Ocean County Woman - May/June 2019 by The County Woman

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10th Year!

An Educational Resource for Women and Their Families

FREE ~ Please Take One ENHANCE YOUR NATURAL BEAUTY. We provide a great deal of extra care before, during, and after surgery.

COME HOME FROM VACATION FEELING LIGHT & FREE, AND STUFFED ONLY WITH GREAT MEMORIES! We all look forward to vacation but not the resulting unwanted weight gain. Page 37

Pages 22 & 23

Photo by Tracy Harman Photography.

PERSONAL INJURY CLAIMS-WHEN YOU NEED A LAWYER. When bad things happen to good people, a lawyerâ&#x20AC;&#x2122;s services are necessary to ensure that you get the most compensation for your injuries. Page 14

We are now open in Dorado Plaza in Ramtown.

NEW LOCATION IN DORADO PLAZA serving the Brick and Ramtown areas! At All-Care Physical Therapy Center, their energetic, family-like staff and upbeat atmosphere allows patients to feel at home in their large, state-of-the-art facilities. They are the premier practice of Ocean County with several convenient locations. Read more on pages 6 & 7.

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May/June 2019

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May/June 2019

Cosmetic & General Dentistry Medical Professionals

Economy dentures serve a basic purpose – filling empty space and allowing you to chew some foods. They can be a cost-effective choice, but they also can have problems. With no stimulation, the jaw bone deteriorates. Combine that with the lack of support to the lips and face, and you wind up with a sunken, aged look. This bone deterioration also leads to a poor fit, which means slipping, clicking, and sometimes embarrassing mishaps. That’s why we are excited to offer FOY Dentures,™ the Denture Fountain of Youth™ to our patients. These custom dentures provide neuromuscular support and stimulation to the bone

structure, preserving the natural contours of your face and jaw. The design takes into account not just the placement of the teeth, but the motions and actions of the muscles and nerves. So what dos that mean for you? You’ll look like you’ve had a facelift, without the surgery! Your smile will be more natural. People will comment on your more youthful appearance, and you’ll maintain a more healthy countenance for a longer period of time.

Why wait? Call today to see if Fountain of Youth Dentures will suit you!

Aesthetic Dental Creations Is Pleased to Offer the Following Services:

General and Family Dentistry • Free Cosmetic Consultations • TMJ/Migraine Treatment Aesthetic Onlays and Inlays • Veneers • All Porcelain Crowns (Non-Metal) Implant Crowns KöR™ Whitening • Periodontal Therapy • Dentures / Aesthetic Partial Dentures The Denture Fountain of Youth™ • Adult Cosmetic Braces (6 Month Smiles) Invisalign™ • Facial Esthetics (such as BOTOX® OR JUVÉDERM®)

www.TheCountyWoman.com TheCounty County Woman Woman Magazine Magazine www.TheCountyWoman.com The

September/October May/June2018 2019

Psychotherapy

Manager’s Note

All correspondence should beAll addressed to: correspondence should be addressed to:

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

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r ea ting Our 9th Y

P.O. Box 619 Turnersville, NJ 08012

Welcome to the May/June Issue of the Ocean County Woman!

Recovery From Trauma Dr. Sharon Flaherty “Summer afternoon-summer afternoon; to me those have always been Publisher

•

Chris Lam

The County Woman’s Newspaper is published bi-monthly and isWoman’s available Newspaper free of charge at The County is published bi-monthly and is available free of charge at chris@thecountywoman.com display stands in approved private and public establishments and authorized display stands in approveddistributors private andonly, public establishments and authorized distributors only, or by paid mail subscription. or by paidthrough mail subscription. Production Manager Lauren Shover When someone goes any kind Decades of research since then has confirmed its Trademark and U.S. Copyright Laws protect The County Woman’s Newspaper. No Laws part ofprotect The County Woman’s Newspaper. No part of Trademark and U.S. Copyright staff@thecountywoman.com effectiveness. UCLA of trauma, he or she may heal over time. this paper may be reproduced without the written permission of thebepublisher. this paper may reproduced without the written permission of the publisher. The late Spring early Summer months of MayDr. andPeter JuneLevine are all at about sun,took fun, PET Director Kathy Sabol The County Woman’sRegional Newspaper isSales not responsible for any editorial comment (other isthan The County Woman’s Newspaper not responsible for any editorial comment (other than scans isofno thebetter brains of to patients before and after But if the trauma is too much for travel and outdoor activities. There really time take advantage of all its own), typographical errors from advertisements submitted as camera ready or any its own), typographical errors fromreproducadvertisements submitted as camera ready or any reproducsales@thecountywoman.com EMDR, and found significant differences; the mind to ashandle, help may be submitted as camera ready. that the Jersey Shore has to offer. From the free concerts to the flea markets, each dayareas tions of advertisements submitted camera ready. tions of advertisements Billing Manager Jennifer Hartsig overactivity, “hot spots,”Woman disappeared, If an advertisement does not meet our standards of acceptance, we may does revisenot or meet cancelour it atstandards of acceptance, we may revise or cancel it at If an advertisement provides another opportunity to discoverofsomething new.orThe County feels you needed to get over it. If the person billing@thecountywoman.com any time, whether or not it has been already acknowledged previously The acknowledged and/or previously published. The any time,and/or whether or not itpublished. has been already along with the patient's symptoms. EMDR would agree that there is something magical about the summer. Whether it’s the time advertiser assumes sole responsibility for all statements contained in submitted copy and will develops symptoms like Golden nightmares, assumes sole responsibility for all statements contained in submitted copy and will Graphic Designer advertiser Design LLC against has been placed in the “A” category by the protect and indemnify the Woman’s Newspaper, its protect owners,and publishers, andthe employees, indemnify Woman’s Newspaper, itsspent owners,outside publishers, and employees, against soaking up that Vitamin D, or the laid back attitude of our fellow New Jerseyans, this is the flashbacks, anxiety, fearanyor depression, Department of Veterans Affairs as “strongly any and all liability loss or expense arising out of claims forK. libel, unfair loss tradeornames, allWolf liability expensepatents, arising out of claims for libel, unfair trade names, patents, CEO Lynnand of ofyear weor other eagerly wait for. copyrights and propriety rights,fit andthe all violations ofcopyrights thefor rightPTSD, ofand privacy or other violations they may criteria propriety rights, and all violations time of the right privacy violations recommended” for the treatment of trauma. resulting from the publication of this newspaper or resulting its advertising from copy. the publication of this newspaper or its advertising copy.is also an ideal time to take a vacation or a staycation. Taking a break from the daily grind Summer Post Traumatic Stress Disorder. One EMDR has been used with veterans, crime The publisher shall no liability for failure, for any reason, to insert ancall: advertiseThe publisher shall be under no liability for failure, for any reason, to insert an advertiseForbe under advertising inquiries, please give you a fresh perspective upon your return and give you renewed yourvictims next projects. While ment. The publisher be liableto by reason error, omission failure to insert anyreason ofwill The publisher shall not be liable by error, omission and/or failure to insert any doesshall notnothave haveof ment. PTSD toand/or benefit victims, police energy officers,forand of crime, part of an advertisement. The publisher will not be liable or failure inThe performance shines, sure and visit all the places that make the Jersey Shore so special. Stroll the boardwalks, part offorandelay advertisement. publisher will not bethe liablesun for delay or failurebe in performance abuse and accidents. It works on large or small talkingifto professional ansuspended in publicationfrom and/or distribution all oraany portion of an issueabout isand/or delayed or in publication distribution if allfor or any portion of an issue is delayed or suspended for take a inhike, relaxand onwillthe beach, or visit a local winery. traumas for people of all ages, including children. In any reason. The publisher will exercise reasonable judgment in these instances and will make any reason. The publisher will exercise reasonable judgment these instances make upsetting event. However, if symptoms linger over Like every issue of The County Woman, this issue contains countless articlespsychotherapy. adjustments for the advertiser where and when appropriate. adjustments for the advertiser where and when appropriate. most cases it works much fasterinformative than traditional time, counseling/psychotherapy ismaterial recommended. The Woman’s Newspaper assumes no responsibility The for unsolicited orassumes reproducWoman’s Newspaper no responsibility forare unsolicited material or reproducthat sure to guide you in some area of your life as you welcome the start of another glorious tions made by advertisers. tions made by advertisers. Traditional “talking” therapy can be very effective with One treatment has shown inmonth. treatingDon’t forget to visit our Facebook page to stay abreast of everything we have Summer season. This newspaper will be published by the 15th ofthat every month. Thisother newspaper will betremendous published by the 15thsuccess of every other these problems, too. Dr. Sharon Flaherty has advanced training in TM 2008. County Representations by The is Monmouth LLC TM COPYRIGHT COPYRIGHT 2008. Representations by The Monmouth Woman, LLC trauma calledCounty Eye Woman, Movement Desensitization and Reprocessing, going on. Thank or you for allowing us to inform, entertain and motivate you once again. On behalf of the

the two most beautiful words in the English language.” - Henry James

•

1.866.398.0898

856.885.8066

EMDR, and years of experience doing EMDR and traditional entire stafforhere at The Countypsychotherapy. Woman, we hope is filled with lazy days by beach EMDR. EMDR involves series! ofFeye movements, sounds tapping www.TheCountyWoman.com FIND US ON THEaWEB Sheyour cansummer be reached at 908-242-4618 or the at via her and long IND US ON THE WEB ! evenings by dining while recalling the upsetting event. EMDR was discovered Dr. al fresco. website www.sharonflahertyphd.com. Veterans who are having WWW.T HEus C OUNTY W OMAN . COM WWW .T HE C OUNTY W OMAN .COM Find on Facebook, Twitter Francine Shapiro in the late 1980s when she was working difficulty with issues likes these can call their local Veterans Services Best, at the Veterans And follow us on Facebook and Twitter and Instagram And follow us on Facebook and Twitter Officer:atinthe Ocean County Administration. Lauren Shover, Production Manager Ocean County732-929-2096. Woman Publication @TheCountyWoman

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

facebook.com/TheCounty Woman facebook.com/TheCounty @TheCountyWoman an and U.S. Copyright Laws protect The County Wom Woman’s Newspaper. No part of this paper may be reproduced without the written permission of the publisher. The County Woman’s Newspaper assumes no responsibility for unsolicited

Sharon Flaherty, PhD • 908-242-2618 dr.sharon@verizon.net • www.sharonflahertyphd.com material or reproductions made • by advertisers. This newspaper will be published by the 15th of every other month. Representations by CW Media Group, LLC, COPYRIGHT 2008.

Law

Legal Professionals

Helping Injured Workers is What Do. LetYour Us Help. How Workers’ Compensation ProtectsWe You and Family

Atofthe LawCompensation, Office of Kathleen M. Dotoli, Many people have heard Workers’ but few people know making sure injured workers receive what it really means until they themselves are injured at work. Here’s a primer meant to give you a basic understanding your rights. benefits toofwhich they are entitled Over a 100 years ago, business and labor when they get hurt at work is our came to a compromise that benefits both workers top priority. That means fully paid and employers in the event of a work injury. For medical workers, it allowed for prompt medicalbenefits and wage with NO co-pays or expenses, and wage replacement benefits as wellout-of-pocket as an opportunity to receive compensation for thereplacement ongoing physicalwhen a doctor says they limitations that occur after acannot trauma. work It also due to their injuries. created a no-fault system, one where an employee Did you know you may also be entitled to a settlement to need not have to prove negligence in order to address limitations? receive theselasting benefits.physical The goal was to lessen the We make sure our clientshealth receive the amount negative impact formaximum injured workers and when it’s time to maintain their financial settle their case. stability.

Why choose us to handle your case? We love our and believe Employers benefit from workers’ compensation also.work Highly managed ithealthcare is important to the families who comprise community. Helping by workers’ compensation insurance our companies are thought to keep injured workers maintain their lifestyle by making sure their arepursued costs down and return injured workers to work more quickly thanlives if they as uninterrupted as possible afterindependently. a work injury is important to us. It treatment is equally important for us to ensure our clients receive society the medical Overall, the system has benefited by reducing improving work safety andremain protecting taxpayers treatment they need asconflict, well as making sure their wages constant from the burden of paying for the care and needs of during their recovery. disabled workers. results coupled with courteous and Our reputation is based on excellent This all there are times compassionate attention to yourworks file. theoretically, Our clients of arecourse, treatedbut with respect when medical treatment is withheld, wage replacement is at all times. not paid or a workers’ comp claim is completely denied. Whether you or a loved one suffered an injury that will take you or If you’ve been injured at work and feel you are being them out of the workforce temporarily important rights shortchanged, call or us permanently, for a free consultation to discuss must be protected. Call us case today to ensure as you andare your family deadlines receive to your immediately there important the benefits you need. which you must you must adhere.

Kathleen Dotoli received recognition the American Institute of Legal Counsel forBest “10 Best Attorneys for Social Security and Disability Law Division for Client Satisfaction” 2016 and Kathleen Dotoli received recognition fromfrom the American Institute of Legal Counsel for “10 Attorneys for Social Security and Disability Law Division for Client Satisfaction” 2016, 2017 and 2017 2018.

If you need guidance, call 732-228-7534 today for a free consultation. With respect and compasson, Kathleen has helped thousands of Ocean and Monmouth County residents receive the benefits they deserve for over 20 years.

www.lawofficeofkathleenmdotoli.com

Call today to learn more about how you may qualify for Workers Compensation Benefits

Testimonial Kathleen always called me back answered all my questions with patience and understanding even after my case was settled. Anthony G. - January 2019 The information on this article is legal advertising and is not to be considered legal advice. If you have already hired or are represented by an attorney, you should disregard the information in this article. If this article is inaccurate or misleading, report same to the Committee on Attorney Advertising, Hughes Justice Complex, CN 037, Trenton, New Jersey 08625.

The County Woman Magazine www.TheCountyWoman.com www.TheCountyWoman.com The County Woman Magazine

May/June 2019 March/April 2018

TableLaw of Contents

39 5

Do You Need an Attorney if You’ve Been Injured at Work?

Fine Art Photography

Tracy Harman Photography......................................................... 2

Dr. Park Avenue.......................................................................... 45 Garden State Medical Center..................................................... 67

Business & Finance

Copiers Plus............................................................................... 33

Brick Township Chamber of Commerce.................................... 56 Featured on the Cover For minor injuries, you probably don’t need the services of an attorney unless you need help getting Dealing with insurance Cosmetic & General Dentistry All-Care Physical Therapy Center, LLC.................................... 6, 7 Insurance companies regarding your your medical paid........................................................... If any of the following is true,3 however, you probably do need the services of an Aesthetic Dental bills Creations. Arocho Insurance Agency.......................................................... 36 Permanent Hair Removal Workers’ Compensation attorneyProfessionals who is well-versed in the area of Workers’ Compensation law. Legal Brick Electrolysis.......................................................................... 8 & Hair Restoration claim can be Wigs daunting, • YouM.need surgery. Kathleen Dotoli, Esq................................................................ 4 Abstrax Hair Designs.................................................................. 40 Health & Wellness especially when you should • Matus YourLaw injuries impair your ability to function9as you did before the accident. The Group.will ................................................................. Living Healthy Naturally.............................................................. 14 Education be concentrating on feeling • You canEsq.. no .longer do your job because of limitations or pain. Kevin Riordan, .................................................................. 14 Ocean College............................................................... 46 Hot or Not Yoga.......................................................................... 29 Without better. theCounty assistance • You haveAttorneys to change your job to accommodate your Straffi & Straffi, at Law............................................... 38 limitations. Hypnosis for Women.................................................................. Acupuncture of an37experienced attorney to • The insurance company is contesting your claim and will not pay your medical bills or wage Medical Professionals Koehler Acupuncture. Jersey Shore Pharmacy.......................................................represent 42, 43 your interests, you’ll ................................................................. 48 replacement. Institute for Complementary and Alternative Medicine................ 5 Lice Lifters.................................................................................. 44 Women’s History be subject to the actions and • Your doctors haveGroup released you from treatment prematurely. Hyptertension and Kidney of OC...................................... 8 Louise Smith. . ............................................................................. Elder Law opinions of those who may have interests contrary to yours. Don’t49go • You would likeCenter. a second opinion regarding Shore Vascular & Vein ........................................ 10,your 11, 67condition. Carluccio, Leone, Dimon, Doyle & Sacks, LLC.......................... 15 this Pet Services through process alone. Contact the Law Office of Kathleen M. • Jersey You’veHematology been firedOncology or haveAssociates......................... had your hours significantly reduced as a result of your work accident. New 12 Funny Farm Rescue................................................................... Dotoli for courteous and experienced legal representation for your50 Financial Management • The process is overwhelming and you would like13the opinion someone who is.................................................... well-versed Ocean Otolaryngology Associates, PA....................................... Workers’ matter. Gardenof State Trust Company. 16 Compensation Women of Ocean County............................... 52, 53 in this area. of Ocean County........................................ 17 Gastroenterologists Cake Shoppe & Tea Room Theatre & Entertainment Reproductive Science Center of New Jersey............................ 18 A Sweet Memory Cake Shoppe & Tea Room. . ........................... 19 Gazillion Bubble Show............................................................... 58 Kathleen Dotoli received recognition from the American Institute of Legal Counsel for “10 Best Attorneys for Social Security and Disability Law Division for Client Satisfaction” 2016 and 2017 Personal Enhancement Center............................................. 22, 23 Holistic Substance Abuse Treatment Drunk Shakespeare.................................................................... 59 Advocare Stafford Orthopedics.................................................. 24 Enlightened Solutions................................................................. 19 Radio Hackensack Meridian Integrative Health & Medicine................. 25 The County Woman B 98.5......................................................................................... 62

If you need guidance, call 732-228-7534 today for a free consultation.

Be Well Women’s Health............................................................ 26 Advanced Sleep Center of New Jersey..................................... 27 Atlantic NeuroSurgical Specialists............................................. 28 University Urology Associates of New Jersey...................... 30, 31 Bella Derma Medi Spa................................................................ 32 Kathy A. Banks, DMD........................................................... 34, 35 Paonessa Colon and Rectal Surgery, PC................................... 39 Toms River X-Ray, CT & MRI Center.......................................... 41

Medical Professionals

Instagram................................................................................... 20 Subscription Form...................................................................... 56 10th Anniversary................................................................... 64, 65

Nursing & Rehabilitation Center

Tallwoods Care Center............................................................... 21

Psychotherapy

Sharon Flaherty, Ph.D................................................................. 29

Community................. 46, 47, 51, 54, 55, 57, 60, 61, 63, 66 Please Take Advantage Of Our Many “Enter To Win” Contests Throughout The Paper And On Facebook!

MMedical edicalProfessionals Professionals

Sick? Tired?Heat Fatigued? Therapy Is Here! Stroke IV Vs.Nutritional Heat Exhaustion First And Foremost Is To Listen To Your Body!

A popular trend is now sweeping across the coun- with both acute and chronic inflammatory conditions achieve optimal and therapeutic levels both in terms of daily dosage and weeks try that is utilizing a simple concept to assist our body including but not limited to: fibromyalgia, heart disversus months of time requiring in achieving our daily requirements through what ease, depression, Lyme and other infectious diseases, HEAT STROKE: We all enjoy the summer season but NOT the humidity and uncomfortable high-dosing some call IV Nutrition. chronic fatigue, disc disease and more. Most patients • Most severe form of heat these related illness thatschedules. can lead It todoes death if not treated heat associated with record breaking temperatures. According to the Centers come at a price, however—meaning after receiving IV Supplementation increased new “FAD” hasand been sweepingon across America as anreport emergency forADisease Control Prevention, average, over 600 people die from out-of-pocket expense. Drips range in enhanced mood, stress and anxiety, • Same symptoms of heat exhaustion plus…… complications related to extreme heat each year in theenergy, United States - more thandecreased that is opening the eyes and minds of those suffering price from just over $100 to as high • Body temperature greater than 104 degrees tornadoes, hurricanes, flooding, lightning or any other weather event combined. improved sleep, more energy, heightened immunity, with fatigue, generalized malaise, aches/pains and as $400 for highly specific formulations. • These tempstime leadafter to brain, muscle, kidney, heart and total body failure if not improved hydration, and quicker recovery just about the everything in between. From What’s difference between heathousewives exhaustion and heat stroke? appropriately treated THE BOTTOM LINE: exercise. to construction workers, actors to athletes, children Heat exhaustion is the precursor to heatstroke and is a direct result of the body Once again ICAM is offering tooverheating. grandparents, literally thousands of Americans are HOW DO THESE IV’s WORK? Using medICAM offers a variety of intravenous drips thatHealthcare benefit many patients OPTIONSmedical to and for your self-searching answers to their medical needs and a HEAT EXHAUSTION: ical grade vitamins, minerals and other chemicals, and conditions from “fatigue to fantastic”. Whether you think you are healthy or Needs. For more information, contact • Heavy to Sweating resolution their troubling symptoms. these “custom-made” IV’s are you similar to IV’s used in are not, IV supplementation is a quick and efficient way to • Rapid ICAM to speak to one of the highlypromote health WHYPulse IV NOT ORAL? IV Vitamin Drips deliver outpatient clinics and hospitals where the illness. ingredients and combat • Dizziness medical staff members vitamins, minerals and amino acids directly to the are based on desired outcomes and patients’ defi- seasonknowledgeable During the summer ICAM is offering our “Hydrator IV” for those who • Fatigue to see how you may benefit from body for maximal absorption, thus allowing for nour- ciencies/specific needs. The IVwish route medication to of optimize their hydration either before and/or after extreme sun/heat • Cool, Moist Skin IV Nutrition. ishment on a cellular level. In addition, higher doses delivery allows for a much higher dosageWhether of nutrients exposure. you choose the IV or oral route of fluid administration, always • Goose Bumps When In The Heat can be given, providing higher, yet safe levels without sure to keep to be administered safely and be effectively whilehydrated. having This is especially important in the very old and the very • Muscle Cramps young of course our furry littleinfriends! the• Nausea limitation these doses have upon the oral route Yours Health and Wealth, the potential of 100% absorption onand a cellular level, (gastrointestinal side effects, etc.). which far exceeds that of the oral, sublingual and top• Headache ical vehicles of administration. For many, this decreasThese symptoms may develop over come especially IV nutrition/supplementation has time been or used suc-on suddenly, Read the fullMarK article at www.Icamnj.Com during as or primary following periods of prolonged IFthe NOT ADDRESSED, cessfully and adjunctive therapy exercise for thoseAND es Mark James Bartiss, MD amount of oral supplements one may need to

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heatstroke can follow.

Manahawkin 609-978-9002

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November/December 2017 May/June 2019

Medical Professionals

Physical Therapy For The Pediatric Population Written by: Erin Sullivan, DPT

Range of motion and flexibility differ from that of an adult so special considerations should be kept in mind when treating the pediatric population. When a child experiences an injury, treatment may vary considerably versus an adult, particularly in the event of growth plate involvement. These injuries, and the natural growth and development of a child, can significantly impact their ability to reach motor milestones. Growth spurts may also impact how and/or when they evolve their gross motor skills.

the plan of care. Your child may attend therapy sessions anywhere from once a week to three times per week depending on the outcome of your child’s evaluation. Treatment will be specific for each individual child and will be focused on age-appropriate, childdriven activities with integrated therapeutic play to address the child’s goals.

• Meeting Motor Milestones

Where can I find pediatric physical therapy?

Physical therapy is not just for adults; children can also benefit from treatment. How Can Physical Therapy Help My Child? • Orthopedics

Children may have difficulty reaching their motor milestones for a number of reasons. These milestones act as stepping stones for a child to progress towards more complex, functional activities. If children are delayed in reaching these milestones, they may also have difficulty participating in school-based, recreational, or age-specific activities.

• Sensory Processing

Children with autism spectrum disorder, or other conditions which impact sensory processing, can also benefit from skilled physical therapy services. A child’s perception of sensory input may impact their functional and gross motor ability as well as their behavior. These senses include sight, sound, smell, taste, touch, vestibular (balance), and what is known as proprioceptive or the perception of one’s own body, detected by the nervous system. It is possible that children may be over-sensitive or under-sensitive to sensory input, and it is important that their treatment be focused regarding their specific needs.

