Monmouth County Woman - 2013 July/August by The County Woman

Ce leb rat

ar e Y ing Our 5th

An Educational Resource for Women and Their Families

This caring and compassionate dentist, Dr. Sophia Nichols, and staff will leave you smiling. Read more on pages 8 & 9.

Photo by Annette Jenkins Photography

What is a Plantar Wart? Page 6

facebook.com/TheCountyWoman @TheCountyWoman Follow us on Visit Us Online ... www.TheCountyWoman.com

Finally! A Real Solution For Dry Eye Page 10

Talking to Your Daughter About Her Changing Body Page 16

July/August 2013

Please Take One

Fashion

Beauty

Summer Selections & Fall Transition Collections 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, she also carries a wide selection of casuals, sportswear, and accessories that will allow you to dress well and feel comfortable everyday for any occasion. With the approach of summer, hopefully most of the residents in our shore area have recovered from the devastation they experienced from Sandy. We have seen wonderful progress made in Seaside Heights. Now is the time to replace or update your wardrobe. We are continuing to stock new merchandise in our sportswear category. People are looking for color, after the dreary winter and damp spring, and the wild temperature swings we’ve experienced. We have so many choices for you for summer. Plus, we will start receiving our early fall and transition collections beginning the middle of July. As you know, we are always a season ahead, and get limited numbers of each styles. So shop often, as you will always find something new. I’ve been seeking out new companies, made in the USA! I always look for clothing made here and in Canada, whenever possible. In addition, you will soon notice an update on our website. We have incurred lots of changes lately. If you’ve been in the store during the month of May, you may have noticed that we were using our Church street entrance, as we incurred damage to our main entrance. Hopefully, this will be repaired soon, but in the meantime, please bear with us while the work is underway. We continue to expand our special occasion selections, as we are expecting several new collections to add to our already extensive lines. So remember, we’re here for you for all your fashion needs!

Since 1999

31 Church Street Little Silver, NJ (732) 530-5443 • We carry sizes 2 to 20. • Sportswear. • A wonderful selection of evening attire, specializing in the perfect mother-of-thebride and groom dresses and gowns. • Fabulous jewelry. • Belts and accessories. • Handbags and more!

Spring and Summer Hours

Tuesdays - Fridays 10:30 am to 6:00 pm Saturdays 10:30 am to 5:00 pm Closed Sunday & Monday

www.lynnesfashionboutique.com

Looking forward to seeing you soon, Lynne & Staff

Marine Mammal Stranding Center

After a busy winter of rescuing and rehabilitating marine mammals and sea turtles up & down the Jersey Shore, the Marine Mammal Stranding Center is pleased to announce a series of educational outreach programs open to the public on Long Beach Island. All LBI based programs will be lead by the Marine Mammal Stranding Center’s summer program coordinator &

naturalist, Jason Koralja – a NJ Public School Teacher and Surf City year ‘round resident. Pre-Registration is required for the July 12th and August 19th programs. For July 12, 2013 – 10am more information or to pre-register, Mock Sea Turtle Stranding at the N. 7th Street Beach, Surf City call Sarah Miele, the Marine Mammal July 25, 2013 – 5pm Stranding Center’s Education CoordinaSunset Seining at the Beach Arlington Bay Beach (13th St.), Ship Bottom tor, at (609) 266-0538 or e-mail Sarah at August 9, 2013 – 10am edummsc@aol.com. A complete listing Mock Dolphin Stranding at the N. 7th Street Beach, Surf City of all programs offered by the Marine August 19, 2013 – 5pm Sunset Seining at the Beach Arlington Bay Beach (13th St.), Ship Bottom Mammal Stranding Center both on LBI August 24, 2013 – 6pm & Brigantine is available online at Seals of NJ: An Overview at the NJ Maritime Museum (Dock Rd.), Beach Haven www.mmsc.org/education/camps.html

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

c Dental Creations...................................... 18

Featured Articles

Orrico Realty ........................................................... 41

^Business & Finance ces of Laura M. D’Orsi, LLC .................22-23 Pearls of Wisdom Media LLC ................................. 44 rimm & Aaron ............................................ 27 ^Book Corner Straffi ......................................................... 42 Teddy Bear StuffingResidential ................................................. 44 Fashion And Beauty & Commercial Design Body Healing Lynne’s Fashion Boutique....................................................2 Set The Stage..........................46-47 ...................................................................20 ^Women Of Monmouth County er for the Healing Arts ...........................24-25 ^Adult CommunityAssisted Living Medical Professionals ay Care BeriEsthetique......................................................................3 Brandywine Senior Living...................................................23 Fountainhead Properties ......................................... 48 Rehability Pain and Injury Center. . .......................................5 e Adult Care............................................30-31 ^Contemporary & Rattan Furniture Insurance & Annuities, Investments & Retirement Belanger Podiatry Associates, LLC......................................6 on MetLife Solutions Group.....................................................24 Heritage House Interiors ......................................... 49 Ocean Plastic Surgery, PA...................................................7 Students, Mindfulness Coaching Training ..... 32 The Witlin Center For&Advanced Eyecare..........................10 Elder Life Management ^Theatre & Entertainment School ........................................................ 33 Atlantic NeuroSurgical Specialist........................................11 Elder............................................ Life Management, Inc................................................25 Gazillion Bubble Show 52 Bella Derma Medi Spa...................................................12-13 & Local Honey Stomp...................................................................... 52 Law New Jersey CyberKnife......................................................15 e Garden .................................................... 34 Ansell, Grimm & Aaron, PC................................................27 Ann .......................................................................... 53 Monmouth Ocean Medical Services, LLC.....................16-17 Law Offices of Laura M. D’Orsi, LLC. .................................29 Vein Center For Women. . ...................................................18 Spa ^Business Opportunity Total Hearing Care.............................................................19 Community Darlene Davis IgniteAdult Energy ................................... 59 ompany ...................................................... 35 Monmouth Gastroenterology..............................................22

Fountainhead Properties....................................................32

Seaview Orthopaedic & Medical Associates...........30-31, 34

From The Garden...............................................................33

3 Premier Consignment Center Yesterdays and Todays......................................................41

Women Of Monmouth County. .............................42-43 Theatre & Entertainment iluminate.............................................................................44 Peter & The Star Catcher...................................................44 Murder Ballad.....................................................................45 Stomp.................................................................................45 My Name is Asher Lev.......................................................45 The Banana Monologues...................................................45

Business & Finance Pearls of Wisdom Media LLC.............................................53

Caribbean Boutique Hotel

Heart & Brain Imaging.............................................26 ty Cakes &Caring Chocolate Novelties ^Fine Art Photography Shore IVF Reproductive Medicine. . ....................................28 Garden & Local Honey te Carousel................................................. 36 Annette Jenkins Photography ................................. 67

The Ginger Lily Hotel..........................................................57

fe Management ^Community .................. 47, 50-51, 54-55, 58, 60-66 Toms River X-Ray CT & MRI Center..................................35 Specialty Cakes & Chocolate Novelties e Management, Inc. Health ................................... 37 Barnabas Medical Group........................................46 Chocolate Carousel.................................................36-37, 64 InstructionCosmetic Dentistry ~ Featured On The Cover Visit our other publications at Adult Day Care www.TheCountyWoman.com r Aquatics ................................................... 38 Dr. Sophia Nichols, DMD, MAGD, PA...............................8-9

NeriumAD......................................................................58-59

&rofessionals Orthodontic Dentistry dicalPediatric PTake Please Advantage Of Our “Enter To Win”Real Contests! Estate

We Care Adult Care...........................................................37

Tender Smiles 4 Kids.........................................................14

Health & Wellness

Orrico Realty.......................................................................38

\]YjY :`Uk`Ygg G_]b K]h\ D\chc :UW]U`g Hall, Harrison & Johnson Assoc., LLC...............................20 Improve Health Solutions...................................................21 RX Card..............................................................................50 Yoga Nine Mind/Body Studio..............................................61

of damaged skin using high intensity light. It We can treat fine lines and Professionals wrinkles, enlarged Medical s, and d, more

wever n last he next t is com-

Salon & Spa

Hair & Company.................................................................39

Landscaping

Jersey Landscaping............................................................40

Specials

Breakthrough Product & Business Opportunity Book Corner No Sand in the House! By: Jennifer Crawford....................60

Fine Art Photography Annette Jenkins Photography........................................62-63

Community. .............................. 2, 29, 47-49, 51-52, 54-56

Visit Our Other Publications www.TheCountyWoman.com Please Take Advantage Of Our “Enter to Win” Contests

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July/August 2013

P ublisher’s Note P ublisher’s Note An Educational Resource for Women and Their Families 4 4

Monmouth County Monmouth County Woman Woman Since 2008 Since 2008

Publisher ...........................................................Lynn K. Wolf • 1-866-398-0898Lynn K. Wolf Publisher..lynn@acwoman.com ................................................................... lynn@acwoman.com • 609-929-4189

PR Executive/Graphic Designer ................Katherine Githens Regionalstaff@thecountywoman.com Marketing Director........................................... • 856-885-8066 Jon Pruitt jon@thecountywoman.com • 1-866-398-0898

Professional Page/Graphic Designer ........... Darlene A. Davis PR Executive/Graphic Designer.......................Katherine Githens DesignsByDar@comcast.net staff@thecountywoman.com • 856-885-8066 Professional Page/Graphic Designer................. A. Davis Graphic Designer, Real Graﬁx Design ................Darlene Cathy Tveici DesignsByDar@comcast.net

Graphic Designer, Golden Design, LLC .............. Laura Golden

Graphic Designer, Real Grafix Design....................... Cathy Tveici

Professional CopyGolden EditorsDesign, ......................Kristina Wheeler Graphic Designer, LLC................... Laura Golden Joann C. Dearden Professional Copy Editors.................................. Kristina Wheeler C. Dearden Feature Cover Writer ..........................GenaJoann Ansell-Lande Feature Cover Writer....................................... GenaP.J. Ansell-Lande Website Designer ............................................. Santos Website Designer..........................................................P.J. Santos www.digitalartstation.com www.digitalartstation.com

Distribution Manager......................................Mike Dziuba

Distribution Manager.................................................. Mike Dziuba

RegionalDirector Director Distribution ...................Jeanne Teller Regional of of Distribution..............................Jeanne Teller For advertising inquiries, please call:

For advertising inquiries, please call Jon Pruitt:

1-866-398-0898 or 1-866-398-0898 or email: lynn@themcw.com email: jon@thecountywoman.com All correspondence should be addressed to:

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The County Woman Magazine The County Woman Magazine

Welcome to the May/June 2013 Welcome to the July/August 2013 Issue Of Monmouth County Woman Issue County Woman “Summer of at theMonmouth shore” never gets old, no matter how long you’ve lived or vacationed

