Ocean County Woman - 2014 March/April

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Ocean

Woman  COUNTY

An Educational Resource for Women and Their Families FREE ~ Please Take One What Is An ETF? Consider Your Options

ETFs are changing the way people invest, allowing investors big and small to build institutional-caliber portfolios with lower costs, better transparency, and greater tax efficiency than ever before. Page 19

LOOK YEARS YOUNGER WITH STRICKLAND FACELIFT DENTURES!

These custom dentures provide neuromuscular support and stimulation to the bone structure, preserving the natural contours of your face and jaw. They take into account the motions and actions of the muscles and nerves. Page 32-33

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Visit Us Online...www.TheCountyWoman.com

BRANDYWINE SENIOR LIVING ... “It’s Personal”

Lisa DeLecce is the Executive Director at Brandywine Senior Living at Toms River and has been with Brandywine for over eleven years. “Still loving it,” she says with a huge smile. Page 44

All -Care Physical Therapy Center Team is dedicated to provide the best rehabilitative care with exceptional service. Read more about their facilities and services on pages 2 & 9.

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Photo By Tracy Harman Photography

March/April 2014

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Featured On The Cover

Now Providing In-Home Physical Therapy

From the Founders: The All-Care Story

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ichael Yorke graduated with honors from Gettysburg College in 1997, majoring in Exercise Science and becoming a licensed Athletic Trainer. He continued his education at Hahnemann University in Philadelphia earning a Master’s degree in Physical Therapy in 1999. He performed clinical rotations at the University of Pennsylvania and Sinai Rehabilitation Hospital. After working in the industry for a few years, Michael discussed the shortcomings of his experience with his parents and brother, Jim Yorke. Together they recognized the need for a company that encourages an emotional and physical recovery for patients, while providing exceptional service. All-Care was then founded in 2005 in Whiting, NJ. Michael’s mission was, as it still is today, “To provide exceptional patient care in a setting ideal for both patients and personnel”. Due to the overwhelming patient satisfaction of the “All-Care Approach”, we were able to open four new locations throughout Ocean County, NJ over the following five years. During this evolution, All-Care was chosen by many of New Jersey’s top physical therapy schools as a leading clinical affiliation site for students in their doctorate programs. All-Care has also been recognized as a Regional Training Center for continuing education Seminars in the pursuit of clinical excellence with a focus in orthopedics and geriatric medicine. The success of our company has been built on our ability to provide the best rehabilitative care with a never ending pursuit of exceptional service.

The County Woman Magazine

Left-Right: Jim Yorke, Executive Director and Michael Yorke, President.

Patient Testimonials “From my first visit until now I cannot say enough about All-Care and your wonderful staff, the level of care is phenomenal.” ~ Barnegat Patient, 8/22/2013

“I am very satisfied that I came here. I never knew physical therapy could help me. “ ~ Manchester Patient, 7/12/2013

“I would definitely return to All-Care if need be. I would also highly recommend All-Care to others who may be seeking physical therapy. Thank you to the entire staff for making a shoulder break easier, and helping me to attain full range of motion with little to no pain. Thanks again.” ~ Whiting Patient, 8/2/2013

“I have been very impressed with the efficiency and atmosphere here and how everyone works together to make clients comfortable, but at the same time encourage and challenge them to progress. Thank you.” ~ Whiting Patient, 8/8/2013

You Can Reach Us At:

1 (855) 3ALLCARE

www.AllCarePTC.com

“The service is truly exceptional. You feel that everyone has the same goal- to get you well. I cannot thank everyone enough for making my experience pleasurable and making me progress the best that I could.” ~ Manchester Patient, 7/8/2013 “I feel as though I was exceptionally well taken care of - everyone is very thoughtful, considerate, efficient, and caring, I couldn’t ask for better treatment and care. I also feel as though I have made many new friends. Thank you all for everything, I certainly would look forward to coming back if need be.” ~ Manchester Patient, 9/4/2013 www.TheCountyWoman.com

March/April 2014


Featured Articles Heading ^

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^ Medical Professionals All Care Physical Therapy.................................................... 2, 9 AtlantiCare Regional Medical Center: The Heart Institute................................................................ 5 Atlantic NeuroSurgical Specialists...................................10-11 NJ Community Spine & Pain................................................. 13 Barnabas Health Medical Group Ocean County Ob/Gyn...... 16 Gastroenterologists of Ocean County................................... 17 Stephen L. Newman, MD, MBA............................................ 20 Ocean Plastic Surgery, PA..................................................... 21 Garden State Foot and Ankle................................................ 22 Bella Derma Medi Spa........................................................... 27 Premier Pain Centers.......................................................28-29 Shore Vascular & Vein Center................................................ 30 AtlantiCare: The Center for Surgical Weight Loss & Wellness.................................................... 31 Ocean Hematology & Oncology............................................ 34 Barnabas Health: Dr. Sumy H. Chang................................... 35 Institute For Complementary & Alternative Medicine............ 38 Kathy A. Banks, DMD............................................................ 39 Nina J. Paonessa, DO, FACOS............................................. 40 Total Hearing Care................................................................. 41 South Jersey Fertility Center................................................. 43 Toms River X-Ray, CT & MRI Center..................................... 46 Whiting Healthcare by Revera............................................... 47 Caring Heart & Brain Imaging................................................ 52 Seaview Orthopaedic & Medical Associates......................... 53 ^Precious Metal Buyers Precious Metal Buyers............................................................ 3 ^Contemporary & Rattan Furniture Heritage House Interiors......................................................6-7 ^Elder Law Rice Elder Law........................................................................ 8 ^Health & Wellness Hypnosis for Women............................................................. 12

Health & Wellness (continued) Meridian Fitness & Wellness.................................................. 15 Ocean Health & Weight Loss............................................36-37 Simply Skin............................................................................ 51 Jersey Shore Pharmacy...................................................56-57 Yoga Nine Mind/Body Studio................................................ 61 Free! RxCut® Plus: Pharmacy Savings Card........................ 68 ^Home Health Care Senior Helpers....................................................................... 14 ^Home Improvement Progressive Dimensions Countertops................................... 18 ^Carpet & Flooring Best Carpet & Flooring.......................................................... 18 ^Financial Management Mark S. Rushwald................................................................. 19 ^Full Landscape Service Under The Sun Landscaping................................................. 19 ^Law Jay Turnbach, Esq. LLC........................................................ 23 Matus and Connell................................................................ 24 Straffi & Straffi, Attorneys At Law.......................................... 25 ^Wigs & Hair Replacement Abstrax Hair Designs............................................................. 26 ^Professional Dentistry Aesthetic Dental Creations...............................................32-33 ^Tire & Auto Service Center SBR Tire Exchange............................................................... 42 ^Alzheimer’s Care Community Brandywine Senior Living................................................ 44, 80 ^Assisted Living Spring Oak of Toms River...................................................... 45 ^Education Peppermint Tree Child Development Center......................... 48 Ocean County College.......................................................... 49

Precious Metal Buyers

3 ^Business & Personal Storage Airship Storage...................................................................... 49 ^Business Opportunity Nerium Independent Brand Partner...................................... 50 ^Business & Finance Lang Insurance Group........................................................... 51 Toms River Chamber of Commerce...................................... 62 Copiers Plus, Inc................................................................... 66 ^Adult Community Fountainhead Properties....................................................... 54 ^Elder Life Management Elder Life Management, Inc.................................................. 55 ^Home & Business Expo Bella Vista Country Club....................................................... 58 ^Acupuncture Koehler Acupuncture............................................................. 59 ^Women of Ocean County..........................................60-61 ^Fashion & Beauty Barbara’s Boutique................................................................ 64 Leisure & Lace....................................................................... 65 ^Consignment Shop Treasures From Heaven......................................................... 67 ^Pets Critter Corner........................................................................ 71 ^Theatre & Entertainment Buyer & Cellar........................................................................ 74 Til DIVORCE Do Us Part........................................................ 74 50 Shades-The Musical......................................................... 75 Sistas-the Musical................................................................. 75 ^Women’s History Character, Courage & Commitment...................................... 76 ^Fine Art Photography Tracy Harman Photography.................................................. 79 ^Community.............................. 42, 63, 69-70, 72-73, 77-78

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

The Art Of Precious Metals ... An Interview With Dov Oppenheim Part III of III Written By: The County Woman Staff

As the owner of Precious Metal Buyers, Dov Oppenheim buys, melts and trades gold and other precious metals. Dov Oppenheim, Owner

TheCounty CountyWoman WomanMagazine Magazine The

In our last issue we spoke with the President of Precious Metal Buyers, Dov Oppenheim about some of the stigmas that are commonly attached to the business of selling gold. In this issue we conclude the series with some final thoughts about his profession as well as what sets his business apart from the others out there.

CW: What sets your business apart from others in the industry? Dov: My policy is that I give my customers all the time they need. When a customer makes an appointment, I make sure they have sufficient time to discuss their items with me in detail so they do not feel rushed. They come to a pressure and obligation free environment where we discuss the piece and the history. Based on that information, I will evaluate, weigh, and test all items right in front of my customers. CW: How can consumers tell if a buyer’s scale is rigged or inaccurate? Dov: By law, the buyer must weigh your items individually and in plain sight of the seller. Make sure the buyer’s scale is inspected and certified by the Office of Weights and Measures. If you don’t see a blue sticker with the current date on it or if

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you see a red sticker then take your gold, leave the store and report the incident to Ocean County Weights and Measures at (732) 929-2166. CW: What is the most rewarding part about your job? Dov: The most rewarding part about my job is knowing that we are doing everything the right and legal way. In fact, the Ocean County Department of Weights and Measures ensures the accuracy of our scales. Customers can feel completely confident that when dealing with us they are receiving fair treatment. I also enjoy when I can exceed my customer’s expectations when making a monetary offer to my clientele for their valuables. Must Call To Schedule Your Personal Private Appointment visit www.pmbuyers.com

March/April March/April2014 2014


Publisher’s Note

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Ocean

An Educational Resource for Women and Their Families Since 2008

Woman COUNTY

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Publisher.........................................................Lynn K. Wolf lynn@acwoman.com • 609-929-4189 Associate Publisher..................................... Kristina Pruitt kristina@thecountywoman.com • 609-412-1914 Regional Marketing Director............................... Jon Pruitt jon@thecountywoman.com • 609-412-3603 Professional Page/Graphic Designer............ Darlene A. Davis DesignsByDar@comcast.net PR Executive/Graphic Designer.................Katherine Githens staff@thecountywoman.com • 856-885-8066 Art & Production Associate........................ Meghan Morse staff@thecountywoman.com • 856-885-8066 Feature Cover Writer . .......................... Gena Ansell-Lande Graphic Designer, Real Grafix Design................... Cathy Tveici Graphic Designer, Golden Design, LLC............... Laura Golden Website Designer.............................................. P.J. Santos www.digitalartstation.com Distribution Manager......................................Mike Dziuba

For advertising inquiries, please call:

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

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

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

Find us on the web! www.TheCountyWoman.com And follow us on Facebook and Twitter @TheCountyWoman

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Welcome to the March/April 2014 Issue Of Ocean County Woman I’m writing this note while listening to yet another news report about a record-breaking winter storm crippling our eastern seaboard. However, it’s encouraging for me to know that when you are reading this publication, the first day of spring, March 20th, will be less than 14 days away! And with the coming of spring, we celebrate the sixth anniversary of Ocean County Woman. It’s hard to believe that six years have already passed since the spring we first brought this publication to the women of Ocean County and their families. We have enjoyed meeting the many professionals who have shared their expertise with our readers in the areas of health, finance, fitness, law, fashion, beauty, insurance, home improvement, and much more. This issue is loaded with valuable information in all those areas. For instance, if you are looking for a superior in-home care company, the article on page 14 by Peter Mangiola, CEO of Senior Helpers, will help you understand how such services can make a big difference in your family. Rose MacNish, Lang Insurance Group, is looking forward to helping Boomers with their healthcare questions (page 51). Mark S. Rushwald, Certified Financial Planner, writes an “easy to understand” article about ETFs on page 19. He looks forward to using his professional expertise and experience to help you and your family attain financial security. Don’t miss the many critical articles written by the medical and health and wellness professionals in this issue. Some of them are sure to have a significant impact on your life. On May 11th, you can show your love and appreciation for your mother, grandmothers, aunts, sisters, and other moms in your life with a gift certificate for services or products from Heritage House Interiors (pages 6 & 7), Simply Day Spa (page 51), Abstrax Hair Design (page 26), Treasures From Heaven (page 67), Bella Derma Medi Spa (page 27) Koehler Acupuncture (page 59) and Hypnosis For Women (page 12). National Women’s History Month is celebrated from March 1st – 31st. We are very fortunate to have Rita King as our contributing writer for the Women’s History page in the County Woman’s publications. The 2014 theme pays tribute to women of character, courage and commitment. Turn to page 76 to read the first of a two-part series on these accomplished women. We’re sure you’ll find every article in this issue of Ocean County Woman brimming with valuable information. When a particular article is helpful to you or your family, take a We are the Media Partner with moment and call, email, tweet, or Facebook the business to let them know! NJAWBO Monmouth, Ocean, Middlesex Region. Happy Spring! We are members of Toms Warmest regards, River-Ocean County Chamber Of Commerce. Lynn Wolf & the Staff of Ocean County Woman

Featured On The Front Cover:

All Care Physical Therapy Center, L.L.C. Team Second Row Center is Jim Yorke and Michael Yorke surrounding by their highly skilled and compassionate physical therapy staff. Learn more about their philosophy and the LSVT BIG Program on pages 2 & 9. Cover photo by Tracy Harman Photography. Tracy can be contacted for appointments at 732-797-0377. See more of her photography of family and kids on page 79.

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

CALL 1-800-993-3822 Join the #1 Woman’s Educational Newspaper in the U.S.

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March/April 2014


Medical Professionals

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AtlantiCare Heart Heroes Donate 111th AED As a leading provider of cardiac

donation, visit

defibrillators (AEDs) more widely

AtlantiCare on Facebook at

care in southeastern New Jersey, AtlantiCare is committed to making automated external available in our community. AEDs are small, computerized medical devices that can restart

www.atlanticare.org, call the AtlantiCare Access Center at 1-888-569-1000 or find www.facebook.com/AtlantiCare.

Interested in becoming a Heart Heroes volunteer? The group meets from 2:30 p.m. to 3:30 p.m. on the second Tuesday of each month at ARMC’s Mainland Campus in Pomona. Call 1-888-569-1000 for more information.

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

heart function in those who have experienced life-threatening sudden cardiac arrest. Audible and/or visual prompts guide the

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.

user through the process.

Recently, representatives of the Heart Institute at AtlantiCare

The Beginnings ĂŠ UĂŠĂŠ >Ă•Ăƒi> ĂŠ UĂŠ*>ÂˆÂ˜ĂŠÂˆÂ˜ĂŠÂœÂ˜iĂŠÂœĂ€ĂŠLÂœĂŒÂ…ĂŠ>Ă€Â“Ăƒ ĂŠ ĂŠ ĂŠ ĂŠ ĂŠ ĂŠ ĂŠ UĂŠ >ĂœĂŠÂŤ>ˆ˜ ĂŠ ĂŠ ĂŠ UĂŠ >ĂŒÂˆ}Ă•i ĂŠ ĂŠ UĂŠ ˜Ă?ˆiĂŒĂž ĂŠ ĂŠ UĂŠ Â…iĂƒĂŒĂŠÂŤĂ€iĂƒĂƒĂ•Ă€iĂŠÂœĂ€ĂŠĂƒÂľĂ•ii∘} ĂŠ ĂŠ ĂŠ ĂŠ ĂŠ UĂŠ Â…iĂƒĂŒĂŠ`ÂˆĂƒVœ“vÂœĂ€ĂŒ ĂŠ ĂŠ ĂŠ UĂŠ >VÂŽĂŠÂŤ>ˆ˜ ĂŠ ĂŠ ĂŠ UĂŠ-Â…ÂœĂ€ĂŒÂ˜iĂƒĂƒĂŠÂœvĂŠLĂ€i>ĂŒÂ… ĂŠ ĂŠ ĂŠ ĂŠ UĂŠ iiÂ?ˆ˜}ĂŠvĂ•Â?Â? ĂŠ ĂŠ ĂŠ UĂŠ iiÂ?ˆ˜}ĂŠÂœvĂŠÂˆÂ“ÂŤi˜`ˆ˜}ĂŠ`œœ“ ĂŠ ĂŠ ĂŠ ĂŠ ĂŠ UĂŠ i>Ă€ĂŒLĂ•Ă€Â˜]ĂŠÂˆÂ˜`ˆ}iĂƒĂŒÂˆÂœÂ˜ ĂŠ ĂŠ ĂŠ UĂŠ Ă€i>Žˆ˜}ĂŠÂœĂ•ĂŒĂŠÂˆÂ˜ĂŠ>ĂŠVÂœÂ?`ĂŠĂƒĂœi>ĂŒ ĂŠ ĂŠ ĂŠ ĂŠ ĂŠ ĂŠ

Regional Medical Center (ARMC) presented an AED to Saint Joseph High School in Hammonton, NJ. The AED was the 111th placed in the community since the ARMC Heart Heroes Matching Funds Program began in 2002. Matching funds were provided by NJM Insurance Group/NJM Bank. The ARMC Heart Heroes is a volunteer group that raises funds for the Heart Institute at ARMC through the AtlantiCare Foundation to place AEDs in the community. Fundraising activities include bus trips and special events held throughout the year. The Heart Heroes fund a portion of the AED and community groups and/or organizations provide the remaining funds. For more information about the AtlantiCare Heart Heroes Matching Funds Program, including how to make a

The County Woman Magazine

Risk Factors ĂŠ UĂŠ-“œŽˆ˜}ĂŠ­ÂˆÂ˜VÂ?Ă•`ˆ˜}ĂŠiĂ?ÂŤÂœĂƒĂ•Ă€iĂŠĂŒÂœĂŠĂŠ ĂŠ ĂŠ ĂŠ ĂŠ ĂŠĂŠ second-hand smoke) ĂŠ UĂŠ ˆ}Â…ĂŠLÂ?œœ`ĂŠÂŤĂ€iĂƒĂƒĂ•Ă€i ĂŠ ĂŠ ĂŠ ĂŠ UĂŠ ˆ>LiĂŒiĂƒ ĂŠ ĂŠ UĂŠ*Ă€ÂˆÂœĂ€ĂŠĂƒĂŒĂ€ÂœÂŽi ĂŠ ĂŠ ĂŠ UĂŠ-i`iÂ˜ĂŒ>ÀÞÊÂ?ˆviĂƒĂŒĂžÂ?i ĂŠ ĂŠ ĂŠ UĂŠ"LiĂƒÂˆĂŒĂž ĂŠ ĂŠ UĂŠ ˆ}Â…ĂŠVÂ…ÂœÂ?iĂƒĂŒiĂ€ÂœÂ? ĂŠ ĂŠ ĂŠ UĂŠ ˜VĂ€i>Ăƒi`ĂŠ>}i ĂŠ ĂŠ ĂŠ UĂŠ >“ˆÂ?ĂžĂŠÂ…ÂˆĂƒĂŒÂœĂ€Ăž ĂŠ ĂŠ

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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 awa areness campaign that encourages encoura ages 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. Visit www.atlanticare.org/heartcheck to see if you are at risk for cardiac disease.

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. REGIONAL REG I O N AL ME MEDICAL D ICAL CE CENTER NTER

I solemnly swear that if it happens to me or anyone I know, I will call 9-1-1 or activate emergency services.

Taking T a aking You You o Well Welll Into The Futur Future re

www www.atlanticare.org/heart .atlanticare.org/heart ¡ 1-888-569-1000

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March/April 2014


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Contemporary &Rattan Furniture

Chairs That Swival, Glide, Rock And More! In recent years there have been dramatic changes in the way we relax in a chair. The furniture industry is getting very inventive in creating seating with motion that allows us to lie back to nap, lull us with gentle rocking, swivel us to give us a full view, glide us peacefully or comfort our backs while watching an action movie. We even have motorized seats that lift us out of a recliner when our backs are giving us trouble.

Complex mechanisms have expanded the usefulness of our seating. Heritage House Interiors introduces rattan and upholstered seating that will not only swivel but will also glide. Some styles are designed small to fit in tight spaces . . . great for bedrooms.

Recliners That Swivel And Recline We have recliners that swivel and recline with built-in footrests. They can be adjusted so you can sit back with your feet up or lie back to take a nap. Some recliners are available in rattan and upholstery that will tilt forward and lift the seat with a push of a button so you can leave the chair without discomfort or danger.

Theater Recliners

Swivel Rocker

New to the rattan market are the theater recliners that are perfect for media rooms. These recliners can be joined together with consoles that hold your snacks and beverages to form rows of theater seating. They can be joined in any number of seats or set up individually.

Heritage House Interiors offers theater recliners with a choice of rattan arm styles, in several finishes and with upholstered arms - all with a choice of hundreds of fabrics.

Outdoor Furniture Revolution There is a revolution in outdoor furniture design too when it comes to furniture with moveable parts. Not only does Heritage House Interiors offer the traditional single and double swing chairs, but we have single and double seat glider chairs in several styles and finishes that can be used on the porch or patio. Relax at the pool in one of our single or double adjustable chaise lounges than have a cool drink at one of our outdoor bar or pub table with stools.

Now’s the time to choose your new outdoor furniture for your porch, patio or pool. All the new fabrics, finishes and designs for 2014 are ready for you to see. Special orders selected now will be here for Memorial Day. Don’t put off looking until May when you’ll have a very limited selection.

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Recliner Glider

Hem Bedroom Written By: Wendy Miller

CATALINA MODULAR

The County Woman Magazine

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Call Heritage House Interiors for all of your furniture needs at (609) 698-7621! March/April 2014


Contemporary &Rattan Furniture

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Heritage House Interiors Has It all! Spring is heralded by the Philadelphia Flower Show March 1st to the 9th at the Convention Center…. the largest flower show in the world! This show reminds us to check out our homes. Is it time for fresh wall art or mirror and a lamp for that dark corner? Does your favorite chair need recovering? Heritage House Interiors does it all? Visit or telephone Wendy or Deborah for help in making your home look great. Visit Heritage House Interiors for your rattan and upholstered furniture needs for every room and even outside. You will also find one of the largest selections of lamps, art, artificial trees, accessories and gift items in the area. Open every day but Wednesday from 10am to 5pm.

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“Henry, thank you so much for your help and expertise regarding the table. I could not believe I got it the same day I visited you. Needless to say I love it and can’t wait to have company over to enjoy a meal. Thanks again for all your help and kindness.” ~ R. Bauer

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OPEN 10-5 • THURSDAY • FRIDAY • SATURDAY • SUNDAY MONDAY • TUESDAY • CLOSED WEDNESDAY 408 N. MAIN ST. (RT. 9) • BARNEGAT, NJ - 609-698-7621 CALL FOR DIRECTIONS

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March/April 2014


Elder Law

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

• Medicare, Medicaid, Long-Term Care & Disability Planning

Elder and Disability Law

Nancy M. Rice,

Esquire, CELA

Certified as an Elder Law Attorney by the National Elder Law Foundation

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

www.RiceElderLaw.com

TRUSTS: What Are They? Do I Need One? There are all kinds of Trusts . . . Revocable, Irrevocable, Living, Testamentary, Disclaimer, Special Needs, etc.

It is confusing, to be sure. For the most part, lawyers learn little or nothing about trusts in law school. I learned everything I know “OTJ” (“On The Job”) after law school! You will note that I did not include Trusts in my prior articles as one of the documents everyone should have. That is because not everyone needs one.

Revocable “Living” Trusts

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have become increasingly popular as substitutes for Wills in estate planning. Many people believe that by creating a Trust, naming themselves as Trustees, and transferring their assets into the Trust, they will save taxes, simplify the administration of their estates, and save money for their children or other beneficiaries. Others believe that if they set up and fund such a trust, their assets will be protected if they need to go into a nursing home. Unfortunately, these beliefs are not based in fact. Some of these “myths” are untrue in all cases, some are untrue because of the state you live in. Read on: Myth # 1:

Revocable Living Trusts Save Taxes. This is absolutely wrong. All of the assets in a living Trust are subject to both State Inheritance tax and Federal Estate Tax, and here in this wonderful state, the New Jersey Estate Tax. One of the reasons this is so is that a Trust which you set up and control (as

Trustee), and you are the beneficiary of (during your lifetime) is considered to be you for tax purposes. Kinda makes sense, doesnít it? If you want to argue that assets should not be taxed at your death, you have to really give them away! If you want to use a Trust, it has to be irrevocable, you cannot control it, and you cannot (in most instances) be a beneficiary at all! A living Trust is also treated as you for income tax purposes and thus saves no income taxes during lifetime. Myth # 2:

A Revocable Living Trust is Cheaper to Administer than an Estate. This may be true for residents of some states (e.g. Florida), but the generalization is wrong more often than it is right. In New Jersey, Pennsylvania, and many other states, the much-feared “PROBATE of a Will” usually takes less than an hour and does not require a lawyer. (Am I really telling you this??) The real work in the administration of an estate is the collection of the decedent’s assets, the payment of debts and death taxes, and the distribution of the remaining assets according to the Will. The administration of a Living Trust is almost exactly the same, because the Trust assets must be collected, the debts and death taxes must be paid, and the remaining Trust assets must be distributed. The only advantage of a living Trust is that if the decedent was not the Trustee, the time and expense of searching for assets might be avoided. That advantage must be weighed against the time and expense of transferring assets to the Trust during lifetime, as well as the inconvenience and

loss of control if you are not the Trustee during your lifetime! Because the steps necessary to settle a Trust are similar to the steps necessary to settle an Estate, the legal fees should be about the same, especially in New Jersey. Myth # 3:

A Living Trust can be Distributed Faster than an Estate. This is also wrong. There is no law preventing an Executor from distributing all or any part of the estate at any time, as long as the Executor is willing to assume the risk of loss if there are additional debts or taxes, or if the distribution is incorrect. The Trustee of a living Trust is also liable for debts and taxes, and may delay distributing assets for the same reasons. As a practical matter, most Executors are reluctant to distribute assets until the death taxes have been settled, which can take from nine months to two years, and there is no reason for the Trustee of a living Trust to distribute assets any more quickly. Myth # 4:

Even if it might do no good, a living Trust will do no harm. Not necessarily. In their desire to avoid the alleged evils of “probate,” many people jump out of the frying pan and into the fire, running directly into the arms of charlatans who are eager to sell “packages” of living Trusts for exorbitant fees. And those Trust documents may be poorly written, with the result that large fees have been paid for documents that actually result in unnecessary taxes, legal fees, or court costs. And the probate system is not without its advantages, because it requires notices

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

The County Woman Magazine

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to beneficiaries and a clear remedy if the estate is not distributed according to the will. In their desire to avoid probate litigation, many people create Trusts that give fewer rights to their beneficiaries and so, if the Trustee turns out to be dishonest or hostile, the beneficiaries of a living Trust may find themselves hampered by the Trust document in their attempts to recover their inheritances. Most importantly, if clients (incorrectly) believe that the Trust will protect their assets or save taxes, they will be less likely to ask questions and discover the problem before it is too late. When would a Revocable Living Trust be appropriate? In my practice, I utilize Revocable Living Trusts to: 1) Create Privacy: When people would prefer that others not be given the opportunity to see what their Wills say (because Wills are public records, recorded when probated, and Revocable Living Trusts are private family documents and not recorded); and 2) Avoid Ancillary Probate: When clients own real estate in states where probate is difficult, especially Florida (so that we avoid the need to probate the Will in NJ and then again in another state, which is required to transfer real estate only). Because State laws vary widely, it is important to work with a lawyer licensed in New Jersey, and because most lawyers are not familiar with the workings of trusts or tax law, a lawyer who specializes in estate planning.

Call 856-673-0048 for more information.

Call to Schedule an Appointment

Ocean City: 609.398.3447 Cherry Hill: 856.673.0048

March/April 2014


Medical Professionals

9

LSVT BIG: Exaggerated Movements For Parkinson’s Symptom Relief Lindsay Walicky, DPT - Physical Therapist at All-Care Physical Therapy’s Manchester Location

Approximately one million Americans are currently living with Parkinson’s disease (PD). Men are one and a half times more likely to be diagnosed with Parkinson’s than women. Parkinson’s Disease is classified as a movement disorder. Patients with PD lack dopamine, which is a central nervous system (CNS) chemical derived from the substantia nigra portion of the brain. Dopamine works to control smooth movement, which is why patients with PD lack controlled and smooth pursuits of their movements. The most common symptoms of PD can include: tremors, rigidity (stiffness in their trunk/body), postural instability, and balance deficits. Other symptoms that can occur are masked facial expressions and soft speech or slurring. The cause of PD is unknown and currently there is no cure; however, treatments to control the symptoms are available. Current treatment options include dopamine replacement medications, the most common being Sinemet. A more radical approach,neurosurgical intervention, involves implanting a deep-brain stimulator in the patient’s brain. The stimulator is placed in the location from which the symptoms originate to modify the brain activity. Many research studies are currently being conducted to assist with management, diagnosis and cause, including the LSVT BIG exercise program. The results of that research show that exercise, in addition to or in lieu of dopamine replacement medication or neurosurgical intervention, can slow disease progression and help to manage current symptoms. Patient case studies have proven the significant effectiveness of exercise movements specifically geared towards the impairments associated with PD. LSVT is a program that has been studied for many years. It originated as a speech program implemented by speech therapists (LSVT LOUD). The LSVT BIG program consists of 16, hour-long sessions with a certified Physical or Occupational Therapist. The seated and standing exercises include movements that challenge balance, trunk control, rotations and limb mobility. Goals are set specifically for each patient throughout the program, focusing on the activities of daily living (ADL’s) and the functional limitations patients with PD have. These can include simple things like

Manchester

The County Woman Magazine

getting in and out of the car or bed, rising from the couch, or reaching for something on a high shelf. During each session the therapist will work on these issues as well as walking and balance. A detailed home exercise program (HEP) will also be provided for each patient to assist with carry-over posttherapy session. Patients with PD have an abnormal perception of normal movement sizes. Small steps, decreased body rotation and arm swing with shuffling steps are typical. The LSVT BIG exercises address these deficits. The intensity of this program enhances the carry-over to change the normal movements, not just during the therapy sessions but throughout the patients’ daily lives. The LSVT BIG program works because the exercises specifically target the movement deficits patients with PD are affected with. The program is called “BIG” because the exercises require actual big movements, using large steps with the legs and reaching and swinging movements of the arms and upper body. These movements, which require the patients to shift their weight forward, backwards and to both sides, help to increase their mobility and improve their balance The exercises can be modified for different physical

functioning levels to perform with the therapist in the safest manner. The repetition of these exercises and the consistency of this program work to enhance the long-term effects from the therapy clinic to home and ultimately throughout life. Research has shown that this program can cause significant improvements in the brain. There is no cure for PD, but through the LSVT BIG program the symptoms can be managed. There are multiple stages of PD, and catching patients at the optimal stage can make the symptom recovery process highly effective, leading to a better outcome and quality of life for the patient and family. No matter what stage of disease progression a patient with PD is in, increasing the amount of daily activity and participating in a regular exercise program can improve the quality of life and movements. If you would like to know if LSVT BIG is right for you or a loved one, contact your doctor and mention the LSVT BIG program at All-Care Physical Therapy Center.

Please call (732)-657-7900 to schedule an appointment at the Manchester location.