Pediatric physical therapy is available in a number of different settings. Children with developmental delays from infancy up to three years of age, in New Jersey, may be eligible for a federally funded program called Early Intervention. School-based physical therapy is also available in some cases and focuses on the child’s ability to access and participate in the school setting. Medical-model physical therapy is available in the hospital-based, home-based or outpatient setting, like All Care Physical Therapy Center. Medical-model physical therapy will address a child’s global needs, including the ability to participate in the home or community (due to injury or gross motor delays). Many children may benefit from physical therapy on an outpatient basis, in addition to receiving school-based therapy services. Parents are encouraged to discuss any concerns and treatment options with your child’s pediatrician or physician.

New Location: Brick/Ramtown!

What to expect

A licensed physical therapist will take a detailed history from you and your child regarding current or ongoing complaints. Your therapist will then complete a thorough evaluation, often through observation as well as objective measurements, to determine whether your child is performing at an age-appropriate level. Measures of joint range of motion, flexibility, and strength will also be assessed as part of the evaluation. The therapist will then discuss the findings with you and make recommendations regarding

732-714-6363

34 Lanes Mill Road • Brick Dorado Plaza We Offer Free Transportation, In Home Physical Therapy and the Full Range of Outpatient Services.

AWARD WINNING Physical Therapy right in your area. Erin Sullivan, DPT

Freehold Facility Manager

1-(855)-3ALLCARE

Come Experience The All-Care Difference For Yourself! Whiting • Toms River • Freehold/Howell Manchester • Barnegat • Jackson • Wall/Manasquan Forked River • Brick/Silverton • Brick/Ramtown Home Therapy Certified Hand Therapist

Free Transportation For Patients In Need www.AllCarePTC.com

The County Woman Magazine www.TheCountyWoman.com

Erin graduated from the Richard Stockton College of NJ with her Bachelors of Science in Biology in 2011 and her Doctorate of Physical Therapy in 2013. Erin completed her clinical affiliations in a variety of settings, one of which was in our Toms River facility. In addition to her clinical rotation at All-Care, Erin completed affiliations in school-based pediatric, acute care, and hospital affiliated out-patient settings. Clinically, Erin works with post-surgical orthopedics, musculoskeletal injuries, adult neurological conditions (Parkinson’s disease, stroke, spinal cord injury, Guillan-Barre syndrome, and Multiple Sclerosis) as well as pediatric and genetic neurological conditions (Cerebral Palsy, seizure disorders, and muscular dystrophy). Erin is certified as a LSVT: Big Clinician. The LSVT: Big program is a unique treatment approach for patients’ with Parkinson’s focusing on big, large amplitude movements to promote independence. Erin also has clinical experience with patients with cardiopulmonary complications and other comorbidities. Erin’s treatment approach is very hands on with a focus on keeping her patients as involved as possible during their physical therapy experience and rehabilitation.

May/June 2019

Featured On The Cover All-Care Physical Therapy

Joan Yorke knew physical therapy could be better than what she had experienced. Her son Michael, a practicing, licensed physical therapist, agreed with her. He had also seen the need for improvement in various aspects of the physical therapy industry. Joan’s unsatisfactory experience and Michael’s determination to improve therapy for his patients became the impetus for All-Care Physical Therapy Center’s Written by Kimberly Salvato, DPT, Manchester Physicalestablishment. Therapist

Understanding Shoulder Replacement Surgery

All-Care Physical Therapy Center, a unique fifteen-year-old company,

Total Shoulder Replacement (TSA): is primarily owned by Michael Yorke and is family operated with offices The totalBrick, shoulder (TSA)Manchester, was first performed in Whiting, Tomsarthroplasty River, Barnegat, Jackson, Freehold, inWall, the United States in the 1950’s. Now, the Agency for Healthcare and their newest location in Brick/Ramtown. Michael works with his Research states 53,000 in the U.S. have shoulders brother,and Jim,Quality and his parents, Jimpeople and Joan Yorke, in addition to a talented replaced each year. The goal is to decrease pain, while increasing staff of physical therapists, physical therapy assistants, aides and clerical staff. mobility, strength, and function. All-Care prides itself in its unique ability to offer services along every Shoulder Anatomy step of the therapy process, in what they call “The Continuum of Care.” shoulder is composed the humerus service, to one FromThe in-home physical therapy,oftothree theirbones: free transportation (upper arm), scapula (shoulder blade), and clavicle (collar bone). listen and adapt to a patient’s needs, or simply the polite staff, all contribute of their many conveniently located outpatient facilities, their patients have Like a ball and socket joint, the head of the humerus (the ball) fits to patient satisfaction. Based on 16,000 patient surveys, nearly all, 99.7 access to familiar care as their needs change. In the facilities they also offer into the socket of the scapula (glenoid cavity). Next is the rotator percent of patients would recommend All-Care to family and friends while a number of of unique serviceswhich such as hand a Certified Hand cuff, made up four muscles hold thetherapy head of with the humerus 98.2 percent said their experience at All-Care was exceptional compared to Therapist and an innovative treatment for Parkinson’s disease called LSVT into the glenoid cavity. they had received previously at other providers. In fact, All-Care has Big. replaced. care A metal ball and stem replace damaged humeral Causes: the cavity title ofis“Best Physical in Ocean County in the Asbury From the warm, inviting reception areas to the spacious and neat head. Thewon glenoid replaced with aTherapy” smooth plastic Causes for a TSA include rheumatoid arthritis, disease Park Press Readers Choice Award for past eight consecutive years. each All-Care and facility location a spa-like atmosphere surface. oftreatment the rotatorfloors, cuff, osteonecrosis, humeral headoffers fractures. individual comments even more telling. It’s not unusual designed with patient in mind. • Reverse: WithThe severe damagepatient or rotator cuff tears,areReverse The most common causecomfort is advanced osteoarthritis meaning for patient feedback to reflect that of former patient Fran F., who said, “I “Ajoint’s patientsmooth who iscartilage comfortable much betterSurgery rehabilitation outcome,” TSA allows for less pain and increased function. The socket the lininghas hasadeteriorated. is have never met caring in socket, my life…I explains Michael. and ball are switched; ballsuch replaces thepeople shoulder and feel like they became my considered when conservative treatments (rehabilitation, injection, family and I will miss everyone.” The philosophy clearly goes beyond the aesthetics of the facility. Allthe socket is attached where humerus had been. The deltoid medication) have failed. “Asthe therapists believe it’s our privilege to treat patients. We believe muscle becomes primarywe mover during elevation. Care’s approach to therapy is patient-focused with the intent of making Is this right for you? we are only as good as what our patients say about us,” says Michael, therapy productive, progressive, and comfortable. All-Care stresses hands-on This decision should be made between you, your family, and After surgery acknowledging the survey results. He adds, “We want to thank them for manual therapysurgeon. with consistent patient/therapist interaction. your orthopedic If conservative treatment did not relieveThis allowsPost-operative Physical therapy has a large success rate the word.”use of their hand, and wrist therapists then to better treatment to the your specific needs of results spreading though can vary. Restricted symptoms, TSAcustomize can be a great option programs to help increase Indeed, recommendation has helped build the business from the begins soon after, and their patient elbow and shoulder in approximately their patients.and Thisregain personalized attention levels, independence, your quality of life.improves patient comfort beginning. opened in as 2005 a relatively six weeks. Unrestricted useAll-Care may begin as early eightinweeks. It is small space in Whiting. which, in turn, improves the overall outcome of therapy. TSA: Total v. Reverse important to realize pain typically lasts until 6-12 months. After one Patients completing At that time, Michael was the only therapist on staff. Being Replaces owned bythe a practicing physical is the reason for this • Total: damaged joint with therapist prosthetics. Typically, year, 95% of patients enjoy pain-free function!were just as satisfied then as they are now. The their rehabilitation programs novel Michael is always at what helps the patient theapproach. head of the humerus, and thelooking glenoidfirst cavity are both

word spread quickly, which led to exceptional results. After five months in the most. This in turn guides the way he structures the business. The Kimberly Salvato, DPT, Manchester Physical Therapist business, All-Care’s increase in patients required a move to a bigger facility organization and personality of All-Care is not built upon a corporate Kimberly Salvato received her Bachelor’s of Science in Biology and in Behavioral Neuroscience the Richard andminor additional staff. And the trendat continues. regimen, but upon the patient-first mission of hands-on therapy. Stockton College of New Jersey in 2012. Following the completion of her undergraduate degree, Kimberly attended graduate To serve the growing number of patients, All-Care added facilities Most people assume the old adage “No pain, no gain” to be true of school at the University of the Sciences in Philadelphia and received her Doctor of Physical Therapy in 2015. As a student, throughout Ocean and Monmouth Counties, and as of January 2019 physical therapy. However, Michael says, “In general, nothing we do should Kimberly received extensive training treating patients post-stroke in an acute setting and patient post-surgical in an outpatient celebrated the Grand Opening of their tenth and most recent expansion into cause pain. You’re here for the exact opposite reason. Pain is a physiological orthopedic setting. Kimberly then spent four months on her last affiliation in orthopedics she the northern sectionand of sports Brick medicine, and Wallwhere Township. response to tissue damage. Any physical therapy activity that elicits pain studied under renowned sports physical therapists, athletic trainers, and All-Care strength and conditions specialists. Kimberly Therapy Center treats learned patients of all ages for a should be avoided.” valuable knowledge working with high school and college athletes, predominatelyPhysical with ACL and meniscal injuries. wide variety of injuries, including those relating This innovative pain-free approach therapy,based coupled with(EBP) the in order to provide high-quality care to her patients. She hasto sports, work, motor Kimberly believestoinphysical using evidenced practice and orthopedics. The frequency and duration of visits varies by the one-on-one attentioneven from personable physical therapists, supports participated in alicensed group research project examining the efficacyvehicle, of Thera-Band elastic bands versus free weights when individual and the specific condition being treated, but typically patients rapid physical and emotional performingrehabilitation. external rotation of the shoulder, which she hopes will become published. meet their therapist two to Assisted three times a week for four weeks or longer. All-Care believes thatKimberly’s all aspects of the physical therapy are approach to treatment utilizesexperience various techniques she haswith learned including: Instrument Soft Tissue The specifics of any treatment program are determined after an initial important. Whether Mobilization it’s a private(IASTM), therapyKinesio room,Taping spacious open floor plantherapy techniques including Maitland, Mulligan, and McKenzie Method, and manual evaluation with the therapist. that allows for a moreapproaches. thorough evaluation and treatment, a willingness to

Come Experience The All-Care Difference For Yourself • www.AllCarePTC.com 1-(855)-3ALLCARE F R E E T R A N S P O R TAT I O N

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The County Woman Magazine www.TheCountyWoman.com

May/June 2019

Medical Professionals

The All Important Work of the Kidneys

lthough small in size, kidneys are busy, often referred to as the washing machines for the blood in your body. Essentially, they filter the blood, remove the waste, and then send the waste on to the bladder in the form of urine. Healthy kidneys filter about a half-cup of blood every minute. Therefore, when disease arises in the kidney it can lead to serious complications and should not be overlooked.

Renal cystic disease is not a single condition, but multiple diseases that deal with cysts that develop on or around the kidneys. In rare cases, they can be cancerous, but most of the time these cysts are benign. One way to think of a cyst is like an internal pimple. It is a closed cavity or sac lined by skin and filled with fluid or can be semi-solid. Cysts can appear anywhere in the body. Some symptoms can range from dull pain in your back or side, fever, and upper abdominal pain. There are many theories about what causes these cysts. Some say that kidney cysts develop when the surface layer of the kidney weakens and forms a pouch, the pouch then fills with fluid, detaches and develops into a cyst. Most of the time these types of problems are inherited or can even appear at birth. Others can be associated with disease, and can appear for (seemingly) no reason. Studies have shown that a third of those aged 50 or older have evidence of one or more cysts visible on computed tomography scans. Polycystic kidney disease (PKD) is one of those diseases that can cause serious complications including high blood pressure and in some cases, kidney failure. The condition varies in severity and some of the complications are preventable. This is an inherited

Nephrology

If you suspect that there is something wrong with your kidneys, it’s best to act now before it’s too late. Some common disorders we treat include hypertension (high blood pressure), kidney stones, chronic kidney disease (CKD), acute kidney injury, hematuria, proteinuria dialysis, and more.

Permanent Hair Removal

disorder where clusters of cysts develop within the kidneys, which causes them to enlarge and lose function over time. Although they are noncancerous, they vary in size and if left unchecked can do real damage to your kidneys. PKD can also cause cysts to develop in your liver and elsewhere in your body. Some of the symptoms can include: High blood pressure, back pain, blood in urine, and a feeling of fullness in your belly. Interestingly enough, it is fairly common for people to have this condition for years without even realizing it. If you are considering having children it is important to assess your risk of passing down this condition to your offspring. Talking to a genetic counselor can help you make the right determination. Keeping your kidneys as healthy as possible is an effective way to help prevent some of the complications of this disease. Managing your blood pressure, eating a low-salt diet with plenty of fruits, vegetables, and whole grains is a great start. In it’s simplest form Renal cystic diseases are a group of disorders characterized by the presence of multiple cysts in the kidneys. Some of the acquired conditions include: cystic kidney disease, which develops in patients with end stage renal disease. The hereditary conditions include autosomal dominant polycystic kidney disease, medullary cystic kidney disease, and tuberous sclerosis. Hypertension and Kidney Group is the place to go for treatment if you suffer with this condition. Dr.’s Robert Arnold and Fatima Asghar treat a myriad of kidney conditions including kidney transplants, hypertension, and kidney disease. These doctors have over 20 years of experience, providing a better quality of life for their patients.

Fatima Asghar M.D. Dr. Fatima Asghar is a Board Certified Nephrologist, who has been practicing in the Ocean County area since 1994.Dr. Asghar completed her Internship and Residency in Internal Medicine at Raritan Bay Medical Center (Perth Amboy, N.J.), followed by a Fellowship in Nephrology, at Robert Wood Johnson University Hospital ( New Brunswick, N.J.) She co-founded Hypertension and Kidney Group, where she practices as a Board Certified Nephrologist/Internist. Dr. Asghar is a member of The American Society of Nephrology, The National Kidney Foundation, as well as The New Jersey Medical Society. Her clinical experience, as well as her informed approach with her patients, demonstrate Dr. Asghar as a highly respected Nephrologist in the Ocean County area. Dr. Asghar and her staff welcomes you to Hypertension and Kidney Group.

HYPERTENSION AND KIDNEY GROUP 368 Lakehurst Road, Suite 303 Toms River, NJ 08755

t: 732.341.2211 f: 732.505.8229

www.hypertensionandkidneygroup.com

Internal Medicine

Office Hours by Appointment

If you are looking for treatment for non-kidney related diseases, please call us! Our physicians also practice Internal Medicine and can treat a variety of diseases including acute respiratory infections, chest pain, fatigue, diabetes, and more.

Fatima Asghar M.D. and Robert Arnold M.D. Our two physicians have over 20 years of experience in treating kidney related diseases.

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6/30/19.

The County Woman Magazine www.TheCountyWoman.com

Lorraine Fetherman, Lorraine Fetherman, L.E., C.P.E. Debbie Matusas, L.E., L.E.,C.P.E. C.P.E.

522 Brick Blvd • Brick, NJ 08723

732-948-9547 732-948-9547 www.bhairfree.com www.bhairfree.com

May/June 2019

Legal Professionals

The Top 7 Reasons to Establish a Special Needs Trust By Christine L. Matus, Esq.

Special needs trusts (SNTs) can play an important role in helping families plan for children with special needs. Here are some of the most compelling reasons to speak with your attorney about establishing an SNT. 1. Preserve public benefits while enhancing your child’s lifestyle. As adults, those with significant special needs obtain basic support from Supplemental Security Income (SSI), which also is the gateway to Medicaid and other critical programs. Since SSI covers only essential expenses, most parents want to supplement their child’s lifestyle. But because SSI imposes limits on income and assets, providing funds to the child directly can jeopardize benefits eligibility. Best solution: place funds in an SNT. The Social Security Administration (SSA) does not count assets in an SNT as income for determining benefits eligibility because the assets are owned by the trust rather than the child beneficiary. 2. Ensure assets will be used as intended. With an SNT, distribution of assets is directed by trust documents as well as SSA and IRS guidelines. By comparison, if you leave assets to an “able-bodied” child and ask that some of the funds be used for the sibling with special needs, the child may fail to honor your request, lose the assets to creditors, or die prematurely and leave the funds to his or her own children. 3. Allow others to contribute. If you establish the trust now, grandparents and others can make annual gifts to the SNT of up to $14,000 ($28,000 for a married couple) without triggering the gift tax or generation-skipping tax. Anyone interested in leaving their child money should be advised to direct bequests to the SNT.

4. Fund the SNT as you wish. SNTs can be funded with cash, securities or other resources. Often, a second-to-die life insurance policy offers the most affordable option, enabling a family to fund an SNT without depleting assets required for other household needs. If assets in an Individual Retirement Account (IRA) will represent a large portion of your estate, it’s important to speak with an attorney about the most tax-efficient way to transfer those assets to an SNT. 5. Identify appropriate distributions. If you establish and fund an SNT while your child is young, you can use the trust like a checking account to pay the child’s expenses. A future trustee can then refer to a record of these payments as a guide in determining necessary and appropriate distributions. 6. Maximize the benefits of a personal injury settlement. If your child wins a sizable settlement, having the payout (often a lump sum plus a structured settlement) directed to a self-settled SNT offers several benefits. Your child will still qualify for public benefits, can use settlement funds for nonessential expenses, and may enjoy the financial security of receiving regular payments for life. 7. Enhance matrimonial settlements. If your adult child who receives SSI and Medicaid divorces, having a self-settled SNT drafted through the divorce decree will allow any alimony or lump-sum payment from the child’s ex-spouse to be paid to the trust. With public benefits intact, it’s possible your child may need less from the ex-spouse. That could help ease matrimonial negotiations while still providing your child with ample resources.

Call us and we can help you determine the most appropriate way to structure an SNT to meet your individual needs.

HELPING PEOPLE PROTECT ASSETS FOR SPECIAL NEEDS CHILDREN AND CONDUCT SMOOTH REAL ESTATE CLOSINGS FOR ALMOST TWO DECADES. • Special Needs Trusts • Wills & Estate Planning

• Guardianships • Health Care Proxies • Long Term Care

• Powers of Attorney • Inheritance Tax Planning • Trusts

81 East Water Street Suite 2C, Toms River NJ 08753 732.281.0060 • www.MatusLaw.com 125 Half Mile Road, 200 • Red Bank, New Jersey 07701 This office by appointment only.

Christine L. Matus, Esq. with her family

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405 Lafayette St. Cape May, NJ

609-660-8311 www.capemaystage.org May/June 2019

Medical Professionals

The Most Common Common Questions Questions And AndAnswers Answers Concerning Varicose Veins Concerning

Varicose Veins

aricose veins are one of the most common vascular Varicose are onemen of the most conditions affectingveins women...and of all ages. common vascular conditions affecting Treatment options have improved greatly in of all ages. Treatment recentwomen...and years. In spitemen of these advancements, options have improved greatly recent many people mistakenly still believe thatintreatspite of these advancements, ment years. for thisInproblem is difficult, painful, and many people mistakenly still believe simplythat considered “cosmetic.” Other people treatment for this problem is may experience leg painand andsimply other symptoms difficult, painful, considered but they don’t realize whatpeople is causing their “cosmetic.” Other may condition. This article will answer some experience leg pain and other common questions varicose veins, symptoms butregarding they don’t realize what is Jeffrey S. Gosin, Jeffrey S. Gosin, MD, FACSMD, FACS the associated and treatment. causingsymptoms, their condition. This article will answer some common What are varicose veins? questions regarding varicose veins, the associated symptoms, and treatment. Varicose veins are swollen veins that can be seen through the skin.

They oftenare have a bulging, twisted appearance. Some varicose veins What varicose veins? be Varicose veinsand are swollen veinsOthers that canmay be seen throughThey the skin. may very large discolored. be smaller. can They oftenanywhere have a bulging, appearance. occur on thetwisted legs, including the Some groin varicose area. veins may be very large and discolored. Others may be smaller. They can occur anywhere on What causes varicose veins? the legs, including the groin area. Blood must flow up, against gravity, to exit the legs and return to What causes varicose veins? the heart. Our leg veins have one-way valves that assist in this process. Blood must flow up, against gravity, to exit the legs and return to the Those valves can malfunction and leak, causing blood to flow in the heart. Our leg veins have one-way valves that assist in this process. Those wrong The blood inblood the legs, increasing the pressure valvesdirection. can malfunction andthen leak, pools causing to flow in the wrong in direction. the veins.The Thisblood is known as venous or Chronic Venous then pools in thereflux legs, disease increasing the pressure in Insufficiency (CVI). Venous reflux is one of the most common causes the veins. This is known as venous reflux disease or Chronic Venous of Insufficiency varicose veins. (CVI). Venous reflux is one of the most common causes

of varicose What are theveins. symptoms of varicose veins and venous reflux disease? What are the symptoms veinsmay andfeel venous reflux People with varicose veins of andvaricose venous reflux leg pain, leg disease? heaviness, leg fatigue and/or leg swelling. Itching of the skin of the legs is aPeople with varicose veins and venous reflux may feelsymptoms. leg pain, legMany also very common complaint. Standing may worsen heaviness, leg fatigue and/or leg swelling. Itching of the skin of thesome legs is people will notice the appearance of bulging legs veins. However, also awill veryonly common complaint.but Standing may worsen symptoms. Many people feel discomfort not notice any cosmetic changes. people will notice the appearance of bulging legs veins. However, some I thought varicose veins are justbut a cosmetic problem. Is that true? people will only feel discomfort not notice any cosmetic changes. is important to understand veins problem. and venousIsreflux I Itthought varicose veins arethat justvaricose a cosmetic that aretrue? NOT necessarily simple cosmetic problems. This can be a sign of an abnormal condition in the circulation. In addition pain, some It is important to understand that varicose veins andtovenous reflux individuals maynecessarily be at risk for chronic swelling, permanent skin are NOT simple cosmetic problems. This can be discoloration, a sign of an open wounds and eveninblood clots. With diagnosis treatment, abnormal condition the circulation. In early addition to pain,and some individuals long-term can usuallypermanent be prevented. often has may be atcomplications risk for chronic swelling, skinTreatment discoloration, open thewounds added and benefit improving aesthetics, even in cases that are not evenofblood clots. With early diagnosis and treatment, longterm complications considered “cosmetic.”can usually be prevented. Treatment often has the added benefit of improving aesthetics, even in cases that are not considered Who is at risk for varicose veins? “cosmetic.” Prolonged standing or sitting on one place, family history of varicose Who is at risk for varicose veins? veins, and being overweight are all known risks. In addition, increasing Prolonged standing or sitting on one place, family history of varicose ageveins, and pregnancy are risk factors. Some people may develop varicose and being overweight are all known risks. In addition, increasing age veins having anyfactors. of these known conditions. andwithout pregnancy are risk Some people may develop varicose veins

How are varicose veins and venous reflux diagnosed? How are varicosevascular veins and venous diagnosed? An experienced specialist canreflux make the diagnosis with An experienced vascular specialist can make the diagnosis a combination of a medical history, physical examinationwith and aa combination of atest medical physical examination and a painless painless vascular calledhistory, a Doppler ultrasound (also known as vascular test called a Doppler ultrasound (also known as a venous duplex a venous duplex scan.) Making the correct diagnosis is essential Making the correct diagnosis is essential in properly treating this inscan.) properly treating this condition. condition.