here. We all eagerly await the cool breezes blowing off the ocean, warm sand between our toes, and gardens full ofare purple and pink hydrangeas. This From is a perfect The boardwalks opening all over New Jersey. Sea time to witness all the wonderful at From and The Garden has renovation many wonderful gift ideas for Bright down changes to Manasquan beyond,(p.we37). are She seeing Mother’s and Father’s well as many other occasions. and renewal in timeDay for as this summer’s touristspecial season. With the There has been some good news lately: home prices have risen over the last year, and grave impact of the storm becoming more of a distant memory with those gains there has been a renewed sense of optimism. In the March/April issue as timeGrimm goes on, we can start tothe enjoy getting back to when the business Ansell & Aaron explained hidden closing costs purchasing a home. In and fun of summer. The Monmouth County Woman many modification on this issue they speak to homeowners who are trying to securehas a mortgage professionals who Aarekeyanxious toselling share your theirhome expertise in thean areas their current home. aspect to is to create emotional connection for the buyers in orderhousehold for them tomatters, see themselves livingbeauty in yourand home. The expert to guarof health, finances, business, antee that the buyer will have this emotional connection is Holly Volpe, a certified staging relaxation. consultant County andissue the surrounding areasa and is the owner of “Set The Stage” on page 40. Whileserving some Monmouth of the articles in this will show you brighter Lastly, a successful and dedicated Real Estate family is The Orrico Realty path to your own good health, others offer advice to those who on page 36. Using the experts in this publication will help you sell/buy/refinance your home more smoothly. provide care for loved ones. If you are a caregiver and are feeling Many homeowners are still rebuilding from hurricane Sandy’s destruction. If you need to replace furniture or exhaustedyou anddon’t overwhelmed, may be timearticle to consider care program such aswhich We Care accessories want to missitthe two-page on pagesa6top-notch and 7 fromday Heritage House Interiors, is Adult Care, described on page 37. For the many Monmouth County residents with young children, offering extra discounts and free delivery to Sandy victims, as well as a giveaway on page 40. Tender 4 Kidsalso notfind only offers exceptional also anincluding amazingMother’s new program In thisSmiles issue, you’ll great gift ideas for somedentistry, upcomingbut holidays, Day on that May 12th and Father’s Dayyour on June 16th. Chocolate hasthe anystem specialty possible for mom dad. about Also, this could benefit child’s future health Carousel by saving cells dessert from their teeth! Learnormore this month’s articlenew features fabulouson groom remarkable technology pagecakes 14. and their traditions, which can be designed for his individual passions (p. for products services frommarried any business this issuemonths? would beConsider another way to show 35). AreGift youcards or someone youand know getting in thein coming unique andyou care. Memorial Day is another time we set aside for remembering people who have made a difference in our lives – in delicious cakes and favors from Chocolate Carousel, on page 36. Our photographer, Annette Jenkins, this case, the men and women who died while serving in the United States Armed Forces. On page 16 of this issue, will take the portraits of your dreams. See some of her beautiful work on pages 74 - 75. Hair & you can read about a woman whose mission is to bring comfort to the families of these fallen soldiers through the Company will give youQuilts.” the locks you’ve longed for on your big day, page 39. Perhaps you’re looking sewing of “Remembering to quickly drop a few pounds. Read about HCG diet and its manythebenefits Improve Health Memorial Day also marks the official launchthe of the beach season. Despite damagefrom that Hurricane Sandy Solutions, described on page 21. Another weight-loss option reduces fat layers in problem areas with wreaked last fall, the shops and restaurants along much of the Jersey shore are back in business, and the beach is a ready and waiting for you! So get yourself in summer-shape with the advice of the many healthcare professionals cooling technology, which you can read about on pages 12-13. whose articles Medical Health Wellness sections of vital this issue. Experts inregarding skin and hair care, These areyou’ll just find a fewinofthethe manyand articles in & this issue filled with information finance, weight loss, nutrition, wellness and fitness will help you care for your whole body, from the top of your head to law, business, fashion & beauty, health & wellness, and much more. I recommend reading each and the bottom of your toes don’t and everything every page so you miss anyin-between! information that is critical to your family and friends. Whether you enjoy surfing, fishing or backyard barbeques with friends and relatives, we wish you a safe and fun summer. HoweverTake youadvantage choose tooftake care ofthe yourself and your this summer, be sure toevents enjoyyou everything Jersey shore has toloved offer, ones including the many wonderful our thriving Jersey Shore. We hope you enjoy reading this issue of Monmouth County Woman on the can read about in the Community section of this publication. And while you’re reading, please let the contributbeach, in your back yard, or anywhere you can relax and enjoy the summer sun. Thank you for your ing writers know when the information they have provided has benefited you in your own life. Thank you for your continuedsupport support Monmouth County Woman publication. Woman magazine. continued of of thethe Monmouth County

Warmest regards,

We are the Media Partner with

Lynn K. Wolf, Publisher

and the Staff of Monmouth County Woman

We are the Media Partner with NJAWBO Monmouth, Ocean, MiddlesexOcean, Region. NJAWBO Monmouth, Middlesex Region.

Lynn K. Wolf, Publisher and the Staff Monmouth Featured onofthe front coverCounty are staffWoman members from Total Hearing Care. Learn about the importance of an annual hearing assessment and where/when you can get one free on pages 5 and 21. Front Row Featured thetofront cover is Dr. SophiaAudiologist Nichols andand staff, read more page 8Christina & 9. (Standingon Left Right) Anne Rosano, Dispenser Lic.on#549, Parrott, DisLearn about Dr. Nichols to protect yourJoni teeth summer onand pages 8 & 9. Lic. pensermore Lic. #1090. Back Row and (Lefthow to Right, sitting) Delduring Sordo,theAudiologist Dispenser Left to Sharon Right: Stoor, Kelly, Tina, Roseanne, Dr. Nichols, Nancy, Joanne, Diane,Vice and Cathy. #644, Dispenser Lic. #572, Deborah Seidner, Regional President –Total Hearing Care, Audiologist and Dispenser Lic. #623. Cover Photo by Annette Jenkins Photography. Cover photo by Annette Jenkins Photography. Annette can contacted for appointments at Annette can be contacted for appointments at be 732-936-1416. 732-936-1416. See more of photography her spectacular See more of her spectacular beach andportrait portraitwork workon onpage pages63. 62 & 63.

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May/June 2013 July/August 2013

Medical Professionals HEALTHBULLETIN

ADVANCED FDA CLEARED TREATMENT FOR NEUROPATHY AT REHABILITY Symptoms Of A Pinched Nerve:

What May Cause It?

Non-Invasive Treatment Techniques Include:

Ž ǇŽƵ ŚĂǀĞ ŽŶĞ Žƌ ŵŽƌĞ ŽĨ ƚŚĞ ĨŽůůŽǁŝŶŐ symptoms? ඵ ^ŚĂƌƉ ĂŶĚͬŽƌ ƐŚŽŽƟŶŐ ƉĂŝŶ ඵ dŝŶŐůŝŶŐ ;͞ƉŝŶƐ ĂŶĚ ŶĞĞĚůĞƐ͟Ϳ ඵ EƵŵďŶĞƐƐ ;ůŽƐƐ ŽĨ ƐĞŶƐĂƟŽŶͿ ඵ ďŶŽƌŵĂů ƐĞŶƐĂƟŽŶ ŝŶ ŚĂŶĚ Žƌ ĨŽŽƚ ;͟ĨĂůůŝŶŐ ĂƐůĞĞƉ͟Ϳ ඵ DƵƐĐůĞ ƐƉĂƐŵƐ͕ ĐƌĂŵƉŝŶŐ ĂŶĚͬŽƌ ǁĞĂŬŶĞƐƐ ඵ >ŽƐƐ ŽĨ ďĂůĂŶĐĞ

ĞƐŝĚĞƐ ĐŽŵƉƌĞƐƐŝŽŶ͕ ŽǀĞƌͲƐƚƌĞƚĐŚŝŶŐ ŽĨ ƚŚĞ ŶĞƌǀĞƐ ĐĂŶ ĂůƐŽ ĐĂƵƐĞ ƚŚĞŵ ƚŽ ďĞĐŽŵĞ ͞ƉŝŶĐŚĞĚ͘͟ ŽŵŵŽŶ ĐĂƵƐĞƐ ǀĂƌǇ ŐƌĞĂƚůǇ ĂŶĚ ŵĂǇ ŝŶĐůƵĚĞ͗ ඵ KƐƚĞŽĂƌƚŚƌŝƟƐ ;ĚĞŐĞŶĞƌĂƟŶŐ ƐƉŝŶĞ ƉƌĞƐƐŝŶŐ ŽŶ ŶĞƌǀĞ ƌŽŽƚƐͿ ඵ KǀĞƌƵƐĞͬƌĞƉĞƟƟǀĞ ŵŽƟŽŶ ඵ dƌĂƵŵĂ͕ ƐƉŽƌƚƐ ŝŶũƵƌǇ Žƌ ŽƚŚĞƌ ƉŚǇƐŝĐĂů ŚŽďďǇͬ ĂĐƟǀŝƚǇ ඵ WŽŽƌ ƉŽƐƚƵƌĞ ඵ ,ĞƌĞĚŝƚǇͬŐĞŶĞƟĐƐ

ඵ EŽŶͲƐƵƌŐŝĐĂů ^ƉŝŶĂů ĞĐŽŵƉƌĞƐƐŝŽŶ dŚĞƌĂƉǇ ඵ DĞĐŚĂŶŝĐĂů ƚƌĂĐƟŽŶ ƚŚĞƌĂƉǇ ඵ ŽůĚ >ĂƐĞƌ ƚŚĞƌĂƉǇ ;ĂĐĐĞůĞƌĂƚĞ ŚĞĂůŝŶŐ ďǇ ƌĞĚƵĐŝŶŐ ƉĂŝŶͬŝŶŇĂŵŵĂƟŽŶͿ ඵ ŚŝƌŽƉƌĂĐƟĐ ŵĂŶŝƉƵůĂƟŽŶ ;ƌĞůĞĂƐŝŶŐ ƉƌĞƐƐƵƌĞ ŽŶ ŶĞƌǀĞ ƌŽŽƚͿ ඵ WŚǇƐŝĐĂů dŚĞƌĂƉǇ ĂŶĚ ZĞŚĂďŝůŝƚĂƟŽŶ ;ŵĂŶƵĂů ƐŽŌ ƟƐƐƵĞ ƚĞĐŚŶŝƋƵĞƐ ƚŽ ƌĞĚƵĐĞ ƉĂŝŶ͕ ŝŶĐƌĞĂƐĞ ŇĞǆŝďŝůŝƚǇ͕ ĂŶĚ ƐƚƌĞŶŐƚŚĞŶŝŶŐ ŽĨ ĂŶǇ ŵƵƐĐůĞƐ ĂīĞĐƚĞĚ ďǇ ŶĞƌǀĞ ŝŵƉĂŝƌŵĞŶƚͿ

What Is A Pinched Nerve?

ůƐŽ ĐĂůůĞĚ ͞ŶĞƌǀĞ ŝŵƉŝŶŐĞŵĞŶƚ͕͟ Ă ͞ƉŝŶĐŚĞĚ͟ ŶĞƌǀĞ ŝƐ ǁŚĞŶ ƚŚĞ ƟƐƐƵĞƐ ƐƵƌƌŽƵŶĚŝŶŐ Ă ŶĞƌǀĞ ʹ ŝŶĐůƵĚŝŶŐ ďŽŶĞƐ͕ ŵƵƐĐůĞƐ͕ ƚĞŶĚŽŶƐ ĂŶĚͬŽƌ ĐĂƌƟůĂŐĞ ʹ ĂƉƉůǇ ƚŽŽ ŵƵĐŚ ƉƌĞƐƐƵƌĞ ;ĂůƐŽ ŬŶŽǁŶ ĂƐ ͞ĐŽŵƉƌĞƐƐŝŽŶ͟Ϳ ƚŽ ƚŚĞ ŶĞƌǀĞ͘ dŚŝƐ ĐĂƵƐĞƐ ŝŶŇĂŵŵĂƟŽŶ ƚŽ ƐƵƌƌŽƵŶĚ ƚŚĞ ŶĞƌǀĞ͕ ĚŝƐƌƵƉƟŶŐ ƚŚĞ ĞůĞĐƚƌŝĐĂů ƐŝŐŶĂůƐ ŐŽŝŶŐ ƚŽ ĂŶĚ ĨƌŽŵ ƚŚĞ ďƌĂŝŶ ĂŶĚ ƐƉŝŶĂů ĐŽƌĚ͕ ĂƐ ǁĞůů ĂƐ ďůŽĐŬŝŶŐ ƚŚĞ ŇŽǁ ŽĨ ŶƵƚƌŝĞŶƚƐ ŶĞĐĞƐƐĂƌǇ ƚŽ ŶŽƵƌŝƐŚ ƚŚĞ ŶĞƌǀĞ ŬĞĞƉŝŶŐ ŝƚ ŚĞĂůƚŚǇ͕ ĂĐƟǀĞ͕ ĂŶĚ ƐƚƌŽŶŐ͘ Ɛ Ă ƌĞƐƵůƚ͕ ƉƌŽŐƌĞƐƐŝǀĞ ŝŵƉĂŝƌŵĞŶƚ ŽĨ ƚŚĞ ŶĞƌǀĞ͛Ɛ ĂďŝůŝƚǇ ƚŽ ĨƵŶĐƟŽŶ ŶŽƌŵĂůůǇ ŵĂǇ ůĞĂĚ ƚŽ ƐŝŐŶŝĮĐĂŶƚ ƐǇŵƉƚŽŵƐ ƌĂŶŐŝŶŐ ĨƌŽŵ ǁĞĂŬŶĞƐƐ͕ ŶƵŵďŶĞƐƐ ĂŶĚ ƟŶŐůŝŶŐ ƚŽ ƐĞǀĞƌĞ ƉĂŝŶ͘ ŶǇ ŶĞƌǀĞ ŝŶ ǇŽƵƌ ďŽĚǇ ĐĂŶ ďĞĐŽŵĞ ͞ƉŝŶĐŚĞĚ͘͟ ŶĞƌǀĞ ƌŽŽƚ ŝŶ ƚŚĞ ůŽǁĞƌ ƐƉŝŶĞ ďĞĐŽŵŝŶŐ ƉŝŶĐŚĞĚ ďǇ Ă herniated disc may cause ƐĐŝĂƟĐĂ ĨŽƌ ĞǆĂŵƉůĞ͕ Žƌ ƉĂŝŶ ƌĂĚŝĂƟŶŐ ĚŽǁŶ ƚŚĞ ďĂĐŬ ŽĨ ƚŚĞ ůĞŐ͘ ŶŽƚŚĞƌ ĞǆĂŵƉůĞ ŝƐ ĐĂƌƉĂů ƚƵŶŶĞů ƐǇŶĚƌŽŵĞ͕ ƌĞƐƉŽŶƐŝďůĞ ĨŽƌ ŶƵŵďŶĞƐƐ ĂŶĚ ƉĂŝŶ ŝŶ ƚŚĞ ĮŶŐĞƌƐ ĂŶĚ ŚĂŶĚ͕ ĂůƐŽ ĐĂƵƐĞĚ ďǇ Ă ͞ƉŝŶĐŚĞĚ͟ ŶĞƌǀĞ ďƵƚ ƚŚŝƐ ƟŵĞ ŝŶ ƚŚĞ ǁƌŝƐƚ͘ tŚĞŶ Ă ŶĞƌǀĞ ŝŶ ƚŚĞ ŶĞĐŬ ďĞĐŽŵĞƐ ͞ƉŝŶĐŚĞĚ͕͟ ƐǇŵƉƚŽŵƐ ĂƌĞ ƵƐƵĂůůǇ ĨĞůƚ ŝŶ ƚŚĞ ŚĂŶĚƐ͕ ĂƌŵƐ͕ Žƌ ƐŚŽƵůĚĞƌƐ͘ 'ĞŶĞƌĂůůǇ͕ ǁŚĂƚĞǀĞƌ ƚŚĞ ĐĂƵƐĞ͕ ƉƌŽƉĞƌ ĨƵŶĐƟŽŶ ƌĞƚƵƌŶƐ ƚŽ ƚŚĞ ĂīĞĐƚĞĚ ŶĞƌǀĞ ŽŶĐĞ ƚŚĞ ĐŽŵƉƌĞƐƐŝŽŶ