1-(855)-3ALLCARE

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

Hand Therapy Specialist

Free Transportation For Patients In Need www.AllCarePTC.com

Lindsay Walicky, DPT, earned her Bachelors of Science degree from the University of Massachusetts in 2007. Lindsay continued on to graduate school, earning her Doctorate of Physical Therapy degree from the University of Medicine and Dentistry of NJ in 2010. Lindsay began her career at JFK Rehabilitation Institute, working in both the Outpatient and Brain Trauma departments. She has experience working with a variety of patient populations, including post-surgical, orthopedic, CVA, Parkinson’s, head injury, and patients with amputations. Lindsay has taken multiple continuing education courses, including Great Lakes - Common Extremity, the Lumbosacral Complex, and a Kineseotaping course. In 2012, she was certified in the LSVT BIG exercise training program for patients with Parkinson’s disease. Lindsay gears each treatment program to the individual patient, working on their specific impairments using the best evidence-based practice. www.TheCountyWoman.com

March/April 2014


10

Medical Professionals

For over 50 years Atlantic NeuroSurgical Specialists (ANS) has maintained their core value that the needs of their patients come first. This means constantly striving toward the application of leading-edge research to their clinical practice. Their neurosurgeons incorporate the most advanced surgical technology and neurosurgical techniques available for the treatment of stroke, back pain, brain tumors, brain aneurysms, spinal disorders, traumatic brain injury, and more. ANS has a number of offices throughout the region and is affiliated with New Jersey’s leading healthcare systems. Their reputation has made them the largest private neurosurgical practice in the state.

Stroke Treatment Atlantic NeuroSurgical Specialists continues to be a leader in the war against stroke. In 2012, ANS became the first group of doctors in the country trained on the Trevo® Pro Retriever following approval by the FDA. This product is part of a new category of devices known as “stent-trievers.” Unlike prior devices, these stent-trievers allow ANS physicians to immediately restore blood flow to the patient’s brain by opening up the blockage instantaneously while it is removed from the artery. In fact, ANS was one of only a few sites to be chosen for the initial FDA trial for this technology. The practice remains the largest private neurosurgical practice in New Jersey treating stroke, with a success rate greater than the national average. ANS was the initial group to treat stroke at the first comprehensive stroke center in New Jersey, and has since expanded to 3 additional comprehensive centers. The endovascular team is engaged in clinical trials for new stroke technologies and therapies, giving patients access to the next generation of stroke management.

Spine With the rising popularity of “boutique surgeries” being offered by less qualified specialists, ANS has launched an awareness campaign to educate the community on the importance of choosing a neurosurgeon for an accurate diagnosis and to dismiss the idea that you only go to a neurosurgeon when surgery is needed. Neurosurgeons are the most qualified specialists to diagnose and treat your back pain as well as other ailments associated with your delicate nervous system.

The County Woman Magazine

All of ANS’s neurosurgeons are board-certified and most notably, 5 of ANS’s neurosurgeons are fellowship-trained in spine surgery and hold national recognition in their specialty. In turn, ANS remains the largest and most reputable neurosurgical practice in New Jersey. They boast a multidisciplinary team using the most advanced surgical techniques, including minimally invasive spine surgery. These procedures offer significantly less postoperative pain and shorter hospital stays. Conditions such as severe herniated discs and kyphosis, which warranted major surgery in the past, can now be treated with less risk and minimal down time.

Brain Tumors As leaders in the surgery and management of patients suffering from brain disorders, tumors, and diseases, ANS performs treatments not found anywhere else in the state. They specialize in the rarest of surgeries, including skull base surgery and epilepsy surgery, and are also one of the few groups involved in vaccine trials for the treatment of brain tumors. Through collaboration, the ANS doctors routinely meet to discuss all treatment options for their patients. Whether you suffer from a tumor, back problems, or even stroke, you should always consider a neurosurgeon. Don’t let insurance come before your health. ANS sees all patients. To learn more about the latest advancements in treatment or to view a listing of all hospitals they are affiliated with in your area, visit www.ansdocs.com or call 732.455.8225.

www.TheCountyWoman.com

March/April 2014


Medical Professionals

11

Making Next Generation Treatments Possible ◆ ANEURYSM / NEUROVASCULAR ◆ BRAIN MAPPING ◆ BRAIN STIMULATORS ◆ COMPLEX BACK AND SPINE ◆ CONCUSSION CENTER ◆ FUNCTIONAL NEUROSURGERY ◆ HYDROCEPHALUS ◆ KYPHOPLASTIES ◆ MINIMALLY INVASIVE SURGERY ◆ NEURO-ONCOLOGY ◆ NEURO-SPINE INSTITUTE ◆ PAIN MANAGEMENT CENTER ◆ PERIPHERAL NERVE DISORDER ◆ PITUITARY DISORDERS

3700 Route 33 Neptune, NJ 07753 732.455.8225

◆ RADIOSURGERY

11 Overlook Road Suite 180 Summit, NJ 07901 908.516.2941

◆ TRIGEMINAL NEURALGIA

310 Madison Avenue Suite 300 Morristown, NJ 07960 973.285.7800 School House Village 350 Main Street Bedminster, NJ 07921 973.285.7800

89 Sparta Avenue Sparta, NJ 07871 973.729.0266 464 Hudson Terrace Suite 203 Englewood Cliffs, NJ 07632 973.285.7800

◆ TUMORS

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March/April 2014


Health

12

& Wellness

End Your Weight Loss Struggle . . . With Hypnosis Written By: Rhoda Kopy, Certified Consulting Hypnotist And Wellness Coach

Erase those images of people on a stage who are quacking like ducks or jumping out of hot seats! “Stage hypnosis” is strictly for entertainment purposes.

C

onsulting Hypnotists, or hyp-

nocounselors, assist people who want to eliminate habits and fears, reduce stress, build confidence – and work on other issues to enhance wellbeing. Weight loss is one of the key issues that prompt women to seek hypnosis services. A broad range of research supports the effectiveness of hypnosis techniques; and it’s used at major medical centers like Mayo Clinic and Columbia University Medical Center. World-renowned physicians, professional athletes, even celebrities tout it’s effectiveness. And, these services are available right in your backyard! If you’re like many women, you lose, you gain, you lose, you gain – or maybe you never seem to lose at all. Part of you wants to lose weight and get healthier, yet another part keeps pulling you back to unhealthy eating and inactivity. You already know that “diets” don’t work over the long haul, medication carries risks, and surgery is a drastic option. So, what do you do? Do what my clients have been doing with great success: Use a combination of hypnosis and coaching to alter your inappropriate eating habits, reduce cravings, lose weight, and get fit. Community

A typical diet / weight loss program won’t work over the long haul if . . . • You eat in response to emotions like stress, boredom. • You eat out of habit – even when you’re not hungry. • You “have to” eat when you’re engaged in certain activities. • You tell yourself, “I’ll just have one,” then eat the whole thing. • You eat to avoid doing other things. • You eat and eat – without feeling satisfied.

succeed. And, most people experience terrific side benefits – a greater sense of well-being, less stress, and improved sleep quality. You can also use these techniques to help you create change in other aspects of your life. All visits are individual and confidential.

Make Your Mind Work FOR You – Instead of Against You!

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Are you ready to let that slender, healthy, high-energy, confident you emerge? Call my conveniently located Toms River office (732-270-0080) to learn more about this program and to find out if you’re an appropriate candidate. Don’t be shy! I’m easy to talk to! This highly regarded, empowering program serves clients throughout N.J., and is appropriate for those women who are motivated and willing to be a partner in the process.

Rhoda Kopy is a nationally certified consult-

ing hypnotist and wellness coach, and is a 2004 graduate of N.J.’s first state-licensed hypnosis school. 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.

When you diet, you rely on willpower – but that diminishes over time, and you go back to the old patterns of behavior. Those unhealthy

eating patterns are lodged within your subconscious mind – the part of your mind responsible for 80% of your behavior. If the problem lies within the subconscious mind, so does the solution! And that explains why hypnosis is such a powerful way Professional Hypnosis & Coaching to address weight issues – it deals with the patterns, You Can Do It! emotions, and memories Manage Weight • Stop Smoking • Relax • Release Fear in the subconscious.

Hypnosis For

Dare to be successful – using a smart, healthy, holistic approach. Using a combination of cutting edge hypnosis and coaching techniques, I can assist you in achieving your weight and fitness goals – if you are truly motivated to

Women

Release Negative Habits • Improve Sleep • Build Confidence Ease Pain • Enhance Performance • and more...

732-270-0080 www.HypnoForWomen.com Rhoda Kopy, BS, CH, ACH

Nationally Certified Consulting Hypnotist/Wellness Coach

1541 Rt 37 East, Suite E, Toms River, NJ, 08753

Make Your Mind Work FOR You- Instead of Against You!

April is National Stress Awareness Month!

Here are some tips from the experts on coping with your every-day anxieties: “Being in control of your life and having realistic expectations about your day-to-day challenges are the keys to stress management, which is perhaps the most important ingredient to living a happy, healthy and rewarding life.” - Marilu Henner “There must be quite a few things that a hot bath won’t cure, but I don’t know many of them.” - Sylvia Plath

The County Woman Magazine

“Organization isn’t about perfection; it’s about efficiency, reducing stress and clutter, saving time and money and improving your overall quality of life.” - Christina Scalise

“There’s a lot of stress out there, and to handle it, you just need to believe in yourself. Always go back to the person that you know you are and don’t let anybody tell you any different, because everyone’s special and everyone’s awesome.” “Stress is something that’s created - McKayla Maroney in the mind, basically. It’s how we look at things. So our greatest busy is a distraction and I defense against stress is the ability “Being am sure that doing nothing, resting to change our minds; to change our and sleeping are all good cures for thinking.” - Goldie Hawn modern life. I am not suggesting we www.TheCountyWoman.com

all do nothing but sleep, however, sometimes stopping long enough to ‘be’ can be very powerful.” -Joanna Runciman “Exercise is really important to me- it’s therapeutic. So if I’m ever feeling tense or stressed or like I’m about to have a meltdown, I’ll put on my iPod and head to the gym or out on a bike ride along Lake Michigan.” – Michelle Obama March/April 2014


Medical Professionals

13

Patients rave about finding relief from their Pain at N.J. Community Spine and Pain in Toms River Article Written By: Dr. Vincent Giardina, D.C. President, NJ Community Spine and Pain

• Being overweight, which puts excess strain on the back and knees. • A congenital condition such as curvature of the spine. • Traumatic injury. • Wearing high heels. • Sleeping on a poor mattress. • No obvious physical cause. • Ordinary aging of the spine (degenerative changes.)

WHAT CAUSES PAIN?

The two main types of pain are: ACUTE and Chronic. • Acute pain can be intense and shortlived. It may be caused by a trauma like a car accident or something as simple as improper lifting. When the injury heals the pain may go away. • Chronic pain lasts much longer than acute pain. It can be mild or intense (severe). Chronic pain may start as acute pain that does not go away quickly. If you do not properly address your acute pain, it will become progressively worse and develop into chronic pain. Most people either try over-the-counter products or go to their primary physician who will usually recommend some type of muscle relaxer or narcotic prescription. If the pain does not go away, people will try to tolerate the pain because of their busy schedules. Have you ever said “I’m fine” or “I don’t have time right now?” Back pain, for example, may be caused by a single factor or any combination of these factors: • Years of poor posture. • Improper lifting and carrying of heavy objects

Patients are finding relief at N.J. Community Spine & Pain

The NJ Community Spine and Pain health care team is dedicated to helping you get relief quickly. Patients are amazed at how swiftly the pain is decreased and they feel better, especially after trying so many other doctors’ recommendations. Your comprehensive plan will improve the way you feel and is based on a multidisciplinary approach. Our diverse training and experience enable us to approach your health problem from a unique perspective, allowing us to develop a treatment plan to get you out of pain rapidly.

Avoid Failed Back Surgery Syndrome

Back pain affects 8 out of 10 people at some point in their life. We treat people that still experience pain after back surgery. This is termed “Failed Back Surgery Syndrome”.

With over 50 years experience, the doctors at N.J. Community Spine and Pain can help you avoid surgery and get on the road to feeling better fast.

Sick and Tired of Being in Pain? Call N.J. Community Spine & Pain NOW!

At N.J. Community Spine and Pain we specialize in treating all types of pain. Don’t let arthritis, sprains, strains, herniated discs or disc bulges keep you living in agony. Our expert medical staff will customize a treatment plan to help you eliminate pain so that you can enjoy life to its fullest.

Patients with Migraines or Headaches are finding relief! We have treated hundreds of patients that suffer with tension and migraine headaches. These patients realize a vast improvement immediately. Improvement is measured by complete resolution of pain, or decrease in frequency and intensity of the headache symptoms. Our office is an integrated facility with expert health care providers with decades of experience. We focus on a drug-free, non-surgical approach to pain management. Our services include chiropractic, acupuncture, nutritional counseling, neurological disorders and other health services. Our services are overseen by a medical doctor. Don’t be discouraged if you feel you have run out of options to reduce or eliminate your pain. We are here to help! Call N.J. Community Spine and Pain NOW!

“Drug Free, Non-Surgical Approach To Pain Management”

Suffering From Pain ? Get 50% to 80% Pain Relief After One Visit With Our New Pain Management System Call Today For Details

“ I had chronic back pain and knee pain. The doctors at NJ Community Spine and pain are caring, passionate, motivated and they give you the tools to move ahead and lead a fulfilling life.” Christine S.

864 Route 37 West, Toms River NJ 08755 • 732-503-4079

The County Woman Magazine

OurServices Services Include Our Include

MedicalDoctor, Doctor, Chiropractor, Chiropractor, Acupuncture, Acupuncture, Physical Medical PhysicalTherapy, Therapy, Nutritional Fitness Classes Classes,Kinesio KinesioTaping Taping Nutritional Counseling, Counseling Fitness

www.TheCountyWoman.com

Join us for a FREE Seminar on How To Achieve Relief From Back and Neck Pain, Wednesday, March 19, at 5:30 PM in our office

864 Route 37 West, Toms River N.J 08755 Make an appointment by calling 732-503-4079 or on our website www.njcommunityspine.com

we accept MOST insurances: • Horizon BC/BS • Medicare • Qualcare • Aetna • United Health Care • Motor Vehicle Accidents Call NOW: 732-503-4079 To Set Your Appointment www.njcommunityspine.com

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All Services Under One Roof

Patient Testimonials “I was treated by 3 other Pain Management Facilities and had no results. Once I was treated at NJ Community Spine and Pain my pain disappeared.” - Barbara P.

Neck and Back Pain Chronic Pain Headaches & Migraines Acute Pain Knee & Joint Pain Auto Accident Disc Bulge & Herniation Carpal Tunnel Degenerative Discs Herniated Disc Numbness & Tingling Sciatica Nerve Sports Injuries Pinched Nerves Nutritional Counseling Tennis Elbow And Many Other Conditions Call Today For A Free Consultation With One Of Our Professionals And Become Free From Pain.

Here is what our patients have to say:

“Call Us Today Today to Start Living Free Tomorrow” Call Us LivingAAPain Pain-Free Tomorrow At NJ Community Spine and Pain we pride ourselves on our One on One commitment to all of our patients. Our Drug Free, Non Surgical approach to pain management will get you on the path to wellness without the dependency of prescription drugs

Conditions We Treat

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“When I first started treatment, my back, neck and knees ached. After going through a treatment plan with the doctors, I have improved by 90%. I feel great.” - Maureen E.

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“My shoulder was in constant pain. After being treated by Dr. Giardina, I am virtually pain free.” - Joe F. “I am an avid mountain biker and had an accident about 1 year ago. I had seen multiple doctors with no results. After 4 weeks of working with the doctors at N.J. Community Spine and Pain, I am not only back on my bike, I am living life with less pain than ever before.” - Frank M.

March/April 2014


Home Health Care

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Senior Helpers: An In-Home Care Company That Really Cares “We focus on creating a positive environment for every patient.” Peter Mangiola, RN, MSN CEO & Director, Senior Helpers.

I

’m writing this because I believe it’s critical for every family looking for an in-home caregiver to know about us. We are a company that really cares about people with Alzheimer’s and other dementias. What Senior Helpers of New Jersey does for those diagnosed with dementia and Alzheimer’s is born out of a belief that we can make a difference when we become the difference.

These are our defining beliefs: • People with Dementia are doing the best they can. • We must learn to DANCE with our partner. • We are a KEY to make life WORTH living. • What we choose to do MATTERS. • We can change the WORLD with help. • We must be willing to CHANGE ourselves.

• We must be willing to STOP & BACK OFF.

How We Connect with Seniors

We connect with seniors on five different levels: • Visually • Verbally • Physically • Emotionally • Spiritually

Seniors are always approached with care, respect and understanding. The protocols that caregivers are trained in bring a tremendous skill that causes the senior to feel safe in the presence of their caregivers. How We Make a BIG Difference: Senior Gems Senior Helpers is one of a handful of in-home care companies that provides truly extensive training to its caregivers on how to interact, communicate and engage with people who have dementia. The other companies may do this, but Senior Helpers has transformed it in to one of their specialties. They did this by forming a long-term partnership with Teepa Snow, a nationally renowned dementia care specialist, to devise specialized training for their employees. Teepa Snow is an occupational therapist with more than 30 years of clinical experience in the field of geriatrics and dementia care who also had the personal experience of providing care to family members with dementia. She consulted with Senior Helpers in developing “Senior Gems,” a system that classifies dementia patients into six categories, each named after a gem. This system incorporates a simple step-by-step format caregivers can easily understand and implement. The “Gems table” illustrates the basic characteristics of people at each level and provides tips for interacting with them.

Each new employee attends a one-day training class that includes watching a DVD by Snow, discussion and role play. Topics covered include 1.) normal aging vs. dementia, 2.) how dementia affects the brain, 3.) an introduction to the Gems system, 4.) techniques for success, 5.) creating a positive environment, and 6.) meaningful activities and how to integrate them into day-to-day life. “Instead of focusing on what people with dementia can’t do, Senior Helpers looks to maximize what they can do, and then built on that,” stated Peter Mangiola, RN and Director New Jersey Senior Helpers. Senior Helpers, founded in 2002, creates customized home care plans that change as the person with dementia changes. “We focus on creating a positive environment for every patient,” says Ross. “This makes the lives of the caregiver and the patient much easier and more enjoyable.” In addition to providing in-home care, Senior Helpers monitors clients in hospitals, nursing homes, assisted living centers, and continuing care retirement communities. “We can be there when the family cannot,” said Peter Mangiola. The company also provides respite care to assist families by providing care for a short period of time, such as vacations. There are multiple locations in New Jersey, so please give us a call and we can direct you to our closest facility. Senior Helpers of New Jersey possesses a depth of knowledge and experience when dealing with dementia and is committed to helping you in your home? If you’re planning to hire an in-home caregiver, give Peter Mangiola a call. You will know you are in good hands when working with a company with a big heart.

About Peter and Maria Mangiola . . . Peter Mangiola, RN, MSN is the CEO and director of nursing for Senior Helpers. Peter and wife, Maria are both certified registered nurses and have been in the field for several years. Since graduating from the University of Pennsylvania School of Nursing in 1980, Peter has sought out a wide range of nursing experiences that enable him to readily draw and build upon. While Maria was in the college nursing program at the University of Pennsylvania Hospital/ Methodist Hospital, she helped nurses and assistants and worked where she was able while gaining a more complete understanding of hospital administration and operations. When not at Senior Helpers, Maria works as a weekend Charge Nurse at Pennsylvania Hospital. This role enables Maria to experience the cutting edge of geriatric care. Peter and Maria work diligently as executive team members of Senior Helpers, providing superior holistic services to the senior community. Their aspirations for clients and their families is a life with respect, options, and continued care in one’s Maria Mangiola, own home. Together they work to achieve these goals. RN, MSN

The County Woman Magazine

www.TheCountyWoman.com

March/April 2014


Health

& Wellness

15

New in Jackson! Meridian Fitness and Wellness By Julianne Dods, Meridian Fitness & Wellness

M

eridian Fitness & Wellness, a partnership between Meridian Health and Tilton Fitness Management, is incredibly excited to welcome the community of Jackson to our family of health and wellness facilities which include locations in Hazlet, Manahawkin, Northfield, Galloway and Mays Landing, New Jersey.

Exciting New Changes In 2014 Meridian Fitness & Wellness Manahawkin, formerly known as The Ocean Club, has been in partnership with Meridian Health for several years. In order to grow with Meridian Health, The Ocean Club began operating under the banner of Meridian Fitness & Wellness as of January 1, 2014. “It has been an exciting year for us at Meridian Fitness & Wellness in Manahawkin,” says General Manager, Chris Wild. “However, we want to assure our local community that this change is in name only. Our members will still have access to the same great team and facility.” At Meridian Fitness & Wellness,

GET STARTED 7-DAY TRIAL MEMBERSHIP The professional and friendly staff at Meridian Fitness & Wellness is here to help you every step of the way so that trying something new is fun and rewarding. With 100+ classes each week, 75 Certified Trainers and programs such as BodyPump™, TRX and Spin, workouts are never boring. Find the motivation you need. Join Meridian Fitness & Wellness today, and change your life.

Changing People’s Lives is not just our slogan, it’s a commitment to our members. We provide state-of-the art amenities and award-winning programming to maximize the fitness and wellness experience and help our members achieve lifelong goals.

Specialized Clinical Programs “As a medically based facility, our members are able to take advantage of specialized clinical programs including nutritional counseling, diabetes education, Cardiac Rehabilitation and so much more,” says Peg Campana, General Manager of the brand new facility in Jackson. “We are proud to have advanced programming that is not currently offered to our community.”

Equipment, Classes & Aquatics Available Located at the Meridian Health Village in Jackson, the brand new, 30,000+ square foot, fully-equipped complex boasts two floors of exercise equipment, over 75 Group Fitness classes each week, access to a Junior Olympic Aquatics facility with spa amenities, private and small group training, youth programming, babysitting, and a full-service juice bar.

Family Friendly Programs Since Jackson is a community committed to family, specifically the health and wellness of children, Meridian Fitness & Wellness is proud to offer additional Youth Programming options for the families of Jackson. “We are proud to offer a healthy and fun atmosphere the whole family can enjoy,” says Campana.

Personalized ‘fitPlan’ Additionally, every member who joins Meridian Fitness & Wellness will meet with a Program Design Specialist to

Get Your Complimentary 7-DAY VIP PASS at

www.MeridianFitnessandWellness.com. Must be 18 years of age or older. First time user. ID Required. See Club for Details.

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Making Fitness Your Family’s Focus At Meridian Fitness & Wellness, we are committed to creating a healthy and fun atmosphere the whole family can enjoy.

www.TheCountyWoman.com

develop their own personalized fitPlan: a customizable approach to setting and achieving fitness goals that guarantees tangible, long term results. “We know that time is invaluable to our members. fitPlan not only provides a structured strategy for better health, but also presents our members with a visual representation of their body composition as well as a scientific calculation of their ‘current health age’,” says Campana. “With this information, our Program Design Specialists are able to develop fitness programs for the individual needs of each member. This is not a one-size fits all approach to fitness!”

Something For Every Age And Level Of Fitness From the novice exerciser to the elite athlete to the rehabilitation client, Meridian Fitness & Wellness has safe, effective programming for those of every age and fitness level. “Our team is dedicated to providing the motivation, guidance and education our communities need to achieve long lasting fitness, weight loss and rehabilitative results.” Meridian Health has been providing excellent healthcare to the communities of Ocean and Monmouth counties for many years and now Meridian Fitness & Wellness is thrilled to offer the most comprehensive fitness and wellness facilities in Manahawkin and Jackson.

For more information on how you can start changing your life at Meridian Fitness & Wellness, visit our website at www.MeridianFitnessandWellness.com

Julianne Dods Vice President, Meridian Fitness & Wellness

Stay Connected with Meridian Fitness & Wellness!

March/April 2014


Medical Professionals

16

Leading Ob/Gyn Group Offers Ocean County Women Convenient, Comprehensive Care Barnabas Health Medical Group (BHMG) Ob/Gyn, in partnership with Community Medical Center, offers women across Ocean County access to the high quality continuum of care provided by Barnabas Health in the convenience of their local communities. With seven talented and compassionate physicians practicing out of four convenient locations in Forked River, Toms River and Manahawkin, BHMG Ob/Gyn provides an array of leading-edge services based on the most current research while making patients feel comfortable from the moment they walk in the door. From routine obstetrics and gynecology and complete pregnancy care to infertility testing, minimally invasive gynecologic surgery, BHMG Ob/Gyn provides comprehensive care for women at every stage of life, from adolescent gynecology to menopause and beyond.

Physicians practicing at the Toms River office are Lesley P. Furman, MD and Aliona Maxwell, MD. A board-certified obstetrician/ gynecologist, Dr. Furman earned her medical degree from University of Pittsburgh School of Medicine and fulfilled her residency at Magee Women’s Hospital in Pittsburgh, P.A. Board-certified in obstetrics and gynecology, Dr. Maxwell earned her medical degree from State Medical and Pharmaceutical University Kishinau in the Republic of Moldova and completed her residency at Drexel University College of Medicine in New Brunswick, N.J. Physicians practicing at the Forked River offices are Lesley P. Furman, MD, George G. Trim, MD, FACOG, FACS and Angela R. Jones, MD, FACOG. Dr. Trim is board certified in gynecology. He received his medical degree from Ross University School of Medicine in

About Barnabas Health Medical Group Barnabas Health Medical Group is a multi-specialty group practice comprising highly trained and experienced world class primary and specialty care physicians. Barnabas Health Medical Group physicians provide compassionate and innovative cutting edge care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources of Barnabas Health, the largest not-for profit integrated health care delivery system in New Jersey and one of the largest in the nation, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence. For more information visit us as barnabashealthmedicalgroup.org. the Caribbean and completed his residency at Monmouth Medical Center in Long Branch, N.J.

Robert O’Donnell, DO, FACOG, and Amadi Rezai, MD practice in the Manahawkin office.

Board-certified in obstetrics and gynecology, Dr. Jones medical degree was earned from the Medical College of Ohio in Toledo, Ohio and she completed her residency at Christiana Care Health Systems in Delaware. Dr. Jones also specializes in minimally invasive surgery.

Board certified in obstetrics and gynecology, Dr. McDermott has more than 20 years of experience. He earned his medical degree from the New York College of Osteopathic Medicine in Old Westbury, N.Y. and completed his residency at Monmouth Medical Center in Long Branch, N.J.

James P. McDermott, DO,

Dr. O’Donnell earned his medical degree from Kirksville College of Osteopathic Medicine in Kirskville, M.O., and fulfilled his residency at Newark Beth Israel Medical Center in Newark, N.J. He is board certified in obstetrics and gynecology.

Barnabas Health Medical Group Ocean County Ob/Gyn locations include: Toms River Office Lesley P. Furman, MD Aliona Maxwell, MD 615 Main Street, Toms River, NJ 08753 732.797.1510 Forked River Offices George G. Trim, MD, FACOG, FACS Angela R. Jones, MD, FACOG 34 Manchester Avenue, Suite 102, Forked River, NJ 08731 609.489.4492

Manahawkin Office James P. McDermott, DO Robert O’Donnell, DO, FACOG Amadi Rezai, MD 602 Route 72 East, Suite 1, Manahawkin, NJ 08050 609.978.9870 To make an appointment with Barnabas Health Medical Group Ob/Gyn, please call one of the practices above or visit barnabashealthmedicalgroup.org.

For more information about Ob/Gyn or BHMG’s other services, please visit barnabashealthmedicalgroup.org.

Lesley P. Furman, MD 833 Lacey Road, Forked River, NJ 08731 732.797.1510

The County Woman Magazine

Board certified in obstetrics and gynecology, Dr. Rezai earned a medical degree from St. George’s University in Grenada West Indies and completed his residency at Monmouth Medical Center in Long Branch, N.J.

www.TheCountyWoman.com

March/April 2014


Medical Professionals

17

The Importance of Colorectal Cancer Screening Q

Q

Colorectal cancer is the 3rd most common cause of cancer in both men and women. The lifetime probability of developing colorectal cancer is approximately 1 in 20 for both men and women, making it very common.

Symptoms of Colorectal cancer include blood in the stool, anemia (low blood counts), changes in bowel habits, abdominal pain, and weight loss. Often, however, patients have no symptoms at all.

How common is Colorectal Cancer, and do I have to worry about it?

Written by: Jai Mirchandani, MD, Gastroenterologists of Ocean County

Dr. Mirchandani Answers Your Questions . . .

Q

What is Cancer Screening?

A screening test is a recommended medical test to examine for precancerous lesions prior to the development of cancer. Examples of these kinds of tests include: Mammography- to detect early breast cancer; Pap Smears- to detect cervical cancer; and a Prostate Exam- which examines for early prostate cancer. Colonoscopy is a screening test to detect and prevent colorectal cancer.

Q

Q

Q

Family history and genetic factors are one of the biggest predisposing factors to the development of colorectal cancer. If you have a close family member who had either colorectal cancer or colon polyps, you are at an increased risk for developing colorectal cancer. Environmental or dietary factors, such as diets high in red meats, alcohol or tobacco use can predispose patients to colorectal cancer. Also patients who are overweight or have advanced diabetes are also at an increased risk for developing colorectal cancer.

What is a polyp and why are they important?

A polyp is a growth out of the wall of the colon. Polyps are either benign (non-cancerous), or premalignant (pre-cancerous). Polyps are important because certain polyps can grow large over time into colon cancer. Usually patients have NO SYMPTOMS, if they have a polyp. Polyps are caused by genetic and hereditary factors, as well as dietary and environmental factors.

Q

Q

Q

Diets high in fruits, vegetables and fiber are protective for col-

Testimonials

“The Nursing and Technical staff displayed extraordinary compassion and put me at ease from the moment I arrived. Since I have no memory of the actual procedure, I commend Dr. Mirchandani and the staff. Overall, I was extremely satisfied.” ~ Joe, age 46, Toms River

make them comfortable throughout the entire procedure. The day before the procedure patients must drink a solution to clean their intestines prior to the procedure. If a patient’s colonoscopy is normal, they most likely will not need another procedure for 10 years.

Q

What happens to patients who develop colorectal cancer? Patients who develop colorectal cancer must undergo further treatments, including possible surgery, chemotherapy and radiation. Ultimately they have a shorter life expectancy.

Q

What is the most important thing to know about colorectal cancer?

The most important things to know about colorectal cancer is that is a common form of cancer, and all patients, including men and women are susceptible to developing colon cancer. Most types of colorectal cancer are preventable however, with appropriate screening. Colonoscopy is covered as a screening tool by Medicare and most insurances. Make sure to talk to your doctor to see if you should be screened for colon cancer.

Call to schedule your appointment at Gastroenterologists of Ocean County.

Meet The Doctors Of Gastroenterologists Of Ocean County.

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

Gastroenterologists of Ocean County

|

Board Certified Gastroenterologists

Allan Cohen, MD • Omar Tamimi, MD • Jill Collier, MD • Edgar Bigornia, MD • Kenneth Glazier, MD • Jai Mirchandani, MD • • • •

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

• • • •

Swallowing disorders Endoscopic treatment of hemorrhoids Capsule Endoscopy Bravo pH Monitoring

Hospital Privileges at Community and Kimball Medical Centers Endoscopy Center of Toms River Endoscopy Center of Ocean County •

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

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

Medicare, HMO’s and most insurance accepted.

What is a colonoscopy?

A colonoscopy is a test where a flexible tube is inserted into the rectum. Through this tube, a gastroenterologist can visualize the inside of a patient’s colon. Using a colonoscope the gastroenterologist can identify small polyps, and remove them internally. The procedure takes approximately 30 minutes. Patients are given sedation to

Patient

“I felt comfortable and safe! The warmth I felt from Dr. Mirchandani and his team left me feeling relieved. “A piece of cake!” Excellent.” ~ Dortha, age 84, Toms River

How do patients get screened?

A patient can get screened by stool tests to check for blood, X-ray or CT scan tests, as well as certain blood tests that can assess if patients are at risk for developing colorectal cancer. The best test for screening for colorectal cancer is a colonoscopy, as this test can visualize precancerous polyps, as well as remove these polyps before they have a chance to grow and become colorectal cancer.

