Monmouth
Ce leb ra
ar ting O r 9th Ye u
An Educational Resource for Women and Their Families
FREE ~ Please Take One DEMENTIA AND COMFORT CARE. The overall goal of comfort care is to achieve the best quality of life, focusing on relieving pain and other distressing symptoms. Page 17
LAURIE LOMBARDI: A CLINICAL DIETITIAN/ NUTRITIONIST AND RX GRADE, PARA-MEDICAL SKINCARE EXPERT. Laurie Lombardi embodies what a true beauty chemist is.
BECOME A CERTIFIED YOGA TEACHER. Freehold Yoga Center is in the same space for 32 years and this will be our 19th teacher training.
Page 24
Pages 40 & 41
Katelin Weisser and Lindsey Capelli, Owners of Living Well Counseling Center, offer a nurturing environment coupled with a goal oriented approach that allows for a positive therapeutic experience. Read more about these professionals and their practice on pages 8 & 9.
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Medical Professionals
Peripheral Neuropathy is a nerve disorder known to affect millions of people throughout the U.S. It is a complication found in several different medical conditions including Diabetes, Peripheral Vascular Disease, Post Chemo Radiation therapies and Metabolic disorders being some of the most common. Underlying the above disease processes is the problem of impaired circulation to peripheral blood vessels, particularly the smaller ones (capillaries). Without sufficient blood flow to nerve tissues, oxygen and nutrients cannot get into the tissues and the waste products of metabolism cannot get out. When functioning normally, nerve tissues receive nutrient rich, highlyoxygenated blood carried to them by capillaries, however they are easily clogged by this debilitating process. The peripheral nervous system eventually becomes distressed and damaged due to starvation and toxicity. In advanced cases of diabetic neuropathy, blood glucose can also damage the walls of these tiny blood vessels supplying nerves, especially those in the legs and feet.
“We personally invite you to schedule a comprehensive evaluation to determine if you are a MicroVas candidate and to learn more about our OneofaKind Neuropathy Program we are EXCITED to now offer our patients!” The REHABILITY Team
MicroVas is a FDA cleared, noninvasive vascular treatment system that delivers electromagnetic energy to targeted areas of the body. After years of research, this technology was originally developed to treat Navy SEAL divers for hypothermia. It has since been engineered as a groundbreaking innovation with the ability to address the root cause of neuropathy, often a lack of nerve fiber circulation in the injured area. MicroVas’ powerful, deeply penetrating waveform causes blood to pump and circulate much more efficiently by significantly raising tissue oxygen levels, resulting in a potent effect on the microcirculation. Studies have demonstrated marked increases in tissue oxygen supply within minutes of initiating treatment. In contrast to other technologies available, this process even results in new capillary formation, laying the groundwork for new tissue growth and repair while accelerating the healing process. MicroVas also accelerates lymphatic drainage as much as ten to thirtyfold, notably reducing swelling and stimulating the body’s immune response. Its therapeutic effects are often dramatic, longlasting and our unique approach of implementation is designed to help you achieve optimal results for longterm relief. My oncologist highly recommended a MicroVas program being offered at a premier area hospital to treat my neuropathy. Fortunately, I found it available closer to home at Rehability. The MicroVas combined with all the manual treatments on my legs and feet by the wonderful therapists’ have helped me make a remarkable recovery. Sal D.
*Most major medical insurances accepted, including Medicare.
CALL TO SCHEDULE AN APPOINTMENT TODAY! 732-780-6230 CHIROPRACTIC | PHYSICAL THERAPY | ACUPUNCTURE
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Financial Management Whole Life Insurance: A Surprising Alternative to Education Funding Debra Serafin, MBA As Director of Financial Educational Services at Innovative Wealth Partners, LLC, my passion for teaching has not stopped upon retiring from public education, but has been transformed into educating clients about financial independence. Open communication, sincerity and the personal touch is our signature approach provided to all our clients.
Shannon O’Connor At Innovative Wealth Partners, LLC, we use a team based approach to educate our clients on the strategies to develop a financial plan that works under the widest range of circumstances and prepares for life’s unexpectancies. Knowledge and education are critical to making good financial decisions.
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You’ve probably heard of a 529 Plan when it comes to saving for your child’s college education. It’s probably the most recognizable vehicle for college savings because of its favorable tax treatment for qualified educational expenses, as well as a state tax deduction in some states. But it’s not the only option available to you. A whole life insurance policy can help you accomplish your college savings goals similar to the way a 529 plan can. But there are differences between the two that might make whole life insurance a more suitable option for you: • Take income tax-free college loans.1 You can use the cash value in your policy to take out loans tax-free to help pay for college expenses (or other uses) without having to worry whether they’re qualified education expenses or not. • Get guarantees without market volatility. A 529 plan likely has funds tied to market returns. While that can allow your college fund to grow over time, a down market could significantly affect what you can afford at a particular given time. Timing is everything. Imagine a market downturn occurring right before your student’s freshman year. Whole life provides you with guaranteed premiums, death benefit and cash value that won’t decrease based on financial market performance. Any dividends paid will enhance your cash values and death benefit. • Have options in case of disability. What if you became disabled while trying to build up savings for that college education? With whole life you have an optional waiver of premium rider to guarantee your college funding goals stay on track. • Benefit from savings that may not affect financial aid considerations. FAFSATM financial aid guidelines currently don’t count your life insurance policy’s cash value as an asset, which means you could qualify for a higher level of aid. A 529 plan is considered an asset by FAFSA. Note: some colleges do view life insurance as an asset in determining financial aid. • Fund an education should the unthinkable happen. Life insurance provides an income tax-free death benefit to your named beneficiary, which could fund an education.
Let’s talk about planning for your child’s college education. ‘Distributions, for any purpose, are not taxed under current law provided the policy avoids Modified Endowment Con tract (MEC) status and remains in force. If tax-free loans are taken and the policy lapses, a taxable event may occur. Loans and withdrawals from life insurance policies classified as modified endowment contracts may be subject to tax at the time the loan or withdrawal is taken and, if taken prior to age 59½, a 10% federal tax penalty may apply. Withdrawals and loans reduce the death benefit and cash surrender value. Withdrawals from 529 plans are tax-free if used for qualifying education expenses. FAFSA is a registered trademark of the U.S. Department of Education. Whole life insurance Is issued by The Ohio National Life Insurance Company on policy form 06-PW-1 and any state variations. Waiver of Premium for Total Disability Rider is issued on form number 82-LWP-1 and any state variation. Guarantees are based on the claims-paying ability of the issuer. Dividends are not guaranteed. Products, product features, and rider availability vary by state. The issuer is not licensed to conduct business in New York. Clients should consult their own tax advisors regarding the comparative tax benefits of 529 plans, as well as the potential taxation of distributions from both 529 plans and whole life insurance policies.
Innovative Wealth Partners 2640 Highway 70, Building 8, Suite 201 Manasquan, NJ 08736 Office: 732-722-8788 Fax: 732-722-8789 www.inwealth.org Facebook: https://www.facebook.com/innovativewealthpartnersllc/
For more information or to schedule a free consultation, call 732-722-8788. Recipe
Chicken In Puff Pastry Compliments of Chef Steph
Serves 4
1 sheet puff pastry, thawed and rolled out into a 14in square. 4 boneless chicken breasts, cooked 1/3 cup herbed soft cheese 1/4 cup fresh parsley , chopped 1 large egg Optional ingredients-chopped spinach, diced roasted red peppers, additional cheese, etc.
Preheat the oven to 400 degress. Roll out puff pastry, cut into four equal sized pieces. Place 1 1/2 tablesoons of herbed cheese in the center of each piece. Top herbed cheese with a chicken breast and then chopped parsley Next, fold the corners of the pastry over the chicken breast. Place chicken pastry seam side down on a baking sheet covered in parchement. Lightly brush the top with a whisked egg. Bake for 20-25minutes or until crust is golden brown.
Feel free to add any of the optional ingredients as well & enjoy!
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
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Monmouth County Woman Publisher’s
Monmouth County Woman Since 2008
Publisher.............................................................. Chris Lam chris@thecountywoman.com • 856-885-8066 Production Manager ...................................Lauren Shover staff@thecountywoman.com • 856-885-8066 Marketing Production Executive ..........Jessica Sochocky staff@thecountywoman.com • 856-885-8066 Regional Sales Director................ Kristina Wheeler Pruitt kristina@thecountywoman.com • 609-412-1914
Billing Manager.......................................Desiree Hoover billing@thecountywoman.com • 856-885-8066 Graphic Designers.................................................................. Golden Design LLC • CCO Designs, LLC CEO.................................................................. Lynn K. Wolf For advertising inquiries, please call:
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The County Woman P.O. Box 619 Turnersville, NJ 08012 The County Woman’s Newspaper is published bi-monthly and is available free of charge at display Countyprivate Woman’s is published is available of paid charge at stands inThe approved and Newspaper public establishments andbi-monthly authorized and distributors only,free or by mail display stands in approved private and public establishments and authorized distributors only, subscription. or by paid and mailU.S. subscription. Trademark Copyright Laws protect The County Woman’s Newspaper. No part of this paper U.S.the Copyright Laws protect Thepublisher. County Woman’s Newspaper. No part of may beTrademark reproduced and without written permission of the The Woman’s Newspaperwithout is not responsible any editorial comment (other than its own), this County paper may be reproduced the writtenfor permission of the publisher. All from correspondence should be any addressed typographical errors advertisements as camerafor ready reproductions of to: advertisements The County Woman’s Newspapersubmitted is not responsible anyoreditorial comment (other than submitted as camera ready. its own), typographical errors from advertisements submitted as camera ready or any reproduc Iftions an advertisement does not meet our of acceptance, we may revise or cancel it at any time, of advertisements submitted as standards camera ready. whetherIforannot it has been already acknowledged and/or previously published. Therevise advertiser assumes advertisement does not meetP.O. our standards of acceptance, we may or cancel it atsole Box 619 responsibility for all statements contained in submitted copy and will protect and indemnify the Woman’s any time, whether or not it has been already acknowledged and/or previously published. The Newspaper, its owners, publishers, and employees, against any and all liability loss or expense arising out of Turnersville, NJ 08012 advertiser assumes sole responsibility for all statements contained in submitted copy and will claims for libel, unfair trade names, patents, copyrights and propriety rights, and all violations of the right of protect and indemnify the Woman’s Newspaper, its owners, publishers, andadvertising employees, against privacy orThe other violations resulting from the this newspaper its County Woman’s Newspaper ispublication published ofbi-monthly and isoravailable free ofcopy. charge at any publisher and all liability loss or expense arising out of claims libel,tounfair trade names, patents, The shall under noprivate liability failure, for any for reason, an advertisement. display stands in be approved andforpublic establishments andinsert authorized distributors only, and not propriety and all violations of theand/or right failure of privacy or other violations Thecopyrights publisher shall be liablerights, by reason of error, omission to insert any part of an or by paid mail subscription. resulting from publicationnotofbethis newspaper its advertising copy. in publication and/ advertisement. The the publisher delayoror in performance Trademark and U.S.will Copyrightliable Lawsforprotect Thefailure County Woman’s Newspaper. No part of The publisher be under for failure, for any reason, insertThe an advertiseor distribution if all orshall any portion of no an liability issue is delayed or suspended for anytoreason. publisher will this paper may be reproduced written permission of the publisher. to insert any ment. The publisher shallinnot bewithout liable bythe reason error, omission and/or exercise reasonable judgment these instances and willofmake adjustments for the failure advertiser where and The County Woman’s Newspaper is not responsible for any editorial comment (other than whenpart appropriate. of an advertisement. The publisher will not be liable for delay or failure in performance its own), typographical errors from advertisements submitted as camera ready or any reproduc The County Woman’s Newspaper assumes no responsibility for unsolicited material or reproductions in publication and/or distribution if all or any portion of an issue is delayed or suspended for tions of advertisements as camera ready. madeany byreason. advertisers. The publishersubmitted will exercise reasonable judgment in these instances and will make If an advertisement does not our standards of acceptance, This newspaper published bymeet theand 15th of every other month. we may revise or cancel it at adjustments forwill thebeadvertiser where when appropriate. Representations by CW Media LLC, COPYRIGHT 2008. any whether or not Group, it assumes has been already acknowledged and/or previously published. The Thetime, Woman’s Newspaper no responsibility for unsolicited material or reproducadvertiser assumes sole responsibility for all statements contained in submitted copy and will tions made by advertisers. ind us on the web protect and indemnify Woman’s owners, This newspaper will bethepublished byNewspaper, the 15th ofitsevery otherpublishers, month. and employees, against TM unfair trade names, patents, any and all liabilitybyloss expense arising out Woman, of claims LLC for libel, COPYRIGHT 2008. Representations TheorMonmouth County copyrights and propriety rights, and all violations of the right of privacy or other violations follow Facebook and copy. Twitter resulting fromAnd the publication thison newspaper or its advertising INDofus US ON THE WEB The publisher shall be under no liability for failure, for any reason, to insert an advertisement. The publisher shall HE not be liable by reason of error,OMAN omission and/or failure to insert any WWW OUNTY COM part of an advertisement. The publisher will not be liable for delay or failure in performance in publication and/or if all or any portion an issue is delayed or suspended for And follow usdistribution on Facebook andofTwitter any reason. The publisher will exercise reasonable judgment in these instances and will make adjustments for the advertiser where and when appropriate. @TheCountyWoman facebook.com/TheCountyWoman The Woman’s Newspaper assumes no responsibility for unsolicited material or reproductions made by advertisers. This newspaper will be published by the 15th of every other month. Representations by The Monmouth County Woman, LLC TM COPYRIGHT 2008.
The County Woman
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Hello, Readers of the Monmouth County Woman! My name is Chris Lam, and I am the proud owner and Publisher of the Monmouth County Woman. I wish to extend a warm welcome to our new readers and longtime readers as well. This past year, it has been truly exciting and energizing to be a part of the Monmouth County Woman! Please be sure to check out our Meet the Staff section on pages 12 & 13, where you will find some useful insight on all of us here at the Monmouth County Woman. I am lucky to be surrounded by such a talented, dedicated and knowledgeable team. Welcome to the September/October issue of the Monmouth County Woman! We truly hope that you enjoyed all of the fantastic things that the Jersey Shore had to offer this past summer season. Now, on to fall, which means back-to-school, changing of the seasons and eventually getting ready for the holidays. But, remember to make time to take advantage of what makes Monmouth County such a great part of the Jersey Shore area, as you will read in this issue. Our mission is to continue to provide you, our readers, with valuable, engaging and educational information that you have relied upon during the 9 years of the Monmouth County Woman. I am looking forward to many years of serving as the publisher of the premier educational publication in Monmouth County. I also welcome your feedback, so please drop me a line! I am always interested in hearing what our readers have to say about our publication. Best, Chris Lam and the staff at the Monmouth County Woman Publication
Featured on the Cover -
Living Well Counseling Center, LLC
.
Pictured L-R: Katelin Weisser, LCSW, LCADC and Lindsey Capelli, LPC, NCC, SAC. They say that teamwork makes the dream work and therapists Katelin and Lindsey are living proof of that adage. Read more about these dedicated therapists on pages 8 & 9.
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Cannot be combined with any other offer. Expires 10/31/2017. For more details see page 21. @TheCountyWoman facebook.com/TheCounty Woman
Cover photo by Annette Jenkins Photography. Schedule your professional headshot today. See page 66.
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Contents
^ Medical Professionals
REHABILITY........................................................................2 All-Care Physical Therapy Center, LLC...............................7 Quality Dermatology..........................................................10 Gastroenterologists of Ocean County...............................18 Professional Hearing Center.............................................21 Allen Morgan Fertility and Reproductive Medicine............25 Atlantic Neurosurgical Specialists.....................................26 Relievus.............................................................................27 Toms River X-Ray, CT & MRI Center.................................29 Ocean Otolaryngology Associates, PA..................31, 32, 33 University Urology Associates of New Jersey.............34, 35 Barnabas Health Medical Group: Ocean Gynecological and Obstetrical Associates.........36 Paonessa Colon and Rectal Surgery, PC..........................38 Ocean Hematology & Oncology........................................39 MonaLisa Touch® North Dover..........................................42 Memory Enhancement Center..........................................43 Vein Center for Women...............................................44, 45 Institute for Advanced Radiation Oncology......................47 Personal Enhancement Center..........................................67
^ Financial Management
Innovative Wealth Partners..................................................3
5
^ Featured on the Cover
^ Adult Day Care
^ Law
^ Fashion & Beauty
Living Well Counseling Center, LLC............................... 8, 9 Levin Cyphers, Attorneys at Law......................................11 The Matus Law Group.......................................................15 EFC LAW PRACTICE.........................................................48
^ The County Woman Team
Meet The County Woman Team..................................12, 13
^ Health & Wellness
Meridian Integrative Health & Medicine............................14 Cleansing Concepts..........................................................19 The Natural Pharmacy.......................................................24 Lice Lifters.........................................................................37 Freehold Yoga Center................................................. 40, 41
^ Pets
BLUE SAGE Veterinary Wellness Center...........................16
^ Orthodontics
Holmdel Orthodontics.......................................................16
^ Home Health Care
United Methodist Communities Homeworks....................17
^ Permanent Hair Removal
^ PACE Program
^ Pediatric Dentistry
^ Professional Dentistry
AMP ELECTROLYSIS..........................................................5
Beacon of Life...................................................................20
Tender Smiles 4 Kids...........................................................6
Aesthetic Dental Creations................................................22
We Care Adult Care, Inc....................................................23 Lynne’s Fashion Boutique, Inc..........................................28
^ Life Coach
I Wonder Coaching............................................................30
^ Assisted Living
Spring Oak of Toms River..................................................37
^ Adult Community
Fountainhead.....................................................................46
^ Specialty Cakes & Chocolate Novelties
Chocolate Carousel...........................................................49 ^ Women of Monmouth County.............52, 53
^ Theatre & Entertainment
The Imbible....................................................................... 56 Curvy Widow.....................................................................57 Two River Theater..............................................................59
^ Business & Finance
Pearls of Wisdom Media, LLC...........................................60
^ Travel
Vagabond Travel Agency...................................................63
^ Inn & Tea Room
600 Main Bed & Breakfast...........................................64, 65
^ Fine Art Photography
Annette Jenkins Photography...........................................66 ^ Community.......... 49, 50, 51, 54, 55, 58, 60, 61, 62
Please Take Advantage Of Our Many “Enter To Win” Contests Throughout The Paper And On Facebook!
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Ann Marie Preston, LE, CPE
AMP ELECTROLYSIS
732-389-9141 • 287-B E. Main Street, Oceanport, NJ. 07757 • www.ampelectrolysis.com
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
6
Pediatric Dentistry
Remember, Damaged Teeth Do Not Grow Back: Use A Mouthguard in Sports! Youth and adolescent sports participation has grown steadily over the years. It is estimated that 20 to 25 million youths currently participate in competitive sports. Along with the rising number of young athletes, there is an increase in the incidence of injury. By some accounts, approximately 36% of all unintentional injuries to children and adolescents occur during competitive sports. Of those injuries, 10-20% are maxillofacial injuries, according to the American Dental Association.
Common sense dictates that it’s a good idea to wear a mouthguard if you play contact sports or engage in any activity where you could potentially damage your teeth. Dr. Max recommends wearing a soft plastic mouthguard piece when playing the following sports: basketball, boxing, field hockey, football, gymnastics, ice hockey, lacrosse, racquetball, soccer, handball, squash, surfing, volleyball, weightlifting, and wrestling. Other experts include baseball and softball infielders on that list. Dr. Max further recommends that the mouthguard be worn during all practices and games.
There are several reasons why people don’t wear mouthguards. Sometimes they don’t know that the activity that they are engaging in requires a mouthguard. Teenagers may not wear them due to peer pressure. After all, nobody wants to be the only one on the team who wears a mouthguard! Others might complain that a mouthguard is uncomfortable or interferes with their speech and breathing.
However, there are five excellent reasons to wear a mouthguard. They will: 1. Protect against tooth fractures 2. Protect against tooth displacement 3. Protect against knocking out a tooth 4. Protect Against Soft Tissue Injuries 5. Protect Against Jaw Fractures
SELECTING A MOUTHGUARD There are three types of mouthguards: • Ready-made or stock mouthguard • Mouth-formed “boil and bite” mouthguard • Custom-made mouthguard made by Dr. Max These mouthguards vary in price and comfort, yet all provide some protection. According to Dr. Sulla, the most effective mouthguard should be comfortable, resistant to tearing, and resilient. A mouthguard should fit properly, be durable, easily cleaned, and not restrict speech or breathing. Dr. Sulla will create a customized mouthguard that will fit perfectly and even match your team colors! It’s often said that an ounce of prevention is worth a pound of cure. Sports mouth guards not only protect your teeth, but they can protect against many injuries that can occur in and around your mouth.
Should an injury to your teeth occur, you will find the consequences not only inconvenient, but they probably will affect your appearance more than wearing a mouthguard would have in the first place. I hope that this article will increase your awareness of the implications of wearing or not wearing a mouthguard so that you can make an informed decision.
It is important to remember that damaged teeth do not grow back. Protect that perfect smile - wear a mouthguard!
New Patient Welcoming Package Only $16000 ($285 Value)
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FREE Infant Exam *Up to 24 months of age.
Promotions are valid with coupons only. Expires 10/31/2017.
Pediatric, Laser & Orthodontic Dentistry FREEHOLD • MANALAPAN AREA 122 Professional View Dr. Bldg. 100, 2nd Floor Freehold, NJ 07728 732.625.8080
SOMERSET NORTH BRUNSWICK AREA 1330 How Ln North Brunswick, NJ 08902 732.249.1010
TenderSmiles4Kids.com EDISON WOODBRIDGE AREA 1656 Oak Tree Road Edison, NJ 08820 732.549.3773
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Medical Professionals
7
Managing Rheumatoid Arthritis Have you ever noticed the joints in both of your hands to be swollen and painful? Do your joints remain painful and stiff for a long period of time, well into the morning? Has your ability to open jars, cut food, and turn doorknobs become more challenging? You may be one of the 1.3 million Americans suffering from Rheumatoid Arthritis. Rheumatoid Arthritis (RA) is a systemic, chronic, autoimmune disorder that can cause joint deformities. It can also decrease your ability to perform activities of daily living (ADL’s), cause muscle spasm and shortening, increase ligament laxity, and destroy bone and cartilage. In some cases, the synovial lining of tendons and tissues of internal organs may also be affected. Research suggests that hand involvement is an early clinical sign of RA, with joint swelling occurring at the small knuckles or your proximal interphalangeal joints (PIP’s) and your larger knuckles or metacarpophalangeal joints (MCP’s), and wrists. Signs and Symptoms of RA vary as the disease progresses, and symptoms may go into remission or exacerbate. • Stage I: Early, Acute, Inflammatory: Increased pain, joint swelling and warmth in the knuckles and wrists of both hands • Stage II: Moderate, subacute: Decreased range of motion (ROM), decreased pain symptoms, and weakening of soft tissues and joints • Stage III: Severe, chronic active, destructive: Decreased ROM, increased soft tissue involvement, and increased joint deformities • Stage IV: Chronic: Severe deformities affecting both hands, with the dominant hand being more severely damaged Causes and Risk Factors: The exact cause of rheumatoid arthritis is unknown, but those with a family history of rheumatoid arthritis, are more likely to be diagnosed with RA, due to the genes affecting the immune system making people more prone. Both genders may be affected, but women have a greater than 75% chance of getting RA, with onset between 20-50 years of age. Treatment Options: In accordance with seeing a Rheumatologist to manage RA symptoms, occupational therapy and physical therapy can help: • Decrease Pain in joints • Maintain or increase range of motion & strength
Marian Nashed, OT Hand Therapist Marian received her Master’s Degree of Science in Occupational Therapy from Howard University, in 2011. She graduated with honors and served as the President of Pi Theta Epsilon, Beta Alpha Chapter, as part of the National Occupational Therapy Honor Society. Marian is continuing her education at Thomas Jefferson University, in Philadelphia, PA, to obtain her Doctorate in Occupational Therapy, with an emphasis on clinical education. She is also a certified American Occupational Therapy Association (AOTA) Fieldwork Educator.