ŝƐ ƌĞůŝĞǀĞĚ͕ ƌĞƐƵůƟŶŐ ŝŶ ƚŚĞ ƌĞĚƵĐƟŽŶ ŽĨ ƉĂŝŶ ĂŶĚ ŽƚŚĞƌ ĂƐƐŽĐŝĂƚĞĚ ƐǇŵƉƚŽŵƐ͘ ^ŚŽƌƚ ƚĞƌŵ ŶĞƌǀĞ ĐŽŵƉƌĞƐƐŝŽŶ ƌĂƌĞůǇ ůĞĂĚƐ ƚŽ ĐŽŵƉůŝĐĂƟŽŶƐ͕ ŚŽǁĞǀĞƌ ůŽŶŐͲƚĞƌŵ ŶĞƌǀĞ ĐŽŵƉƌĞƐƐŝŽŶ Žƌ ƐĞǀĞƌĞ ĐŽŵƉƌĞƐƐŝŽŶ ůĞŌ ƵŶƚƌĞĂƚĞĚ ŵĂǇ ůĞĂĚ ƚŽ ƐĞƌŝŽƵƐ ĐŽŵƉůŝĐĂƟŽŶƐ͕ ƐƵĐŚ ĂƐ ĐŚƌŽŶŝĐ ƉĂŝŶ͕ ƉĞƌŵĂŶĞŶƚ ŶĞƌǀĞ ĚĂŵĂŐĞ͕ ĂŶĚ ůŽƐƐ ŽĨ ĨƵŶĐƟŽŶ͘ dŚƵƐ͕ ĂƐ ǁŝƚŚ ŵŽƐƚ ŽƚŚĞƌ ŵĞĚŝĐĂů ĐŽŶĚŝƟŽŶƐ͕ ĞĂƌůǇ ĚŝĂŐŶŽƐŝƐ ĂŶĚ ƚƌĞĂƚŵĞŶƚ ŝƐ ĐƌŝƟĐĂů͕ ŶŽƚ ŽŶůǇ ĨŽƌ ƐǇŵƉƚŽŵĂƟĐ ƌĞůŝĞĨ ĂŶĚ ĐŽŵƉůĞƚĞ ŚĞĂůŝŶŐ ƚŽ ŽĐĐƵƌ ďƵƚ ƚŽ ĂǀŽŝĚ ĨƵƌƚŚĞƌ ŶĞƌǀĞ ĚĂŵĂŐĞ͘

Our Solution:

DǇ ŶĂŵĞ ŝƐ Dr. Robert Chickara, owner and clinic director of REHABILITY Pain & Injury Center of Freehold ĂŶĚ / ŚĂǀĞ ďĞĞŶ ŚĞůƉŝŶŐ ŚƵŶĚƌĞĚƐ ŽĨ ƐƵīĞƌŝŶŐ ƉĂƟĞŶƚƐ ŽǀĞƌĐŽŵĞ ŶĞƌǀĞͲƌĞůĂƚĞĚ ƉĂŝŶ ĨŽƌ ŽǀĞƌ ϭϭ ǇĞĂƌƐ͘ tŚĞŶ ǇŽƵ ĐŽŵĞ ƚŽ ŽƵƌ ŽĸĐĞ ďĞĐĂƵƐĞ ǇŽƵ ĂƌĞ ĞǆƉĞƌŝĞŶĐŝŶŐ ƐǇŵƉƚŽŵƐ ǁŚŝĐŚ ĂƉƉĞĂƌ ƚŽ ďĞ ĂƐƐŽĐŝĂƚĞĚ ǁŝƚŚ Ă ͞ƉŝŶĐŚĞĚ͟ ŶĞƌǀĞ͕ ǁĞ ǁŝůů ďĞŐŝŶ ďǇ ŽďƚĂŝŶŝŶŐ Ă ĚĞƚĂŝůĞĚ ŵĞĚŝĐĂů ŚŝƐƚŽƌǇ͘ EĞǆƚ͕ / ǁŝůů ƉĞƌĨŽƌŵ Ă ĐĂƐĞͲƐƉĞĐŝĮĐ ƉŚǇƐŝĐĂů ĞǆĂŵŝŶĂƟŽŶ͕ ǁŚŝĐŚ ŵĂǇ ŝŶĐůƵĚĞ ŽƌƚŚŽƉĞĚŝĐ ĂŶĚͬŽƌ ŶĞƵƌŽůŽŐŝĐĂů ƚĞƐƟŶŐ ƚŽ ĂƐƐŝƐƚ ŝŶ ĚĞƚĞƌŵŝŶŝŶŐ ƚŚĞ ůŝŬĞůŝĞƐƚ ĐĂƵƐĞ ŽĨ ƚŚĞ ͞ƉŝŶĐŚĞĚ͟ ŶĞƌǀĞ͘ hƉŽŶ ĞƐƚĂďůŝƐŚŝŶŐ ĂŶ ĂĐĐƵƌĂƚĞ͕ ĐŽŵƉůĞƚĞ ĚŝĂŐŶŽƐŝƐ͕ Ă ƐƉĞĐŝĂůŝǌĞĚ ƚƌĞĂƚŵĞŶƚ ƉůĂŶ ǁŝůů ďĞ ĚĞǀĞůŽƉĞĚ ƚŽ ĂĚĚƌĞƐƐ ďŽƚŚ ƚŚĞ ĐĂƵƐĞ ĂƐ ǁĞůů ĂƐ ǇŽƵƌ ƐǇŵƉƚŽŵƐ͘

No Risk, Free Trial

/ ŝŶǀŝƚĞ ǇŽƵ ƚŽ ƐĐŚĞĚƵůĞ Ă ĐŽŵƉůĞŵĞŶƚĂƌǇ ŝŶͲŽĸĐĞ ĐŽŶƐƵůƚĂƟŽŶ ŝŶ ǁŚŝĐŚ / ǁŝůů ƉĞƌƐŽŶĂůůǇ ĞǀĂůƵĂƚĞ ǇŽƵƌ ĐŽŶĚŝƟŽŶ͕ ƉƌŽǀŝĚŝŶŐ ǇŽƵ ǁŝƚŚ Ă ĨĂŝƌ ĂŶĚ ŚŽŶĞƐƚ ĂƐƐĞƐƐŵĞŶƚ ŝŶ ĚĞƚĞƌŵŝŶŝŶŐ ŝĨ ĂŶǇ ŽĨ ŽƵƌ ƐƉĞĐŝĂůŝǌĞĚ ƚƌĞĂƚŵĞŶƚ ƉƌŽŐƌĂŵƐ ǁŝůů ŚĞůƉ ǇŽƵ͘ /Ŷ ƐŽŵĞ ŝŶƐƚĂŶĐĞƐ ŝŶǀŽůǀŝŶŐ ĐŽŵƉůŝĐĂƚĞĚ ĐĂƐĞƐ͕ Ă ƌĞĨĞƌƌĂů ƚŽ ĂŶŽƚŚĞƌ ŵĞĚŝĐĂů ƐƉĞĐŝĂůŝƐƚ ŵĂǇ ďĞ ƐƵŐŐĞƐƚĞĚ͕ ǁŚĞƌĞďǇ ǁĞ ĐĂŶ ǁŽƌŬ ĐůŽƐĞůǇ ƚŽŐĞƚŚĞƌ ŝŶ ƌĞƐŽůǀŝŶŐ ǇŽƵƌ ĐŽŶĚŝƟŽŶ͘ tŚŝůĞ ĞĂĐŚ ĐĂƐĞ ŝƐ ĚŝīĞƌĞŶƚ ĂƐ ǁĞůů ĂƐ ĞĂĐŚ ƉĂƟĞŶƚ͛Ɛ ƌĞƐƉŽŶƐĞ ƚŽ ƚƌĞĂƚŵĞŶƚ͕ / Ăŵ ĐŽŶĮĚĞŶƚ ǇŽƵƌ ŽǀĞƌĂůů ĞǆƉĞƌŝĞŶĐĞ Ăƚ ŽƵƌ ĨĂĐŝůŝƚǇ ĂŶĚ ƚŚĞ ůĞǀĞů ŽĨ ĐĂƌĞ ǇŽƵ ǁŝůů ƌĞĐĞŝǀĞ ŝƐ ǁŚĂƚ / ďĞůŝĞǀĞ͕ ƐĞƚƐ ƵƐ ĂƉĂƌƚ ĨƌŽŵ ƚŚĞ ƌĞƐƚ͘

Our Patients Say It Best… Thanks to Dr. Chickara and his team, I can now move throughout the day virtually pain free and I’ve become well-educated as to what I need to do to maintain my results. Most impressive is their professionalism and dedication in getting all of their patients well. I was made to feel like family from day one and it has been the most positive experience I have ever had with both chiropractic and physical therapy. - A. Sherak, Freehold

Call Today to Schedule a Comprehensive Evaluation by Our Team of Specialists! **BONUS** Free Acupuncture Consultation Space is limited to the first 25 Callers! (some exclusions may apply)

REHABILITY PAIN & INJURY CENTER NEW LOCATION!

83 South Street, Suite 204 Freehold, NJ (Freehold Commons) Most Insurances Accepted.

(732) 780-6230

The County Woman Magazine

Dr. Robert Chickara Chiropractic Physician Clinic Director

www.RehabilityNJ.com

www.TheCountyWoman.com

July/August 2013

Medical Professionals

What is a Plantar Wart?