How varicose veins andand venous reflux treated? Howare are varicose veins venous reflux treated? Sometimes compression stockings will be sufficient to control Sometimes compression stockings will be sufficient to control symptoms symptoms and prevent complications. When procedures are needed, and prevent complications. When procedures are needed, current current technology and techniques, allow forWITHOUT treatment WITHOUT technology and techniques allow for treatment the need for the need surgery. for painful One of proven the best, most proven treatments painful Onesurgery. of the best, most treatments for venous reflux the Closure® This minimally procedure is performed foris venous refluxProcedure. is the Closure® Procedure,invasive now referred to as Venefit™. rightminimally in the office in less than 30 minutes, with no incisions, minimal This invasive procedure is performed right in the office discomfort, and excellent results. in less than 30 minutes, with no incisions, minimal discomfort, How long isresults. the recovery from vein treatment? and excellent In most cases individuals can return to their usual activities within a day

How long is the recovery from vein treatment? of the procedure. In most cases individuals can return to their usual activities within Is varicose vein treatment covered by health insurance? a day of the procedure. Venous reflux disease is a medical condition. Therefore, in many cases, Isvaricose varicose vein treatment covered by health insurance? vein treatment is covered by health insurance. An experienced vein Venouscenter refluxwill disease a medical condition. Therefore, in many treatment haveisinsurance specialists who will work with your insurance company to confirm iscoverage. cases, varicose vein treatment covered by health insurance. An experienced vein treatment center will have insurance specialists who will work with your insurance company to confirm coverage.

Visit www.GetGreatLegs.com

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• Sclerotherapy for treatment of spider veins • Excel V Vascular Laser for treatment of spider veins and unsightly facial veins • IAC Accredited Noninvasive Vascular Laboratory on site • Enlighten(TM) Laser Tattoo Removal

442 Bethel Road Somers Point, NJ 08244

(609) 927-VEIN (8346) www.GetGreatLegs.com

without having any of these known conditions. www.TheCountyWoman.com The County Woman Magazine The County Woman Magazine www.TheCountyWoman.com

May/June 2016 May/June 2019

Featured On The Cover

Meet the Professional Team at Shore Vascular and Vein Center Jeffrey S. Gosin, MD, FACS Dr. Jeffrey Gosin has dedicated his career to the treatment of individuals with vascular and vein diseases. He is Board Certified in both Surgery and Vascular Surgery. He is a graduate of the University of Pennsylvania and Jefferson Medical College. He completed his General Surgery residency at Robert Wood Johnson University Hospital where he was Chief Surgical Resident. After his residency, he remained at Robert Wood Johnson and completed an accredited fellowship in Vascular Surgery where he received extensive training in traditional “open vascular surgery,” minimally invasive procedures, performed medical research, and had numerous papers published in scientific journals. His dedication to the treatment of the circulatory system led to the development of Shore Vascular & Vein Center (formerly Jersey Shore Center for Vascular Health.) In 2003 he became Chief of Vascular Surgery at Shore Memorial Hospital (now Shore Medical Center) and Medical Director of The Cardio Vascular Institute at the hospital. When not caring for his patients, Dr. Gosin enjoys travel, boating, the beach, sports, and spending time with his wife and three children.

Virginia S. Virginia is our billing specialist. She has been with us since 2002. Prior to joining our group, she worked in the billing department of a large cardiology group outside of Philadelphia. She will be able to handle any questions that may arise regarding payment of your claims after they are submitted to your health insurance company. She will work as your advocate to be sure that all claims are processed properly by your health insurance carrier.

Karen K. Karen is our clinical manager and has been with us since 1998. She is responsible for overseeing all of the clinical aspects of the practice, including scheduling, insurance authorization and assisting the doctor. She is a health insurance specialist and will work with your insurance provider to obtain appropriate coverage for your treatment.

Lori C. Lori is our business manager, she handles the insurance billing and daily office accounting. She joined Shore Vascular & Vein Center in April 2017 after working many years in Cardiology. She grew up at the shore and enjoys relaxing at the beach, baking, and spending time outdoors with her husband and her three dogs.

Arunas S., RVT, RPVI Arunas has been our noninvasive vascular ultrasound technologist since 2002. He earned his Doctor of Medicine degree after graduating from The Medical Faculty of Vilnius University in Lithuania in 1988. Arunas had been practicing medicine for nine years in the field of Invasive Cardiology before moving with his wife and two children to The United States in 1997. Here he started a new career in noninvasive vascular imaging and technology after graduating from The College of Health Professions at Thomas Jefferson University in 2001. Arunas has also worked at The Hospital of the University of Pennsylvania. He is a highly skilled vascular technologist who maintains the standards required of our lab’s IAC Accreditation.

Cheryl G., APN Cheryl is our nurse practitioner. She earned her Master’s Degree from New York University in 1997. She joined Shore Vascular & Vein Center in 2014. Prior to joining our practice she had experience in Oncology, Infectious Disease and in Cardiology. Cheryl’s primary focus is working with our aesthetic laser patients. While all of the laser procedures are performed by our physician, Dr. Gosin, Cheryl is very knowledgeable in all aspects of laser treatments and works closely with those patients. She assists patients with their pre and post procedural care and helps prepare them for their treatment.

Kaylee R., RVS Kaylee is a registered vascular specialist who joined our IAC Accredited Vascular Lab in 2018. She is a graduate of Rutgers University, New Brunswick and Eastwick College, Ramsey. She has experience scanning at several busy New Jersey hospitals and private clinics. In her spare time Kaylee loves reading and outdoor activities such as hiking and swimming.

Cindy P. Cindy is one of our receptionists. She joined Shore Vascular & Vein Center in 2016. She has extensive experience in the medical profession, loves working with patients, and prides herself in providing personalized service to everyone who comes to our office. She is an Ocean City native and has two children.

Vida S. Vida joined Shore Vascular & Vein Center in early 2018 as a medical assistant. She has over 10 years experience in primary care. Vida is very kind and understanding and her gentle demeanor puts our patients at ease. She enjoys spending time at the beach with her family and friends.

Maria N. Maria, one of our receptionists, has been with Shore Vascular & Vein Center since 2009. She grew up in Atlantic City. Maria is fluent in both English and Spanish and is able to assist our Spanish speaking patients in understanding all aspects of their care.

Joanna A.

Joanna has been a medical assistant with Shore Vascular & Vein Center since 2014. She began her career with our group as an extern while she was still in school. After graduation, she was offered a position in our office and has been with us ever since that time. Joanna enjoys working as a medical assistant and helping other people. Being fluent in both English and Spanish, she finds it particularly rewarding to help our Spanish speaking patients better understand their condition and treatments.

609-927-VEIN (8346) • www.GetGreatLegs.com

The County Woman Magazine www.TheCountyWoman.com

May/June 2019

Medical Professionals

How Common Is Breast Cancer? By Dr. Randi Katz Annually there are about 18,000 cases of invasive breast cancer newly diagnosed. About 40,000 deaths occur yearly. In addition, there are about 2,000 cases of male breast cancer. Breast cancer is the most common cause of cancer in women (excluding skin cancer). The mortality rate of breast cancer has been declining yearly secondary to improved treatment and earlier detection.

Are there genetic considerations?

There are certain genetic mutations that increase the risk of developing breast cancer. The most common genetic abnormality is the BRCA-1 gene. Patients who inherit this gene have a 60-80% risk of developing breast cancer as well as a 33% chance of developing ovarian cancer. BRCA-2 is also associated with an increased incidence of breast cancer in men and women. Mutations in the BRCA-1 and BRCA2 are easily detected. Patients with strong family histories, particularly women of Ashkenazi Jewish descent, should be referred for genetic counseling.

aged 45-54 should have mammograms yearly. Women 55 and older can have mammograms every 2 years. Screening should continue as long as a woman is in good health and is expected to live 10 more years or longer. Women should know how their breasts normally look and feel and report any changes. Some women with family history or genetic tendency may need to be screened with MRI as well.

What is a 3D mammogram?

3D mammograms, also known as tomosynthesis, use the same x-ray technology as regular 2D mammograms. 3D can provide images of the breast from many different angles, which may make finding abnormalities easier. What are the risk factors for developing breast cancer? Younger patient with denser breasts may benefit from 3D mammograms. Some insurers will not cover 3D and the Breast cancer is a hormone-dependent disease. Woman patient may incur an additional charge. who experience menarche at a later age, as well as women who have children at a younger age, have a lower risk of developing breast cancer. Women who do not have children can have an increased risk of developing breast cancer. The role of diet in breast cancer is controversial. There has been some research that shows that increased New Jersey Hematology Oncology Associates fat intake has been linked to increased risk of breast cancer. This is not proven. Moderate alcohol intake can Girish Amin, M.D. also increase the risk of breast cancer. There is some data which states that oral Apurv Agrawal, M.D. contraceptive pills can cause a small increased risk of Jayne Pavlak-Schenk, D.O. developing breast cancer, but they can offer a protective benefit from ovarian and endometrial cancers. Randi Katz, D.O. Hormone replacement therapy can also increase the risk of developing breast cancer.

When do we screen for breast cancer?

Screening for breast cancer does increase survival. According to the American Cancer Society Guidelines, women aged 40-44 should have the choice to start annual breast screening with mammograms. Women

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Toms River • 508 Lakehurst Rd., Suite 1-B • (732) 244-1440 Whiting • 63D lacey Rd. • (732) 606-4060 Neptune • 19 Davis Ave. • (732) 206-6226 Fax • (732) 840-3939 • www.NJHOA.com

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The County Woman Magazine www.TheCountyWoman.com

May/June 2019

Medical Professionals

May Is Better Hearing Month Common signs of hearing loss in adults: • Buzzing or ringing in the ears • Failure to respond appropriately to spoken words • Muffled hearing • Constant frustration hearing speech and other sounds • Avoiding conversation • Social isolation • Depression f

isolation. You may not want to be with people as much, and when you are, you may not engage in conversation as much. These factors may contribute to dementia.” As you walk, your ears pick up subtle cues that help with balance. Hearing loss mutes these important signals, Lin notes. “It also makes your brain work harder just to process sound. This subconscious multitasking may interfere with some of the mental processing needed to walk safely.”

9 Medical Pro essionals Noise Exposure and Hearing Loss Risk! Most Hearing Loss and Other Thirty-six million Americans have hearing loss. Ear Infections in Communication ChildrenDisorders AndAreThe RoleOne of Ear Tubes Treatable in three developed their hearing loss as a

According to the NIDCD (National Institute result of exposure to noise. This May is “National & Communication Disorders), most testing child may be referred for a hearing test. Additional as Children are prone to issues involving the ears. Babies and on Deafness Bettersuch Hearing Month” and Ocean Otolaryngology young children in particular are prone to getting recurrent ear communication x-rays maydisorders also be ordered. After a thorough of all are treatable, but areconsideration Associates the are encouraging everyone to protect infections. Babies and young children are more prone to ear often overlooked. information,And you the and your otolaryngologist if your child longer hearing loss will or discuss their hearing by wearing hearing protection when infections May isdue Better Hearing Help and raise to their immatureMonth! immune systems the anatomy will benefit from ear tubes. related conditions are overlooked, the harder they around loud sounds and by turning down the awareness loss of their ears.about There ishearing a tube called theprevention eustachian tubeby that drains Ear tube placement is the most frequently performed surgical can be to treat or manage. Early detection and early fluid from the into the evaluation nose. In babies and and children, the scheduling a ear hearing procedure in theloss United States, approaching 670,000volume cases perwhen listening to the radio, the TV, and intervention of hearing or speech and language eustachian tube does not drain well due to its position and extremely MP3 player. year. The procedure can improve the quality of life in children reviewing the common signs of hearing loss disorders contributes to shorter treatment periods, small size. Additional risk factors for ear infection include bottle Noise-induced hearing loss is caused by damage with recurrent ear infections and improve hearing in children with listed below as recommended by attendance. Ocean Ear infections feeding, secondhand smoke, and daycare reduced costs, and better life. tiny (about to the of hair fluid in theaears. Ear quality tubes areofextremely 1/20th an cells that are found in our inner ear.

Otolaryngology Physicians. can be caused by both bacteria and viruses. If you suspect your child

inch). They are placed in the operating room with theHair assistance cells are small sensory cells that convert the an ear infection, is best to take yourconcern child to for your pediatrician RESEARCH SHOWS has Hearing loss is a itcommon health of an operating microscope. Ear tubes are known by sounds other names, we hear (sound energy) into electrical or other qualified medical personnel for assessment and treatment. people of all ages. It can adversely impact speech including PE tubes, ventilating tubes, signals that travel to the brain. Once damaged, our Many Causes, Early Symptoms Many children with recurrent ear infections get better without pressure equalizing tubes, and grommets. and language development, communication, and hair cells cannot grow back, causing permanent intervention. However, some children continue to have a buildup Everything from genes and noise exposure to Once in place, they usually last 6-18 learning children. In does adults, hearing of fluid in in their ears that not untreated resolve. Persistent fluid in the ears medications, head injuries and infections can play a hearing loss. months. They are designed to fall out on loss negatively impact social, academic andchild can role cancan result in a hearing loss. Hearing loss in a young affectin hearing loss.Children with tubes can swim If you would like more information or you their own. speech development. Persistent in the ears has also been linked vocational success and has alsofluid been linked to social and like before tubeisn’t placement. would like to schedule an appointment to to balancedepression, issues, poor and school performance, andofearlife. discomfort. Notbathe hearing well just isolation, reduced quality If your child continues to get recurrent infections, it may be

After tube placement, a follow-up

Common of hearingCommonly loss in children: frustrating; can surprising hearingittest willbring be obtained. You will health time to seesigns an otolaryngologist. known as ENT doctors,

see one of our specialists, please call us at 732-281-0100.

• Lack of attention to sound towhat see the you otolaryngologist until otolaryngologists are specialists in the treatment of ears and ear risks.continue Here’s need tochild know. the tubes have fallen out and your is infections. At your initial visit, a history will be obtained and your (birth to one year) www.OceanENTFacialPlastics.com Hearing loss is frustrating for those who have it child will examined.when Depending on the findings of the exam, your no longer getting ear infections. • Does notberespond his/her name and for their loved ones. But recent research from is called (seven months to one year) Johns Hopkins reveals that it also is linked with Visit www.OceanENTFacialPlastics.com • Failure to follow simple directions walking problems, falls and even dementia. In a (one to two years) study that tracked 639 adults for nearly 12 years, • Delays in speech/language development Christina Gillespie, MD, Ocean Otolaryngology Johns Hopkins expert Frank Lin, M.D., Ph.D., and (birth to three years) Dr. Christina Gillespie is a board certified Otolaryngoloigist has been practice in Toms since 2013. his colleagueswho found that inmild hearing lossRiver doubled She completed herears internship and residency in Otolaryngology at Walter Reed Army Medical Center. Before • Pulling/scratching at his/her dementia risk. Moderate loss tripled andCenter in El movingacademically, to Toms River, she served as Chief of Otolaryngology at William Beaumont Armyrisk, Medical • Difficulty achieving people with a severesees hearing impairment Paso, Texas for eight years. At Ocean Otolaryngology, Dr. Gillespie patients, at the Tomswere Riverfive and Whiting especially in reading and math locations, of all ages with a variety of medical problems. specialties includedementia. pediatric otolaryngology, sinus times moreHer likely to develop Christina Stephen Kupferberg, and surgery for sleep apnea. She also treats common medical conditions such as hearing loss, tinnitus, Bruce W. Peters, • Social isolationsurgery, and feeling unhappy DO, FACS Gillespie, MD MD, FACS The Links Between Hearing and Health hoarseness and chronic cough. In addition, Dr. Gillespie is also involved in the American Academy of Otolaryngology. She currently in school serves on multiple committees which include the Board of Governors and Governance, committee Stephen Kupferberg, MD, FACS Bruce W. Peters, DO, FACS “Brain scans showMedia us that hearingand lossEducation may committee. • Persistent earresides discomfort afterCounty exposure Dr. Gillespie in Monmouth with her husbandcontribute and daughter.toShe enjoysrate spending time with as they a faster of atrophy inher thefamily brain,” toexplore loudthe noise Jersey Shore. She is also an avid tennis player. Lin says. “Hearing loss also contributes to social

54 Bey Lea Rd., Suite 3, Toms River, NJ 61 Lacey Rd., Whiting, NJ 1673 Rt. 88 W, Brick, NJ

For more information, call 732-281-0100 or visit www.OceanENTFacialPlastics.com.

Health & Wellness

The County Woman Magazine www.TheCountyWoman.com

May/June 2019

Legal Professionals Medical Professionals

Holidays and High Blood Pressure – Tips ForNEED Staying Healthy PERSONAL INJURY CLAIMS – WHEN YOU A LAWYER or harden. These damaged arteries are not able to Fatima Size Matters When bad things happen toweaken good people, deliver enough blood to the kidney tissue.range in size from sole practitioners to firms with hundreds of Law offices Asghar M.D. a lawyer’s services are necessary to ensure Damaged kidney arteries do not filterlarge blood well.may be more attractive, there are undeniable benefits to lawyers. While firms that you get the most compensation Each kidneyfor has one million nephrons. Each nephron Dr. Fatima Asghar hiring a smaller firm. your injuries. is a Board Certified receives its blood supply through tiny hair-like capillaries, Small Firm Nephrologist, who the smallest of all blood vessels. When the arteries become Small firms be an excellent consider retaining Why do I need a personal injury attorney? been practicing damaged, the nephrons do not receive thecan essential oxygen choice and so you may want tohas

one if itlose makes the nature of your legal problem. Although no two Experience and expertise. Personal injury attorneys often and have:nutrients — and the kidneys in the Ocean County theirsense, abilitygiven to filter firms are the same, potential benefits of hiring a small firm include: • Trial experience (whereas other types of attorneys may not);blood and regulate the fluid, area since 1994.Dr. hormones, acids and salts in Asghar completed • A more direct working relationship with your lawyer. • Negotiation experience; the body. her Internship and • An in-depth understanding of medical diagnoses and processesDamaged associatedkidneys with failYour caseblood is not going to get lost in the shuffle. to regulate pressure. Residency in Internal Medicine at Raritan personal injuries; and • Lowerhigh fees blood and costs. It iseach not unusual for a small firm to charge less than a Bay big Kidney damage and uncontrolled pressure The holidays are upon us. For many, that means a Medical Center (Perth Amboy, N.J.), followed •lotAnofin-depth understanding of negligence law and other torts. contribute to a negative spiral. As more arteries become firm might charge for doing the same type of work. shopping, cooking, driving in heavy traffic, by a Fellowship in Nephrology, at Robert Wood blocked and stop functioning, the kidneys eventually • A more informal workingfail. relationship. YouUniversity are likely to get to (know Factors to consider relatives…in other words, it can be a bit stressful. Johnson Hospital New everyone Brunswick, in your lawyer’s office if he or sheN.J.) is with a small firm. This can lead a better When you process choosing a personal What can webegin do tothe stay calmof and keep our blood injury attorney, you will She co-founded Hypertensiontoand Kidney Protect your kidneys by managing your blood pressure stabilized? Sure, the holidays will pass working relationship, which may Group, make you feel more comfortable. want to understand what makes a good lawyer. Oneand important factor is trial where she practices as a Board Certified pressure. all will be back tonot normal, butgo did thatsettle high out of court, you will experience. While all cases toyou trialknow and most Nephrologist/Internist. Dr. Asghar is a member Kidney failure due to high blood is a For a pressure free consultation, please contact bloodtopressure (hypertension HPB) can want hire an attorney who is aor certified trialeventually attorney and iscumulative not intimidated by a process that can take years to develop. But, you of The American Society of Nephrology, The cause serious problems if you’re not careful? At Kidney Foundation, as well as The New Kevin Riordan, Esq., National at 732-240-2250. trial. can limit your risk by managing your blood pressure. Here our practice we focus on the effect of hypertension

Jersey Medical Society. Her clinical experience, as well as her informed approach with her patients, demonstrate Dr. Asghar as a highly Before meeting an attorney for an initial consultation,• write and Eat a down well-balanced diet that’s low in salt respected Nephrologist in the Ocean County Can HBP causewith kidney failure? With over 20 years of trying cases in New Asghar Jersey, you know as many facts of your case as possible. • Limit alcohol area. Dr. and her staff welcomes you to Your kidneys and your circulatory system depend on can rest assured that if you hire Kevin Riordan heand will not The attorney may want to see any or all of the following: Hypertension Kidney Group. • Enjoy regular physical activity each other for good health. The kidneys help filter wastes settle for less than the fair amount. A lawyer’s services •and Police or incident report • Manage stress extra fluids from blood, and they use a lot of blood •vessels Medical documents, including bills, diagnoses, and test results • Maintain a healthy weight are necessary to ensure you get the most compensation to do so. When the blood vessels become damaged, •the Pictures of the location of the incident or accident, damage, or anything Quit smoking for your injuries. Kevin attended Kalamazzo College and nephrons that filter your blood don’t receive the oxygen • injuries • Take your medications properly from the scene received his law degree from New York Law School. He is a and nutrients they need to function well. This is why high • Work together with your doctor •blood Written statements from witnesses member of the Ocean and American Bar Associations. He pressure is the second leading cause of kidney failure. •Over Your time, insurance policy (if applicable) Do your best to take much needed for Court as a Civil Trial Attorney. high blood pressure harms renal is certified by time the Supreme

Know the facts of your case and have much documentation are some tips to as remember when you are in the thick of on the overall health, and specifically, your as kidney your holiday season: possible. function. Kevin B. Riordan, Esq.

blood vessels. with the attorney Feel comfortable

yourself this holiday season. We wish you a joyous

HYPERTENSION AND KIDNEY GROUP

Theare nephrons kidneys aaregood supplied withofa time densewith your You going toinbethespending amount so time you with your family and friends! and lawyer, relaxing 368 Lakehurst Road, Suite 303 network of blood vessels, and high volumes of blood want to make sure they make you feel comfortable, will be available to answer any Toms River, NJ 08755 flow through Over time, uncontrolled high blood questions youthem. may have, and will have a positive outlook about your case. Certified by the Supreme Court of pressure can cause arteries around the kidneys to narrow, New Jersey as a Civil Trial Attorney

Kevin B. Riordan

Our practice is here for you!

TESTIMONIAL Nephrology

Internal Medicine

732-240-2250

t: 732.341.2211 f: 732.505.8229

www.hypertensionandkidneygroup.com that there something wrong Among other If you are looking for non-kidney “IIf you am suspect a long-time clientisof Kevin Riordan. things, he for treatment kriordan@kbrlawfirm.com withrepresented your kidneys,my it’smother best to act before related diseases, please call us! Our physicians also Office Hours by Appointment has for now a fall and it’s me in a worker’s compensation too late. Some common disorders we treat include practice Internal Medicine and can treat a variety of case, with great results. the process but I feel Fatima Asghar M.D. hypertension (high bloodSometimes pressure), kidney stones,gets complicated, diseases including acute respiratory infections, chest 20 Hadley Ave., Toms River, NJ 08753 confident when he is battling on our side because I know he has a great chronic kidney disease (CKD), acute kidney injury, pain, fatigue, diabetes, and more. and Robert Arnold M.D. hematuria, as proteinuria dialysis, and more. reputation a trial attorney.”— William H., Manahawkin www.kbrlawfirm.com Our two physicians have over 20 years of

Dawn

experience in treating kidney related diseases.

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www.TheCountyWoman.com TheCounty CountyWoman WomanMagazine Magazine www.TheCountyWoman.com www.TheCountyWoman.com The The County Woman Magazine

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September/October May/June 2018 2019 November/December 2018

Elder Law

Establish a plan, diffuse aa crisis, Establish crisis,ororask aska question... a question...

ANNEMARIE ESQ. ANNEMARIESCHREIBER, SCHREIBER, ESQ. Certified CertifiedElder ElderLaw LawAttorney* Attorney*

hashas thethe knowledge knowledgeand andexperience experienceto tohelp help you! you!