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Provide education on adaptive equipment and compensatory techniques to resume ADL performance • Fabricate resting hand splints to prevent further joint deformity & recommend daytime splinting options. • Resting hand splints: Allow your fingers and wrists to remain in good alignment, and decrease your pain. • Silver ring splints: Allows freedom to perform activities during the day, while keeping the fingers positioned in proper alignment. The Hand Therapists at All-Care Physical Therapy Center, LLC, are equipped with the knowledge and measuring kit required to evaluate the most appropriate splint to improve function. Joint Protection & Energy Conservation Techniques: • Replacing doorknobs and faucets with levers to decrease the amount of strain on the joints. • Using a pizza cutter or rocker knife to cut up food instead of a traditional knife to decrease stress to the joints • Adding built up, large cushioned handles, for commonly used items like kitchen utensils, gardening tools, and pens. • Using spring loaded scissors that are readily available to open up packages, instead of fingers to pinch. • Avoid using squeeze bottles or tubes, to decrease stress on the joints. A better alternative would be pump bottles for shampoo, toothpaste, lotions, and soaps. • Use lightweight cookware, to avoid excessive load to the joints. • Use both arms to carry objects, close to the body, and avoid using hand to lift heavy groceries and handbags. Rheumatoid Arthritis can have a significant impact on the use of both your hands making your ADL’s more challenging. Recognizing and addressing RA in its early stages will provide the best prognosis for this chronic disorder. At All-Care Physical Therapy, our hand therapists specialize in the treatment of RA and other hand disorders. Contact your physician if you are experiencing these symptoms and ask if an Occupational Therapist at All-Care can help. OT hand therapy is currently practiced in our Toms River (732-569-6556) or Whiting (732-849-0700) locations.
OT Hand Therapy is now available at our Jackson Facility. Please call 732-833-1133 to schedule an appointment.
1-(855)-3ALLCARE
Come Experience The All-Care Difference For Yourself! Whiting • Toms River Manchester • Barnegat • Jackson Forked River • Brick • Home Therapy Certified Hand Therapist
Free Transportation For Patients In Need
The County Woman Magazine www.TheCountyWoman.com
www.AllCarePTC.com
September/October 2017
Counseling Center
8
Learning To Cope With Anxiety Imagine... It’s Sunday evening around 5PM. You’re getting dinner ready, thinking about the great weekend you just had, when all of a sudden you realize tomorrow is Monday morning and a new week is about to begin. As you start to think about your responsibilities for the week ahead, you start to notice apprehension and begin to feel overwhelmed. With anticipation, your thoughts start to race, your heart rate increases, and you begin to have difficulty breathing. The symptoms feel as if they are coming from left field, and yet all you know is it feels like a giant weight is resting on your chest. These symptoms, however, are the common body responses many of us experience as a result of fear, anxiety, and stress. When thinking about how to manage the symptoms and emotions of anxiety, it is first important to notice and understand what happens to our mind and our body when we experience a sense of threat. As mentioned above, typically our body responds to anxiety, fear, or stress by exhibiting physical symptoms causing behavioral reactions such as fight, flight, freeze, submit, or attach. These threat responses are apparent in anxiety-provoking situations where we respond by fighting, either verbally or physically; running away, either physically or psychologically; freezing when trying to make a decision about how to respond; submitting to the emotions we are having, allowing them to overtake us; and/or attaching to someone or something who may protect us from the distress. When we are in touch with the physical signs and behavioral reactions to anxiety, fear, and stress, we are better able to identify strategies to manage the symptoms we are having. One way to become aware is to work on engaging in mindful activities. By doing this, we can increase our awareness of ourselves, which can support in identifying
what our mind and body may need to relieve the stress. Ultimately, we need to remind ourselves that our emotions serve as a function to provide us with information, and can motivate us LINDSEY CAPELLI, KATELIN WEISSER, towards some sort of action. LPC, NCC, SAC LCSW, LCADC To support ourselves, it can be important to keep in mind that many of us experience anxiety and stress at some point in our lives. By recognizing when this is happening, we can create a personal toolbox of skills to utilize when anxiety or fear comes up. For some this toolbox may include breathing exercises, relaxation techniques, and self-soothing; while for others it may include distraction through mindful coloring, physical activity, and/or cooking a meal. Whatever our skill set is, it is important to practice them on a regular basis to ensure our anxiety or stress do not overpower us. At Living Well, we work to help our clients develop their own set of skills for their toolbox, and assist them in accessing those skills whenever needed. Our goal is to provide the support, guidance, and validation to work through anxiety-provoking and stressful situations. We look forward to helping our clients find a sense of inner peace and strength.
To schedule an appointment, call 732-455-2039 or visit www.livingwellccllc.com.
Living Well Counseling Center, LLC
SPECIALTIES
TREATMENT MODALITIES
• Depression/Anxiety/Post-Partum • Bipolar Disorder • Addiction/Dual Diagnosis • Behavioral Issues • Suicidality/Self-injurious Behavior • Coping Strategies • Self Esteem • Relationship/Family Conflict • Eating Disorders • Borderline Personality Disorder • PTSD/Trauma
Growth Comes From Within 106 APPLE STREET, SUITE 115B TINTON FALLS, NJ 07724
PHONE: 732-455-2039
www.Livingwellccllc.Com
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September/October 2017
Featured On The Cover
9
A Passion for People: Living Well Counseling Center Gets You on the Path to Recovery They say that teamwork makes the dream work and therapists Katelin Weisser and Lindsey Capelli are living proof of that adage. Believing that true growth can only come from within, they started Living Well Counseling Center with the philosophy that their clients already have all the tools necessary to succeed in life. “Our job is to help you tap into your inner strength to allow growth to occur,” Lindsey adds. The mission behind Living Well is simple: a nurturing environment coupled with a goal oriented approach leads to a positive therapeutic experience. Katelin says, “As therapists we take pride in the ability to create an atmosphere which balances acceptance and change. Our belief is that by increasing selfcompassion, personal validation, and mindfulness techniques, our clients can achieve their desired results.”
MCW: Tell us about your client population. Lindsey: We service a wide range of
individuals including adolescents, adults, and couples/families. We also provide various types of group counseling.
MCW: What kind of Therapeutic Models do you use? Lindsey: We utilize a myriad of
KATELIN WEISSER, LCSW, LCADC and LINDSEY CAPELLI, LPC, NCC, SAC
732-455-2039
different models depending on the therapeutic need. For couples, we favor the Gottman Method, which teaches couples to generate better understanding between each other and identify strategies towards conflict resolution. For individuals, we utilize motivational interviewing and compassion focused therapy. Additionally, we specialize in DBT, EMDR and other trauma focused therapies.
MCW: What are the most common issues that you treat? Katelin: While I would say I am
comfortable working with a wide range of issues, I have a great deal of experience working with clients experiencing Growth Comes From Within trauma, addiction, and behavioral issues. I have dedicated much of my time toward learning about how biological MCW: Tell us about your educational background. and environmental factors come together in creating the emotions, thoughts, and Katelin: After graduating from High School in New Jersey, I began my college behaviors we experience in our daily lives. career at San Diego State University. While I had originally started school as a Lindsey: We also see a lot of patients struggling with self-injurious behavior, postnursing major, I quickly realized (after completing my first year) my passion was in traumatic stress disorder, family conflict, life transitions and suicidality. the Social Work field. I graduated from San Diego State with my BASW and went MCW: Do you accept insurance? on to complete my Masters in Social Work at Rutgers University. Later, I returned Katelin: Although we do not accept in-network insurance policies, we do accept to Rutgers to complete coursework toward my certification as a drug and alcohol out of network benefits and will provide clients with a bill to send to insurance counselor. companies so they can be partially reimbursed for services. If a client does not have Lindsey: My desire to study psychology developed in high school, which quickly any out of network benefits, we will work with them on a sliding scale on a limited evolved into a plan to obtain a degree in psychology with a goal to obtain my basis. masters. In putting my plan into action, I attended Roger Williams University MCW: What is the most gratifying aspect of your profession? in Bristol Rhode Island, and later went on to complete my master’s degree in Katelin: There are many aspects of my job which I find to be gratifying. I would Psychological Counseling from Monmouth University. say the most gratifying aspect is when I see clients find their own vision of success and report happier healthier lives. I strongly believe clients are the best experts in MCW: What sets your practice apart from others like it? their life and I am simply a guide to assist them in finding ways to access the best Katelin: Living Well offers a great deal of specialized training through evidence versions of themselves. based practices. Lindsey and I both have vast experience in the areas of trauma, Lindsey: For me, one of the most satisfying parts of my job is being able to addiction, mental health, and personality disorders. In addition, we are dedicated connect with the community. Learning from my clients, and hearing their life to ensuring we provide the highest quality of treatment to the clients we serve. We stories allows me to stay centered and humble. Supporting my clients through do this by collaborating with each other to explore the best strategies to take when the therapeutic relationship, while they flourish and gain knowledge from our working with each individual client. relationship, brings me much fulfillment and gratification.
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
10
Medical Professionals
Lentigo Maligna Melanoma The incidence of melanoma has increased steadily in last decades. The American Cancer Society estimates that 76,380 new melanomas (about 46,870 in men and 29,510 in women) were diagnosed in the United States in 2016. The number of deaths from melanoma is estimated at 10,130 persons (about 6,750 men and 3,380 women). Lentigo maligna is a deadly skin cancer, a subtype of melanoma in situ. It affects women more commonly than men. Lentigo maligna melanoma is one of the subtypes of invasive melanoma that represents 5-15% of cases. Lentigo maligna melanoma most commonly occurs on sun-exposed skin, especially of the face, more so in elderly persons but might affect people of any age. It is characterized by an irregular border, more than one color, and large diameter. Lentigo maligna melanoma is most often found in the head and neck. Sometimes other areas are affected, too. The danger of this type of melanoma is that oftentimes it is mistaken for discoloration called melasma, freckle, age spot, liver spot or sun spot.
Risk factors: • Ultraviolet radiation exposure • Age • Increased number of moles/freckles • Fair skin • Sunburn or sun poisoning • Working outdoor • Genetic: about 10% of melanomas are familial The biopsy, performed by a health care professional (usually dermatologist) to diagnose lentigo maligna, does not influence patient survival or rate of metastasis. Previous concerns that incision into a melanoma promotes its dissemination have been allayed. Lentigo maligna is usually treated with surgery after biopsy has confirmed the diagnosis. Melanoma should be managed by a multidisciplinary team that includes a dermatologist, surgeon, and medical oncologist, as well as other allied health professionals. Since prevention of lentigo maligna is the best option, please do not ignore annual skin checks with your dermatology health care provider.
FOR MORE INFORMATION CALL 732-244-2666 OR VISIT WWW.QUALITYDERM.COM RENATA FLAKS, DNP (DOCTOR OF NURSING PRACTICE)
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Law
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Four Tips For A Four Letter Word…Divorce Divorce…a four-letter word, as it means the break-up of a relationship and maybe even a family. Sometimes it’s an event that’s been coming for a while and sometimes it’s a complete surprise. Either way it is life-altering. The psychological effect on a spouse and children is inexplicable and it is incumbent on parents to get some assistance as to how to manage this with the kids, no matter their age.
At our firm, we approach the dissolution of a marriage in a different manner.
For us it is not just another case, but an opportunity to help our client and family to get through the process in the most effective and sensitive way. That does not mean we don’t “fight” for everything our client is entitled to; quite the contrary. But there are ways to ensure your rights are advanced without adding to the hyper-emotion and the raw feelings that are surely present. Our collective background of over 125 years of experience has caused us to embrace a much different style. We have a singular goal to get through the process, regardless of who initiated the action, in such a way as to preserve respect.
2. Contact a lawyer, maybe a couple, and immediately schedule an appointment. The purpose is to see if there’s a chemistry and agreement on how the matter will be litigated. The other reason is to get educated. Divorce has changed drastically; information is empowering and you should get it, you deserve it.
Harry Levin, Managing & Founding 3. Organize and collect Partner & Colleen Cyphers, Partner as much of the financial information as you can, including tax returns, investment reports, bank accounts, credit card statements, etc. Courts do not concern themselves with “fault”; divorce is an economic process.
4. Talk to the kids. Not only are there resources available online, your lawyer can refer you to experienced counselors who can help you get through and give you advice.
The key when facing a relationship dissolution is knowledge! Our practice has evolved such that we find ourselves representing the wife far more. We chalk that up to the reputation we’ve earned for advancing, in particular, You need to know HOW divorces work, even if this is not your first. The the wife’s position, which requires insight and understanding. law changes. You also need to know about your financial situation and what you can expect during the process and after you are divorced. You need not be overly Divorce has changed drastically. The reason for the divorce used to be afraid; some fear is good, but it should not paralyze you, and an experienced important; it no longer is. For example, adultery, while a reason for divorce, does not mean there is an economic impact. attorney is essential. Also, the old rumor that you need a “killer shark” is likewise an outdated belief. The laws in New Jersey have already set the stage for how the financial, visitation and spousal support (alimony) is to be determined. Sure, there are individual considerations but on balance, there will be a fair split of ALL your assets, including any business, along with the payment of child support. If you find yourself facing a divorce, here are 4 things (there are others too) you need to do. 1. Take a deep breath, a very deep breath, and accept that you must “take control,” for your benefit and for the kids. This is not a time for feeling sorry for yourself, it is a time for action.
At LevinCyphers, our approach and mission recognizes that our client is going through a very difficult time and that our representation is not limited to the legal issues but also to the client as a person. We hope that this explanation has been helpful, that’s our goal. We are committed to wife-centered representation, taking into consideration all of the individual factors of your life and marriage. We have successfully represented thousands of clients, helping them to get through their legal matters. If you find yourself needing information or representation, please consider contacting us for an appointment in our Red Bank offices.
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
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The County Woman Team
Meet The Talented Team Of Professionals There are countless reasons why the County Woman Publications Magazines have enjoyed so much success throughout the years. Besides serving as an important hub where local folks can learn about various business and health professionals, the magazine has built a sense of community among its loyal readers. As a trusted source of advice and information, the focus continues to be on high quality articles that are of interest to women and their families of all ages. Behind every issue lies a talented team of professionals who produce the magazine each month. This page gives our readers a chance to get to know them a little better.
Chris Lam, Publisher
Lauren Shover, Office Production Manager
What do you enjoy most about publishing? I derive a great deal of satisfaction from being able to partner with our clients and learn about who they are, what services they provide, and how they wish to present themselves to their audience. To me, publication media is a fantastic way to convey a message quickly while providing engaging and informative content for our readers. I am so proud of our tremendous team and the passion they have for our clients and readers.
What do you find to be the greatest challenge? I view challenges as opportunities. For the County Woman, there are opportunities for us to continue growing our coverage areas and to strengthen our online presence. We continually challenge ourselves to be the number one educational resource for our readers. What are your goals for the County Woman this year? First and foremost, my primary goal is to continue the same high standard of magazine content, client service, and sense of community that our readers deserve. Beyond that, we will be undertaking a project this year to survey our readers for their insight and feedback so that we can provide the best readership experience possible. So be sure and keep an eye out for that! Have you learned anything new about yourself since starting this new endeavor? Yes, there are so many discoveries I have made. In particular, I have enjoyed using my creative side more than ever, and have been mastering the art of time management. There are countless things that happen behind the scenes of each issue and to be able to produce and distribute the County Woman on a bi-monthly basis takes an enormous amount of work. It would not be possible without our team members performing to their full potential.
What are your goals for the magazine this year? As Production Manager, I have been able to oversee each cycle very closely. These days technology has become a huge part of everyday life. I would like to see the magazine become even more tech savvy. As a millennial, designing an app, or creating the website to become more mobile-friendly would be an ideal incentive to offer our clients. Additionally, I would like to see our social media continue to thrive. Over the past few years, the combination of print and social media is one of the most effective ways to advertise businesses. What do you enjoy most about your job? There are many things that I enjoy about working at the County Woman Publications. From the talented contributing writers, editors, and designers, whom I have learned so much from, to the clients which I have built long-lasting relationships, and lastly, the team of wonderful individuals, whose synergy results in making the publication a success. I would like to thank all of them for their commitment and dedication! If you were not in publishing, what kind of work would you be doing? When I am not in the office, I enjoy spending time with my Chocolate Lab, Bear, and my three cats. I have always had a passion for animals and my love for them continues to grow. If I were not in publishing, I would enjoy a job where animals are the focal point.
www.thecountywoman.com
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
The County Woman Team
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Behind The Pages Of The County Woman Publications Kristina Pruitt, Regional Sales Director
What are your goals for the magazine this year? My goal is to remain a quality and leadgenerating tool in our clients’ marketing plan. I would like to reach even further into the communities we serve with helpful information, especially in the areas of health, women, and children. We have exciting growth on the horizon!
What do you find to be the most challenging aspect of your role as Sales Director? Because I travel quite a bit for my work, inclement weather can really put a damper on my disposition and safety. Sometimes, it can also be challenging to educate business owners on the importance of marketing. Spending money to create public awareness can add up. Our goal is to design a marketing plan using the combination of print and online media which best fits the client’s business goals. What is the most rewarding part? I enjoy getting the opportunity to speak with community leaders and hear about their triumphs and issues. Sales in any field can be a very rewarding position when the goal sits ultimately with the success and satisfaction of your client. Our staff takes a vested interest in the outcome for our clients and in the education of our readers. What do you think makes the County Woman so unique among other publications? Our commitment to solid and helpful information creates a connection between our contributors and our readers. We have bridged the gap for many organizations to work together and for community members to learn more about what’s happening in their own backyard.
Jessica Sochocky, Production Assistant
What do you enjoy most about the Graphic Design Field? To me, graphic design is a way to express yourself and be able to create anything from your imagination. It is a wonderful feeling and highly rewarding for me to be able to create the exact image the client desires to help increase their exposure in the community. I look forward to expanding my knowledge and continue to grow with this ever-changing field.
What is the most challenging aspect of your position? Working for a publication that covers multiple counties throughout the state and the many businesses far and in between is stimulating and rewarding. With so much going on, we continually try our best to be precise in showcasing exactly what our clients want in each issue. The goal is always to make their pages fresh and exciting so that it grabs our reader’s attention. This is a fast paced position that requires high levels of customer satisfaction, working towards the same goal of making an outstanding magazine with a personal touch. What do you think makes the County Woman so unique among other publications? The magazine remains very special to our readers and writers. We offer completely custom design pages for our clients that are unlike any other publication. We don’t just list a businesss’ name and their services; rather, we give an inside look to businesses in a friendly informative format. This helps the business to get one step closer to providing the help or expertise that our readers may need. I have always cherished this about the County Woman because we do our best in getting this information to our readers in a fun and educational way.
Desiree Hoover, Billing Manager
What do you enjoy most about working for the County Woman Publications? The best part for me is the culture of our office and the dedication and personal touch that is incorporated not only into our publications, but also with our customers gives me a sense of gratification. How did you get started working for the magazine? I joined the County Woman team last March. I have a BS in Business Administration with a concentration in Finance and a MBA with a concentration in accounting. I have worked for Aramark, Thermo Fisher and Campbells in various accounting and finance roles. I jumped at the chance, when I saw the opportunity to work for a company like The County Woman publications! As the Accounting Manager, what do you enjoy most about your job? I enjoy finding ways to reduce existing costs and expenses as well as reshaping processes to be as efficient as possible. This will allow more time for strategic planning. What do you enjoy doing in your spare time? When I am not in the office, I like to spend time with my husband and four children. I am very excited about my future here at the County Woman!
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
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Health Health & & Wellness Wellness
What is integrative medicine? Integrative medicine is patient-centered health care that looks at all aspects of health and illness. Integrative medicine looks at the whole person, and not just the disease or symptom. It takes into account the person’s lifestyle, from the physical and psychological to the environmental and genetic. It uses all medical systems for healing and treatment, from conventional approaches and mind-body medicine, to old world traditions such as botanicals and acupuncture. It cherry-picks the best of traditional medicine and what is commonly called alternative or complementary medicine. It stresses prevention and less invasive, more natural treatments. Integrative practitioners believe that everyone has an incredible capacity to heal.
What is unique about the Hackensack Meridian Integrative Health and Medicine program? Through our program, we offer a cuttingedge team approach through medical consultations with our nurse practitioner and physician, treatments from an acupuncturist, dietary consults with a nutritionist, and lifestyle improvements with our health coach and health psychologist. Patients who are seen in our center get a comprehensive evaluation of the five pillars of health: resilience, purpose, nutrition, activity and sleep. The team consists of specialists who have exemplary training in integrative and functional medicine, treating the whole person—mind, body and spirit. Patients can self-refer to any of the integrative medicine staff members, meaning if someone wants to see the nutritionist, they do not need to see the integrative physician first. Above all, at Hackensack Meridian Integrative Health & Medicine, each patient partners with an integrative practitioner to create an individualized treatment plan. As a result, our patients become empowered to make healthy lifestyle changes.
Empowering our community to reach the highest level of health and wellness
Hackensack Meridian Integrative Health & Medicine has developed a comprehensive health and wellness program like no other. Completely customized and focused around our five pillars of health and wellness: sleep, activity, purpose, nutrition and resilience. Begin your path to wellness with one of our Integrative Medicine Physicians or Nurse Practitioners. To schedule a consultation, call 732-994-7855 or, for more information, visit MeridianIntegrativeMedicine.com
What services, classes and events are offered? To learn about our classes and events, visit our website: MeridianIntegrativeMedicine.com, like us on Facebook: Meridian Integrative Health & Medicine, and follow us on Twitter @IntegrativeHMNJ.
Visit our Center for Integrative Health & Medicine at Meridian Health Village in Jackson at 27 South Cooks Bridge Road, Suite 2-3, Jackson, NJ 08527.
The www.TheCountyWoman.com TheCounty CountyWoman WomanMagazine Magazine www.TheCountyWoman.com
July/August 2017 September/October 2017
Law
15
How To Change An Irrevocable Trust
Written by Christine L. Matus Esq. When dealing with irrevocable trusts, the ability to effect change can be difficult to understand, presenting more questions than answers. The correct answers often depend on a variety of factors, but a good starting point is state law and the trust document itself. When modification or termination of an irrevocable trust is sought, a possible mechanism is for the trustee or beneficiary to seek a court order. When it comes to interpreting language in an irrevocable trust, appointing a trustee or providing directives to a trustee, a non-judicial settlement agreement may be an alternative to filing a court proceeding. In some states, trustees, heirs, spouses and beneficiaries are among those permitted to enter into a binding non-judicial settlement agreement, so long as the terms do not violate a material purpose of the trust, the terms and conditions could otherwise be properly approved by the court, and any modifications sought are not already provided for in the trust.
Some states also allow trust “decanting” as another means for modifying irrevocable trusts. A trust decanting involves a trustee’s exercise of discretion to distribute trust assets to another trust with dissimilar terms. The ability to decant irrevocable trusts depends on state law and varies from state to state. Even if the trust is irrevocable, it may still be possible to carry out a change in who receives estate assets upon the death of the trust creator through exercising a power of appointment. A power of appointment is
created when one person grants another the authority to dispose of property by designating a recipient of that property. It is not unusual for the creator of a trust to have assigned the surviving spouse or trustee a power of appointment. If this power was granted, and the requested modifications of the trust involve disposing of property or changing a designated beneficiary, exercising a power of appointment could be a means to that end. Some states also allow trust “decanting” as another means for modifying irrevocable trusts. A trust decanting involves a trustee’s exercise of discretion to distribute trust assets to another trust with dissimilar terms. The ability to decant irrevocable trusts depends on state law and varies from state to state. For help with concerns involving irrevocable trusts, you should meet with an estate planning attorney to assist you with analyzing your trust instrument and to discuss the modifications being contemplated, the applicable law and the best course of action.