By: Dr. Susan Belanger Warts (aka Verruca) typically appear on hands and feet. They present as rough small tumors or cauliflower like or a solid blister. The virus that causes plantar warts is not highly contagious but can be transmitted through tiny cuts or breaks in skin. Since everyone has a different immune system, not every person who comes in contact with the virus will develop a wart. The virus is called the human papillomavirus of which there are 100 types. Plantar warts have increased incidence in children and young adults between 12-16 years old who share dormitories, gym facilities and common bathing areas. Warts can be persistent and new warts can grow as fast as old warts disappear. If warts are untreated they can grow in size or develop clusters called mosaic

warts. They can be painful especially if they grow on weight bearing surfaces. Usually the portion of the wart under the skin is two times the size of the wart you see, it tends to grow into deeper layers of skin due to pressure. You should seek medical advice if: â&#x20AC;˘ Your warts change in size or color â&#x20AC;˘ If they become painful â&#x20AC;˘ If they persist, recur or multiply in spite of home treatment â&#x20AC;˘ If you have diabetes, circulatory problems â&#x20AC;˘ If you cannot confidently identify the lesion. Simple examination by a podiatrist can let you know if warts are present. The doctor may â&#x20AC;&#x153;pareâ&#x20AC;? the lump (remove the hard outer skin) with a scalpel. Corns and calluses do not have a blood supply and should not bleed but warts have pinpoint bleeding when debrided. If your doctor is unsure or concerned a small sample or biopsy may be sent to a lab for evaluation. Warts are self limiting and will eventually go away on their own, if you chose to wait. But in the meantime they can be painful,

unsightly, and multiply so the advice is to treat them. You can try over the counter remedies, which in time will work but this is not the recommended course for anyone who is immunocompromised, diabetic or pregnant. Doctors usually use common treatments in combination such as; Salicylic acid in a 40% concentration. The acid peels off the infected skin a little at a time. This can take months and healthy skin must be protected. Freezing (cryotherapy) is the most common treatment and usually effective but also requires several applications. The chemical can cause a blister and the wart tissue sloughs off. Cantharidin is a substance extracted from the blister beetle and has been used for centuries. The beetle juice can cause a blister lifting the wart from the skin. Duct tape was applied to warts in a study in 2002 where after 7 days the tape was removed, the wart soaked and rubbed with an emery board. It was found that after several months the warts vanished. Aggressive forms of treatment include:

About Dr. Belanger . . . Dr. Belanger graduated from Northeastern University and earned her medical

degree at the New York College of Podiatric Medicine. Following graduation she completed a two-year surgical residency at St. Barnabas Hospital in the Bronx. In 1998, she accepted a fellowship position at Kaiser Permanente in Sacramento, CA, where she trained in trauma of the foot and ankle. Dr. Belanger went on to teach Surgery at the New York College of Podiatric Medicine for three years while working in private practice in Howell, NJ. In 2002, she decided to take a full time position in a Private Practice in Monmouth County. Dr. Belanger was born and raised in Warwick, RI. She now resides in Monmouth County where she enjoys raising her twins, running, and biking along the Jersey Shore.

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â&#x20AC;˘ Electrodessication â&#x20AC;˘ Laser surgery â&#x20AC;˘ Immunotherapy â&#x20AC;˘ Imiquinod (Aldara) None of these treatments should be used without doctors care if you are diabetic, pregnant, breast feeding or immunocompromised. Prevention is the key! To decrease your risk;

â&#x20AC;˘ Do not pick warts that can spread the virus. â&#x20AC;˘ Do not go barefoot in public areas. Wear shoes or sandals at public pools or locker rooms. â&#x20AC;˘ Avoid contact with warts. â&#x20AC;˘ Keep your feet clean and dry. See your podiatrist to evaluate these lesions and for a quicker resolution than home remedies.

Dr. Susan Belanger

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The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

Medical Professionals

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The County Woman Magazine

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have lost their volume. This works by removing unwanted fat from one area of the body such as the abdomen or hips, purifying it, and precisely layering it to provide facial enhancement. This powerful technique can restore a much more youthful volume than fillers and potentially leads to lasting results for well beyond a year. This procedure takes about an hour with approximately 50% of the transfer remaining at a year.

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

www.TheCountyWoman.com

July/August 2013

Cosmetic Dentistry

Donâ&#x20AC;&#x2122;t Let Your Teeth Erode Away With the warmer weather people tend to increase their consumption of carbonated beverages, pure fruit juice, energy and sports drinks, which all contain high levels of acid and can cause tooth erosion, especially when consumed in large amounts.

Written by: Sophia Nichols, D.M.D., M.A.G.D., P.A. Itâ&#x20AC;&#x2122;s summertime and time to watch out for foods that can harm your teeth. Tooth enamel is the hardest substance in the body when itâ&#x20AC;&#x2122;s supported by dentin (the underlying layer of tooth structure). Although it is the most highly mineralized and toughest substance in the body, it is not impervious to acid attacks and erosion. Tooth erosion, or tooth wear, is the loss of the surrounding tooth structure. This loss occurs when the enamel is worn away by acid. Over time, this erosion can leave your teeth sensitive, cracked, discolored and even make them look transparent. The source of the acid can be from the foods we eat or from certain medical conditions that cause tooth erosion, such as acid reflux and bulimia.

The following food choices can contribute to the wear and tear of teeth: Soft Drinks. The problems with soda are twofold: first, the sugar content is bad for your teeth. The second bad part is the acidity, which is quite high in soda. Even if the beverages youâ&#x20AC;&#x2122;re drinking are diet, they still strip minerals from tooth enamel because of their high acid content. They contain corrosive acids like phosphoric, malic, citric, and tartaric. And the flavor of the fizz matters. They all have an impact, but in a study, clear, citrus-flavored bubbly beverages dissolved enamel two to five times more than colas did. Sports Drinks. In a study comparing the erosive effects of five different beverages - including juice and soda - sports drinks did the most harm. Their high concentration of strong acids produced the deepest enamel damage in teeth. Energy Drinks. In a study comparing five beverages, energy drinks were second worst after sports drinks - mainly because they had little ability to buffer the acids in the beverage. Drinks like these are an es-

About the Practiceâ&#x20AC;Ś The professional office of Dr. Sophia Nichols has served the Monmouth and Ocean County areas for over 20 years. We provide gentle Family Dentistry utilizing state-of-the-art dental technologies. Our purpose is to provide the highest quality dental care for our patients in the most comfortable manner possible. Please call our office to discuss Cosmetic and Restorative procedures that will give you the smile you always dreamed of! Working closely with most insurance carriers enables us to afford you the very best of care. A variety of payment options are offered for your convenience including Visa, MasterCard and Care Credit, a monthly payment plan specially designed for individual dental needs. Day and evening appointments are available and our office is open on alternating Saturdays.

pecially bad idea for adolescents and young adults, whose tooth enamel is less mature and more porous. Fruit and Fruit Juices. Fruit juices, especially citrus, apple, and berry varieties, are loaded with the kinds of acids that wear down tooth enamel. Frequent fruit juice consumption has been linked to an increased risk of enamel erosion. Of course, juices also have some great healthy qualities like vitamins and antioxidants. So donâ&#x20AC;&#x2122;t give them up. Just drink them in moderation and eat fruit with a meal to help minimize the effects from the acid. As an extra measure, rinse afterward and choose calcium-fortified juices that may pose less of a hazard to tooth enamel. Finally, donâ&#x20AC;&#x2122;t suck on lemons or limes because that can quickly erode your tooth enamel. Sour Candy. In a study comparing regular chewy candy, hard candy, and licorice to their sour counterparts, sour varieties were significantly harder on tooth enamel. Candy manufacturers add more acids - or different kinds of acid - to sour candy varieties to give them that pucker factor. Itâ&#x20AC;&#x2122;s those â&#x20AC;&#x153;tangyâ&#x20AC;? acids that can create deep craters in your tooth enamel.

on a scale of 0 (most acidic) to 14 (least). Battery acid is a 1 on the scale -- tap water is a 7. The lower the pH, the higher the acidity and therefore the higher risk of erosion. Mango sours Lemon Juice Sports drinks Coca Cola Iced Tea Orange Juice Red Wine White Wine Plain Yogurt Milk Water

1.6 2.0-2.6 2.3-4.4 2.6 2.9-3.0 3.3-4.2 3.4 3.7 4.2 6.4-6.8 7.3

â&#x20AC;&#x153;I have always had a fear of the dentist. Dr. Nichols came highly recommended by friends who are patients. The moment I walked into the office my nerves were calmed. Dr. Nichols and her staff are friendly, kind and compassionate. I never feel rushed or stressed at my appointment. You are a real person with all the attention focused on you!â&#x20AC;? - Judy M.

Healthy tooth enamel means healthy teeth. Enamel damage is irreversible so take the time to protect those pearly whites. Here are some tips from the Academy of General Dentistry to help prevent tooth erosion: â&#x20AC;˘ Cut down on your consumption of carbonated beverages, sports and energy drinks, and pure fruit juice. If you have to drink soda, drink it with a meal instead of sipping on it between meals. â&#x20AC;˘ Drink acidic drinks quickly and with a straw. This helps prevent acid from coming in contact with

Acidity (the pH) of some common foods and drinks Acidic content (aka pH) is measured

your teeth. Also, donâ&#x20AC;&#x2122;t swish these liquids around or hold them in your mouth for long periods of time. â&#x20AC;˘ After consuming acidic drinks, rinse your mouth with water to neutralize the acids and wait at least one hour before brushing your teeth. â&#x20AC;˘ Chew sugar-free gum, which helps your mouth produce more saliva to remineralize your teeth. â&#x20AC;˘ Brush with a soft toothbrush and be sure your toothpaste contains a high amount of fluoride. â&#x20AC;˘ Donâ&#x20AC;&#x2122;t let your child consume highly acidic drinks or fruit juices in his or her sippy cup or bottle.

Call Dr. Nichols for your next dental appointment.

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The County Woman Magazine

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July/August 2013

Featured

on the

Cover

This Caring & Compassionate Dentist and Staff Will Leave You Smiling As a General Dentist, Dr. Sophia Nichols not only enjoys addressing the dental needs of her patients, but she also recently earned the designation of â&#x20AC;&#x153;Masterâ&#x20AC;? from the Academy of General Dentistry. To receive this award she completed over 1000 hours of continuing education that included 400 hours of hands-on-courses as well as a comprehensive written examination. Dr. Nichols deals with preventing diseases of the teeth, jaw and gums; maintaining the health of the oral cavity; improving the esthetics of the dentition as well as restoring missing, damaged or diseased teeth to normal form and function. As she says, â&#x20AC;&#x153;The mouth is the gateway to the rest of the body.â&#x20AC;?

MCW: How do you handle over-anxious first time patients? SN: When someone is what we call a â&#x20AC;&#x153;dental phobic,â&#x20AC;? we baby them. The most significant thing we do is earn their trust and make them realize that they are in control. This canâ&#x20AC;&#x2122;t be done by giving them a pill that will sedate them or by sticking an I.V. in their arm. It takes patience and time and it is well worth it because when we help them overcome their fear, they have coping skills that will be useful to them with their dental needs for life. MCW: What is the most rewarding part about your profession? SN: Itâ&#x20AC;&#x2122;s highly rewarding to give someone a smile that restores their confidence and promotes their dental health. Cosmetic dentistry has changed peopleâ&#x20AC;&#x2122;s lives for the better. Combining art and science to help others gives me an enormous amount of satisfaction.

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Monmouth County Woman recently caught up with Dr. Nichols to learn more about her.

MCW: Congratulations on winning the Mastership Award! Please tell us a little more about this. SN: The Mastership Award is the highest honor available at the AGD and one of the most respected designations within the dental profession. Dentists who have earned Mastership from the AGD make up a distinct group â&#x20AC;&#x201D; they represent less than six percent of all general dentists practicing in the United States and Canada. Masters have accepted the charge to keep abreast of advances in dentistry for the benefit of patients and the betterment of dentistry.

MCW: What is the most challenging? SN: Itâ&#x20AC;&#x2122;s challenging dealing with and trying to educate patients about dental insurance. Unlike medical insurance, dental insurance pays a specific dollar amount per year per patient. It doesnâ&#x20AC;&#x2122;t pay a percentage of the overall treatment like medical insurance. Most dental insurances typically give a maximum of $1000.00- $1500.00 per year and thatâ&#x20AC;&#x2122;s it! This amount has been the same for over 25 years and has not gone up with inflation. Some patients only want to do the treatment that the insurance will pay for and put the rest off for the following year. This is an unfortunate decision because by putting off needed dental treatment, it ends up costing them more in the long run and they risk losing teeth.

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to tooth loss. Research has shown that periodontal disease is associated with other chronic inflammatory diseases, such as diabetes and cardiovascular disease. One out of every two American adults aged 30 and over has periodontal disease according to the Centers for Disease Control and Prevention.