Four Steps to a Perfect Estate Plan Despite the fact you may think you have completed everything that is necessary for your estate plan once you have signed your estate documents, think again! Experts all agree your estate planning does not stop there. There are four additional steps to the perfect estate plan and they are essential to keep in mind. Upon signing your documents, you should: Communicate: Let those named in your documents know who is responsible to make your decisions, whether financial or medical, and also tell those individuals where your documents are located. A common mistake people make is to go home and throw the documents in a file. Then, years later, when an emergency arises and you need assistance, no one knows where the documents are or who has the authority to make decisions. This leads to confusion and stress. Don’t keep your estate plan a secret. Share the knowledge: This step is probably the hardest for most people. Oftentimes, parents can be reluctant to share information about their finances with their children. At the very least, the

Certified Elder Law Attorney, Annemarie Schreiber answered questions and offered informaton on the Caregivers First TV show, hosted by Lynette Whiteman, Executive Director of Caregiver Volunteers Of Central Jersey. The episode aired last December 12th on local TV stations (visit www.scannj.com for listings). It is also be posted on SCAN’s YouTube channel and www.CLDDS.com.

children need to know where they can find an accurate list of all of your accounts and investments, as well as a list of all internet is also known as awith healthyour careagent proxy and directive, passwords. Review your medical directive a durable power of attorney for medical health carecare or an share your thoughts regarding so advance they aredirective. familiarAn individual appoints a trusted person to be his or her representative in the with your wishes. event the creator of the document can no longer make medical decisions for Out with the old: Shred all documentation that is no longer him- or herself. needed. This will save your loved ones the time and energy of trying to determine of accounts assets thatstates havehis or is a the legalstatus document in whichand an individual long closed. herbeen wishesredeemed regarding or medical treatment and end of life care. An individual’s Update: Finally, you need to keep Whatincluded may in preferences for medical treatment andyour end plan of lifecurrent. care are often have been an excellent estate plan several years ago may no longer fit. Lives change. Family relationships change. Finances change. If you need assistance with your estate planning documents or if you have any questions related to your estate planning, please contact the Law Offices of Carluccio, Leone, Dimon, Doyle, and Sacks, we’ll be happy to help.

Call 732-797-1600 for more information!

* As a Certified Elder Law Attorney (CELA) by the ABA approved National Elder Law Foundation, Annemarie Schreiber is one of only 400 or so attorneys in the entire United States who is a qualified CELA. She is certified by the ABA approved Natonal Elder Law Foundation and has years of experience offering clients in Ocean and Monmouth counties the legal counsel they need to plan ahead for their future or the future of their loved ones work through difficult situations.

The County Woman Magazine www.TheCountyWoman.com

May/June 2019

Financial Management

Comparing an “ABLE” to an “SNT”

Planning for a loved one with special needs is usually quite complicated. If you have a disabled child or family member, meeting his or her needs is a top priority. You provide physical and emotional support, arrange for care, and coordinate essential government benefits. In this issue of the County Woman we are sharing an article from Merrill Anderson and Company that compares an ABLE to an SNT. Individuals with special needs and their families have three choices when it comes to providing long-term financial support. First, there is a “first-party” special needs trust (SNT), funded with the assets of the person with the disabilities. For example, if a person became disabled as the result of a car accident and won damages in a court case, that money could go into a first-party special needs trust. It would be preserved to provide for a lifetime of medical care and support. A “third-party” special needs trust is one that has been set up by someone other than the disabled person. Parents or grandparents might fund such a trust for a child born with disabilities, for example. The child may become eligible for Supplemental Security Income or Medicaid, and the existence of the SNT will not impair those benefits. Finally, there is the ABLE account (Achieving a Better Life Experience). These accounts are of more recent vintage. These accounts are offered in 19 states so far, and more are expected to be launched this year. They are administered by the states. When ABLE accounts were first authorized by Congress, they were limited to in-state residents, but that restriction was removed in 2015. The upside of the ABLE account is that investment earnings are tax free, and it is easier to establish than an SNT, which needs a lawyer’s supervision. But that freedom comes with several downsides. The onset of the disability must have occurred before the beneficiary reached age 26. Each individual may have only one such account, and annual contributions are limited to $15,000. (This amount is the federal gift tax

exclusion, so it will rise in tandem to account for future inflation). Should the value of the ABLE account exceed $100,000, the SSI benefits will be reduced. With both the ABLE account and a first-party SNT, at the death of the beneficiary there is a “payback” to the state for the costs of Medicaid services. For the ABLE account, the payback dates to the creation of the trust, and for the SNT it covers the entire lifetime Medicaid expenses of the special needs person. A third-party SNT does not have the payback requirement, and it may include other beneficiaries for funds left in the account. This is an important area in which the services of your lawyer will be required.

Compare and Contrast ABLE account First-Party Special Needs Trust Third-Party Special Needs Trust Contribution limit $15,000 None None Tax deduction for contribution No No No Age limit Disability must None None occur before age 26 Maximum account size Varies by state, None None from $250,000 to $500,000 “Payback” required at death Yes Yes No Source: M.A. Co.

As trustee of many Special Needs Trusts, we recommend an ABLE account to the special needs client who was disabled prior to age 26 or to his or her guardian in order to provide another resource for allowable spending.

Lifestyle & Money Management Trust & Estate Planning Investment Services Caring for and thoughtfully guiding our clients creates the strong, trusting relationships we have nurtured over the decades. That’s why so many people rely upon our independent company for wealth management and trust & estate services. True independence and understanding are at the core of our unique value proposition.

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Garden State Trust Company To learn how we can focus on you and your family, contact Adam Brower or Siobhan Connolly.

On You. On Your Family. On Your Future. 1886 Hinds Road • Suite 2 • Toms River, NJ 08753

TOMS RIVER, NJ | CHERRY HILL, NJ | LEBANON, NJ | LINWOOD, NJ

The County Woman Magazine www.TheCountyWoman.com

732.255.5000 | gstrustco.com May/June 2019

MedicalP Professionals Medical rofessionals

3117

Bloating And Medical Gas And What You Can Do About It Professionals 22 Bloating And Gas And What You Can Do About It Dr. Glazier was selected as one of Abdominal distention and bloating are thought to be due to too much gas and are some of the most common gastrointestinal complaints. These symptoms can be eliminated with the help of your gastroenterologist.

PATIENT TESTIMONIALS New Jersey’s top doctors for 2018!

Abdominal distention and bloating are thought to be due to too much

anddoare some of thevegetables most common gastrointestinal complaints. These Q: gas How salads and cause gas? symptoms can be eliminated with the help of your gastroenterologist. A: There are bacteria in the gastrointestinal tract that

convert foods such as salad, broccoli, and beans into Q: How do salads and vegetables cause gas? gas. Small intestinal bacterial overgrowth occurs when A: There are bacteria in the gastrointestinal tract that too many bacteria form in the small intestine and can convert foods suchabdominal as salad, broccoli, and diarrhea beans into cause gas, bloating, discomfort, gas. Small intestinal bacterial overgrowth occurs when and anemia. It can be caused by slow motility of the Kenneth Glazier, MD too many bacteria form in the small intestine and can intestine that can occur in normal aging, diabetes and cause gas, bloating, abdominal discomfort, diarrhea scleroderma. Other causes include decreased stomach andfrom anemia. It can besuch caused by slow motility of the acid medications as omeprazole or gastric Kenneth Glazier, MD intestine that can occur in normal aging, diabetes surgery, NSAID use, Crohn’s disease, pancreatitis, and scleroderma. Otherbowel causesand include cirrhosis, celiac disease, diverticulosis of the small prior decreased surgeries. stomach Bacterial acid from medications such asinomeprazole gastric surgery, NSAID use,isCrohn’s overgrowth can be diagnosed our office or with a simple breath test and treated with disease, pancreatitis, cirrhosis, celiac disease, diverticulosis of the small bowel and prior antibiotics.

surgeries. Bacterial overgrowth can be diagnosed in our office with a simple breath test Q: I never hadwith a problem with milk when I was younger but now it gives me and is treated antibiotics.

gas, how is that possible? Q: I never had a problem with milkproducts when I such was younger but now it gives me gas, is thatbypossible? A: Lactose is present in most dairy as milk, cheese and ice cream and ishow digested an enzyme A: Lactose is present in most dairy productscan such as milk, cheese and ice creamThe andenzyme is digested anbe enzyme in the lining of the intestine. This enzyme sometimes be missing at birth. canby also lost in theinlining of the intestine. This enzymefrom can sometimes be celiac missing at birth. The enzyme also be lost later life due to injury of the intestine an infection, disease, alcoholism, andcan Crohn’s disease. later life due to the injury of thesimply intestine from anwith infection, disease, alcoholism, and Crohn’s affects disease. Moreincommonly, enzyme disappears aging.celiac This late-onset lactose malabsorption More the enzyme simply withand aging. lactoseofmalabsorption peoplecommonly, more depending on their racedisappears and ethnicity can This affectlate-onset close to 100% Asians in the affects U.S., 80% people more depending on70% theirofrace and ethnicity andofcan affectintolerance close to 100% of Asians in thecramps, U.S., 80% of African Americans and Italians. Symptoms lactose include abdominal of African Americans 70% and/or of Italians. Symptoms of lactose intolerance abdominal cramps, distention, flatulence,and diarrhea vomiting. Lactose intolerance is also include diagnosed with a simple breath distention, diarrhea and/or vomiting. Lactose intolerance is also diagnosed with a simple breath test offered flatulence, in the office. test offered in the office.

“I have nothing but the best to say about Dr. Glazier and his staff. They are very attentive, knowledgeable, PATIENT TESTIMONIALS caring, and very pleasant. I recommend “I have nothingDr. butGlazier the besttotoanyone say about Dr.asks!” Glazier who and his staff. They are very attentive, knowledgeable, ~ Sandra, 50, Lanoka Harbor caring, and very pleasant. I recommend Dr. Glazier to anyone who asks!” “I have been a patient for many years. ~ Sandra, 50, Lanoka Harbor

Dr. Glazier is the best and so is his staff in all offices.” “I have been a patient years. ~ John,for68,many Jackson

Dr. Glazier is the best and so is his staff in all offices.” ~ John, 68, Jackson

“First of all, I want to thank Dr. Glazier and his staff for “First I want to thank Dr. Glazier and his staff for taking careofofall,me during my colonoscopy procedure. of mewhen duringexplaining my colonoscopy procedure. Hetaking is verycare precise the procedure He is very precise when all explaining and very kind. I would give them 10 starsthe forprocedure the job and very kind. I would give them all 10 stars for the well done. And, of course, I will recommend job well done. And, of course,and I will recommend Dr. Glazier to my family, friends neighbors.” Dr. Glazier to my family, friends and neighbors.” ~ Patricia, 62, Toms River ~ Patricia, 62, Toms River

Q: Yogurt makes me distended, does that mean I am lactose intolerant? Q: Yogurt meyogurt distended, thatstore mean I am A: No. Themakes cultured at thedoes grocery does notlactose containintolerant? lactose. More likely you are having

A: No. The cultured thebottom grocerypart storeofdoes not contain lactose. More likely you are having trouble troubledigesting the yogurt fruit onatthe the yogurt, which contains fructose. Fructose is a sugar digesting the fruitsoda, on the bottomsauce, part of the yogurt, which contains fructose.yogurts, Fructose is a sugar found in found in candy, barbecue ketchup, jellies, fruit-on-the-bottom apples, mangos, watermelon, canned fruit, cornjellies, syrup fruit-on-the-bottom and many other foodyogurts, products. Fructose can watermelon, be malabsorbed candy, soda, barbecue sauce,honey, ketchup, apples, mangos, by the intestine and produce symptoms ofother gas and bloating. Fructose intolerance can also be by diagnosed by canned fruit, honey, corn syrup and many food products. Fructose can be malabsorbed the intestine a simple breath test in our office. and produce symptoms of gas and bloating. Fructose intolerance can also be diagnosed by a simple breath test in our office.

Omar Tamini, MD Jill Collier, MD

Q: Is there a diet for bloating? A: My first approach to have patients write a diet/symptom diary of what they eat and how they feel. Q: Is there a diet for isbloating?

This beapproach used to pinpoint foodswrite are causing bloating diary and eliminate thoseeatfoods the diet A: Mycan first is to havewhat patients a diet/symptom of what they and from how they feel.rather than can making drastic dietary changes. These also help whichthose breath tests to start with.rather This be used to pinpoint what foods are results causingcan bloating andguide eliminate foods from the diet An alternative is to follow low FODMAP diet.can This diet triesguide to eliminate foodstests thatto can commonly than making drastic dietarythe changes. These results also help which breath start with. cause bloating.isFODMAP stands Fermentable include An alternative to follow the low for FODMAP diet. Oligo-Di-Monosaccarides This diet tries to eliminate and foodsPolyols. that canThese commonly fructose, lactose,FODMAP sweeteners, beans, onion, Oligo-Di-Monosaccarides garlic, lentils, and some fruits. This elimination diet is cause bloating. stands forwheat, Fermentable and Polyols. These include usually followed for 6 weeks. After this, high FODMAP foods are added one at a time to see if foods fructose, lactose, sweeteners, beans, wheat, onion, garlic, lentils, and some fruits. This elimination diet is trigger symptoms. usually followed for 6 weeks. After this, high FODMAP foods are added one at a time to see if foods trigger symptoms. Q: How do breath tests work?

A: Bacterial overgrowth lactose and fructose malabsorption can be detected using a hydrogen breath Q: How do breath tests and work? detector. Patients either drink a canand of soda for fructose intolerance or detected a glass ofusing wholea milk for lactose A: Bacterial overgrowth and lactose fructose malabsorption can be hydrogen breath intolerance at home. Three hours later patients come to the office and blow into the machine which detector. Patients either drink a can of soda for fructose intolerance or a glass of whole milk foronce, lactose takes a few seconds. For the bacterial overgrowth test, patients drink something one hour before coming intolerance at home. Three hours later patients come to the office and blow into the machine once, which to the office and have to blow into the machine every 20 minutes until the test is positive. This can take from takes a few seconds. For the bacterial overgrowth test, patients drink something one hour before coming to one hour up to three hours. Our practice has an entire office dedicated to breath testing at least one the office and have to blow into the machine every 20 minutes until the test is positive. This can take from morning a week. one hour up to three hours. Our practice has an entire office dedicated to breath testing at least one morning a week.

If you suffer from symptoms of bloating and gas, If you suffer from symptoms of bloating and gas, contact youryour gastroenterologist initiateproper proper testing. contact gastroenterologist to to initiate testing.

Call Calltoday todayto toschedule scheduleyour your appointment appointment at at Gastroenterologists of of Ocean Ocean County. County. Gastroenterologists

Edgar Bigornia, MD Kenneth Glazier, MD Jai Mirchandani, MD Hospital

Gastroenterologists of Ocean County

Board Certi

Allan Cohen, MD •Omar Tamimi, MD• Jill Collier, MD • Edgar Bigornia, MD Hospital Privileges at Community and Medical Centers Centers Hospital Privileges at Community &Ocean Ocean Medical

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

473 & 477 Lakehurst Rd.

• Endoscopic treatment of hemorrhoids

Capsule Endoscopy • •Swallowing disorders Breath testingtreatment of hemorrhoids • •Endoscopic Esophageal and anorectal manometry • •Capsule Endoscopy • Bravo pH Monitoring

7 Sherwood Dr.

473 & 477 Lakehurst 7 Sherwood Drive Route 9 Toms River,Road NJ 08755 Lakewood, NJ355 08701 Toms River, NJ 08755 Lakewood, NJ 08701 Bayville, NJ 08721* 732-349-4422 732-367-3338732-349-4422 732-349-4422 732-367-3338

939 Lacey Rd. Forked River, NJ 08701 609-971-5949

Medicare, HMO’s and most insurance accepted.

Forked River

* Limited hours by appointment.

www.GastroOfOcean.com 355 Rte. 9 Bayville, NJ 08721* 732-349-4422 *Limited hours by appointment

1617 Rte. 88 W. Medicare, HMO’s and Brick, NJ 08724 Digestiveinsurance Health accepted. 732-349-4422 A Division of Allied most

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Teresa Menadier, MD

www.GastroOfOcean.com November/December May/June 2016 2019 March/April 2018

Medical Professionals

Preimplantation Genetic Testing And In-Vitro Fertilization With the ever-increasing awareness and use of in vitro fertilization (IVF) to achieve pregnancy, women may be surprised to learn that their embryos can be tested to check for problems that may affect their likelihood of a successful pregnancy and the future health of their offspring. Preimplantation genetic testing can be performed on high-quality embryos, and this technology can improve the selection of a genetically normal embryo that in turn has the possibility of reducing future genetic disease.

What is preimplantation genetic testing (PGT)?

PGT is a laboratory technique where a few cells of an embryo are removed and tested, providing genetic information that is used to select the best embryo/embryos suitable for transfer. Patients undergo an IVF cycle, and embryos are then tested either for their chromosome number or for a specific genetic mutation.

What tests are done with PGT?

Embryos genetic testing to check for elping Smallundergo Miracles Happen either a specific disease, or are screened to look

Helping Small Miracles Happen

What is preimplantation genetic screening (PGS)?

PGS involves testing an embryo for chromosome abnormalities and chromosome number. This testing becomes more important in older women or in those with advanced ovarian aging following fertility testing. It does not test for specific genetic mutations or diseases as with PGD. Since many women and men will have eggs and sperm that are not chromosomally normal, use of PGS can help increase the pregnancy success following IVF and embryo transfer.

What is the success rate for PGT?

Although both PGD and PGS utilize the latest cutting-edge laboratory technologies and are helpful in selecting the best embryos for transfer into the uterus, the success and pregnancy rates are affected by many factors. This includes the age of the patient, presence of good ovarian reserve, and creation of fairly large numbers of high-quality embryos for testing. Your individual success rate should be discussed with your physician, and a tailored treatment plan will be constructed to give you the highest chance of pregnancy and delivery of a healthy child.

• Comprehensive Fertility Care • InVitro Fertilization (IVF) • Intrauterine Insemination • Intracytoplasmic Sperm Injection (ICSI) • Preimplantation Genetic Diagnosis and Screening • Egg Freezing • Donor Egg • Treatment for Recurrent Pregnancy Loss • Advanced Robotic Reproductive Surgery

The Compassionate Connection

Should I have PGT done?

We welcome you to schedule an appointment in our office to speak with one of our physicians Pictured (L-R): at the number of chromosomes present. The about whether PGT is right for you. At the Dr. Alan M. Martinez • Dr. William F. Zeigler results tell whether an embryo carries a specific begin your personalized ScienceFertility CenterCare of New Jersey, we • Comprehensive Dr. Virginia A. Mensah genetic mutation, or if it has•a normal number (IVF) Reproductive InVitro Fertilization fertility treatment plan today are•available to answer your fertility questions, Egg Freezing of chromosomes. There are two techniquesInsemination that • Intrauterine a complete fertility evaluation, and Toms RiverDR. • Eatontown • Lawrenceville correspond to each testing condition. This includes perform WILLIAM F. ZEIGLER • Treatment for Recurrent Pregnancy • Intracytoplasmic Spermpresent you with individualized options for DR. ALAN M. MARTINEZ preimplantation genetic diagnosis (PGD) and Loss Injection (ICSI) • FERTILITYNJ.COM conception, all in a comfortable, caring setting. We 732-240-3000 DR. VIRGINIA A. MENSAH preimplantation genetic screening (PGS). Eggfertility center experienced in all full-service • Preimplantation Geneticare•a Donnor Advanced Roboticand Reproductive What is preimplantationDiagnosis geneticand Screeningthe•latest technologies look forward to helping Surgery you achieve success. TOMS RIVER • EATONTOWN • LAWRENCEVILLE diagnosis (PGD)? 732-240-3000 • FERTILITYNJ.COM For women with hereditary or familial cancers, one way to avoid the risk of potentially For more information call FREE SECOND OPINION • FREE PHONE CONSULTATION • PERSONALIZED TREATMENT PLANS transmitting genetic mutations is to perform PGD. PGD involves testing for specific genetic our Toms River office number mutations, such as the BRCA breast cancer gene, at 732-240-3000 or visit cystic fibrosis, and other single-gene disorders. Personalized Treatment Plans PGD can dramatically decrease the chances of www.FertillityNJ.com. Free Phone Consultations disease in patients undergoing IVF.

Infertility Stops Here...

Insta

Recipe

Summer Quiche~ Compliments of Chef Steph

Serves 4-6

Prepared pastry for 1 pie crust 1 medium onion, finely chopped 1 medium zucchini, thinly sliced 1/2 red bell pepper, finely chopped 3 roma tomatoes, sliced 2 T basil, frech, chopped 1 cup heavy whipping cream 4 egg yolks 1 dash of cayenne 8oz Colby-Jack cheese, shredded

Preheat oven to 375°. If not using a pie shell, lightly grease a 8 inch square foil pan and set aside. Saute all the vegetables, except for the tomato. Stir in the basil and put the mixure into the crust. Top with tomatoes and cheese. In a small bowl, whisk together the egg yolks and heavy whipping cream, adding the dash of cayenne after they have been thoroughly mixed. Pour this mixture over the top of the pie shell contents and bake for 30-35 minutes or until a knife inserted in the center comes out clean.

Feel free to sub out any of the vegetables or add a protein based on what you like. Even the seasonings or cheese can be changed- the possibilities are endless!

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Recipe by: Cutting Board Creations

May/June 2019

Cake Shoppe & Tea Room

Hats Off To The Graduate! Whether you are celebrating a graduation from high school, college or receiving any type of diploma, we have a sweet treat that will suit your graduation occasion! Celebrate your momentous day with one of our custom cakes. We have many options, from school pride to major-specific to a unique option, we can create a cake that celebrate your graduate!

Visit us on Facebook to learn more about our princess and cake decorating events!

At a Sweet Memory Cake Shoppe & Tea Room, we have a large display of chocolate confections. Their tea room is open Tuesday through Sunday serving lunch, including homemade soups, salads, sandwiches, quiche, fresh baked scones, sweet treats, and seasonal specials.

Stop In And Our TeaVRisooit Today! m

Happy Graduation!

Book your bridal/baby shower, club meeting, birthday party or holiday gathering here with us in our tea room! AnnMarie Cooney

Our tea room serves lunch Wednesday to Sunday 11am to 4pm.