For more information, call 732-281-0060 or visit www.MatusLaw.com. 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 Recipe
Christine L. Matus, Esq. with her family
Making the Most of Fall Harvest, Compliments of Chef Steph Autumn Vegetable Medley with Rosemary and Nutmeg
Serves 6
9 ounce(s) fennel bulb with stalks 2 cup(s) butternut squash cut into 1/2 cubes 1 1/2 cup(s) parsnip cut into 1 inch thick slices 1 1/2 cup(s) carrot cut into 1 inch thick slices 1 tablespoon(s) olive oil 1 1/2 teaspoon(s) rosemary, fresh chopped 1/2 teaspoon(s) salt 1/4 teaspoon(s) pepper 1 dash(es) nutmeg freshly grated 1/3 cup(s) Parmesan cheese
Preheat oven to 425°. Trim tough outer leaves from fennel. Cut fennel bulb in half lengt wise; discard core. Cut each half into three wedges. Combine fennel, squash, and next 7 ingredients (through nutmeg) in a large shallow roasting pan coated with cooking spray. Bake at 425° for 35 minutes or until vegetables are tender, stirring occasionally. Sprinkle vegetable mixture with cheese, if desired, just before serving.
The County Woman Magazine www.TheCountyWoman.com
Recipe by: Cutting Board Creations
September/October 2017
Pets Pets
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Back to Health: Your Pet’s Spine
The spine is one of the most important, yet frequently neglected, areas of a dog or cat. Taking proper care of the spine is one of the most efficient and dramatic ways to improve overall health in our pets. Many people intuitively know that taking care of the back and neck can improve mobility, soundness, and athleticism (hence all major sports teams have chiropractors on staff). However, few people realize that caring for the joints in the spine can also affect immune function, behavior, digestion, and internal organ function. Between each vertebra are joints which are held in alignment by ‘core’ muscles. These joints and muscles are very close to spinal nerves. If these joints are not functioning properly, the spinal cord and brain will not receive proper information through the nerves that are traveling in and out of the spinal cord at that location. This may result in anything from back or neck pain, to lameness, anxiety, incontinence, autoimmunity, digestive issues, or internal
organ dysfunction. It also may cause improper balance between parasympathetic (rest and digest) and sympathetic (fight or flight) nervous systems, which can wreak havoc on overall health. Unfortunately, conventional veterinarians are not trained in proper spine care. And so it will not be addressed unless you seek out a specialist. This specialist should be a veterinarian or human chiropractor who has taken advanced classes and training to become certified in spinal manipulation on animals. Most dogs and cats enjoy having their spine worked on. These sessions may involve thorough questioning and review of medical history. The spinal manipulation itself is a soft, hands-on technique where muscles and soft tissues are released in a systematic way. When done properly, it can help your pet achieve overall greater health.
We Believe That Every Animal Deserves To Thrive At Blue Sage Veterinary, we believe in treating the animal, not the disease. By looking at the current patterns of disharmony, we are better able to address the underlying issue, thereby allowing the body to function at its optimum level. We provide holistic medicines and modalities which can be used alone or integrated with conventional medicines.
Blue Sage Veterinary • 31 Church St., Little Silver, NJ 07739
732.576.8594
Orthodontics Orthodontics
Back-To-School Backpack Essentials For Braces! As students start making the transition to going back to school, Dr. Sezer Olcay wanted to share a list of “backpack essentials” specifically for braces wearers. If you’re heading back to school with braces for the first time, we want that transition to go smoothly! Therefore, Dr. Olcay and our staff put together a few helpful tips for all our school-aged patients who are heading back to the classroom this fall.
Eat Smart
Instead of reaching for that candy bar at break time, choose something else that won’t harm your braces, like yogurt or applesauce. If you carry your lunch, be sure everything you take along with you is bracesfriendly. You can still take sandwiches as long as you cut them into small, bite-sized pieces. Soft fruits are great, like bananas and oranges, as are softer vegetables like cucumbers and peppers.
Holmdel Orthodontics 723 North Beers Street Suite 2A Holmdel, NJ 07733
Holmdel Orthodontics / BOTTOM
Carry A Braces Care Kit
It’s a great idea to take a braces care kit along with you to school that you can keep in your backpack or locker. Just use a small zippered pouch or something similar that has a toothbrush, toothpaste, dental wax and extra elastics inside. Then, after lunch, you can slip into the bathroom to brush or floss your teeth. Simply place a small bit of wax onto an irritating piece for relief. If something does become loose or broken on your braces, contact us right away instead of waiting until your next appointment.
Wear A Mouthguard While Playing Sports
A mouthguard should be worn whenever you’re playing a sport or when you’re partaking in any physical activity that poses a risk of injury to the mouth. There are special mouthguards made specifically for people wearing braces that you can find easily online. Just be sure the mouthguard you choose fits well and makes it easy for you to speak and breathe. Dr. Olcay and her staff wish all our school-aged patients good luck in the new school year! Holmdel Orthodontics offers a wide range of orthodontic services to ensure we can meet the needs of every patient we serve. If you have further questions, contact us today and our friendly staff will be happy to help!
Dr. Sezer Olcay is not your typical orthodontist. In fact, it is not uncommon for her patients to keep in touch with her and actually form caring relationships. She has been practicing Orthodontics in Monmouth County for the past 12 years, dealing with discrepancies and misalignments of the teeth and jaw. The official name of the specialty is “Orthodontics and Dento-facial Orthopedics.” She adds, “It is not just correction of crooked teeth, but also facial/jaw bone problems, such as under and over bite issues.”
The www.TheCountyWoman.com The County County Woman Woman Magazine Magazine www.TheCountyWoman.com
732-847-3065 www.holmdelortho.com
Fax: 732-217-3623 Email: holmdelortho@hotmail.com
Ocean Orthodontics
Practicing in Ocean Township for 11 years 804 West Park Avenue, Building A Ocean Township, NJ 07712
732-493-4747 www.oceanbraces.com
Fax: 732-493-4742 Email: oceanorthodontics@hotmail.com
Call For A FREE Consultation September/October September/October 2017 2017
Home Health Care
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Dementia And Comfort Care Deborah Walsh,
Executive Director, HomeWorks The overall goal of comfort care is to achieve the best quality of life, focusing on relieving pain and other distressing symptoms including agitation, anxiety, poor appetite, loneliness, and boredom. When there is no medical cure for a disease, such as dementia, comfort care is the only option. It is provided by professional staff and organizations with expertise in treating physical symptoms as well as emotional and spiritual concerns, and can be provided anywhere – at home, in the hospital, and in residential care facilities such as nursing homes. Although a cure for dementia has not been discovered, you should never expect to hear the words, “There is nothing more we can do.” In fact, there is always something that can be done to improve the comfort of someone with dementia. Staff members who are truly devoted to comfort care can be expected to abide by certain principles of care. Principle #1: Staff members anticipate the needs of people with dementia. For example, offering food and fluids before hunger and thirst develop, managing pain before it is out of control, helping someone rest before fatigue, and engaging someone in pleasant activities before boredom and loneliness set in. Principle #2: Staff members know each person so well that basic needs never become major problems. This means being knowledgeable about an individual’s important life events, family members, and friends as well as one’s current and past interests and preferences. For example, the person may like to drink a particular type of tea or listen to a favorite type of music. Principle #3: Staff members will embrace the philosophy of “person-directed care.” This describes a style of care suited to the needs of each person rather than routines and activities imposed by the organization. For example, each person can awaken naturally rather than be awakened for medications or breakfast and can
eat meals and snacks whenever preferred. Staff efficiency and schedules take a backseat to one’s personal likes and dislikes. Principle #4: Staff members use a “soft approach.” A “soft approach” refers to adapting to one’s pace to suit the needs of the people with dementia whose memories, language, and thinking abilities have diminished. A soft approach involves using verbal and non-verbal ways to promote communication, decrease frustration, and increase a sense of trust and safety in the person with dementia. Principle #5: Staff members recognize and treat pain aggressively. Unrecognized and untreated pain can have terrible effects on the mind, body, emotions, and spirit of anyone – but pain has added negative effects on people with dementia. They may no longer be able to respond to the question, “Are you in pain?” They may communicate their distress through aggressive behavior or other unpleasant ways such as crying, screaming, or moaning. Non-drug interventions may provide relief in addition to medications. Simple things like repositioning, applying ice or heat packs, offering favorite snacks, giving massages, and praying or singing with the person can ease discomfort. Principle #6: Staff members recognize you as a true partner in care. Relatives and friends provide valuable information about the individual’s needs, history, values, beliefs, and interests and are encouraged to participate in creating a positive caring environment. In the comfort care approach, options must be carefully considered with each decision. Both the benefits and burdens of treatment and non-treatment should be discussed, keeping in the forefront that the comfort of the person with dementia drives every decision.
For more information, call 732-838-1950 or visit www.UMCHomeworks.org.
In-home care for seniors. Call today for a free in-home assessment.
732-838-1950 • UMCHomeworks.org. Breast Cancer Awareness
54 Olin St, Ocean Grove, NJ
October Is Breast Cancer Awareness Month! Breast cancer is the second most common kind of cancer in women. About 1 in 8 women born today in the United States will get breast cancer at some point. The good news is that many women can survive breast cancer if it’s found and treated early. A mammogram – the screening test for breast cancer – can help find breast cancer early when it’s easier to treat. National Breast Cancer Awareness Month is a chance to raise awareness about the importance of early detection of breast cancer. Make a difference! Spread the word about mammograms and encourage communities, organizations, families, and individuals to get involved. For more information about Breast Cancer Awareness Month, visit www.nationalbreastcancer.org.
Did You Know? • 240,000 New Cases Of Breast Cancer Are Diagnosed Each Year • 25-30% Reduced Mortality Rate For Women Ages 50-70 With Early Detection • Women Age 40+ Should Have A Yearly Mammogram Screening (Don’t forget self exams!)
EARLY DETECTION SAVES LIVES!
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September/October 2017
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Medical Professionals
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September/October 2017
Health
&Wellness
19
5 Reasons You Should Detox Your Body by Vanessa Galati-Drew Feeling exhausted lately? Having skin problems, body aches and pains or digestive issues? Gaining weight or unable to lose any more weight? It may be time for a body detox. In today’s world, we are constantly being exposed to a multitude of toxins everywhere we go—air pollution, food preservatives, carcinogens, medication overload, cleaning products and even chemicals in the water we drink. Added up through time, these toxins can cause major health problems: lack of energy, irritability, craving for sugar, skin irritations, bags under the eyes, and lack of general well-being! 1. Get an Energy Boost By cutting out extra sugar, caffeine, trans fat, and saturated fat and replacing them with fresh fruits and vegetables, you’ll be getting a natural energy boost, one that comes without a resultant crash. An Ionic Foot Detox can give you the boost of energy you’ve been looking for! In just 23 minutes, harmful toxins are pulled out from every cell of your body, right through the reflex points of the feet into soothing warm water. 2. Rid the Body of Any Excess Waste Cleansing the colon with Colon Hydrotherapy is an important part of the detoxing process because those toxins need to exit the body, and a backed-up colon can cause them to be reintroduced into the body, rather than exiting as planned. Sticking with fruits and vegetables even after the detox program is completed is a good way to keep things moving. 3. Helps with Weight Loss The heat from a FIT Bodywrap actually breaks stored fat down and converts it into fatty acids that are used by your muscles for energy. As the FIT Bodywrap heats your body, you begin to sweat to cool down. This sweat is fueled by the energy from the converted fatty acids. You will burn more calories over a 60-minute FIT session than you would by running in a marathon! 4. Stronger Immune System A working lymphatic system balances the body’s fluids, absorbs fat into your system, and helps your body’s immunological defense. It’s important to keep it in tip-top shape! Bio-Electric Lymphatic Drainage improves the entire circulation of the body. By allowing your body to release toxins, accumulated fluid, and proteins between the cells, healthy balance is restored. Enter To Win
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5. Healthier Skin Improve your skin’s appearance with regular use of an Infrared Sauna. Open wounds heal quicker with reduced scarring. Far infrared heat therapy helps acne, eczema, psoriasis, burns, and any skin lesions or cuts. It also reduces wrinkles, makes skin look radiant, and firms and improves skin tone and elasticity. Regular use may also help reduce cellulite trapped beneath the skin, lessen the appearance of scars, and help burns heal significantly. Detoxifying the body has been practiced for many centuries in many different cultures to relax, rejuvenate, and replenish the body. When we eliminate these harmful toxins from our body and then nourish our body with whole healthy foods and nutrients, it renews our ability to maintain optimal wellness and prevent disease.
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Life’s Short...
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Winner will recieve a free 7” birthday cake from Chocolate Carousel, good for one year. Entries will be accepted through October 31, 2017. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent.
The County Woman Magazine www.TheCountyWoman.com
Eat Dessert First! September/October 2017
20
PACE Program
Happy Halloween
For Parents:
Decorate children’s costumes with reflective tape or stickers. If possible, choose a light-colored costume for them and use face paint, as masks can obstruct vision. Make sure the costumes fit and are not too long to prevent tripping. z Children under the age of 12 should be trick-or-treating with an adult. If kids are old enough to go out without supervision, make sure they stick to familiar, well-lit areas. z Always check your children’s candy before they eat it! z
Halloween Safety Tips For Kids: z z z z z z
Look both ways before crossing the street. Carry a flashlight. Only go to homes that have a front light on. Only accept treats at the door. Do not eat candy without your parents’ permission. Do not eat opened candy.
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Medical Professionals
21
How Hearing Loss Affects Seniors Contributed by Lisa Packer, staff writer, Healthy Hearing Imagine being cut off from communication with your loved ones. Conversations happen around you but you can’t really participate, at least not like you used to. It becomes easier to just stay home than to try to go to a party or a noisy restaurant, because it is too frustrating to try and hear what your friends are saying.
Seniors can miss out on the most enjoyable moments in life due to hearing loss. That is the unfortunate reality of hearing loss for many seniors every day. About 25 percent of those age 65 to 74 have significant hearing loss, and for those 75 and older the number reaches 50 percent. Surprisingly, the majority of those with hearing loss don’t use hearing aids; as a matter of fact, studies show that fewer than one out of three people over the age of 70 who need hearing aids has actually used them.
EMOTIONAL IMPACT OF HEARING LOSS FOR SENIORS
If you are among the many senior citizens who have hearing loss, you know that more than any other sensory deficit, hearing loss cuts you off from other people. And the emotional toll alone is devastating, let alone the toll on physical and social health. Problems that stem from hearing loss in the elderly include: • Depression • Withdrawal from social life • Loneliness • Anger • Decreased personal safety • Cognitive decline • Poor health Seniors with untreated hearing loss report a lower quality of life than those without hearing loss or those whose hearing loss has been treated with hearing aids. The emotional factors involved are a significant part of the problem. Hearing loss adds to the perception that an older person is “slow” or losing their faculties, which is usually not the case. This negative perception from others can then lead to a negative self-perception, which in turn leads to lower self-esteem, frustration and even depression. The depression, anger and frustration of hearing loss do not operate in a vacuum, however. All aspects of life are affected by these negative emotions. Those who are experiencing age-related hearing loss quite often find that their family relationships suffer due to their inability to hear adequately or fully participate in conversations. A person with hearing loss might be irritable, and lash out at their loved ones out of frustration. Blaming others for mumbling or speaking too softly is common for those with age-related hearing loss, as are arguments over the volume of the TV or radio. Another common source of tension is one spouse’s refusal to go to parties and social events because of embarrassment about hearing loss, and frustration that he or she misses most of the conversations.
hearing the doctor’s words about his or her medical condition or necessary follow-up care. Financial matters, travel or even matters of personal safety, challenging even for those of us with typical hearing, can be even more scary and confusing if an older person is unable to hear clearly. Another unique problem faced by older people with hearing loss is that culturally, hearing loss is often written off as just a normal part of aging. True, age-related hearing loss, or presbycusis, is slow to progress; but because of its slow progression, seniors, their family members and their doctors are often slower to acknowledge hearing loss, and do not take it seriously. And even those who eventually do seek treatment are not in any hurry; the average amount of time between noticing hearing loss and seeking treatment is 10 years. Regular medical care isn’t helpful either; surveys show that only 14 percent of doctors make hearing loss screening a regular part of a physical exam. All of this adds up to an epidemic of untreated hearing loss for seniors.
SENIORS WITH HEARING LOSS FACE PHYSICAL CHALLENGES
Hearing loss can also take a toll on the physical health of the elderly, whether in the form of diminished personal safety, disease or falls. Those with hearing loss might have difficulty hearing an alarm or a siren, or might not hear someone shouting a warning. They might not hear a doctor’s instructions regarding medication or other vital medical information. And studies have shown due to balance issues, those with untreated hearing loss are three times more likely to suffer falls than those without. The social isolation that often accompanies hearing loss can also be detrimental. Those who are socially isolated are less likely to exercise and more likely to drink, smoke and have an unhealthy diet. These in turn lead to poor physical health and conditions like diabetes, high blood pressure and heart disease. And social isolation due to hearing loss has also been linked to higher rates of cognitive decline in the elderly. In short, hearing loss affects every aspect of life for seniors, from physical well-being to emotional health and family relationships. Seeking treatment for your hearing loss can help you re-engage in life once again.
Don’t miss out on another important moment! For more information, please contact Professional Hearing Center at 732-303-9660 or visit our website: www.drjillgordon.com.
About 25 percent of those age 65 to 74 have significant hearing loss. Stress is a normal part of everyday life, but for seniors with hearing loss, it becomes an extra challenge. An elderly person with a spouse in the hospital, for example, is already under a lot of stress, but imagine if that senior is having difficulty
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
22
Professional Dentistry
VENEERS
TEMPOROMANDIBULAR JOINT (TMJ)
Veneers are porcelain coverings that are bonded to the front of the teeth to create a beautiful smile. They are individually sculpted and can transform any smile. With today’s technology, these high-tech porcelains are strong, thin and natural. Veneers are great for restoring teeth discoloration, gaps and misshapen and crooked teeth. Instead of waiting one to three years for regular orthodontic treatment in as little as two appointments you can have a new smile that’s right for you.
When the temporomandibular joint (TMJ), the teeth, and the muscles of the jaw are all out of whack, it can trigger a lot of pain to the head and neck. Tension headaches are the most common form of headache, and it is often caused by muscle tension. If your muscles have to work overtime to properly align your bite, the result is likely to be pain. Neuromuscular dentistry considers the entire system that controls the positioning and function of your jaw. The neuromuscular dentist seeks to establish a jaw position based on a harmonious relationship of the teeth, muscles and jaw joints.
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FOUNTAIN OF YOUTH™ 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 jaw. People will comment on your more youthful appearance, and you’ll maintain a healthier countenance for a longer period of time.
The County Woman Magazine www.TheCountyWoman.com
INVISALIGN® Invisalign® has become one of the most discreet ways to straighten your teeth. With Invisalign®, its increasingly hard for people to tell if you are wearing trays. They are almost invisible and are great for people who need to be discreet about their treatment. Invisalign® is less painful than braces and causes less discomfort. In addition, you can actually remove the trays if absolutely required for things such as important social events or pictures.
September/October 2017
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caregiver encouragement and facility staff assistance. Most families and members adjust within a few weeks. The structured routine of attending Adult Day Care Centers often helps the member from deteriorating both mentally & physically.
A dult D are A dult D ayay CC are
WE CARE ADULT CARE, INC. is an adult day care center whose purpose is to provide the highest quality of alternative care to all seniors.
16
23
Union Square Mall 552A State Route 35 Red Bank, NJ 07701 (P) 732.741.7363 (F) 732.741.9188
Burnout?As Well As Members We Care Adult CareCaregiver Supports Caretakers We Care Adult Care is ready to be your Holiday Relief! Tracey L. Wolfman, www.WeCareAdultDayCare.com
Tracey L. Wolfman a resident of Middletown for the last 40 years who always had a passion for senior citizens launched “We Care Adult Day Care” in 2000. Tracy is a Registered Nurse with a Master’s in Nursing Administration from Teacher’s College, Columbia University. She has spent the last 26 years working with the elderly population specializing in Alzheimer’s disease. Her dedication and knowledge have helped many people afflicted by Alzheimer’s disease and their family caregivers. Opening We Care Adult Care gave Tracey the opportunity to provide superior services to those families fortunate enough to utilize her services. A nurse, expert speaker, caregiver, and entrepreneur Tracey has provided a “Quality of Life” unparalleled by any other Adult Day Care Center in Monmouth County. ‘We Care’ was nominated and won the Small Business Success Award by the NJ Small Business Development Center, received Proclamations from Former Governor McGreevey and Senator Joseph Kyrillos for outstanding Service to the Community, Highlighted on News 12 New Jersey A New Jersey television station, Expert guest speaker on WS Radio-focus on seniors and has had numerous Newspaper articles written about Adult Day Care in local and regional papers and magazines. Professional Organizations: Tracey Wolfman • Member New Jersey League of Nursing and her fabulous • Member New Jersey Adult Day Care Association team at We Care • Member of the National Council on Aging Adult Care. • Serves on Brookdale Community College Entrepreneurial Excellence Advisory Board “Our hOme away • Serves on Brookdale Community College Business Management Advisory Board frOm hOme” • Monmouth University School of Nursing Advisory Board Member
Max and Muriel were married for more than 60 years when he noticed her forgetfulness was more than Submitted by: to drive her occasional. She asked him to places sheTracey had visited every week Wolfman, Want to know more, call us at (732) 741-7363 for www.wecareadultdaycare.com decades. Owner, Once fastidious, she was now casual about her Adult hygiene. We Care CareShe needed help to make decisions, and she could not be left alone. Dementia was taking away the wife that Max loved and while he still enjoyed going to his office You a fewcannot days a serve week, “Self-Care is not selfish. that would have to take a backseat to Muriel’s from an empty vessel” (EleanorBrownn.com) care. She would not hear of an aide in her home. The how stressskilled of caring for become Muriel was taking No matter you have in caring September/October 2012 its your toll on Max, and his health was health suddenly for adult or elderly loved one with or in memory impairment issues, thereofare times when you jeopardy, including a bout pneumonia.
and respite. Our society understands the importance of day care for our toddlers and puppies; well, our Symptoms may senior citizensof cancaregiver benefit with burnout a similar approach, should be considered. The re is important not only for e caregivers who bring them. maintainingin their quality of manifest feelings of:life with stimulating ation, activity, meals, nursof for the loved one, while caregiver. We also offer supactivities, nutritious gourmet meals, nursing care, • Depression and anxiety times a little hug will do and counseling and referrals to t Care offers a “quality of life” physical therapy, occupational therapyexhaustion and social • Constant fatigue and mental nter in Monmouth County. services, to name a few.” • Decreased interest in work and in social interaction Max was able to recover from his illness, return to work daysof a week and feel confident that Muriel was in •aAfew loss productivity good hands at We Care AdultinCare. He and also addressed • A significant change sleep eating his concerns and questions by joining a We Care Adult Care habits support group for caretakers. • A sense of doom, helplessness and a fear The We Care Adult Care program includes exercise, of death which improves the thinking elevates the mood • Increased reliance onprocess, alcohol, prescription and increases the functionality of the members. Activities medication and other stimulants, to name www.TheCountyWoman.com offer the opportunity to share talents, abilities and selfa few! expression. Strong ties with friends, family and community The most effective way of staying just need aarrived break,ineven for just a few hours at Care, a time, Relief the form of We Care Adult the groups are helpful in preserving brainahead health.of caregiver syndrome is toCare, seek ahelp caregiving on day or caretocenter conveniently located in Union burnout inquality orderadult to relax accomplish personal tasks. At We Care Adult staffwith of experienced, acompassionate regular basis and get sound including advice from Square Mall, Route 35,ones in Middletown, NJ.or with other professionals, theexperienced Registered Caregivers of loved with dementia “Maxconditions—such and Muriel’s story as is not uncommon,” saidstroke, professionals feelblood your pressure, responsibilities Nurse who iswhenever present toyou check sugar are disabling Parkinson’s disease, Tracey Wolfman, Administrator of We Care Adult Care. levels and well alone. as administer medication, work and multiple sclerosis, to name a few—experience the getting tooweight great toas bear “Whether itofisknowing the spouse, sibling or children of anforadult in conjunction with the member’s physician. The Social satisfaction they are doing their best their The good news is that help is near at hand! needing arethe emotional, Worker assists members and their families with financial loved one.care, Onthe thechallenges other hand, caregiverfinancial may alsoand be An adult day care program such as We Care Adult logistical. Whether chronically sufferingfeelings, from dementia assistance through grants, accessing community resources, experiencing more negative andill,traumatic such Care is the most convenient, cost-effective community otherand limitations, our thereby memberstriggering receive patience and assessing members and organizing support groups for their asoranger frustration, a potential resource for providing a loved one with the care, kindnessloss from knowledgeable and compassionate staff. caretakers. personal ofour emotional and physical health. attention and supportive services they need during the While care fororyour loved one, you are free to work, Any we full-time part-time caregiver, whether they day, away from home. shop or pursue without or concern. September are living near oryour withown theinterests family member handling At We Care in Middletown, which15 is open Monday “Not everyone is suitable foraordistance, able to afford full-time 4th Annual Bowling for Alzheimer’s caregiving responsibilities from is at risk for through Friday from 8:30 A.M. to 4:00 P.M., the home or institutional noted Wolfman, a Middletown Jersey Fundraiser this burnout syndromecare,” and should try to avoid the effects members enjoy aNew full slate of appropriate recreational resident and a registered nurse with a Master’s in nursing Call for more details! of it whenever possible. activities, along with nurse wellness monitoring, administration. “We provide an alternate resource of care
a resident of Middletown for nutritious hot meals, social work support, rehabilitative the last 40 years who always therapies, podiatry, personal care and grooming services, had a passion for senior citizens, door-to-door transportation, and more. Expert oversight launched “We Care Adult by our interdisciplinaryDay careCare” team,inwhich 2000.incorporates Tracy is a a geriatric nurse, social worker and professional Registered Nurse with aactivities Master’s director, enables our members to Administration benefit from more in Nursing from Teacher’s College, Columbia stable physical health and enhanced memory care. At spent the lastto26organize years his or theUniversity. same time,She thehas caregiver is able working with the elderly population specializing her personal schedule more effectively and consistently, in Alzheimer’s disease. Her dedication and which reduces the risk of caregiver burnout and increases knowledge have helped many people afflicted by emotional health and peace mind. Adult day care is a Alzheimer’s disease and of their family caregivers. win-win opportunity for all involved. Opening We Care Adult Care gave Tracey the At half the cost of homesuperior care services, WetoCare Adult opportunity to provide services those families enough toadvantageous utilize her services. Care offers fortunate the most affordable, blend of A nurse, expert speaker, caregiver, and one and services, support and socialization for the loved entrepreneur Tracey has provided a “Quality of his or her caregivers.