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The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

Medical Professionals

Finally! A Real Solution For Dry Eye

Written By: Dr Lisa Ortenzio The Witlin Center For Advanced Eyecare Dry eye is the most under diagnosed condition in eye care. It has been estimated that 10-20 percent of the US population suffers from Dry Eye in varying degrees. Symptoms include fluctuating vision, burning, grittiness and tearing. Dry eye has many causes. The delicate balance of the three layers of the tear film can be disrupted by hormonal changes that occur around menopause. Twice as many women have dry eye, as do men. Medications such as antihistamines, antidepressants, hormone replacement therapy, and blood pressure medications (especially water pills) can also be a cause. Many generalized health

conditions including thyroid disease, diabetes and lupus are also contributing factors. The majority of dry eye is evaporative in nature. It is caused by a decrease in lipid (oily) secretions from the oil glands located in your eyelids. These glands normally produce a clear oily liquid that spreads out over the surface of the eye that prevents your tears from evaporating too quickly. If these glands are not working properly, the secretions become thicker and denser, looking like toothpaste. The oil is not released from the glands during a blink and a key component of the tear film is reduced or absent. For many years dry eye was simply treated with artificial tear drops. Artificial tears provide temporary relief but not any long lasting relief. Most patients are unable to instill eye drops every 2-4 hours without a disruption to their lives. RestasisÂŽ is a prescription eye drop form of cyclosporine which is a powerful anti-inflammatory medication. It works by decreasing the inflammation that causes dry eye leading to healthier and improved tears. RestasisÂŽ can be of great benefit when

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The County Woman Magazine

regularly used as part of an overall treatment plan. Nutritional supplements also play an important role in dry eye treatment. Omega-3 fatty acids can improve the oil (meibomian) gland secretions leading to a better tear film. As most Americans do not eat enough fish and other natural sources of Omega-3s, high quality oral supplements are often needed.

There has never been an FDA cleared procedure that treats the root cause of dry eye until NOW! The Premier Dry Eye Group at

July is Dry Eye Awareness Month! According to the National Womenâ&#x20AC;&#x2122;s Health Resource Center, Dry Eye Syndrome is one of the most common eye-related complaints in the United States, affecting nearly 21 million people.Â It occurs most often in the elderly. committed to providing personal and innovative care at the highest professional level. Please feel free to visit our website at

www.witlineyecare.com or contact the office to make an appointment by calling 732-698-9300.

The Witlin Center for Advanced Eyecare specializes in Dry Eye patients utilizing the newest and most innovative procedures. We are one of the first practices in New Jersey to acquire Carolyn N., Age 62, Evaporative Dry Eye sufferer since 2005 the LipiView/LipiFlow system. How did suffering from Evaporative Dry Eye impact your life? Through heat and massage, â&#x20AC;&#x153;It was horribly uncomfortable light sensitivity; I couldnâ&#x20AC;&#x2122;t wear my LipiFlow is able to remove contacts much. Sometimes I couldnâ&#x20AC;&#x2122;t drive, I couldnâ&#x20AC;&#x2122;t read.â&#x20AC;? the solidified oil clogging the meibomian glands, which allows After the LipiFlow treatment, when did you start feeling relief? the glands to essentially â&#x20AC;&#x153;resetâ&#x20AC;? â&#x20AC;&#x153;I would say within a few days.â&#x20AC;? themselves to secrete the oil What has been the difference since the LipiFlow treatment? necessary for an optimal tear film. â&#x20AC;&#x153;I can wear my contacts. Itâ&#x20AC;&#x2122;s very exciting. This has made a huge, Once the tear film is more stable, huge difference.â&#x20AC;? comfort is radically improved How did the treatment compare to your expectations? and visual fluctuations diminish. â&#x20AC;&#x153;Itâ&#x20AC;&#x2122;s been better than I expected.â&#x20AC;? Patients find that contact lens tolerance, especially end of day How did suffering from Evaporative Dry Eye impact your life? dryness, improves and lessens the â&#x20AC;&#x153;I had trouble keeping my eyes open because of the burning and the rate of â&#x20AC;&#x153;contact lens dropoutâ&#x20AC;? pain. I couldnâ&#x20AC;&#x2122;t read in the evening. I was just miserable.â&#x20AC;? resulting in happier patients. What were your expectations of the LipiFlow Treatment? A LipiFlow treatment is â&#x20AC;&#x153;They werenâ&#x20AC;&#x2122;t that high because nothing helped me before. But I was performed in our East Brunswick willing to try it because I was pretty desperate.â&#x20AC;? office. It is a painless procedure What was the LipiFlow procedure like? generally done on both eyes â&#x20AC;&#x153;There was some discomfort; there wasnâ&#x20AC;&#x2122;t any pain. Compared to and takes about 15 minutes. the other treatment it was like going from 15th-century medical Insurance companies do not pay treatment to 20th-century.â&#x20AC;? for a LipiFlow treatment. It is an out of pocket expense to the How soon after the treatment did you start feeling the effects? patient. However, most patients â&#x20AC;&#x153;Immediately.â&#x20AC;? have spent thousands of dollars over the years for their dry eyes without any real relief so patients Dr Lisa Ortenzio is a 1990 graduate of the University of Delaware report this is money well spent! and received her Doctorate from the Pennsylvania College of Most patients feel relief almost Optometry in 1995. immediately after treatment and the effects last from 9-18 months She then spent 2 years in post graduate training and subsequently although many patients feel improved symptoms even longer. practiced at 2 large ophthalmology groups in Central Jersey. Dr. Ortenzio has specialty training for the Lipiview/Lipiflow system, which We at the Premier Dry Eye Group at The Witlin Center are treats the root cause of dry eye.

www.TheCountyWoman.com

July/August 2013

Medical Professionals

Area Doctors Offer Next-Generation Treatments and Community Awareness For over 50 years Atlantic NeuroSurgical Specialists (ANS) has maintained its core value that the needs of their patients come first. This means constantly striving toward the application of leading-edge research to their clinical practice. Their neurosurgeons incorporate the most advanced surgical technology and neurosurgical techniques available for the treatment of back pain, brain tumors, stroke, brain aneurysms, spinal disorders, traumatic brain injury, and more. ANS is affiliated with New Jersey’s leading healthcare systems. With a number of offices throughout the region, their reputation has made them the largest, private neurosurgical practice in New Jersey. With the rising popularity of “boutique surgeries” being offered by less qualified specialists, ANS has launched an awareness campaign to educate the community on the importance of choosing a neurosurgeon for an accurate diagnosis and to dismiss the idea that you only go to a neurosurgeon when surgery is needed. Neurosurgeons are the most qualified specialists to diagnose and treat your back pain as well as other ailments associated with your delicate nervous system. “We hope this campaign will make people think twice before allowing surgery to be performed by someone other than a surgeon,” says Tom Wood of ANS. ANS performs the most minimally invasive spine surgeries in New Jersey. ANS’s Dr. Wells-Roth explains why a neurosurgeon is the best fit to treat your spine. “Your spinal cord is the link between your brain and the rest of the body and must be handled with care. A neurosurgeon is specifically trained to treat the intricacies of the

MCW_July_Spine-Editorial_#708_r5.indd 1

The County Woman Magazine

spine and nerves involved. I have seen many failed back surgeries from patients who have had quick fix surgeries such as laser surgery.” ANS’s Dr. Kyle Chapple further explains the dangers. “When patients choose these attractive procedures, they can risk doing more harm than good. We urge patients considering surgery to make sure their doctor is a trained surgeon.” ANS is also the region’s largest practice treating stroke, the leading cause of disability in the United States. ANS was the group who launched the first comprehensive stroke center in New Jersey. Since then, ANS has expanded to 3 additional comprehensive centers and holds a success rate that far surpasses the national average. The endovascular team continues to engage in clinical trials for new stroke technologies and therapies, giving patients access to the next generation of stroke management. In accordance with ANS’s constant effort to better educate the community, ANS has recently launched “ANSwers LIVE,” a radio show airing Sunday mornings from 9:30-10:00. You can tune in online at www.wmtram.com/ listen/ to hear Tom Wood of ANS speak with medical experts from various specialties. Important topics are varied each week and cover a broad range of health information. Listeners are encouraged to call in to get ANSwers to any medical questions they may have. Don’t let insurance come before your health. ANS sees all patients. To learn more about the latest advancements in treatment or to view a listing of all hospitals ANS is affiliated within your area, visit www.ansdocs.com or call 732.455.8225.

Don’t be fooled by temporary solutions. They won’t fix your spine. With the number of Americans suffering from back pain on the rise, it’s no surprise there are so many specialists offering relief. Don’t put yourself at risk. Only trust a board certified neurosurgeon to diagnose and treat your delicate nervous system. ANS remains the largest and most reputable neurosurgical practice in New Jersey. ANS sees all patients. Don’t let insurance come before your health. For more information visit www.ansdocs.com or call 732.455.8225.

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

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310 Madison Avenue Suite 300 Morristown, NJ 07960 973.285.7800

Additional Offices

89 Sparta Avenue Sparta, NJ 07871 973.729.0266

Dingmans Ferry, PA

Bedminster, NJ Englewood Cliffs, NJ

6/7/13 12:03 PM

July/August 2013

Medical Professionals

Stubborn fat has met its match.

< Freeze your fat away.

Transform yourself

without diet, exercise or surgery. CoolSculpting is the revolutionary body contouring treatment that freezes and naturally eliminates fat from your body. There are no needles, no special diets, no exercise programs and best of all – no downtime. Developed by Harvard scientists to eliminate fat, CoolSculpting is FDA-cleared, safe and clinically proven.

BEFORE

17 WEEKS AFTER COOLSCULPTING (No Weight Change)

Procedure by Brock Ridenour, MD

Call us today at (732) 281-1988 to schedule your consultation.

Christopher P. Godek, M.D., F.A.C.S. 1430 Hooper Avenue Toms River, NJ 08753 Phone: 732.281.1988 Fax: 732.281.1977

Results and patient experience may vary. Ask us if CoolSculpting is right for you. CoolSculpting for non-invasive fat reduction is cleared for the flank and abdomen. CoolSculpting is a registered trademark and the CoolSculpting logo and the Snowflake design are trademarks of ZELTIQ Aesthetics, Inc. © 2012. All rights reserved. IC0529-C

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

Medical Professionals

Stubborn Fat Has Met Its Match

Freeze Your Fat Away With CoolSculpting

About CoolSculpting . . . ®

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

Key Benefits of CoolSculpting

It involves no needles, surgery or downtime.

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

It’s safe.

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

It’s convenient.

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

The results are dramatic.

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

How CoolSculpting Works ®

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

Target Patient

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

Treatments Starting At $750 & Up To schedule your personal consultation, contact:

Bella Derma Medi Spa

1430 Hooper Avenue, Suite 204 Toms River, NJ 08753

(732) 281-1988

www.bella-dermamedispa.com

Efficacy

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

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

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Dr. Christopher P. Godek

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July/August 2013

Medical Professionals

Could your Dentist become the 21st Century Tooth Fairy?

Dr. Maxim Sulla Educating Patients About A New Source Of Stem Cells: Teeth Dr. Sulla gives families the chance to save their own stem cells for future medical use, by offering Store-A-Tooth, the leading dental stem cell banking service. Nearly everyone has heard of the potential of stem cells to treat a wide range of serious diseases. Yet few people realize that a rich source of these cells are teethâ&#x20AC;&#x201D;baby teeth that come loose during childhood, wisdom teeth extracted from teens or young adults, and teeth that need to be pulled to make room for braces. These potent stem cells exist in the dental pulp of any healthy tooth and can be preserved to protect a familyâ&#x20AC;&#x2122;s future health. Dr. Maxim Sulla, DDS, [Pediatric Dentist] at Tender Smiles 4 Kids in Freehold, New Jersey, is at the forefront of bringing stem cell innovation to his community. By

partnering with Store-A-Tooth, he now offers the highest quality dental stem cell preservation to his patients. â&#x20AC;&#x153;This service enables parents to save the stem cells from their childrenâ&#x20AC;&#x2122;s teeth as an investment in their familyâ&#x20AC;&#x2122;s health. There is no greater gift to give your child than added protection toward their future,â&#x20AC;? said Dr. Maxim Sulla. â&#x20AC;&#x153;Our goal is to bring the highest level of quality to everything we do â&#x20AC;&#x201C; thatâ&#x20AC;&#x2122;s why weâ&#x20AC;&#x2122;re pleased to introduce StoreA-Tooth, a minimally invasive, more affordable and convenient option for saving a childâ&#x20AC;&#x2122;s stem cells.â&#x20AC;? The process is simple. Your family makes an appointment with Dr. Maxim Sulla to extract the teeth. For example, the baby teeth which would be falling out naturally, the teeth needing to be pulled for braces or wisdom teeth which are scheduled to be extracted. Dr. Maxim Sulla places the teeth in a special Store-A-Tooth transport kit to protect them during overnight transport to the lab. There, the sample is tested for viability and processed for long-term cryopreservation, and a lab report is sent for confirmation to the family that the stem cells have been safely processed and stored.