Specialty Cakes • Wedding Cakes Cupcakes • Cookie Favors Loose Leaf Tea • Vintage & New Tea Pots Tea Related Gifts & Baskets 609-242-0153 • www.asweetmemory.net 521 Route 9 • Waretown, NJ • asweetmemorycakeshop@gmail.com

Holistic Substance Abuse Program

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Medical Professionals

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May/June 2019

Business Spotlight

Enhance Enhance Your

Natural Natural Beauty

Dr. Dr.Christopher ChristopherGodek Godek As a Board Certified Plastic Surgeon, Dr. ChristopherGodek Godekhas hasdeveloped developedaatrue truelove love Christopher forthe thespecialty. specialty.Part Partof ofwhat whatmakes makeshim himso so for successfulisishis hisability abilityto toappreciate appreciatethe theway way successful plasticsurgery surgerycan cantransform transformaaperson’s person’slife. life. plastic He is devoted to cosmetic and reconstructive He is devoted to cosmetic and reconstructive surgery including facial, breast and body surgery facial, breast and body surgery.including His reconstructive practice includes surgery. His reconstructive practice includes breast cancer reconstruction, skin cancers, breast skin cancers, facial cancer trauma,reconstruction, and facial reconstruction. Dr. facial trauma, and facialbusy reconstruction. Godek also has a very non-surgicalDr. Godek also hasincludes a very busy practice that skin non-surgical care, chemical peel programs and injectables, including Botox, practice that includes skin care, chemical peel Juvederm, Voluma, Radiesse, Belotero, and programs and injectables, including Botox, Sculptra. “These invasive techniques Juvederm, Voluma,minimally Radiesse, Belotero, and are used to improve facial balance and create Sculptra. “These minimally invasive techniques a more natural, youthful and rested look,” he are used to improve facial balance and create adds. He and his team take an individualized a approach more natural, youthful and rested he to each patient they see. look,” He adds, adds. He and his team take an individualized “Our team strives to achieve results that approach to each patient they see. He adds, “Our team strivesthe to achieve results that complementing beauty of your natural features.” enhance specific areas of concern, while also complementing the beauty of your natural features.” Dr. Godek: I originally trained as a biomedical engineer at Syracuse University and then went on complete CW: How did you become involved in to this field?

myGodek: medicalI degree at the Boston School of Dr. originally trained as University a biomedical engineer Medicine. I also completed a one-year research fellowship at Syracuse University and then went on to complete at medical Harvarddegree Medical While in Boston, I hadofthe my at School. the Boston University School opportunity to work alongside one of the top plastic Medicine. I also completed a one-year research fellowship

at HarvardinMedical School. While in Boston, I hadthis the surgeons the country. After spending time with opportunity to work alongside one of the top plastic surgeon, I came to realize the unique aspects of Plastic surgeons in the country. After spending time with this surgeon, I came to realize thewith unique Plastic wonderful interactions I had myaspects teachersofand patients Surgery. I became involved in this field due to the while training at Boston University, Harvard Medical wonderful I hadofwith my teachers andIpatients School, andinteractions the University Pennsylvania, where while training Boston University, Harvard Medical completed myatPlastic Surgery residency. School, and the University of Pennsylvania, where I MCW: What is the most rewarding part about your completed my Plastic Surgery residency. profession? CW: What is the being most rewarding your Dr. Godek: I love able to help part othersabout in need. Patients often come to me with a problem or concern and profession? Dr. Godek: I love being able to help others in need. Patients often come to me with a problem or concern and from helping young children withup-to-date birth defects or injuries, being able to offer them the most options to to helping who rewarding. have lost a This breastincludes due to breast help them iswomen incredibly everything from helping young children with birth defects or injuries, tremendously rewarding. to helping women who have lost a breast due to breast cancer. The ability to feel “whole” again is MCW: What is the help mostsomeone challenging? tremendously rewarding. Dr. Godek: is thatWhat not allisdeformities can be corrected. Additionally, CW: the most challenging?

not Godek: all patients seechallenging us in our practice arethe candidates for Dr. Thethat most aspect of profession surgery due to other health issues or medical conditions. is that not all deformities can be corrected. Additionally, My all number onethat priority safety of our not patients see usisinthe our practice arepatients. candidates for Having to tell a patient that they cannot undergo a certain surgery due to other health issues or medical conditions. procedure due to their health is very challenging and My number one priority is the safety of our patients. can be quitetoupsetting to thethat patient. work very closely with Having tell a patient they We cannot undergo a certain our patients to help them overcome these obstacles when, procedure due to their health is very challenging and can andquite if they occur. to the patient. We work very closely with be upsetting our patients to help thempractice overcomeapart thesefrom obstacles when, MCW: What sets your others like and if they occur. it? Dr. Godek: We provide a great deal of from extra care before, CW: What sets your practice apart others like it? during, and after surgery. For facial procedures, patients Dr. Godek: We provide a great deal of extra care before, meet with of surgery. our BellaFor Derma during, andone after facialaestheticians procedures, for patients skin care and make-up advice beforehand; then for meet with one of our Bella Derma aestheticians for microdermabrasion andadvice facial beforehand; massages following skin care and make-up then fortheir surgeries. microdermabrasion and facial massages following their For body procedures, patients visit the Bella Derma surgeries. Medi Spa for massage and ultrasound to reduce any For body procedures, patients visit the Bella Derma swelling or bruising and to help diminish downtime after Medi Spa for massage and ultrasound to reduce any surgeries. My patients receive so much more than just a swelling or bruising and to help diminish downtime after procedure. Our state-of-the art spa treatments speed our surgeries. My patients receive so much more than just a

procedure. Our state-of-the art spa treatments speed our patient’s recoveries and help them look and feel healthy so patient’s recoveries and help them look and feel that they may return to their everyday activities ashealthy soon asso that they may return to their everyday activities as soon as possible. possible.

MCW: What are the most common procedures that CW:perform? What are the most common procedures that you you perform? Dr. Godek: Dr. Godek: Thenasal mostsurgery, common procedures I breast perform include eyelid lifts, facethat lifts, perform include nasal eyelid lifts, faceaslifts, enlargement, breast liftssurgery, and breast reductions, wellbreast as enlargement, breast lifts and breast reductions, as well as number breast cancer reconstructions, facial cancer tummy of tucks, and liposuction. I also perform a significant reconstructions, reconstruction after facial number of breastand cancer reconstructions, facialtrauma. cancer reconstructions, and reconstruction after facial trauma. MCW: Are there any cases that stick out in your mind? CW: Are there any cases that stick out in your mind? Dr. Dr.Godek: Godek:One Oneofofmy mymost mostmemorable memorablecases casesisisfrom from early earlyin inmy mycareer. career.Upon Uponcompleting completingmy mytraining trainingatatthe the University Universityof ofPennsylvania, Pennsylvania,I Istarted startedworking workingininNew NewJersey Jersey and was on staff at several hospitals in both Monmouth and Ocean OceanCounties. Counties.At Atthat thattime, time,I Iwas wastaking takingtrauma traumacalls callsatat Jersey JerseyShore ShoreUniversity UniversityMedical MedicalCenter Centerand andwas wason onPlastic Plastic Surgery Surgerycall. call.IIreceived receivedaaphone phonecall callfrom fromthe theemergency emergency room roomabout aboutaayoung younggirl girlwho wholost losther herhand handinina arollover rollover motor vehicle accident on the Garden State motor vehicle accident on the Garden StateParkway. Parkway.I Iwas was able ableto totake takethe thepatient patienttotothe theoperating operatingroom roomand andre-attach re-attach her her hand handwith withtechniques techniquesand andmicrosurgery microsurgerythat thatI Ihad had learned while at the University of Pennsylvania. learned while at the University of Pennsylvania.She Shemade made an an incredible incrediblerecovery recoveryand andwas wasable abletotokeep keepher herhand. hand. Dr. Godekconsistently consistentlyputs putshis hispatients patients first. Beginning Beginningwith withthe theconsultation consultationvisit, visit,he hespends spends quality quality time timegetting gettingto toknow knoweach eachofofthem themand andtoto better understand their goals. He adds, “I want better understand their goals. He adds, “I want to to be be sure surethey theyfeel feelcomfortable comfortableexpressing expressingtheir their aesthetic goals to me. All of my patients aesthetic goals to me. All of my patientsare are very very special specialto tome. me.I Ithoroughly thoroughlyenjoy enjoygetting gettingtoto know each one of them on a personal basis know each one of them on a personal basisand and developing developingaalifelong lifelongrelationship relationshipwith withthem.” them.” He He grew grewup upininaasmall smalltown townininWestern Western Massachusetts where he met his wife, Kristen, Massachusetts where he met his wife, Kristen, when they were both in high school. The couple when they were both in high school. The couple now lives in a small ocean community with their now lives in a small ocean community with their two boys. Outside of Plastic Surgery, they enjoy two boys. Outside of Plastic Surgery, they enjoy time at the beach paddle and time at the beach paddle surfing and fishing.

Face Lifts Eyelid Lifts Rhinoplasty Skin Care Breast Enhancement Body Contouring Facial Rejuvenation Injectables and Fillers Ave., Suite 200A• • 1959 Toms River,34, NJBuilding 08753A, Wall, NJ 07719 1430 Hooper Ave.,1430 Suite Hooper 200A • Toms River, NJ 08753 Highway

732-281-1988 • www.drgodek.com • bella-dermamedispa.com

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May/June 2019

Medical Professionals

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May/June 2019

Medical Professionals

empowering our community

to reach your highest level of health and well-being Hackensack Meridian Integrative Health & Medicine has developed a comprehensive health and well-being program like no other. Completely customized and focused around our Five Pillars of Health and Well-Being: Sleep, Activity, Purpose, Nutrition and Resilience. Begin your path to optimal health with one of our clinical experts: integrative medicine physicians, nurse practitioners, health coaches, health psychologists, acupuncturists, nutritionists, massage therapists, and movement & energy specialists. To learn more or to schedule a consultation, call 732-263-7999 or visit HackensackMeridianHealth.org/IntegrativeMedicine.

Life years ahead

HMIntegrativeHM

Hackensack Meridian Integrative Health & Medicine

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May/June 2019

Medical Professionals

Healthcare Challenges By Female Personnel I read an article recently about healthcare challenges encountered by female military personnel. Bottom line: these difficulties centered around their complaints being dismissed as related to their cycles and even in their heads! Have you ever felt dismissed or unable to fully share what you’re going through at your doctor’s appointment? I have been seeing patients for years who felt their pain was dismissed by everyone in their lives and, sadly, by their doctors as well. Just because medicine does not have the answer yet does not mean your pain is not real. I find that patients want to know that you have listened, truly heard what they are experiencing and have done everything to help, even if that means admitting you don’t know the cause. Patients should never be dismissed or told there’s simply nothing wrong. Medicine is more than medications and findings on laboratory tests. True healing comes from understanding, empathy, and the relentless pursuit of wholeness: body, mind, and soul. Wherever you are in your pursuit of your best life, push on, be heard, be well. - Dr. Nnewihe, M.D.

Be well

WOMEN’S HEALTH Comprehensive Gynecology

Range of Services

• Fibroid Management • Abnormal Bleeding • Ovarian and other Pelvic Masses • Vaginal and Urinary Problems • Endometriosis • Poly-Cystic Ovarian Disease (PCOS) • Menopause and Peri-Menopause • Osteopenia and Osteoporosis • Pelvic Pain • Painful Intercourse • Painful Cycles • Premenstrual Symptoms • MonaLisa TouchTM We offer evening appointments.

DR. NNEWIHE, MD. FACOG Dr. Nnewihe graduated from Case Western Reserve University School of Medicine in Ohio. She is Board Certified by the American Board of Obstetrics and Gynecology and is a member of both the American Congress of Obstetricians and Gynecologists and the American Medical Association. Dr. Nnewihe strives to maintain excellence by staying on the forefront of medical advancement.

JENNIFER HAWKINS, MS, PA-C. Jennifer Hawkins is a board certified Physician Assistant who has been practicing in Obstetrics and Gynecology in Southern New Jersey for 15 years. Jennifer Hawkins was born and raised in Long Island, New York. She graduated from Northeastern University in Boston Massachusetts. Jennifer completed her clinical Obstetrical/Gynecological rotations at Massachusetts general, Dana Farber and Brigham and Women’s hospitals alongside Harvard medical school residents. She is a member of the NCCPA and AAPA governing boards for Physician Assistants. Jennifer has experience in all aspects of caring for women in all stages of life including adolescent gynecology, obstetrical care, menopause, and post-menopausal states.

611 New Road, Northfield, NJ 08225

THE ONLY MONALISA TOUCHTM PROVIDER IN ATLANTIC AND CAPE MAY COUNTIES! THE LATEST NON-HORMONAL TREATMENT FOR VAGINAL HEALTH.

(609) 383-4042

bewellgyn.com

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info@bewellgyn.com May/June 2019

Medical Professionals

Sleep Apnea Treatment Without A CPAP. You Have Choices! Christine Ally, DDS, FICOI Member, American Academy of Dental Sleep Medicine Member, American Academy of Craniofacial Pain

Millions of Americans suffer from obstructive sleep apnea (OSA), a condition whereby breathing is stopped due to physical blockage of the airway during sleep. Many patients show no or very few clinical signs and symptoms, and as a result most individuals with this condition are undiagnosed. Sleep apnea is a silent killer and it slowly damages our cardiovascular and other systems over time. If left untreated it can have significant debilitating and detrimental effects on the individual. Therefore, it should not be ignored. These are some of the signs and symptoms of sleep apnea and the resulting effects if left untreated. TREATMENT OPTIONS CPAP therapy is still the first line of therapy for OSA; however, the very poor compliance can sometimes make this a very ineffective treatment option for some patients. For patients willing to wear the mask or nasal pillows and be hooked up to the machine, it is an excellent option. Patients who are not comfortable doing this now have some excellent options in oral appliance therapy. Here a custom dental appliance is

fabricated, fitted and tested to ensure its effectiveness for each patient. This is a great option for patients who suffer from nasal congestion or a dry stuffy nose, claustrophobia, noise intolerance, difficulty falling asleep with or tolerating a CPAP. For most patient with mild or moderate OSA, a dental appliance is as effective as using CPAP therapy. For those diagnosed with severe OSA, combination therapy where a dental appliance is used along with CPAP therapy has proven very effective. CALL US FOR A FREE CONSULTATION TODAY AND SEE HOW WE CAN HELP YOU BREATHE AND SLEEP BETTER! Dr. Ally and our team at Advanced Sleep and TMJ Center of New Jersey can help you decide what treatment options are best for you. Dr. Ally is highly trained and skilled in the discipline of Dental Sleep Medicine and will share her expertise with you. We discourage no one from using CPAP therapy, but we are here to help all those who cannot tolerate it. There is no one-size-fits-all in these appliances, and as such we offer a variety of devices to help our patients to ensure their comfort and compliance and, in turn, improve their health. Call us today to discuss how we can help create a custom oral appliance for you or someone you care about. Let us help you get the restful sleep you deserve and restore your health and well-being.

180 White Road, Suite 212 Little Silver, NJ 07739

732-842-6370

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May/June 2019

Medical Professionals

ANS’ Dr. Paul Saphier Leads NJ Arm of Global Clinical Trial to Improve the Standard of Care for Brain Bleeds ANS challenges status quo with adoption of new minimally invasive technology to treat patients with hemorrhagic strokes Every year in the U.S., approximately 120,000 people experience hemorrhagic strokes – commonly referred to as brain bleeds. Only 50 percent survive. Of those who do, two-thirds are left with lasting physical or cognitive deficits. Despite these statistics, the majority of neurosurgeons continue to follow the status quo for treatment. Dr. Paul Saphier, a board-certified neurosurgeon and stroke specialist at Atlantic NeuroSurgical Specialists (ANS) with locations throughout New Jersey, is helping spearhead an effort to advance what the medical community considers the best medical treatment for hemorrhagic strokes … and improve outcomes for patients. “We owe it to patients – and to ourselves as medical professionals – to do better,” says Dr. Saphier. Dr. Saphier is the Lead Principal Investigator in New Jersey for a global clinical trial – coined the MIND (Minimally Invasive Neuro Evacuation Device) Trial – whose objective is to compare the efficacy of new Artemis technology with the current standard of care for removing large, historically lethal brain bleeds.

This is why… ANS’ Dr. Paul Saphier, pictured here with the Artemis Neuro Evacuation Device, explains how the minimally invasive ‘S.E.E.I.N.G’ technique may be able to improve outcomes for brain bleed patients.

ANS is the only neurosurgical practice in the state selected to participate in the study. Today, standard practice entails addressing the underlying cause of the bleeding, such as controlling high blood pressure, to stabilize the patient.

We give you the best in brain, spine and neurovascular care. Atlantic NeuroSurgical Specialists now accepts Horizon Blue Cross Blue Shield of New Jersey.

“That’s typically where the care ends,” adds Dr. Saphier. “Over the past 50 or 60 years, neurosurgeons have not operated on intracranial hemorrhages because research hasn’t supported the case for doing so. However, we will continue to see high mortality and disability rates if we don’t take steps forward to strategically study new surgical therapies that could ultimately save and improve lives.” Using sophisticated imaging and technology, the Artemis device facilitates S.E.E.I.N.G. (short for Surgical Endoscopic Evacuation of Intracranial Hemorrhage with Neuro-navigational Guidance), a procedure whereby surgeons evacuate large brain hemorrhages through very small incisions in the skull. This allows effective treatment of the most dangerous brain hemorrhages without exposing patients to the risks of an open surgical procedure. Dr. Saphier and his colleagues at ANS have used Artemis technology on approximately 100 patients since its approval by the FDA. While Dr. Saphier cautions the treatment is not suited for all brain bleed patients, he says many of the outcomes he has seen have been promising. “There have been several cases where, using Artemis, I successfully removed brain bleeds from patients in near-fatal conditions and saw them recover 100 percent,” he notes. “We are hopeful the clinical trial will reinforce cases like these. By gathering data and examining real-life results of surgically sound, progressive treatment options, we will lead the way toward raising the bar for patient outcomes and saving more lives.” For more information about this new, minimally invasive treatment option for brain bleeds and to inquire if you, a loved one or a patient is a possible candidate for the MIND clinical trial, call 833-SEEING1 (833-733-4641). Atlantic NeuroSurgical Specialists (ANS) is New Jersey’s largest neuro-surgical practice and one of the most advanced in the country. For more information, visit ansdocs.com. MCW/OCW Brain Font Treatment #460_r5.indd 1

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Neptune Morristown Jefferson Pompton Plains Summit

ansdocs.com (732) 455-8225

3/27/19 7:41 AM

May/June 2019

Health & Wellness

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Psychotherapy

Eye Movement Desensitization and Reprocessing: EMDR One of the most revolutionary processes to come along in the field of psychotherapy is Eye Movement Desensitization and Reprocessing, or EMDR for short. This process was developed in the early 1980s by Dr. Francine Shapiro, while she was working at the V.A. She discovered that a series of eye movements could help people overcome trauma more quickly and more effectively than ever before. At that time, it was not known how EMDR worked, but more research has been done on EMDR than probably any other psychotherapy. If Dr. Shapiro had not had the wisdom to do a tremendous amount of research to establish its validity, EMDR would probably never have been accepted by the psychological and psychiatric communities.

Instead, it is now being used around the world as a treatment for trauma of all kinds, small and large. And its results are stable and long term. EMDR is very helpful for children and adolescents, as well as adults. A very readable book which clearly demonstrates the use of EMDR with adults is Emotional Healing at Warp Speed by Dr. David Grand, who went on to use EMDR for other purposes, such as cultivating people’s creativity. For more information about this wonderful technique, go to www.sharonflahertyphd.com and click on Recovery from Trauma. To find an EMDR therapist, go to www.EMDR.com. Veterans who are having difficulty with these kinds of problems may call their local Veterans Service Officer, who in Ocean County is at 732-929-2096.

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Sharon Flaherty, Ph.D. Clinical Psychologist 908-242-4618 Middlesex, Mercer and Ocean Counties New Jersey License #2091

email: dr.sharon@verizon.net website: www.sharonflahertyphd.com

May/June 2019

Medical Professionals

The County Woman Magazine www.TheCountyWoman.com

May/June 2019

31 Medical Professionals Live Life Dry: Treating Urinary Incontinence bladder medication or adult diapers. frequency, or urgency. Unfortunately, many people dismiss such urinary symptoms to be a part of “getting older” and empty the bladder) are not a normal part of the aging process, can cause embarrassment, and can diminish the quality of daily living dramatically.

FACTS

DIAGNOSIS

TREATMENT

Bladder control issues can be caused • Women are twice as likely as men by a multitude of factors. In certain cases, to experience urinary incontinence. menopause and the structure of the female urinary tract. Older women experience urinary incontinence more often than younger women.

• Bladder control problems may

women who have just given birth. In fact, a recent study found 25 percent of women over 18 years old have experienced episodes of leaking urine involuntarily, and one-third of men have experienced loss of bladder control during their adult lives. • Only one in eight Americans who have experienced loss of bladder control have been diagnosed. Recent

data has shown that women wait an

pregnancy and childbirth, obesity, weak pelvic muscles or diabetes can contribute to overactive bladder. Additionally, certain medications or inactivity also can contribute to such issues. In some people, bladder control problems are caused by miscommunication between nerves. sacral nerves, which control the bladder, do not communicate properly, causing the nerves to tell the bladder to release urine at the wrong time. diagnosing the type of incontinence and then pinpointing the underlying cause or causes. We ask our patients to complete a “voiding diary” which provides great insight and aids in diagnosis.

urinary issues, including incontinence, is called urodynamic testing or urodynamic experience symptoms until they obtain a study. diagnosis for their bladder control problems. visit, along with the data from your voiding diary, will give the physician objective data • People experiencing bladder related to bladder functions. Additionally, physicians often perform a cystoscopy to social lives. social, sexual, interpersonal and professional further assess the urinary tract. A cystoscopy is a test that allows the doctor to look at the function. People with bladder control inside of the bladder and the urethra using a problems often struggle with simple thin, lighted instrument called a cystoscope. everyday activities, such as working, shopping, or seeing a movie, for fear of such as blood in the urine (hematuria), painful embarrassing wetting episodes or not being urination (dysuria), urinary incontinence, near a restroom. Also, overactive bladder urinary frequency or hesitancy, an inability to pass urine (retention), or a sudden and to regularly experience disturbed sleep, overwhelming need to urinate (urgency) and much more. overeating, and poor self-esteem.

You may

bladder and are sometimes prescribed to treat stress urinary incontinence. In certain cases of incontinence involving the miscommunication of nerves to the bladder, a neurostimulator (commonly called a Bladder Pacemaker) may be the best treatment option.

Incontinence is not a hopeless problem.

are many treatment options available, however, only proper diagnosis will lead to proper treatment. Although behavior

TYPES OF INCONTINENCE •

Stress Urinary Incontinence (SUI) –

exertion, sneezing or coughing

•

Urge Incontinence – Leakage

•

Mixed Incontinence – Leakage associated with urgency

The County Woman Magazine www.TheCountyWoman.com

accompanied by or preceded by urgency (an overwhelming need to urinate… “Gotta go, gotta go!”)

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

May/June 2019

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March/April 2018 2017 March/April May/June 2019

Business & Finance

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May/June 2019

Medical Professionals

If You Have Been Told You Are Not A Candidate For Dental Implants:

Are Your TeethSEE A DR. Constant BANKS!Source Of Pain And Embarassment?

Often, patients are told that they are not candidates for dental implants because they “don’t have enough bone” or their “sinus is too low.”

You don’t have to live like this anymore!

Both conditions are correctable problems in almost all patients, according to Dr. Banks. When the gum ridge where teeth are missing is too thin to place a dental implant, bone grafting can be performed to correct the problem. What that means is that a bone replacement product, or even the patient’s own bone, can be placed into the deficient area, stabilized, and allowed to heal. Following healing, dental implants can be placed into that area and then restored with porcelain teeth. This procedure is called “ridge augmentation” YOUR TEETH CONSTANT andARE can be accomplished in A both the top and bottom jaws.

REVITALIZE® YOUR LIFE

SOURCE PAIN AND When teeth OF are missing, the sinus that lies above the top jaw will expand downward EMBARASSMENT? into the ridge and cause bone loss in the gum ridge. This is a correctable problem as well, according You don’t have to live like Augmentation this anymore! to Dr. Banks. “A Sub-Antral Sinus – commonly called a ‘Sinus Lift Procedure’ – can be performed, sometimes even at the time of implant placement. This procedure increases the amount of bone in the area where we would like to place a dental implant. Again, a bone replacement product or ® can even the patient’s own bone be used.”LIFE YOUR

REVITALIZE

Get Your G Summertime Dr. Banks incorporates state-of-the-art diagnostic procedures, such as 3D cone beam CT scanning of the face and jaws, to Smile! evaluate her patients for bone grafting procedures. “That way, I can accurately diagnose the magnitude of the bone loss in the area where we would like to place implants and the quality A common misconception is that the bone is placed into the sinus. In reality, the sinus membrane ! e l i m is actually lifted up (hence to name me S“sinus lift”) back to where it should be, and the bone graft material + r e is placed under the sinus ummmembrane, restoring the gum ridge and the sinus contour together in one S r u o procedure. et Y

Dr. Kathy A. Banks

of the patient’s bone ridge in that area, and pre-plan the surgery to ensure the best possible outcome.” She also prepares andOral usesand advanced biologic materials into grafting procedures such as L-PRF Board Certified Maxillofacial Surgeon 249 S. Main St. # 4 Barnegat NJ (609) 488-2325 (Leukocyte-Platelet Rich Fibrin) which are made right in the office at the time of surgery. www.drbanksoms.com

Specialty Lic # 4070

And finally, there is a preconceived notion that these procedures are painful procedures. “There are multiple anesthesia options for the surgical part of the bone grafting process,” she says. “We offer intravenous general sedation, nitrous oxide and local anesthesia” so that all her patients can Office Hoursanesthesia 8am-5pmand Monday – Friday Bone Grafting Dental Implants be treated comfortably. General and Intravenous Anesthesia

“OfJaw course, I’m making it sound easy butSurgery these procedures are technically demanding and take years Pathology Reconstructive Jaw of practice to gain the proper expertise. You only want your bone grafting procedures performed by a well-trained, ABOMS-certified oral and maxillofacial surgeon.”