Life” unparalleled by any other Adult Day Care Additional financial support available Center in Monmouth County. ‘We is Care’ was through state, county andthe agency-specific for those nominated and won Small Businessgrants Success who qualify many long-term care insurance Award byand the under NJ Small Business Development Center, received Proclamations from Former policies. Governor Senator Joseph parties We CareMcGreevey Adult Careand invites interested Kyrillos for outstanding Service to the Community, to Highlighted contact our more information oncenter News 12for New Jersey A New Jersey and to discuss how we can be of helponwith television station, Expert guest speaker WS Radio-focus on seniors and has your caregiving situation. Wehad alsonumerous offer a Newspaper articles about Day Care in complimentary daywritten for any newAdult member. local and regional papers and magazines.
732-741-7363 Email: wecareadultcare@aol.com. Call Today for your Complimentary Day! Facebook: We Care Adult Care 732-741-7363 Please call:
We Care Adult Care is not just our name – it’s our promise Providing Care --- Promoting Excellence --- Preserving Independence
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Life’s Short... Eat Dessert First!
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Ingredients:
4 whole wheat tortillas Cutting Board Creations, LLC 8 oz ground chicken ¼ cup water chestnuts, finely chopped Recipe: ¼ cup Shiitake mushrooms, finely diced Combine sauce ingredients and set aside. 1 T soy sauce, low sodium Combine soy sauce, oyster sauce, ½ tsp sesame oil, rice wine ½ tsp oyster sauce 1 ½ tsp sesame oil and sugar in a bowl. 1 T rice wine Heat remaining sesame oil in a skillet over high heat. Add ½ tsp sugar garlic and cook until golden. Add chicken and mushrooms and 2 garlic clove, minced Please clip out and to: browned, breaking up chicken while cooking. Add stir mail fry until 2 T scallion, chopped The County Woman. P.O Box 619 Turnersville, NJ 08012 in water chestnuts and soy sauce mixture and heat through. Sauce: T gift hoisin sauce Winner will recieve a4$25 certificate to the Chocolate Carousel, good for one year. Entries will be accepted 31, 2016. Company Place into wrapthrough andDecember top with scallions and a bit of the dipping does not provide any ½ personally identifiable or ad networks without your consent. tsp chili sauceinformation to these third party ad servers sauce. Use extra dipping sauce to enjoy while eating. 1 T water (as needed for consistency)
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September/October2016 2017 November/December
Health
24
&Wellness
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Sought after as a health & beauty spokesperson for The New Woman Expo as well as leading a campaign as a brand ambassador for Aveeno Active Naturals Ageless Vitality, she knows her stuff! Lombardi’s passion for skincare, nutrition and health has led her to be acknowledged for her philanthropic endeavors by leading hospitals like Memorial Sloan Kettering Cancer Center, as well as by top plastic surgeons in NYC, where she collaborated in providing the best personalized pre- and post-op regimen care through nutrition and supplements for her patients. Pre-order your exclusive Laurie Lombardi’s The Berrie Collection, coming this Fall 2017! This dual lip stain and lip gloss is naturally infused with a touch of peppermint essential oils and vanilla. Coming in four luscious, nourishing and long-lasting shades— Salmonberrie, a coral tone color; Cloudberrie, a neutral shade tone; Loganberrie, a red stain with a touch of glitter; and Sumaberrie, a vibrant magenta hue—there’s a color for every girl’s style!
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The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Medical Professionals Medical Professionals
25 25
Three-Parent Baby? ZikatheVirus and Fertility Can a human have genetic makeup from three people? What Every Woman Needs to Know
Practice Enhanced by Dr. Allen Morgan The FDA asked doctor to stop performing the Precautions” and suggests a few of the following safety steps to staying proactive:. Allen Morgan Fertility and Reproductive Medicine, NJ controversial ‘three-parent’ baby technique 1. Do not travel to an area with Zika.
T
2. If your sex partner is traveling to areas with Zika make sure to use rying to conceive and planning on traveling? Here’s condoms during sex. When a child is born,you thatneed childto willknow haveabout a Cytoplasmic everything Zika virus beforeTransfer 3. Use Environmental set of DNA from of its parents. A baby technique, cytoplasmic transfer, Protection Agency (EPA)- registered insect repellent you buyboth those plane tickets. Zika virusAnother is a pandemic to avoid with three contributing parents has only been has resulted in a few live births. mosquito bites. which is spreading throughout the western hemisphere, 4. Wear long-sleeveatshirts and pants to avoid contact with mosquitoes. In the late 1990s, Cohen and colleagues successful a handful of times, and this is the raising concerns for pregnant women and those trying 5. Take steps to control mosquitoes entering your home by repairing N.J., first using the spindle technology. A 6-month- Saint Barnabas Medical Center in Livingston, screens, doors, andtowindows. conceive, and prompting leading fertility were specialists toa way to help looking for patients unable have oldtobaby boy was just born in Mexico using children by in vitro fertilization. The couples’ embryos a controversial new technique under the launch informative campaigns. Individuals who have traveled to an affected area or have had intercourse
did not develop normally for unknown reasons. care of Dr. John Zhang, the founder and with someone who has traveled to a Zika-impacted region, simple blood and How the Virus Operates Cohen and colleagues thought a dose of cytoplasm, CEO of a fertility center called New Hope urine tests can be performed by your fertility specialist or womens’ health The serious illness is spread from infected Aedes species mosquitoes the jellylike “guts” of a cell, from a donor egg might Fertility Center in New York. This child has physician to alleviate any concerns. give theblood embryos a better shot at success. He extracted to humans but can also be contracted through sexual contact, been dubbed the “three-parent baby,” a Egg Freezing 10 Researchers to 15 percent of the cytoplasm from a donor egg transfusions or laboratory exposure if the virus is present. have technique used for preventing mitochondrial and injected it, along with a There no recommendations or policy statements from the American single are sperm cell, into suggested the placenta is aiding the virus to cross through the maternaldiseases from passing on to the infant child Congress Obstetricians (ACOG) or from the Society Spindle Transfer a recipient egg.baby From 1996 to 2001,ofhe performed and Gynecologists fetal barrier. This explains the lack of nutrients and blood supply the in-vitro. for Assisted Reproductive Technology (SART) for women who choose to The technique used to produce the procedure 37 times, producing 17 babies for 13 receives. baby boy born in Mexico couples. freeze their eggs for later use in order the to prevent Zika exposure. To those The mitochondria is a cellular organelle, which are, Possible Effects is called spindle transfer. When Cohen doesn’t know whether mitochondria or other women spending an extending period of time in regions with Zika, freezing amongThe many things, responsible for generating most widely known effect of the Zikaenergy. virus is Microcephaly, which a dividing cell divvies up its cytoplasm components played a role in producing the eggs could give women a sense of security. This decision is a very personal These are fragilewhere and athe mutation on any onenot develop properly is aorganelles lifelong condition baby’s brain does children. He will soon publish study reporting on the with achromosomes, choicea and should be discussed physician. they are attached to of the 37 genes housed inside the mitochondria can resulting in a significantly smaller head size than normal. Other risks include protein fibers called microtubules or health of some of the children, who are now teenagers. lead to fatal inherited diseases, specifically in the brain miscarriage, physical deformities and severe damage of Cohen’s the child’s nervous spindles. The transplant technique group stopped performing the technique in and muscle, which both require a lot of energy. The About Dr. Morgan: system. starts with two unfertilized egg 2001 because of regulatory issues. controversial procedure extracts chromosomes from Dr. Morgan is widely recognized for exceptionally high IVF success rates cells, one from the donor and one Though this procedure is controversial, it’s proven the egg of the mother and implants them into the egg with minimal use of fertility drugs. Dr. Morgan completed his fellowship from the mother. In both cells, the in to be successful in specific cases for struggling parents. of another mother. This process avoids the parental Endocrinology at The Universitythe of Kentucky membrane surrounding nucleus Though Zhang might faceReproductive serious actions for carrying and Infertility mother’s mutated mitochondrial DNA from being before opening his own practice in central New Jersey in 1993, where has broken down, but the cell hashe out this procedure, we are keeping an eye on the passed down to the child. has helped over 3000 patients becomenot parents. He is alsodivided. a clinical professor yet completely This successful mitochondrial DNA transport marks developments in this arena. at Jersey Shore Medical College, teaching OB-GYN residents since 1993. The spindle and its attached decades of research into the prospect of manipulating His expertise also encompasses advanced laparoscopic hysteroscopic chromosomes areand removed from the the mitochondria to produce healthy eggs to overcome surgery to preserve and enhance female fertility, treating conditions mother’s egg and inserted into such the as For more information, fertility problems. Though been successful in a Precautions andhaving Prevention donor egg, which has been emptied endometriosis, ovarian cysts and uterine fibroids and polyps. few cases, this procedure riddled with debate Because the lifetimehas of been the virus is unknown, any person actively trying
call 732-363-4777 or of its spindle and chromosomes. andtodisputes. Foodfollow and Drug conceiveThe should safetyAdministration precautions to avoid contracting the virus. cell is injected into or For more information,Then calla sperm 732-363-4777 (FDA) Congress are displeased withPrevention this procedure Visit The and Center for Disease Control and (CDC) has issuedwww.MorganFertility.com “Level 2 the resulting egg to fertilize it. and have blockaded any legal adjustments to its illegal Visit www.MorganFertility.com status in the United States. Concierge Fertility Care
MorganFertility.com
(732) 3612252
Lakewood . Ocean . Old Bridge
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September/October 2017 November/December 2016
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Medical Professionals
Back Pain? Surgery a Possibility? Here’s What You Need to Know … If you’re one of the 15+ million Americans who suffer from back pain on a daily basis, chances are you may be one of the 600,000 of them who will have back surgery this year. If so, there are several things you need to know. Not the least of which is that, on average, 80,000 Americans suffer from failed back surgery syndrome. And, you don’t want to be one of them. So, how do you find the right specialist? Here are some important tips from Dr. Pinaken Jethwa, a neurosurgeon at Atlantic NeuroSurgical Specialists (ANS).
Stand Up Straight Again
To find the best specialist: 1. Make sure your spine specialist is just that – a trained spine specialist. Just because a physician says he/she is a spine specialist doesn’t mean that’s necessarily true. Some of the most common failed back surgeries are a result of quick-fix solutions performed by doctors who don’t have the proper training. Take his/her background, education, and reputation seriously … because, surprisingly, no surgical training is required for someone to call him or herself a “spine specialist.” 2. Choose a neurosurgeon. Contrary to what many people think, a neurosurgeon does not just specialize in brain disorders. Neurosurgeons focus on the spine throughout their entire education – and may spend as much as eight years undergoing intense spine surgery training. They are the experts in spine surgery – and the ones you want taking care of your back. 3. Find a fellowship-trained neurosurgeon. Fellowship training is an additional year of training when neurosurgeons specializing in spine surgery fine-tune their expertise … often with new advanced technology. 4. Select a spine specialist whose practice is more than 50% dedicated to spine cases. Neurosurgeons immersed in spine cases tend to be the most experienced with the latest, most groundbreaking treatment options. They also tend to have the highest success rate. “When choosing the best-suited specialist, be sure you have a complete understanding of your diagnosis. That way you can select the neurosurgeon with the most experience treating your condition,” Dr. Jethwa concludes. “Feel confident that all of your questions have been answered – and make sure you have a strong sense of trust. That’s just as important as the doctor’s training.” For more information about finding the right specialist and ANS, visit ansdocs.com.
MCW/OCW Giraffe #862_r4.indd 1
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September/October 2017
Medical Professionals
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September/October 2017
Fashion
28
&Beauty
Fall Into Fashion At Lynne’s As the leaves change color this Fall, so do the fashions. This season floral prints, ruffles, bell sleeves and layers are all the rage! Adding color and vibrant patterns to your wardrobe will make you feel like a new woman. As the temperature begins to drop, beautiful cozy capes, dusters and jackets will keep you warm and stylish. Many varieties are available, from structured sleeves to shawl collars – with or
Body shaping silky knit, chiffon dress. This dress with chiffon sleeves and silver accent detail on the waistline is sure to turn heads at any occasion. By Joseph Ribkoff
without buttons or fringe – adding a little something different to your look. Whether you want to add a few key pieces or need a whole new wardrobe, we have the seasonal clothing and accessories you need. You will find choices for everyday, holiday parties, or Mother of the Bride and Groom ensembles. This holiday season be sure to sign up for our “wish list,” then send in your family and friends to purchase the gifts you truly want. Our manufacturers begin shipping their holiday merchandise in October and November, and we have the best selections around. Free gift wrapping is available for all purchases.
When shopping at Lynne’s, remember that we receive new items on a regular basis, so you will always find something different. We carry designers that you will not find
in department stores and we only order a limited quantity of each. Shop early and often for the best selection of clothing and accessories. Shopping should never be a chore; we want your experience here to be enjoyable, so you walk out with clothes that make you feel as beautiful and special as you truly are.
Tip-of-the-shoulder lace, crepe, and tulle trumpet gown with slight cap sleeves, dropped waist, hand-beaded lace appliqués adorn skirt with horsehair hemline, sweep train. Matching shawl included. By Montage by Mon Cheri in color brick.
Visit our website at www.lynnesfashionboutique.com to sign up for our informative newsletter and be sure to check out our Facebook page for special pop-up sales – it will change frequently!
My staff and I look forward to seeing you soon. Best wishes,
Lynne Goldberg
732-530-5443
Fall Hours: 10:30am-6:00 pm Tuesday through Friday and 10:30am -5:00pm on Saturday
31 Church Street, Little Silver, NJ www.lynnesfashionboutique.com
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Lynne Goldberg, Owner of Lynne’s Fashion Boutique, has been in the women’s retail clothing business since 1989, and her boutique has evolved and changed along with the times. Specializing in Mother of the Bride or Groom attire, she also carries a wide selection of casuals, sportswear and accessories that will allow you to dress well and feel comfortable-for everyday or any occasion.
Enter to Win a Pair of Tickets to See a Great Show at two river theater! One entry per person. Entries will be accepted through October 31, 2017. 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.
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September/October 2017
Medical Professionals
29
“Why Do You Do That?” Frequently Asked Questions During Mammography For almost 40 years, Toms River X-Ray, CT and MRI Center has been serving the community with diagnostic imaging. That includes our commitment to catch breast cancer early with screening mammograms. Our highly trained, experienced radiologists and compassionate staff as well as the latest technology has been providing this exemplary care. Over the decades we have been asked the same questions by our patients.
Q: Why do you need my old mammograms? A: Every day, we receive new patients into the Toms River X-Ray family.
t
Q: Why can’t I wear deodorant or powder? A: There are different types of calcifications in the breast. Some are benign and clearly not cancer. Some are
t
Many times these new patients have prior mammograms from another facility. It is extremely important to have the old mammograms for two reasons. First, breast cancer can be very subtle and difficult to identify. This is especially true for patients with dense breasts. The dense breast tissue can obscure the cancer, making it difficult to see. Having prior mammograms, Cyrus Khorrami, MD radiologists are able to see any subtle changes of the breast from year to year. This allows us to detect a much larger number of cancers. Second, some nodules and areas of distortion of the breast look very suspicious. However, if we have prior mammograms, we can determine whether these lesions are new. If a suspicious-appearing area draws a radiologist’s attention and we find it is unchanged in appearance for years, then the chances of being cancer are tiny. This saves a patient the expense of extra testing, the anxiety of thinking she may have cancer, and the discomfort of having a biopsy. Prior mammograms are invaluable to a radiologist when interpreting mammograms. Please make every effort to obtain old mammograms. It helps us all towards our common goal of detecting breast cancer and giving the best possible care to our patients.
This mammogram taken in 2017 shows a round lesion in the top of the breast
much more suspicious and are worrisome for being a part of cancer. When imaged on mammograms, deodorant and powder can look like cancerous calcifications. In these cases, we need the patient to wash off the deodorant or powder and return to repeat the mammogram. This is inconvenient to our patients, and extra mammogram images exposes them to unnecessary radiation.
A prior mammogram 2010 shows that this lesion is unchanged for the past 7 years and is not cancer
t
Q: Why do you place stickers around my moles? A: Some people have moles and beauty marks on their breasts. These skin lesions can potentially look like
t
cancer on mammograms. If these moles are marked for the radiologist, they will not be mistaken for a developing cancer.
Q: Why do you place a BB on my nipples? A: This does not occur in all patients. If nipples are imaged in a perfect profile, then placing a BB is not
necessary. However, some nipples are inverted. Other nipples may be imaged not in a perfect profile due to the patient’s anatomy. In these instances, the nipple can look like a cancer on mammograms. The placed BB helps the radiologist not to confuse an off-center nipple with a developing malignancy.
Q: Why can’t I use creams or moisturizers before an exam? A: For the best examination, it is important to have the mammogram grip the entire breast and apply firm,
even pressure. Wearing creams or moisturizers can cause the breast to become slick. The breasts can slide out of position when compression is applied and the breast is not imaged adequately.
Suspicious lesion in the front of the breast. A nipple marker was used and this area was confirmed to be an inverted, off profile nipple
PARVIZ KHORRAMI, M.D. CYRUS KHORRAMI, M.D. Founder Medical Director PARVIN MOTEMADEN KHORRAMI, M.D.
732-244-0777
PET/CT Ultrasound CT Scan High Field Open Bore MRI
Diagnostic X-Ray Digital Mammography Nuclear Medicine Bone Densitometry
Deer Chase Professional Park • 154 Route 37 West • Toms River, NJ 08755 • Fax: 732-244-1428
www.TomsRiverXray.com5
5
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Life Coach
30
“Is This It? Is This All Life Is, Feelings Of Stress And Unfulfillment?” Have you ever had that thought?
Do you quickly reply to yourself and say, “nah, things will never change. Who am I anyway to want more?! I’ll never be one of the ‘lucky’ ones.” Well, just know you are not alone. Many clients come to me wondering if they should be doing more and feeling lost. And more often than not they don’t even know what that “more” should be. Life has a way of creeping up on us and stealing our dreams, just like the seagull who swooshes down to grab that fish or even that chip near your side! And then in an instant, it’s gone. How does this happen? A woman so full of dreams and goals and ideas and now all of a sudden lost within the confines of her thoughts, forgetting who she used to be and thinking, “Is it even worth finding her again?” I’m here to tell you “YES!” It is worth finding her again. Because I believe, in fact I know, that you are here for a reason and you are the only one who possesses your unique gifts. Do you remember that ever so pivotal quote from Tom Hanks in the movie A League of Their Own? At the end when Dottie gets ready to go back home with her husband and quit right before the playoffs, she says, “It just got too hard.” Mr. Dugan (Tom Hanks) replies, “It’s supposed to be hard, otherwise everyone would do it.” I love that part and even now I have goose bumps up and down my legs and arms. Whenever I think things are getting too hard, I think of Mr. Dugan and Dottie Hinson;
it inspires me to keep going. It is impossible to chase your dreams and to have a feeling of ease each and every day. There will be days you will be outside of your comfort zone and there will be a little voice in your head saying, “Just give it up already, you won’t succeed.” And just know that is your brain protecting you from failure, because failure could bring pain and your brain is there to protect you from pain. But what if you didn’t fail? What if you succeed? And all you needed to do was to tell that little voice to go take a hike! Do not base your future on thoughts that are nothing more than merely assumptions. If you are going to base your future on assumptions, then assume the bestcase scenario. So although it won’t be sunshine and rainbows every day, I can tell you the results will be 100% worth the effort you put forth! As humans we need to have that feeling of progress in order to feel like we are fulfilling our destinies! But as a woman you often put your own needs aside to fulfill the needs of others, like your kids, your spouse, your boss, coworkers and even your parents. When was the last time you thought about what you wanted? When was the last time you explored something that’s interesting to you? Without that exploration it’s like you’re stagnant, just stuck. I often like to say, “Without water a flower will not grow, and if it does not grow it will die.” Don’t let your dreams and ideas die within, you are worth so much more.
Do something today that makes you feel good! Maybe it’s treating yourself to a delicious cup of coffee in silence or calling an old friend to catch up or going to the bookstore to pick up something that is interesting to you and feeding your mind. Grab a glass of wine and an old movie. Buy a new journal and begin writing down all the things you still want to see, do and explore. Have fun and remember, don’t take yourself too seriously because really nobody gets out alive anyway. You are worth it!