Preservation of dental stem cells for future needs Research, while early, is increasingly showing promise that dental stem cells may someday play a role in treatments for such serious conditions as Type 1 Diabetes, stroke, cardiovascular disease, spinal cord injuries, and neurological conditions such as Alzheimerâ&#x20AC;&#x2122;s and Parkinsonâ&#x20AC;&#x2122;s. In fact,

since 2000 when National Institutes of Health researchers first discovered potent stems cells in teeth, this new source of stem cells has gained significant focus within the research community. Dental stem cells have already been used in human studies to treat periodontal (gum) disease and to regrow jawbone.

â&#x20AC;&#x153;This service enables parents to save the stem cells from their childrenâ&#x20AC;&#x2122;s teeth as an investment in their familyâ&#x20AC;&#x2122;s health. There is no greater gift to give your child than added protection toward their future.â&#x20AC;? As the awareness of dental stem cells grows, the possibility of banking baby teeth is increasingly piquing the interest of parents seeking an additional layer of promise against disease for their child. Banking stem cells (preserving the stem cells in longterm cryopreservation tanks so they can later be used for clinical use) is commonly done with bone marrow and umbilical cord blood and is a well-established technology. But now, with the discovery of dental stem cells, parents can bank their childâ&#x20AC;&#x2122;s baby or wisdom teeth â&#x20AC;&#x201C; an easy, affordable and convenient option to save their

familyâ&#x20AC;&#x2122;s stem cells.

Dr. Max graduated from NYU College of Dentistry with his D.D.S. with honors and then received his Pediatric Dentistry degree from the University of Medicine and Dentistry of New Jersey. He is the President of the NJ Academy of Pediatric Dentistry and a council member of the American Academy of Pediatric Dentistry.

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July/August 2013

Medical Professionals

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July/August 2013

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Medical Professionals

Talking to Your Daughter About Her Changing Body

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MONMOUTH OCEAN MEDICAL SERVICES, LLC Board Certified â&#x20AC;˘ Obstetrics â&#x20AC;˘ Gynecology Se Hable EspaĂąol

516 Duquesne Blvd Brick, NJ 08723 Ph:Â Â 732 477-2727 Fax:Â 732 477-4613

Maggio Plaza 3520 Route 33 Neptune, NJ 07753 Ph:Â Â 732 477-2727 Fax:Â 732 477-4613

t "EVMUT BOE DIJMESFO XIP NJHIU â&#x20AC;˘ Exercise. to high-risk â&#x20AC;˘transmit Place a influenza heating pad on your individuals (including people abdomen or lower back. listed above). This includes healthcare workers, When should youworkers get in nursing homes, home health concerned enough to see workers and people who live the OBGYN? with a high-risk individual.

LLC

he Doctor . . . Dr. Parchment is a Board Certified Physician with a specialty in Obstetrics and Gynecology. He received his medical education

ty of Medicine and Dentistry of New Jersey. He received his medical training at Mount Sinai School of Medicine â&#x20AC;&#x201C; New York University, where he ellow in maternal-fetal medicine. Dr. Parchment has medical privileges at Jersey Shore Medical Center in Neptune, N.J., the Kimball Medical Center N.J., and the Ocean Medical Center in Brick, N.J. Prior to establishing a successful practice in Ocean and Monmouth County, he was director of e Hospital Center at Orange in Essex County, NJ. He also speaks fluent Spanish. Dr. Parchment is an alumnus of the United States Naval Academy, In his free time, you may see Dr. Parchment at the Lakewood Blue Claws game watching his favorite baseball team, playing his guitar, or in the park LLC y. He is father to Alexander Joseph and Alexa Joanne Parchment, as well as husband to the lovely Suzanne K. Parchment.

About The Doctor . . . Dr. Parchment is a Board Certified Physician with a specialty in Obstetrics and Gynecology. He received his medical education www.TheCountyWoman.com nty Woman Magazine www.TheCountyWoman.com

The County Woman Magazine at the University of Medicine and Dentistry of New Jersey. He received his medical training at Mount Sinai School of Medicine â&#x20AC;&#x201C; New York University, where he practiced as a fellow in maternal-fetal medicine. Dr. Parchment has medical privileges at Jersey Shore Medical Center in Neptune, N.J., the Kimball Medical Center

ness, you should stay home for at least 24 hours after your fever is gone except to get medical care or for other necessities. Your fever QUALITY SERVICE should be gone without the use of â&#x20AC;˘ Ultra-Sounds a fever reducing medicine. While sick, limitWork contact with â&#x20AC;˘ Blood others as much as possible to keep â&#x20AC;˘ infecting Urological from them. Testing

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Dr. Parchment & His Staff Provide Quality Value To His Patients

For over 20 years Dr. Alfred Parchment has been a practicing OBGYN and has participated in countless births.

As an obstetrician gynecologist, he provides care for both pregnant and non-pregnant women. Additionally, he is an expert in this field of medicine, responsible for reproductive health and both antepartum and postpartum care of women. His office provides ultra-sounds, blood work and urological testing. Dr. Parchment received his medical education from the University of Medicine and Dentistry and proceeded to residency training at the Mt. Sinai Medical Center. After completing his residency in 1995 he started a fellowship in maternal fetal medicine, specializing in “high risk” and problem pregnancies. He adds, “Although extremely rewarding, pregnancy can be the most dangerous time in a woman’s life. So many things can go wrong, but with proper care and planning the risks can be minimal.” He says that for women, pre-pregnancy health and addressing medical issues prior to pregnancy is one of the most important actions you can do to prepare for a successful pregnancy. One of those issues is weight management. Women who weigh too much or too little can have problems

getting pregnant. The doctor advises all women to reach a healthy weight before trying to get pregnant. Other preventative measures include taking folic acid. He adds, “Folic acid has been shown to help decrease the risk of neural tube defects and correcting abnormal glucose in diabetic patients. It can also control elevated blood pressure in patients with hypertension and can allow for a smooth pregnancy.” He strongly suggests genetic counseling if you or your partner has a history of a condition that can be passed on to your unborn child. Genetic counseling can help you find out what the chances are that your baby will have the condition. It will also help you sort out what your options might be if it is discovered that your baby does have problems. Some examples of conditions that might call for counseling include cystic fibrosis and muscular dystrophy. Something else you may want to consider before getting pregnant is your home or work environment. He adds, “Many people often have chemicals or substances in their home that could hurt an unborn baby.” Dealing with these substances can at times be complicated and time consuming so it is important to plan ahead. For example, people who live in homes built before 1978

often have lead paint on their walls or woodwork. Lead in chips or dust from this paint could harm a baby. Be sure and ask your doctor how to deal with this so you can solve the problem before it’s too late. For Dr. Parchment, the most rewarding part of his profession is the opportunity to participate in healthcare and assist in childbirth. Among some of the more memorable births are those of multiple gestations and some of the more complicated births that resulted in great outcomes. Dr. Parchment is an alumnus of the United States Naval Academy and is fluent in Spanish. He is also a member of the American College of OBGYN and the NJ Medical society and participates in many local activities. He is a big believer in helping his community and you can often times find him volunteering for community service jobs. When he is not busy bringing new life into the world you may find him at a Lakewood Blue Claws game watching his “favorite baseball team,” playing his guitar, or in the park with his lovely wife, Suzanne. They have two children: 20-year-old Alexander Joseph, and 7-year-old daughter Alexa Joanne. Read Dr. Parchment’s article on page 7.

Taking the time to pose for a beautiful family portrait, Dr. Parchment hugs his wife Suzanne and 7-year-old daughter Alexa Joanne. His son Alexander Joseph (20) is not pictured.

TheCounty County Woman Woman Magazine Magazine The

www.TheCountyWoman.com www.TheCountyWoman.com

November/December July/August 2012 2013

Medical Professional

What To Expect In Your Follow Up Visit After Vein Treatment Medical Professionals

2. A doctorâ&#x20AC;&#x2122;s personal experience gained

checked to confirm its closure. During patients yearly, but at that point MANY this time and after, you will be required to PATIENTS DROP OFF FROM wear compression stockings and you can ROUTINE FOLLOW UP. To my surprise some patients have returned after 5 years 3. The particular patients clinical picture. continue all normal activities. We ask you to return in 1 month to for a new onset varicose vein in the same This is the manner in which the follow up reevaluate the treated leg again because leg or in the untreated leg, or for spider on patients is created in our vein center as there is 1-3% chance of reopening of the vein treatment. Sclerotherapy also requires a well. vein.Effects In my practice, this is follow up at leastare once a yearSclerotherapy for treatment treatment. pursuing for Showers are permitted, Other Side The follow up actually begins on the but closed varicose any of theoffollowing sideof spider cosmetic purposes only, your waterinshould be cooler than about 1% and is picked up withinShould the first new onset veins. Include: day when a patient the comes for initial effects occur, contact your doctor insurance carriertomost usual. month. When the patient returns the likely will t Larger veins may become evaluation. The first appointment usually immediately. These include: not provide coverage. lumpy and hard and may require The subsequent follow up is in 3 surgeon for further treatment that is the Sclerotherapy takes about two hours. This is because a 5P PQUJNJ[F SFTVMUT BOE NJOJĂ&#x; Inflammation within five several months to dissolve and24 months. months, 6 months, 12 and At best compliment a physician can get from Effectiveness detailed history and physical exam is done, NJ[F UIF SJTLT PG DPNQMJDBUJPOT inches of the groin fade or might need needle aspiraof these visits a venous ultrasound is onsetthe bonding of trust from of apatient. swollen That WJTJU B USVTUFE DMJOJD TQFDJBMJ[JOH Ă&#x; A sudden followed by a venous ultrasound when asallmany each tion to remove the painful clot. Studies have shown performed to evaluate for reflux, reopening the patient brings the in the in the best treatment of physician vein disorleg the deep veins and superficial veins are Presented By: t #SPXO MJOFT PS TQPUT NBZ as 50%-80% of injected veins of appear the closed vein, andInnew onset Ă&#x;ofFormation reflux of small due to theattremendous responsibility that is ders. Ensure that those performulcers at the vein site. most may be eliminated with each sesassessed, photographs of the legs to be Girija Surya, MD providers the injection site. a different vein. This is also placed on him oring herthetotreatments perform are their very they disappear within threecorrelated sionmeasurements of Sclerotherapy.for Although in cases, treated are done, and Vein Center For Women who have undergone extensive to six this procedure themonths. clinical picture of severity of the best Pď?˛ď?Ľď?łď?Ľď?Žď?´ď?Ľď?¤ Bď?š: compression stockings are done.works for many with training. Also, strictly follow t /FPWBTDVMBSJ[BUJPO UIF EFWFMInsurance Coverage for patients, the results are always reflux. Gď?Šď?˛ď?Šď?Şď?Ą Sď?ľď?˛ď?šď?Ą, MD The treatment plans are also discussed. post-treatment new, tiny these blood appointments variable and are somewhat Vď?Ľď?Šď?Ž Cď?Ľď?Žď?´ď?Ľď?˛ Fď?Żď?˛ Wď?Żď?ď?Ľď?Ž Sclerotherapy opment We tryofto tailor instructions. Unfortunately, many of the insurance vessels may occur at the site of unpredictable. Insurance coverage for when we treat both legs, trying to combine companies demand a monthly follow up sclerotherapy treatment. These In general, spider veins Sclerotherapy varies. If your variBSdf ;; aX ;; Vein Center For Women some thecan appointments a patientâ&#x20AC;&#x2122;s tinyof veins appear days orto suit cose respond in three to sixprior weeks for 3 months on conservative therapy veins are causing medical is a friendly and efficient I was very busy this spring with Hi! Friends! without losing up such as pain or chronic weeks after the procedure, but follow larger veins respond problems to approval for any and procedure. There is in three convenience, Vein Center for Women at should fade within three to In Part I of this article we many of you coming in for sclerotherapy fourto months. the this veins protocol that we practice. swelling, your insurance provider no clear supportingtodata show Ifthat t )PMNEFM &BTU #SVOTXJDL twelve months without further respond to the treatment they may offer reimbursement. If you discussed using Sclerotherapy as early in anticipation and preparation for Subsequent to 24 months, we follow practice prevents anwill invasive procedure for 732-254-0500 not reappear. However, a treatment for Varicose Veins. this summer. Today I am giving some varicose veins. However at the time new veins maypresent appear at the Today we will talk about what information on the usual follow up that can all insurance companies follow this and with same rate as before and if treatment of be expected in treatment of varicosehappens veins. after your needed, of youwaiting. may return for some plans it is 6 months There Sclerotherapy. I want to make a personal remark here, is no way around it,injections. except ifFollow there up hassessions been Conservative Therapy: Patients are advised about Leg Elevation for some of you who may know her...I lost are necessary a complete and use of Compression Stockings. What Happens bleeding After from varicose veins orfor there is a resolution. Non-Invasive Vascular Ultrasound: Diagnostic ultrasound studies a precious person in my office recently. Sclerotherapy? non healing venous ulcer. When you come are performed to determine the best treatment for patients. Desiree was my clinical coordinator and in after you yourwill 3-month follow up, a repeat After Sclerotherapy Surgical Treatment: Large and bulging veins are treated with new Side Effects of wore many other hats in the practicebeasable to drivevenous techniques. yourselfultrasound home is done to evaluate the $W 6HW WKH 6WDJH ZH VSHFLDOL]H LQ FUHDWLQJ EHDXWLIXO VSDFHV LQ \RXU KRPH Sclerotherapy â&#x20AC;˘ Radiofrequency Ablation / Laser Ablation â&#x20AC;&#x201D; For superficial needed. At a young age, she recentlyand passed resume your regular daily effect of 3-month conservative therapy. large veins with reflux There are mild effects, away, another victim to breast cancer. activities. Walking is encour7KURXJK VWDJLQJ VSDFH SODQQLQJ DQG GHVLJQ ZH ZLOO FXVWRPL]H DQ LQWHULRU WDLORUHG WR \RXU â&#x20AC;˘ Micro-phlebectomy â&#x20AC;&#x201D; For small bulging veins At this time you are given all options of such as itching, which can be instructed to â&#x20AC;˘ Sclerotherapy â&#x20AC;&#x201D; For small veins a.k.a. Spider veins Apart from wanting to acknowledgeaged. her You willtreatments so you can make your decision VW\OH DQG QHHGV :KHWKHU \RX DUH VHOOLQJ RU GZHOOLQJ FRQWDFW XV WRGD\ DW â&#x20AC;˘ ClariVein a.k.a. MOCA! (mechanico-chemical ablation) â&#x20AC;&#x201D; last for one to two days after wear support stockings to comin appreciation and gratitude, I wanted to For superficial large veins with reflux. Saves time and discomfort. with your surgeon. the Youprocedure. are scheduled for a You may press the treated veins. 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Ă&#x; Hot baths Most Medical Insurances Are Accepted $W 6HW WKH 6WDJH ZH VSHFLDOL]H LQ FUHDWLQJ EHDXWLIXO VSDFHV LQ \RXU KRPH Holly Volpe is a designer and certified stagQQHFWLRQV IRU EX\ Contact@veincenterforwomen.com up within 1 week for a venous ultrasound What theCounty, recommendation is perĂ&#x; the Hot compresses East Brunswick: Plaza Hill Holmdel: Colonial Commons ing consultant1. serving Monmouth and 7KURXJK VWDJLQJ VSDFH SODQQLQJ DQG GHVLJQ ZH ZLOO FXVWRPL]H DQ LQWHULRU WDLORUHG WR \RXU 646 Rte 18, Bldg. A, #101 670 N. Beers St., Bldg. 2, Ste. 4 surrounding areas. Set The of Stagethe specializes Phone: (732) 254-0500 when all the deep veins are checked for Ă&#x; Whirlpools or saunas analysis results of VW\OH DQG QHHGV :KHWKHU \RX DUH VHOOLQJ RU GZHOOLQJ FRQWDFW XV WRGD\ DW many studies and in home staging, space planning, and interior East Brunswick, NJ 08816 Holmdel, NJ 07733 Ă&#x; Direct exposure to sunlight any clots and the closed varicose vein is trials; design. 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If you have any questions and/ or would like to learn morewww.TheCountyWoman.com about these solutions, please contact Dr. Yvonne Johnson