• Bone Grafting • Dental Implants • General and Intravenous Anesthesia • Jaw Pathology • Reconstructive Jaw Surgery

For more information, call 609-488-2325 or DMD visit Call www.drbanksoms.com Kathy A. Banks, Dr. Banks Today! • 609-488-2325 • www.drbanksoms.com

Kathy A. Banks, DMD Oral & Maxillofacial Surgery

Your Expert in the Face, Mouth and Jaws 249 S. Main Street Barnegat , NJ Specialty Lic #4070

609-488-2325 www.drbanksoms.com www.TheCountyWoman.com The County Woman Magazine The County Woman Magazine www.TheCountyWoman.com

8 AM - 5 PM (Mon. - Fri.) Bone Grafting • Dental Implants General and Intravenous Anesthesia Jaw Pathology and Reconstuctive Jaw Surgery

November/December 2017 May/June 2019

Business Spotlight

Patients Are Treated Like Family at the Office of Dr. Kathy Banks In addition to caring for her patients, Dr. Kathy Banks is highly focused on perfecting her team in the office. Although it did take some time, she has now found the ideal fit. Team members Monica, Danielle, Diana, Amanda, Jessica and Sonya work exceptionally well together and enable her to provide the excellent patient care that she is known for. She adds, “The most important aspect of our team is that we mutually respect and care about one another. Silly interpersonal conflicts and office politics are distractions, and stand in the way of delivering excellent patient care. It takes extra work to achieve and maintain this level of professionalism, but it allows us to keep our focus centered on our patients.”

As an Oral and Maxillofacial Surgeon, she has had numerous papers published and is a frequent presenter for continuing education classes. With more than 15 years of experience treating patients of all ages, she is able to treat most of them comfortably in her office. However, when circumstances dictate, Dr. Banks holds hospital privileges in three hospitals: Jersey Shore University Hospital, Southern Ocean Medical Center, and Community Medical Center. She treats patients on an outpatient basis when necessary. Another enhancement to her practice has been starting ongoing education in various areas of expertise. “Before opening this office, I witnessed staff members elsewhere going through the motions of their jobs. I did not want this to be my team. As a lifelong learner, I insist on investing in the professional development of all of my team members, including myself. The more knowledge and new skills we are able to master, the more we have to offer our patients. Adding new skills and reinforcing techniques we already practice will enhance our patients’ experience from start to finish,” she says. Dr. Banks’ philosophy is that every patient deserves to be treated like a family member. This often means that team members must stay late, come in early, or adjust their lunch hours to accommodate a patient with a truly serious condition. This is their commitment: to provide excellent, quality care to their patients. When you are a patient of Dr. Banks, quality care begins the moment you call the office, and continues until discharged. She explains, “Staff members Danielle and Diana guide patients through the registration and scheduling process, and answer the myriad of insurance related questions and concerns. Then, Amanda, Jessica

and Arly take over with the “hands on “ part of patient care, assisting me with evaluation, taking x-rays and the surgical-anesthetic aspects of care. These three ladies are so compassionate with our patients that they are able to make a surgical appointment pleasant. Their clinical abilities allow me to perform my work at a much higher level,” she adds. New technology plays a big part in the office of Dr. Banks. “Hands down, the number one development in oral and maxillofacial surgery has been integrating 3D imaging into patient care. Cone Beam CT scanning is indispensable in diagnosing common oral conditions such a cysts, tumors, and impacted teeth ” she says. She also uses 3D images for dental implant surgery and can perform virtual surgical implant surgery using either of the two software programs. She explains, “From this work up, a surgical guide can be fabricated and used in the surgery procedure so that the implants are placed in the exact angulation and depth as planned. This is called “guided surgery” and I use this routinely.” Another use for the CBCT scan is jaw reconstruction. “I have used CBCT scans to plan orthognathic surgery procedures where the jaws are cut and repositioned so the teeth match up. The virtual surgery plan done on the computer is used to generate surgical guides that help me perform the jaw surgery with enhanced precision,” she says.

Dr. Kathy Banks received her undergraduate degree from Rutgers University and received her DMD from Temple University School of Dentistry. After dental school, she completed an Advanced Education General Dentistry program and then completed her 4-year specialty training in Oral and Maxillofacial Surgery at Rutgers School of Dental Medicine. She was later awarded her Board Certification by the American Board of Oral and Maxillofacial Surgeons and the American Board of Anesthesiology. She is currently the first female Chair of the Oral and Maxillofacial Surgery Foundation, and organization dedicated to improving the quality and safety of patient care by advancing innovation in oral and maxillofacial surgery research and education.

609-488-2325 • www.drbanksoms.com

The County Woman Magazine www.TheCountyWoman.com

May/June 2019

Insurance

MORE PLANS. MORE CHOICE. MORE CONTROL. That’s why we are exploring UnitedHealthcare® Medicare Advantage plans. Plans may include:

$5 COPAY PER PRIMARY CARE VISIT

VISIT DOCTORS WITHOUT A REFERRAL

$0 MEDICAL DEDUCTIBLE

$0 COPAY FOR PREVENTIVE CARE

You may be able to enroll in or switch your Medicare Advantage plan today. Even though Medicare Open Enrollment may be over, you could be eligible for a special enrollment period if you have just moved into a different service area, are losing your retiree health coverage or receive assistance with the cost of your prescriptions.

Call me to find out if you qualify to enroll today. Kenneth Arocho AROCHO INSURANCE AGENCY 732-877-7680, TTY 711 kennetharocho@ymail.com If you have this card, call UnitedHealthcare today.

You must continue to pay your Medicare Part B premium. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium and/or copayments/coinsurance may change on January 1 of each year. Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on the plan’s contract renewal with Medicare. UnitedHealthcare Insurance Company pays royalty fees to AARP for the use of its intellectual property. These fees are used for the general purposes of AARP. AARP and its affiliates are not insurers. You do not need to be an AARP member to enroll. AARP encourages you to consider your needs when selecting products and does not make specific product recommendations for individuals. AARP does not employ or endorse agents, producers or brokers. Y0066_170818_140335_FINAL_00027784 Accepted SPRJ34914

The County Woman Magazine www.TheCountyWoman.com

May/June 2019

Hypnosis for Women Professional Hypnosis & Coaching Rhoda Kopy, Director 1541 Rt. 37 East, Suite E Toms River, NJ 08753 732-270-0080 www.HypnoForWomen.com

Make Your Mind Work FOR You – Instead of Against You! Rhoda Kopy is a nationally certified consulting hypnotist and wellness coach, with specialty certification in complementary medical hypnotism. She earned a B.S. degree in Biomedical Communications from Richard Stockton College of N.J., has an academic background in nursing, and 20+ years’ experience in community health education and coaching. Rhoda adheres to strict ethical standards of the National Guild of Hypnotists.

37 Health & Wellness Come Home From Vacation Feeling Light & Free, and Stuffed Only With Great Memories! We all look forward to vacation – the downtime, change of scenery and routine, new adventures, and that great carefree feeling. For too many people, though, vacation is synonymous with a gluttonous food-fest. They give themselves a green light to continuously overeat and over-drink, and consume tons of junk. “I’m on vacation – I deserve this,” they tell themselves. When they get home, they lament their higher weight and snugfitting clothes. If they were already carrying around excess pounds, they now have an additional 5-10 pounds and all the negative physiologic effects that go with them. If you care about your health and want to avoid a big weight gain on vacation, here are a few simple things you can do: • Have a flexible plan for handling meals. For example, consider having larger lunches and smaller dinners. It’s more cost-effective, and a lighter dinner is more conducive to getting quality sleep. Maybe order several appetizers and share an entrée. It’s a great way to try a variety of foods. • Ask questions and make requests at restaurants. Ask how foods are prepared, so you don’t end up with fried foods or rich sauces you weren’t expecting. It’s okay to ask for foods to be prepared with less fat or cheese, or to have dressing or sauce served on the side. • Enjoy regional foods in just the right amounts. Order the specialties of the area you’re visiting. If you’re in New Orleans, share a muffaletta or beignet! In Memphis, share some of that great BBQ. Eat

Hypnosis For Women ❀ ❀ ❀ ❀

Weight Control Smoking Cessation Relaxation/Comfort Fear Release

slowly and savor every delicious bite! • Fully immerse yourself in the places you’re visiting. Use your senses to embrace the colors, the sounds, the fragrances, the culture. Vacation is about so much more than the food. • Plan to be active – and bring several pairs of comfortable sneakers. Walk, walk, and walk some more. It’s the best way to experience a new place and build your overall sense of well-being (and, of course, burn a few calories). • Carry water and some healthy snacks with you. Stick some trail mix, fruit, or low-sugar protein bars in your backpack, for example. Prevent yourself from being so famished at meals that you overeat and make poor choices. • Consume alcohol in moderation – and alternate with water. Calories from alcohol count – and mixed drinks are often loaded with them. Plus, alcohol has a way of thwarting the best of intentions. • Balance things out. If you overdid it at breakfast, lighten up on your other meals. If you had a drink at dinner, pass on the dessert tray. While you’re on vacation, you’ll notice some people treating their bodies like garbage cans. Instead, choose to treat your body as the miraculous, amazing “machine” that it is. It’s the only one you’ll have in this lifetime.

For a Free Phone Consultation, call me at 732-270-0080. Integrating hypnotic techniques and coaching paves the way for successful outcomes and boosts your sense of well-being.

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

PROFESSIONAL HYPNOSIS AND COACHING SERVICE ❀ ❀ ❀ ❀ ❀

Focus/Concentration Sleep Improvement Studying/Testing Lifestyle Changes Interviewing/Auditions

❀ ❀ ❀ ❀ ❀

Athletics Public Speaking Flying/Driving Socializing Confidence

Make Your Mind Work For You – Instead of Against You

732-270-0080 • www.HypnoForWomen.com 1541 Rt 37 East, Suite E, Toms River, NJ 08753

The County Woman Magazine www.TheCountyWoman.com

May/June 2019

Legal Professionals

Ask Daniel Straffi, Jr. Esq.

How Do Creditors Harass People? Let Me Count The Ways…

hat’s the first thing we think of when we get an early morning phone call? Emergency. It startles us – we wonder who’s in trouble and what action we need to take, all before we’ve had our first sip of coffee. Then imagine it’s a creditor on the other end. We are angry. We feel harassed. It’s a terrible start to our day, and worse, it’s likely not the last we will be hearing from them. For many of us, this scenario is not hard to imagine at all. Although there are laws in place to curtail some creditor recovery actions and techniques, the reality is that people are more overwhelmed by creditor harassment at their home and workplace than ever before. Here are a few ways bankruptcy may be an option in stopping creditor harassment and collection efforts:

1. Stop harassing phone calls. This is likely the most common

complaint I hear from folks when they are contemplating bankruptcy. The phone calls are non-stop. Many people stop answering their phones altogether. It’s that constant emotional strain of knowing that they are being hounded that eats at people’s ability to sleep or otherwise carry on the normal functions of their day. Phone calls can sometimes extend to family members or the workplace. Creditors are becoming more creative in their methods by the day. Bankruptcy is a means of stopping the harassment. Upon the filing of a bankruptcy petition, all methods of harassment and communication by creditors cease by law. It is a powerful means of protecting oneself and moving forward. 2. Stop wage garnishment. Some folks can withstand the harassment…that is, until the harassment transforms into more affirmative

collection efforts. The most common and effective form of collection comes in the form of wage garnishment. People don’t want their employers to know about certain debt problems they may be experiencing. Once a wage garnishment is imposed, the debtor has no say in the matter. Not only can this be a source of concern and consternation between the debtor and his/her employer, but it obviously will have a dramatic effect on a person’s ability to meet their monthly expenses once the garnishment goes into effect. Bankruptcy will stop a wage garnishment in its tracks. 3. Levied bank accounts. Ignoring creditor harassment can sometimes mean ignoring everything that comes in the mail. This would potentially include lawsuits and the judgments that would arise from them if said lawsuits are ignored. Oftentimes, the call to action to proactively deal with one’s debts comes only after their bank account is frozen – without warning. Bounced checks, lack of disposable income and an inability to pay bills for the month follow. In some cases, if a bankruptcy is filed soon enough, those monies can be saved. However, it is best not to wait until the last minute. It is important that folks not ignore their credit situation until the last minute, or their assets can come under attack. The point of all of this is that waiting to explore one’s options does nobody any good. It is important to be proactive in addressing credit problems – for the sake of your family, your job, and, most significantly, your own sanity. The purpose of bankruptcy is to get a fresh start. Taking that first step in exploring your options – and refusing to allow yourself to be harassed any longer – is the key to acquiring that fresh start.

For more information, call 732-341-3800 or visit www.straffilaw.com.

For more information or to schedule an appointment, Contact : Daniel Straffi Jr. at 670 Commons Way, Toms River, NJ. CALL: 732-341-3800 Daniel Straffi, Jr., Esq. Protect Yourself Against Foreclosures, Judgments, & Harassing Creditors

VISIT: www.straffilaw.com.

Your light at the end of the tunnel starts here. We are a debt relief agency that helps people file for relief under the bankruptcy code.

Recipe Caponata~Compliments of Chef Steph 3/4 cup olive oil 1 large eggplant (about 2 lbs) cut into bite size pieces 6 medium zucchini (about 2 lbs) cut into bit size pieces 1/2lb mushrooms, thinly sliced 1 1/2 cups onion, chopped 1 cup celery, sliced

1 garlic clove minced 1/2 cup red wine vinegar 1/4 cup capers, drained 2 T sugar 3 large tomatoes, cut into bite size chunks 4 1/2 oz pimento stuffed olives, drain & cut in half

In a large saucepan over high heat, cook eggplant, zucchini, mushrooms, onions, celery and garlic in the oil for 10 minutes, stirring occasionally. Stir in the vinegar, capers, sugar, salt and pepper to taste. Reduce heat to low, cover and simmer for 10 minutes or until vegetables are fork tender. Stir in tomatoes and olives and bring to a boil over high heat. Spoon mixture into a bowl, cover and refrigerate at least 3 hours or until well chilled. Recipe by: Cutting Board Creations

The County Woman Magazine www.TheCountyWoman.com

Serves-12

May/June 2019

Medical Professionals

Fecal Incontinence: Dealing with an Embarrassing Condition Medical Professionals

What is fecal incontinence?

Fecal incontinence, or bowel incontinence, is the inability to control bowel movements, causing the involuntary passage of stool. Symptoms of this often embarrassing disorder range from occasionally leaking small amounts of stool and passing gas, to completely losing control of bowel movements. Classified as a pelvic floor disorder (PFD), fecal incontinence occurs when muscles in the pelvic area cannot support the organs in the pelvis. These organs include the bladder, uterus (women), prostate (men), and rectum.

doctor may recommend diet modification and adjusting nutritional supplements taken. If nerve or muscle damage is the cause of the fecal incontinence, the physician may recommend exercises and similar therapies to improve function and strength. These exercises include bowel training and biofeedback. Biofeedback is a technique taught by specially trained physiotherapists that can increase anal muscle strength, allowing patients to learn to relax or contract pelvic floor muscles. Medication sometimes helps patients with fecal incontinence. When appropriate, these may be prescribed by your physician.

Colorectal Cancer: Are You Aware? What’s The Big Hype?

How common is colorectal cancer and who is at risk?

her patients, but she performs a majority of her colorectal cancer surgeries using Is surgery required to treat fecal incontinence? Whatcancer causes fecal incontinence PFD? laparoscopic surgery. Laparoscopic colorectal surgery is a minimally invasive Colorectal is the second most common cancer in and the United States among Those who continue experience incontinence surgery in which small incisions are made totoperform major fecal surgery. This allows that continues even with The controls the140,000 muscles of the pelvicand floor through both men andbrain women. It affects people annually causes 50,000the nerves. medical treatment may benefit from surgery to correct for shorter hospital stays, decreased incisional pain and earlier return to work and the problem. Several deaths. The average person has a one in 20 chance of developing colorectal cancer Medical conditions or injuries that impact the health of nerves (such as diabetes, other activities. options exist, depending upon the underlying cause of the incontinence. In most in his/her lifetime. This risk is increased if there is a family history of colorectal Parkinson’s disease, stroke, back surgery, spinal stenosis, or childbirth) can result polyps or cancer, and is even higher still in those patients with a history of breast, cases, surgery options are minimally invasive, offering less pain, less scarring and in weakness or injury the pelvic resulting in fecal incontinence Can colorectal cancer be prevented? uterine or ovarian cancer, and of patients with a floor historymuscle, of extensive inflammatory recovery time.that Dr. Paonessa is Obtaining a fellowship-trained colorectal surgeon Colorectal one of the few cancers is preventable. a bowel disease such as ulcerative colitisare or Crohn’s Additionally, a person’s and PFD. Those with PFD unable colitis. to control the muscles in the pelvic floorcancer isshorter who is trained and has a special interest in treating patients with PFD and fecal screening colonoscopy at regular intervals is the single best way to prevent risk to for have developing colorectal cancer increases significantly with age. a bowel movement. People with PFD contract these muscles rather colorectal cancer. Your colorectal surgeon or specialist is able tothe review the with conservative measures incontinence. She always approaches problem than relax them, and because of this, they either can’t have a bowel movement guidelines for screening colonoscopy based upon your age, medical What causes colorectal cancer? to exploring surgical options, if andhistory when necessary. they have incomplete one.and PFD also includes and history.prior and family Although not definitively proven, studies published in the It is or generally agreedanthat nearly all colon rectal cancer beginsurinary in benignincontinence literature mention additional factors that may lower your risk of developing pelvic organ prolapse. fact, many polyps, peopleorsuffering with in fecal polyps, called adenomas. TheseInpre-malignant growths, occur the incontinence colorectal include eating a high-fiber, low-fat diet; maintaining a wallalso of theexperience colon and/or rectum incontinence. and may eventually increaseincontinence in size and become Testimonial urinary Urinary is a loss of bladdercancer and healthy weight; and engaging in regular, vigorous exercise. cancer, or medically speaking, carcinoma. This is known as the “adenomacontrol due to bladder muscles that are too weak or too strong. Symptoms range “My experience with Dr. Paonessa was exceptional. She made me feel so carcinoma sequence.” Several factors have been mentioned in the literature that comfortable and at ease. I’ve never met a doctor like her. For many years, I thought mild leaking wetting, and more common with mayfrom increase a person’s risktoforuncontrollable developing colorectal cancer andbecome include age, a diet I had hemorrhoids and out wasIcompletely After being diagnosed with highage. in fatPelvic and cholesterol, an inactive/sedentary lifestyle, obesity, organ prolapse is a condition in which thesmoking uterus,and bladder“After and bowel I had my colonoscopy and found had colon uncomfortable. cancer, my environmental exposures. primary physician recommended I see Dr. Paonessa. Not only is she a prolapsed rectum, I met with Dr. Paonessa. She immediately put me at ease and may “drop” onto the vagina and cause a bulge through the vaginal canal. Also

an excellent I would recommend Paonessa to anyone and rectum surgery and now I explained everything. Dr. Dr. Paonessa performed prolapsed common is a disorder in which the rectum becomes “stretched out” and slips outsurgeon, everyone.” feel wonderful. I feel like I came out as a better person.” - Natalie H. of the anus. Thisand is early called rectaldoprolapse. It is thatornearly one-third of Unfortunately, polyps cancers not produce anyestimated physical signs - Josephine B. all U.S. women are affected by one of these types of pelvic floor disorders in their symptoms. Therefore, symptoms usually indicate late or advanced disease. The mostlifetime. common symptoms of colorectal cancer are rectal bleeding and changes in “I credit Dr. Paonessa for saving my life. Her thoroughness and attention What are the symptoms of colorectal cancer?

bowel habits such as constipation or diarrhea. These symptoms are common in How fecalof incontinence diagnosed? to detail made the difference for my recovery. I’vemoving never met We are toaadoctor newlike location many other is disorders the gastrointestinal tract so it is very important to have Physicians willshould beginyou theexperience exam bythem. askingNOT about a careful attentive and caring. in June 2019! Just 3 miles south of our current a thorough examination ALLsymptoms, RECTAL taking her-so BLEEDING IS DUE TO HEMORRHOIDS. It is very to - Patricia E. history and performing a visual inspection of important the anus for andpatients perineum. A physical location at 603 Higgins Ave, Brielle, NJ 08730. remember this and seek if they are experiencing bleeding.the Other examination will evaluation determine the patient’s abilityrectal to control pelvic floor All contact information will remain the same. symptoms, such as abdominal pain and weight loss, are usually late symptoms and The physician will checkdisease. for nerve damage, muscle spasms or muscle quitemuscles. possibly indicate advanced/extensive

weakness. Additionally, the physician may request or perform any number of

How is colorectal cancer diagnosed? medical tests available, including blood work, X-rays and ultrasounds, to uncover Evaluation of colorectal is first begun with a complete history and physical the cause of fecalcancer incontinence. exam, including a digital rectal exam and possibly testing the stool for blood. A Who isis at riskdefinitive for developing fecal incontinence? colonoscopy the most test used to diagnose colorectal cancer. A Although men and at risk of developing and colonoscopy is performed by a women colorectalare surgeon or other specialist infecal orderincontinence to get aPFD, direct pelvic visualization of the inside of the colon and rectum. A colonoscopy floor disorders occur more frequently in women than men. Nearly is a safe, painless, outpatient procedure performed under a light sedation. Based one in 10 women older than the age of 40 has fecal incontinence, possibly as a upon the findings on colonoscopy, your colorectal surgeon or other specialist may complication of childbirth. Other factors beingand over the age of 55, recommend other testing such as blood work,risk a CT scan ofinclude the abdomen overweight, pelvis, pelvic MRI postmenopausal, and/or ultrasound. having a past pelvic surgery, nerve damage or a

connective tissue disorder.

Colon and ReCtal SuRgeRy How is fecal incontinence treated? Nearly all cases of colorectal cancer require surgery. Radiation and chemotherapy Board Certified in General Surgery and Proctology Fecal incontinence can to besurgery. treatedIfinthea number of non-invasive ways. are sometimes required in addition cancer is diagnosed and treated in the earliest stages, approximately 80-90% of patientsphysical are restored to Treatment usually combines self-care, medicines, therapy and home • laparaoscopic surgery • anorectal surgery theirexercise. normal health. The cure rate decreases 50% or the cancer Treatment depends on thetocause ofless thewhen problem youishave and what • abdominal/pelvic surgery • pelvic floor disorders diagnosed in the later/advanced stages. Less than 5% of all colorectal cancer Board Certified in proctology General Surgery and Proctology best fits your lifestyle. Dietary changes often reduce the occurrence of fecal • fecal incontinence • office patients require a colostomy or “bag,” thanks to modern technology. Dr. Paonessa incontinence. stool consistency is affected byinwhat youpractice. eat and drink, your • endoanal/rectal ultrasound anorectal manometry/ • laparoscopic•surgery • pelvic floor disorders prides herself in beingAs able to maintain this standard of care her own Not only is she able to minimize the number of colostomies/“bags” created for physiology • abdominal/pelvic surgery • office proctology How is colorectal cancer treated?

Colon and Rectal Surgery

• fecal incontinence

• anorectal manometry/

Board-certified in general surgery and proctology 2101 and Route a 34 South, Suite H 1172 Beacon Avenue, Suite B • endoanal/rectal ultrasound Nina Paonessa, DO, FACOS, an established fellow of the American College of Osteopathic Surgeons, Wall, NJ 07719 Manahawkin, NJ 08050 physiology colorectal surgeon practicing Ocean and • anorectal surgery Dr. Paonessa specializes in in colon and rectal surgery. She Phone: (732) 282-1500 Monmouth answers questions has been inCounties, practice for 15 years. Sheabout completed her colon Our New Location! Fax: (732) 282-1501 colorectal onefellowship of the leading cancers in and rectalcancer, surgery at Lehigh Valley Hospital in 2101Office RouteHours: 34 South, SuitetoH5PM 1364 Route 72, Suite 5 M-F 9AM both men and women. 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 www.TheCountyWoman.com The County Woman Magazine 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.