I believe in you! xo
Melissa Epstein CPC, ELI-MP
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Medical P rofessionals Medical Professionals
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Dizziness and Balance TongueDisorders And Lip Tie In Children The physicians at Ocean Otolaryngology Associates are passionate upper about lip patient care and lightheadedness, dizziness tie, which is when the upper lip is stuck to theand gumsometimes line. Christina Gillespie, MD, well-being. We find that patients having more knowledge about their care ismost advantageous. syncope. Though infants have some degree of upper lip tie, when it Ocean Otolaryngology With the ever increasing elderly population, dizziness is becoming becomes a much more 3. What do the I doupper if I develop large widespread and tight enough, it may prevent lip from and common concern. We will all experience dizziness at some time or another dizziness? dizziness caninbe flaring out orthroughout curling up, which is essentialBecause for breast-feeding Dr. Christina Gillespie is a board our lives. However, it is important to understand when symptoms order of dizziness require further sealrelated to sobreast. manyAlso, different to create an adequate with the somefactors, infantsit certified Otolaryngoloigist medical attention. is generally that to oneflare seek immediate medical attention when experiencing with upper lip tie will exhibit an upper liprecommended crease in attempt who has been in practice in dizziness, particularly if the episodes are recurrent, prolonged or severe. 911, She up during breast-feeding. Symptoms include feeding difficulty such FREQUENTLY ASKED QUESTIONS FROM PATIENTS WITH DIZZINESS: Toms RiverCalling since 2013. reporting to the nearest emergency room or, at minimum, discussing the situation as prolonged breast feeding, trouble with latching, painful nipples, completed her internship and residencywith in 1. What is dizziness? Dizziness is a generalized term suggesting a sense of your primary care physician is strongly recommended. On many occasions, patients will be and infant is excessively gassy. If the upper lip tie is tight enough, an Otolaryngology at Walter Reed Army Medical unsteadiness or lightheadedness. A feeling of being in a fog or the sense of passing out are referred to an ear, nose and throat physician (otolaryngologist) for consultation. infant may have trouble feeding even from a bottle. Center. Before moving to Toms River, she served sometimes described. Vertigo is a specific form of dizziness and describes a sensation of 4.lip What is Benign Paroxysmal Positional (BPPV): at This is a quite as Chief Vertigo of Otolaryngology William Beaumont weIn infants, both tongue-tie and tie can be treated in the spinning or significant rotary motion in one’s environment. Although take it for granted, Army Medical Center in El Paso, Texas for eight common form of dizziness and occurs frequently in the elderly population. Most typically, office. In infants, the tie is first clamped and then cut using scissors. our sense balance is Academy maintainedof byPediatrics a very complex interaction among several components The of American advocates years. At Ocean Otolaryngology, Dr. Gillespie BPPV is described as a spinning sensation and occurs with an abrupt change in body Toddlers and children are usually taken to the OR to perform of our nervous system, including: patients, at the Toms Riverover andorWhiting breast-feeding in all system) newborns. Benefits Inbreast many fed cases, the initial onset of sees symptoms occurs when rolling getting out the procedure. In infants, theyposition. should be immediately • The inner ear (vestibular locations, of all ages with a variety of medical of bed. The severity of the dizziness can range from mild to incapacitating and is sometimes following the procedure. No medications are needed after the of breast-feeding include decreased risk of • The eyes (visual system) specialties includemicroscopic pediatric The etiology condition isHer related to displaced procedure. Older children canassociated be given awith seriesnausea. of tongue exercisesoftothis problems. • The brain and spinal (central nervousweight system) loss otolaryngology, sinus surgery, and surgery for infections for the cord infant, increased particles within inner ear for labyrinth. particle may be dislodged following head perform following surgery. Older children eat the softer foods about Thesleep • The pressure receptors and muscles of our lower extremities (proprioceptive system) apnea. She also treats common medical for the mother and bonding between the mother trauma, even a minor head injury. The duration of symptoms be extremely variable and one week. Stretching exercise If any one of these factors is diseased or the interaction between these individual parts conditions such ascan hearing loss, tinnitus, tend to recur over time. Treatment includes repositioning the particle into its appropriate can be performed. Parents can and infant. In order baby to breast hoarseness and chronic cough. In addition, is distorted, our balance will befor off.aThe challenge is tofeed, determine which one of these factors positionalso within inner earspecialist labyrinth, a procedure called the Epley maneuver. see athelactation Dr. Gillespie is also involved in the American is causing an individual’s dizziness. the baby needs to get a good seal in order to 5. Can my dizziness condition be cured? The ability to treat dizziness is following the procedure for Academy of Otolaryngology.and Shecure currently serves 2. What are the causes of dizziness? Dizziness and vertigo can be caused by a wide suck and then swallow the milk produced by completely dependent upon its cause, which may actually be multifactorial. However, most on multiple committees which include the Board further assistance with breastvariety of disorders, including inner ear infections such as labyrinthitis, inner ear disorders Governors and Governance, Media committee disorders can be improved once anofaccurate diagnosis is established. In many cases, breast. disease, cardiac conditions, anemia, diabetes or low blood sugar, brain and/ dizzinessfeeding. such the as Meniere’s and Education committee. physician subspecialists well-versed in the treatment of dizziness will need to be involved. Tongue-tie can also be cordareinjury, migraine headaches, severe sinus infections, meningitis, poor circulation Gillespie in Monmouth County or spinal There medical conditions that can make Attreated OceaninOtolaryngology Associates, ourDr.team is fullyresides committed to helping our with adults. Symptoms and hardening of the arteries, stroke, high fever, visual disorders and severe anxiety. her husband and daughter. She enjoys spending breast-feeding difficult. Tongue-tie (otherwise known as patients through the work-up and treatment regimen for their dizziness disorder. that occur in adults include Additionally, certain medications or interactions between medications can often cause time with her family as they explore the Jersey ankyloglossia) is when the tip of the tongue is anchored to the swallowing problems, Shore. She is also an avid tennis player. floor of the mouth. Tongue-tie may extend all thecertified way to the Dr. Bruce Peters is a board Otolaryngologist who established his practice in Ocean speech difficulty, mechanical tip or it may extend County partiallyinto1997. the tipA resulting partial graduateinofa Philadelphia College of Osteopathic Medicine and residency at limitation, difficulty playing Thomas University Hospital, Philadelphia, Dr. Peters then completed certain his Fellowship tongue-tie. Symptoms includeJefferson trouble with breast-feeding musical instruments, in Facial Plastic In Surgery andchildren Reconstructive Surgery at the University of Miami and Hospital. He speaking for a and swallowing problems in infants. toddlers, may pain after specializes functional andTreatment cosmeticisnasal surgery, sinus surgery, thyroid surgery and skin have some speech difficulty withincertain sounds. prolonged period of time. surgery. is Dr.causing Petersaisproblem. a member recommended only ifcancer the tongue-tie If of the American College of Surgeons, the In Academy adults, theof procedure Otolaryngology, Head and Neck Surgery, the Academy of Facial Plastic Surgery and the N.J. no symptoms are exhibited, one does not need to pursue any can be performed Bruce W. Peters, Stephen Kupferberg, Academy of Otolaryngology. He resides in Wall, N.J. with his wife and two daughters and enjoysin the treatment. office. Bruce W. Peters, golf and fishing in his leisure time. Stephen Kupferberg, MD, FACS Christina Gillespie, DO, FACS MD, FACSMD DO, FACS to tongue-tie, there is also a condition called Related
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.
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July/August 2017 September/October 2017
Meet the Doctors
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Ocean Otolaryngology Has Earned the Trust and Respect of Their Patients If you are in need of treatment for conditions involving the ear, nose, and throat or if you are considering facial rejuvenation, then a visit to Ocean Otolaryngology is a must. Doctors Peters, Gillespie and Kupferberg all maintain the highest levels of accreditation and pursue ongoing education to stay abreast of the latest trends. “We are committed to exceeding the expectations of our patients and providing the highest quality of care,” adds Dr. Peters. The professionals at this office are all about earning the trust and respect of their patients and ensuring a compassionate environment. They all have extensive knowledge in the field and will take the time to listen and give you the individualized attention you deserve. Dr. Gillespie adds, “We believe that informed patients are better prepared to make decisions regarding their health and well-being. Our website includes information on an array of relevant topics and we encourage our patients to peruse these pages when they have a concern.” Lastly, Dr. Kupferberg would like to add that, “As Otolaryngologists, we treat a great variety of conditions with both medical and surgical intervention. From allergies, to hearing problems to sinus surgery, Ocean Standing L-R: Jaclyn Torres, Office Manager, Dr. Kupferberg, Dr. Gillespie, Dr. Peters, & Otolaryngology is equipped to handle all your needs for Carolyn Peters, Practice Manager. Sitting L-R: Katie Samhammer, Front Desk Supervisor, yourself or your child.” Stefanie Wagenhoffer, Administrative Assistant, & Jade Dalbo, Surgical Coordinator.
Dr. Peters MCW: What do you find most satisfying about your profession? Dr. Peters: Being a physician and in particular, an Otolaryngologist, continues to be a very gratifying profession. Helping my patients conquer simple, to sometimes life-threatening situations is truly compelling and satisfying. Beyond anything else, a patient’s heartfelt gratitude strengthens my lifelong commitment to this profession. MCW: What attracted you to the field of Otolaryngology? Dr. Peters: As a third year medical student we had the privilege of starting our clinical rotations. My second rotation was in otolaryngology where I participated in complicated head and neck surgeries. The intricate anatomy of the head and neck was most intriguing to me. I quickly began to develop a passion for this area of sub-specialization and went on to do an otolaryngology residency. MCW: What is the most challenging aspect of your job? Dr. Peters: The most challenging aspect of otolaryngology is without question the difficult airway. There have been many occasions in which lifethreatening emergency measures are necessary in order to reestablish a patient’s upper airway patency. MCW: What are the most common conditions that you treat? Dr. Peters: Our practice treats a broad spectrum of ear, nose, and throat disorders, anywhere from nasal and sinus disorders, chronic ear conditions, and throat tumors, to the dizzy patient. Personally, I have a special interest in skin cancer reconstruction and thyroid surgery.
MCW: How do you stay current with new developments made in your field? Dr. Peters: In order to maintain high quality of care for our patients, I must keep abreast of the latest technologies and techniques in our field. I have found in my personal career the most beneficial means in which to achieve this is by attending the American Academy of Otolaryngology orchestrated meetings and conferences throughout the country. Additionally, I participate regularly in our American Academy of Otholaryngology Head and Neck Surgery’s Home Study Course. MCW: Please share one of your most memorable success stories. Dr. Peters: Although it’s very difficult to pick just one particular case or patient, the situations in which an emergency tracheostomy is necessary in order to save the patient’s life from an airway obstruction is always memorable. Although infrequent, these intense situations are extremely gratifying. Just a few weeks ago, I was involved with an unfortunate 65-year-old woman with metastatic breast cancer to the brain and she developed paralysis of both vocal cords. She was suffering tremendously in the emergency room and required insertion of the tracheostomy tube while awake under local anesthesia. She did amazingly well and couldn’t be more grateful. I wish her all the best.
Dr. Kupferberg MCW: What do you find most satisfying about your profession? Dr. Kupferberg: I love that this specialty allows me to help patients with many different types of diseases involving the ear, nose, and throat. MCW: What attracted you to the field of Otolaryngology? Dr. Kupferberg: I was initially attracted to the field when I was in Medical School. I realized then that it allowed physicians to treat a large variety of diseases
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Meet the Doctors within the head and neck region. I also like that we are able to treat patients of all ages from newborns to the elderly. Additionally, my father has a genetic syndrome that involves a gradual loss of hearing and vision. This also piqued my interest in the specialty.
hearing loss and recurrent ear infections by placing ear tubes. I help children and adults with sleep apnea with surgery, and can help people breathe better through their nose by treating their medical issues and correcting anatomical issues. MCW: What attracted you to the field of otolaryngology?
MCW: What is the most challenging aspect of your job?
Dr. Gillespie: After my third year of medical school I realized the two rotations I enjoyed the most were my surgical rotation and pediatric rotation. By being an otolaryngologist, I have the opportunity to take care of both children and adults for a variety of problems that affect the head and neck.
Dr. Kupferberg: There are many challenges that are constantly evolving. We maintain a very high standard of care for all of our patients and that is often made more difficult by the restraints placed upon us by insurance companies and governmental regulations. It is a constant battle to keep up with the continuously growing new regulations placed upon the medical field.
MCW: What is the most challenging aspect of your job?
MCW: What are the most common conditions that you treat? Dr. Kupferberg: We treat a variety of conditions with both medical and surgical intervention. In children, placement of tubes in the ears to help with ear infections and removal of the tonsils and adenoids are quite common. In adults, treating the nose to improve breathing and the sinuses to improve drainage and lessen infections are also frequent procedures.
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Standing L-R: Dr. Kupferberg and Dr. Gillespie. Sitting: Dr. Peters.
MCW: Please share one of your most memorable success stories. Dr. Kupferberg: When a patient comes into the office with a longstanding history of sinus disease and the inability to breathe through their nose, they are often frustrated and unhappy. I recall operating on such a patient who also suffered from chronic sinusitis and nasal polyps. I performed a septoplasty, turbinate reductions, endoscopic sinus surgery. This opened up the breathing passages and allowed his sinuses to drain more efficiently. This resulted in the ability to breathe better and have less sinus infections. The surgery improved his overall quality of life.
Dr. Gillespie: Dealing with insurance companies and all of the different rules and regulations can be difficult. We spend a lot of time getting medications, radiologic studies, and procedures approved by patient’s insurance companies. The majority of our patients’ we can help. However, occasionally we will hit a roadblock where an insurance company will not cover something. MCW: What are the most common conditions that you treat?
Dr. Gillespie: The most common conditions I treat affect both children and adults. For children, I treat lip-tie, tongue-tie, recurrent ear infections, hearing loss, nasal obstruction, tonsillitis, and obstructive sleep apnea. For adults, I treat nasal obstruction, obstructive sleep apnea, chronic sinus problems, chronic tonsillitis, deviated nasal septums, hearing loss and cerumen impactions. I take care of people across all age groups. MCW: Please share one of your most memorable success stories.
MCW: How do you stay current with new developments made in your field?
Dr. Gillespie: Some of my most memorable success stories are when I take care of an entire family’s ENT issues. I have one family that I have placed ear tubes in one child and removed the adenoids and tonsils in another child for sleep apnea. I have also cared for their mother for a thyroid problem. It is very satisfying to see them all back in the office doing well.
Dr. Kupferberg: I read several journals and listen to lectures on Audiodigest that are pertinent to my field. I also attend regional and national conferences to broaden my understanding of different topics in the field.
MCW: How do you stay current with new developments made in your field?
Dr. Gillespie MCW: What do you find most satisfying about your profession? Dr. Gillespie: Having the ability to help people, is the most satisfying part of my job. Every day I see patients with a variety of problems. Through either medical therapy or surgery, I can often make them better. I can help children with
Dr. Gillespie: I participate in the Home Study Course sponsored by the American Academy of Otolaryngology. Every few months, I review 20-30 articles concerning current research and information about a variety of ENT issues. I read medical journals and attend conferences annually as well. Last year, I attended the annual meeting of the American Academy of Otolaryngology in California. I also participate in the professional organization, the American Academy of Otolaryngology serving on various committees such as the Education Committee and the Board of Governors Governance Committee.
For more information, call 732-281-0100 or visit www.OceanENTFacialPlastics.com.
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
34
Medical Professionals
Meet The Doctors Of University Urology Associates of New Jersey Mukaram Gazi, MD, FACS Dr. Mukaram Gazi, the founding member of UUANJ, graduated from the University of Miami School of Medicine and completed his post-graduate training in urology at UMDNJ Robert Wood Johnson Medical School (now known as Rutgers RWJ Medical School) in New Brunswick, NJ. In practice since 2003, this exceptionally skilled, minimally invasive surgeon treats the full range of urinary tract and male reproductive disorders—from no-scalpel vasectomies, erectile dysfunction, and urinary incontinence to state-of-the-art robotic surgery for prostate cancer and enlarged prostate (BPH). Dr. Gazi is devoted to his patients, treating them like family in a compassionate and caring manner. He is board certified in urology, has advanced training in sub-specialties such as uro-oncology and pelvic floor reconstruction, as well as pediatric urology. He is currently an Adjunct Clinical Professor at Fox Chase Cancer Center and Clinical Assistant Professor at Rutgers Robert Wood Johnson Medical School. Dr. Gazi’s background and expertise, combined with honest communication, have earned him recognition as one of America’s Top Urologists by Consumers’ Research Council of America and Castle Connolly Medical, Ltd., and again this year as a Top Doctor by New Jersey Monthly.
Parvez Mahmood, MD, FACS Dr. Mahmood has been in practice in Ocean County since 1974. He received his training in New York City at Mount Sinai Hospital, New York University Medical Center, Bellevue Hospital Center and Memorial Sloan Kettering Cancer Center. He is currently an Adjunct Clinical Professor at Fox Chase Cancer Center and Clinical Assistant Professor at Rutgers Robert Wood Johnson Medical School. Dr. Mahmood is board certified in urology and is a Fellow of the American College of Surgeons.
Alexander Gotesman, Alexander Gotesman, MDMD Dr. Gotesman earned his medical degree from the State University of New York at Stony Brook and completed his urology residency training program at Mount Sinai Medical Center in New York in 2005. After graduation, Dr. Gotesman completed five years of clinical research in Urology and he currently specializes in adult and pediatric ambulatory urology. He maintains strong affiliations with many local and national medical societies and is a member of the prestigious Alpha Omega Alpha medical honor society. Dr. Gotesman has received several awards and recognition for his, patient-centered care philosophy. He Joined UUANJ in 2012.
WHAT IS A UROLOGIST? A urologist is a physician who has been trained to treat disorders of the male and female urinary tract (bladder, ureter, kidney, and urethra) and the male reproductive system. Urologists encounter many issues and must have knowledge of internal medicine, pediatrics, gynecology, and other specialties as they are used regularly. Urology is classified as a surgical subspecialty. A urologist with advanced qualifications in surgery may be a Fellow of the American College of Surgeons (FACS).
www.uuanj.com
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Medical Professionals
35
Meet The Doctors Of University Urology Associates of New Jersey Imani Rosario, MD Dr. Rosario earned her medical degree from the Georgetown University School of Medicine and completed her post-graduate training in urology at Rutgers New Jersey Medical School. After completing her training, Dr. Rosario was appointed Assistant Professor of Surgery in the Division of Urology at Rutgers New Jersey Medical School. In this position, she was responsible for training and teaching medical students, general surgeons and urologists in training. Dr. Rosario is Board Certified by the American Board of Urology. She joined UUANJ in 2016.
HAMILTON 1374 Whitehorse Hamilton Sq. Rd. Hamilton, NJ 08690
HOWELL 2364 Route 9 South Howell, NJ 07731
Bob Peterson, DC, PA-C Mr. Robert Peterson is a retired Chiropractor and has been a Physician Assistant for 18 years. Mr. Peterson has been working with UUANJ for the last six years. He has been an Adjunct Associate Professor at Mercer County College for 10 years, teaching Biology, Pathology and Anatomy and Physiology, and an Assistant Professor at the Philadelphia University Physician Assistant Studies Program. He has also mentored other Physician Assistants and Licensed Practical Nurses. Bob joined UUANJ in 2011.
FREEHOLD 495 Iron Bridge Rd. Freehold, NJ 07728
TOMS RIVER 20 Hospital Drive Toms River, NJ 08755
“ The staff at University Urology have helped me and my family get through the most difficult time in my life. I had a biopsy after my PSA test came back abnormal. My wife and I were devastated to hear that I had prostate cancer. The doctors and physician assistants were very caring and knowledgeable. They gave me all my options and discussed the pros and cons of each treatment option. They walked us through the entire process and care plan and provided us with all the literature so we could refer back to it when needed. I couldn’t ask for a better team.” — B.B Howell, NJ
The County Woman Magazine www.TheCountyWoman.com
For Appointments (609) 581-5900 (732) 928-5300 UUANJ.COM September/October 2017
36
Medical Professionals
Understanding Endometriosis: Q & A with Christopher Eswar, MD Women experiencing pelvic pain, painful periods, pain with intercourse, heavy menstrual bleeding and infertility may be suffering from endometriosis. The condition, which affects about 6 to 10 percent of females, age 15 to 45, who are of reproductive age, occurs when endometrial tissue is found outside of the uterus. Christopher Eswar, MD, a fellowshiptrained gynecologic surgeon with Barnabas Health Medical Group, is known for his expertise in robotic and advanced laparoscopic surgery. He treats conditions like endometriosis, pelvic pain and bladder pain syndrome, and specializes in hysterectomies and the removal of uterine fibroids. Dr. Eswar is affiliated with Monmouth Medical Center in Long Branch and Community Medical Center in Toms River, both RWJBarnabas Health facilities.
Q: What are common signs and
symptoms of endometriosis?
A: Dr. Eswar: Pelvic pain is the primary symptom which usually starts out with cyclical pain leading up to monthly periods. After the first couple of days of a woman’s period, the pain typically
subsides. However, the condition may lead up to chronic pain every day, not just during the menstrual cycle.
hormonal control. If these treatment methods don’t work, other procedures are recommended, which may include:
Common symptoms include: pain with intercourse, pain with bowel movements or urination, excessive bleeding during periods and infertility.
• Laparoscopy – This is the “gold” standard to diagnosis and remove endometriosis. Through this minimally invasive surgical procedure, the surgeon inserts a slender viewing instrument called a laparoscope through a small incision into the abdomen and inserts instruments to remove endometrial tissue through another incision. Recovery time following a laparoscopic procedure is quick, enabling women to resume their normal activities much sooner.
Q: What’s the main complication of endometriosis?
A: Dr. Eswar: Endometriosis can cause
issues with fertility. Some of my patients didn’t realize they had endometriosis until they had trouble conceiving. Only after testing, it was determined their infertility was due to endometriosis.
Q: How is endometriosis treated? A: Dr. Eswar: The first step is to have a
consult with a physician specializing in gynecologic conditions. The physician will conduct a detailed physical, as well as a detailed history about the sources of pain. When needed, physicians may perform an abdominal and pelvic ultrasound. From here, a plan of action will be developed. Treatment includes: Non-steroidal antiinflammatory drugs or birth control for
• Hysterectomy – This procedure, which removes the uterus and sometimes the ovaries, is used for severe cases of endometriosis and as a last resort to relieve pain. It is only recommended post-childbearing and after other options such as hormonal therapies have not worked.
Christopher Eswar, MD
About Barnabas Health Medical Group Barnabas Health Medical Group is a multi-specialty group practice comprising highly trained and experienced world class primary and specialty care physicians. Barnabas Health Medical Group physicians provide compassionate and innovative care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources throughout RWJBarnabas Health, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence.
• Ablation/cauterization and excision – Endometriosis tissue is removed by destroying the tissue or removing it from the abdominal cavity, uterus, ovaries or fallopian tubes.
Gynecologic Surgery Office Location: 279 Third Avenue, Suite 307 Long Branch, NJ 07740 732.571.0972
barnabashealthmedicalgroup.org
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
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Medical Professionals
Hemorrhoids: The Bottom Line Did you know we are born with hemorrhoidal tissue, it’s a part of our anatomy? Hemorrhoidal tissue lies within the anal canal and perianal area and consists of blood vessels, connective tissue, and a small amount of muscle. Hemorrhoids are described as varicose veins of the anus and rectum because they are enlarged, bulging blood vessels in the anus and lower rectum. The only time we actually feel hemorrhoids is when they become enlarged or symptomatic. Dr. Paonessa likes to use the analogy: “We all have teeth, but we all don’t have cavities”. Likewise, we all have hemorrhoids, but we all don’t have symptomatic hemorrhoids. There are two types of hemorrhoids, internal and external. Both can have different symptoms and often different treatments. Internal (inside) hemorrhoids form in the anus beneath a lining called mucosa, which is not sensitive to touch, pain, stretch or temperature. As such, internal hemorrhoids are commonly associated with painless bleeding and protrusion during bowel movements. It is only when the hemorrhoid completely prolapses from the opening of the anus and cannot be pushed back inside that it becomes severely painful.