July/August 2013

Medical Professionals

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The County Woman Magazine

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Residential &Commercial Design 20 Residential & Commercial Design Featured Service - Space Planning ¹GYh H\Y GhU[Yº " " " FYZfYg\ FYbYk

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At Set the Stage, we specialize in creating beautiful spaces in your home. Holly Volpe is a designer and certified stag- and Holly Volpe is a designer ing consultant serving Monmouth County, and certified staging consultant Through staging, space planning and design, we will customize an interior tailored to your surrounding areas. Set The StageMonmouth specializes County and serving style and needs. Whether you are selling or dwelling, contact us today at 732-850-0507 in home staging, space planning, andareas. interior surrounding Set The Stage design. to see how Set The Stage can take your home from mediocre to magnificent! specializes in interior design, space planning and home staging.

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Health & Wellness

h & Wellness

Health

& Wellness

An Essential Element For Healthy Bodies! dcfhUbh GhYdg =b H\Y :][\h 5[U]bgh 7UfX]cjUgWi`Uf 8]gYUgY primary requirement for life.

ideal water that we consume

Jade GreenZymes (barley grass)

the addition of a citrus fruit, of contamiIf you have questions and/like more information on essential omega fatty acids If any you would Our bodyforis composed of should be filtered Steps Should We bergamot, to be significantly lipid control. 70 to 75% of water. Water is nants, ionized and maintain or would like to learn more our products, please call my office at: beneficial. an alkaline ph. Minerals,about these an effective lubricant around Help Prevent solutions, please Cardiovascular wellness the joints, and acts as a shock nutrients magnetic energy 732 – 409 – 2995. is additionally enhanced Hippocrates, the and father contact Dr. Yvonne Johnson lay the Onset of absorber for eyes, brain and spishould be returned to the water by consuming superfruits of medical science, said, at: 732-409-2995. nal cord. Therefore, a healthy after the filtration process. vascular Disease? (Macqui-Acai berry blend), Providing years of wellness “Let food be your medicine”. Kenzen Bergisterol adult should drink at least 10 You will be the beneficiary ofOmega Kenzen Kenzen Mega Daily 4 Kenzen Ciaga which deliver the greatest (bergamot). proponent of to the community. Green + DHA (gender speciﬁc multivitamins) nutrition glasses of water or a half ofKenzen our Wellness phenomenal results when you (superfruits nutrient and antioxidant levels. (omega3) n first” as a guide to is based on the principle that Macqui - health with Inspiring you to achieve and maintain optimal weight each day to hydrate and drink this wonderlevels of ealth. Surrounding the To help maintain natural solutions that help you to slow downAcai theberry aging process: natural, the ideal replenish the cells. It has also whole fullyfoods pure,are cool triglycerides, blood glucose, blend) osteoporosis, diabetes, joint and deep tissue discomfort, renal the proper ingredients source nutrientswayour body been recommended that for of therefreshing blood pressure and cholesterol and respiratory challenges, without side effects!! body to protect meant to and are each 20 pounds above was our ideal ter.consume, Your body within the normal range, or attempt to correct Written By: your best medicine. weight, we should drink an adwill thank you Dr. Yvonne H. Johnson clinical tests have demonstrated as they may arise. H. Johnson Dr. Yvonne ditional glass of water. as your joints, Hall, Harrison & Johnson Assoc., LLC Hall, Harrison & Johnson t concern to the As we age, dehydration is aches and Assoc., LLC f us is maintaining one of the major causes that discomforts of our cardiovascular contribute to declining health. begin to diso prevent and/or delay Consequences of mild dehyInspiring you H. to achieve and maintainappear. optimal health with natural solutions that help you to email: Dr. Yvonne Johnson dration, (only 1-2% of body ptoms and to keep slow down the aging process: osteoporosis, diabetes, joint and deep tissue drjohnson@hallharrisonjohnson discomfort, renal @ek\ieXk`feXc 9ifb\i&N\cce\jj :fejlckXek weight), include thirst, tired Water is at the center of unctioning optimally, NXkXeXY\ C\X[\ij_`g K\Xd and challenges, without side effects!! ness, headaches and arespiratory decrease life.the Nearly upporting body all of the major )''+ C\X[\ij_`g :fleZ`c systems nic, whole food in our body depend on in alertness, concentration andDR. YVONNE H. JOHNSON GooD HeALTH Is PrICeLess – memory. We should beHall, espe- Harrison water. So vital to maintaining Hall, Harrison & Johnson Assoc., LLC PrevenTIon Is KeY! & Johnson Assoc.,llc cially alert to these symptoms the body’s health, that we can with a gender specific 732-409-2995 when taking care of elderlyP.O. pa- Box 7075 only livewhich from 3 to 5 days withmultivitamin, email:| drjohnson@hallharrisonjohnson Freehold, NJ 07728 732.409.2995 tients. The sensation of thirst You can view and learn about out any des minerals andwater intake. Water is diminishes with age, along with GOOD HEALTH IS PRICELESS – PREVENTIONmore IS KEY! vitalofinbarley assisting the blood to innovative at d a source D.products Y H. J Your Health is Priceless – Prevention is the Key normal renal function. deliver oxygen and nutrients ch is naturally alkaline, H, H  yjohnson@mynikken.net | and www.nikken.com/yjohnson You can view learn about more innovative products at www.hallharrisonjohnson.com Please remember that the to the J A., LLC tioxidants andcells. Hydration is a www.hallharrisonjohnson.com ients. Finally, include

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Providing years of wellness to the community.732-409-2995

The County Woman Magazine unty Woman Magazine

www.TheCountyWoman.com www.TheCountyWoman.com

July/August 2013 March/April 2013

Health & Wellness Health & Wellness

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you think. The problem can be found in metabolism. For those unsure, metabolism is

your body settles into starvation mode causing you to lose Testimonial muscle mass instead of fat since

your body stores fat for the winter. muscle mass loss glucose The and suppressing hormones reduces metabolism. a such as your estrogen and thyroid.AsThe result your also causes to store fat result, loweryou calorie intake in yourassist abdominal area. This doesnâ&#x20AC;&#x2122;t in dropping the is effective if you are weight as fast as yourunning would like for a lion for 30 minutes but it because you still have metabecomes a real problem if you keep bolic needs to fulfill. Once the running for 20-40 years. These diet ends, increases days most your peopleweight have stressful coinciding with your low lives, which causes this hormone metabolism andfordiminished to stay elevated long periods of time.mass. The result is badthat effects muscle However, on fat storage and suppression doesnâ&#x20AC;&#x2122;t mean you should giveof hormones. It ultimately upother on diets entirely. You just also has the effect of making women need to find the right diet. produce testosterone. We canâ&#x20AC;&#x2122;t TheourHCG dietlives is abut highly quit stressful recommended diet in which it metabolic medicine has treatments works your and not whichwith balance ourbody cortisol. dietbody. we believe againstThe your HCGworks (hubest chorionic to reset your metabolism for man gonadotropin) quickthat loss is is produced the HCG iseffective a hormone diet. The HCG diet works with during pregnancy. The physiyour body and not against your cian-guided, low calorie diet body. HCG (human chorionic feeds â&#x20AC;&#x153;the babyâ&#x20AC;? breakingthat gonadotropin) is by a hormone down fat instead muscle. InThe is produced duringofpregnancy. time, the reduced low fat assists physician-guided, calorie in diet feeds â&#x20AC;&#x153;the by breakingAs down raising yourbabyâ&#x20AC;? metabolism. fat diet instead of muscle.your In time, the the continues, metabreduced fat assists in raising your olism becomes â&#x20AC;&#x153;super-chargedâ&#x20AC;? metabolism. As the diet continues, increasing desired weight loss your metabolism becomes â&#x20AC;&#x153;superresults. Although is weight a chargedâ&#x20AC;? increasingHCG desired hormone produced loss results. It is safe by for pregboth men nant women, the diet is safe for men and women, according to doctors. An added benefited, as

â&#x20AC;&#x153;My name is Linda and Iâ&#x20AC;&#x2122;ve lost 41 pounds in 40 days using the HCG diet! This is not just a diet itâ&#x20AC;&#x2122;s a life style change that is easy to live with. Iâ&#x20AC;&#x2122;ve learned what to eat, how much, and what to stay away from. What I love most about this diet is itâ&#x20AC;&#x2122;s in phases, and itâ&#x20AC;&#x2122;s teaching me so much about food and my body.â&#x20AC;?

mentioned on an episode of Dr. Oz, the decreased appetite andiswomen. HCG assists the body making less to reset the yourlow-calorie metabolismdiet and for sustained weight lossalso hormone ofthe a struggle. Doctors reoptimization is key. port that weight gain is unlikely The proper essential once the HCGdiet dietis program however when you are not getting has ended, because your me-

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â&#x20AC;&#x153;I couldnâ&#x20AC;&#x2122;t have done this with out Cindy Santoroâ&#x20AC;&#x2122;s help. She provided me with so much information and tools to help me to succeed.â&#x20AC;?