What are protective factors for colorectal cancer?

“Dr. Mirchandani and his staff were very professional and caring. They made me comfortable and less apprehensive.” ~ Joan, age 49, Whiting

Who should be screened for colorectal cancer?

Any man or woman over the age of 50 years old should be screened for colorectal cancer. Patients with family members with a history of colorectal cancer, or colon polyps, as well as certain symptoms may need to be screened at an earlier age.

What are risk factors for developing colorectal cancer?

What is the colon and rectum?

The colon is a 6 feet long tube, which absorbs excess water and salt into the blood, and converts waste into stool. The rectum is the end of the colon, where waste/ stool is stored until it leaves the body during a bowel movement.

Q

orectal cancer. Also a diet high in calcium has also been seen to be protective for colon cancer as well. Exercise has been seen to be a protective factor as well to prevent colon cancer.

What are some potential symptoms of Colorectal Cancer?

The County Woman Magazine

Now you can have your Colonoscopy, Polypectomy and Upper Panendoscopy in our tranquil and private endoscopy centers. You will receive intravenous sedation, which will make you sleepy and comfortable. Our colonoscopy preparation does not require you to drink a gallon of solution of Golytely or Colyte.

939 Lacey Road Forked River, NJ 08731 609-971-5949

www.GastroOfOcean.com

www.TheCountyWoman.com

355 Route 9 Bayville, NJ 08721* 732-349-4422 * Limited hours by appointment.

Now seeing patients in our NEW office in Cherry Tree Plaza!

2360 Route 9 South Howell, NJ 07731* 732-349-4422 * Limited hours by appointment.

March/April 2014


Home Improvement

18

Transform Your Kitchen With New Countertops In 4 Easy Steps… 1. Get an estimate 2. Pick out your slab 3. Get a template 4. Install countertop …all in 7 to 10 days! Progressive Dimensions Countertops, now entering

its 17th year in business, has been built by following a simple model of offering premium products at competitive price points, providing speedy digital fabrica-

tion and installation by highly trained professionals, and above all, excellent customer service. To this day, most of the business we do still comes from referrals. We offer a wide selection of granite, marble, and quartz on site, along with a showroom that shows design ideas and also examples of sinks and faucets. No appointment is necessary. Just bring in a drawing with rough measurements to get the process started. Your consultation and estimate is free. To make choosing your countertops easier, bring

in a drawer or a cabinet door so you can see how your cabinets will look with your new countertops. Here are some questions most frequently asked by our customers:

Q

How is quartz different from granite?

Quartz is a man-made product engineered by grinding quartz into a powder and adding in color to make beautiful pattern designs. Granite is a natural stone made when the earth was formed millions of years ago.

Granite comes in patterns with flowing motion, movement, and color variations. Both are attractive, strong and resistant to heat and moisture.

Q

Is granite difficult to maintain?

No. It is very resilient to heat and won’t scratch or chip. You can easily clean it with soap and water on a daily basis. The only thing to remember is to have it sealed every year. We will apply the first sealant at the time of install.

PROGRESSIVE

DIMENSIONS

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Q

Do you sell remnants?

Yes. We can sell you a piece of granite at any size. You can also use these for bath vanities, fireplace surrounds, windowsills and other projects.

Q

Are your countertops warrantied?

Yes. We offer a full 1-year warranty.

Stop by our showroom today and we’ll get you on your way to beautiful countertops!

COUNTERTOPS Slab Yard & Showroom

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Instead of rushing in to making a sale, they take the necessary Selecting the right type of flooring for your time to find the right flooring for you and your family and realhome is one of those big decisions you’ll want ize that that every customer’s needs are different. to make very carefully. It is a process that combines your personal taste along with practicality. Absolutely FREE*

• 48 HOUR INSTALLATION • RIP UP OLD CARPET One way to ensure you make the right decision is by asking • PERSONALIZED SERVICE • UPGRADE PAD yourself a few key questions in the beginning of the process. • MEASURING *with carpet installation only, only with We’ve all heard the familiar adage, “Fail to plan, plan to fail.” • NORMAL FURNITURE MOVING actual purchase and excludes remnants. This is especially true when talking about flooring! Best Carpet and Flooring is just the place to go when looking to either upgrade or add flooring to your home. Their exceptional customer service and honesty will lead you in the right direction. The greatest factors to consider when shopping for new flooring are the size of the family that will regularly use the room as well as the traffic the floor will receive. Carpet and wood both have pros and cons associated with them. Carpet allows for more warmth and insulation underfoot, therefore it will help keep your heating costs at bay. Conversely, wood is more wear-resistant and Save can be refinished. If you go with carpet you’ll need to Save . decide between nylon and polyester. Generally speaking, .. ....... on any flooring purchase on any flooring purchase nylon is a more resilient fiber and will show less wear. of $1000 or more of $500 or more Rest assured that Best Carpet and Flooring’s experienced Save up to 70% Limit 1 per customer. Not Limit 1 per customer. Not good on previous sales. good on previous sales. staff will assist you with all of these decisions and lead No cash value. No cash value. on wall-to-wall Must present ad. Must present ad. you to the right choice for your lifestyle. Expires 5/31/14. Expires 5/31/14.

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Hardwood • Vinyl • laminate • exotic wood • area rugs • tile • rolls & remnants

The County Woman Magazine

www.TheCountyWoman.com

March/April 2014


Financial Management

19

What Is An ETF? Consider Your Options Your Options.

Since the first exchange-traded fund (ETF) was introduced to the market in 1993, exchange-traded products have seen tremendous growth. Today, there are more than 3,700 worldwide, with better than $1.4 trillion in assets invested. ETFs are changing the way people invest, allowing investors big and small to build institutional-caliber portfolios with lower costs, better transparency, and greater tax efficiency than ever before.

What is an ETF?

Mutual funds are pooled investment structures—that is, multiple investors put their money in a single pot and hire a manager to invest it. Each investor receives shares in the fund in direct proportion to the size of their investment. The fund itself can buy dozens, hundreds, or thousands of securities. An ETF is structured in exactly the same way. In fact, ETFs are mutual funds, and for the most part they are structured, managed and regulated just like other mutual funds. The big difference between an ETF and a mutual fund is that it trades just like a stock on an exchange.

© 2011 Commonwealth Financial Network®

Please contact us with any questions or to set up a complimentary initial consultation:

ETF Features • Flexible trading. ETFs are priced and traded throughout the day, just like stocks. This gives investors control over buying and selling, allowing them to sell short, trade on margin, and also to place limit and stop-limit orders. • Lower expenses. ETFs track an index, which is typically less costly than active management. Active mutual funds must go to market when money moves in and out, and investors must pay a spread or commissions. There is also more recordkeeping involved in actively managed mutual funds. To buy shares of an ETF, investors simply place an order with their broker. • Tax efficiency. When a mutual fund sells securities capital gains result. ETF’s typically track an index and have very little turnover. Second, the creation and redemption process allows the ETF provider to deliver underlying holdings to the AP rather than selling them when faced with redemptions, thus avoiding capital gains. • Transparency. Although ETFs aren’t required to report their holdings to shareholders on a daily basis, they must disclose their creation/redemption baskets. Investors can also see the full holdings of the index that an ETF tracks. Mutual funds, by contrast, are typically only required to report their holdings on a quarterly or semiannual basis. • Portfolio completion. Before the advent of the ETF, it was difficult for retail investors to gain exposure to some segments of the market, including commodities and other niche areas. Today, a wide array of ETFs cover numerous sectors, styles, industries, countries, and regions, allowing investors to gain exposure to diverse areas of the market. • Bid/Ask spreads. ETFs have two prices, a bid and an ask price. Investors need to be aware of the spread between the price they will pay for shares (ask) and the price a share could be sold for (bid). Full Landscape Service

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The County Woman Magazine

• Trading costs. As previously mentioned, ETFs trade just like a stock. The downside to this is that investors have to pay a commission each time an ETF is purchased. For investors looking to make one large, lump-sum transaction, an ETF can make sense. But investing small amounts over time in an ETF can be expensive. • Tracking error. Most ETFs are designed to track the performance of a particular index, but this isn’t always as easy as it sounds. ETFs sometimes stray from the performance of the intended index. This is called tracking error, and it can occur for different reasons. Investors should consider the investment objectives, risks and charges and expenses of the ETF carefully before investing. The prospectus contains this and other information about the ETF. You can obtain a prospectus from your financial representative. Read the prospectus carefully before investing. Authored by Brian McCormick, investment research analyst, at Commonwealth Financial Network.

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

Let me put my professional expertise, experience and client commitment to work for you and your family. I will do the heavy lifting so you can focus on what you prefer to do best and stop spending time and worrying about what you haven’t done. Let me show you how I can help you.

Mark S. Rushwald

Certified Financial Planner™

(732) 505-4422 msr@rushwald.com

700 Hooper Avenue, Suite 201 • Toms River, NJ

www.rushwald.com

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www.TheCountyWoman.com

March/April 2014


Medical Professionals

20

FATIGUE, ENERGY & SLEEP Stephen L. Newman MD MBA Diplomat American Board of Sleep Medicine

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

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

Enter To Win

M

any patients seek my assistance for evaluation of a low level of energy, fatigue, overweight and poor sleep. Although many people feel that lack of sleep results in fatigue or low levels of energy, that is not always the case. Fatigue and lack of energy may be associated with normal sleep without abnormal breathing or activity during sleep. For example, in the 1960s, hypoglycemia was touted as the most common cause of fatigue and lack of energy, as well as poor sleep. Indeed, further evaluation of individuals with low blood sugars, hypoglycemia, showed a very low correlation with symptoms. Furthermore, those individuals with fatigue, low levels of energy, and poor sleep often had normal blood sugar levels. In the last 30 years doctors advanced diagnoses ranging from a chronic Lyme’s disease, depression to sleep apnea to explain fatigue. As a sleep disorders physician and general internist, I pursue a diagnostic path to arrive at an answer to my patient’s concerns and problems. My following suggestions regarding diet, exercise and sleep may help to improve certain situations of fatigue, energy, and sleep. Diet: Over the last 40 years, Americans have been hypnotized by corporations involved in food production and processing to “supersize” their portions and to flavor with high fructose sugar (also known as corn syrup), animal fat, and salt instead of spices and taste. Take-home message #1: Avoid high fructose corn syrup corn sugar, wheat flour, salt and animal fat. Nutrients: It may be astonishing, that one could be morbidly obese, yet severely malnourished because the absence of appropriate micronutrients and macronutrients in their diet. Notably, we have lost our emphasis of fruits, vegetables, as well as nuts and have substituted them for the quick salty high fat or high sugar snacks. Take-home message #2: If you cannot stomach the thought of eating vegetables or fruit, try a full-fruit drink such as “Naked™ fruit juice or V8

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fusion™ or low salt V8. Try a snack of mixed unsalted nuts, rather than cookies, crackers, cake, ice cream, potato chips or pretzels. Exercise: It comes as no surprise that exercise is important to our health, energy, and sense of well-being. However, getting motivated to exercise and maintaining an exercise program is very difficult. Evidence-based medicine notes physically active individuals tend to age more gracefully have a lower incidence of disease and when disease occurs have a shorter period of recuperation. Take-home message #3: Do not buy exercise equipment or join a gym! Park your car at least 5 minutes away from the front door of your home or office. In one week, double that time, and in one month, quadruple that time. Sleep: Although sleep may not be the cause of your daytime lack of energy, fatigue, or pain, pain can result in very poor sleep quality. Unfortunately, rather than addressing the cause of pain or fatigue with her physician, we often try maladaptive patterns such as increasing caffeine, becoming active late at night, exercising at night, using the computer or watching television all while in the bedroom. Take-home message # 4. Reserve your bedroom for sleep, not for any other activity that causes you to wake up or become alert.

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I hope these few siggestions have given a glimmer of hope as well as a roadmap to successfully deal with your issues of energy, fatigue, and sleep. If you have any questions, feel free to call today. 732-920-8022.

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March/April 2014


Medical Professionals

21

A YOUTHFULLY SMOOTH NATURAL LOOK - AT ANY AGE Submitted by: Dr. Stephen E. Small, Board Certified Plastic Surgeon

T

ired of those parenthesis folds from the sides of your nose to the corners of your mouth? Perhaps it is the furrows or 11’s between your eyebrows? Look no further! With Juvederm® and Botox® you can have a naturally smooth look at any age. These treatments are a great way to look more youthful without a drastic procedure. Your treatment will be customized by Dr. Stephen Small, a board certified plastic surgeon, who is specialized in cosmetic procedures of the face, breast and body. Juvederm® will soften those lines around the nose and mouth to provide a long lasting result.AGE Get a smooth natural look that everyLOOK -- AT ANY LOOK AT ANY AGE one will notice but no one will know!

Erase those vertical lines or 11’s between your eyes with Botox®. Botox® will keep you looking awake, alert and rested for months. A great treatment to minimize wrinkles and lines caused by facial expression.

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After 7 days

Maintain your great looks by joining Brilliant Distinctions. This is an awards program that you can register for by going online at www.BrilliantDistinctions.com. You will receive special offers, exclusive invitations and membership to the Brilliant Distinctions Points Program which will give points towards Allergan products such as Latisse, Botox and Juvederm. We offer the Brilliant Distinctions program. Call Dr. Small at Ocean Plastic Surgery for more details. Come visit us and explore the possibilities of a new you with our stateof-art Vectra XT imaging. You can see your Breast-Face-Body result in 3 D at your consult! This is an awesome way to see what a Breast Augmentation, Rhinoplasty or Liposuction result would look like.

Artistry • Beauty • Rejuvenation Non Invasive Botox Juvederm Radiesse Boletero

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www.oceanplasticsurgerynj.com • 732-255-7155

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Untouched photographs. Individual results may vary.

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Dr. Small’s goal is to help his patients achieve a beautifully natural appearance. He understands that undergoing plastic surgery is very personal, and strives to provide an exceptional experience by attending to your unique needs and expectations. You will be cared for in a expression. comfortable, compassionate setting with a staff expression. that is ready to serve you. Call to schedule your appointment, 732-255-7155.

The County Woman Magazine

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Disclaimer: Void Where Prohibited by Law. Must be 18 years of age or older. Non- transferrable. Botox promotion is only for patients who have never had Botox injections at Ocean Plastic Surgery, P.A. Any subsequent Botox treatments will be charged. 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 payment 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.

OCEAN PLASTIC SURGERY P.A. AND LASER CENTER Toms River, NJ • Manahawkin, NJ Office: 732-255-7155 www.TheCountyWoman.com

March/April 2014


Medical Professionals

22

Diabetic Foot Ulcers: Knowing Risk Factors Can Prevent Amputations These lesions are common, particularly on the lower extremities. Ulcerations associated with diabetes are the most common cause of foot ulcers. Most of these ulcers are a direct result of loss of sensation secondary to neuropathy. Fact: Approximately 26 million Americans suffer from diabetes, and at least one-third of the Submitted By: Dr. Manooj Prasad medical costs associated with Garden State Foot & Ankle Group this disease are specific for the treatment of diabetic foot ulcers. An ulcer is defined as Fact: Approximately 85% of lower limb amputations are a breakdown of skin preceded by non-healing foot that may extend to ulcers, making the prevention involve the subcutaof diabetic foot ulcers and their neous tissue or even recurrence the most important topic in diabetic foot disease. the muscle or bone.

Fact: Up

to 60% of patients with a previous history of an ulcer will develop a recurrent wound.

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Risk Factors for Diabetic Foot Ulcers:

1 2

Having diabetes mellitus Having high blood sugar interferes with wound healing. Foot deformities, including claw toes, spurs, bunions, Charcot foot, etc. The concern is repetitive stress to an area makes skin vulnerable to breakdown. Neuropathy, or loss of sensation It is likely to not realize there is an ulcer, or skin breakdown, because you don’t feel it which causes a delay in diagnosis and management. Peripheral artery disease There is insufficient oxygen available to assist in healing or fighting infection. Previous wounds or ulcers This is especially significant for patients with wounds that have occurred in the past spontaneously or without known injury verifying risk for developing new wounds. Previous amputation ranging from minor (toes) to major (below the knee) There is a 50% likelihood of similar amputation to opposite extremity within 5 years. Obesity and malnutrition Increases the stress across the foot and low protein contributes to edema. Smoking Evidence shows smoking doubles the risk of wound complications.

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Common sense “do’s and don’ts” of foot health and wound prevention DO • Keep feet and legs clean and moisturized • Have toenails clipped and calluses shaved by your podiatrist • See your podiatrist for any deformities for treatment before an ulcer occurs • Wear appropriate protective footwear • Wear white socks to recognize drainage, and inspect feet daily after removing shoes DON’T • Walk barefoot • Wear flip-flops • Wear new shoes without checking frequently for pressure sores • Neglect innocent-appearing foot wounds • Smoke • Use dry heat or soak feet in hot water • Use sharp objects to remove calluses or trim ingrown nails.

Prevention of Diabetic Foot Ulcers is the Goal: The diagnosis of diabetes does not have to equate to future lower limb amputations. A large percentage of these problems may be preventable by routine

podiatric care, recognizing risk factors, and implementing essential prevention measures before these wounds occur. Because of the complexity of diabetes, the effects on skin and toenails are best managed by a podiatrist. Discuss with your podiatrist simple procedures which can be performed in-office to optimize foot health. There are proactive surgical steps, for example, correcting the foot deformity to relieve pressure, which can be taken to prevent future ulcerations or amputations. Patients that have diabetic ulcers need to be treated aggressively with the latest technology to get the ulcers to heal. There are many new advances in treatment options now available, like artificial skin grafts that stimulate the body to heal, different types of off-loading walking boots, hyperbaric oxygen therapy, aggressive surgical debridement of the wound to get to a healthy base to allow the wound to heal faster, just to name a few. Once wounds are healed, it is important to advise the patient in getting proper off-loading footwear to prevent future recurrence. The faster a wound heals, the sooner one gets back to an improved quality of life.

To learn more about diabetic foot ulcers and their latest treatment options, or any other foot concerns, call Dr. Manooj Prasad at (732) 557-9900.

Diabetic Ulcer Testimonial . . . “I started with an ulcer, and what I went through until I found

Dr. Prasad. I went to three, four, or even five doctors for over a year and a half, and all they were doing was debriding my ulcer but it never actually healed. Dr. Prasad operated on me twice, and asked me if I would try this new boot. He recommended it because I’m a diabetic and it’s so hard for me to heal. He even came to the rehab and changed it for me. This boot was the best treatment for my ulcer, it wasn’t too uncomfortable, and it actually healed me. I can’t praise Dr. Prasad enough. I feel like he actually knows what he’s doing which makes him fantastic. I would never let anyone else touch my feet again. If I have a problem, I call his office and I feel like they know my voice. Dr. Prasad is a great doctor, and I truly believe he saved my foot!” ~ Mary Bowbliss

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March/April 2014


Law

23

Do I Really Need An Attorney To Get Divorced? Written by: Jay Turnbach, Esq.

There is no denying that the doit-yourself movement is alive and well, particularly in light of the recent recession. Whether it’s elbow grease put into a home repair project, or using the latest income tax software program to prepare your State and Federal income taxes, the perceived savings you get from going it alone are real and meaningful. So, the question naturally arises:

Can I just get myself divorced? The New Jersey Supreme Court has made great efforts to make filing forms and procedural instructions available. The court rules are often bent for “do-ityourself-ers” or, as the court calls them: the self-represented. After all, attorneys are all just scoundrels anyway, aren’t they? I mean, if the Supreme Court wants us to be cut out of the process (by making forms available for the taking for anyone who wants them), what does that say about our role in the system? Well, here’s the truth. While we all settle into a daily routine as we age, periodic events arise which tend to shape our economic lives, our personal lives, and even our health (both physical and mental). Whether it be graduation from high school or college, deciding to have a child, changing careers, accepting (or declining) a promotion, a stretch of unemployment, moving, enduring an illness or an accident, having a loved one touched by illness or injury, retirement (or simply our dreams of retirement), divorce necessarily touches upon all of these things. Your divorce and its outcome will affect your health, your economic future, and in a deep way, your personal life for years to come. Courts Can’t Provide Advice The Administrative Office of the Courts is charged with managing the judicial system. Like all other state agencies, they are crippled by budget constraints. There are not enough resources, not enough judges, and not

enough staff members in any 732.286.4860 courthouse in the State of New Free Telephone ay urnbach sq Jersey to provide the time and ConsulTaTion attention needed on your matter. The AOC is in the business of Divorce Mediation, Litigation, Collaborative Divorce counting cases. The number of Post-Judgment Divorce cases begun less the number of Enforcement of Divorce Judgments, Child Support and Alicases concluded (factoring in the mony Modifications, Out of State Relocations with Children time it takes for each) provides General Family Law their measure of success. Of Child Custody/Parenting Time Issues, DYFS Matters course, they mean well. They Domestic Violence Restraining Order Hearings, Motions to Vacate Old Orders strive, in fact, to provide the highest quality of justice that the dearth of resources permit. Understand, however, that judges are constitutionally constrained from giving you legal advice, and court employees are directed not to give advice. It is not their role. As a result, they can and do watch litigants make serious www.NJFamilyLawyer.net mistakes every day. 229 Washington Street Certified by the Supreme Court of the State of New Jersey as a Certified Matrimonial Attorney Toms River, NJ 08753 Lawyers Provide Valuable Service (3) Consider your spouse’s business. a growing percentage or the population, Attorneys provide a valuable service Did they correctly report all income taxes you’ll get divorced once or perhaps representing your interests in this during the years you were married? What twice. Over my 19-year career, I’ve behemoth of a system. You ignore this at if you get a call from IRS indicating your even done a few third divorces for the your peril. tax returns from five or seven years ago, unluckiest-in-love. I’ve divorced couples jointly filed with your spouse, are being in their eighties. Can you do it yourself? Consider some examples: audited? Your bank account could be Absolutely. The court will even “help” (1) Imagine a $20.00 a week mistake levied. Your assets could be taken. The you with forms. You’ll be treated politely in your child support award. Not money you saved on an attorney will seem and with some deference because you are unheard of, by any measure. Over an insignificant trade-off. learning your way. But, is that the best 18 years, that mistake amounts to (4) You’ll most likely be sharing thing for you? No way. $18,720.00. custody of your children with your (2) Divorcing spouses are entitled to Look at it this way: if your house needs spouse. Over years of practice, attorneys share in the qualified retirement assets painting, you might do it yourself – after come to know which arrangements of the other. To actually receive your all, the worst outcome would be an ugly work best. We can advise as to pitfalls share of your spouse’s pension, you paint job, and maybe a sore shoulder. and unsound practices in parenting have to send a qualifying court order But, if you were skydiving for the first, arrangements. No single thing will to the administrator of the plan. Such second or even third time, would you impact your mental health and your plans typically involve many options pack your own parachute? It’s just rolling personal well-being more than the including survivor benefits, lump-sum up some rip stop nylon and cord in a concern you’ll have for your children. withdrawal options, different annuity knapsack, isn’t it? Well, no. Skydiving Are they more likely to be caught in the payment selections and the like. The puts your life at risk. The do-it-yourselfmiddle between you and your spouse, or orders providing for distribution are er is ill suited for such a task. Likewise, can they succeed despite your divorce? extremely complex. It is not uncommon divorce puts your economic life, your Often, some sound advice from divorce for the actuarial value of a state pension personal life, and even your mental health professionals can make the difference to approach or exceed a million dollars. and well-being at risk. Please between comfort and misery when it Even small mistakes can quickly add up consult a professional. comes to your hopes and dreams for your to tens of thousands of dollars. Not Schedule an appointment with children. This is not a risk to be trifled knowing your pension rights could make Jay Turnbach, Esq., 732-286-4860 with. the difference between prosperity and to further mere subsistence living in your golden Avoiding Potential Problems years. Judges will not tell you this. The I could cite another hundred examples discuss your Administrative Office of the Courts will of potential problems. If you’re lucky, concerns. not tell you this. you’ll never get divorced. If you’re like

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, E ., LLc

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

The County Woman Magazine

www.TheCountyWoman.com

March/April 2014


Law

24

How To Prepare For A Mortgage Application 8

The Top 10 Things You Need . . .

understanding of any credit problems, particularly if they Contact info – If you know the realtor and were the result of a period of illness, unemployment, or attorney that you will be using, provide contact other extenuating circumstances. If you have any type information to the lender. The mortgage process is much of disputes or credit freezes, please remove these prior to smoother when all of these parties keep open lines of asking anyone to run your credit report. communication from the start. Divorce – If you are divorced you will be asked to Rent checks – If you are currently renting it may help provide a copy of the divorce decree and the property your lender to obtain copies of the past 12 months settlement agreement. Typically you will also be asked to of cancelled checks for your rental payment – it may document receipt of any divorce – related income such support your ability to make the new housing payment. as alimony or child support. If you are not receiving this Most importantly “Ask questions” – your lender income through the court system, you may have to ask should be available, willing, and able to answer your ex-spouse/partner for copies of checks, etc.In Ms. all questions that you have prior to application. During Caterina’s experience, it’s always better if an applicant the years I have spent in this business there have been has plenty of notice, as this is sometimes difficult or numerous changes, but one thing remains constant: the uncomfortable. mortgage process always goes more smoothly when a Identification - Lenders will typically ask for two complete application is taken up front. forms of ID, one with a photo. Take a look at your ID and make sure the name and address match what you gave the lender, and that the ID is not expired. Rental properties/2nd homes –Try to organize all documents relating to any other properties you may own, including a recent mortgage statement for each property and current leases, if applicable. Do you have someone in your life Contracts – If you are purchasing a property, with a Disability? and/or selling your existing home, take a look at the contract of sale. All places that require the are they financially protecteD? parties to sign or initial must be completed – all pages of the contract should be provided to the • Special Needs Trusts lender.

Everyone has seen the ups and downs of the mortgage industry. In my almost 20 years of practicing law, I have seen many changes. As a result, I often like to seek out area professionals for their advice as to what is useful during this time when applying for a mortgage and purchasing a home. I had the opportunity to speak with Laurette Caterina, Vice President with Glendenning Mortgage Corp. in Toms River New Jersey. Ms. Caterina has over 28 years of experience and is very hands-on in her approach to every aspect of the lending process. Because of her experience, I highly regard her advice in the technical aspects and her customer service regarding the mortgage process. Ms. Caterina provided top ten items needed to prepare for a mortgage application. Income/employment – It is important to organize income documents, including last 30 days of pay stubs, past two years federal tax returns and W-2 form or 1099 forms. Take a look at the documents, make sure they are legible and that they match the information that you gave the lender. For example, if you verbally told a lender that you have been at the same job for 3 years, but your 2012 and 2013 W-2 shows two different employers, be prepared to explain and document your employment history. Assets – Take time to organize bank statements. Most lenders will want to see the past two months’ history of all accounts, including checking, savings, money market, CD, etc. Any deposits of $1,000 or more will have to be explained, and it is likely you will have to show where the funds came from. Leading up to a home purchase, you should document all large deposits by saving copies of the checks and the deposit slips (note: this does NOT apply to direct deposit payroll – that does not need any further explanation). Please note that you must provide all pages of these statements, so look at the numbered pages and ensure they are all included in what you provide to the lender. Credit – If you are aware of any issues with credit, including prior bankruptcy, collection accounts and judgments, organize all documentation relating to these items. It helps the lender to have a thorough

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Call Matus and Connell at (732) 281-0060 for more information. Two Attorneys, One Mission: to provide professional, efficient legal counsel and representation

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March/April 2014


Law

25

Finding The Light At The End Of The Tunnel Has anyone seen the sun recently?

It has been a long, cold and hard winter for all of us. The year 2014 seems to be on a perpetual two-hour delay, figuratively and literally (you parents out there know what I’m talking about). As the spring approaches and the snow begins to melt, many of us will still be left with the feeling of being buried…buried in debt. It’s an uneasy feeling, one that permeates through our everyday actions. We feel it when we’re getting ready for our day. We feel it driving to work. We feel it when we interact with our spouse, our children or our loved ones. We feel it when we try to go to sleep. It can be a helpless feeling…like constantly being barraged with snow and lousy weather – things we don’t have control over. The theme of this article is that you d­ o­have control over your debt, it’s just a matter of taking action. There is no hole too big or too difficult to dig out from underneath. Here are a few things to keep in mind as you take that first step:

1

Don’t be afraid. I cannot tell you how many clients come into my office with unopened envelopes of credit card bills and mortgage statements. It’s a coping mechanism. If I don’t open the mail, then it is not a concern...it’s not real. Don’t be afraid of your position. It is what it is – it’s about how we are going to fix it that matters. Acknowledging the problem is an important first step.

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Communicate. Being in debt can be a very lonely feeling. We all want to pay

our bills. It is a matter of pride. In fact, many of the people I help are current on their present obligations and have outstanding credit, but are overwhelmed with the amount in which they owe. Many of my clients feel isolated from their friends and family – even their spouse – because of trying to “keep up” an image or lifestyle that is simply no longer sustainable. Communicate with those who matter and seek help. I can assure you are not alone.

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Be proactive. There are solutions to any and all debt related problems. Every

situation is unique and requires a different analysis based upon the specific circumstances pertaining to one’s assets and liabilities. No two cases are alike. The important thing to remember is that, unless you are proactive, nothing will change. I treat every consultation as an information session. It’s an opportunity for you to receive the information you need about bankruptcy and other debt solution options, and it is an opportunity for me to set a strategic course for helping a client find relief. I hope this article proved helpful in not giving up hope and trying to move forward. Like with this winter passing, there is a light at the end of the tunnel.

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Daniel Straffi, Jr. was admitted to practice in the States of New Jersey and Pennsylvania, as well as the District Court of New Jersey in 2001. A graduate of Boston College in 1998 and Rutgers-Camden School of Law in 2001, he began his legal career in 2001 serving as a judicial law clerk for the Presiding Judge of Family Law in Mercer County, the Hon. Lee Forrester, P.J.F.P. After completing his clerkship, Mr. Straffi was an associate at the law firm Cooper Levenson for two years where he concentrated his practice on the area of negligence defense. In 2004, he joined his father's law practice. He has focused his practice on representing individuals and businesses in the areas of bankruptcy, divorce and criminal defense. He is further an active member of the NJ and Ocean County Bar Associations.

