs, and minerals.
Once I feel the benefit of the treatment, how long will relief last?
Relief is often residual and cumulative which means it often lasts longer with each treatment. Each person has their own individual response and this should be discussed with your provider.
When should the device be removed by the patient?
The Neuro-Stim System should be left on for the recommended five days. You may remove the device by grasping the battery pack and gently pulling it away from the ear. If you should have any discomfort not related to the reason we are treating you, such as dizziness or headaches or if you feel extreme discomfort from the Neuro-Stim System points attached to the ear, please remove the device immediately and call your treating clinician.
PatieNt teStimoNialS loWer BaCk PaiN:
Do not discontinue any medications without first discussing it with your treating clinician and/or the physician who prescribes your medications
Debra (55), postal clerk for over 25 years has degenerate disk disease. Pain, even with daily narcotic pain relief, made daily activities difficult and Debra began using a walker. Debra began the NSS™ treatment and after only a few treatments Debra reported less pain and anxiety. By the end of treatments, she experienced reduced pain and increased mobility. Debra is now able to work and care for her mother again. “I would recommend this device for anyone to manage their pain and anxiety. With a full time job and a loved one relying on me, I had to find a way to manage my pain. NSS™ helped me to do that and more.”
What if my pain returns?
SHiNGleS:
If I begin to feel better can I discontinue my pain medications?
Remember, the treatment is a safe and effective management tool for your pain. It is not unusual for your pain to come and go, this is normal. You will be re-evaluated with each treatment in order to formulate a treatment plan to give you the best long term results.
What if I don’t feel the pulsing? Should I take the device off?
No. Your body will become attenuated or used to the pulsing so you may not always feel it. Also it runs in cycles, just because you don’t feel it does NOT mean it isn’t working. If a second device is placed it is normal not to feel the tapping or pulsing like you did on the fist one. Each device is pre-tested to make sure it is working before it is placed. If you have any questions call your provider and discuss this with them. How do I keep from getting the device wet when showering? Holding a dry washcloth over the device while showering or washing your hair works very well. We’ve also had patients tell us they use a small empty bowl with a dry cloth inside to hold over the device.
Although extremely rare, there may be some side effects which may include: • Skin irritation • Bleeding or infection at the site of implantation • Pain at the site of implantation • A sore ear • Allergic reactions to the tape and adhesive • An increase in symptoms • No reduction in symptoms • Dizziness • Fainting If you experience any of these symptoms report them immediately to your treating clinician.
Robert (65) contracted shingles, a painful viral infection of the nerve roots which causes a blistering rash, headaches, dizziness and extreme sensitivity to light. A once active retiree, he couldn’t drive, read, and was virtually house bound. He was missing the life he had worked so hard for. Within four NSS™ treatments Robert was feeling like his old self. The shingles cleared up, and Robert was ready to resume his normal activities. Thanks goodness for NSS™.
miGraiNeS:
“I tried NSS™ because my chronic migraines were destroying my life,” said Sarah (34). “I couldn’t work or take care of my family.” Sarah’s migraines occurred 4-6 times a month. Traditional medications weren’t effective and left her foggy and lethargic, and she found herself bedridden often. After reading about NSS™, she decided to try it. Her pain level decreased almost immediately after the fist treatment, and improved with each subsequent treatment. She has not suffered a migraine in over 5 months. “I never expected results like this, NSS™ is amazing.”
EAST BRUNSWICK: 3 Cornwall Drive East Brunswick, NJ 08816 732-698-1000
OLD BRIDGE: 26 Throckmorton Lane Old Bridge, NJ 08857 732-952-5533
SOUTH AMBOY: 2045 Route 35 South South Amboy, NJ 08879 732-727-5000
TOMS RIVER: 452 Lakehurst Road Toms River, NJ 08755 732-349-9099
OLD BRIDGE: 42 Throckmorton Lane Old Bridge, NJ 08857 732-952-5533
EDISON: 3848 Park Ave. Edison, NJ 08820 732-679-8808
TOMS RIVER: 1868 Hooper Ave. Toms River, NJ 08753 732-255-3877
PERTH AMBOY: 763 Convery Blvd. Perth Amboy, NJ 08861 732-698-1000
SPRINGFIELD: 105 Morris Avenue Springfield NJ, 07081 732-952-5533
The County Woman Magazine www.TheCountyWoman.com
WEST ORANGE: 81 Northfield Ave. Suite 304 West Orange, NJ 07502 732-952-5533 SCOTCH PLAINS: 1774 East 2nd Street Scotch Plains, NJ 07076 908-490-1800 CLIFTON: 1084 Main Avenue Clifton, NJ 07011 973-470-8848
WEST NEW YORK: 321 60th St West New York, NJ 07093 800-403-1533 STATEN ISLAND: 2537 Amboy Road Staten Island, NY 10306 718-351-0155 BROOKLYN: 668 5th Avenue Brooklyn, NY 11215 718-499-4995
January/February 2016
Interventional Pain Management & Ortho-Spine Center
Stop Hurting, Start Living.
Conditions Treated:
Treatments:
• Neck/Mid Back/Lower Back Pain • Sciatica/Radiculopathy
• Pulse Stimulation Treatment (PSTIM) • Neuro-Stim Stimulation (NSS)
• Disc Bulging/Herniations • Facet Pain Syndrome/Arthropathy
• Discography • Percutaneous Discectomy
• Foraminal/Spinal Stenosis • Whiplash/Hyperextension Injury
• Spinal Cord Stimulator • Stellate Ganglion Blocks
• Failed Open Back Surgery Syndrome
• Occipital/Orbital Nerve Blocks
• Major Joint Pain/ Arthritic Pain • Complex Regional Pain Syndrome
• Trigeminal Nerve Blocks • Medication Management
• Sacroiliac Pain Syndrome • Occipital Neuralgia
• EMG/NCV Testing • Epidural Steroid Injections
• Spondylosis • Peripheral Neuropathy
• Selective Nerve Root Blocks • Facet Joint Injections
• Myofascial Pain
• Radiofrequency Ablation
• Post-Herpetic Neuralgia • Abdominal/Pelvic Pain • Cancer Related Pain • Carpal Tunnel Syndrome
• Major Joint Injections • Visco-Supplementation Injections • Plasma Rich Platelet Injections • Trigger Point Injections
Complimentary Transportation
Complimentary
First Exam & Consultation for Pain Management $250 Value INTERVENTIONAL PAIN MANAGEMENT & ORTHOSPINE CENTER
1-800-403-1533
www.StateWidePain.com
Insurances Accepted : Aetna • Blue Cross Blue Sheild • The Empire Plan • Cigna • 1199SEIU • Empire BlueCross BlueShield • Medicare
Magnacare • GHI EmblemHealth • United Healthcare • Oxford Health Plans • MVA/No Fault • Worker’s Compensation
The County Woman Magazine www.TheCountyWoman.com
January/February 2016