Internal hemorrhoids are classified in four grades: •
Grade One: The hemorrhoid is not protruding from the opening of the anus (no prolapse). • Grade Two: The hemorrhoid protrudes from the anus but it goes back in on its own. • Grade Three:The hemorrhoid protrudes and requires the patient to push it back inside the anus. • Grade Four: The hemorrhoid cannot be placed back into the anus by the patient. This is often very painful. External (outside) hemorrhoids form around the anus and are covered by very sensitive skin. The most common complaints associated with external hemorrhoids are occasional swelling, pressure or discomfort. When a hemorrhoid is symptomatic it becomes a bluish-colored, painful lump outside the anus. If the external hemorrhoid develops a clot (thrombosis) it becomes a hard, painful lump. When the pressure becomes elevated it can cause the thrombosed hemorrhoid to break down the overlying skin and the clot begins to leak out. Even after the hemorrhoid has healed some patients complain about soft tissue outside the anus called an anal skin tag. An anal skin tag is the residual effects from the thrombosed external hemorrhoid. A skin tag may hinder a patient’s ability to clean after a bowel movement. Although there is no treatment for anal skin tags, they can be removed if hygiene becomes an issue for the patient. There are several factors that can cause hemorrhoids although the exact cause is unknown. Upright posture, alone, increases pressure on the rectal veins and can cause them to bulge. Additional factors include aging, chronic constipation or diarrhea, straining during pregnancy, heredity, straining during bowel movements, overuse of laxatives or enemas, and extended periods of time on the toilet (i.e. reading). Here are some symptoms you should be aware of to determine if you may have a hemorrhoid problem. If you are having bleeding during bowel movements, itching in the anal area, pain, sensitive lumps or prolapsing during bowel movements. If you do experience any of the symptoms do not treat with over the counter medication. Call and make an appointment with your doctor. It is very important to understand that NOT all rectal bleeding is caused by hemorrhoids. As such, it is crucial to seek consultation with a specialist such as a colon and rectal surgeon to be sure that the rectal bleeding is not caused by a serious disease such as anal or colorectal cancer. How hemorrhoids are treated depends on how severe the condition is. If the symptoms are mild your doctor may simply have you increase your fiber intake in your Board-certified in general surgery and proctology and a fellow of the American College of Osteopathic Surgeons, Dr. Paonessa specializes in colon and rectal surgery. She has been in practice for 13 years. She completed her colon and rectal surgery fellowship at Lehigh Valley Hospital in Allentown, PA. She is co-editor of the textbook Surgical Treatment of Hemorrhoids, 2nd edition. Dr. Paonessa believes in patient-centered care and preserving each patient’s independence, well-being and dignity. She provides the latest, up-to-date treatments and tailors each plan of care to the individual patient’s needs. Call 732-282-1500.
diet (i.e fruits, vegetables, breads and cereals) or by adding an oral fiber supplement. It is recommended that you consume 20-35 grams of fiber per day. It is very important to make sure that you drink 8-10 glasses per day of water. Other beverages that contain caffeine or alcohol will dehydrate you so try to decrease your intake of those beverages. These measures help to create a soft, formed stool thereby eliminating excessive straining during bowel movements. This in turn will decrease the pressure on the hemorrhoids. The use of warm water soaks (sitz baths) will also provide relief. There are several outpatient treatments that may be performed in the office to help treat symptomatic hemorrhoids. These include: rubber band ligation, infrared photocoagulation and sclerotherapy. All of these procedures are painless. Dr. Paonessa’s procedure of choice in the office is sclerotherapy. Sclerotherapy involves an injection of a chemical irritant into the hemorrhoid which causes scarring and shrinkage of the blood vessels present within the hemorrhoidal tissues. This procedure is painless and has few, if any, complications. Sclerotherapy is safe for patients on blood thinners. As with any procedure, you will need to discuss this with your physician. External hemorrhoids may also be treated on an outpatient basis as well. Excison of the hemorrhoidal tissue can be performed. The hemorrhoid will be injected with a numbing agent and excising of the hemorrhoid along with all blood clot (thrombus) is done. In this case the entire external hemorrhoid is removed not lanced, so as to avoid any residual skin tag once healed. This procedure provides instant pain relief for those patients suffering from severe pain. Often hemorrhoids that are not thrombosed can be treated with dietary change and sitz baths. There are other procedures that can be done on an outpatient basis at surgery centers or hospitals. These include: traditional hemorrhoidectomy, Transanal Hemorrhoidal Dearterialization (THD), and stapled hemorrhoidectomy. As with any surgery you will need to have your physician evaluate your condition and see what the best option for you is. With advances in local anesthetic and surgical technique, hemorrhoidectomy is not the painful procedure it had been associated with in the past. If you are experiencing any of the symptoms or conditions discussed please contact Paonessa Colon and Rectal surgery to make an appointment with Dr. Paonessa. Dr. Paonessa is well trained in all aspects of hemorrhoid management and surgery. In fact, she is the co-editor of the textbook Surgical Treatment of Hemorrhoids, 2nd edition and authored three of the chapters within this textbook.
Colon and Rectal Surgery
Board Certified in General Surgery and Proctology • laparaoscopic surgery • abdominal/pelvic surgery • fecal incontinence • endoanal/rectal ultrasound 2101 Route 34 South, Suite H Wall, NJ 07719
The County Woman Magazine www.TheCountyWoman.com
• anorectal surgery • pelvic floor disorders • office proctology • anorectal manometry/ physiology 1172 Beacon Avenue, Suite B Manahawkin, NJ 08050
Phone: (732) 282-1500 Fax: (732) 282-1501
Office Hours: M-F 9AM to 5PM
www.paonessacrs.com September/October 2017
Medical Professionals Diagnosed With Breast Cancer:
What’s Next?
October is Breast Cancer Awareness Month
The biopsy shows that you have breast cancer. In addition to the shock and emotional turmoil, a thousand questions go through your mind. “The surgeon said that he took everything out, so why do I need chemotherapy?” “What are my chances?” “Am I going to die from cancer?” “My friend only needed to take a pill, why am I not getting that?” Not everyone diagnosed with breast cancer is treated the same because no two tumors are alike. Even after the lump in the breast is removed surgically, there is a risk of cancer growing back in the same breast or spreading to other organs, a process called metastasis. The risk of metastasis is based on a number of factors. Age, menopause, the stage of the cancer and characteristics of the tumor cells (grade, hormone receptors called ER and PR, and Her-2) all determine the risk of relapse or metastasis. Age: In general, young women tend to have more aggressive tumors and are more often treated with chemotherapy than older women. Stage: Breast cancer is staged from Stage 0 to Stage IV; Stage 0 is pre-cancerous and is also known as carcinoma in situ (DCIS or LCIS). Stage 0 cancer does not metastasize and does not require chemotherapy. Stage I is a small tumor (<2cm) confined to the breast; when the tumor has spread to the lymph nodes or if the tumor is >2cm it is Stage II. Stage III includes tumors that have spread to lymph nodes in the neck, have affected more than 4 lymph nodes, or have spread to the skin and chest wall. When the cancer has metastasized to other organs (commonly to the bones, lungs or liver), it is Stage IV. The higher the stage, the higher your risk is of relapsing; chemotherapy, hormonal therapy or both are recommended to reduce that risk. Tumor Characteristics: Certain features on the cancer cells can predict the aggressiveness of the cancer. Cancer cells are graded from I to III, grade I being the least aggressive and grade III being the most. The tumor cells are also tested for hormone receptors on the surface of cancer cells, called ER and PR (estrogen and progesterone). Tumor cells are also checked for a protein called Her-2. About 25-30% of all breast cancers are Her-2 positive. Her-2 positive patients are treated with a drug called Herceptin. Who Needs Chemotherapy? Even if the visible tumor is removed surgically, you may have cancer cells floating around in your system that can deposit in different parts of the body. This can happen a few months to several years later, producing metastasis. Research has shown that this risk can be reduced by giving chemotherapy for a few months. In addition, hormonal therapy and Herceptin are used in appropriate patients. After surgery, your surgeon will refer you to a Medical Oncologist who will then determine the kind of treatment you may need. Women who have very early stage breast cancer may not need any treatment and should be observed periodically. Most women with ER and PR positive tumors are treated with Tamoxifen (before menopause), or Arimidex (Anastrazole) or Femara (Letrozole) (after menopause). In addition, your medical oncologist may advise you to get chemotherapy based on the other factors mentioned above. The most commonly used chemotherapy drugs are Adriamycin, Cytoxan, Paclitaxel (Taxol), Docetaxel (Taxotere), and 5 Flurouracil (5 FU). The type of chemotherapy and duration used are also based on the risk of metastasis. Chemotherapy is given for approximately 4 to 6 months, starting about 3 to 4 weeks after surgery. Chemotherapy is often administered as an intravenous infusion. To minimize damage to the veins and to ensure proper administration, a device called a port-a-cath can be inserted below the collarbone. This is temporary and can be removed after treatment is completed. Side Effects Chemotherapy can cause nausea, fatigue, vomiting, hair loss, mouth sores, low blood counts and numbness in the extremities. These are all reversible and improve once treatment is discontinued. With the use of newer medications, nausea and vomiting can be prevented considerably. Patient Testimonials “I thank God every day that Dr. Easaw became an oncology doctor and that I was lucky enough to have found her.” - Donna, Toms River.
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Ocean Hematology & Oncology Center for Cancer & Blood Disorders
Compassionate Care, Close to Home We offer a full range of Hematology and Oncology services. We are dedicated to providing state-of-the-art cancer care in a warm and personalized manner. Our newly renovated, spacious infusion room provides a peaceful and friendly atmosphere to patients while they receive chemotherapy and other infusions. We have a highly qualified, experienced and compassionate staff.
732.961.0010
www.OceanHemOnc.com Easily Accessible Location!
1255 Route 70, 31S Near Exit 88 on GSP
Lakewood, NJ 08701 Accepts Most Insurances. Affiliated with Kimball Medical Center and Community Hospital Access to Clinical Trials.
“Dr. Easaw took the time to answer every one of my questions and guided me to make the best decision for my Mom’s care.” - Melissa, Howell. “Dr. Easaw and her staff became an extension of my family and I feel so fortunate that she moved her office to Ocean County just when I needed her the most.” - Dorothy, Toms River.
To learn more about treatment of breast cancer or other cancers, contact Dr. Sarah J. Easaw at 732-961-0010.
The County Woman Magazine www.TheCountyWoman.com
Sarah J. Easaw MD, FACP
Diplomate of the American Board of Hematology, Oncology & Internal Medicine
September/October 2017
Health
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&Wellness
Become A Certified Yoga Teacher 200 HR Teacher Training Program Registered with Yoga Alliance Freehold Yoga Center Is In The Same Space For 32 Years And This Will Be Our 19Th Teacher Training! Visit our web page @ www.freeholdyogacenter.com for more information on our 200 Hour Yoga Teacher Training Course • All Trainees Receive unlimited Open Class membership to FYC during the length of the Course • Begin your Yoga experience early & receive a 10% tuition discount by signing up and paying in full before AUGUST 31, 2017
OPEN CLASSES Mon-Thurs 9am to 10:30 and 7pm to 8:30 Sat & Sun 9am-10:30 Friday 9:45 -11:15 BEGINNERS CLASSES Mon, Weds 7pm-8:30 RESTORATIVE YOGA EVERY Thursday at 5:15 -6:45 YOGA FLOW WITH GAIL “MAHESHWARI” EVERY Thursday at 7 MEDITATION Sat 8:30-8:50 Sunday 2nd and 4th 8:30 – 8:50 Tuesday and Thursday 8:30 to 8:50 SATSANG 1st and 3rd Sunday 7:30am-8:50 YOGA WITH DHARMINI Thursdays at 9am YOGA WITH DHARMINI Wednesdays at 4 Gentle Flow Resorative
Joining the program is Gail Maheshwari Cristelli Gail Cristelli, E-RYT 500, PYT, Professional Yoga
Therapist (IYT), Certified Holistic Health Coach (IIN) and Holistic Health Practitioner with (AADP American Association of Drugless Practitioners), Certified Reiki Master and Certified Yoga of Recovery Counselor (YoR) is the owner of YogaFlow LLC; Yoga Therapy & Nutrition for the Soul. Gail became a student of meditation through the Ananda Ashram in NY where she studies meditation and yoga philosophy under the influence of the Ashram Guru Shri Brahmananda Sarasvati’s senior teachers. She holds weekly yoga classes, private yoga therapy sessions as well as private and group nutritional coaching sessions, Reiki Therapeutic Healing sessions, Yoga Teacher Certification Programs, Workshops and Retreats.
The Local Mala
3 West Main Street Freehold, NJ 07728 Project • 17 Teachers, 1 Conciousness • September 17 • Asbury Park www.freeholdyogacenter.com
100 JC:nWWW.IMPACT100JERSEYCOAST.ORG www.thelocalmalaproject.com/
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FREEHOLD YOGA CENTER
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732-462-YOGA September/October 2017
Meet The Instructors
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Refresh Yourself With The Talented Instructors At Freehold Yoga Linda Bennett Yogini
When Yogini took her first asana class at the Freehold Yoga Center, she knew that she had found her dharma. She began to deepen her practice and understanding of classical yoga and graduated from the Freehold Yoga Center. Furthering her studies, she has completed the 500-hour level of training at the Himalayan Institute in Honesdale, PA. Her teaching style is mindful with emphasis on alignment and breath. Yogini is qualified to teach children through seniors and is honored to share the teachings and practices of yoga.
Gail Cristelli
Vishesh, Shirodhara, Shiro-Abhyanga-Nasa and Marma Balancing Treatments. In 2014, she then studied under Kathryn Templeton at the Himalayan Institute in Honesdale, PA and graduated as an Ayurvedic Yoga Specialist. She is currently studying with Kathryn Templeton, again and pursuing, the Ayurvedic theories and clinical practicum. In October, 2016, she will also begin her studies at the Himalayan Institute to receive her 500 -hour certification in Yoga. Prema believes, to obtain your optimal health and healing, you have to balance your body, mind and spirit, and the combination of Yoga and Ayurveda provides us with that wholesome foundation. She loves nature, music, people, life and most of all God.
Louise Maresca Yamuna
Gail Cristelli, E-RYT 500, PYT, Professional Yoga Therapist (IYT), Certified Holistic Health Coach (IIN) and Holistic Health Practitioner with (AADP American Association of Drugless Practitioners), Certified Reiki Master and Certified Yoga of Recovery Counselor (YoR) is the owner of YogaFlow LLC; Yoga Therapy & Nutrition for the Soul. Gail became a student of meditation through the Ananda Ashram in NY where she studies meditation and yoga philosophy under the influence of the Ashram Guru Shri Brahmananda Sarasvati’s senior teachers. She holds weekly yoga classes, private yoga therapy sessions as well as private and group nutritional coaching sessions, Reiki Therapeutic Healing sessions, Yoga Teacher Certification Programs, Workshops and Retreats.
Nancee Capote Prema
Prema graduated as a Licensed Massage Therapist from the School of Integrative Therapies in Holmdel, NJ in 2009, but her journey really began when she graduated as a Registered Yoga Teacher from the Freehold Yoga Center in Freehold, NJ in 2010. Her passion became Ayurveda and Yoga. She began her studies with Hilary Garivaltis at Kripalu in Lenox, MA and received her certifications in 2013 for the Ayurvedic body treatments in Abhyanga,
Louise has her 500 E-RYT and graduated in 2007 from Lenox, Massachusetts. She received a continuing education for people living with Mmultiple Ssclerosis in 2009. She has been teaching for 20 years. No matter a person’s age or health, Louise believes that yoga is accessible and beneficial to everyone. She has been teaching at the Freehold Yoga Studio Center since 1994, which is a very special place for her, and also teaches at Wall Township municipal building and Central State Wellness Center.
Sheri Glick Dharmini
Sheri Glick has 25 years of experience in the health and healing field. She has always been curious about the body/ mind connection and ways to restore, nourish and heal from the inside out. She is a 500-E-RYT with Yoga Alliance and has taken thousands of hours of training throughout the country in yoga, therapy and hands on healing. She is a level 4 Reiki Master and has certifications in Neuromuscular Therapy and Cranial-Sacral Therapy. She is a licensed Massage Therapist, providing her clients with hands on treatments and one-on-one yoga therapy. She received her 200-hour training with the Freehold Yoga Studio and was so inspired, she continued on her yoga journey with a 300-hour training at the Phoenix Rising Yoga Therapy School and an additional 500-hour of training in integrated yoga
therapy through the Urban Zen Foundation in New York City. Her most recent training was 300-hours with Rodney Yee and Colleen Sandman Yee in Sag Harbor, New York. She is also certified to teach mediation through Integral Meditation. Sheri uses aromatherapy with most of her private sessions, as she views essential oils as “magic in a bottle.”
Maria Di Santi Sudasi
Upon finishing her 200 hour Yoga Teacher training from Freehold Yoga Center in 2011, she put her skills to use by helping students with health issues and physical limitations. Training as a Reiki Master and other healing modalities has brought more to her teaching practice. Presently, she teaches at Chelsea Assisted Living, SCAN at Monmouth Mall, and Freehold Yoga Center, in addition to private and group sessions from her home. She furthered her training in Children’s, Restorative, Chair and Yin Yoga as well as Yoga for Everyone.
Jennifer Scamorza Jennifer Scamorza is the director of Yoga University, a program designed to bring yoga and mindfulness practices to schools, businesses, and events. Jennifer is passionate about creating a positive and productive learning environment for students and professionals. She has fifteen years of experience in the NJ public school system including classroom instruction, coaching, curriculum development, and team leadership. She is a certified instructor with 400+ hours of training, has achieved a Children’s Yoga Certification from Radiant Child Yoga, and is currently working toward a 500-hour Healing Yoga certification. Jennifer’s teaching experience involves working with students of all ages, life paths, and learning abilities. As a volunteer for the Root to Rise nonprofit organization, which provides support to individuals recovering from addiction and other mental health issues, she teaches yoga in NJ mental health and correctional facilities. Jennifer teaches weekly classes for adults at the Freehold Yoga Center and The Yoga Loft at Calgo Gardens. Learn more about Yoga University at www.YogaUniversityNJ.com.
www.freeholdyogacenter.com • 732-462-YOGA
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Medical Professionals
42
New FDA Approved Laser Treatment for Vaginal Symptoms of Menopause For over 30 years, Dr. Sutherland has worked with CO2 lasers in many gynecological treatments. He is the first doctor in Monmouth and Ocean Counties to be trained in the MonaLisa Touch® application. MonaLisa Touch® is a minimally-invasive treatment for woman that treats problematic vaginal symptoms such as dryness, itching, irritation, burning and painful intercourse. Vaginal atrophy is a result of decreased estrogen and affects naturally menopausal women. It also affects women who have “induced” menopause due to surgery or in the case of cancer patients, who have undergone chemotherapy treatments. Before the MonaLisa Touch® application was developed, treatments included the use of estrogen, estrogen-like medications, or over-the-counter lubricants. However, some women do not respond to, or wish to avoid pharmaceuticals. In some cases, women cannot take estrogen medications due to cancer, blood clot risks, or other medical reasons. If you fall under any of these categories, MonaLisa Touch® offers a non-pharmaceutical, quick, safe and proven alternative treatment for vaginal symptoms. According to Dr. Sutherland, the procedure takes only about five minutes and patients can return to work or to their regular activities right away. “ This is a revolutionary treatment,” adds Dr. Sutherland, who performs this procedure in his Toms River Office. “Our patients have reported improvement of their symptoms literally within days of the treatment.” MonaLisa Touch® uses CO2 fractional laser technology to reverse vaginal atrophy and laxity, often caused by hormonal changes in pre- and post- menopausal women or women who have undergone chemotherapy treatments. MonaLisa Touch® received FDA approval late in 2014 and was launched in March 2015. The procedure, which is typically three treatments, six weeks apart, has been met with excellent results in the USA, Europe, Australia, and South America. One simple treatment lasting only a few minutes, without pain, side effects or recovery time. MonaLisa Touch® can give that tissue the elasticity it once had, with positive effects on one’s quality of life and personal relationships.
Patients are calling it “life-changing!”
MonaLisa® North Dover Dr. Sutherland
TESTIMONIALS: “There’s no pain, no discomfort and I definitely saw results pretty much immediately and continued to see even better results.” -Patty
Toms River, NJ 08753
“It’s something that you can do without feeling scared that it’s going to make your breast cancer come back.” - Lisa
732-914-1919
222 Oak Ave.,
PERCENTAGE OF IMPROVEMENT AFTER THREE MONALISA TOUCH® TREATMENTS: LAXITY: 54.22% DRYNESS: 74.16% IRRITATION: 65.39% DYSPAREUNIA: 63.53% *Courtesy of Prof. S. Salvatore-Hospital San Raffaele, Milan (Italy)
Call 732-914-1919 to schedule an appointment or for more information! Enter to Win
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Or Visit www.Facebook.com/TheCountyWoman to Enter Online! One entry per person. All winners will be emailed tickets. Multiple entries will be disqualified. Entrants may enter for tickets to multiple shows. Entries will be accepted through October 31, 2017. Some shows will be drawn sooner based upon run date. Winners are responsible to redeem their tickets. No refunds or exchanges. Transportation or meals will not be provided. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent.
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September/October 2017
Medical Professionals
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September/October 2017
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Medical Professionals Medical Professionals
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High heels, Gait, and Venous Dysfunction Chronic venous insufficiency (CVI), a medical condition where the veins cannot pump v enough blood back to the heart, is a common problem but there are many ways to treat it. In addition to surgical procedures, there are more conservative measures such as compression stockings, weight loss, leg elevation, and local treatment of venous ulcers. Since an individual’s gait (manner of walking) plays an important role in the function of leg veins, patients with painful venous ulcers should also be assessed to make sure that their gait pattern strikes a good balance between mobility and stability. Some common causes of abnormal gait patterns include weakness of different muscle groups, any condition that affects balance, and improper footwear such as open-backed sandals that cause the wearer to shuffle. There have been no studies showing how extremely high heels affect varicose veins, but since they do affect the gait of the wearer, that would suggest a link between high heels and CVI. Gait testing can detect which of these is at the root of the problem, allowing for appropriate treatment. Treatment may include gait training and strengthening of the lower extremities. Providing a patient can participate in an exercise program, exercise should be done with compression garments in place. This helps to improve venous return by assisting the calf muscle. Comfortable, well-fitting shoes should be worn that will allow for a heel-to-toe walking pattern. The simple way to help a patient achieve this is to have them take the longest steps they can safely take. Obviously this recommendation is for patients who can balance and have the ability to maintain single limb stance. Some patients will require more exercises to strengthen muscle, improve their balance, and increase their range of motion. It is crucial that patients maintain proper form while walking and exercising. Once the proper heel-to-toe gait is learned, it is important that adequate walking occurs for at least 30 minutes a day to maximize the benefit. As an added bonus, this will also improve overall health.
✺
Please call Vein Center for Women 732-254-0500 to schedule an appointment.
Love Your Legs Love Legs Again!! VeinCenter Center Vein for Women for appointments Women Schedule “24/7”
Schedule appointments “24/7” @www.VeinCenterForWomen.com Girija Surya, @www.VeinCenterForWomen.com M.D.
Board Certified Thoracic & Cardiovascular Surgery Girija Surya, in M.D.
Board Certified in Thoracic & Cardiovascular Surgery Princeton Old Bridge New Satellite Offices 21 Jefferson Place, Raymond Rd. 2 Hospital Plaza, suite# 330 Princeton East Brunswick 08540 Bridge 21Princeton, Jefferson NJ Place, Raymond Rd. Plaza HillOld • 646 Rte.NJ 1808857. Bldg. A #101 Princeton, NJ East Brunswick, NJ 08816 Metuchen 08540 Holmdel
Colonial Commons • 670 N. Beers St. Holmdel Bldg. 2, Colonial Commons •Ste. 6704N. Beers St. Holmdel, NJ 07733 Bldg. 2, Ste. 4 Holmdel, NJ 07733
205 Bridge St. Metuchen,Metuchen NJ 08840 205 Bridge St. Metuchen, NJ 08840
732-254-0500 732-254-0500 msgs@VeinCenterFor Women.com
Contact@VeinCenterForWomen.com admin@VeinCenterForWomen.com
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Thepatients patientsare areadvised advised about about Leg The Leg Elevation Elevationand anduse useofof CompressionStockings. Stockings. Compression
Non-InvasiveVascular VascularUltra Ultra Sound: Non-Invasive Sound:
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SurgicalTreatment: Treatment: Surgical
- RadiofrequencyAblation Ablation –– For - Radiofrequency For superficial superficiallarge largeveins veinswith withreflux reflux Micro-phlebectomy – For small bulging veins - Micro-phlebectomy – For small bulging veins - Sclerotherapy––For For small small veins veins a.k.a. - Sclerotherapy a.k.a. Spider Spiderveins. veins.We Weuse use ® in different strengths for the injectable veins. Asclera Asclera® in® different strengths for the injectable veins. - ClariVein a.k.a. MOCA! (mechanical chemical ablation) - ClariVein® a.k.a. MOCA! (mechanical chemical ablation) for superficial large veins with reflux. Saves time and for superficial large veins with reflux. Saves time and discomfort. discomfort.