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Medical Professionals

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Shore’s Advanced Spine & Orthopedic Institute Is The Clear Choice For Your Sports Medicine Needs

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March/April 2014


Medical Professionals

Medical Professionals

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Premier Pain Centers Participates In Clinical Trial

To StopPain Chronic Lower Limb Pain In Its In Tracks Premier Centers Participates Clinical Trial To Stop Chronic Lower Limb Pain In Its Tracks

damage, which occurs in up For more information, or called the dorsal root ganglion to 35 percent of patients who to see if you qualify for the (DRG). The Dorsal Root undergo hernia surgery and 50 Ganglion (DRG) plays a critical ACCURATE study, please visit 85 percent patients whoalwaysrole www.ACCURATEstudy.com or in the development and lower annually.toChronic painofcan be an effective long-term limb pain. The investigaOthertreatment callAxium™ 888-978-8397. maintenance impact aundergo sufferer’samputations. ability to lead option. of chronic pain, tional Neurostimulator causes include nerve as it processes pain signals as System is the only spinal cord To qualify for the ACCURATE a productive working, social damage caused by trauma or diseases they travel to the brain. By and family life. patients stimulation system that targets a study, must fit the What is the DRG, the such as Many Complex Regional Pain stimulating Dr. Peter Staats is a Board Certified Painpatients Management undergo Syndrome years of testing and branch of spinal cord called the following inclusion/exclusion neurostimulation Specialist practicing at Premier Pain Center with locations in (CRPS). Neuropathic Axium System interrupts pain Shrewsbury, East Brunswick, and Brick. He has been consistently doctors’ visits dorsal root ganglion (DRG). The pain iswithout difficultatolongterm treat. Strong signals before they travel to therapy? criteria: recognized as one of the country’s foremost pain management medications like opioids can the brain. Recently published solution. Dorsal Root Ganglion (DRG) For many years, neurostimuMale or FemaleTop between doctors.This includes being named •one of America’s Doctorsthe provide relief, but may not European data from a nonplaysbya U.S. critical role inWorld the devellation has been a well-accepted, Written by: News and Report for the last decade, noted as ages of 22 and 75. What alwayscauses be an effective long-term randomized study found that 78 opment and maintenance ofof pain management physicians in the effective, and safe method to being among the top 1% Peter StaatS, MD treatment option. percent of patients experienced neuropathic pain? Written By: Peter Staats, MD had painTop affectcountry. been acknowledged as one of chronic New Jersey’s pain,Heashas it processes pain • Have PreMier Pain Center treat neuropathic Mostlimbs. chronic pain relief inpain. the lower NeuropathicWhat pain isis Premier Pain Centers ing lower limbs for at least Doctors from Newto Jersey Monthly magazine for the past seven six signals as they travel the brain. popular is Premier stimulation the spiPain of Center is induced by an neurostimulation injury or disease years. Dr. Staats was also the recipient of the Outstanding Pain months. nowLeads enrolling patients By stimulating the DRG, the nal cord. (small wires)for are It’s no secret that Physician award, a national recognition as selected by his peers in of the nervous therapy? system. A the ACCURATE study, a Axium interrupts pain implanted in the epidural space, • Have not seen lasting success many years, the System interventional pain medicine community. causeFor of neuropathic chronic pain iscommon a randomized, neurostimulation has been an areaprospective, signals before they travel to around the spinal cord. with other treatments and; nerve multi-center, controlled trial CAUTION: The Axium Neurostimulator System is an investigational device growing healthpain is post-surgical a well-accepted, effective, the brain. Recently published A neurostimulator sends pulses and is limited by United States law to investigational to determine the safety and • Have not use. previously used spidamage, and which intouptreat safeoccurs method issue in the U.S. European data from a nonran- nal cord stimulation for chronic to the efficacy leads. Itofisthe implanted in Axium™ to 35 percent of patients who neuropathic pain. Most popular domized study found that 78 Neurostimulator System the abdominal wall or buttock, today. pain. stimulation the spinal undergo ishernia surgeryofand 50 for chronic neuropathic percent of patients experienced I see chronic pain patients and is controlled via an external cord. Leads (small wires) are to 85 percent of patients who affecting their For more information, or everyday my practice at I see chronic paininpatients pain relief in the lower limbs. in the epidural space, remotepain control. undergo implanted amputations. Other lower limbs (such as Premier Pain Center. Defined an area around the spinal cord. everyday in my practice at Premier Pain Center is to see if you qualify for the include nerve damage the leg, foot, or groin). as pain lasting longer than causes six A neurostimulator sends pulses Premier Pain Center. Defined now enrolling patients for the ACCURATE study, please visit To qualify for the What is the or Itdiseases months after an injury has caused bytotrauma the leads. is implanted in as pain lasting longer six that such ACCURATE study, a prospecACCURATE study, ACCURATE study? healed, it isthan estimated more as Complex www.ACCURATEstudy.com or Regional the abdominal wall Pain or buttock, patients must fit the months after an 100 injury has AmericansSyndrome tive, randomized, multi-center, than million My practice in Shrewsbury, and is controlled via an external (CRPS). Neuropathic call 888-978-8397. following inclusion/ healed, it issuffer estimated that more from chronic pain controlled trial to determine the remote control. East Brunswick, and Brick is pain is difficult to treat. Strong exclusion criteria: annually. Chronic pain can than 100 million Americans participating inFemale a national study safety and efficacy of the Axium™ What is the medications like opioids can • Male or impact a sufferer’s ability to lead *CAUTION: The Axium suffer from chronic pain Neurostimulator System for along with nearly ACCURATE between thetwo agesdozen of 22 sites provide relief, but may not study? a productive working, social Neurostimulator System is an My practice in and country 75 across the to evaluate a chronic neuropathic pain affectand family life. Many patients investigational device and is Shrewsbury, East Brunswick, potential • Have chronic undergo years of testing and newhad therapy for chronic ing their lower limbs (such as the limited by United States law to and Brick is participating in pain affecting lower leg, foot, or groin). doctors’ visits without a longinvestigational use. a national study along with limbs for at least six term solution. nearly two dozen sites across the months What causes Staats a Board Pain Management Specialist practicing at Premier Pain Center with country to evaluate a potentialDr. Peter • Have not isseen lastingCertifiedStanding L-R: Renee Wolf, PA-C, Sean Li, MD, neuropathic pain? new therapy for chronic lowerlocationssuccess in Shrewsbury, East Brunswick, and Brick. He has been consistently recognized as one of the country’s with other Carmen Quiñones, MD, Kulbir Walia, MD, Mark Cattell, RPA-C, Neuropathic pain is limb pain. The investigationalforemosttreatments pain management doctors.This includes being one Cherie of America’s TopPA-C. Doctors by U.S. News and Michael O’Hara,named DO, and Weiss, induced by an injury or disease Axium™ Neurostimulator • Have not previously and World Report for the last decade,Seated: noted as Scott being among the top 1% of pain management physicians in the Metzger, MD, Peter Staats, MD, MBA, of the nervous system. A System is the only spinal spinal Mak, MD. country.used He has beencord acknowledged asand oneJohn of New Jersey’s Top Doctors from New Jersey Monthly magazine for common cause of neuropathic cord stimulation system that the past stimulation seven years. for Dr. Staats was also the recipient of the Outstanding Pain Physician award, a national recpain is post-surgical nerve targets a branch of spinal cord painby his peers in the interventional pain medicine community. ognitionchronic as selected

Q

Q

It’s no secret that chronic pain is a growing health issue in the U.S. today.

Q

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732-380-0200

www.premierpain.com The County Woman Magazine

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January/February 2014

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Meet The Doctors Of Premier Pain Centers Michael O’Hara, DO Dr. O’Hara has devoted his career to the specialized field of Interventional Pain Management. As an expert and consultant in his field, Dr. O’Hara continues his training in order to stay in the forefront of new technology. He has lectured extensively on various pain management topics to physician groups and hospitals, as well as community outreach programs. Dr. O’Hara has a compassionate philosophy, and treats each patient as an individual. Dr. O’Hara received his medical degree from the University of Medicine and Dentistry of New Jersey, and is board certified in both Pain Management and Anesthesiology. He completed an Anesthesiology residency from the Hospital of the University of Pennsylvania in 1994. Dr. O’Hara has been awarded the ABA Special Certification in Pain Management. Peter S. Staats, MD, MBA Dr. Staats’ philosophy in treating patients is in an atmosphere of warmth, professionalism and integrity. He and his practice specialize in obtaining dramatic results in pain management without the need for major surgery. Dr. Staats also serves as an Adjunct Associate Professor at Johns Hopkins University School of Medicine as well as the founder of the Division of Pain Medicine at JHU. He has been consistently recognized as one of the country’s foremost pain management doctors. This includes being named one of America’s Top Doctors by U.S. News and World Report and one of New Jersey’s Top Doctors from New Jersey Monthly. Dr. Staats was also the recipient of the Outstanding Pain Physician award, a national recognition as selected by his peers in the interventional pain medicine community. Kulbir S. Walia, MD Dr. Walia is double board certified in Anesthesiology and Pain Management by the American Board of Anesthesiology. After medical school, Dr. Walia completed his residency at the University of Medicine and Dentistry of New Jersey where he served as an Administrative Chief Resident. He then trained in a Pain Medicine fellowship at the Johns Hopkins Hospital in Baltimore, Maryland. Dr. Walia specializes in the diagnosis and care of patients who suffer from chronic neck and back pain. He joined Premier Pain in 2007, and has expertise in Complex Regional Pain Syndrome (CRPS) as well as cancer pain management. Dr. Walia is well known for his warm and friendly approach with patients, along with his vast knowledge of conditions that can lead to chronic pain. He treats his patients using a combination of conservative therapies and minimally-invasive interventional measures. He is a member of the American Society of Regional Anesthesia and Pain Medicine, as well as the American Academy of Pain Management. Sean Li, MD Sean Li, MD joined Premier Pain in 2011. He is a board certified Anesthesiologist and Interventional Pain Management Physician. Dr. Li specializes in the diagnosis and treatment of patients who suffer from chronic neck and back pain, neuropathic pain (such as complex regional pain syndrome), and cancer pain utilizing both medical and interventional modalities. He is a strong proponent of the multidisciplinary pain treatment model and has particular interests in neuromodulation and minimally invasive pain interventions. He has been recognized with the Patients’ Choice Award by Vitals.com, and was one of the first physicians in the United States to utilize an MRI-safe spinal stimulator in 2013.

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Carmen Quiñones, MD Carmen M. Quiñones, MD is a Board Certified Interventional Pain Management Physician who has been practicing in New Jersey since 2006. She is also a Fellow of the American Academy of Physical Medicine and Rehabilitation. She completed her medical training with a residency in Physical Medicine and Rehabilitation at Montefiore Medical Center in New York City and an Interventional Spine and Pain Fellowship at Emory University in Atlanta. Dr. Quiñones is focused on studying the science of spine and musculoskeletal disorders. She specializes in interventional pain management modalities, including lumbar epidural steroid injections, facet joint nerve blocks, and radiofrequency ablation. She is dedicated to enhancing her patients’ quality of life by improving physical function and relieving painful conditions. She is also bilingual in Spanish and English. John Mak, MD Dr. John Mak obtained his medical degree from SUNY at Buffalo School of Medicine and completed his Internal Medicine Internship at St. Luke’s-Roosevelt Hospital Center-Columbia University College of Physicians and Surgeons. His areas of clinical expertise include treatment of neck and back pain of musculoskeletal and spinal in origin, neuropathic pain and cancer pain. In order to keep abreast of the latest treatment modalities in pain management, Dr. Mak maintains active memberships in the American Society of Anesthesiologists, the American Society of Interventional Pain Physicians, and the Medical Society of New Jersey. Dr. Mak comes highly recommended by his peers and associates for his technical skills in interventional procedures, as well as his outstanding work ethic, clinical judgment and gentle nature with patients. Scott Metzger, M.D. Scott Metzger, M.D., is a Board Certified Pain Management Specialist. A lifelong resident of central New Jersey, Dr. Metzger established his Monmouth County-based pain management practice in 2000. Today, the practice has locations in Monmouth, Middlesex, and Ocean Counties. Dr. Metzger believes in giving his patients the most compassionate care possible. His practice concentrates on pioneering innovation in the science of pain medicine. New Jersey Monthly Magazine has recognized him as one of New Jersey’s Top Doctors for the last seven years. He currently resides in Marlboro with his wife and family, where he is an active leader in the community.

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

Cutting Edge, Compassionate Care (732) 380-0200 • www.premierpain.com

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Brick • Manahawkin Toms River • Shrewbury Freehold • East Brunswick Old Bridge

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Medical Professionals

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New Vascular Laser Introduced at Shore Vascular & Vein Center The Cutera Excel V vascular laser can safely and effectively treat a wide range of vascular skin conditions including unsightly facial veins, leg veins, port wine stains and rosacea. Millions of Americans are affected by vascular skin conditions, such as unsightly broken blood vessels on the face, spider veins on the legs and skin discoloration. People affected by these skin conditions are often self-conscious about them and seek help from their physicians. Unfortunately, until recently treatment options have been limited. Costly cosmetic creams and makeup only temporarily mask the underlying condition. Excel V laser is a new approach to treating vascular skin conditions that puts patients’ safety and comfort first. The system uses a unique high power green laser that is absorbed by abnormal blood vessels in the skin. The laser heats and eliminates the abnormal vessels, ultimately restoring normal skin tone and color. Excel V can be customized to each person’s skin condition and skin type, enabling precise and effective treatment of everything from superficial blemishes to deep scars. The system uses innovative cooling technologies to improve patient comfort. There are no long term side effects or downtime.

Some of the Conditions Treated with Excel V

• Rosacea – This is a common disorder in which small blood vessels in the skin of the face dilate excessively, causing diffuse redness and flushing. It can sometimes be triggered by exercise, temperature extremes, alcohol or spicy foods. Excel V provides safe and effective treatment for rosacea.

• Port Wine Stain – This is a type of red or purple birthmark made up of dilated blood capillaries. They often appear on the face and do not fade unless they are treated. Excel V can be very effective in treating these difficult lesions. • Cherry Angioma – These are small red bumps that appear on the skin. They typically appear in middle age and can proliferate. Excel V can eliminate cherry angiomas. • Sun Damage – Excel V laser is very effective in eliminating benign brown skin lesions that can occur from excessive sun exposure.

• Leg Veins - Purple or red veins on the skin of the legs are commonly referred to as Spider Veins. Excel V is able to treat spider veins of the legs of various sizes. It provides an alternative or adjunct to sclerotherapy injections. • Telangiectasia – These are tiny broken blood vessels that commonly appear on the face, legs, or other areas of the body. They usually do not present a medical issue, but often cause cosmetic concerns for affected individuals. Excel V is very effective in treating telangiectasias.

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The listed conditions represent some of the most common cases for which the Excel V laser provides treatment. However, the extensive customization available with the system allows for treatment of a wide array of cosmetic problems such as superficial blemishes, discoloration and even scars. Excel V laser treatment sessions generally last approximately 20 minutes. There is no downtime required following those treatments. Initial results will vary by the individual and the condition being treated. The number of treatment sessions required will depend upon the number, type, size, thickness and color of the lesion(s) being treated. In some situations, a single treatment may be sufficient to eliminate the lesion. In other cases multiple treatments may be necessary. Particularly when treating legs veins, there may be temporary bruising that lasts for a few weeks. The appearance will improve after this bruising has subsided. These are general guidelines. Your doctor will discuss the details of your particular situation with you. The physicians of Shore Vascular & Vein Center have been setting the standard for vascular care at the Jersey Shore for over 40 years. They are pleased to now be able to offer Excel V laser, along with a full complement of other stateof-the-art treatments, to their patients. Whether you experience leg pain and swelling, or simply notice the appearance

Spring Is Around The Corner...

Jeffrey Gosin, M.D. F.A.C.S. Stephen Gosin, M.D. F.A.C.S. 442 Bethel Road Somers Point, NJ 08244

(609) 927-VEIN (8346)

Eliminate your veins, don’t hide them!

www.GetGreatLegs.com www.TheCountyWoman.com

of unsightly veins on your legs, face or elsewhere on your body, help is available at Shore Vascular & Vein Center. Consultations available by appointment.

(609) 927-VEIN (8346) or visit us on the web www.GetGreatLegs.com

Please feel free to call for a consultation or for additional information. Jeffrey S. Gosin, M.D. FACS Dr. Jeffrey Gosin is a graduate of University of Pennsylvania and Jefferson Medical College. He completed his General Surgery Residency and an accredited fellowship in Vascular Surgery at Robert Jeffrey S. Wood Johnson University Gosin, Hospital. He is Board M.D. FACS Certified in Surgery and Vascular Surgery. Dr. Gosin is a fellow of The American College of Surgeons and a member of The Society for Vascular Surgery, The Society for Clinical Vascular Surgery, and numerous other national surgical and vascular societies. Stephen Gosin, M.D. FACS Dr. Stephen Gosin is a graduate of Jefferson Medical College, where he also completed his General Surgery Residency and was Chief Surgical Resident. He is Board Certified in Stephen Surgery. Dr. Gosin is a Gosin, fellow of The American M.D. FACS College of Surgeons, a charter member of the International Society of Endovascular Surgery, and many other professional societies. Leg Veins Photos courtesy of Caddell’s Laser Clinic; Rosacea Photos courtesy of Christine Lee, MD Port Wine Stain Photos courtesy of Whitney Tope, MD; ©2012 Cutera,

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Change Your Life and Improve Your Health with Weight Loss Surgery

The Center for Surgical Weight Loss & Wellness at AtlantiCare Regional Medical Center • Is your body mass index 40 or higher? • Is your body mass index between 35 and 39.99 and you’re having a medical problem associated with weight, such as diabetes, hypertension, sleep apnea, or elevated cholesterol and triglycerides? • Are you frustrated and discouraged after years of trying to lose weight through dieting, exercise and/or medication? • Are you tired of living your life on the sidelines? • Have you ever wondered if bariatric (weight-loss) surgery might help you achieve the healthier, more active life you’ve always dreamed of? If you answered “yes” to any of these questions, AtlantiCare’s Center for Surgical Weight Loss & Wellness may have the solution you’ve been seeking. Since our center was established in 2002, we have helped thousands of people achieve a healthier weight, improve their wellbeing and self-esteem and enjoy a new outlook on life. “Recognizing obesity and morbid obesity as true disease states, we can formulate a treatment plan for you whether you need to lose 10 or 100 pounds or more. Yes, your appearance also will change, but our comprehensive weightloss center has been developed by health professionals to make sure that weight loss to improve health can be achieved in a safe, effective and durable fashion,” says Alexander Onopchenko MD, FACS, Medical Director of AtlantiCare’s Center for

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Surgical Weight Loss & Wellness, who is board certified in bariatric medicine and general surgery. Why AtlantiCare? • Our Center for Surgical Weight Loss & Wellness is the most comprehensive program of its kind in southeastern New Jersey — providing the education, support and guidance and you need to succeed before, during and after weight-loss surgery.

• When you choose AtlantiCare, you have the convenience of selecting the surgeon and surgical procedure that are best for you. • Our surgical team has a long-term record of success in performing the bariatric procedures considered most effective in treating morbid obesity by the National Institutes of Health.

FREE WEIGHT LOSS

SURGERY SEMINARS To register call 1-888-569-1000.

“Minimally Invasive Bariatric Surgery” Join us to learn about these minimally invasive surgical procedures for weight loss: • Laparoscopic Sleeve Gastrectomy • Laparoscopic Biliopancreatic Diversion (BPD) with Duodenal Switch (DS) • Laparoscopic Gastric Bypass Roux-En-Y • Laparoscopic Adjustable Gastric Banding (LAP-BAND®)

REGIONAL MEDICAL CENTER The Center for Surgical Weight Loss & Wellness

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

March/April 2014


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Professional Dentistry

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March/April 2014


Professional Dentistry

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March/April 2014


Medical Professionals

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Quit Smoking, Live Longer • 1 to 9 months after quitting: Coughing and shortness of breath decrease; cilia (tiny hair-like structures that move mucus out of the lungs) start to regain normal function in the lungs, increasing the ability to handle mucus, clean the lungs, and reduce the risk of infection. • 1 year after quitting: The excess risk of coronary heart disease is half that of a continuing smoker.

Submitted by: Dr. Sarah J. Easaw, MD, FACP Ocean Hematology & Oncology

T

he Health hazards of smoking were discussed in the previous issue of OCW. Though everyone knows that smoking is injurious to health, few are able to quit successfully. This is due to the strong addictive potential of nicotine. Most people need medical help to break away from this dangerous habit.

Q

What are the benefits of quitting?

“I stopped smoking last year. Do I still have a risk of cancer?” The health benefit from smoking cessation can be summarized in this order. (Adapted from ACS website, cancer.org) • 20 minutes after quitting: Your heart rate and blood pressure improve. • 12 hours after quitting: The carbon monoxide level in your blood drops to normal. • 2 weeks to 3 months after quitting: Your circulation improves and your lung function increases.

• 5 years after quitting: Risk of cancer of the mouth, throat, esophagus, and bladder are cut in half. Cervical cancer risk falls to that of a non-smoker. Stroke risk can fall to that of a non-smoker after 2-5 years. • 10 years after quitting: The risk of dying from lung cancer is about half that of a person who is still smoking. The risk of cancer of the larynx (voice box) and pancreas decreases. • 15 years after quitting: The risk of coronary heart disease is that of a non-smoker.

Q

How do I quit smoking?

“I have attempted to quit smoking several times, but I simply cannot do it.” Does this sound familiar? Medical professionals hear this statement many times a day. In fact, only a minority of smokers is able to quit “cold turkey”. Others need help, support and most often medications. Nicotine can cause mental and physical dependence. There are support groups and smoking cessation programs that can help with the mental addiction. Help from friends and family is also essential to fight the mental urge to continue smoking.

PART II

Nicotine Replacement Therapy:

Heavy smokers can develop withdrawal symptoms upon quitting abruptly. To prevent this, several nicotine replacement methods are available, either by prescription or over the counter. FDA has approved nicotine patches, gums, inhalers, lozenges and nasal sprays to help smokers who want to quit.

• “I am so appreciative and grateful that I was put in contact with Dr. Easaw and staff. They are so compassionate about your treatment and personal well being… the doctor gave me the confidence and reassured me. They certainly kept me lifted even when I would get so depressed that I would want to quit. Something about the doctor and staff always gave me an uplift, even when things got very tough.” ~ Cecile , Brick, NJ • “Dr. Easaw has continued to monitor me with regards to my Hodgkin’s Disease in a very professional yet compassionate manner. From the moment I enter her office I am greeted warmly by her staff, and I know I will be well cared for by someone who cares.” ~ David , Manchester, NJ

Visit www.oceanhemonc.com The County Woman Magazine

Medications that help to quit smoking: Bupropion (Zyban) Bupropion (Zyban®, Wellbutrin®, or Aplenzin®) is a prescription antidepressant in an extended-release form that reduces symptoms of nicotine withdrawal. It does not contain nicotine. This drug acts on chemicals in the brain that are related to nicotine craving. Bupropion works best if it’s started 1 or 2 weeks before you quit smoking. The usual dosage is one or two 150 mg tablets per day. Side effects of bupropion include dry mouth, trouble sleeping, appetite changes, agitation, constipation, and headaches. Bupropion should only be taken under the care of a physician.

tors in the brain. In addition to decreasing the pleasure a person gets from smoking, it also reduces the symptoms of nicotine withdrawal. Chantix should be started a week before the day you plan to quit. Quitting smoking is a complex process. In addition to nicotine replacement therapy and medications, a lot of will power, emotional support and strength are also needed to help a person quit this unhealthy habit.

Nicotine patches (transdermal nicotine systems): Patches give a The Tobacco Quit Center measured dose of nicotine through of New Jersey offers treatment the skin. You are weaned off programs throughout New Jersey to nicotine by switching to lower-dose assist in smoking cessation. patches over a course of a few weeks. For more information visit Patches are available in different www.instituteforprevention.com strengths. The 16-hour patch is useor call: 973-926-7978 or ful for the light-to-average smoker. 732-886-4149. The 24-hour patch provides a steady dose of nicotine, avoiding ups and To get more details, please contact Varenicline (Chantix) downs. It helps with early morning ® Sarah J. Easaw, MD, FACP Varenicline (Chantix ) is withdrawal. But there may be more another medicine that is used to 732.961.0010 side effects like disrupted sleep pathelp people stop smoking. It works www.oceanhemonc.com terns and skin irritation. by interfering with nicotine recepDepending on body size and smoking habits, most smokers should start using a full- Compassionate Cancer Care, Close to Home strength patch (15-22 mg of nicotine) daily for 4 weeks, and then use a weaker patch (5-14 mg of nicotine) for another 4 weeks. The patch should be put on in the morning on a clean, dry area of the skin without much hair. It should be placed below the neck and above the waist — for example, on the upper arm or chest. The FDA has approved using the patch for a total of 3 to 5 months. Some possible side effects of the nicotine patch include: Skin irritation (redness and itching), dizziness, palpitation, sleep problems or unusual dreams, headache, nausea and muscle aches and W We offer a full range of Hematology & Oncology services. stiffness.

Patient Testimonials:

Smoking Cessation

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

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

Ocean Hematology & Oncology 1255 Route 70, 31S Easily Accessible Location, Near Exit 88 on GSP

Lakewood, NJ 08701

732.961.0010

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

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bhmg3076 Chang advertorial Feb-m3 2/21/14 10:59 AM Page 1

Fellowship trained surgeon dedicated to breast health joins Barnabas Health Medical Group, offers access to leading care across Ocean and Monmouth Counties Fellowship-trained breast surgeon Sumy H. Chang, MD, FACS, a boardcertified general surgeon dedicated to breast health, recently joined Barnabas Health Medical Group (BHMG), in partnership with the Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center and Community Medical Center, to provide women in Monmouth and Ocean Counties with access to the latest prevention, detection and treatment options for breast-related issues. Dr. Chang’s decision to focus on breast health came during her residency, when she learned about a young patient whose breast mass had developed into metastatic breast cancer because she had felt too uncomfortable to see her doctor and

express her concerns. Today, Dr. Chang encourages women to make an appointment at the first sign of any abnormality – masses in the breast or armpit, change in breast skin or dimpling, changes in the nipple, bloody nipple discharge or even a vague sensation that something is amiss. “I’d like to be a positive force in women’s lives and encourage them to see a doctor and seek treatment sooner rather than later,” said Dr. Chang. “Women who receive an early diagnosis have an excellent prognosis.” As part of Barnabas Health, Dr. Chang’s expertise is supported by leading technology, equipment and resources available through the system, allowing women to seek the best in breast health all in the comfort

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, NJ. To schedule an appointment with Dr. Chang, contact: Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center 300 Second Avenue Long Branch, NJ 07740 732.923.6467 Community Medical Center 67 Highway 37 West Riverwood 1 Building, First Floor Toms River, NJ 08755 732.557.2153

The County Woman Magazine

About Barnabas Health Medical Group Barnabas Health Medical Group is a multi-specialty group practice comprising highly trained and experienced world class primary and specialty care physicians. Barnabas Health Medical Group physicians provide compassionate and innovative cutting edge care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources of Barnabas Health, the largest not-for profit integrated health care delivery system in New Jersey and one of the largest in the nation, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence. To learn more, visit barnabashealthmedicalgroup.org. and convenience of their local communities. With offices located at Community Medical Center in Toms River and the Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center in Long Branch, Dr. Chang offers women in both Ocean and Monmouth Counties an opportunity to seek high quality care and local access to all outpatient breast healthcare services – from routine mammography to early detection and treatment of breast cancer or benign breast disease. “Breast health is a very personal disease. My goal is to tailor an individualized plan for each patient and work in partnership with other specialties and disciplines to guide the patient through a process they are both comfortable with and capable of undergoing, with the hope that the patient will be able to recover from the treatment not only medically and physically, but emotionally and mentally as well,” said Dr. Chang. A leader in providing innovative care to meet her patients’ needs, Dr. Chang’s clinical areas of interest include breast surgery – specifically, breast surgical oncology, breast conservation, mastectomy and nipple sparing mastectomy and benign breast disease. She also works with patients who have a family history of breast cancer and require close monitoring due to their high-risk nature of developing the disease.

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Dr. Chang brings with her to Barnabas Health Medical Group a career-long history of specializing in breast care. Prior to joining Barnabas Health Medical Group, Dr. Chang worked as a breast surgical oncologist in a multispecialty group practice in Poughkeepsie, N.Y. She has collaborated with other physicians to present numerous research studies on breast cancer and related issues, including a presentation at the American Society of Breast Disease Annual Symposium entitled “How Breast Cancer Mode of Presentation Affects Stage at Diagnosis: Are 40-50 year olds different?” for which she received The Breast Journal Award. Dr. Chang earned her medical degree from SUNY Health Science Center at Brooklyn, N.Y. She completed a residency in general surgery at Staten Island University Hospital, N.Y. and a breast surgery fellowship at Beth Israel Medical Center/St. Luke’s-Roosevelt Medical Center in New York City. She is a member of the American Society of Breast Surgeons, the American College of Surgeons, the Surgical Society of Oncology and the American Society of Clinical Oncology. To schedule an appointment with Dr. Chang, please call 732.923.6467 (Long Branch office) or 732.557. 2153 (Toms River office). Barnabas Health Medical Group accepts most major insurances.

March/April 2014


Health

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& Wellness

Why Sugar Makes You Gain Weight How bad can sugar be? Well consider this: ✓ One measly teaspoon of white sugar has 15 calories. ✓ A teaspoon of corn syrup has 20 calories. ✓ The average can of soda has 11 TEASPOONS of sugar… translating to between 165 and 220 calories just from sugar. ✓ A couple hundred years ago when sugar started to creep into the American diet, people only ate about 2 lbs per year. ✓ Today the average American eats over 150 pounds of sugar per year. ✓ That’s 3 POUNDS of sugar per WEEK! ✓ The average American even consumes more than 40 teaspoons DAILY of sugar.

Imagine setting 40 teaspoons of anything in front of you. It’s overwhelming… and indeed it’s a scary thought!

Your Brain on Sugar…

When you consume sugar; taste receptors signal different areas of the brain, one being the cerebral cortex. Your brain rewards you for it and tells you to have more sugar. The same thing happens when people take certain drugs. That’s why people want more and more of these things and become addicted. And yes, your brain’s reaction to sugar does lead to sugar addiction. That’s the reason dieting can be so hard! Either you aren’t avoiding sugars that sneak into restaurants and processed foods…or you’re having legitimate sugar withdrawal! Ocean Health & Weight Loss has cracked the code and is helping thousands overcome their addiction to sugar.

Your Gut On Sugar…

Your gut has sugar receptors, just like your brain. When you eat sugar – your gut will actually send a warning up to your brain. Your brain responds in one of two ways: 1) You feel full 2) Your insulin spikes in response to excess sugar.

The more insulin your body releases to process sugar, the more we store sugar as fat. The insulin is meant to regulate blood sugar. Abusing your body’s insulin response can actually cause your body to become resistant to insulin, thereby unable to regulate blood sugar. This isn’t just a way to store excess body fat, but it’s dangerous for your overall health and wellness.

The Not-So-Sweet Side of Sugar…

Eating sugar is unique in your brain. You see, when you eat broccoli, you don’t get the same reaction in your brain as you do when you consume sugar. What makes sugar ‘feel’ so good? The answer is dopamine. Dopamine is a neurotransmitter that makes you feel good. Dopamine is released when we consume alcohol, nicotine, heroine, and sugar. That’s one of the reasons people become addicted to one or all of the above.

How Your Brain Regulates Nutrition…

Just because dopamine is associated with all of the above-mentioned ‘risky’ business doesn’t mean that dopamine is inherently bad. In fact, dopamine can help you be MORE nutritious. That’s because when you eat the same thing over and over, you don’t react with as much dopamine. This causes our bodies to constantly seek new foods and different tastes. Food and drink variety begets more dopamine; which causes us to try new foods and have more balanced nutrition.

How To Lose Weight Safe, Fast, and Medically supervised… There are a lot of benefits to most diets out there, but none compare to our 40-day weight loss protocol. Give us a call and we will gladly give you a complimentary consultation so you may see how easy and fast it is to lose a half a pound a day and take off inches at the same time. You can check us out on our web oceanhealth4you.com and join the many already living a more healthy lifestyle. FOR YOUR CONSULT CALL 732-608-9681. OUR MEDICALLY TRAINED STAFF WILL BE HAPPY TO HELP YOU GET STARTED.

THIS IS NOT A 500 CALORIE DIET! • Amazing results in the first week • Lose .5-1 pounds per day • No hunger on the HcG diet • Easy to make recipes Call 732-608-9681 for your complimentary consultation!

How Can We Become Addicted to Sugar?

When you eat sugary foods, dopamine doesn’t level out like it does with normal foods. When you eat sugar, the reward in your brain persists. That’s how people get addicted to sugar – you keep eating it and it keeps feeling good! One of the biggest offenders of sugar overload is SODA POP. But you’ll be shocked to know how much is in tomato sauce, ketchup, even in healthy protein and cereal bars!