Wall, NJ 07719 www.paonessacrs.com

The County Woman Magazine www.TheCountyWoman.com

Manahawkin, NJ 08050

Phone: (732) 282-1500 • Fax:2018 (732) March/April Office Hours: M-F 9AM to 5PM

282-1501

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May/June 2019

Medical Professionals Medical Professionals

The Next Generation “Open” MRI A Friend’s Experience My friend named Sharon who lives in Washington DC called me with a medical problem.

he recently started having mild backaches as well as the sensation of “lightening” shooting down her left leg. Her doctor in Washington was concerned she could have a herniated disk in her spine and he recommended an MRI to diagnose the problem. It was explained to her that an MRI is basically a large magnet that images the body. The advantage of the MRI is that unlike some other tests there is no radiation and the detailed images obtained are of excellent quality. The disadvantage is that the test can take up to 45 minutes and one’s entire body enters the MRI through a narrow tube surrounded by the machine. The space between a patient’s body and the machine can be tight. Unfortunately, Sharon is extremely claustrophobic. After arranging for the procedure at a radiology facility near her home in Washington DC, she attempted to have an MRI on an older magnet but couldn’t go through with it. She was even given a little valium to relax her but the tight space

was too much to bear. Sharon called me wanting to know what she should do. I told her that the MRI is the best test to detect a herniated disks in her spine. She needed the MRI. Sharon then asked me about an “open” MRI. Open MRIs became very popular in the 1990s. Instead of being surrounded by the machine while lying in a tube, the machine was in the shape of a clam with the sides of the MRI being open. There were still a few problems with the open MRI. Although the sides were open, the top of the machine was very close to the patient’s face. This design still bothered some patients who suffered from claustrophobia. The bigger problem with the Open MRIs was the strength of the magnet. Weaker magnet strength means lower image quality. Most standard MRIs have a strength of 1.0 Tesla which gives good images. Most open MRIs have a magnet strength of 0.4 Tesla. This markedly degrades the image quality, compared with standard MRIs. Additionally, many advanced MRI techniques cannot be performed with these weaker magnets. Sharon asked what do we do at my office. I told her we have the very latest in “open” MRI

technology, which addresses both of these issues. Our brand new MRI has a magnet strength of 1.5 Tesla which is stronger than most standard MRIs. This produces superior images and allows us to perform advanced MRI techniques and sequences. The stronger magnet strength also decreases the scan time allowing the patients to finish their exams faster. The opening (also called the bore) in our new MRI is very wide with the machine far from the patient’s face. The standard MRI would be several inches from the patient’s face; however our wide bore open MRI is one foot from our patient’s face. This dramatically decreases the sensation of claustrophobia. This wide bore is approximately 2.3 feet wide, which is ideal for claustrophobic patients and larger patients who need more room. With the older model MRIs, one’s entire body has to enter the MRI. Our new MRI is 4 feet long. This is much shorter than most MRI’s and is in the shape of a donut (rather than a long coffin-like tube). This means that for a majority of tests, our patient’s head is outside of the machine, helping to ease the sensation of claustrophobia. I told Sharon that since we placed our new MRI, we practically haven’t had

“Open” wide bore MRI provides the best comfort for all body types and those with claustrophobia.

MRI Of The Spine: Quality of Images

Traditional Open MRI any patients complain of claustrophobia. Our referring physicians, especially our surgeons and neurologists, have also been very pleased with the image quality produced by our machine. Sharon came to my office in Toms River and had her examination without any problems. She was so

Advanced “Open” MRI comfortable in our MRI she actually fell asleep! The good news for Sharon is she did not have a herniated disk. She had a small tear in her disk that was causing her symptoms and will heal in several months without surgery.

As always, contact our office

About The Author...

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

PARVIZ KHORRAMI, M.D. CYRUS KHORRAMI, M.D. where our staff will be more Founder Medical Director then happy to assist you. PARVIN MOTEMADEN KHORRAMI, M.D. 732-244-0777

1.5KHORRAMI, T and 3 T High PARVIZ M.D. • PET/CT • Diagnostic X-Ray PET/CT Founder Field Open Bore MRIs • Ultrasound • Digital Mammography Ultrasound CYRUS KHORRAMI, M.D. • CT Scan • Nuclear MedicineCT Scan 3-D Mammography Medical Director • High Field Open Bore MRI Diagnostic X-Ray Nuclear Medicine PARVIN MOTEMADEN • Bone Densitometry Bone Densitometry KHORRAMI, M.D.

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& EXPERTISE you can count on. May/June 2019 March/April 2015

Health &Wellness Health Wellness Health &Wellness Health &&Wellness

It’sDiabetes, That TimeCholesterol, Of Year Again…Should Get A Flu Shot? and Blood You Pressure—Oh My!

What You Need To Know

3. Are you managing your medicines? The last couple of decades tell a “good news, bad news” If you have type 1 diabetes, you must use insulin. Some people with type 2 story about diabetes. Diabetes is the disease that makes it 6 need pills and/or insulin to December meet targetand blood glucose levels. for your body to control sugar. Here’s end of early March. You Although can probably The flu is a respiratorytough infection that’s caused by blood are at higher riskaofsnapshot: developingdiabetes complications from lifestyle is a first line of defense, cholesterol medications such as statins can help control Inone the in lastfive 20 people years, the of flu. adults with diabetes has who get the vaccine starting in September. It’s best to do it many different viruses. Up to getnumber the the This includes people are 65 and older and more than tripled.1 Nearly one in 10 now has the disease.2 cholesterol levels.7 As for high blood pressure, there are many classes of drugs to keep 1 as early as possible so you can head off any infections flu in the U.S. each year. That’s It comes on suddenly, withsilent certain chronic certainly not goodcauses news. pregnant women. Also, peoplethis killer at bay.5 “at track the pass.” the fluifshot early givesmultiple your body worse symptoms than the cold serious for spotsmedical heart Butand therecan arebesome bright in recentconditions, reports. In such as asthmaItormay notdisease, be easy keeping of all Getting this, especially you’re taking general, control of blood improved rates of time to build up immunity. This means it will protect some people. As you know, last year, a new strain sugar of flu haswould takeand priority. In addition, it is also important for medications. That’s what I’m here for. I can explain how each drug works, what side 5 serious complications from diabetes have declined a great bettersure against flu. them all properly. was thrown into the mix. Called swine flu at first, then those coming into close contact withtothese people to howyou effects watch for, and to make you’rethe taking deal.similar to regular flu, such get vaccinated early.3 H1N1, it caused symptoms If you haven’t gotten the vaccine by December or If you’re at risk 2for diabetes or already have it, consider these So,may what’s your Together, let’sfor make has a as fever, cough,RPh aches, chills and fatigue. Now, if you’re pregnant, you wonder if it diabetes is so, orstory? if it hasn’t been available some sure reason,itstill Jay Greco, three questions:

Did you get a flu shot1.last year? If you’re someone safe to get choices? a flu shot. The shorthappier answer is,ending. yes. However, ahead and get it when youShore can. Remember that and the Any go questions, call Jersey Pharmacy Are you making good lifestyle who’sWhere alwayspeople thought flu shots are just for your this is not true if you have a severe allergy to eggs. nasal mist vaccine is only for healthy, non-pregnant haven’t made progress, lifestyle has a lot to do with it. For example, have a happy and safe summer. grandparents, think the 2017-18 flu season, That’s the ingredients for flu shots are grown people who are between 2 and 49 years old.5 it’s no secret that theagain. obesityFor epidemic is growing, right along withbecause the diabetes 1 epidemic. you do advice, developdiagnosis cough and cold symptoms, the Centers for Disease Control and Prevention (CDC) inside eggs. Also, you should not get a vaccine you constitutesIfmedical Nothingifherein or treatment, or is a stop Think about the lifestyle choices you make. Yes, you’ve substitute for professional always thethe advice yourthe in toadvice. see us.You We should can help youseek select bestofover now recommends that almost everyone get a flu shot. have had a severe reaction to a flu shot in the past. heard it all before, but it still holds true: Make healthy food physician or other medical professional if you have questions or concerns counter medications to help put you on the roadabout to a That is, everyone six months and older. These changes If you’re pregnant, request the flu shot, not the nasal choices—and understand diabetes meal planning. Exercise medical condition. will simplify guidelines that of have vaccine. It is made from an inactivated virus. This recovery. For more information, call 609-660-1111 or 30 to 60 minutes most days thebeen week,confusing move to or stay at spray a SOURCES 3 to manyweight, people.and Youmanage should your knowstress that asthewell newas flu pregnancy. visit www.jerseyshore.pharmacy. healthy you can. makes it safe for you and your baby during 1. CDC: New CDC Data Show Declines in Some Diabetes-Related Complications Among US Adults. vaccine will include the H1N1 strain. Avoid trying to get pregnant for four weeks after a Available at: http://www.cdc.gov/media/releases/2014/p0416-diabetes-complications.html Accessed 4/22/15. 2. Do you know your diabetes ABCs? 4 2. MedlinePlus: Nearly 10 Percent of U.S. Adults Now Have Diabetes: Study. Available at: http://www.nlm.nih. Knowing yourinnumbers is also a big of may the Any shortage vaccine supplies thispiece season vaccination with a nasal spray vaccine. gov/medlineplus/news/fullstory_145673.html Accessed 4/22/14. diabetesalter story,a plan especially if you are at risk for or have high So, when should you get a flu vaccine? NowEducation is a Program: The Power to Control Diabetes Is in Your Hands. Available at: http://ndep.nih. slightly to vaccinate everyone at once, 3. Diabetes blood pressure or high cholesterol. High blood pressure gov/publications/PublicationDetail.aspx?PubId=28 Accessed 4/23/14. good time to start thinking about it. Flu season runs however. In that case, the CDC may prioritize vaccines is when blood moves through your vessels with too much 4. Diabetes Education Program: Know Your Diabetes ABCs. Available at: http://ndep.nih.gov/i-have-diabetes/ from November to April. Most cases hitKnowYourABCs.aspx between the Accessed 4/22/15 asforce. it hasCholesterol in the past.is It would first targetthat people a fat-like substance can who cause

5. ADA: Treating High Blood Pressure in People with Diabetes. Available at: http://professional.diabetes.org/ plaque buildup in arteries. Combined, these three give your 4 heart and blood vessels a triple whammy. cough and cold symptoms, stop in to see us. admin/UserFiles/file/Reducing%20Cardiometabolic%20Risk_%20Patient%20Education%20Toolkit/English/ If you do develop ADA%20CMR%20Toolkit_20HighBloodPressure.pdf Accessed 4/22/15. These are the diabetes ABCs: American Diabetes Association: Medication. Available at: http://www.diabetes.org/living-with-diabetes/ can help you select the best over the counter medications to help6.treatment-and-care/medication/ Accessed 4-23-14. • A is for theWe A1C test. That’s the test that shows what 7. Mayo Clinic: Cholesterol Medications: Consider the Options. Available at: http://www.mayoclinic.org/ thetheroad recovery. For more information, call your blood sugar put levelsyou haveon been past to three diseases-conditions/high-blood-cholesterol/in-depth/cholesterol-medications/art-20050958 Accessed 4-23-14. months. In most cases, you want shootwww.JerseyShorePharmacyBarnegat.com. for a number 609-660-1111 ortovisit below seven. • B is for blood pressure. A great goal is below COUPON: 140/80. The top number measures pressure in vessels as your heart beats. The20% bottom number OFF Validmeasures for Over-the-Counter Items Only. pressure when vessels relax between beats.5 Expires 12/31/18. Cannot be combined with any other offers. Expires 12/31/2017 • C is for cholesterol. Ask your doctor or me for the numbers you need.4 Cannot be combined with any other offers. Expires 6/30/2019. Sources

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MedlinePlus. “Flu.” http://www.nlm.nih.gov/ medlineplus/flu.html MedlinePlus. “H1N1 Flu (Swine Flu).” http://www.nlm. nih.gov/medlineplus/h1n1fluswineflu.html Health Day. “Virtually Everyone Should Get a Flu Shot: CDC”http://www.nlm.nih.gov/medlineplus/news/ fullstory_95735.html MayoClinic. “Seasonal flu shot in pregnancy: Is it safe?” http://www.mayoclinic.com/print/influenza/AN00651/ METHOD=print Nemours Foundation. “Is the Flu Vaccine a Good Idea for Your Family?” http://kidshealth.org/parent/general/ body/flu_vaccine.html

“Your Pleasure To Fill!” YourSpecial HomeOrder TownIs Our Family Pharmacy For more information, call 609-660-1111 or visit www.jerseyshorepharmacybarnegat.com.

Your Home Town Family Pharmacy Diabetic Shoes

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May/June 2017 May/June 2017 2019 November/December November/December 2018

Health & Wellness

Jersey Shore Pharmacy

Customizing Medications From Juniors to Seniors to Pets Pain Management

Jay Greco, RPh

Owner, Jersey Shore Pharmacy

We specialize in making topical pain cream formulations (both prescription and over the counter). These creams incorporate many different medications in a propietary base that penetrates the skin directly to the painful area. The advantages of topical pain management are: Less side effects, no addiction and the creams can be applied where you need them.

Jay has been a pharmacist since 1992, after graduating from Northeastern University in Boston, MA. He moved to the Jersey Shore and then worked at Thrift Drug in Tuckerton, NJ. After working for several different chains and small independent pharmacies he decided to open his first pharmacy in Barnegat in 1999. After selling the franchise in 2007, Jay now owns and operates his own private retail pharmacy in Barnegat, NJ with his own compounding lab on site. Jay is a member of IACP, PCCA, NCPA, and NJPhA. Jay is an active member in the community and lives locally. He is a Board of Directors member at Coastal Volunteers In Medicine, which is a free clinic located at 239 South Main Street in Barnegat, NJ. Jay & his partners also run Jersey Shore Pharmacies, one specializing in compounding and the other specializing in long-term-care facilities.

Hormone Replacement for Men & Women Hormone replacement involves treating menopausal symptoms (women), andropause (men) and thyroid deficiency just to name a few. Hormones can be made into many different dosage forms including creams, troches, injections and oral drops or capsules.

Veterinary

Since veterinarians treat animals as small as a mouse and as large as an elephant, the dose of medications vary greatly. With compounding, we can create a dosage form that treats the issue at hand and if necessary, make it taste great! We also specialize in veterinary flavoring so that your pet will not know it is getting medication. We have over 30 flavors to choose from!

580 North Main St., Barnegat, NJ 08005 P: (609) 660-1111

Podiatry

Podiatrists treat many different issues on a daily basis. Some examples of issues that compounding may help would include: wart treatment, painful feet, sweaty feet, callouses and nail fungus infections.

Wound Care/Scar Care

Wound care can sometimes be helped greatly with compounding. We can incorporate antibiotics, steroids and medications that promote tissue growth into a gel that is applied topically. For scars, there are new products on the market that greatly reduce or eliminate scars appearance and/or color.

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The County Woman Magazine www.TheCountyWoman.com

May/June 2019

Health & Wellness

Protect Your Family – Eliminate Lice Now!

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Happy Mother’s Day

Happy Mother’s Day Mother’s Day is the perfect day to celebrate the joys of

having a mother. There is simply no way we can ever really thank our mother for all she has done for us. On May 12th, strive to make Mother’s Day absolutely hassle free for your mother and take the responsibilities on yourself for a day. Pamper her a little on this special day of hers just as she pampers you all the year round. Give her a warm hug and a big kiss as you wish her a Happy Mother’s Day!

The County Woman Magazine www.TheCountyWoman.com

May/June 2019

Medical Professionals

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Happy Father’s Day

Father’s Day is the perfect day to celebrate the joys of having a father. There is simply no way we can ever really thank our father for all he has done for us. On June 16th, strive to make Father’s Day absolutely hassle free for your father and take the responsibilities on yourself for a day. Pamper him a little on this special day of his just as he pampers you all the year round. Give him a warm hug and a big kiss as you wish him a Happy Father’s Day!

The County Woman Magazine www.TheCountyWoman.com

May/June 2019

Education

Ocean County College Now Offering Continuing & Professional Education Summer Programs Ocean County College (OCC) is pleased to announce the opening of summer registration for its Continuing and Professional Education (CPE) non-credit programs. Taking CPE courses at OCC can help you climb the professional ladder, prepare for a change in careers, or simply learn and develop a new skill. OCC offers many professional certifications and test preparation classes to meet your needs. If you’re looking to improve your computer skills or business acumen, CPE provides courses to get you started. For the novice, get up to speed on Microsoft products like Excel, Word, or Outlook. For more advanced students, programs in system administration, human resources, and office support can help you improve your prospects on the job market. Employers can also utilize OCC’s programs to provide customized training in computer technology, management, and supervision for their employees. For aspiring health care professionals, CPE offers programs and certificates to help you gain immediate employment as a nurse aide, personal trainer, dental assistant, veterinary assistant, and many other high-demand career paths. OCC provides fast-track career training in these fields that allow you to complete your studies and receive your certificate within three to six months. Looking for personal enrichment instead of professional? OCC offers a variety of classes for adults including dance, language, yoga, genealogy, music, painting and more. These classes are a great way to develop a new creative skill and improve your mental and physical wellness. CPE has programs for kids and teens too! Youth programs include art, dance, music, sports, science, and summer camps, among others. CPE also offers Sensitivity Super Powers, an enrichmentbased program for high-functioning children with autism spectrum disorder. If you’d like to learn more about CPE’s career training opportunities, OCC invites you to attend a free information session on Wednesday, August 21, from 3:00-6:00 PM. CPE representatives will be available in the Atrium of the Instructional Computer Center at OCC’s Toms River campus to answer your questions and help you choose a program that best fits your goals. To register for a class or camp today, visit the CPE website at go.ocean.edu/cpe, or by phone at (732) 255-0409.

Build a Better You! Summer Registration is Open Now Health Careers & Certificate Programs

Enrichment Programs

Programs to Enhance Your Life!

Business Development & Employee Training Summer Camps for Kids & Teens Sign Up Today!

go.ocean.edu/cpe Toms River Campus • Library (Bldg. #3) 732-255-0409

Community

The County Woman Magazine www.TheCountyWoman.com

May/June 2019

Community

Thursday

August 15, 2019 6pm - 10pm 21 and over please

3900 River Road Point Pleasant, NJ

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The County Woman Magazine www.TheCountyWoman.com

May/June 2019

Acupuncture

The County Woman Magazine www.TheCountyWoman.com

May/June 2019

Women’s History

Louise Smith The “Mother” of the Roadway

ESPN.COM.

’Tis the season. Spring has sprung, the month of May hosts Mother’s Day, and it is NASCAR season! I have grown up around cars my entire life, as my father owns an auto body business. I have spent years driving various types of cars and trucks and learned to drive as soon as I could reach the gas pedal. I spent racing seasons at Atco Raceway watching family race cars down the quarter-mile track. So when my father called me to recommend a featured woman in history for my next publication, I was immediately intrigued. When we think of female race car drivers, most of us think of the infamous Danica Patrick. However, there were two women in particular who paved the roadway for the future of female race car drivers. Louise Smith was identified to many on the NASCAR circuit as the “First Lady.” Born on July 31, 1916, Louise was a feisty driver who is known to have always embraced the thrill of outrunning the law. In 1946 a racing promoter by the name of Bill France was scouting for females to enhance attraction to the racing ESPN.COM. circuit. Bill France encouraged Louise to participate in the Greenville-Pickens Speedway race and she finished third in a 1939 Ford. Fittingly, Louise’s husband owned a junkyard; however, he did not support her need for speed. It is reported that Louise got behind the wheel of her husband’s new Ford Coupe and drove it to Daytona with only intentions to watch the race and ended up as a participant! Louise ended up in the race with a frontpage finish after crashing the Ford. Suffice to say Louise’s husband was not happy with her taking the car or her performance. Louise was a popular figure on the racing scene until 1952. She raced all through Canada and the United States with wins and many bumps and bruises, including broken bones. Although Louise gained publicity as a female race car driver, she was not always welcomed by her fellow male drivers. It was a tough sport for women and she would not receive full acknowledgement of her accomplishments until she was inducted in the International Motorsports Hall of Fame in Talladega, Alabama in 1999 (47 years after her last race). Louise was a legend who loved the adrenaline rush of the roadway and who had a need for speed and participated with more energy and enthusiasm than many of her male counterparts. wikipedia.com

It would not be until 1963 that the name Janet Guthrie would become a popular name on the raceway when she entered the game. Janet was born on March 7, 1938 in Iowa. A pilot at the age of 17, she attended the University of Michigan and had a background in aeronautics. Janet worked as an engineer for an aviation company for six years. She eventually was one of four females to qualify for a scientist-astronaut program through NASA. Janet’s racing career started off when she purchased a Indystar.com. Jaguar XK120 Coupe. This was a vehicle in which she would complete in gymkhanas through hills and trails. Janet quickly upgraded to an XK140 (bigger, faster engine) to earn her ranking in the Sports Club of America races. Janet is known as the first female to compete in the Indianapolis 500 in 1977. Car builder Rolla Vollsetdt had a car and invited Janet for a test drive. It ended up that Janet qualified to compete in the race and this launched her into AARP.org. the professional racing arena. Although she finished 9th in the race, she was acknowledged as the “Top Rookie” in the race that year. In fact, it has been reported that she was a member of an all-female racing team from 1966 to 1971! Janet’s racing helmet and driver’s suit are on display at the Smithsonian Institute, and she was among the first female “athletes” to be entered into the Women’s Sports Hall of Fame. Janet struggled with facing criticism from the male drivers; however, she persevered and kept qualifying for races. Determined, Janet never gave up her passion to participate in the sport she loved. Janet wrote a book entitled Janet Guthrie: A Life at Full Throttle, which was published in 2005. Louise Smith and Janet Guthrie have been two remarkable “mothers” of the raceway who have empowered other women to just step on the gas and go!

Speedqueens.blogspot.com.

Rita King, LCSW is the Associate Director of Justice Involved Services at Jewish Family Service. In this role, Rita currently supervises a Re-Entry program for incarcerated individuals as well as a community based diversion program for consumers experiencing mental illness and involvement with the criminal justice system. Rita is a “De-escalation for Individuals with Special Needs” training facilitator and has trained approximately 1,200 law enforcement professionals to date. Rita is also a CIT trained mental health professional. Rita has a strong passion for women’s history and in her free time she continues to raise awareness of the importance of women’s history through lectures and community speaking engagements.

The County Woman Magazine www.TheCountyWoman.com

May/June 2019

Pet Services

A Place Like No Other

Pets

“Unconditional Love”

Written by Matt Reeves

forever! The animals People come from all over the world to know you and want see it and feel it. Companies organize One of the best placesteam in the world to learn the meaning of you to come again and volunteer days to come help. Kids again. “unconditional love” ask is the Funny Rescue & Sanctuary in Each animal has their friendsFarm to bring donations for the certain behaviors and we Mays Landing, NJ. animals instead of birthday presents for translate those behaviors themselves. It’s the Funny Farm Rescue & and interactions into If you’ve ever had a pet, you have a pretty good idea how much they love you and get Sanctuary, voted one of the top 10 places excited when you come home and how sad they are when you leave. Those are the lucky words ones. and stories. People all over the world can relate to Not all animals are so lucky to have them. animals in ways they never thought possible. in allsomeone of NJ love to visit!