Cosmetic Treatment:
Cosmetic Treatment: - Botox® , Juvederm™ Ultra
- Botox® , Juvederm™ Ultra - Non invasive face lift with ULTHERAPY,and cool sculpting ,where you can get rid of the belly fat without incision,without anesthesia.
www.TheCountyWoman.com The County Woman Magazine The County Woman Magazine www.TheCountyWoman.com
July/August 2016 September/October 2017
Business Spotlight
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Love Your Legs Again When Dr. Girija Surya first came to this country, she thought she would become an ob-gyn, a common specialty for women medical students in India. However, that quickly changed when she performed her first surgery and was immediately fascinated. Then, during her fourth year as a surgical resident, everything became crystal clear for her. While doing her cardiovascular rotation, she participated in a cardiac surgery, holding the beating heart and doing a vascular anastomosis. She adds, “At that moment I knew where I was meant to be, and it was then I decided to become a cardiovascular surgeon. Cardiovascular physiology has always fascinated me the most. I have enjoyed the practice of this specialty immensely and continue to be challenged.”
MCW: What is the most challenging part of your profession?
By combining her knowledge of venous diseases and a personal interest in women’s health, she started the Vein Center for Women. “Our mission statement is beauty inside out, as we believe that if one’s inner health is good, the beauty would naturally be seen,” she says. The center follows a protocol in evaluating its patients as a whole, giving them information and educating them on achieving total health. Dr. Surya is a board-certified cardiothoracic and vascular surgeon and a phlebologist for over 20 years, which means a physician who specializes in veins. Since the year 2000, she spends 80 percent of her time with venous disease and is involved with surgical treatment of leg veins, treatment of venous ulcers, and the cosmetic side of venous disease. In addition, she provides treatment of peripheral arterial disease, such as atherosclerotic blockages of arteries in the neck and legs. MCW: What is the most rewarding part about your profession? Dr. Surya: For me the most rewarding part is when I see my patients happy after I have treated them. I also derive great satisfaction when I make a decision to operate and the procedure is successful and relieves the symptoms without any complications. Improving my precision and technique while operating is also very rewarding.
Dr. Surya: The most challenging part in a surgeon’s practice is to make a decision not to operate, for a better outcome for the patient. The other challenging part is while operating: to do each stitch honestly, and not compromise, doing it once and doing it right, and always be thinking about the patient’s outcome. It is very easy to be caught up in some minor issues in making it all perfect which probably will not be important at all in the patient’s recovery, and a good surgeon should be able to recognize that in himself or herself and avoid it in the interest of the patient. MCW: What sets your practice apart from others in the area? Dr. Surya: I believe that when a patient walks out of our office after their initial consultation, they feel that our staff and physicians really took their time and cared about them. It is a place where the patient is truly heard. Most importantly, I believe they get excellent, quality care with their venous problem. MCW: Discuss some of the other methods you use to treat unsightly veins. Dr. Surya: Usually patients come in with complaints of visible veins (spider veins), bulging veins and painful veins. We treat venous reflux correction by radiofrequency venous closure. If the veins are large, they are removed with a very small incision. Sclerotherapy of smaller veins uses foam, polidocanol, glycerin, and saline. The treatment is tailored to each patient in exactly the combinations they would need for all of their veins to be treated. MCW: What are the most common issues you see in your profession? Dr. Surya: In general, most patients are happy, but some who may have an unrealistic view of the results might be unhappy, and it takes a good effort to make them see reality. Of course in an elective office-based practice such as the Vein Center, I see a whole spectrum of personalities and it is fascinating.
For more information, call 732-254-0500 or visit www.veincenterforwomen.com.
VEIN CENTER FOR WOMEN Girija S. Surya, MD 732-254-0500
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
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Adult Community
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September/October 2017
Medical Professionals
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September/October 2017
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Law Ehsan F Chowdhry, ESQ is the owner of EFC LAW PRACTICE, LLC, a law firm exclusively dedicated to White Collar | Criminal Defense, Juvenile Law and Municipal Court / Traffic Offenses. He is licensed in New Jersey and Pennsylvania. Ehsan is certified by the Supreme Court of New Jersey as a Criminal Trial Attorney and by the National Board of Trial Advocacy as a Criminal Trial Advocate. He has also been designated by the National Institute for Trial Advocacy as a “Master Advocate.” His experience includes a state judicial clerkship in Ocean County with the retired Assignment Judge commencing in the Criminal Part. He was also an Assistant Prosecutor in the Atlantic and Ocean County Prosecutor’s Office collectively for ten (10) years. He attended Rutgers College of Rutgers the State University of New Jersey, earned his J.D. from Widener University School of Law and his LL.M. (Master of Laws) degree in Trial Advocacy from Temple University James E. Beasley School of Law.
One Bite of the Apple Banished Adam & Eve … One Bite of the
T
Apple Through Pre Trial Intervention (PTI) Redeemed Them
his article serves as a general overview regarding the Pre Trial Intervention (PTI) program. PTI is a supervisory treatment program that was enacted prior to the New Jersey Criminal Code Title 2C being codified. It can be found in NJSA 2C:43-12. The goal is “it is policy of the State of New Jersey that supervisory treatment should ordinarily be limited to persons who have not previously been convicted of any criminal offense under the laws of New Jersey, or under any criminal law of the United States.” The law has gone through many modifications over the years and is constantly changing. When a person is charged with a crime, or in some instances an offense (domestic violence disorderly persons offense), that person may be eligible for supervisory treatment in PTI depending on a panoply of variables. These variables include the PTI Director (court personnel) and their willingness to accept the person into the program, the prosecuting agency and their willingness to accept the person into the program, the charge itself, a victim’s input if applicable, and many other considerations. If a person has received a prior PTI, a conditional discharge or a conditional dismissal, he or she is ineligible for this type of supervisory treatment. NJSA 2C:43-12(g)(1). Ordinarily, when you are accepted into the PTI program, you DO NOT have to plead guilty to the charge(s) subject to certain exceptions found in NJSA 2C:43-12(g)(3). The accused should consult a qualified criminal defense attorney immediately and make a timely application so as not to delay or prejudice their rights. The fee for the application is $75 and almost always no statement that is made to court personnel can be disclosed to the prosecuting agency nor can it be used in a subsequent civil or criminal proceeding. The maximum term limit that a person can be supervised in PTI is thirty-six (36) months. If a person does well, and upon approval of the program director, the prosecuting agency and its consent, and the court’s approval, the term may be shortened or even terminated early. If a person violates the terms and conditions of PTI, dismissal from the program can occur. Again, hire a qualified criminal defense attorney to motion to the court for remaining in the program. If the term is completed successfully, the charge(s) are
dismissed. However, the charge and/or arrest will still remain on a person’s record and they have to wait six (6) months in order to expunge it. NJSA 2C:52-6(c). Additionally, if a person is rejected from the program, a PTI appeal can be filed arguing that there has been a “patent and gross abuse of discretion” in rejecting the individual. An example would help illustrate how the process works. On January 1, Mr. X gets arrested at a local department store for shoplifting $650 worth of merchandise. He ultimately gets caught on surveillance video and the local police arrest him and charge him with third degree shoplifting, a crime with a maximum punishment up to 3-5 years in state prison with various fines and assessments. He is released on a summons (he has no prior record, lives locally, has no other pending charges and was born in the United States). He hires a qualified criminal defense attorney and makes a timely application for the PTI program. The program director agrees to let him in and the prosecuting agency is at first hesitant due to the department store and its concern of recent spikes in shoplifting, but nonetheless acquiesces. Mr. X comes to court on April 1 on an accusation (waives his right to have this matter presented to a grand jury) and the court admits him into the program for a period of 12 months with conditions, such as making restitution to the department store and keeping away from that department store. Mr. X finishes the program in the requisite time frame and the indictable (felony) charge is dismissed. Mr. X then waits until October 1 (6 months after) and moves to expunge his arrest, with which he is successful, and thus avoids traditional prosecution and a criminal record. As a famous proverb tell us: “Everyone makes mistakes in life, but that doesn’t mean they have to pay for them the rest of their life. Sometimes good people make bad choices. It doesn’t mean they’re bad … it means they’re human!” DISCLAIMER The foregoing is just a general overview and should not be construed as legal advice. Always hire an attorney to specifically discuss your particular facts and legal circumstances.
For more information or to schedule a FREE CONSULTATION, call 732-508-5172. A Limited Liability Company • White Collar & Criminal Defense www.efclawpractice.com • Ehsan F Chowdhry, ESQ, • efclawpractice@gmail.com 3600 NJ-66 #100, Neptune, NJ 07753 • Tel (732) 508-5172 • Mobile (732) 552-7882
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Specialty Cakes & Chocolate Novelties
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Chocolate Carousel: Making Your Sweet Dreams Come True Chocolate Carousel offers much more than just a bake shop. For space for up to 20 people comfortably, Chocolate Carousel offers a design studio perfect for hosting a private event, fundraiser, bridal or baby shower, birthday, bachelorette party or any other event in the sweetest space around. In addition, the design studio includes flat screen TVs, a private apace with window blinds, and a microwave, sink and refrigerator.
A CALENDAR OF EVENTS:* September 6 Cupcake Decorating Class Rustic Chic theme 6:30 - 8 September 16 Sweet Tooth Saturday 4 - 6 September 21 Cake Decorating 6:30 - 8 Wine/Vineyard Theme
September 30 Competitive Cake Challenge 6:30 - 8 October 6 Cake Decorating 6:30 - 8 Autumn Theme October 11 Wine and Chocolate Making 6:30 - 8 “Fall Favorites Theme”
October 21 Sweet Tooth Saturday 4-6 October 28 Competitive Cake Challenge 6:30 - 8 November 10 Cake Decorating 6:30 - 8 Turkey Cake!
November 15 Wine and Chocolate Making 6:30 - 8 “Let’s warm up - spicy chocolate theme” November 18 Sweet Tooth Saturday 4 - 6 November 25 Competitive Cake Challenge 6:30 - 8
December 14 Holiday Cookie Making Class 6:30 - 8 December 16 Sweet Tooth Saturday 4 - 6 December 19 Holiday Cookie Making Class 6:30 - 8
*dates are subject to change, please consult www.chocolatecarousel.com to confirm the date of the event you are interest in.
Visit chocolatecarousel.com/event-directory for more information and to register for events.
Life’s Short… Eat Dessert First! We Won Best Bakery 7 Years In A Row!
• • • •
Specialty Cakes Wedding Cakes Dessert Tonight Gourmet Stuffed Cupcakes
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Pastries, Pies & Cookies Hand-Dipped Chocolates Novelty Candy Gifts, Gift Baskets & Favors
Lisa Porada, Owner
2510 Belmar Blvd., Colfax Plaza, Wall, NJ • 732-280-0606 • www.chocolatecarousel.com
Community
Change Your Life in 2017 Licenses Available In Your Area Woman Publishing Entrepreneurs Wanted ... Join over 371 other counties that are publishing or have an option to publish in the United States and BE YOUR OWN BOSS! We are looking for a few bright, energetic, creative women and men to publish our trademarked, copyrighted newspapers IN YOUR COUNTY, IN YOUR STATE, IN YOUR OWN BUSINESS! Join the fastest growing educational Woman’s Newspaper syndicated in the United States. MINIMAL INVESTMENT REQUIRED! Maximum return ... Be your own boss, set your own hours and make your life mean more! ALL TRAINING PROVIDED! If you are interested in developing with us in 2017 in your STATE, in your COUNTY ...
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September/October 2017
Community
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Saturday & Sunday, November 4-5, 2017 Eat, Drink and Be Caring Turning Point Restaurants Brick • Holmdel • Little Silver Long Branch • Manalapan • Sea Girt
SPLASH FOR LA DA
DINNER RESERVATION - $75
Includes buffet dinner, soft drinks and a $60 chip voucher.
January
Try your luck at wheels of fortune and gaming tables to win tickets to our famous gift auction. If you don’t gamble, you can still purchase raffle tickets for the gift auction and enjoy the buffet dinner.
13
March
More Ways to Win!
www.LADACIN.org
Saturday, January 13, 2018 LADACIN Plunge Manasquan Main Beach Event Host: Leggett’s Sand Bar & Restaurant 217 First Avenue, Manasquan, New Jersey
Rosebud Gala
Everyone is a winner!
4-5
DA TE !
! CIN
October
Friday, October 6, 2017 Eagle Oaks Golf & Country Club Farmingdale, New Jersey
November
M
Casino Night
TH E
10
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The County Woman Magazine www.TheCountyWoman.com
Saturday, March 10, 2018 Rosebud Gala Dinner Dance Jumping Brook Country Club Neptune, New Jersey
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September/October 2017
Just Us Girls 2017 Ad_Layout 1 4/24/17 5:11 PM Page 1
Community
www.TheCountyWoman.com www.TheCountyWoman.com The The County County Woman Woman Magazine Magazine
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September/October July/August 2017 2017
Women Of Monmouth County
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Jennifer Vadas, DPT, Jackson Facility Manager, All Care Physical Therapy Center, L.L.C Jennifer Vadas graduated with a Bachelor’s degree in Psychology from Rider University in 2006. She continued her education at the University of Medicine and Dentistry of New Jersey in Stratford, where she received her Doctorate of Physical Therapy in 2009. Since graduating in 2009, Jen’s primary professional focus has been in the outpatient setting, though she also has experience in acute care and sub-acute rehabilitation. Jen’s areas of interest include geriatrics, non-operative and postsurgical rehab, and balance impairments. She has taken continuing education courses in vestibular rehabilitation. Jen strives to provide each patient with individualized care, focusing on their primary concerns and goals.
For more information or to schedule an appointment, call 732-833-1133 or visit www.allcareptc.com.
Photo by Tracy Harman Photography
Rebecca Kolas, Certified Lice Technician and Owner, Lice Lifters of Ocean County
Rebecca Kolas is both a Certified Lice Technician and Owner of Lice Lifters of Ocean County in Toms River, which opened in August 2016 and serves Ocean, Monmouth and Atlantic Counties as the premier lice removal company. Since that time she has opened a second location, Lice Lifters Central Jersey in Hamilton which serves Mercer, Middlesex, and Burlington Counties. Rebecca was introduced to the Lice Lifters franchise when her two youngest children contracted lice. Trying over the counter and prescription medication, she was unable to conquer lice, which have become resistant to the harmful pesticides, chemicals and toxins contained in those products. Rebecca was then introduced to Lice Lifters as a customer and found that it was the only treatment that was successful, as well as safe and natural. A true believer of the Lice Lifters franchise and its product, Rebecca knew she wanted to deliver this service to the people of the Jersey Shore and to help others afflicted with unwanted head lice. She truly understands the needs and fears of her customers, having been a customer herself, and takes the time to educate and calm others during the stress of dealing with lice. Rebecca resides in Ocean County with her husband and five children. She has a strong passion for helping others, as she was a staff attorney for the nonprofit Ocean-Monmouth Legal Services until the company’s dissolution in 2014. Since that time she still engages in the part-time practice of law, but now devotes the majority of her time to her family and helping others at Lice Lifters.
For more information call 848-238-7331 or visit www.lliceliftersoceancounty.com. Photo by Tracy Harman Photography
Colleen L. Clark, Esq., The Matus Law Group Colleen is an attorney licensed to practice law in New York and New Jersey with offices in Ocean and Monmouth Counties. She has a BS in Finance from Lehigh University and a Juris Doctorate from Seton Hall Law School. Colleen began her legal career in 2000 in Short Hills practicing estate planning, elder law and corporate law. She has also practiced real estate law and special education law. Currently she focuses on special education, estate planning and planning for individuals with special needs. Colleen grew up in Lacey Township and currently lives outside of Long Beach Island. She has two sons, two cats and a chihuahua. She is an avid marathon runner (the Marine Corps Marathon in Washington, DC, the Philadelphia Marathon and the Coastal Delaware Marathon). She is also running the Chicago Marathon in October. Colleen is a member of David’s Dream and Believe Cancer Foundation, is a Scout Leader and has coached many youth sports, including travel soccer, golf and basketball. She also owned a youth coaching franchise called Skyhawks Sports Academy.
You can reach Colleen at 732-281-0060 or visit www.MatusLaw.com. Photo by Tracy Harman Photography
Nina Paonessa, D.O, FACOS, Paonessa Colon & Rectal Surgery P.C. Dr. Paonessa was born and raised in Albany, NY. She was raised to value a strong work ethic and to take pride in her work. Two principles she grew up on were “if you are going to do something, do it right or don’t do it at all” and “do unto others…” This is how she lives her life and how she runs her practice. Dr. Paonessa knew from a very young age that she wanted to become a surgeon. She volunteered as a candy striper in high school and then as an Emergency Medical Technician in college. She attended the Lake Erie College of Osteopathic Medicine in Erie, PA and completed a general surgery residency at Wyckoff Heights Medical Center in Brooklyn, NY. Dr. Paonessa completed a colon and rectal surgery fellowship at Lehigh Valley Hospital in Allentown, PA, where she remained in private practice before moving to New Jersey. In 2014, Dr. Paonessa opened her own private practice, Paonessa Colon and Rectal Surgery, P.C. She now has two office locations: Wall, NJ and Manahawkin, NJ. She loves the Jersey Shore and loves taking care of its community. In her spare time, Dr. Paonessa reads, travels and cooks. Her most cherished times are those spent with her family and playing with her four nephews and two nieces.
You can contact Nina Paonessa at 732-282-1500 or by visiting www.paonessacrs.com. Photo by Tracy Harman Photography
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Women Of Monmouth County
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Debra Serafin, MBA, Director of Financial Educational Services at Innovative Wealth Partners
Debra Serafin entered the financial industry after retiring from thirty-five years in public education as a teacher, supervisor and high school administrator. She received her Bachelor of Science degree from Rutgers University and went on to pursue a Master of Business Administration from Monmouth University. Her passion for teaching has not dwindled in retirement but has reignited her zest to continue educating clients in the financial realm. Debra has been instrumental in establishing the Financial Educational Services Division at Innovative Wealth Partners, which provides free workshops to school districts on pension awareness and college financial planning. When meeting with clients, Debra educates them on market volatility, the tax implications of various saving options, and income distributions in retirement. She works with clients to develop a personalized strategy that not only addresses building wealth, but how to maximize income streams in retirement. Debra is a life-long resident of the Jersey Shore. She is married to her husband of thirty years, and has two daughters. Debra and her husband enjoy travelling to Caribbean destinations with family and friends in their spare time.
For more information go to www.inwealth.org or contact Debra at 732-722-8788. Photo by Annette Jenkins Photography
Daniela J. Baldi, M.D., Barnabas Health Medical Group
Dr. Baldi is a board-certified internal medicine physician who practices with Barnabas Health Medical Group (BHMG) Shrewsbury Primary Care located at 766 Shrewsbury Avenue in Tinton Falls, one of thirty primary care locations in the BHMG network. As an internist, Dr. Baldi conducts annual exams and wellness visits, helps patients manage chronic illness, such as, diabetes, hypertension, and arthritis and counsels them on leading healthier lifestyles to prevent disease. She takes time to connect with her patients, answering any questions they may have about their health. During patient visits, Dr. Baldi reviews her patients’ family history to help determine their individual health care needs and proper screenings, such as mammograms and colonoscopies. She also stresses the importance of how a balanced diet, regular exercise and refraining from smoking can help prevent chronic medical conditions. The field of medicine is part of Dr. Baldi’s DNA. Her late father was a cardiologist at Monmouth Medical Center, an RWJBarnabas Health facility, and her mother was a nurse. Like her father, Dr. Baldi earned a medical degree from Rome University in Rome, Italy. She completed an internal medicine residency at Monmouth Medical Center.
For more information, call 732-945-2009.
Sol-Annee Obrusniak, PT, DPT, Beacon of LIFE Dr. Sol-Annee Obrusniak, or Sol as she is known by her beloved patients, received her Bachelor of Science degree in Exercise Science and Sport Studies at Rutgers, The State University of New Jersey. She completed her Doctorate in Physical Therapy at University of St. Augustine for Health Sciences, specializing in manual therapy. A New Yorker by birth, she lives in Matawan, NJ with her husband, Justin, and beloved canine, Nola. Dr. Obrusniak has worked in homecare, sub-acute and long-term care settings, refining communication skills to achieve the maximum therapeutic outcome. Currently, she treats in a PACE program that allows her to incorporate all therapeutic settings into one, achieving a comprehensive and sustainable treatment plan. Dr. Obrusniak believes that everyone should have the opportunity to succeed and get the best out of life, even if it requires some modification. Her devotion to exercise and movement is incorporated in her daily treatment and interactions as she strives to restore and improve each patient’s condition to maximize their mobility and quality of life.
For more information on Beacon of LIFE, call 732-592-3400, or visitwww.beaconhss.com Photo by Annette Jenkins Photography
Tracey L. Wolfman, We Care Adult Care Tracey Wolfman of Middletown always had a passion for senior citizens and launched “We Care Adult Care” in 2000. She is a Registered Nurse, BSN Monmouth University, Master’s in Nursing Administration from Columbia University has spent the last 30 years working with the elderly specializing in Alzheimer’s disease. Tracey’s dedication and knowledge have helped many people afflicted by Alzheimer’s disease and their family caregivers. Opening We Care Adult Care gave Tracey the opportunity to provide superior services to those families who utilize We Care Adult Care. A nurse, expert speaker, caregiver, educator and entrepreneur, Tracey has provided a “Quality of Life” unparalleled by any other Adult Day Care Center in Monmouth County. ‘We Care’ won the Small Business Success Award by the NJ Small Business Development Center, received Proclamations for outstanding Service to the Community, Highlighted on News 12 New Jersey TV, Expert guest speaker on WS Radio, 2012 NJ top 25 Women Entrepreneur & Business Owner, 2017 APP top 3 Finalist Small Business Innovator of the Year and numerous Newspaper articles written about Adult Day Care in local and regional papers and magazines. Tracey resides with her husband Marc in Monmouth County, NJ and spends her free time Equestrian Riding and watching her nephew Mark and nieces, Natalia, Sarah and Devan who have made her proud “Aunt T” by all of their own accomplishments.
For more information, call 732-741-7363 or visit www.wecareadultcare.com. Photo by Annette Jenkins Photography
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
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Community
JOIN THE FIGHT FOR ALZHEIMER’S FIRST SURVIVOR.
Bradley Beach Walk To End Alzheimer’s
Saturday, October 14, 2017 5th and Ocean Avenues - Bradley Beach NATIONAL PRESENTING SPONSOR
alz.org/walk 800.272.3900
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Community
55
Help us Sound the Alarm about fire safety. Every day 7 people die in home fires. You can help change that. This fall, the American Red Cross will team up with fire departments, volunteers, and partners to Sound the Alarm with home fire safety and smoke alarm installation events. Volunteers will install 100,000 free smoke alarms in more than 100 at-risk communities across the country. Weâ&#x20AC;&#x2122;ll also mark a major milestoneâ&#x20AC;&#x201D;our 1 millionth smoke alarm installation since 2014!
Help us prevent these needless tragedies in New Jersey. We'll be holding 3 major events simultaneously in New Jersey Camden, Trenton and Jersey City Saturday, October 7 and Sunday, October 8, 2017
Go to SoundTheAlarm.org to learn how you can make a difference.
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
56
Theatre & Entertainment
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Theatre & Entertainment “
57
BALLSY. BRILLIANT. SEE IT!