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Article Written by: Jill Houston, Clinical Director Ocean Health & Weight Loss

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March/April 2014


Medical Professionals

38

Learn About ICAM’s H.E.A.R.T. Program – Not Just For Women

(Hormonal/Endocrine/AntiAging Replacement Therapy)

A

s a woman, are you frustrated with the signs of aging and what goes along with it – namely menopausal symptoms? Did you know that men also experience similar symptoms such as weight gain, forgetfulness, low libido, and other symptoms of Andropause (the male version of menopause)?

Both men and women can benefit from ICAM’s H.E.A.R.T. Program.

H.E.A.R.T. at ICAM provides tailor-made healthcare through the utilization of natural and holistic therapies and interventions. Dr. Bartiss believes that the best healthcare anyone could provide and expect to receive is a hybrid of both conventional mainstream medicine, integrated with alternative medical therapies that utilize a more natural and holistic approach whenever possible. This can safely and effectively be provided only through a physician trained in both schools with an open mind as well as in depth knowledge and experience in endocrinology, physiology, biochemistry, and nutrition. Here are some frequently asked questions about H.E.A.R.T.

Q

What exactly is hormone modulation & how does it work?

Hormone modulation is the science of optimizing hormones that are no longer being adequately produced by the body. While genetic programming does many wonderful things, nature's plan brings us to the age of reproduction and nurturing, and then seems to have little use for us. At that point, we begin to fail. In fact, much of aging can be seen as deficiencies in many of the substances that our body once produced in abundance. Regaining and maintaining metabolic and endocrine functions at the upper end of the normal range for your age gives you the best opportunity for a healthy and vigorous life. This optimal range is in the upper third of the normal range for age.

Q

How long before you can actually see results?

While this varies with each person, some people feel results within days. Just like beginning an exercise program, you can expect results within three to six months after beginning hormone management. Often the results of proper modulation are manifested by what you don't feel, i.e., sick, tired, moody, etc.

Q

How long do I have to be on these therapies?

You should give your program at least four to six months to see significant benefits. Most patients will experience benefits before three months and continue to see improvement beyond that point. Your body needs that much time to heal and rebuild.

Q

What happens if I stop the program?

You will have gained time while you were on the program, but if you should elect to stop, you will experience no accelerated aging. Your body will simply begin to age again at the normal rate. Although the benefits will fade over time, you will still have benefited.

Q

Will ICAM/Dr. Bartiss take over as your PCP-Primary Care Physician?

Absolutely not. But, as part of a holistic approach to your health and wellness, Dr. Bartiss is happy to communicate with your current health care team, and/or any specialists you may be seeing. You are encouraged to continue your usual visits with your primary care provider and any other specialist that may be part of your current overall health care. AntiAging Medicine is intended to complement not replace your current medical therapies.

Q

Is this type of program FDA approved?

HGH was approved by the FDA for treatment of hormone deficient adults in the summer of 1996. BHRT (supplementation with estrogen, progesterone and testosterone) is also FDA approved but with some restrictions. At ICAM, you need to be thoroughly evaluated to determine if you are deficient BEFORE you become eligible for replacement therapy with any hormone.

Q

Q

Isn't it unnatural to inject or ingest hormones?

Q

Q

Are you ever too old to start?

At what age should a person start such a program?

Thirty-five is a good age for the initial baseline evaluation, because that is when deficiencies begin to appear. A “healthy” person does not need to begin hormone modulation therapy, however, until such time as the body begins to lower its hormone production. At ICAM we perform extensive blood tests and lab work to help assess exactly where you may be most deficient and to determine how we can best help you reach optimal health.

Will Hormone Replacement Treatment interfere with my currently prescribed medications?

Generally not. In some instances, medications may actually be reduced or no longer needed. Dr. Bartiss is a highly trained and skilled anti-aging physician will be able to advise you best on this and will be happy to work with your own doctor when needed.

While most of the hormones we use now can be formulated in several different forms or vehicles, the bio identical replacement injectable hormones that we prescribe including thyroid and adrenal hormones, estrogen, progesterone, testosterone and hGH are identical to the hormones naturally produced by the body. It is spread to its target organs just as it would be if secreted by the pituitary gland. Age is not a barrier. Older people have greater deficiencies or partial deficiencies, therefore the response to hormone modulation and supplementation is excellent and almost immediate. It is important to note that early intervention can reduce rapid advancement of diseases, such as Cancer, Heart Attack, Stroke, Alzheimer's, Parkinson's and Osteoporosis in addition to improving quality of life and the feeling of well being.

Call ICAM for more information.

Mark James Bartiss, MD is a medical writer, lecturer, and author, and is recognized as a top ten specialist in the field of Bio-Identical Hormone Replacement Therapy (BHRT). He has helped numerous individuals take their lives back and reclaim their health.

REMEMBER…. When it comes to your health, you do have options and a choice.

Institute for Complementary and Alternative Medicine

24 Nautilus Drive, Suite 5 • Manahawkin, NJ 08050 | 609-978-9002 504 Hamburg Tpk, Suite 205 • Wayne, NJ | 973-790-6363 By Appointment Only: 639 Stokes Road, Suite 202 • Medford, NJ 08055 | 609-654-5900 (F) 888-509-0745

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Medical Professionals

39

How Do I Know If My Wisdom Teeth Need Treatment?

Kathy A. Banks, DMD

T

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

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

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

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

KATHY A. BANKS, DMD

Fellow of The American Association of Oral & Maxillofacial Surgeons

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

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

KATHY A. BANKS, DMD

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

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Kathy A. Banks, DMD

Barnegat, FellowNJ of 08005 The American Association Practice Limited To Oral & Maxillofacial Surgery

March/April 2014

of Oral & Maxillofacial Surgeons Tel: 609-488-2325


Medical Professionals

40

March Is National Colorectal Cancer Awareness Month How common is colorectal cancer and who is at risk?

Nina Paonessa, DO, FACOS, an established colorectal surgeon practicing in Ocean County, answers questions about colorectal cancer, one of the leading cancers in both men and women. Dr. Paonessa specializes in the evaluation and treatment of patients with colon and rectal conditions/ diseases and frequently performs laparoscopic surgery for her patients. She also offers conservative and minimally invasive treatment options for many common anorectal disorders. She frequently explains to her patients that “just because I am a surgeon, doesn’t mean everyone needs surgery. There are other options I can offer you.” Dr. Paonessa has been named Proctologist of the Year by the American College of Osteopathic Proctologists, awarded the Patient’s Choice Award and the Compassionate Doctor’s Award by Vitals.com for six consecutive years, and is on the HealthGrades Honor Roll. Board-certified in general surgery and proctology and a fellow of the American College of Osteopathic Surgeons, Dr. Paonessa specializes in colon and rectal surgery. She has been in practice for 9 years. She completed her colon and rectal surgery fellowship at Lehigh Valley Hospital in Allentown, PA. She is co-editor of the textbook Surgical Treatment of Hemorrhoids, 2nd edition. Dr. Paonessa believes in patient-centered care and preserving each patient’s independence, well being and dignity. She provides the latest, up-to-date treatments and tailors each plan of care to the individual patient’s needs.

Colorectal cancer is the second most common cancer in the United States among both men and women. It affects 140,000 people annually and causes 50,000 deaths. The average person has a one in 20 chance of developing colorectal cancer in his/her lifetime. This risk is increased if there is a family history of colorectal polyps or cancer, and is even higher still in those patients with a history of breast, uterine or ovarian cancer, and patients with a history of extensive inflammatory bowel disease such as ulcerative colitis or Crohn’s colitis. Although colorectal cancer may occur at any age, more than 90% of patients diagnosed with colorectal cancer are over age 40 and this risk doubles every ten years. Translated, this means that a person’s risk for developing colorectal cancer increases significantly with age.

What causes colorectal cancer? It is generally agreed that nearly all colon and rectal cancer begins in benign polyps, called adenomas. These pre-malignant polyps, or growths, occur in the wall of the colon and/or rectum and may eventually increase in size and become cancer, or medically speaking, carcinoma. This is known as the “adenoma-carcinoma sequence”. Several factors have been mentioned in the literature that may increase a person’s risk for developing colorectal cancer and include: age, a diet high in fat and cholesterol, an inactive/sedentary lifestyle, obesity, smoking and environmental exposures.

What are the symptoms of colorectal cancer? Unfortunately, polyps and early cancers do not produce any physical signs or symptoms. Therefore, symptoms usually indicate late or advanced disease. The most common symptoms of colorectal cancer are rectal bleeding and changes in bowel habits such as constipation or diarrhea. These symptoms are common in many other disorders of the gastrointestinal tract so it is very important to have a thorough examination should you experience them. NOT ALL RECTAL BLEEDING IS DUE TO HEMORRHOIDS. It is very important for patients to remember this and seek evaluation if they are experiencing rectal bleeding. Other symptoms such as abdominal pain and weight loss are usually late symptoms and quite possibly indicate advanced/extensive disease.

How is colorectal cancer diagnosed? Evaluation of colorectal cancer is first begun with a complete history and physical exam, including a digital rectal exam and possibly testing the stool for blood. A colonoscopy is the most definitive test used to diagnose colorectal cancer. A colonoscopy is performed by a colorectal surgeon or other specialist in order to get a direct visu-

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alization of the inside of the colon and rectum. A colonoscopy is a safe, painless, outpatient procedure performed under a light sedation. Most patients undergo a gentle oral bowel prep/cleanse in preparation for a colonoscopy. A narrow, flexible tube with a lighted camera on its tip is passed from the rectum to the beginning of the colon, called the cecum. Biopsies of any growths or tumors seen can be done at this time and provide the definitive diagnosis. Based upon the findings on colonoscopy, your colorectal surgeon or other specialist may recommend other testing such as blood work, a CT scan of the abdomen and pelvis, pelvic MRI and/or ultrasound. The best way to diagnose polyps and early colorectal cancers is to undergo routine screening colonoscopy.

How is colorectal cancer treated? Nearly all cases of colorectal cancer require surgery. Radiation and chemotherapy are sometimes required in addition to surgery. If the cancer is diagnosed and treated in the earliest stages, approximately 80-90% of patients are restored to their normal health. The cure rate decreases to 50% or less when the cancer is diagnosed in the later/advanced stages. Less than 5% of all colorectal cancer patients require a colostomy or “bag”, thanks to modern technology. Dr. Paonessa prides herself in being able to maintain this standard of care in her own practice. Not only is she able to minimize the number of colostomies/”bags” created for her patients, but she performs a majority of her colorectal cancer surgeries using laparoscopic surgery. Laparoscopic colorectal surgery is a minimally invasive surgery in which small incisions are made to perform major surgery. This allows for shorter hospital stays, decreased incisional pain and earlier return to work and other activities.

Can colorectal cancer be prevented? Colorectal cancer is one of the few cancers that is preventable. Obtaining a screening colonoscopy at regular intervals is the single best way to prevent colorectal cancer. Your colorectal surgeon or specialist is able to review the guidelines for screening colonoscopy based upon your age, medical history and family history. Although not definitively proven, studies published in the literature mention additional factors that may lower your risk of developing colorectal cancer and include: eating a high fiber, low fat diet, maintaining a healthy weight, and engaging in regular, vigorous exercise.

Client Testimonials ...

In addition to being a skilled surgeon, Doctor Paonessa is so caring, compassionate and attentive, I felt like she was my good friend. I considered going to a New York hospital until I met Dr. Paonessa, but because of her I decided to stay local and I am glad I did. I can’t say enough good things about Dr. Paonessa, and I highly recommend her to everyone I know. ~ Marie S. www.TheCountyWoman.com

March/April 2014


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41

Hear the moments that make memories. When you hear better, life is better.

New technological breakthroughs make hearing aids more powerful, discreet, and easy to use. • Nearly invisible - hides behind or in your ear. • Reduces listening effort in noisy environments. • Enhances phone call clarity. • Virtually eliminates whistling and buzzing.

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Total Hearing Care invites you and a guest to join us for our special events to learn more about hearing loss and the tremendous strides hearing technology has made in the past few years. The following events are FREE but space is limited. Call today to reserve your seat!

Special Hearing Workshop

Educational Seminar & Luncheon

Meet our National Hearing Aid Consultant to answer questions and learn how to hear well again.

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Tire

& Auto

Service Center

Irish Celebration

Community

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CASA GO BRAGH!

Dessert

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43

Understanding In Vitro Fertilization Presented by: South Jersey Fertility Center

The world’s first “test tube baby” is now 32 years old. Four million babies have been born worldwide through the medical miracle of In Vitro Fertilization, also known by its initials IVF.

the correct pace until it is time for their transfer to the uterus. Anywhere from 1 to 3 embryos are placed gently into the uterus where they can implant in its soft lining and hopefully continue to grow into a baby. The placement of the embryos in the uterus is performed with ultrasound guidance with a thin flexible plastic catheter. The woman usually feels no pain and describes it to be similar to having a Pap smear. Is there a chance of multiple births? Obviously there is the potential for having more than one baby at a time since more than one embryo is sometimes placed in the womb. The chance for obtaining a pregnancy increases slightly when more than one embryo is transferred into the uterus. Pregnancies with 3 or more fetuses are quite risky both for the mother and for the fetuses. Often the pregnancy ends in a premature delivery when one or more of the newborns are too small to survive outside of the womb. Our center has been at the forefront of lowering the incidence of triplet pregnancies. We have accomplished this without sacrificing the overall pregnancy rate.

For over 10 years we have been using a technique to extend the embryo culture 2 days longer than many other IVF centers in order to determine which embryos are most likely to continue growing into a baby. These well-developed embryos are called blastocysts. Using this method we don’t need to return high numbers of embryos to the uterus in order maintain a good pregnancy rate. Clearly the risk of triplets or quadruplets is much lower if fewer embryos are placed in the uterus. Our IVF statistics from the year 2011 show that of those patients with pregnancies, only 1% were triplets. None were quadruplets. Yet the overall clinical pregnancy rate per IVF egg retrieval was still 40%. During the past 5 years, over 500 women have delivered babies that were conceived through our IVF center. Are there side effects? Great progress has been made at our center in lowering the incidence of a potentially serious side effect of the ovarian stimulation. That side effect is called Ovarian Hyperstimulation Syndrome. It causes severe abdominal bloating for 2-4 weeks to the point where the woman is

usually too uncomfortable to walk upright. Fluid accumulates in her abdomen as the ovaries “leak.” The syndrome eventually resolves. We have found that the syndrome can be avoided entirely if the final shot (hcg) is substituted for a different injection (“Leuprolide Trigger”). We use this substitution when women are having a vigorous ovarian response. What progress has In-Vitro made over the years? In vitro fertilization techniques have made great progress over the years. Nowadays two percent of babies born each year in this country were conceived through IVF. It is no longer a rarely used treatment for the many infertile couples in our society.

This procedure allows a couple to conceive a child even when the woman’s fallopian tubes are blocked or when the man’s sperm count is next to zero. These infertile conditions are fairly common. A medical condition such as either endometriosis or a silent pelvic infection is a frequent cause of damaged fallopian tubes. One out of every 8 American couples is designated as infertile for failing to conceive within one year of trying. IVF is offered also to couples that fail to conceive despite trying the less Call one of the four locations of aggressive fertility treatments. South Jersey Fertility Center to schedule How does the process work? your appointment. The IVF process has the highest sucwww.sjfert.com cess rate when the woman’s ovaries are stimulated to mature many eggs SJFC Celebrating 25 Years of Creating Families in the South Jersey Area! at once through the use of injectable fertility medications. The injection needles are only half an inch long and are quite fine in diameter. They Division of Regional Women’s Health Group, LLC are administered daily – usually by Full Service Infertility Center With: the patient herself – for two or more SOUTH JERSEY FERTILITY CENTER · All Of The Doctors Are Board Certified In Reproductive weeks. No intramuscular shots (long is now offering a discount for IVF to Endocrinology And Infertility needles) are required at our center. · Top Doctor Awards For 7 Years In A Row ACTIVE MILITARY AND VETERANS How are the eggs retrieved? · Laparoscopic Tubal Reversals Call 856.596.2233 ext. 1227 for more information. The eggs are then retrieved via · Money Back Guarantee Available For Ivf And Donor Egg a thin needle guided by ultrasound · Full Service Fertility Center while the woman is under sedation. · Robotic Surgery Available This procedure is fairly simple and is usually completed in less than 30 Robert A. Skaf, MD FACOG Top Row (left to right): minutes. The eggs are microscopic in Peter G. Van Deerlin, MD FACOG Dr. Gary Packin, size, invisible to the naked eye. They Dr. Stephen Sawin, Stephen W. Sawin, MD FACOG are placed in petrie dishes onto which Dr. Peter Van Deerlin, the sperm is introduced. The followGary S. Packin, DO FACOOG, Dist. Dr. Oumar Kuzbari ing day the eggs are observed to see if Oumar Kuzbari, MD, FACOG Bottom Row (left to right): they fertilized. The average number Barbara Alice, APN-C, MSN Barbara Alice, APN-C, MSN, of mature eggs that are retrieved is Tracy Krause, APN-C,MSN Dr. Robert Skaf, 10. Typically 7 or 8 of these will ferTracy Krause, APN-C, MSN tilize normally. These fertilized eggs are called “embryos.” The embryos are cultured for 2 to 5 more days in Visit us on our Website www.sjfert.com a specially designed nutrient broth 400 Lippincott Drive Harbor Pavilions Burlington Prof Campus AtlantiCare Life Center that simulates the environment of Suite 130 570 Egg Harbor Rd • Suite B4 500 English Creek Ave. • #225 1900 Mt. Holly Rd #4A the fallopian tube. On average, 5 of Marlton, NJ 08053 Sewell, NJ 08080 Burlington, NJ 08016 Egg Harbor Twp. , NJ 08234 these embryos usually grow nicely at 609-386-4701 856.596.2233 856.218.8863 609.813.2192

South Jersey Fertility Center

Pictured...

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Alzheimer’s Care Community

“It’s Personal” Lisa DeLecce is the Executive Director at Brandywine Senior Living at Toms River and has been with Brandywine for over eleven years. “Still loving it,” she says with a huge smile. But like many of those who find themselves attracted to assisted living it

was a personal experience, and not a ‘career path’ that brought Lisa here. As a child, Lisa had a certain affinity for older people, probably born out of the deep affection she had for her own grandparents. And the kind of values she learned from them; hard work, determination, work ethic, and perhaps most importantly, self-reliance, are what’s helped her successfully respond to life’s challenges along the way.

admissions assistant, went back to school and graduated with her degree in psychology. She’s never looked back!

Lisa, as they say, was not born “with a silver spoon in her mouth.” One of six children, it was just not financially possible to have mom and dad pay for college for all six children. However, a trade school provided a more viable option. And she took full advantage by attending beauty school and becoming a licensed cosmetologist. But her greatest challenges lay ahead.

When asked about what she considers to be her biggest challenge in managing the Brandywine community, she ponders and says, “Hmm, that’s a tough one. I have a great staff and my residents just love being part of the Brandywine family.” After some further reflection, she says, “My biggest challenge is just making families understand that we at Brandywine are an extension of their family and treating their loved one with kindness, respect and dignity is what we expect of ourselves as well. We change people’s lives and that commitment never waivers.”

In a relatively short period of time, Lisa found herself a single mom to two beautiful children, a boy and a girl, and no real promising career opportunities in her foreseeable future. And then a friend told her about a job at a local nursing home. She applied, was hired and, according to Lisa, “I knew right away that I found what I was meant to do.” She settled into her new position as an

Brandywine Senior Living at The Gables Brick, NJ | 732-836-1400 Brandywine Senior Living at Reflections Brick, NJ | 732-785-3370 Brandywine Senior Living at Toms River Toms River, NJ | 732-240-0043

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After several promotions in long term care and assisted living communities she was personally recruited by the president of Brandywine and soon became the Executive Director of Brandywine Senior Living at Toms River.

And that says it all! by Tom Kelly Managing Director of the Center for Leadership and Service Excellence Brandywine Senior Living

Laugh

LAUGH

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Assisted Living

45

Seniors at Spring Oak of Toms River Give Back Some seniors spend all their free time watching television or knitting a fiftieth sweater for their great-grandchild. But not at Spring Oak of Toms River. They are participating in a group affectionately named the “Crafty Crew,” where they channel their efforts towards supporting those in need. According to a University of Pittsburgh study of senior volunteers, there can be social, emotional, and physical benefits to volunteering. It can improve selfesteem, give a sense of accomplishment, and give meaning to daily activities, all of which can be areas of concern for seniors. The Crafty Crew at Spring Oak of Toms River have dedicated their talents to helping those less fortunate such as the homeless, the terminally ill, and those with physical disabilities. Mary, a 90-year-old former interior decorator, has a long history of helping others. She participated with her daughter in Connecting with Seniors, a group invested in supporting the needs of seniors and their caregivers. Prior to that, she contributed her time speaking at cancer support groups as a cancer survivor, earning a service award. Mary’s latest endeavor is crafting sleeping mats for the homeless out of plastic (above) Members of the shopping bags. “Just knowing that someone can get a better night’s sleep in the cold Crafty Crew. Back Row is very rewarding,” said Mary. “There are people sleeping on the ground and on sleepfrom Left-Right: Leroy P., Terry ing bags in Tent City in Lakewood and these can help keep them warm and dry.” Weibenga, Tara Heisman, Mary The Crafty Crew meets weekly and is coordinated by Terry Weibenga, Volunteer E. Front Row left-right: Anne Coordinator for LifeChoice Hospice. They produce many different items for terM., Geri M., Linda C., Doris F., minally ill patients, including crocheted lap robes, framed pictures, ornaments, and Caroline P., Mary C., and Judy P. birthday banners. Linda, a 66-year-old former mortgage banker, specializes in making birthday banners for the centenarians. “It’s significant. It’s a good cause and I enjoy the thought that my work puts a smile on somebody’s face. And even though it’s a lot of work it relaxes me,” laughed Linda. Judy, a 72-year-old former security guard, joined the troop in the craft room to stay active. Eight years later, she is collaborating with her friends in the Crafty Crew to help brighten the day of hospice patients. One of the leaders of the pack, Judy has been elected president of the Spring Oak resident counMary with her latest project: a sleeping mat for cil. “I like being an advocate for residents,” stated Judy. “I talk to administration and express the residents’ the homeless. feelings. I really like the freedom and the way they treat you here; how they’re understanding and considerSpring Oak of Toms River Testimonials ate of your feelings.” “If I knew it was going to be this good, I would have gotten Spring Oak of Toms River is a caring senior living community, offering Independent Living, here sooner. Everyone at Spring Oak has been so good to Assisted Living, and Memory Support to meet varying levels of need.

3

me. I have always been a family person and everybody here is like family. It is a beautiful place just like home. I am always doing things, I have been to the aquarium and went on a boat ride. They have the library, the theater, and pool table. Everybody is right there to help you.” ~ Mary E. “I love it here. I do not want to leave ever. It is the best place for me. Thank God for my concerned children. They have helped me feel alive again. I thank you from my heart.” ~ Mary M.

3

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

The County Woman Magazine

www.TheCountyWoman.com

March/April 2014


Medical Professionals

46

The Truth About Contrast In Radiology Q A

O

Cyrus Khorrami, M.D.

ne of the most common questions asked by my patients is about contrast. Contrast is used in radiology to outline body parts to provide greater detail to detect disease. Generally, there are two types of contrast--oral contrast and intravenous contrast. Oral contrast is ingested by the patient. Intravenous contrast is injected into the patient’s veins. Both are of great value in making diagnoses. Here are some of the more common questions asked about contrast:

Q

What is oral contrast? Why do I have to drink it before the examination?

A

Oral contrast is a white colored liquid which contains barium. This solution looks white on x-rays and CT scans. It allows the radiologist to distinguish what is bowel and separate that from potential disease (such as tumor or infection). Oral contrast is safe to drink for almost all patients.

What is intravenous (IV) contrast?

Lack of oral contrast can make separation of bowel and disease very difficult.

Intravenous contrast is a solution that is injected into the vein given for both CT and MRI tests. IV contrast in CT is a non-ionic iodine based liquid. IV contrast for MRI is a gadolinium based liquid. Both types of IV contrast have the same function. First, the contrast makes the vessels look bright and can be used to evaluate blood vessels and look for blot clots. Second, it also is taken up by our organs and taken up by cancer. It better defines if there is a hidden mass in our organs. Depending on how the mass takes up the contrast, a radiologist can better decide whether something is a malignant tumor or is benign.

Q

If contrast is so helpful, why are some of my examinations ordered without contrast?

Why is it important to check my kidney function before having contrast?

A

Both MRI and CT contrast are filtered from your body through the kidneys. Therefore it is important to be sure the kidneys function well enough to remove the contrast. At my office, we routinely screen patients who are older than 65 years old and/or have diabetes for adequate renal function before giving contrast. All patients are encouraged to drink lots of water for several days after an examination with IV contrast to be sure the contrast is thoroughly flushed from your system.

No tumors can be seen in the liver without IV contrast.

A

Whether you need contrast will depend on what your doctor is looking for and concerned about based on your symptoms. For example, if your doctor is searching for cancer or infection, contrast is usually required. However, contrast is not necessary for a CT scan that is looking for kidney stones or brain injury. Generally, an MRI of the spine that is looking for a cause of back pain will not require contrast. Your doctor and the radiologist will work together to determine whether it is appropriate for you to receive contrast.

Q

Oral contrast better defines what are loops of bowel and what is potential cancer.

IV contrast not only allows us to see a tumor, but it can characterize it to determine whether it is benign or malignant.

Q

A

I have heard about allergies to the intrave- nous contrast. Is it safe?

In general, allergic reactions vary among people. For example, a peanut allergy can vary from a little itching to hospitalization. It has been reported that up to 8% of people receiving IV contrast could have an allergic reaction. Most of these reactions are mild, and include a feeling of warmth, hives, itching, nausea and vomiting. These reactions are easily treated with Benadryl. Severe, life-threatening reactions, including anaphylaxis, are extremely rare and occur in 0.1% of people receiving contrast. At my facility, a physician is always a few steps away from each patient receiving IV contrast and has a large assortment of medications at his disposal for quickly treating any potential complications.

Q A

I am allergic to shellfish. Can I still receive intravenous contrast?

There is a myth that patients that are allergic to shellfish are allergic to the iodine contained within shellfish and therefore would be allergic to the iodine containing IV contrast. This is untrue. Iodine allergy is a myth. Iodine is found within all of our thyroid glands. It is also in table salt. A shellfish allergy is caused by a muscle protein called tropomyosin. A person with a shellfish allergy has no more risk of being allergic to IV contrast as they do of being allergic to fruit or eggs. A patient with multiple severe allergies is more likely to have a contrast allergy. We always ask our patients about iodine and shellfish allergies to get a sense of how hyper– allergic a patient is in general.

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

732-244-0777

EXPERIENCE & EXPERTISE

you can count on.

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

The County Woman Magazine

www.TheCountyWoman.com

March/April 2014


Medical Professionals

47

When Skilled Nursing Centers and Hospitals Work Together, We All Win.

Pam Montemurno

N

One Ocean County woman is forging strong relationships between healthcare providers, which can lead to improved health outcomes for patients.

avigating today’s healthcare system is not for the faint of heart. Healthcare is complicated and it’s constantly changing, transforming how patients access care, how people obtain insurance, and even how skilled nursing centers interact with hospitals to ensure quality care for you or someone you love. A number of these changes can be traced back to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which sets rules about who may receive our health information. While HIPAA has helped to protect personal privacy, it has also resulted in many hospitals closing their once-open doors to outside organizations. More changes have resulted from the Patient Protection and Affordable Care Act of 2010, including the creation of Accountable Care Organizations. These groups drive healthcare organizations to be transparent and maintain financial responsibility through such efforts as reducing the rate of return trips to the hospital for patients. All of this has created a more challenging environment for hospitals, doctors, and skilled nursing centers. So why should you care about how these facilities communicate with each other? Because when you need care, you’re the topic of their conversation. So it’s crucial for communication and collaboration to be clear and effective.

Enter Pam Montemurno . . .

Pam, an expert in relationship building who has lived in Ocean County most of her life, is the Regional Director of Census Development at the Whiting Healthcare Center in Whiting, New Jersey. With more than 20 years of experience in the healthcare field, including experience in hospitals and membership in two medical ethics committees, Pam is putting her passion to work by opening doors and building bridges. “Patients who require nursing care or rehabilitation should always be provided choices,” Pam says, “so we need to compensate for the barriers between skilled nursing facilities and hospitals. Those barriers exist for very good reasons, but can make it difficult to educate patients on clinical outcomes and specific healthcare niches that facilities like ours have to offer. And then, when someone is in our care, we need to be sure that all needed medical information flows quickly and correctly.” Relationships between providers must be developed and nurtured for the benefit of the

patients. According to Regina Figueroa, Executive Director at Whiting Healthcare Center, “Pam has strengthened partnerships with our major referral sources. She has an amazing skill of maintaining long lasting relationships because of her sincerity.” Pam’s relationship-building skills are demonstrated by the connections she has forged between Whiting Healthcare Center and multiple local health care providers. As she explains, “Patients are coming in sicker than they ever have. Therefore, it’s important to establish niches for chronic disease management and to partner with specialists to better manage patients within the center.” In one instance, says Pam, a cardiologist credentialed to perform rounds at Whiting was able to immediately address changes in the conditions of two patients with congestive heart failure, adjusting their medications to spare them return trips to the hospital. She says, “That’s a great example of the system working for benefit of all.” Another new partnership between Whiting and one local specialty provider has created a unique pulmonary rehabilitation program that offers specialized inpatient care to bridge the gap between the hospital and home. Pam has also worked to bring expert clinicians into Whiting Health Care Center for a series of community health and wellness seminars. She explains, “We have expert urologists coming in to talk with patients and the public about bladder control, dieticians giving heart-healthy cooking classes, a whole range of topics that improve people’s lives and help us build stronger relationships with clinicians for the benefit of patients.” Good news for patients is that the internet gives people access to more information than ever before. This means that providers must work harder on their metrics, and be accountable at all times. So the burden is on healthcare providers to perform well and have their results at the ready.

Held To A Higher Level Of Accountability . . .

“Organizations like Whiting Healthcare Center are held to a higher level of accountability today. People still want personal care in a home-like environment, but they’re also looking for measurable results,” Pam explains. “A great center needs to be able demonstrate its excellence by reporting positive outcomes.” If you have a chronic illness or are facing a situation like a joint replacement, Pam recommends doing your homework now. Learn about facilities such as Whiting. Do your research to be confident that you’re going to the place with the best clinical outcomes. And don’t hesitate to reach out yourself to make personal contact, Establishing a relationship with a nursing center now can make your experience much easier later on.

Whiting Healthcare Center 3000 Hilltop Road, Whiting, NJ 08759

732-849-4400

Visit www.reverawhiting.com

The County Woman Magazine

www.TheCountyWoman.com

To learn more about Whiting Healthcare Center, call 732-849-4400 or visit them online at www.reverawhiting.com. Whiting Healthcare Center is part of Revera Health Systems, which has an outstanding network of skilled nursing facilities across New Jersey, including Bey Lea Village in Toms River, Hamilton Plaza in Passaic, Laurelton Village in Brick, Linwood in Linwood, Meadow View in Williamstown, Neptune in Neptune, Oak Ridge in Wayne, and Willow Creek in Somerset.

March/April 2014


Education

48

Welcome To Your Child’s Home Away From Home: The Peppermint Tree

W

e provide a warm and nurturing home-like setting, filled with passionate, loyal, long-term teachers that truly become an extension of your family. We take a personal interest in each child, and in your family. Your child will feel right at home.

child captivated and motivated to learn throughout the school year. We respect the unique individuality of each child, and therefore we teach each child, based on their unique style and interests. Another reason we say...Your child will feel right at home.