The animals at the Funny Laurie Farm Rescue the exceptions. TheyFarm haveRescue, thousands A very sick young boy loved to see the pictures and Zaleski,are Founder of the Funny of people each year who come to visit and give them the love they need. Most animals the stories of the animals on Facebook each day. The Funny was just voted one of the top 10 most impactful female come to the farm from very difficult situations. Many were disabled, abused, injured, founders in the entire Northeast. Laurie grew up very or Farm made him forget about his pain. His last wish was to unwanted. Some people simply didn’t make arrangements for their pets after they were come to the Funny Farm, and although he didn’t have enough poor so she decided early on that the Funny Farm would always be free and would only gone and the animals had nowhere to go. How scary that must be for these sweet animals time, he knew each animal and their stories and adventures. His operate on donations. That anyone that gave their owners so way, much love. could come even if they didn’t have a dollar to parents said the Funny Farm brought him so many laughs and their name. One example is a nameless little black and white baby goat with a broken leg. At less than Howa month can animals once together? It’s their ts old, he wasneglected injured or andabused was inbring a lotso ofmany pain. people His future was dark. Through smiles! a series of miracles, Laurie Zaleski, the Founder of theand Funny Farm Rescue, found Young couples become engaged here because it is one of real stories of transformation. Each animal has a name a story. Animals who once out hadabout this little situation any run timeand rescuing him.fly! They receive the the most beautiful places in the world. When you see a person nothing are goat’s brought to this and placedidn’t wherewaste they can jump and We a custom splint stabilizeThey his leg because hebut couldn’t stand it atthe all. He kneeling down on one knee and a horse bringing a ring with very best inmade medical attention and to nutrition. make friends mostly, theyon learn needed food and water brought to his mouth while he lay in a new warm bed made just for animals of all breeds all around, your heart just melts. y in meaning of unconditional love. him. Farley the Farm Manager, a 1-year-old Australian Shepard, took him under his wing We visit schools and nursing homes with animals for free to and When animal loved, gavean him a lotfeels of love andmiraculous attention. things happen. At the Funny Farm, animals get teach people about kindness and overcoming obstacles. Seeing the inspirational stories of are not The locked in cages behind glass walls. Here, you can touch them, pet them, and even y ones. little goat was black and white and looked so much like a cow that he earned the feed them special food from our on-site store. name “Cowboy.” Over the next few days, and visits to many veterinarians, Zaleski took the animals makes us feel that there is nothing we cannot do. toAnyone minutes or 5 years! camaraderie him to can the volunteer Universityfor of5Pennsylvania, whereAfter they experiencing had the best the equipment. Several When people come together for a common purpose and none of them expect to get thousands of dollars were spentand trying to save his possible nerve damage ls with the owner, other volunteers the animals, it’s leg notfrom easy to leave. Many visitors and paid, the rewards are indescribable! amputation. ess When you give to the Funny Farm become loyal volunteers for life! ha the house so aherescue couldfarm, be cared properly much out charity your time, talents, or even ThisHe isn’tlived just in a farm, or even it’s afor world out ofand this received world. You may socialization with other animals and people. And because of this interaction, he has no idea he’s ayou goat, He money, know every penny goes to think you died and went for he thinks he’s a dog! ng feed and care for over 550 animals. You to Heaven! Here, if you Seven months later, not only has Cowboy’s leg healed, he has captured the hearts of people all over the feel good. In fact, it may just be the show an ounce of love to the globe!! He makes everyone laugh and gets into everything! He is now known as the “Donations most satisfying feeling you have ever an animal, a time to get out of Inspector.” When visitors come and donate food for the animals, theyprepare barelyfor have Niagara their cars when they discover Cowboy is already inside their car! Falls amount of love had! dea he’s a goat, He has a wonderful, lovable, sweet personality and will stop back at nothing and has person has incredible Every single coming at you to allmake at you laugh f people all over an unlimited supply of kisses! Everyone is his friend! Somehow for him and he talents, as does each and unique once! he knows what was done worth “Donations to get out of appreciates his life now. animal. Here, everyone is loved and This world called the ou laugh and has The unconditional love that comes from an animal is astounding, but the unconditional love that comes from an animal that appreciated and given the best life we Funny Farm isn’t just a e for him and he was once in distress is nothing short of miraculous! Nearly 400 of these animals at the Funny Farm Rescue & Sanctuary are waiting can possibly give them. It’s a place like tional love that comes from an animal that you visit. It’s new a place meet you and your family!! Coming to the Farm is easyplace but leaving your furry friends is very difficult. unny Farm Rescue &to Sanctuary are waiting iends is very difficult. noit, other! that becomes part of you All life is precious. If there is something we can do as humans to preserve and protect in nearly all cases, ect it, in nearly all cases, the unconditional love you receive in return is something you will simply never forget. Photos by Matt Reeves and Laurie Zaleski

e”

ailroad Blvd., Mays Landing, NJ 08330. itions. Come see us! www.funnyfarmrescue.org : funnyfarmrobin@gmail.com

Follow us on Facebook: TheThe Funny Rescue Rescue is open Sundays andSundays Tuesdays from at 6908 Blvd., at Mays Landing, NJ 08330. “FunnyFarm Farm Rescue” Funny Farm is open and8am-4pm Tuesdays fromRailroad 8am-4pm 6908 Railroad Blvd., Mays Landing, NJ 08330. to: Funny Farm Rescue • 6908 RailRoad Blvd., Mays Landing, NJ 08330. There is no admission as we operate entirely by donations and we don’t have any paid positions. Come see us! www.funnyfarmrescue.org There is no admission as we operate entirely by donations and we don’t have any paid positions. Come see us!Follow www.funnyfarmrescue.org us on Facebook: ________________________________________ For information on scheduling your next event, please contact Robin at: funnyfarmrobin@gmail.com Gift Amount: “Funny Farm Rescue” ________________________________________ For information on scheduling your next event, please contact Robin at: funnyfarmrobin@gmail.com

_ Zip:___________________________________

_____________

To donate to the Funny Farm Rescue, fill out the below information and mail to: Funny Farm Rescue • 6908 RailRoad Blvd., Mays Landing, NJ 08330.

________________________________________ r generous donation!

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Community

What’s Your Superpower? Mine is being a CASA. Children in foster care need you to be their voice. CASA of Ocean County needs everyday people like you to be volunteer advocates for the hundreds of Ocean County children in foster care.

Are you ready to be a superhero?

As a volunteer advocate, you will be a real-life superhero as you advocate on behalf of a foster child.

No child should ever feel that they are alone and without a voice.

CASA volunteers provide these children with a consistent and steady presence as they navigate through the confusing and often tumultuous time in foster care. Visit us at www.CASAofOceanCounty.org to sign up now!

Dining For A Cause Thursday, May 23, 2019 CASA of Ocean County · 1035 Hooper Avenue, Suite 3 · Toms River, NJ 08753 · Tel. 732.797.0590 · www.CASAofOceanCounty.org

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May/June 2019

Women Of Ocean County

Barbara Kannheiser,

Executive Vice President & COO, Garden State Trust Company

Barbara is a principal of Garden State Trust Company. She has over 25 years of experience in trust and estate administration and operations. In her role as EVP and COO, Barbara oversees all facets of the company’s operational and administrative activities. Additionally, she is responsible for all financial reporting for Garden State Trust Company. The depth of Barbara’s experience and dedication to problem solving promotes a culture within the company for the delivery of quality and responsive service to clients. In 1990, Barbara joined Manchester Trust Bank, Manchester Township, NJ and became the Chief Financial Officer. When Manchester Trust subsequently became the wealth management division for Sovereign Bank, Barbara served as senior manager. She worked on various management committees overseeing the daily administration and investment activities for the trust division. Barbara ensured regulatory compliance and risk management for what became a multibillion-dollar division serving a multi-state market. Barbara has a B.S. degree in accounting and her MBA from Georgian Court University. She has 3 children, Brian, Dan and Kristina and 2 grandchildren, Adam and Ben all living in Ocean County. On the weekends you can find Barbara on the golf course enjoying her favorite pastime. For more information, call 732-255-5000 or visit www.gstrustco.com.

Dani-Lynn Damasco, Office Manager, Shore Premier Dental Arts & Advanced Sleep & TMJ Center of New Jersey Born and raised in Monmouth County, Ms. Damasco has resided in Ocean County for over 40 years, graduating from Jackson Memorial High School. She attended college at Virginia Intermont College in Bristol Virginia and Brookdale Community College where she earned her certification in both Dental Assisting and Dental Radiology. Finding her passion as a dental administrator she has received specialized training in both medical and dental. Working for a large New Jersey based insurance company makes her knowledgeable in all insurance aspects. She truly loves everything about her job, especially educating their patients in their dental insurance. She feels the most rewarding part of her job is the smiles their patients have when they leave her office. Dani-Lynn currently lives in Manchester with her younger son and her adopted shepherd, Fritz. She loves spending time with her two children, four grandchildren, family and friends. In the summer months, she enjoys the beach or relaxing in her backyard. In the colder winter months, she enjoys scrapbooking and reading a good book. For more information call 732-842-6370 or email shorepremierdental@gmail.com. Photo by Melissa Amorelli Photography

Photo by Tracy Harman Photography

Sara Scheller, BSN, RN, NBC-HWC, HNB-BC Hackensack Meridian Integrative Health & Medicine

Sara Scheller is a Registered Nurse and Health Coach for the Integrative Health & Medicine program, partnering with people to make lasting lifestyle and behavioral changes for optimal health and well-being. Sara believes every person is an expert in their own life and with the right support and guidance, anyone can live a happy, healthy and fulfilling life. Sara is passionate about empowering and educating her patients and families to be active participants in their care. As a Nationally Board Certified Health & Wellness Coach and Board Certified Holistic Nurse, Sara integrates evidence-informed holistic, complementary and integrative therapies to care for individuals and families prior to, during, and after their hospitalization. Sara enjoys spending time in nature with her daughter, running and practicing yoga. She also volunteers her time as a leader for the Girl Scouts of the Jersey Shore and as the Chapter Leader for the American Holistic Nurses Association Coastal Chapter of NJ. She is currently pursuing her Masters of Science in Complementary & Integrative Health with a minor in Women’s Health at Drexel University. For more information, call 732-263-7999 or visit HackensackMeridianHealth.org/ IntegrativeMedicine

Randi Katz, D.O.,

Oncologist/Hematologist, New Jersey Hematology Oncology Associates

Randi Katz, D.O. is a board-certified Oncologist / Hematologist with New Jersey Hematology Oncology Associates. Dr. Katz graduated from New York College of Osteopathic Medicine and completed her Residency and Fellowship at Lennox Hill Hospital in NYC. Upon completing her medical training, Dr. Katz moved to the Jersey Shore to take up practice. Dr. Katz has privileges at Community Medical Center, Ocean Medical Center and Jersey Shore University Medical Center. She was voted one of New Jersey’s Top Docs in 2018. Dr. Katz has been a valuable member of New Jersey Hematology Oncology Associates since 2017. There she provides compassionate care alongside the latest in treatment options for patients with all cancer types and blood disorders. She believes that joint decision making with her patients is the cornerstone of a successful treatment plan. At NJHOA, Dr. Katz also has access to the latest clinical trials right in her office. You do not need to travel to NYC for cutting edge care, you can stay right here in your own neighborhood. Dr. Katz is happily married to her husband of 12 years, Dr. Evan Krawitz, an Optometrist. She has two beautiful children ages 9 and 7. When she is not helping her patients, Dr. Katz’s enjoys spending her free time traveling with her family. For more information, call 732-840-8880 or visit www.NJHOA. com.

Photo by Annette Jenkins Photography

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Photo by Melissa Amorelli Photography

May/June 2019

Women Of Ocean County Rhoda Kopy, BS, CH, Nationally Certified Consulting Hypnotist & Wellness Coach, Hypnosis for Women

As a hypnosis practitioner and wellness coach with specialty certification in Complementary Medical Hypnotism, Rhoda Kopy helps people break free of limiting habits, fears, and beliefs. She is celebrating her 15th anniversary as a Nationally Certified Consulting Hypnotist. Her private practice, Hypnosis for Women, in Toms River, serves primarily women, teens, and children, throughout the tri-state area. After earning a B.S. in Biomedical Communications, she worked for various organizations providing community health education and counseling services. She later segued into career services and founded A Hire Image, which offered motivational coaching, marketing, and training. As a result of success she achieved using hypnosis to improve her life, she completed an advanced training program and later opened her private practice. Rhoda co-founded Jersey Shore Hypnosis Practitioners, a peer support and networking group, and is a member of professional hypnosis organizations. Born in Bayonne and raised in North Plainfield, she has lived in Toms River for most of her life. She enjoys coordinating Bookie Babes, attempting to draw, watching meteor showers, traveling with her husband, and playing with friends and family. She has a daughter, two grandsons, and an adopted goofy shih-tzu. Rhoda can help you determine if hypnosis and coaching are appropriate for you. Call her at 732-270-0080 and visit www.HypnoForWomen.com.

Ester Houlihan, Resident, Tallwoods Care Center

Ester Houlihan was born on April 12th, 1941 in Kildar Ireland. In 1959, when Ester turned 18, she and her sister made the decision to leave Ireland together and pursue a career in Nursing. After she graduated, Esther then traveled to Canada and started working in the Canadian Red Cross hospital. In 1962 there was a shortage of Nurses in America and Australia. Esther, who had always wanted to travel, jumped at this opportunity. She packed her bags and travelled to America, settling in Boston, Massachusetts. Then, in late 1963 she decided to take a chance and move to New York City. When Ester was not doing her passion - caring for people as a Nurse - she enjoyed spending time with her friends, partying, dancing and enjoying life. This is how Ester met her first husband, John Mcphillips. They got married in the late 1960’s. Ester had two sons with John. In the late 1970’s she got divorced and went back to being a Nurse part time and taking care of her children. A year later, Ester met her second husband, Robson. Ester then retired from Nursing and traveled all over the world with Robson and her children. Her husband Robson passed away in 1995. On September 11, 2001, Ester witnessed the horrific national tragedy in her own backyard. It was then that she decided that it was time to move. She contacted a friend who lived in the Toms River area of New Jersey and decided to resettle there. In 2018 Ester became ill and could no longer care for herself. She arrived at Tallwoods Care Center in November of 2018 and she states it was the best thing that could have happened to her. Ester loves the facility and the staff here. Ester spends her time socializing with friends, playing bingo, enjoying weekly entertainment, and she still dances. Ester continues to do what she loves best- helping other in the facility and utilizing her caring and compassionate nature to help her peers adjust and feel just as comfortable as she does. Once a nurse always a nurse, no matter what age. For more information call 732-237-2220 or visit www.TallwoodsCareCenter.com.

Photo by Tracy Harman Photography

Jennifer Hawkins, MS, PA-C Be Well Women’s Health of Northfield New Jersey Jennifer Hawkins is a board certified Physician Assistant who has been practicing in Obstetrics and Gynecology in Southern New Jersey for 15 years. Jennifer Hawkins was born and raised in Long Island, New York. She graduated from Northeastern University in Boston Massachusetts. Jennifer completed her clinical Obstetrical/ Gynecological rotations at Massachusetts general, Dana Farber and Brigham and Women’s hospitals alongside Harvard medical school residents. She is a member of the NCCPA and AAPA governing boards for Physician Assistants. Jennifer has experience in all aspects of caring for women in all stages of life including adolescent gynecology, obstetrical care, menopause, and post-menopausal states. Jennifer is also an Assistant Professor for Jefferson University’s Physician Assistant program. She has a passion for mentoring students and encouraging them to take part in community service in combatting the opioid epidemic, mental health awareness in children and her and her students assist local schools with an anti-bullying campaign. Jennifer resides in Egg Harbor Township, NJ with her husband, daughter and son. In her free time she likes to do photography, gardening and spending time with her family. If you would like to make an appointment with Jennifer please call Be Well Women’s Health at (609)383-4042.

Kathleen Dotoli, Esq. Ms. Dotoli devotes her law practice to Workers’ Compensation and Social Security Disability and has been a practicing attorney for over 20 years. “There are very few attorneys in the Ocean/Monmouth County community who make regular appearances in Workers’ Compensation Court, so it’s extremely important that whomever you choose to represent you in a Workers’ Comp case is well versed in that area of the law, not someone who has just has a few files. Your health and financial well being is at stake, so you can’t afford to make a mistake.” Ms. Dotoli is the co-chair of the Ocean County Bar Association’s Worker’s Compensation Committee and a member of the NJ State Bar Association’s Worker’s Compensation Executive Committee. Ms. Dotoli also completed ten years of training with the Justice James Coleman Workers’ Compensation Inns of Court. Additionally, Ms. Dotoli is a Board Member of the American Red Cross, South Jersey Division and a Trustee of the Ocean County Bar Association. Ms. Dotoli holds several free lectures each year so the public can learn more about Workers’ Compensation and Social Security Disability benefits. To learn more about how to protect your rights, call her office today at 732-228-7534.

Photo by Tracy Harman Photography

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May/June 2019

Community

ARE YOU COMPASSIONATE AND MOTIVATED TO ASSIST SURVIVORS ? JOIN OUR TEAM OF TRAINED ADVOCATES, FORENSIC NURSES AND DETECTIVES!

To apply and schedule an interview, please call or email Susan Seiter at (609) 494-1554 SSEITER@stfrancislbi.org Training is held Monday nights from 6-9pm. After completing a 40-hour training program, you will be a certified Confidential Sexual Violence Advocate on call to provide crisis intervention, educational information and resources to survivors of sexual assault. All potential advocates encouraged to apply! Bilingual advocates also needed. Sexual Abuse and Assault Prevention Program of St. Francis Counseling Service 4700 Long Beach Blvd., Long Beach Twp., NJ 08008

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May/June 2019

Community

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May/June 2019

Community

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Theatre & Entertainment

“

INGENIOUS BUBBLE ” WIZARDRY. -THE NEW YORKER

Telecharge.com or 212.239.6200

For groups or birthdays call 866.642.9849

New World Stages 340 W. 50th St.

GazillionBubbleShow.com

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May/June 2019

Theatre & Entertainment “

A LIVE-ACTION DRUNK HISTORY . ”

“

ROWDINESS

& DEBAUCHERY.” - The New York Times

59 – Time Out

“New York Times Critics’ Pick”

THE LOUNGE

777 8th Ave., Level 2. Near 47th St . TICKETS : DRUNKSHAKESPEARE.COM

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May/June 2019

2018-08-16 2:27 PM

Community

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♥

10 Ways To Love Start now. It’s never too late or too early to incorporate healthy habits.

BREAK A SWEAT. Engage in regular cardiovascular exercise that elevates heart rate and increases blood flow. Studies have found that physical activity reduces risk of cognitive decline.

Your Brain

Growing evidence indicates that people can reduce their risk of cognitive decline by adopting key lifestyle habits. When possible, combine these habits to achieve maximum benefit for the brain and body.

HIT THE BOOKS. Formal education will help reduce risk of cognitive decline and dementia. Take a class at a local college, community center or online

BUTT OUT. Smoking increases risk of cognitive decline.

Quitting smoking can reduce risk to levels comparable to those who have not smoked.

FOLLOW YOUR HEART. Risk factors for cardiovascular disease and stroke — obesity, high blood pressure and diabetes — negatively impact your cognitive health.

Visit alz.org/nj or call (973) 437-3931 to learn more. 24/7 Helpline, (800) 272-3900. Alzheimer’s Association Greater New Jersey Chapter 23 Vreeland Road, Suite 105, Florham Park, NJ 07932

HEADS UP! Brain injury can raise risk of

cognitive decline and dementia. Wear a seat belt and use a helmet when playing contact sports or riding a bike.

FUEL UP RIGHT. Eat a balanced diet that is higher in vegetables and fruit to help reduce the risk of cognitive decline.

CATCH SOME ZZZ’s. Not getting enough

sleep may result in problems with memory and thinking.

TAKE CARE OF YOUR MENTAL HEALTH. Some

studies link depression with cognitive decline, so seek treatment if you have depression, anxiety or stress.

BUDDY UP. Staying socially engaged may support brain health. Find ways to be part of your local community or share activities with friends and family.

STUMP YOURSELF. Challenge your mind. Build a piece of furniture. Play games of strategy, like bridge.

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January/February May/June 2019 2019

Community

Lectures, Demonstrations 40+ Exhibits

THURSDAY MAY 16, 2019

SUCCESSFUL AGING FESTIVAL Celebrating Older Americans Month

Keynote: The Age Friendly University Pathway to Successful Aging

Carrie Andreoletti, Ph.D. Professor of Psychology & Gerontology Coordinator, Central Connecticut State University

Sessions including:

Stockton University Campus Center 101 Vera King Farris Dr. Galloway, NJ

10:00am – 2:00pm Join us for an engaging day of connecting with others, creating friendships, and contributing to lifelong learning and community.

• Nourishing Body & Soul: Historical Stories of the People Who Feed South Jersey • Veteran’s Aging • Fact & Fiction: A Writer’s Perspective •Internet Security •Memories in the Making: An Art Program for those Living with dementia Free Admission Free Food, Give Aways Free Bus Transportation (TBA: AC, Hammonton, Manahawkin – Please check website for updates & details)

www.stockton.edu/scosa (609) 652-4311

Enter To Win Oo-Bla-Dee paints a shimmering portrait of an all-female band of African-American bebop musicians traveling the country following the end of World War II. Don’t miss this play-with-music created by Golden Globe-winning actor and playwright Regina Taylor (I’ll Fly Away, Crowns), Obie-winning jazz composer Diedre L. Murray (The Gershwins’ Porgy and Bess) and Tony Award winner Ruben Santiago-Hudson (August Wilson’s Jitney at Two River and on Broadway).

JUNE

WINN

Enter to Win a Pair of Tickets to See a Great Show at two river theater!

0 8–3

E O R D WINNER GLOB LDEN T A Y L AR A IE AW R E G IN MUSIC BY OBM U R R A Y N AL NER ORIGIN R E L . D WIN UDSO D IE D ED BY TONY AWTARIA G O - H N DIRECT E N S A B U R

BY GO

One entry per person. Winners are responsible to redeem their tickets. No refunds or exchanges. Transportation or meals will not be included. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent.

Name: _________________________________________________________ Address: _______________________________________________________ City: _________________________ State: _________ Zip: _______________ Phone: ____________________ Email: _______________________________ Mail To: The County Woman • P.O. Box 619 • Turnersville, NJ 08012

Or Visit www.Facebook.com/TheCountyWoman to Enter Online!

FOR TICKETS 732.345.1400 | TWORIVERTHEATER.ORG | 21 BRIDGE AVENUE, RED BANK, NJ

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Radio

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Community

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March/April 2019 May/June 2019

10th Anniversary

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10th Anniversary

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May/June 2019

Community Murray Grove Retreat & Renewal Center The Perfect Place to celebrate and renew...

About Murray Grove

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May/June 2019

Medical Professionals Dharam Mann, MD

Manjula Singh, MD

Samir Jani, MD,MPH

Sarah Choxi, MD

Do you suffer from Spinal Stenosis? What is spinal stenosis?

Spinal stenosis is a narrowing of the spinal canal. Inside the spine, there is a channel called the spinal canal. It is surrounded by the vertebrae. This canal protects a cyclinder of nerves called the spinal cord. Spinal stenosis is the result of againg and “wear and tear” on the spine from everyday activities. These changes cause the spinal canal to narrow which can “pinch” the nerves in the lower back and may cause pain and or nerve damage.

What are the symptoms?

DISC

• Decreases endurance during physical activities

VERTEBRAL BODY

• Weakness and/or loss of balance • Symptoms improve when you sit, lean forward, lie on your back, or sit with your feet raised

SPINAL CANAL

• Aching, Dull back pain radiating (spreading) to your legs • Neurogenic Claudication • Numbness or a “tingling” feeling in your legs, calves, or buttocks

SPINOUS PROCES S

Normal

How does Superion treat Lumbar Spine Stenosis?

Stenosis

Superion is a completely new, minimally invasive approach to treating lumbar stenosis that fills a gap in the continuum between conservative care and invasive surgery. Designed with patient safety and comfort in mind, Superion is implanted through a small tube the size of a dime to reduce tissue damage and blood loss. The procedure can be performed in our outpatient surgical center. It’s a simple outpatient procedure with a rapid recovery time and no destabilization of the spine.

Indirect Decompression

Superion acts as an extension blocker, relieving pressure on the affected nerves in the manner that one would achieve relief in a seated or flexed position. Superion was developed to provide patients with a safe and effective alternative when conservative treatment has failed and laminectomy is too aggressive. Superion is placed between the vertebrae and holds them open. This relieves the pressure on the nerves in the spinal canal.

PINCHED NERVE

Pre-Operative

Post-Operative

DON’T ACCEPT PAIN. LET US HELP! Call Today: 732-202-3000

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