Carrie Bradshaw and her Sex and the City pals would worship this show.” The Huffington Post
FEISTY, FUNNY TONY AWARD NOMINEE NANCY OPEL
“
®
Photo by T. Charles Erickson
proves adventure and romance can come to those enjoying life’s second act.” Newsday
ENERGETIC & ENTERTAINING!” “
The New York Times
A MUST SEE MUSICAL ROMP!” “
Broadway.com
TELECHARGE.COM | 212-239-6200 | CURVYWIDOW.COM Westside Theatre (Upstairs) 407 West 43rd Street, NYC
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Community
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Keeping Families Close RONALD McDONALD HOUSE OF CENTRAL & NORTHERN NEW JERSEY LONG BRANCH HOUSE
NEW BRUNSWICK HOUSE
131 Bath Ave., Long Branch, NJ 07740 732-222-8755
145 Somerset St., New Brunswick, NJ 08901 732-249-1222
UPCOMING EVENTS & VOLUNTEER OPPORTUNITIES 8 ANNUAL WINE TASTING th
Upcoming Events • Nov. 3rd - 30th Birthday Gala Celebration at Battleground Country Club, Manalapan, NJ
Vehicle Donation Program
• For more information on these
events or to ask about volunteer opportunities for these events contact Jane Crupi, Events Coordinator at: 732-222-8755 or email Jcrupi@rmh-cnj.org
Volunteer Opportunities • • • • • • For sponsorships or to purchase tickets go to: www.rmh-cnj.org
Cook a Meal for our Families Collect Wish List Items Assist with Yard Work Assist with Specialty Projects • Community Events • Corporate Tabling Assist with House Events: • Friends & Family BBQ • Holiday Party For more information contact: Tricia Weaver in Long Branch at 732-222-8755 or Lindsey Williams, in New Brunswick at 732-249-1222
Donate a vehicle, and it will be sold at auction. The proceeds will go to Ronald McDonald House of Central & Northern New Jersey, and you may qualify for a tax deduction. Vehicle donations help us bring families together when family is needed most. Just call 1-855-227-7435 or visit https://1car1difference.com Select Ronald McDonald House from the drop down box. Fill out the form and they will arrange for pick up and auction of your car. Make sure to direct the donation to: RONALD MCDONALD HOUSE OF CENTRAL & NORTHERN NEW JERSEY
We provide a respite for thousands of families with seriously ill children while they receive care at nearby medical facilities. Our houses and family rooms offer comforting surroundings where family members can stay together during a time of uncertainty and stress. Your generosity has enabled us to support our families for the last 30 years. We thank you for providing us with the opportunity to continue our mission of “Keeping Families Close”.
Follow us on social media: RMHCNJ For information or to donate, visit www.rmh-cnj.org or email us at info@rmh-cnj.org.
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Theatre & Entertainment
TI CKE TS AT 73 2 . 34 5.14 00 |
T WOR IV ERT H EAT ER .OR G
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The County Woman Magazine www.TheCountyWoman.com
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21 B R ID GE AV E N UE I N R E D BA N K
September/October 2017
Business
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&Finance
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Your identity is personal. Keep it that way with LegalShield. To contact an Independent Associate:
Jackie Berman 732-610-1567
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This is a general overview of our legal plan and/or identity theft plan coverage for illustration purposes only. See a plan contract for your state of residence for complete terms, coverage, amounts, conditions and exclusions.
Saturday and Sunday – September 30, 2017 & October 1, 2017 – 11AM to 6PM both days. Boulevard of Seaside Heights, between Webster & Dupont Avenues 201 Boulevard, Seaside Heights NJ
ors Vend ed! Need
Oktoberfest kicks off on Saturday at 11AM with the Tapping of the Keg! The event also features seasonal craft beer tastings, great bands all weekend long, authentic German food, artisans and crafters, beer garden, food trucks, and kids zone. Admission to the festival is $5 for anyone 12 and older (cash only at the gate.) Kids 11 and under are free. Craft beer tasting admission is $20 in advance and $25 at the door (cash only at the gate.) Patrons are limited to one tasting session per day. Tasting sessions options are Noon and 2:30PM and 3:30 to 6PM each day. Craft Beer Tasting tickets can be purchased on www.exit82.com.
For more information, contact Danielle Triolo at 721-830-3700 or info@exit82.com. Event website: http://www.exit82.com/event/oktoberfest-3/
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
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C Community ommunity SOCIAL COMMUNITY ACTIVITIES NETWORK …
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SOCIAL COMMUNITY NETWORK Where Active Adults Meet To Be ACTIVITIES Informed, Empowered and Inspired…
Where Active Adults Meet To Be Informed, And Inspired SAVE THE DATEEmpowered for SCAN’s Annual Awards luncheon at
Stay Tuned - SCAN’s New TV Series Called Caregivers First Highlighting the Importance of Caregivers is Coming Soon! In addition to our two regular shows – “Welcome to SCAN” and “Community SCAN (Social Community Activities Network) is a Connections” – we will soon be adding a third series of shows, “Caregivers First,” non-profit social education and which is being adult created for and about Caregivers. All theresource programs are center produced in SCAN’s TV in studio and are available on Cablevision,located Comcast and founded 1988 and conveniently in Verizon the FIOS local channels as well as on YouTube. Visit our website at www.scannj.com for the Monmouth Mall and our satellite location in Freehold cable TV schedule or to access the shows via YouTube. Borough. TheAsname reflects the for action-oriented profile Special Note: part of SCAN’s advocacy Seniors, we were successful andits pleased to secure interviews the two main gubernatorial candidates: of members and thewith vibrancy andNJsocial networking Lt. Gov. Kim Guadagno and Mr. Phil Murphy. Their interviews will be strength of the organization. The main draw of seen throughout the month of October on the cable TV outlets and our YouTube membership, which is open to anyone aged 50 and over, channel. is the opportunity to socialize, meet new friends and be SCAN’s Fall Semester Begins September 11th proactive in staying healthier. Our Fall semester kicks off on September 11th and will run through December
8th. Once again we are offering a full catalog of classes in art, computers, technology, fitness, health, languages, TV production, finance and more. SCAN Honors Awardees atmusic, Annual Luncheon Special programs semester will include a discussion on at Comparative SCANInterest held our Annualthis Awards Luncheon on October 25th Seabrook in Religions, Meet the Author – Dee Ernst, and a First Ladies Tea at The White House Tinton Falls. The annual luncheon was an opportunity for SCAN to honor key in Oakhurst. All the classes are offered at low or no cost. Check out all our offerings individuals who provided outstanding support to SCAN in 2016. by checking the full class listing at www.scannj.com.
This year’s honorees were: Successful Aging & Technology Programs Being Held in Bradley Leaders of Distinction: Cynthia Joy, President/CEO YMCA Western Monmouth County and Donna M. Blaze, Chief Executive Officer, Affordable Beach and Freehold Borough This Fall In continuing Housing Alliancepartnership with the Affordable Housing Alliance, who provides funding for the program,in wethe willField be hosting two sessions the SA&T program Leaders of Distinction of Aging: ColleenofSmith, Caregiver in the Fall. One session will be offered in Bradley Beach on Wednesdays, 9:30– Specialist, Monmouth County Division on Aging, Disabilities & Veterans 11:30am, September 13th through November 22nd. BradleyofBeach Services and Luanne Kane, Coordinator of the TakeThe Control Your sessions Health will be held in the Bradley Beach Senior Center, 701 Main Street, Bradley Beach. A Program in Ocean County second session will be held in Freehold Borough on Thursdays, 11:00am–1:00pm, SCAN’s Volunteer Recognition: Yachi Pan and Mai-Uyen Nguyen September 28th through December 14th. The Freehold Sessions will be held at the All theCommunity attendees enjoyed great food,Street, great Freehold companyBorough. and numerous great YMCA Center, 41 Center This 11-week prizes and raffles. free program is designed to use interactive technology to help selected applicants
connect online and encourage ongoing and positive engagement in life. In addition, participants will attend classes to learn to make and maintain meaningful MEDICARE ADVANTAGE PARTICIPANTS – changes in health behaviors, financial well-being and enrichment in later life. TAKE We areHEED! looking for participants (age 60 and above) who want to learn how to use The computers Medicare Open Enrollment Periodengaged. began October 2016participants and tablet to get online and become Limited 15, income ends December 7, 2016. There have been tablet. significant changes in the plans may on be eligible to receive a free Android-based We are accepting applications now! Fortofurther information about program including how to available New Jersey residents, and some the plans, such as the AmeriHealth
apply, contact SCAN at 732-542-1326. and Geisinger/Meridian Health Plans, will no longer provide coverage to We’re also looking for volunteers technology knowledge as coaches NJ residents in 2017. If you’ve beenwith affected by plan changes,toorassist if you’re and trainers. If you’re interested and know how to use tablets and considering changing plans, don’t miss the December 7th enrollment deadline! the internet, please give us a call at 732-542-1326. You can receive information about Medicare from their website (Medicare. gov) or by calling 1-800-633-4227. You can contact Family & Children’s Services at 732-222-9111 for SHIP (State Health Insurance Assistance The Keansburg SA&T Program) counselors. You can also contact SCAN at 732-542-1326 to make an participants and coaches appointment with a SHIP counselor. celebrated Graduation Day on June 28th!
Seabrook in Tinton Falls on October 17th
Our 2017 luncheon figures to be bigger and better than ever! Join us in saluting Successful Aging & Technology Program our 2017 Honorees while enjoying a great buffet luncheon with loadsReturns of raffle gift baskets. This year’s honorees are: to Freehold Leader Distinction: Tim Hodges, Chief Strategy Officer,program CareOneto the SCANofreturned its Successful Aging and Technology Leaders of Distinction in the Field of Aging: Lynette Whiteman, Executive YMCA Community Center in Freehold Borough in October. Once again Director, Caregiver Volunteers of Central Jersey; Samantha White, Director, the Affordable Housing Alliance provided funding for free tablets for limited Volunteer Services, Family & Children’s Services income participants, and coaches provided training on how to use the tablets SCAN’s Volunteer Recognition: Successful Aging & Technology coaches Richard and accessWilliam the Internet. In addition to weekly DiPersio, Fountain, and Edward Kelly technology coaching and
mentoring participants aremembers provided classes on healthy aging. A new Ticketssessions, are $25 for SCAN and $50 for non-members. aspect of the program has been the addition of students from Monmouth Call 732-542-1326 to register and for additional details. University who serve as technology coaches. We hope to hear from you if you wouldSCAN like(Social us to Community bring this Activities programNetwork) to youris Community; please call us at 732a non-profit adult social education 542-1326. and resource center founded in 1988 and conveniently located in the Monmouth Mall and our satellite location in Freehold Borough. Our mission is to promote socialization, education and technology to people aged 50+ in Monmouth and Ocean Counties. The main draw of membership, which is open to anyone aged 50 and over, is the opportunity to socialize, meet new friends and be proactive in staying healthy. SCAN provides a wide variety of programs. Three semesters of classes, some of which charge a fee, are held each year, covering a wide variety of subjects including Art, Music, Computers & Technology, Financial Literacy, Fitness, Health & Wellness, Languages, Literature and Safety. In our fully outfitted TV studio, we also film three TV programs on a regular basis that are shown on local cable TV outlets and YouTube. And as you can see above, we are out in the community at our Freehold site and other locations in Monmouth and Ocean Counties offering several programs of interest to active adults.
Neptune Successful Aging and Technology Class Graduates
After completing their 12 weeks of instruction and coaching, the Neptune Successful Aging and Mark Technology participants graduated from the program on Please Your Calendars September 27th. They will continue to meet monthly to ensure they retain the valuable lessons learned. Monmouth Events
• September Graduates! 11 Fall Semester Classes begin Congratulations
• September 12 “SCAN@the Y” in Freehold Borough and resumes weekly Tuesday meetings for Please reopens Mark Your Calendars Seniors (10am–2pm). Activities including coffee • NOVEMBER 10 – Fundraiser SCAN, Bubbles Bling in and conversation, art, for exercise, health and & wellness, Red Bank, 11am-1pm. lectures, and more! Location: YMCA Community • NOVEMBER Special St, Event, Downton Abbey Tea and Trivia in Center,15 41–Center Freehold. Spring Lake, 2-4pm. • September 21 New Jersey Natural Gas Energy • NOVEMBER 16 –Day Information Breakfast, 8-9am – Assistance at Monmouth Mall Come learn about SCAN! • October 4 Lunch & Learn Monmouth Mall • DECEMBER – 4th Annual Brain Health Fair, 10am-1pm, at • October217 SCAN Annual Awards luncheon Monmouth Mall featuring keynote speaker Shiraavailable Goldberg,to MD, at Seabrook in Tinton Falls, tickets of Barnabas Health – Monmouth Medical Center Geriatric Services Seniors along with 20 interactive brain teaser stations. Take advantage of • November 10 Mobility Expo at Monmouth Mall this opportunity for people of all ages to experience fun and creative Ocean Events interactive activities designed especially to promote brain health. • September 20 –Lunch • JANUARY 9, 2017 APRIL&7,Learn, 2017 Ocean – SCAN’s 2017 Winter Semester of classes.
180 Route 35 Eatontown
(basement level of Monmouth Mall)
732-542-1326 www.scannj.com
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Pat Bohse
Executive Director
September/October 2016 2017 November/December
Community
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STRONG BEGINNINGS BRIGHT FUTURES FREEHOLD YMCA CHILD CARE State Licensed Child Care Enrichment Center designed to provide your child from 6 wks. to 5 yrs. of age with the best possible learning opportunities in a warm, safe and loving environment.
Ages 6 weeks to 5 years Flexible Full & Half Days Part time, full time & extended days available Year-round program 7:00am-6:30pm
No Contract. No Enrollment Fee.
www.ymcanj.org
FEATURING:
MAC laptops SMART Board Swim lessons for Preschool & Pre-K Spanish class for Preschool & Pre-K Sign language for Toddlers 2 playgrounds Special events
470 East Freehold Road, Freehold, NJ
732.462.0464 - ext. 114, 103
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
T ravel Travel
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63 TT ravel ravel 56 FAMILY VACATIONS STARRING THE “KIDS” ROMANCE TRAVEL
Travel ravel “Create Lasting Memories” River Cruising: An Extraordinary “Create Lasting Memories” Taking With A Packing More fun, more memories! PartIt of raising a family You: is making memories that
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Experience Primer
your children will cherish Whether you’re dreaming of a romantic escape or celebrating an anniversary or wedding, forever. A family vacation is part of those memories. Today’s opportunities a travel expert can create a carefully tailored itinerary to suit your desires. Discover a tropical to travel as a family arebooked as wideyour open as your imaginaYou’ve iver cruising may be the hottest cruising tion. From warm paradise and surround yourself with remarkable sunsets, fine dining, and world class accommodations. beaches to excitinglong adventures, destination offers a new awaitedevery vacation trend around in 2017 -- even though river A sample of some withRomantic your Traveldestinations will let you dream of your next escape. experience. cruises have been operating for decades.
R
Women Travel Trends Islands
Professional andand you’re We have some suggested kid’s focused resorts destinations with ready to pack your , each with its own personality, special activities andhave amenities thatgame the entire family will enjoy: Cruise lines upped their with expanded
Six Hawaiian
suitcase. surrounded by blue waters, and where happiness is a way of life. Top choices Statistics indicate that women
consumers now drive the world travel economy.
amenities and intriguing itineraries to the places Now big ocean-going question is: are Kauai, Maui, and Big Island. BLUFF, ANTIGUA feels both country-club and cozy at the same vessels can’t reach. ✿ RiverCURTAIN cruises are luring experienced What do you take ocean cruisers off the mega-ships andyou? onto intimate time. This charming resort with an Alain Ducasse-trained chef for wonderful dining has Ocean views with If you’re cruising in the Caribbean riverboats with focus onevery current themes. from room, WithWatersports so many new including fees and diving and waterskiing, a game room and the Ceebee Kids • Add a few more tee shirts and another pair of shorts Greece, think Santorini or Mykonos with small fishing
restrictions the airlines have to a• turquoise The beach beautiful leading Caribbean Sea.poncho, and zippered plastic bags The river cruisingClub. destinations, like isa 12-day Bordeaux Lightweight sweater, rain villages, stunning beaches, accentuated by whitewashed buildings. imposed for baggage, you will have to consider leaving your entire closet River cruise, or 7-day Danube, offer cruise guests the local for wet suits. at home from now on. Some airlines are charging for carry-on bags now, experience without the long tour bus rides. From April’s • Whatever you forget you can purchase on board or at the and other airlines let you board first if you have noCAICOS carry-on bags. So was what ✿ BEACHES, TURKS to be the ultimate get tulips to December’s Christmas & Markets, hundreds of created ports or resorts. are the essentials to pack? together riverboats getaway, where everything is Included and unlimited. TheAprotected white sand and barges glide along Europe’s historic rivers few years from now whatbeaches Here is a packing primer from Carole Kaiman, Travel Professional that , with beautiful beaches and great (rated theand best in thewhich Caribbean by Travelof & miles Leisure) exciting watersports and unlimited scuba diving youExamples will remember is the total of canals, span thousands of Continental of some the best might help with the process. restaurants to rekindle your spirit and feed the soul. experience of your vacation, NOT (for certified divers). waterways, connecting North Sea to Black Sea. River Cruise Line Themes:
Barbados
the things you forgot to pack.
are about Amazing waterparks with body slides,River lazy rivers andthrough surf ForBEACHES a week inresorts the River Caribbean: A Europe Cruisechildren. is one of the best ways we • Viking Cruises, partnership with *Remember, your Vagabond* simulator are a favorite of the kids. The Caribbean Adventure with Sesame Street and the XBOX play • 2 swimsuits know to explore inland Europe, visiting cities, towns and Virtuoso PBSTravel “Downton Abby” Professional can offers Viking cruise guests where in a private chapel in Florence’s coun(put 1 in your carry-on so you can go right to the beach) lounges are so popular with children and families. 19 Specialty restaurants and children’s dining areas provide great choices. villages that traditional big ships usually can’t access. days in England Countryside, and special tour assist 3 you in planning a vacation tryside you can renew your vows and have a candlelit Dinner over the Arno River. • 2 cover-ups It will be a great family vacation memory. with the mostfamous value andhouse. added of the (1 with sleeves for evenings dining on the beach & 1 Pareo) touches to make your experience a • Avalon Waterways “Austrian Highlights” from memorable one. • Yoga pants and 2 tank tops Women account for 85% of all consumer purchases. Vienna to Munich highlighting a Beer theme. ✿ DISNEY CRUISE ships were built with families in mind. A deluxe family Ocean view , the “Jewel of the Atlantic,” Our dedication to our clients before, during and after every vacation • 2 shorts and 2 tees • Tauck offers family river cruises with its Tauck stateroom with Verandah is perfect for a family of 4 or 5. There’s amakes 3 story AquaDunk body slide for kids a world of difference. enjoy beautiful weather, pink sand beaches • 3 sundresses Bridges program, including family cooking and share beautiful memories Women are traveling with no fearFlip onflops, deck,flat or for the younger set, there’s the AquaLab with a looping waterslide. • SHOES: sandals, wedges, sneakers and warm friendly people. Conde’ Nast Traveler lessons. you’re a companion or Enjoy Yourwith Travel to more cruises exotic with Disney’swhen Disney destinations vary from Caribbean own private island orExperience. cruising Europe • Pashmina Readers have voted Bermuda “Best Island in the Caribbean” 17 times! group. There are several brand new Advisor River cruise lines doing more • Sunglasses with special highlights for the kidsdestinations, to enjoy. Vagabond Virtuoso Your Another growingTravel segment entering the market activities and • Packable sun foldableadventurous beach bag hat and A Travel Professional with years of expertise will work for you, over is 25Senior years, ofFor travelers Travel such and as Emerald Waterways andresorts, Scenic cruises to fill the traveling alone. all-inclusive The go on to Mexican exciting travel to demand. Each line • Costume jewelry, (leave increasingly the realoptions jewels home) traveling with multigenerational and her only objective is to give you the best experience possible and Carole Kaiman Women – young, old, single, married, and widowed – have hasmembers; its highlights, such as the long ships and the and an evening purse family grandmothers South Africa for families, Alaska tours (Perfect forTravel summer vacation) to help you realize your romantic dreams. Vagabond addedMust an explosive generation Space-Ships. and next grandkids seeing the world Haves: growth in the travel industry. and“experiences” fabulous Tauck tours of Europe. Most women are looking to have when they together. • Insect Repellent, Sun Protection (with at least 30 SPF) It’s a great *Check out new cruising experience! travel, and they want to explore and discover destinations which are Start your unforgettable vacation by contacting Traveland Advisor & Romance Specialist www.virtuosolife.com For single, families, • Facial and body moisturizer Start your unforgettable vacation byContact contacting TravelKaiman AdvisoratCarole Kaiman, at Vagabond Carole Vagabond Travel unusual and new. romance travel, please • Make up Bag: waterproof mascara, eyeliner, Carole Kaiman at Vagabond Travel, a Virtuoso Agency in Little Silver, today! for our Digital Magazine In 2017, women are deciding they likeTravel, to travela together. are incall Virtuoso Agency for latest information and or 732-842-2600. VirtuosoYou Agency Little Silver today. Vagabond Travel, 732-222-2792 your hair conditioner and shampoo and some amazing travel ideas. not alone; you always 732-222-2792 have someone to relyor on.732-842-2600. Create You can talk, laugh amenities. professional travel consultants. memories that will last a lifetime.
Italy
Bermuda
Create memories that will last a lifetime.
Carole Kaiman, Travel Specialist Vagabond Travel Virtuoso Agency 542 Prospect Ave. Little LittleSilver, Silver New NewJersey Jersey07739 07739
*Check out www.virtuosolife.com *Check out www.virtuosolife.com for our Digital Magazine and some foramazing our Digital Magazineand some travel ideas. amazing travel ideas.
732-222-2792 Direct 732-859-5513 732-842-2600 Office
website: www.vagabondtvl.com
www.TheCountyWoman.com The County Woman Magazine Magazine www.TheCountyWoman.com www.TheCountyWoman.com www.TheCountyWoman.com www.TheCountyWoman.com
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Over 25 Years
September/October 2017 November/December 2016 May/June 2014 2014 November/December May/June 2014 2015 January/February
Inn & Tea Room
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A Hidden Gem in the Heart of Downtown Toms River
600 Main - A Bed & Breakfast and Victorian Tea Room
The
holidays traditionally bring friends and family closer together to make new memories that will last a lifetime. Every proud resident of Ocean County and the Jersey Shore should invite their guests to visit 600 Main, a Bed & Breakfast and Victorian Tea Room while planning festivities. This remarkable Victorian mansion offers the comforts and cuisine of today while including a rich history that dates back to the late 1800â&#x20AC;&#x2122;s. The five star Bed and Breakfast also includes Ocean Countyâ&#x20AC;&#x2122;s largest Victorian Tea Room. This spectacular example of Dutch Revival architecture is a hidden gem located in the heart of downtown Toms River and allows visitors to step back in time. The home was built in 1898 and became known as the Mathis-Berry House, named after the owner Thomas Mathis, who was a Mariner who sailed around the world and was a prominent political leader. The home over the years has been the scene for elegant parties and lavish dinners. In 2011, the home was purchased and renovated by John and Susan Notte, who have successfully transformed this magnificent property into a destination spot for all residents and tourists to appreciate. Vicki Weiss New Innkeeper
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September/October 2017
Inn & Tea Room
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The 7500 square foot home hosts a year round Bed & Breakfast that includes five luxurious suites all with private baths. Each room is tastefully decorated with priceless antiques, fine linens, a flat screen television, complimentary WiFi, and air conditioning. A stay at the B&B includes an early morning hot breakfast and homemade refreshments in the afternoon. Guest may enjoy wine and cheese on the front porch on cool nights or play board games in the evenings while making new friends. The location of the home is ideal for family guests that are visiting Ocean County. The suites may be viewed at www.600Mainnj.com and reservations made by calling the Innkeeper at 732-818-7580. The Victorian Tea Room is open daily to the public by reservation only for afternoon teas from Wednesday thru Saturday from 12 to 4 pm. The Tea Room will open on Monday and Tuesdays or evenings during the week for large holiday parties and special events. A full service tea includes soup, salad, a full plate of tea sandwiches & savories, an assortment of delectable sweets and delicious scones, and over 80 varieties of tea to choose from. The tea room is adorned with vintage hats where ladies can step back in time and learn the history and proper etiquette for attending a formal tea party. Details of the tea experience may also be viewed on the website or by calling the reservation office today to learn more information. Gift certificates are available for purchase as well as gourmet tea and scones by special order. The Bed and Breakfast and Victorian Tea Room makes a perfect venue for any special occasion including reunions, anniversaries, birthdays, fundraisers, business meetings, corporate events, holiday parties and showers. The dining rooms may accommodate large parties and the owners will coordinate individualized event planning to make any day memorable and unique.
For more information regarding 600 Main, a Bed & Breakfast and Victorian Tea Room, please call 732-818-7580, or visit the website at www.600MainNJ.com. 600 Main Street, Toms River, 08753 Email: InnKeeper@600MainNJ.com
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September/October 2017
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Fine Art Photography
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Medical Professionals
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September/October 2017
NEW FREEHOLD LOCATION 3440 Route 9, Freehold, NJ 07728 â&#x20AC;¢ 732-431-4222
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September/October 2017