“Family-Like Environment” “Peppermint tree is a great place for your child to start school. The staff and feeling is so comforting and family like! The teachers go 110% to keep up with the newest, latest fun activities for the kids to do as well as keep them interested in learning. My experience with Peppermint Tree has been amazing and I’m glad I chose this school.” -Bethany Landero

“An Atmosphere of Fun, Active Learning” “The Peppermint Tree School has created an atmosphere in which children actively participate in the learning process and have fun while learning. My children are always excited to discuss the day’s lessons and activities and I love hearing about the new things they learn each day. Thank you for giving my children such a wonderful learning experience!” -Mary Bell

Our Curriculum and Teaching Philosophy Research shows that children learn best in an environment that allows them to explore the world and learning materials in their own way, at their own pace. For our Preschool and Pre-K programs we use the research-based The Creative Curriculum ® as our guide, which is the same curriculum that the Toms River School System has chosen for it’s preschool initiatives. The curriculum is comprehensive and aligned to essential early learning standards, using exploration and discovery as a way of learning. • We believe that children deserve individual attention, and that they do not thrive as well with a “canned” approach that you may see at larger centers. Our teachers are skilled at tailoring The Creative Curriculum ® to each of our students to assure that every child enjoys learning and grows in all areas of development. Our goal is to keep your

• Academically gifted children are never bored, as we do not “drill” on learning facts, instead, our curriculum is infused with hands-on activities, where critical thinking skills such as predicting and analyzing are required. In addition, children engage in discussions about the books the class is reading, such as “What would you do?” and “What do you think will happen next?” and making connections to their lives such as “What does your family do at the beach?” • Children who need extra help get the support needed, as our experienced teachers differentiate the instruction and spend time one-on-one to assure each child is taught at their appropriate developmental level.

Valerie Frost-Lewis, MS Ed.

to the children and have made teaching young children their life’s work. Their length of employment at Peppermint Tree not only shows their dedication, it also provides your child with a stable, consistent environment where mutual trust and respect abounds. The depth of our teachers’ experience is reflected in our students, who are confident, happy and motivated learners. Our warm, nurturing and experienced staff will help your child feel right at home. “Exceptional Staff ” “I am a full time working mom and often struggle with the reality that I am often not home during the week to spend time with and teach my children. It makes me feel very comfortable to know that both of my children are not missing out on any learning experiences from me not being home during the week, because I have watched them grow so much since they have been at Peppermint Tree. All of the staff at Peppermint Tree are exceptional and Miss Val should be very proud of all of them. She has an outstanding team on her hands.” -Krista Sipe

Voted “Parent’s Pick 2013 Preschool of the Year” For Northern Ocean County

Children learn by engaging in hands on, imaginative activities. The Peppermint Tree Child Development Center, serving Toms River for over 35 years is state-certified and privately owned, offering a research-based curriculum developed for young, inquisitive minds. Our highly qualified, dedicated and creative faculty has been with the school on average, for fifteen years or more, providing a warm and stable environment for the children.

Our Staff Our passionate and energetic teachers have been with Peppermint Tree on average over twenty years. They are dedicated

If this sounds like the kind of environment you would like to see your child in, please call or email Valerie to find out more about our programs for children from 2.5 years of age through fifth grade at 732-929-2500 or val@pepperminttree.com.

The County Woman Magazine

www.TheCountyWoman.com

March/April 2014


Education

49

Displaced Homemakers Can Help You Find Your Way

I

magine losing your primary source of income due to separation, divorce, disability, or the death of your family’s primary provider. Now imagine losing your own job … or never having worked before. Picture the toll that would take on you financially, physically, and emotionally. Where would you go? What would you do? How would you cope? Who would help you? Since 2007, the Displaced Homemakers Program of Ocean County has been helping women who have lost their primary source of income, showing them how to become financially self-sufficient by providing training and assistance in finding employment. With offices on the Ocean County College (OCC) Main Campus in Toms River, the program is managed by OCC’s Career, Employment, & Counseling Services and is funded through a grant from the New Jersey Division on Women. Displaced homemakers are typically women of various ages who span a wide range of ethnic and socio-economic backgrounds, and who must obtain or upgrade their skills for transition into the paid Business &Personal Storage

labor market. Through support, counseling, and training, the Displaced Homemakers Program can assist an individual in reaching her full potential. Program services are intended to enhance employability and earnings, and to impact positively on the quality of life for the displaced homemaker and her entire family. Services include career, employment and life counseling, connection to social and community organizations, assistance with the job search, and help with becoming economically self-sufficient. Other available services include academic advising, educational and training opportunities, career planning, pre-employment counseling and training, health and wellness programs, self-esteem and confidence building, and information and referrals to community resources and social services. So, if you have lost your major source of financial support because of death, disability, separation, or divorce, Displaced Homemakers can help. If you are emotionally or vocationally unprepared to enter the job market or need additional training or education, this valuable resource is here for you.

For additional information on the Displaced Homemakers Program of Ocean County, located at Ocean County College, call 732.255.0400, ext. 2297, or visit www.ocean.edu.

Displaced Homemakers Program of Ocean County Have you lost your major source of financial support because of death, disability, separation or divorce? The Displaced Homemakers Program of Ocean County can help!

SERVICES AVAILABLE Health, wellness, self esteem & counseling & training confidence building Career counseling & planning Much more! Educational & training opportunities Questions? Contact us! Academic advising 732-255-0400, ext. 2297 Supportive counseling www.ocean.edu

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The County Woman Magazine

www.TheCountyWoman.com

March/April 2014


Business Opportunity

50

2013 NERIUM’S YEAR

IN REVIEW

NeriumAD was featured on The View, in multiple magazines, and in countless beauty blogs

Awarded the Community Impact Award from Big Brothers Big Sisters for raising over $500K to date

Launched NeriumAD Age-Defying Day Cream

Featured for the second time in SUCCESS from Home magazine

Youngest company to ever make the Global 100 List from Direct Selling News

NeriumAD showcased at the NAACP Image Awards and Emmy Awards gifting suites

Awarded the Bravo Award for Growth from Direct Selling News

CEO Jeff Olson launches Live Happy magazine

Launched the Young Entrepreneur Program

$33 million in free inventory given away to date Ten thousand in attendance at Get Real 2013 Conference

Received patent on NAE-8 extract, which contains antioxidant properties

CBS KCAL News shares Nerium’s story

CEO Jeff Olson launches best-selling book The Slight Edge Released Online Business Center 2.0, a powerful business-building tool

Nerium Anti-Aging Day Cream and Night Cream for You Order online: www.joannjuralewicz.nerium.com I am looking for a few good people to share this business opportunity. Please contact me at: www.joannjuralewicz.arealbreakthrough.com

JoAnn Juralewicz Nerium International ™ Independent Brand Partner

www.joannjuralewicz.nerium.com

Helping people LOOK and LIVE better! Simply Skin Day Spa, Owner 313 W. Water Street Toms River, NJ 732-505-9448 simplysdayspa.com

The County Woman Magazine

www.TheCountyWoman.com

March/April 2014


Health

& Wellness

51

Enjoy A ‘Spring Break’ At Simply Skin Day Spa Does Your Skin Need A “Spring Break”? If you do not love your skin, there may be too much of it! This is a great time of year for a deep exfoliation, which will remove layers of dead skin that you do not need. We rehydrate the skin after your exfoliation and it is very receptive! It’s like Spring Cleaning. You will feel better, look better and your make up will go on more smoothly. Love your skin again with a Microdermabrasion Facial at Simply Skin, A Day Spa Experience!

Does Your Body Need A “Spring Break”? Some of your friends may be going away on Spring Break and you do not have the time. But, you can take a Spring Break at Simply Skin! Give us 1-½ hours of your time and we will take you to a place where it is warm, everything smells wonderful, the music is flowing and relaxing AND your whole body will feel amazing. It is called our Equilibrium. Come and experience this wonderful, relaxing treatment. Your body, mind and spirit will just say “aaaah”!

Here are two great reasons to get on our mailing list and our Facebook page: • March - Caribbean Cruise Week Specials • April - Spa Celebration Week 1/2 way to our 20th Birthday! Dates, services and specials to be announced via email and our Facebook page.

732-505-9448

www.simplysdayspa.com

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Business & Finance

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Our waxing technicians have over 10 years experience. Our waxing sanitation is top notch and we “DO NOT DOUBLE DIP”. This is a good time to begin bikini waxing, especially for Brazilian bikini. The skin will be accustomed to being waxed and can be kept “clean” in time for summer. Calling all men with unwanted back hair, we can wax it away and give you a nice clean look. Come in now to prepare skin/hair for the summer season.

What Our Happy Clients Have To Say . . .

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• I love that Nerium... It feels like nothing else I have ever put on my face at night!!! Can you just put it on my credit card?... Can I order it on line? - R. • Every visit to Simply Skin Spa is always excellent and genuine. I always leave feeling fabulous and welcomed. I appreciate and respect each and every one of you and it’s my pleasure to say thank you Simply Skin Spa for making my day with every visit. - Jesika M. • Simply skin did the best facial and hot stone massage I ever had. It was the most relaxing experience I have had in a long time and I can’t wait to go back. - Lori Z.

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This is a FREE website for everyone to join the happiness movement. www.joannjuralewicz.mylivehappy.com Great stories and information. International happiness day is March 20, 2014. Join us in celebrating happiness!

Are You A Boomer With Healthcare Questions? Written by: Janet Langstaff Managing Principal / Healthcare Specialist Lang Insurance Group

and budget. She surveys all available options, weighs them against requirements, and presents recommendations. The focus always is suitability.

Are you turning 65 soon?

Rose is a senior member of the Lang team, based in Spring Lake. As independent healthcare specialists, we represent you, the insured, not the insurance carrier. That independence allows us to identify only the most suitable options. And we represent all major carriers offering health insurance in NJ, PA, and FL.

Who is Lang Insurance Group?

Are you already on Medicare but confused about your benefits? If you answered “yes” to either of these questions, Rose MacNish, a Senior Healthcare Specialist with Lang Insurance Group in Spring Lake, can help you. Why is it so hard for people on Medicare to find suitable benefits? Finding coverage that supplements Medicare is a daunting task, especially given the myriad options and the rules and penalties imposed by Medicare. Insurance companies inundate people with brochures, each affirming that their plan is the “best.” Plan benefits are complicated to understand. So finding good coverage is often a “painful” experience.

How do you determine what’s best? Rose begins working with individuals as much as 6 months in advance of retirement or Medicare-eligibility. She follows a structured process that analyzes every client’s needs—their preferences for care, preferred doctors and hospitals, medications,

The County Woman Magazine

How can you reach Rose? You can speak with Rose by calling 732.282.2700 (x 304). And remember: there’s never a fee, and she’s always happy to help!

Lang

Insurance Group

Our Plans Begin With Yours 1011 Highway 71, Suite 200 Spring Lake, NJ 07762

Phone 732.282.2700, ext. 304 Fax 732.282.27906

Toll Free 888.391.4500

www.TheCountyWoman.com

Rose MacNish Healthcare Specialist Life and Health Insurance Broker rose@langbenefits.com cell 732.300.4763

March/April 2014


Medical Professionals

52

Caring Heart & Brain Imaging Is Truly Saving Lives Lorraine Catalano is the

Imaging Director at Caring Heart & Brain Imaging. Lorraine said, "The Cardiac PET Perfusion Scan that we perform at CHCI assesses how well the cardiac arteries are distributing blood flow to the myocardium, or heart muscle. We are the only facility in Monmouth and Ocean counties offering this type of scan.” She adds, “This scan detects preclinical disease, i.e., coronary artery disease that is not yet obstructive and may not be causing symptoms. Patients also love the fact that our scan is completed within 45 minutes rather than the typical 3 to 5 hours.” The scan also evaluates progression of disease in patients with known coronary artery disease and quantifies the presence and extent of obstruction to insure that correct decisions are made about necessary procedures or medication and lifestyle adjustments. Above all, patients trust that the results are accurate, specific and conclusive enough to address their concerns and provide answers to a family practice physician. This means that patients can continue seeing their family practice doctor who can order the scan and then treat his patients because he will have extensive information guaranteeing follow-up that is appropriate and right on target. This scan also delivers a much lower dose of energy and that means less exposure to radiation.

z

Elizabeth Canning received a Perfusion Scan simply

SPECT

because she was feeling out of breath and was due for an overall checkup and blood work. As a smoker, not only was her cholesterol high but so was her blood pressure.

CARDIAC PERFUSION

CARDIAC PERFUSION

OLD TECHNOLOGY

CHCI TECHNOLOGY

The County Woman recently discussed what the scan did for her and why she feels it saved her life. CW: What made you decide to have the Perfusion Scan? EC: High blood pressure for me was usually 120 over 80, so for my blood pressure to be even higher was a red flag. My Family Practice physician, Dr. Deluca scheduled the scan for me but I was rushed to the ER at 5am with chest pains before it was performed. I felt like I was unable to breathe and actually did not even want to breathe. It seemed the only relief was doing my Lamaze breathing. I had five kids; so I was quite familiar with it.

CW: What were some of your symptoms? EC: My symptoms sounded like reflux however there was some indication of irregular heart symptoms. The hospital kept me for three days performing numerous EKG’s, a chest X-ray (my second in a week), an Echo and a nuclear stress test. Even though there was some indication of irregular heart, the tests were clear and I was sent home with medication for reflux. I returned to Dr. Deluca still complaining and he changed the reflux medication. I returned again because my blood pressure was still high even on medication and I was still having several episodes a day of severe chest pains. Dr. Deluca was convinced it was the heart and once

again rescheduled the PET Perfusion Scan. Sure enough, my left circumflex was 90% blocked and two stents were inserted by way of a heart catheterization. CW: What do you recommend that

people do to avoid this sort of misdiagnosis happening to them?

EC: What I went through – three days in the hospital with numerous time consuming tests that did not even show any results was frustrating. This nonintrusive, low radiation, 45 minute scan cannot be compared. Chest pain is chest pain – dangerous to ignore. CW: How was your recovery and

what concerns do you currently have regarding your heart?

EC: Hardly any recovery from the catheterization but a couple days of rest and no heavy lifting for a short time. Thankfully, I now feel great and am relieved to have found the right solution.

Caring Heart & Brain Imaging 2414 Highway 35, Manasquan, NJ 08736 Phone: 732.292.1008 E-Mail: service@caringheartcoronaryimaging.com

www.CHCI.biz.

PET

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Unfortunately, this Cardiac Breakthrough is slipping away at the Jersey Shore: Caring Heart & Brain Imaging has made this latest cardiac technology available to residents of the Jersey Shore, who could only benefit from this same testing if they traveled to NY, PA or northern Jersey. Unfortunately, educating patients and doctors is taking time, and not enough patients are aware that they can ask their family practice doctor or cardiologist to write a script for the test that will accurately and specifically determine if your heart muscle is receiving adequate blood flow and if that blood flow is evenly distributed. The test to ask for is called a Cardiac PET Perfusion study with Rubidium. Caring Heart & Brain Imaging is honored to be the first in the state of NJ to bring the AMYVID PET Scan to its residents, and provides this breakthrough in diagnostic capabilities even before Medicare does. Lorraine adds, “We want to deliver this imaging resource to you so that you can make decisions based upon diagnostic accuracy. This fantastic imaging tool can diagnose and differentiate the forms of dementia at even earlier ages. Another important benefit to undergoing a PET brain scan at CHCI is the reduction of radiation exposure. Our scanner does not use CT in obtaining brain images. This is a huge factor for patients who may have had substantial radiation in the past. Caring Heart and Brain Imaging. Early detection and treatment can help slow down the progress of Alzheimer’s disease. If it’s not important to you for your reasons, it is important for your children and their future!

March/April 2014


Medical Professionals

53

Don’t Let a Concussion Give You a Headache Written by: Vinay Chopra, M.D., CAQSM

A

Seaview Orthopaedic

s more kids and adults become involved in sports, a topic of concern remains concussion and its proper management.

Concussion is a hot topic these days since new studies show how devastating its long term effects can be. The good news is that with proper diagnosis, management, and treatment, complete recovery from a concussion is very common.

What is a concussion?

A concussion, from the Latin word concutere meaning “shake violently,” is the most common type of traumatic brain injury. It occurs from either a direct blow to the head or neck or a sudden rotational trauma to the head or neck. What happens to the brain is very complex, but we do know that it does damage your physical and cognitive functioning. A concussion can occur with or without loss of consciousness.

What are the symptoms of a concussion?

The most common symptom of a concussion is a headache. However, other symptoms can be common such as dizziness, nausea, vomiting, difficulty balancing, blurry vision, and light sensitivity. Sometimes you can have loss of consciousness or even seizures. If you have any of these symptoms during a game or practice, you should let your coach or athletic trainer know immediately. Most of the times, you will be taken out of the game and be told to see a doctor as soon as possible.

How are concussions diagnosed?

When a head injury occurs and you have symptoms of a concussion, you should go see a doctor who specializes in head injuries and concussions in order to diagnose you properly. A doctor trained in concussion management has years of training and will do the proper tests on you to diagnose your concussion. Such tests include a physical and neurological examination, ImPACT computer test, SCAT3 test, balance testing, and possibly a CT or MRI scan on your brain. On some occasions, your symptoms can be severe and in case of an emergency, always go to your local Emergency Department or call 911.

How are concussions treated?

& Medical Associates

Call one of our convenient locations to schedule your appointment.

Board Certified And Fellowship Trained Physicians

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

After you have been diagnosed with a concussion, your doctor will treat you with rest from physical activities like sports, gym, and exercise. Sometimes if your child is having trouble concentrating in school after a concussion, he or she may be offered extra time to complete work at school and, rarely, complete rest from school activities and class. On average, young athletes and adults can recover in 3 weeks from their first concussion and sometimes longer if they have a history of multiple concussions in the past. A doctor may recommend medications such as Tylenol, Aleve, Advil, Motrin, and fish oil for pain relief.

Official Team Doctors Of:

How do I prevent a concussion?

Unfortunately, there are no helmets or mouth guards out there that completely protect you from a concussion. However, helmets and protective equipment are very important in preventing severe head trauma and bodily injury so it is very important to wear them. You should always be aware of your surroundings and always let your coach, athletic trainer or doctor know if you “don’t feel right.” It is also very important for you or your child to get proper baseline concussion testing before participating in any sport. This way if you do get a concussion, your doctor will know how far away you are from your normal baseline functioning and can accurately diagnose and treat your concussion. Seaview Orthopaedic & Medical Associates does offer baseline testing to all athletes of all ages, and has expert staff that is trained in managing and treating concussions.

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

■ SATELLITE OFFICE

IN LAKEWOOD

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

Vinay Chopra, M.D., CAQSM, is a graduate of Ross University School of Medicine. He completed his residency at University of Maryland Medical Center. He received his fellowship at Atlantic Health, Morristown Medical Center in Sports Medicine. He is board certified by the American Board of Family Medicine with sub-specialty certification in Sports Medicine. Dr. Chopra worked with the New York Jets football team during his fellowship. Currently, he is the head team physician for Felician College and a ringside physician for Mixed Martial Arts. He specializes in sports related injuries, certified ImPACT consultant in concussion management, osteoarthritis, platelet rich plasma (PRP) and bone marrow aspirate (BMAC), and sports performance and nutrition.

www.seaviewortho.com • 732-660-6200

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March/April 2014


Adult Community

54

Land Lease Community For 55+

L

ocated in Jackson Township, one of central New Jersey’s most desirable communities, Fountainhead’s “for sale” list is chock full of quality manufactured homes that rank high in terms of price and value. Nancy Viviano, Marketing Director for the community said, “Our community is unique in that we afford buyers a “total package” that produces Nancy Viviano savings on the “buy Fountainhead side” going in, Properties and affordable and predictable living expenses for years to come.” She explained that Fountainhead is a land lease community. This means that while you purchase and own your home, you’ll lease the land. She noted that one affordable monthly lease payment also includes all local property taxes. “Our new homes,” said Viviano, “are factory built to a rigorous construction code mandated by the US Department of H.U.D.” This assures long-term durability, quality construction and energy effi-

ciency, the same as all other new homes regardless of where they were constructed. Long-term warranties are also standard. Our buyers are getting a home that is comparable to a site-built home in every respect. Identical construction materials, same appliances, and built with energy efficiencies to help homeowners control heating and air-conditioning costs.” Viviano’s spring inventory will include models ranging from 2 bedrooms, 2 baths (about 980 square feet) to 1,200 square feet. Buyers may select larger or smaller homes from a selection of plans and samples for a more custom buying experience. After a busy winter of sales, a selection of never-before offered pre-owned homes is available. Begin the buying selection from home by visiting the listings page of the website. Appointments are suggested for pre-owned homes. New home sales include a long list of built-in standards with optional items clearly identified to encourage buyers to talk about their personal preferences to get just what they want. Between a selection of pre-owned homes and all the new homes available Fountainhead offers homes for most budgets. New homes from under $100,000 to $165,000 each situated on a roomy 5,000 +/-square foot home site can be financed for people by others depending

upon their down payment and credit history. Homeowners find Fountainhead as the perfect solution with its very easy access to health care and elderly care facilities in the immediate area. Active adults are looking forward to the new fitness and medical facilities less than a mile down Cooks Bridge Road. And because of the affordability of leasing versus owning together with the calculations for changes to the lease fee, the savings we offer are very, very real.” Fountainhead is conveniently located at 1 Rose Drive, just off North Cooks Bridge Road in Jackson Township. Exit 21 off of I-195 is less than five minutes from the community’s entrance. The sales office is open between 10am and 4pm. It is best to call Nancy at 732-928-3100 to set up an appointment. During the busy season Fountainhead tries to schedule visitors to ensure they have enough time to show the community and answer questions.

Spectacular Home Savings!

Select a lot in the established neighborhood and receive optional self-clean gas range with microwave above for free at closing. Closing must occur before 8/13/14.

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

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• New Homes • Pre-Owned Homes • Rental Homes

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

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

March/April 2014


Elder Life Management

55

It’s Never Too Late: The Benefits Of Counseling By Judith S. Parnes

Harry’s Story . . .

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Approaching an important milestone – his eightieth birthday, Harry started reflecting on his life and didn’t like what he saw. He had struggled through a lot of things – a failed business, loss of his wife 10 years prior, adult children he rarely saw, and now aging knees that make getting around very difficult. His retirement had not turned out the way he thought it would. He often found himself feeling “cranky” and very tired. Moving into Assisted Living six months ago, Harry thought this would be the answer. However, it did not help his mood. Harry decided to seek out the help of a counselor who regularly came to see several other residents living in his new community. “I don’t know how many more years I am going to live… I want them to be easier and I want to feel better,” he told the therapist. Harry is now part of a growing trend of seniors seeking emotional support in their later years to improve their quality of life. Having grown up in a generation when only “mentally ill” people went to a psychiatrist or psychotherapist, historically most people never thought to reveal their feelings to a trained professional. More often, individuals turned to family, friends, or to resources at their church or synagogue. But now, as people are living longer, and the stigma of psychological counseling is beginning to change, some more educated consumers are recognizing the need to take care of their emotional health, just as they treat their physical concerns. With the additional benefit of Medicare actually paying for psychotherapy services, often with little out of pocket expense, it may make this an additional motivational factor in seeking out assistance.

Identifying and treating depression in the elderly presents unique challenges to all involved. Depression can be caused by underlying medical problems, and for those instances, treatment of the medical problem may help resolve the depression. However, we recognize that there are other possible causes of depression and certainly transitions in living arrangements and loss of functional status are all highly contributory. Interestingly, researchers have now demonstrated that generally older adults report higher satisfaction scores in therapy than younger people. This may be related that older adults when engaged in psychotherapy, may be more committed and serious in the sessions and less tolerant of wasted time. Elder Care professionals typically turn to The Geriatric Depression Scale (GDS) as a screen for Depression in the elderly. It is very easy to self-administer, with all questions being answered yes or no, although the scoring is a bit more complex. Harry scored a 9, and can attest – “Everybody needs help occasionally; why wait if something can be done to make your life better?” He meets with his psychotherapist weekly to explore problems weighing on him and to find alternative ways to understand and address them. “I have learned I can’t hold onto things that happened in the past – the good and bad – I can only go forward.” Remarkably, his family actually started to visit him more often and they all seemed to improve the quality of the time spent together. If you know someone who may benefit from supportive counseling, it is important to seek the help of an appropriately licensed health care professional. Elder Life Management provides counseling services in the privacy of your home or our offices, often incorporated following a Comprehensive Consultation. For more info., call Elder Life Management , 732-493-8080 or visit our website www.elderlifemanagement.org.

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Geriatric Depression Scale (GDS)

1. Are you basically satisfied with your life?

Y N 2. Have you dropped many of your activities and interests? Y N 3. Do you feel that life is empty? Y N 4. Do you often get bored? Y N 5. Are you in good spirits most of the time? Y N 6. Are you afraid that something bad is going to happen to you? Y N 7. Do you feel happy most of the time? Y N 8. Do you often feel helpless? Y N 9. Do you prefer to stay at home rather than go out and do new things? Y N 10. Do you feel you have more problems with memory than most? Y N 11. Do you think it is wonderful to be alive now? Y N 12. Do you feel pretty worthless the way you are now? Y N 13. Do you feel full of energy? Y N 14. Do you feel that your situation is hopeless? Y N 15. Do you think that most people are better off than you are? Y N • Scoring: 1 point for each “no” on 1,5,7,11,13, • 1 point for each “yes” on 2, 3,4,6,8,9,10,12,14,15 • A score of 5 or more suggests Depression. (Mildly depressed = 6-10; Very depressed = 11-15)

Judith S. Parnes, L.C.S.W., C.M.C., Gerontologist and Elder Care Consultant is Executive Director of Elder Life Management, Inc., Ocean, NJ. ELM provides quality elder care planning, management and Medicaid application services to older adults and their families. Please visit www.elderlifemanagement.org or call (732) 493-8080 for more information. 931 West Park Avenue, Ocean, New Jersey, 07712.

3

Testimonials Say It All . . .

It has been a long time since we last spoke. I wanted you to know I will be forever grateful to you for all of the help you gave me in getting my dad approved for Medicaid. ~ Michael N., Toms River, NJ

3

I want to tell you how happy I am with how you have helped us with our parents over these last ten months. The response you provided was exactly what we had hoped for and has given us peace of mind over this period. Thank you for your continued help with my parents. ~ Paul B., Encino, CA

3

Thank you for all you have done. I was able to relax at my daughter’s wedding abroad knowing you were taking good care of Mom and Dad at home in NJ. ~ Paula K., Marlboro, NJ

The County Woman Magazine

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March/April 2014


Health & Wellness Health & Wellness

56 40

Stress And Heart Disease ... Learn The Impact A Healthier Approach To The New Year • Do something pleasurable JUST FOR YOU at least

Throw depression into the mix—and it’s a triple whammy.5

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609.660.1111 ological Association: "Making lifestyle changes that last." Available at: http://www.apa.org/helpcenter/lifestyle-

The County Woman Magazine

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March/April 2014


Business Spotlight ~ Interview with Jay Greco ~

Jersey Shore Pharmacy Jay Greco, RPh Jersey Shore Pharmacy JSRX Holdings LLC, Rx Development LLC , 580 North Main St., Barnegat, 08005 www.jerseyshorepharmacybarnegat.net Phone: 609-660-1111

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How would you describe your Pharmacy’s philosophy? Our pharmacy’s philosophy is simply to provide outstanding service. We treat people with respect and kindness. We try to provide solutions to our patients’ health needs. What sets Jersey Shore Pharmacy apart from other pharmacies? What sets us apart is the personal care we give every patient that most pharmacies don’t have the time to provide. There is always a short wait time for those people who are in a hurry. We work with patients and doctors to help them get affordable medicine if the drugs they need are not covered under their insurance. We mail out compounded medication to our patients in the New Jersey area. How do customers benefit from a Compound Pharmaceutical? The benefit of compounding is that it can provide doses and dosage forms that are not currently available. We can customize strengths that are not commercially available or medicines not being made anymore. For people with allergies to certain fillers we can custom compound prescriptions just for them. We can help patients with hormonal imbalance, and compound for physical therapy and sports medicine. We can even provide prescription compounds to pets. What advise do you give customers that would be interested in using a compound pharmaceutical product? I advise patients to be their own advocates and do some research. There are lots of books and websites where they can find information. They can ask also their doctors or pharmacists for help. Hospitals, doctors and pharmacies have health fairs to get information out to patients in their area. What other services do you provide? In addition to our custom-compounding, we fill traditional medicines, and have a full line of over-the-counter medicines. We take most insurance plans, offer free local delivery and pickup of prescriptions, and provide free shipping within New Jersey. Why did you decide to become a pharmacist? I decided to become a pharmacist because of Thomas Esposito, RPh. He was a family friend and pharmacy supervisor for Genovese drug stores. He worked his way up to the corporate offices in New York and commuted there on a regular basis from Connecticut. I was always good at math, chemistry, and biology, so Tommy thought pharmacy was a good career for me. He showed me that with hard work I could accomplish anything. I have managed and owned several drug stores and could not have asked for a better career choice for myself. What is your biggest challenge today as a pharmacist? My biggest challenge today is insurance companies telling doctors how to practice medicine. When a patient brings in a prescription and it is not covered by their insurance plan, it is my job to tell the doctor, and that’s a hard thing to do. My other challenge is getting proper reimbursement from insurance companies. Drug costs are going up on a weekly basis and insurance reimbursement can take up to 90 days or more to catch up. How has your business change over the past 10 years? Over the last ten years pharmacy has changed in a big way. Pharmacists now have the respect we deserve. We are being recognized as health care professionals. We can consult with patients on their medicine and make recommendations to doctors. We can do immunizations now for most injections, including flu and pneumonia. We are a big part of the health care triangle of patient, doctor, and pharmacist.

Jay Greco, RPh

The County Woman Magazine

What do you like to do in your leisure time? I work six days a week so when I get a day off I like to spend it with family and friends. I have played roller hockey with the same group of guys every Sunday morning for over ten years now. I like to travel when I can, usually to a pharmacy conference for education and relaxation. Even when I get away, I am always learning and trying to improve my staff and pharmacy. www.TheCountyWoman.com

March/April 2014


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The County Woman Magazine

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March/April 2014


Acupuncture

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Can Acupuncture Help With Seasonal Allergies? the year. Pollens are the most common cause of seasonal allergies. Spring is traditionally the worst season for allergies because of new growth on trees and weeds. Fall is also a rough time for allergies due to other blooming plants and leaf mold.

How Does Acupuncture Help To Relieve Allergies? Submitted by: Keith Koehler, MAOM, CA Koehler Acupuncture Acupuncture, and Chinese Herbal Formulas

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cupuncture has been used successfully to treat seasonal allergies for decades in the states and for centuries in China. Acupuncture treatment focuses on opening the nasal passages, boosting the immune system and strengthening the organs and energetic pathways of the body to prevent allergic reactions from recurring.

What Are Seasonal Allergies? A seasonal allergy is an allergic reaction to something that is typically only present for part of

Acupuncture can help with acute symptoms of allergies, such as stuffy or runny nose, dry, itchy eyes, post nasal drip, itchy throat and cough. Needles are used to stimulate the body’s Qi (life energy). By moving the body’s qi, congestion in the sinuses and nose can be moved, and inflammation and dryness in the eyes can be cleared. Often some relief of these symptoms can be achieved during the first treatment. Acupuncture treatment is not only focused on acute symptoms, but also the underlying causes of the allergies. In Chinese medical theory, the body is protected by Wei Qi (defensive qi). This protective energy flows at the surface of the body, providing resistance to things like cold and flu and allergies. People who have weak Wei Qi are more susceptible to get sick or have allergy symptoms. By needling some points

appealing advantages to taking herbal formulas is that there are no unwanted side effects. People do not have to worry about drowsiness at work or while driving, or immune system suppression or over reliance on medication.

How Often Do I Need To Get Treated?

on the body that help support the wei qi, we can help to prevent symptoms in the future.

Can Chinese Herbs Help To Relieve Allergies?

Chinese herbs can also be used to help with allergies. All of the Chinese medical theory about allergies can be applied in the same way to Chinese herbs. Formulas are made to treat acute symptoms and boost the immune system to prevent future symptoms. For convenient usage, Herbal formulas come in tablet form. One of the most

Initially, treatment about twice a week would be suggested. Once significant relief has been achieved, usually 2-3 weeks, treatment could be less frequent. As treatment continues and the immune system becomes stronger, symptoms should become less severe. It is possible through some continued treatment after the allergic season that symptoms the following year would be less severe or cleared completely. The younger a person is when they start treatment, the more likely they are to be rid completely of the issue.

Can Acupuncture And Chinese Herbs Be Helpful With Other Allergies?

Yes, In Chinese medical theory, all allergies can be addressed by treating the acute symptoms and supporting the affected energy systems in the body. This is true for any environmental allergies, pet allergies, and even food allergies.

Commonly Treated Seasonal Allergy Symptoms: • Sneezing • Runny or stuffy nose • Dry or irritated eyes • Post nasal drip • Cough • Chest congestion • Wheezing Commonly Treated Conditions: • Allergic Rhinitis • Allergic Conjunctivitis • Sinusitis • Otitis Media • Respiratory Infection • Asthma • Food Allergies

Koehler Acupuncture can help relieve those seasonal allergies. Call and and schedule your appointment today. 732-262-0637

Conditions Commonly Treated By Acupuncture Allergies & Asthma Anxiety & Depression Arthritis Autoimmune Disorders Back Pain & Sciatica Chronic Fatigue Genitourinary Disorders Gynecological Disorders Headache & Migraine Hypertension Infertility

We Feature Complementary Techniques Moxa Insomnia Tui Na Massage Menopause Cupping Nausea & Digestive Disorders Gua Sha Neuropathy Skin Disorders Electro–Acupuncture Smoking Cessation Strains & Sprains Stress Tendonitis Weight Management Whiplash

Koehler Acupuncture 128 Drum Point Road • Brick, NJ 08723

732.262.0637

www.koehleracupuncture.com

Koehler Acupuncture • 732-262-0637 • www.KoehlerAcupuncture.com

The County Woman Magazine

www.TheCountyWoman.com

March/April 2014


Women Of Ocean County

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Dr. Nina Paonessa

Colon and Rectal Surgeon

Dr. Paonessa was born and raised in Albany, NY. She was raised to value a strong work ethic and to take pride in her work. Two principles she grew up on were “if you are going to do something , do it right or don’t do it at all” and “do unto others…” This is how she lives her life and runs her practice. Dr. Paonessa knew from a very young age that she wanted to become a surgeon. She volunteered as a candy striper in high school and then as an Emergency Medical Technician in college. She attended the Lake Erie College of Osteopathic Medicine in Erie, PA and completed a general surgery residency at Wyckoff Heights Medical Center in Brooklyn, NY. Dr. Paonessa completed a colon and rectal surgery fellowship at Lehigh Valley Hospital in Allentown, PA, where she remained in private practice before moving to New Jersey . She loves the Jersey shore and taking care of its community. In her spare time, Dr. Paonessa loves to read, travel and cook. She unwinds by taking tap and classic jazz classes. Her most cherished times are those spent with her family and playing with her four nephews and niece. You can contact Dr. Paonessa at her office by calling 732-899-2291.

Brooke Hollister

Human Resources Manager at All-Care Physical Therapy Center

Brooke graduated in 2009 from Fairleigh Dickinson University with a Bachelor’s degree in Psychology and a Master’s Degree in Industrial/ Organizational Psychology. She is currently working towards obtaining her Professional in Human Resources Certificate (PHR). Brooke started her career as a recruiter in the pharmaceutical industry. In 2009, she joined the All-Care team as a Human Resources Associate and was soon promoted to Human Resources Manager. As human resources manager, Brooke strives to create a team-oriented organizational culture at All-Care Physical Therapy Center. This is accomplished by creating open lines of communication, fair policies, and hosting numerous team building activities. Utilizing strategic recruiting processes Brooke selects hardworking, compassionate, and professional employees to join the All-Care team. These team members are attracted by the innovative All-Care approach. Brooke was born and raised in Bayville, NJ. In her spare time, Brooke enjoys traveling, cooking, playing tennis, and spending time with her yellow lab, Zella. For more information about AllCare Physical Therapy, please visit our website at www.allcareptc.com or call 1-855-3ALLCARE.

Photo by Tracy Harman Photography

Janice Cassano

Resident At Brandywine Senior Living at Toms River

When I said to Janice Cassano that I thought she was an extraordinary woman, she looked at me with a puzzled smile and asked, “Why?” And that’s the sense of humility with which she has lived her life. Janice Cassano has lived in America all her life. Her mother and father were of Italian and Hungarian descent and were both born in Europe. Janice is proud to say that she is a first generation American. Janice is a retired nurse, who currently calls Brandywine Senior Living at Toms River her home. She chose Brandywine because she says, “I just had a good feeling about Brandywine. It feels like family.” Janice received her Bachelor’s and Master’s Degrees in Nursing from Columbia University. Her professional career had her developing cardiac surgery programs at several hospitals when they were in their infancy. Her humility would prevent her from referring to herself as a “pioneer”, but in fact, she was. Originally inspired by the Cherry Ames Nursing Novels of the 1950’s and 1960’s, she carries that pioneering spirit with her today. I did say “extraordinary”! For more information about Brandywine Senior Living, please visit www.brandycare.com.

The County Woman Magazine

Photo by Tracy Harman Photography

Debbie Gullo, RN, CBN

Bariatric Program Coordinator at AtlantiCare’s Center for Surgical Weight Loss & Wellness

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 or to contact Debbie, call 1-888-569-1000 or visit www.atlanticare.org.

www.TheCountyWoman.com

March/April 2014


Women Of Ocean County Wendy Miller

Manager of Heritage House Interiors

Wendy was born Harwinton, Connecticut. In 2011 she joined her uncles at Heritage House Interiors in Barnegat. She mastered the office responsibilities and is soon to take charge of the showroom. She is a natural with their diverse cliental, and makes her family very proud when they hear the client’s compliments. After Hurricane Sandy, Wendy was instrumental in letting neighbors know that Heritage House Interiors was there to help. She offered many clients help in salvaging their furniture, scheduling restoration and replacing their cushions. She’s been there for them when clients describe the damage to their homes. Wendy spent most of her adult life in college and in a law profession before making the big move to Galloway, New Jersey. She has volunteered as an EMT driver. As a teenager she volunteered at an Indian Reservation in Arizona and participated in international band competitions. Now 29 years old, she enjoys baking with her boyfriend, volunteering for charity, taking adult classes and viewing Dance Theater. If you have questions about getting back to normal from Hurricane Sandy, Wendy would be happy to make suggestions for replacing your bedroom, seating, dining or outdoor furniture. Contact Wendy at 609-698-7621 or heritagehouseint@gmail.com. Health & Wellness

MIND/BODY STUDIO New to the studio? First month $50 UNLIMITED CLASSES

OPEN CLASSES 7 D AY S A W E E K

See website for class schedule

WWW.YOGANINE.COM SMITHVILLE

609.494.9299 SHIP BOTTOM LBI

Gift Certificates Available for Classes or Massages

The County Woman Magazine

Executive Director and Founder of Elder Life Management

Judith is the Executive Director and Founder of Elder Life Management and is a nationally recognized Gerontologist, holding advanced graduate degrees, certification, and coursework in Social Work, Aging and Public Health. A noted lecturer on concerns of the elderly and their families, Ms. Parnes has taught coursework at Rutgers University as well as at Community Colleges throughout New Jersey. Judith established Elder Life Management in 1987 to assist older adults and their families with issues of elder care planning and management. By providing comprehensive consultation and care management services the quality of life for the older adult is enhanced, while simultaneously assisting the family with advocacy, education and support. Ms. Parnes is very active in her local community and is the mother of four adult children. The daughter of Holocaust survivors, Ms. Parnes never had the benefit of many extended family members or knowing any grandparents. Upon completion of her graduate education, Judith realized that she wanted to devote her professional career in assuring the quality of life and care of older adults in our society. In practice more than 20 years, Ms. Parnes has helped thousands of families in the Monmouth and Ocean County area. Services presently offered include applying for Medicaid, and VA benefits, psychotherapy and ongoing care management intervention as the situation arises. For more information please visit www.elderlifemanagement.org or call 732-493-8080. Photo by Tracy Harman Photography

Mar-Apr 2014 Upcoming Events WINTER WORKSHOPS

YOGA 101

5 Week Course • For Real First Time Beginners Sessions Start Week of March 16th Sunday & Thursday the 20th Then again the week of April 24th Sunday & Thursday the 27th Space Limited • CALL FOR DETAILS AND/OR PRE-REGISTRATION Includes 5 weeks of unlimited classes and a “green” top quality latex/jute mat Call NOW or sign up at www.yoganine.com

30 Day Yoga Challenge for Charity-Help the SJAA (AIDS ALLIANCE) April 1-30 Call for information or go to www.yoganine.com

March 21 - 23 Tantric Immersion with Edward Clark Call for information or go to www.yoganine.com

Rope Wall Classes - Smithville 12:30p-1:30p Call for information or go to www.yoganine.com

Retreat to Paradise in Tulum, Mexico March 8 - 13, 2014 Call for information or go to www.yoganine.com

April 4-6 Thai Massage Training Level 2 with Renata Gregorio (LBI)

Call for information or go to www.yoganine.com

Shop In Our Fair Trade Store for Gifts That Give Twice

Organic Cosmetics, Green Products & Therapeutic Massage Unique Jewelry, Bags & Gifts From Around the World www.TheCountyWoman.com

Photo by Paul Dempsey

• Yoga • Meditation • Therapeutic Massage • Holistic Services • Tai Chi • Teacher Training

609.404.0999

Judith S. Parnes, ACSW LCSW CMC

Photo by Tracy Harman Photography

“ Re -you-venate”

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March/April 2014


Business

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& Finance

Toms River - Ocean County Chamber of Commerce News

Maureen Stankowitz, President

Dina M. Vicari, Esq. Chairwoman

A Letter from the President: The Chamber is excited to present a new event, Mardi Gras Networking Night, on Thursday, March 13, 2014, 6:00 p.m. – 9:00 p.m., at Cuisine on the Green at Atlantis Golf Club, 261 Country Club Boulevard, Little Egg Harbor. Sponsorships & dinner tickets are currently available for this event. This will be an opportunity to network with members of other Chambers of Commerce! We are also currently accepting sponsorships & golfer commitments for our 21st Annual Golf Outing on June 12, 2014 at Woodlake Country Club. Additionally, the highly anticipated Chamber Value Card has been rolled out. For more information on this fantastic advertising opportunity, please visit our website: www.oc-chamber.com . As always we encourage you to SHOP LOCAL & DISCOVER OCEAN COUNTY! Happy Spring!

Welcome New Members Blue Diamond Realty Jeff Crisalli 1410 Hooper Avenue, Toms River, NJ 08753 732-505-8585 732-505-8989 www.bluediamondrealty.net Real Estate Signature Kitchens, Inc. Anthony Dello Buono Jessica Dello Buono 807 Ocean Road, Route 88, Point Pleasant Beach, NJ 08742 732-785-2520 732-785-2501 www.signaturekitchensinc.com Construction & Home Services New Horizons Consultants Richard C. Peschieri 650 B Dunstable Court, Manchester, NJ 08759 732-408-0520 732-408-0517 www.newhorizons.logomall.com Printers/Publishers/ Promotional

Compassionate Care Hospice Rosemarie DeBurgos 1130 Hooper Avenue, Toms River, NJ 08753 732-244-6381 http://cchnet.net/hospice/ northeast/new-jersey/tomsriver Hospitals & Healthcare American Highlander Patrick Jockel 1311 Route 37 West, Toms River, NJ 08755 732-279-6488 732-279-3971 www.americanhighlander. com Shopping/Retail Workflow Prodigy Tim Williamson 1415 Hooper Avenue, Suite 305, Toms River, NJ 08753 732-814-2686 www.workflowprodigy.com Internet & Web Services

New Members Always Welcome

Visit us at www.oc-chamber.com for additional information and events (732) 349-0220.

The County Woman Magazine

www.TheCountyWoman.com

March/April 2014


Community

63

CASA Is Gearing Up For Spring Volunteer Training Submitted by: CASA of Ocean County, Inc.

Abused and neglected children need more than the system can provide • A six-year-old girl rescued from an abusive father only to be bounced around to eight foster homes and six different schools over the course of two years. • Four children separated from one another and placed in different locations after their mother was jailed. • A young boy prescribed 12 different psychotropic medicines by healthcare professionals who have no access to his medical records or ability to follow-up on his care.

• A teenage girl kicked out of her house, and forced to sleep on a cot in the hallway of a group home until she turned 18—when all her possessions were handed to her in a garbage bag as she was officially “aged out” of the system. These are not isolated stories. They are everyday realities of children in the foster care and child welfare system. A system full of devoted and deeply caring people that is simply too overburdened and under resourced to protect the rights and needs of vulnerable children. The solution is a CASA volunteer—a specially trained advocate, appointed by a judge, who fights for the rights of children during the most vulnerable time of their young lives. A trusted adult empowered to ensure that each child is well cared for—able to find a safe, loving, permanent home.

But nearly 90% percent of the children in our community who need a CASA volunteer do not have one. Over 600 children in Ocean County don’t have the hope a CASA volunteer can offer.

We won’t rest until every child has a CASA volunteer.

Stand up for these children. Stay connected as we fight to ensure every child has a safe, permanent, loving home. Volunteer Your Time to Change a Child’s Life! Nobody longs for a safe and loving family more than a child in foster care. As a CASA volunteer, you are empowered by the courts to help make this dream a reality. You will be the one consistent adult in these children’s lives, vigilantly fighting for and protecting their fundamental right to be treated with the dignity and respect every child deserves. You will not only bring positive change to the lives of these vulnerable children, but also their children and generations to come. And in doing so, you will enrich your life as well.

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 Friday, April 11, 2014. For more information, contact:

Vicki Weiss email Vicki@casaofoceancounty.org

What Do CASA Volunteers Do?

CASA volunteers listen first. Then they act. Volunteers get to know the child by talking with everyone in that child’s life; parents and relatives, foster parents, teachers, medical professionals, attorneys, social workers and others. They use the information they gather to inform judges and others of what the child needs and what will be the best permanent home for them.

Or call 732-797-0590 for information

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

The County Woman Magazine

www.TheCountyWoman.com

Who Can Be a Volunteer?

You do not have to be a lawyer or social worker to be a volunteer. We welcome people from all walks of life. We are simply looking for people who care about children and have common sense. As a volunteer, you will be thoroughly trained and well supported by professional staff to help you through each case. You must pass a background check, participate in a 30-hour pre-service training course and agree to stay with a case until it is closed (a year and a half on average).

Interested in helping children but not ready to commit to becoming an advocate?

Then consider sponsoring a child and providing them with a CASA of their own. Please call our office today to become a volunteer or sponsor a child. Please call the Executive Director, Vicki Weiss, at 732-797-0590 or visit our website at www.casaofoceancounty.org

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

Phone: 732-797-0590 Fax: 732-797-0594

Like us at Ocean County CASA

www.casaofoceancounty.org March/April 2014


Fashion

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Beauty

S

pring will be here before you know it and if your wardrobe needs some help keeping up with the latest trends then be sure and visit Barbara’s Boutique. They have an incredible selection of separates that work will well when paired with their skirts, trousers and crop pants. Nothing says spring more than a pair of skinny leg Capri jeans paired with a striped shirt. In fact, along with anything orange or blue, stripes remain on the “must-have” list this season. Whether they are uneven or bold, stripes continue to be the hottest fashion trend. Layering is another classic trend perfect for the milder weather. Believe it or not layering your clothes the right way is an art form and one you will want to master this season. One key rule to remember: keep your “under-layers” more fitted to keep your shape looking slim. When done correctly, a perfectly layered look will compliment your curves. Also keep in mind it is best to incorporate a mix of materials when styling a layered look. If you are interested in adding bold colors then this can be a great opportunity to mix them in to give your outfit more intrigue. Sometimes all you need to make an outfit really stand out is the right accessory. Drapery scarves in 100% cashmere with their bright floral and pastel prints fit the bill. Create your next look with a signature Johnny Was scarf. Barbara’s Boutique carries silk scarves that are a must-have accent. Vibrant prints and color-rich hues adorn light-as-air silk to create a piece that can be worn with your favorite ensembles of the season. Beautiful and functional, each piece is finished with tassels to provide dimension and a hint of weight to keep the scarf in place while it’s being worn. We know that fashion expresses your individuality and feelings, and will lift your spirit. Karen and Stephanie are an amazing duo that have the skills to coordinate an outfit for a day at the office or a night out on the town with professional ease. We guarantee the friendly enthusiastic staff will help you find the perfect outfit or accessory to complete your spring wardrobe! Run, don’t walk to Barbara’s Boutique now!

Community

FUN Websites for KIDS & Their Parents!

Whatever your child’s interest, they will find something on this site to enjoy. There are tons of things to do and explore, and plenty of their favorite characters to encounter along the way.

www.disney.com

The County Woman Magazine

Little girls are able to This site is full of explore a world of games, news, unusual adventure and surprise facts, a range of with games, videos, and contests and much more a specific cool content. You can adventure section on this also share experiences and multi-lingual website. Fun for photos of your Webkinz pets! young children ages 4-7! Great for kids ages 6-13+!

www.webkinz.com www.TheCountyWoman.com

www.pollypocket.com March/April 2014


Fashion

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Beauty

65

Renew Yourself and Your Dreamy Holiday Gifts from Wardrobe with a New Bra Leisure and Lace from Lace Not sure what toLeisure get? A gift certificateand from Leisure and Lace is always a winner. Hand written and beautifully wrapped, our gift certificates are personal than your spring averageisplastic card.after a trip inally aftermore a long and cold winter, rising and

F

to Leisure and Lace you can rise too! Has someone in your family said,

“You need a good bra?” But you won’t listen until your doctor, seamstress or a sales person in your favorite store suggests the benefits of a better supporting bra. Sound oday’s sleepwear has a t Gif familiar? ready to wear look. Relax on

T

Certificate

Spring is the season of renewal, so come and take

your front porch in your PJs and one will ever have It seems many people identified with the “hanging in two sacks” statement from ournolast to know!

article. We are glad you came to get a properly fitting bra and we are so glad to hear you felt so much better. Oh, and YES you may wear your new bra home!

Crobeadvantage onsider givingofa our decades of for a gift that

Whatever your preferred workout, there is a sports bra designed Hbecome anky Panky has for that activity. a staple in everyWe have great bras to support you in every

Everything For The Bride!

We“The carryperfect everything a bride could undergarment need for her special day. Your dress completes the perfect dress” is in, your fitting is near and we activitywardrobe, and during woman's from intensive sports. Whether it’s yoga, pilates,199 New Road Suite 9 Linwood, NJ 08221 609 927 5572 have the undergarments to make sleepwear to the most a barre workout or cross training just jog on over to check out it all work. While you’re here you comfo comfortable thongs and the sports bras we have selected. panties on the market. A will notice we offer bridal chemises, Hanky Panky gift is always peignoir sets, and bridal sleepwear. appreciated. We also carry playful Hanky Panky thongs in a rainbow of colors, a treat and so are the new bridal chemises, for the groom and much more excitgarters, pj’s and thongs. Alsoaddi weMurphy havesofties combines ing than a toaster! fashion with function, they longline strapless bras to help supmake you look and feelBetty, beauti-Phylis and Leah will assist you port and stabilize your gown.ful. For They the are designed especially with all of your undergarment and other gowns in your life, whether youexperiencinglingerie for women hot needs. From the very impormenopause, chemoare part of the wedding partyflashes, or maybe tant wedding dress, to the mother of pregnancy or diabetes. bride or groom gown, or any of your heading to the prom we offertherapy, solutions special occasion needs. Experience for low back, no back, smooth back, Don’t forget, Leisure and Lace is the place to get all of your the pleasure of shopping locally with waist cinchers, control camisoles, knowledgeable sales staff that will holiday outfit needs, from bras and wearwithtonohosiery and fabric tape, andshape even hose accessories that will make you look your very best. help you to look your very best.

experience. You deserve an does not look like your “uplifting” experience from grandmothers. Today 's styles areLeisure and Lace. when vests, you cocoon are on computer jackets,So sleeveless and hooded styles that are marshmallow soft Route 9 come stop in and see and cozy. PJ Salvage robes are creative with whatfunwe areNow allforabout. And leave cute, prints. the grandmother time thezipother fine too! stores on yourtolist,visit we offer front robes and restaurants in Central Square!

Bridal season is here

P

Tawayoday’sfrombusythe woman has moved long gown to the pretty above the knee chemise. The chemise is cute, more contemporary and much easier to move about in.

toes.

“ You will see such a difference in your clothing with a good bra.” – A quote from one woman in the dressing room to another.

Before: A Bra that does not fit properly is unflattering and uncomfortable.

“The perfect fitting bra might as well be a myth, unless you shop at Leisure & Lace!”

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

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

199 New Road, Suite 9 • Central Square • Linwood, NJ 08221 • 609 927 5572

The County Woman Magazine

www.TheCountyWoman.com

March/April 2014


66

Business

& Finance

Copiers Plus Expands Printing Services Division Copiers Expands Their Printing Services Division…Part Division…Part Two! CopiersPlus Plus Expands TheirTheir Printing Two!

print aredesigned designed to to produce produce printfrom fromtheir theirsmart smartphones, phones, are Copiers Plus Copy Center Ocean City mainly and mainlyoutdoor outdoor work work such andsend sendand andreceive receivefaxes. faxes. asasvinyl Our vinylbanners banners and and signs. signs. Ourprinting printingservices services CPI Custom Graphics With this equipment we will division has developed quickly division has developed quickly With this equipment print from their smart phones, are designed to produce 935 West Ave, Ocean City.Ocean N.J. 08226 Copiers Plus Copy Center City and beexpanding expanding our our services services andoffers offersa awide wideranging ranginglist list be mainly outdoor work such and send and receive faxes. into motor vehicle and boat ofofcommercial and personal into motor vehicle and commercial and personal 609-398-7676 as vinyl banners and signs. Our printing services CPI Custom Graphics lettering, along with full and printing services including: lettering, along with full printing services including: division has developed quickly With this equipment we will EmailAve, rpm@copiersplus.com 935 West Ocean City. N.J. 08226 partial vehicle wraps. cards partial vehicleour wraps. • business cards be expanding services and• business offers a wide ranging list What really works out • real estate postcards works • real estateand postcards intoWhat motorreally vehicle and boat of commercial personal 609-398-7676 great we use • direct mail Life greatisisthat that wewith use many many • direct mail including: lettering, along full and printing services Email rpm@copiersplus.com Size ofofthe we letterheads theproducts products we sell sell in • letterheads partial vehicle wraps. •• business cards the equipment division booklets What really works outto •• real estateand postcards the equipment division • booklets andbinding binding CutWritten By: produce the work invitations great is that usecreated many in •• direct mail and Written By: produce thewe work created • invitations and Outs Robert P. Matthews of thecopy products weThis sell in •announcements letterheads our centers. enables Robert P. Matthews our copy centers. This announcements the equipment divisionon •• booklets and binding President, Copiers Plus Inc. ususto promotional items President, Copiers Plus Inc. tobecome become experts experts onto • promotional items Written By: produce the work created in •• invitations and the format thecapabilities capabilities of of all all of of the the • formatbanners bannersand and Robert P. Matthews our copy centers. This enables announcements products posters productswe we represent represent and and posters Boat Graphics President, Copiers Plus Inc. us to become experts on •• promotional items e had just finished remain blueprint e had just finished remainextremely extremely competitive competitive • blueprint the capabilities of all of the •• format banners and renovating our new with pricing. reprographic renovating our new withour ourwe pricing. • reprographicservices services products represent and posters store in in Ocean City when • graphic store Ocean City when • graphicdesign designservices services e had just finished remain extremely competitive • blueprint format copiers and black & & encounter ininterms bert P. Matthews Sr. Hurricane Sandy hit. SoSo cian format copiers and printers; printers; black cianmay encounter termsofofweather, weather, Look NEWJERSEY JERSEY •may document shredding Robert P. Matthews Sr. Hurricane Sandy hit. NEW • document shredding for future renovating our new “Custom work isour ourspecialty!” specialty!” with our pricing. • reprographic services Look for future “Custom work is white and full color multi-function prodtraffic or any unforeseen event that may here we are a year later to rspiers Plus Inc. Custom work is our white and full color multi-function prodtraffic or any unforeseen event that may here are aCity yearwhen later to Plus Inc. Customdesign work isservices our store in we Ocean Copiers Plus Plus isisyour yourgo gototoplace placewhen wheneveryone everyoneelse elsesays saysno. no.From From • graphic announcements as we Copiers announcements asscanners, weprinters; COPY PRODUCTS reintroduce ourour newest specialty. I find this part of ucts, printers, fax machines, delay the resolution to their problem. format copiers and black & cian may encounter in terms of weather, COPY PRODUCTS reintroduce newest bert P. Matthews Sr. specialty. I find this part of Hurricane Sandy hit. So ucts, printers, scanners, fax machines, delay the resolution to their problem. JERSEY • document shredding hand drawn drawnwork invitations life sizeNEW photocutouts cutouts elaborate Look for future hand invitations totolife size photo totoelaborate expand our service “Custom is our specialty!” printing services our service business to beisbethe most printing services location. white and full color multi-function prodormedium any unforeseen event that may expand and all the software necessary to improve Asthe aCustom sized office products we a yearlocation. later to traffic s here Plus Inc.are the business tosized the most work our memorials…..we do it all. Let our expert staff help you create your and all the software necessary to improve As a medium office products memorials…..we do go it all. Let our expert staff help your Plus is your to place when everyone elseyou sayscreate no. From announcements as we Copiers 1-800-834-3598 Copiers Plus isnewest now offering offerings. rewarding. We get to bebeof very 1-800-834-3598 COPY PRODUCTS reintroduce our Copiers Plus is now offering specialty. I find this part offerings. ucts, printers, scanners, fax machines, delay the resolution to their problem. rewarding. We get to very next project. business processes. dealer, Copiers Plus has the advantage drawn invitations to life size photo cutouts to elaborate next project. business processes. hand dealer, Copiers Plusvarious has the advantageexpand our service printing services atlocation. ourour newest creative with the printing services the business to be the most printing services at newest creative with the various and all the software necessary to improvedo it all. Let our expert staff help you create your As a medium sized office products to offer custom service agreements, billmemorials…..we torewarding. offer custom service agreements, bill- Additional 1-800-834-3598 Services... location at Plus 935 West Ave. requests wewe get. Things like Copiers is now offering offerings. We get to the be very Additional Services... location at 935 West Ave. dealer, requests get. Things like next project. business processes. Copiers Plus has advantage ing and financing programs tailored Ocean City, N.J. and financing programs printing services at our newest ing scanning and touching creative with the variousup In Ocean City, N.J. scanning and touching uptailored In addition, addition, we we to offer custom service agreements, billto fit any businesses’ individual needs. Additional Services... location at 935 West Ave. With this latest addition, requests we get. Things like original artwork, creating lifefitoriginal any businesses’ individual needs. are an Authorized With this latest addition,ingtoand artwork, creating lifeareInanaddition, Authorized financing programs tailored Ocean City, N.J.much neededDecisions we we areare bringing scanning and touching up areare made locally, speeding up we size cut-outs for special events, bringing much neededDecisions made locally, speeding up size cut-outs for special events, Copiers Plus is your go DocStar Dealer, profit any businesses’ individual needs. DocStar Dealer, proWith to thisthe latest addition, to original artwork, creating lifeservices businesses, along with custom greeting are an Authorized process from the acquisition services to the businesses, thetheentire along with custom greeting to place when everyone entire process -locally, from events, the acquisition viding variety we are bringing much needed are made speeding up size cut-outs for special viding aaDealer, variety of of residents, andand tourists of of Decisions cards, photo collages, almost DocStar proof equipment, to billing timely and residents, tourists cards, photo collages, almost else says no. From hand equipment, tocan - timely and services to theequipment businesses, electronic document along with custom greeting theofentire process - billing from the acquisition endent office Ocean City. anything you imagine. electronic document viding a variety of ependent office equipment Ocean City. anything you can imagine. accurately. drawn invitations to residents, and tourists of cards, phototocollages, storage retrieval of accurately. equipment, billing -almost timely and WeWe have a very comfortable Out capabilities onstantly battling compestorage and and retrieval have a very comfortable electronic document Outlatest latest capabilities endent constantly battling compeoffice equipment life size photo cutouts Ocean City. We have implemented all the same anything you can imagine. We havea a64” implemented all the same retail store where customers solutions. accurately. include wide eco-solvent ronts. From large nationretail store where customers solutions. include 64” wide eco-solvent storage and retrieval We have a very comfortable Outprograms latest capabilities all fronts. From large nationto elaborate memorionstantly battling competools and that the large compacan come in in and use ourour PC’s plotter, aimplemented 64” laminator and We have all the same and aprograms that the large compa- solutions. Copiers Plus now can come and use PC’stools rs and chain stores, to the plotter, a 64” laminator and retail store where customers Copiers Plus now include 64” wide eco-solvent als…..we do it all. Let ronts. From large nationurers and and chain stores,e-mails, to the tools nies contour use overall copy print to send receive cutter. These products and that the largeand compausetoprograms toanalyze analyze overall copy and print offers our products tocome send and receive e-mails, can in and use we our PC’s nies contour cutter. 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Copiers Plus Expands Their Printing

Copiers Plus Copy Center Ocean City Services Division…Part CPI Custom Graphics Two! 935 West Ave, Ocean City. N.J. 08226 609-398-7676 Email rpm@copiersplus.com

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y to bring value to our

Window Graphics

“Custom March/April work is our2014


Consignment Shop

67

Treasures From Heaven... The Consignment Connection Treasures From Heaven

and events. Colleen went on to add, “As we participate together as residents of Ocean County in this project, you will be supporting the community now when they need it most after the recent destruction of the Jersey shore. People can come and get affordable luxury items to help rebuild their homes.”

i

being done there, Colleen knew in her heart that this was a job much needed in the world, and it became her vision to one day help support such a mission.

is a consignment shop that allows everyone to both sell and buy products, and participate in the “One of the goals here is to feature stories on our support of two major causes, one of which supports site from these ministries so that the community can residents devastated by Hurricane Sandy, and the other see the people they are helping to support by an organization helping women and children in need Samaritan’s Purse is participating in the Treasures from Heaven who are in recovery from the pain and emotional/ and always participate in countless community causes added Colleen. a ministry of the Billy Connection,” physical trauma of abuse. and events. Graham Association that has beenColleen helping theto add, resi-“As we participate together as A consignwent on residents of Ocean County dents in Ocean County since the start of Hurricane in this project, you will be ment store supporting the community now when 20% they need itof most onedestruction that Treaafter theasrecent of the Jersey shore. People concept encour- Sandy. We have selected this ministry can come and get affordable luxury items toall help rebuild Samaritan’s ages residents to sures From Heaven’s profits will support. their homes.” Purse initially sends a disaster team that helps residents busness bring in items is a ministry of the Billy Graham pump out water, takes down trees,Association and salvage they would like that has items been helping the residents in Ocean proceeds County sincefrom the start Hurricane Sandy. We have sefrom their homes. “We watch Americans allofover to sell and, of lected this ministry as one that Treasures From Heaven’s go to the country comePPisacreta, to the shore’s aid time of need. Written B By: C Colleen course, purchase. W profiin ts will support. Samaritan’s Purse initially sends a Owner, Treasures From Heaven disaster team that helps residents pump out water, takes Samaritan’s Purse workers have been sleeping at the charity! As a consignor, down trees, and salvage items from their homes. “We Treasures From Heaven is a church and outeveryone everyday, working and from evenall over the country come to the watch Americans shopgoing that allows to you receive a percentage of the selling price. The store consignment both sell and buy products, and participate in shore’s aid in time of need. Samaritan’s Purse workers praying with our neighbors who lost so much,” stated has set the goal to be a high-end quality retail estabthe support of two major causes, one of which have been sleeping at the church and going out every20%isof all business The store open: working that and even praying with our neighbors who supports residents devastated by Hurricane Colleen. “There is love, grace, andday,beauty subsides lishment in the community. They accept only quality proceeds go to charity! lost so much,” stated Colleen. “Th ere is love, grace, and Sandy, and the other an organization helpMonday, Tuesday and Wednesday 10am-6pm in women this ministry inspires timesinbrings items - in style and in excellent condition. The conbeautyoften that subsides this ministry that inspires us, and ing and childrenthat in need who are inus, and brings us to tears, as we watch them help & Friday 10am-8pm • Saturday 10am-6pm recovery from theas pain emotional/physical Thursday us to tears, weandwatch them helpoften ourtimes friends and signment period is sixty days, and all items are priced “One of the goals here is to feature stories on our our friends and families here.” After the disaster team, a trauma of abuse. site from these Closed on ministries Sunday.so that the here.” After encourages the disaster team, a rebuild rebuild team comes inteam to help those without insurance or by the Treasures From Heaven staff and agreed upon Afamilies consignment store concept community can see the people they are helping finances to restore the places they call home. residents to bring in items they would like to comes in to help those without insurance or finances with consignor. to support by participating in the Treasures from sell and, of course, purchase. As a consignor, Treasures From Heaven Connection,” added Colleen. is the second organization supported by to receive restore the places you a percentage of thethey sellingcall price.home.

Treasures From Heaven... The Consignment Connection

i

Treasures From Heaven

i

Treasures From Heaven ~The Consignment Connection is registered with the Toms River Chamber of Commerce. Colleen, as well as her entire family, are also members of The Church of Grace and Peace and always participate in countless community causes

iHarvest Home

Colleen said that during a women’s retreat, she had met the founder of the ministry, Rhonda Calhoun, who later asked her to come to the center to help minister and cook for women going through the program. After seeing first-hand theRt. establishment and the work 1240 166 (Stella Towne Center)

Toms River, NJ Phone:(732) 505-0150 Fax: (732) 505-0186

1240 Rt. 166

Fb.com/TreasuresFromHeaven

Win a Mother’s Day Dinner from Il Giardanello Ristorante!

City: _______________ State: ________ Zip: _________

We offer new, gently used, and designer clothing, furniture, housewares, jewelry, handbags, shoes and more!

Phone: (_____)__________ Email: __________________ Bring in this clipping for a chance to win dinner for two when you spend $100 or more at Treasures From Heaven!

Address: _______________________________________ We offer new, gently used, and designer clothing, furniture, housewares, jewelry, handbags, shoes and more!

www.TreasuresFromHeavenConsignment.com The County Woman Magazine

Owner, Treasures From Heaven

Name: _________________________________________

Name: _________________________________________

Toms River, NJ

Phone:(732) 505-0150 Find Us On Facebook!

Win a Valentine’s Dinner from WrittenRistorante! by: Colleen Pisacreta, Il Giardanello Address: _______________________________________

www.TreasuresFromHeavenConsignment.com

(Stella Towne Center)

Heaven ~ • • • • • • • • • • • • • • • • • • • • • • • • • • The The store is open on: Tuesday and Wednesday: 10am-6pm Consignment Thursday, Friday, & Saturday: 10am-8pm. Connection It is closed on Sunday and Monday. Treasures From Heaven ~The Consignment is seconds awayConnection is seconds away from the Garden State Parkway entrance from the in Toms River. Garden State Parkway entrance in Toms River.

the shop. This ministry is a refuge and The store has set the goal to be a high-end restoration home nestled on a beautiful farm, which proquality retail establishment in the community. is the They accept only quality items- in style and in vides a safe and loving environment to help women and secondThorganization sup- children to transform their scattered lives. Colleen said excellent condition. e consignment period is sixty days, and all items are priced by the ported by the shop. This ministrythat during a women’s retreat, she had met the founder Treasures From Heaven staff and agreed upon of the ministry, Rhonda Calhoun, who later asked her to with is aconsignor. refuge and restoration home come to the center to help minister and cook for women going through the program. After seeing first-hand the Treasures Heaven nestled on aFrom beautiful farm,~The establishment and the work being done there, Colleen Consignment Connection is registered with knew in her heart that was a job much needed in the which provides a ofsafe and loving environment to this help the Toms River Chamber Commerce. world, and it became her vision to one day help support Colleen, as well as her entire family, are also women and children to transformsuch their scattered lives. a mission. members of The Church of Grace and Peace

City: _______________ State: ________ Zip: _________ Phone: (_____)__________ Email: __________________ Bring in this clipping for a chance to win dinner for two when you spend $100 or more at Treasures From Heaven!

www.TheCountyWoman.com

March/April 2014


Health

68

& Wellness

H ealth & W ellness H ealth & W ellness H ealth & W ellness H ealth & W ellness H ealth & W ellness

XCut PrescriptionCard CardOffers OffersSignific Signifi Cut Prescription

XCut Prescription RXCut PrescriptionCard CardOffers OffersSignifican Significan Standard Medicare Part d Benefit

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With the RxCut Pre- onceonce erage gap, often referred Have youryour planplan has has Use Use rxcut to save 15%-15%youyou reached rxcut to save reached barbiturates, and benzodiazbarbiturates, and benzodiazhe Medicare Part D covhe “doughnut Medicare Part D cov-hole”? $2,235= $2,510), medications scription Savings Program, spent to as the $2,510 ($275 + 75% on the cost of your spent $2,510 ($275 + 75% on the cost of your the “doughnut epines. WithWith the RxCut Pre- Preepines. the RxCut erageerage gap, gap, oftenoften referred referred the “doughnut Beneficiary pays 100% there are no limited drug lists. ole,” istoaasperiod of time dur$2,235= $2,510), medications $2,235= $2,510), medications Savings Program, Usehole”? the RxCut Prescription scription scription Savings Program, theas“doughnut to the “doughnut hole”? You receive discounts on Beneficiary of thepays next $3,216.25 *Be sure to submit receipts to nghole,” thehole,” coverage year (Jan.100% Beneficiary pays 100% there arecan no limited drug lists.lists. there are no limited drug is a period of time dur- durSavings Program to maxiis a period of time Use the Prescription UseRxCut the RxCut Prescription your PdP the drug that works best for Dec.) when you will be rediscounts on on of the $3,216.25 submit receipts to to Youreceive can receive discounts of next the next $3,216.25 *Be sure *Beto sure to submit receipts ing the year year (Jan.-(Jan.- Savings ingcoverage the coverage mizeSavings your savings during thisYou can Program to maxiProgram to maxiyou! Ourworks Individual program your PdP your PdP ponsible forwhen paying drug the drug that best for the drug that works best for Dec.)Dec.) when you will be re-be re- mize “catastrophic coverage” Use primary Medicare youall will difficult when you yourperiod savings during thisare mize your savings during this has two features: you! you! Our Individual program osts out of for pocket. When Our Individual program sponsible paying all drug sponsible for paying all drugdifficult “catastrophic coverage” Use primary Medicare begins aftercoverage” the provider program “catastrophic Use primary Medicare left without Medicare period whenwhen youcovare difficult period you are has l two has two features: out pocket. When oucosts fallcosts intoofout this ofdoughnut pocket. When left Afeatures: National Retail begins afterafter the thehas spent provider program without Medicare covbegins provider program erage. use the card leftSimply without Medicare covbeneficiary youyou fall into this youare fallresponsible into doughnut this doughnut ole, for l Al National Retail A National Retail erage. Simply use the Discount Prescription beneficiary has spent erage. Simply usecard the beneficiary has spent when you’ve reached thecard $4,050 much does it cost you for forwhen How you are responsible hehole, fullhole, costare of responsible prescription Discount Prescription Discount Prescription you’ve reached the when you’ve reached the Savings Card: All FDA$4,050 $4,050 “doughnut hole” and continue How much does it cost How much does it cost the full of prescription thecost full cost of prescription Savings Card:Card: All FDAMedications not Use rxcut to save to participate? Savings All FDA-are rugs, plus you must continue “doughnut hole” and continue hole” and continue approved medications until“doughnut your “catastrophic covedrugs, understand that famiMedications not not Use Use rxcut to save to participate? plus you must continue Medications rxcut to save to participate? drugs, plus you must continue approved medications are approved medications are until your “catastrophic cove understand that famio pay your Part D premiuntilkicks your in. “catastrophic coveyour understand that famicovered under Medicare 15%-75% on your eligible to receive up to covered erage” The Prescription Savings to pay Part D premito pay your Part D premiunder Medicare 15%-75% on your covered under Medicare 15%-75% on your lieslies across the nation eligible to receive up toup to eligible to receive erage” kicks in. erage” kicks in.Prescription The Prescription Savings ms even though you arenation notcan The Savings across the nation can medications. a 75 percent discount at lies across the can ums ums eveneven though you are though younot are not medications. a 75 apercent discount at at medications. 75topercent discount program a free service all ng from uncontrollable eceiving benefits! AreAre your prescribed program isis a is free service to alltothan more 54,000 pharmaprogram a free service all 54,000 With rxcut there ring from uncontrollable receiving benefits! Are your prescribed uffering from uncontrollable receiving benefits! your prescribed more than 54,000 pharmaWithWith rxcut there are no more than pharmarxcut there are noare no families and individuals that wish cies, including all major conditions as well as the medications not families and individuals that wish excluded medications families and individuals that wish cies, cies, including all major mic conditions well as notnot including all major nomic conditions as well as medications the medications excluded medications RxCut isishere to excluded medications RxCut here to RxCut isashere tothe chains. to save on their prescription. chains. chains. to save on their prescription. covered by Medimaking ends meet and to save on their prescription. covered by Medimaking ends meet and sshelp of making ends and covered by Medihelp you fill in the youyou fill inmeet the help fill in the llOur Maill Our Maintenance Mail-MailOur Maintenance Maintenance care? care? care? ng a healthy lifestyle. ning a healthy lifestyle. ntaining a healthy lifestyle. hole! hole! hole! Order Program: Designed Order Program: Designed Order Program: Designed When does the When does the When does the While Medicare does not ncerns ofreaders readers are always While Medicare does not concerns of readers arehelping always While Medicare does not erns of are always RxCut dedicated to helping to maximize your your savings RxCut is dedicated to tomaximize maximize savings RxCut is isdedicated to helping to your savings card expire? card expire? have an established formuhave an expire? established formu- on all of your maintenance card have an established formuiority, and the The County people priority, and the The County people caught in the Medipeople caught in the Medion all of your maintenance rity, and the The County caught in the Medion all of your maintenance lary, Part D coverage Part D drug coverage Part Ddrug drug coverage care Part “doughnut hole” The card has nono expiration medications through homehome care Part D “doughnut hole”lary,lary, The card has noexpiration expiration medications through nman Magazine has partnered Magazine has partnered are Part DD “doughnut hole” The card has medications through home Magazine has partnered excludes certain categories excludes certain categories certain categories their pharmacy needs.needs. Rx- Rx-excludes with wi delivery. th their pharmacy delivery. date and can be used each time date and can be used each time th their pharmacy needs. Rxwi eeRx-Plus to offer this delivery. hRx-Plus FreeRx-Plus to offer this of medications, for example, ofdate medications, for example, andfor can be used each time to offer this of medications, example,

What is the Medicare part D What is Woman the What is the ounty “doughnut hole?” Medicare part D

County Woman County he County Womana a azine is Woman gazine isoffering offering gazine is offering a a Magazine is offering ost savings card cost savings card cost savings card o-cost savings card ding FREE access viding FREE access viding FREE access roviding FREE access nificant savings gnificant savings gnificant savings oescriptions. significant savings prescriptions. n prescriptions. prescriptions.

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How much does it cost to participate? The Prescription Savings program is a free service to all families and individuals that wish to save on their prescription.

ring from uncontrollable mic conditions as well as the f making ends meet and ning a healthy lifestyle. ncerns of readers are always When does the riority, and the The County card expire? you have a aprescription. cancan have a prescription. You can resource thathas provides The card has noYou expiration able resource that provides neesource Magazine partnered youyou have prescription. You that provides even share the same card with even share the same card with oeeRx-Plus upto to 75 percent sssavings toRequest savings up to 75 percent Fill out and return to time receive your FREE savings card! date and cansame be used each offer this even share the card with Cards Through Email: Rxplus@Thecountywoman.Com ~ Phone: 856-881-0302 ~ 336.587.3370. Or Fill OutOut AndAnd Return Request Cards Through Email: Rxplus@Thecountywoman.Com ~ Phone: 856-881-0302 ~ 336.587.3370. Or Fill Return avings up to 75 percent THIS IS THE SAVINGS CARD WE WILL SEND YOU BY CALLING THIS IS THE SAVINGS CARD WE WILL SEND YOU BY CALLING family and friends. All cards family and friends. All cards criptions, lab and Request Cards Through Email: Rxplus@Thecountywoman.Com ~ Phone: 856-881-0302 ~ Or Fill Out And Return prescriptions, lab and Or go to our website www.freerxplus.com/FRP00106 or email Rxplus@TheCountyWoman.com you have a prescription. You can THIS IS THE SAVINGS CARD WE WILL SEND YOU BY CALLING 336.587.3370. family and friends. All cards egging resource that provides Call between the hours of 9-5 Monday through Friday. Call between the hours of 9-5 Monday through Friday. ptions, lab and distributed are active andand ready distributed are active ready services. services. Call between the hours of 9-5 Monday through Friday. even share the same card with distributed are active and ready oervices. savings up to 75 percent for use. for use. Request Cards ThroughforEmail: Rxplus@Thecountywoman.ComNumber ~ Number Phone: ~ Or Fill Out And Return Name: of856-881-0302 Cards: Name: of Cards: use. and family friends. All cards satthis program andand howhow is this program criptions, lab and Name: Number of Cards: program elp me?me? and how What is Medicare D and itservices. help What is Medicare Part D ready distributed are Part active Return to: to: Return ghis Address: hole”? Address: pFreeRxPlus me? What is Medicare “doughnut hole”?Part D TheThe County Woman Prescription County Woman Return to: The FreeRxPlus Prescription “doughnut for use. Name: Number of Cards: The Medicare Part D coverPO Box 619 The Medicare Address: POCounty Box 619Woman hole”? Part D coverProgram will benefit the the “doughnut Program will benefit The reeRxPlus Prescription sngs this program and how Turnersville, NJ 08012-0619 age gap, often referred to as the Turnersville, 08012-0619 age gap, often referred to as the ed, the under insured, andand What nsured, under insured, The Medicare PartPart D coverPONJ Box 619 rogram will benefit the help me?the is Medicare D Return to: “doughnut hole”, is a period of “doughnut hole”, is a period of id Part D participants. dicaid Part D insured, participants. Turnersville, NJ 08012-0619 age“doughnut gap, often hole”? referred to as the d, the under and Acc Ac Address: The County Woman FreeRxPlus Prescription time during the coverage yearyearof time during the coverage take the card to a participly take the card to a partici“doughnut hole”, is a period Part D participants. Thewhen Medicare Part youyou will be DbecoverPO Box 619 P (Jan-Dec) when will Program will benefit the (Jan-Dec) pharmacy when you dropdrop ng pharmacy when you time during the coverage year ke the card to a participaying all drug responsible for paying alltodrug Turnersville, NJ 08012-0619 age gap,for often referred the red, prescription and receive a a responsible your prescription and receive the under insured, and (Jan-Dec) when you will be asyou armacy when you drop coasts out-of-pocket. When you coasts out-of-pocket. When on your medication. ngs on your medication. “doughnutforhole”, is aallperiod of id Part D participants. responsible paying drug rescription and receive a fall intointo thisthis doughnut hole,hole, youyou fall doughnut The The County Magazine 36 36 March/April 20102010 time duringforthe coverage year County Magazine March/April take the cardWoman to Woman a particicoasts out-of-pocket. When you nwuch your are responsible the full costcost are responsible for the full of amedication. Walmart Walgreens much of a Walmart Walgreens (Jan-Dec) when will pharmacy you drop offallprescription into this doughnut drugs you plus hole, you beyou nt will I get? ount will Iwhen get? The County Woman Magazine of prescription drugs plus you 36 March/April 2010 Costco Duane Reade Costco Duane Reade allcost drug continue tofor pay yourfull Part D D areresponsible responsible for the rounts and receive must continue topaying pay your Part depending on ona must hprescription of avary,vary, Walmart Walgreens Discounts depending Target CVS Target CVS premium even though you areyou not out-of-pocket. When premium even though you are you not of coasts prescription drugs plus dication and pharmacy. on your medication. medication and pharmacy. will I get? Costco Duane Rea receiving benefits! receiving benefits! nts typically range from must continue to pay your Part D fall into this doughnut hole, you counts typically range from unts vary, depending on www.TheCountyWoman.com The County Woman Magazine March/April 2014


Community

69

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www.TheCountyWoman.com

March/April 2014


Community

70

Letter From NJAWBO Shore Region President Jackie Berman Think Spring! Spring is in the air and it’s time to plant the seeds to grow your business. NJAWBO Shore is a great place to sow the soil. We are giving you great opportunities in March and April to have your business blossom. NJAWBO’s 16th Annual Business Growth & Procurement Conference is scheduled for April 17th. Get “Inspired Ideas, Cultivate Connections” while taking your business to the next level with inspiration in five key areas. Linda Hollander, known as “Wealthy Bag Lady” is the keynote speaker. The topic is “Wealthy Bag Lady 7 Success Secrets,” register for this event at www.NJAWBO.org

Jackie Berman President, NJAWBO Shore Region Monmouth/Ocean/Middlesex Pearlsofwisdommedia@gmail.com 732.610.1567

If you are a woman or know one, in or returning to college or an accredited trade school (must be enrolled for an associates degree) with plans to open her own business in her chosen profession or industry, please apply for the Donna Myers Entrepreneur Scholarship. Application and restrictions are on our website. Deadline is April 25th. Energize!! Empower!!! Engage!! Warmest Regards, Jackie Berman President, NJAWBO Shore Region

In March, our Region has two great events planned. March 12th is our Open House. Get to meet the members and learn about NJAWBO and the advantages of being a member. Being a woman and business owner, we need to take time to care for ourselves. March 27th it’s time to take care of the girls. A representative from Susan G. Komen will be discussing breast cancer awareness, in addition, are you wearing the right size bra? Get fitted correctly. Our schedule does have additions and corrections, so please make it a habit to look at our website. Have NJAWBO questions? Please feel free to call me and best yet, attend a meeting.

Non-members are invited to attend a Shore Region event at member price – mention this article! Networking After Hours March 12, 6:30pm Affinity Federal Credit Union, Route 27, Edison Taking Care of the Girls March 27, 6:00pm Brazen Bras Boutique, W. Main St. Freehold For details, or to register, visit NJAWBOShore.org Limit one per person. Valid for NJAWBO Shore Region (Monmouth/Ocean/Middlesex) events only.

What are You Doing to Build Your Business? 16th Annual Business Growth & Procurement Conference Inspire Ideas, Cultivate Connections

April 17, 2014 • 8:00am – 2:45pm Pines Manor, Edison, NJ

A day of business-building ideas, connections, and information. Cost includes: Full breakfast buffet, expert panel discussion, roundtables, business expo, and inspiration during the luncheon from our keynote speaker.

LUNCHEON KEYNOTE SPEAKER

Linda Hollander

“Wealthy Bag Lady 7 Success Secrets”

For more details, full agenda, and registration: www.njawbo.org/event/procurement2014

The County Woman Magazine

www.TheCountyWoman.com

March/April 2014


Pets

71

Ocean County Animal Facilities Ocean County Health Department

ANIMALS FOR ADOPTION 360 Haywood Road, Manahawkin, NJ

Public Hours: Daily- 1PM-4PM Wednesday- 1PM-6:30PM

609-978-0127

615 Freemont Avenue, Jackson, NJ

732-657-8086 “Give A Homeless Pet A Second Chance”

Why not start your pet search at our local Northern or Southern Ocean County Animal Facilities? Critter Corner featured pets are located in our Northern Facility. For more information call 609-978-0127. To see more great cats and dogs visit their website, www.petfinder.com/shelters/NJ62.html

Adopt a Pet, Save a Life! Did you know that all of our pets are vaccinated, neutered, and micro-chipped before being adopted to their furever homes? We still have a number if kittens and cats as “kitten season” winds down. We also have a number of smaller dogs and full breeds. Adopting a pet from the Ocean County Animal Facilities is not only a great way to find your new best friend; it’s also a great value!

Critter Corner ~ www.CritterCorner.org

A 5-Year Effort Continues; Thank You For Your Support.

Jo Jo - Saint Bernard Dog

Buttercup - Dilute Torti DSH Cat

While Jo Jo is an older dog, he has so many great traits. He is an affectionate and easy going dog who is hoping to find a loving forever home to live out his days. He walks very well/easily on a leash and keeps his kennel area very clean. Call 732-657-8086 to find out more.

Buttercup is one of the sweetest cats we’ve ever profiled. She is very tiny and has a mellow, yet loving personality. She is a cat that loves to be around people and enjoys being held and cuddled. Just a really great cat. Call 732-657-8086 to find out more.

This submission is an independent publication provided to the press by Mitch Geier and Betsy Lane and is not meant to be construed as an official publication of the Ocean County Health Department.

The County Woman Magazine

www.TheCountyWoman.com

March/April 2014


Community

72

Presents 3rd Annual Caregiver Canines速 Variety Show Sunday, April 6th, 2014 1-4pm Toms River High School East, 1225 Raider Way Caregiver Canines and friends are back! Come see funny dog tricks, therapy dogs in action and our fashion stars strut their stuff on the runway. Fun for the whole family! Vendors, door prizes, 50/50, snacks! Tickets- $10/adults, $5/kids under 12 To purchase tickets: Call 732-505-2273 or email info@caregivervolunteers.org

Caregiver Canines 速 & Michael Bagley Photography Present A Celebration of Dogs and The People They Love A Free Photo Exhibit and Complimentary Reception Wednesday, May 14, 2014 5:00 pm to 7:00 pm The Regency at Dover 1311 Rt. 37 West, Toms River

Time: Place:

10:00am ~ 2:00pm The Pines at Whiting 509 Route 530 Whiting, NJ 08759

Admission is free. Donations gratefully accepted. Event Demonstrations: ~ Aromatherapy, Stress Relief & Massage ~ Creating Well Being ~ Healthy Eating & Cooking ~ Health & Wellness ~ Skin & Nail Care ~ Yoga, Tai Chi & General Fitness

CVCJ will hold its 7th Annual Women of Distinction Fashion Show & Gift Auction Thursday, June 12, 2014, 6:00pm TR Hotel ~ Atlantis Ball Room 290 Route 37 East Toms River, NJ 08753

For more information call 732-505-2273, email us at info@caregivervolunteers.org or visit us at www.caregivervolunteers.org

The County Woman Magazine

www.TheCountyWoman.com

March/April 2014


Community

73

WATCH LIVE COVERAGE ON FOLLOW US

ShopRite LPGA Classic Presented by Acer May 26 - June 1, 2014 Stockton Seaview Hotel and Golf Club

For tickets and more information, call 609-798-0222 or visit ShopRiteLPGAClassic.com

Supported in part by a grant from New Jersey Department of State, Division of Travel and Tourism

The County Woman Magazine

www.TheCountyWoman.com

March/April 2014


74

Theatre

&Entertainment You had me at goodbye!

Ben Brantley, New York Times

Concept, Lyrics & Choreography by

RUTHE PONTURO Music by

JOHN THOMAS FISCHER Directed by

MARK WALDROP

Photo: Janine N. Ajamian, SPA DIGITAL Images, Ltd.

SmartTix.com (212) 868-4444

Barrow Street Theatre 27 Barrow Street at 7th Ave.

Photo: Joan Marcus

An original musical inspired by the true story of a Broadway producer’s wife who is suddenly jilted by her husband after decades of marriage. Determined to celebrate a new chapter in her life, she turns to her wickedly witty friends, who together sing, dance and laugh their way through the ripple effects of divorce and self-discovery.

Design: Fraver

For Tickets TELECHARGE.COM or (212) 239-6200 DR2 Theatre │ 103 East 15th Street, NYC

Premium Seats Available TilDivorceTheMusical.com

The County Woman Magazine

www.TheCountyWoman.com

March/April 2014


Theatre

&Entertainment

“PURE UNADULTERATED HUMOR.”

75

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“HILARIOUS!” 300 W. 43rd St.

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Women’s History

76

Character, Courage & Commitment Part 1 of II

M

arch is National Women’s History Month. This year, the theme has been designated to recognize women of character, courage and commitment. The featured women of 2014 are twelve women who may be unknown to many of us and yet have made a significant impact on how women have reached their successes today. This feature will consist of a two part series. In this feature, the first six of the twelve honorees selected by the National Women’s History Project will be highlighted with a mere glimpse of their accomplishments.

-

Chipeta (1843-1924) known

as an Indian Rights Advocate and Diplomat who was an Ute Indian leader and peacemaker who was most notable for helping prevent war between the Ute Indians and the white settlers. A married woman at the age of 16 Chipeta was a voice in a culture in which young women were not the decision makers.

-

Katharine Ryan Gibbs

(1863-1934) known as a Women’s Employment Pioneer who was the founder of the Katharine Ryan Gibbs school in 1911 that provided women with high level secretarial training. Katharine Gibbs partnered with her sister after becoming a single mother to begin the school to train women to work in secretarial positions as a then lucrative career.

-

Anna Julia Cooper

(1858-1964), African American Educator and Author who was known to be one of the “leading intellectuals of her time.” Anna Cooper began her life as a slave and worked as a domestic servant. She had the opportunity to education and excelled in her studies. Anna continued her education through graduate school at a time when women, let alone women of color were not accepted into educational programs. Anna Cooper released her first book in 1892. Ms. Cooper worked as an educator and principal. She continued her studies well into her 60s and earned a PhD at the age of 65. It was Anna Cooper’s desire to be a positive role model for

future generations of African Americans and the importance of education.

-

Agatha Tiegal Hanson

-

Frances Oldham Kelsey

(1873-1959), Educator, Author and Advocate for Deaf Community. Agatha became deaf and blind in one eye after a childhood illness. She would become known to be an advocate for women with similar disabilities. Agatha was not only the valedictorian of her graduating class; she was the first woman to graduate from Gallaudet University. (1914-Present), Pharmacologist and Public Health Activist who was a pharmacologist with the Food and Drug Administration. Frances was known for refusing to approve thalidomide which was a drug that was proven to cause severe birth defects. Frances was hired in the 1930s under the assumption by a University of Chicago Professor that she was a man. Frances advocated for regulations of drug testing and provided scientific evidence to the negative effects testing can have on subjects.

-

Arden Eversmeyer

(1931-Present), The Old Lesbian Oral Herstory Project Founder. Most noted for being the founder of Lesbians over the Age of Fifty and The Old Lesbian Oral Herstory Project. Arden’s mission was to ensure that older lesbians be afforded resources within their communities as well as advocating for cultural appreciation for lesbian’s lives. It is noted that Arden lived a private isolated life without freedom in her sexuality. It would not be until after her partner’s death that Arden would speak openly for gay rights. Each of these women were trailblazers for various causes that have made a significant impact in society for equal rights for women as well as justice regardless of sexual orientation. They all have accomplished a great deal in their life and deserve full recognition for their accomplishments. Our lives have fully benefited from the hard work and perseverance of these amazing women! References: Women’s History 2014 Gazette, (2014). A Gazette from the National Women’s History Project. • Photo by Eric Crow at http://findagrave.com, Retrieved on February 6, 2014. • www.arprice.com/picsawbz/katharinegibbs, Retrieved on February 6, 2014. • www.barnesandnoble.com, Retrieved on February 6, 2014. • www.gallaudetedu/news/agatha_hanson_named_history_month. htme, Retrieved on February 6, • www.greatwomen.org, Retrieved on February 6, 2014 • www.greenwomenstore.com, Retrieved on February 6, 2014

Rita King, MSW, LSW is a full-time mental health therapist and advocate of women’s history. During her undergraduate studies in psychology, Rita developed a strong passion for women’s history after completing classes in political science. As an activist, Rita has raised awareness of the importance of women’s history through lectures, history lessons in elementary and middle schools and creating women’s history displays at local libraries. Rita also utilizes her knowledge of women’s history to empower women and young girls in her current role as a mental health therapist.

The County Woman Magazine

www.TheCountyWoman.com

March/April 2014


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ARE YOU CARING FOR SOMEONE WITH ALZHEIMER’S DISEASE? CALL 800.272.3900

The Alzheimer’s Association is here to help you and those you care about through care consultation, education, support and more. Call us 24 hours a day, seven days a week at 800.272.3900 or visit alz.org/nj.

alz.org/nj ©2014 Alzheimer’s Association®. All Rights Reserved.

The County Woman Magazine

www.TheCountyWoman.com

March/April 2014


Community

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Just a hop into ~ and a jump into an exciting summer ahead!

Spring is in the air – you can tell by the soft fresh rains, bugs and bunnies hopping all over the lawn. Daffodils along with the tulips are popping their greenery up and getting ready to burst color all abound for us ~ which is much needed after this never-ending winter! Everyone’s daydreams turn to summer vacations ahead and sprucing up the homestead.

At RMH in Long Branch, we are looking forward to seeing what spring brings in our garden! Partnering with Lowes, we have created a perennial garden that comes to life with the warmth of the sun. The front garden is filled with wildflowers of every color, framed with hydrangeas. The gazebo garden is attended by our Master Gardeners, which blossom to life with hydrangeas, peonies and lilacs. The smell is intoxicating! Around back is our “touch, feel & smell” garden, abound with soft lambs ear, velvety little purple flowers on the Russian sage, ferns, and scotch broom is bursting its bright yellow leaves. What better place than to hold our 2nd annual Garden Tea Party! Last year’s was a wonderful success, even with the cold rain that was coming down. We moved inside and our awesome volunteers got to work creating a “garden” of flowers adorning the walls, and making our playroom become a fun tea party event. This year we are crossing our fingers no rain, and hoping our garden becomes an inviting place! Our Garden Tea Party will take place on Sunday, May 18, 2014, from 1:00pm to 4:00pm – everyone is invited, although space is limited and ticket prices are the same - $30 for one or 2 for $50. We will be serving a selection of tea’s, finger foods, and a gift auction. Madam Potts from www.madpotsoftea.com will be on hand to discuss how teas are combined and offing her brew, “Cup of Comfort” created especially for RMH. The blend is available on her website, but you can try it at the party and pick up a bag there too! Get your tickets today, space is limited – go to www.rmh-cnj.org for more information, and click on the link on the front page to reserve your spot!

The County Woman Magazine

www.TheCountyWoman.com

March/April 2014


Fine Art Photography

The County Woman Magazine

www.TheCountyWoman.com

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March/April 2014


V I C T O RY

V ictory

BRANDYWINE SENIOR LIVING

AT

THE GABLES

515 Jack Martin Blvd. | Brick, NJ 08724 | 732.836.1400

BRANDYWINE SENIOR LIVING

AT

REFLECTIONS

A Memory Care Community 1594 Route 88 | Brick, NJ 08724 | 732.785.3370

BRANDYWINE SENIOR LIVING

AT

TOMS RIVER

1587 Old Freehold Road | Toms River, NJ 08755 | 732.240.0043

Brandywine Senior Living has Locations throughout NJ, PA, DE, CT, NY

www.Brandycare.com • 1-877-4BRANDY • Relax...We’re here.

The County Woman Magazine

www.TheCountyWoman.com

March/April 2014


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