Improve Health Solutions â&#x20AC;˘ 200 Atlantic Before Avenue â&#x20AC;˘ Manasquan, NJ After

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The County Woman Magazine

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May/June 2013 July/August 2013

Medical Professionals

6 22

K\Uh Mci G\ci`X ?bck 5Vcih <YdUh]h]g 7 not completely understood. CDC is recommending that everyone born during 1945 through 1965 get a blood test for Hepatitis C. This recommendation calls for one-time testing of baby boomers. In the United States, Hepatitis C virus (HCV) is the most common cause of liver fibrosis (cirrhosis) and liver cancer.

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epatitis C can show no symptoms until advanced liver damage develops.

Hepatitis C is a treatable disease if identified before significant complications develop.

Q A

How common is Hepatitis C?

Hepatitis C virus is the most common cause of chronic viral liver disease in the United States. It is estimated that 1.8% of the U.S population (about 4 million Americans) are infected with Hepatitis C. CDC estimates that there are 30,000 new acute cases of hepatitis C each year. People born during 1945 through 1965, also known as baby boomers are 5 times more likely than other adults to be infected. In fact, 75% of adults with Hepatitis C were born in these years. The reasons why baby boomers have the highest rates of Hepatitis C are

Q A

Who is at risk for Hepatitis C infection?

Hepatitis C is spread primarily by contact with blood and blood products. The use of injected illicit drugs is the most common mode of disease transmission, even if a person only injected illicit drugs one time many years ago. People who received blood transfusions, transfusion of blood products or organ donations prior to 1992 at a time when more sensitive tests for HCV were introduced for blood screening, are at risk for Hepatitis C infection. Other persons at increased risk for Hepatitis C include long term dialysis patients, people with tattoos and body piercing other than pierced ears, health care workers after exposure to the blood of an infected patient (ie, needle stick or splashes to the eye), infants born to HCV-infected mothers, people with highâ&#x20AC;&#x201C;risk sexual behavior, multiple partners and sexually transmitted diseases, people who snort cocaine using shared equipment and people who have shared toothbrushes, razors and other personal items with a family member who is HCV infected. Hepatitis C can be transmitted

by sex, but this is rare, accounting for less than 1% of overall cases. Sexual transmission is more common in men having sex with men.

Q A

Is there a vaccine for Hepatitis C?

No, at present time Hepatitis C vaccine is not available.

What are the signs and symptoms of Hepatitis C?

The majority of people with chronic Hepatitis C have no symptoms of liver disease, but some patients may complain of abdominal pain, fatigue, itching or nausea. Once the patient develops cirrhosis, signs and symptoms may be more prominent. These symptoms may include confusion, jaundice (yellowish eyes and skin), abnormal bleeding, easy bruising and abdominal swelling. Hepatitis C can also cause diabetes (this is related to bodyâ&#x20AC;&#x2122;s immune response to the virus and occurs three times more frequently in hepatitis C infected patients), kidney disease and skin rash.

Q A

How Hepatitis C being diagnosed?

Several blood tests are available to check for detecting the Hepatitis C antibody and Hepatitis C viral load. You should know that the liver enzymes could be completely normal in many patients with HCV infection, so it is very important to ask your doctor to check the HCV antibody if you have or had any risk factors for HCV infection.

Q A

What are the treatment options?

A diagnosis of Hepatitis C infection doesnâ&#x20AC;&#x2122;t necessarily mean you need treatment. If you have only slight liver abnormalities, you may not need treatment, because your risk of future liver problem is very low. Hepatitis C infection is treated with antiviral medications intended to clear the virus from your body. Patients with chronic Hepatitis C should receive genotype testing to determine the treatment approach. There are six types of Hepatitis C genotypes and patients have different responses to treatment depending on their genotype. Combination of

medications taken over several weeks (between 6 months to one year) with Pegylated interferon and Ribavirin is the treatment of choice. Although depending on the Genotype you may need to undergo combination therapy with three medications (Pegylated interferon, Ribavirin and Telaprevir or Boceprevir). If you have or had any risk factors for Hepatitis C or born 1945 to 1965 talk to your doctor to be screened for Hepatitis C.

Please call our office for a consultation with one of our physicians, 732-389-5004.

Monmouth Monmouth Gastroenterology Gastroenterology Nadeem A. Baig, MD Nadeem A. Balig, MD Kenneth Belitsis, MD Kenneth Belitsis, MD Thomas C. Fiest, Thomas C. Fiest, DO DO Steven Steven A. Gorcey, Gorcey, MD MD Rajiv Uppal, MD Rajiv Uppal, MD

AndOur Our New New Female Female Physician And Physician

Laleh Merikhi, Merikhi, MD MD Laleh NursePractitioners Practitioners Nurse

Dawn Loveland, Loveland, ANP ANP Dawn Shannon Khulusi, Shannon Khulusi, FNP FNP

Adult & Pediatric Gastroenterology Adult & Pediatric Gastroenterology Colon Cancer Screening & All Endoscopic Procedures Colon Cancer Screening & AllDiseases Endoscopic Procedures All GI & Liver Heartburn â&#x20AC;˘ Hepatitis â&#x20AC;˘ Hemorrhoids All GI & Liver Diseases â&#x20AC;˘ Nutrition

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Board Certified Physicians 219 Taylors Mill RoadPhysicians â&#x20AC;˘ Manalapan Board Certified

MEET THE DOCTORS AND NURSES OF MONMOUTH GASTROENTEROLOGY (l-r) Dr. Laleh Merikhi, Dawn Loveland, APN-C, Dr. Kenneth Belitsis, Dr. Steven A. Gorcey, Dr. Rajiv Uppal, Dr. Nadeem A. Baig, Dr. Thomas C. Fiest and Shannon Khulusi, APN-C

The County Woman Magazine The County Woman Magazine

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January/February 2013 July/August 2013

Assisted Living Phyllis Ficco Dining Room Supervisor Brandywine Senior Living at Howell

23 singing to the residents because she knows it makes them smile. She’s a great listener and appreciates their fascinating life stories, always making sure that they have her time and attention.

Usually when someone refers to “All in the Family” they’re referring to the endearing television sitcom with Archie and Edith Bunker that became hugely popular during the 1970’s. But with Phyllis Ficco, Dining Room Supervisor at Brandywine Senior Living at Howell, it’s much more ‘real life’ family. Her sister is a housekeeper and two out of her three sons also work at Brandywine Senior Living at Howell. But Phyllis hasn’t had anything that even remotely resembles the charmed life represented by Hollywood. Her commitment and love for her residents comes from a very deep-seeded place whose content and contour is shaped much like the human heart. Phyllis’s husband died at the young age of forty-seven (47), a time when most couples are enjoying the growth of their children, perhaps a college graduation, a wedding or even the birth of a grandchild. And rather than drowning in self-pity, which could certainly be understandable given the circumstances, she, in ‘Phyllis-like’ fashion, rallied around the comfort of her family. She had four children to raise and they needed her. It’s this remarkable positive attitude about life that makes her so special. “My kids lift me up,” she says with a smile. “I don’t think about the hard times – only the good ones.” Now that’s extraordinary! Phyllis is admired by her fellow team members as someone that never says “no.” She does everything to help out and even sleeps at the community during snowstorms. She also comes in if another team member is out sick – even on a scheduled vacation day! She is known to never have a bad day. And Phyllis brings this infectious attitude to work every day and the residents and fellow team members are the benefactors. She prides herself in knowing her residents as if they were her own family.You can often find her

She never shrinks from a challenge and this example demonstrates her resolve. There was a resident who had lost her ‘zest for life’ and was chronically unhappy. No matter what any team member did to try to cheer her up, they were unsuccessful. Phyllis made this a personal mission and focused her energies on creating ways for the resident to become engaged and fulfilled. “I tried everything I could think of,” said Phyllis. “I made her favorite meals. I would come back at night and do her nails for her. I was on a mission to win her over!” And that moment happened when Phyllis sent her flowers when she was hospitalized. “They can’t help but love me! I have a lot of patience!” What an incredible attitude and sense of humor. Phyllis is also known for her memorable quotes. Some of them include: “They (the residents) make my day. I would be so lost without them. I have told many of them ‘you need to adopt me!” “My sons don’t have grandparents, so for all of us we now have a whole community filled with them!” said Phyllis proudly. “This is really home away from home to me. We are all family here.” It’s a rare day when she’s not working, but when she is at home she loves to cook. She makes stewed cabbage, kielbasa and corned beef. One of the family favorites is meatloaf and meatballs with sauce. They eat together as a family when they are not at work. It’s a great time for them to all share, be together and just relax. Her boys always have friends over the house. “I love when they come over. There’s never a dull moment!”

Brandywine Senior Living at Colts Neck Colts Neck, NJ • 732-303-3100

Secrets

SECRETS

The County Woman Magazine

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Brandywine Senior Living at Governor’s Crossing Englishtown, NJ • 732-786-1000 Brandywine Senior Living At Howell Howell, NJ • 732-719-0100 Brandywine Senior Living At The Sycamore Shrewsbury, NJ • 732-212-2600 Brandywine Senior Living At Wall Wall, NJ • 732-282-1910

www.Brandycare.com July/August 2013

Delivering the Promise Delivering The Promise

24 8

Three Things Your Spouse Needs to Know About Your Traditional IRA

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traditional IRAâ&#x20AC;&#x201D;or Individual apply unless the spouse satisfies one Retirement accountâ&#x20AC;&#x201D;can be of the exceptions, such as disability a great way to set aside money for or substantially equal periodic your golden years, as itâ&#x20AC;&#x2122;s a retirement payments. At age 70 Â˝, the spouse savings vehicle with attractive tax would use the Uniform Lifetime incentives. However, what happens Table to calculate his or her Required to the money built up in an IRA Minimum Distribution (RMD.) 31 of the year following the year when the account owner passes away? The life expectancy of the spouse Over the next two decades, the most chronicled of the spouseâ&#x20AC;&#x2122;s death. The annual Although everyone wants to live and beneficiary would be used to generation in America will gradually enter the RMD. Individuals distributions are spread over the forever, to prepare for this situation determine Atyouâ&#x20AC;&#x2122;re that married point, each of only babytake distributions equal longer of the surviving spouseâ&#x20AC;&#x2122;s single inretirement. the event that and wavethat life expectancy determined by his/ your spouse will is thequickly sole beneficiary, to the RMD amount are said to boomers discover if their retirement her age in the calendar year following itâ&#x20AC;&#x2122;splans, important for youâ&#x20AC;&#x201D;and your have elected the â&#x20AC;&#x153;stretch option,â&#x20AC;? Social Security, and personal savings will be the year of death and reevaluated spouseâ&#x20AC;&#x201D;to know your options. because he or she is taking the sufficient to maintain their existing lifestyles and each year, or the deceased account The first thing is to have a firm minimum amount required by law, needs. holderâ&#x20AC;&#x2122;s remaining life expectancy. understanding of the Required thereby extending the benefit of the A non-spouse beneficiary calculates BeginningBaby Date (RBD) of the IRA, tax deferred growth for the longest Boomers â&#x20AC;&#x201D; a name given to life expectancy in the same manner which is generally April 1 of the period allowed by law. those born from 1946 to 1964â&#x20AC;&#x201D;have been as a surviving spouse except the year following the year in which the noted for their creation of the â&#x20AC;&#x153;computer age,â&#x20AC;? non-spouse beneficiary determines individual reaches the age of 70 Â˝. Proceeds Remain in Name of for physical fitness, expectations for livlife expectancy once and cannot If quest the account owner dies priorand to his the Deceased A is2008 surveyrecalculate conducted Employee and full lives. Now, as the When boomers hisby or the her life expectancy. oring her long RBD,and names a surviving the pass surviving spouse the sole BenefitIRA Research Institute* that only createsfound the possibility that18% into middle age, manythearespouse beginning to focusoftheir spouse as sole beneficiary, beneficiary the deceasedâ&#x20AC;&#x2122;s and This of Americans are very confident they will have the surviving spouse could receive has two general options other than decides not to roll it over to a spousal attention on retirement. RMDs over a period of time greater takingUnlike a lumpthe sumprevious distribution: (1) IRA, then the surviving spouse must Great Depression-to-World enough money to live comfortably in retirement. than that afforded a non-spouse transfer the account assets into his begin taking RMDs atResults the lateralso of (1) revealed that only 47% of workers War II generation, many baby boomers believe beneficiary. or her own IRA (spousal transfer); the year following the year in which have tried to calculate how much money they will cannotthe depend on receiving Social Security orthey (2) transfer assets into an the original account owner dies or (2) need forowner a comfortable retirement, and around benefitsIRA. during their retirement years. In fact, Conclusion Inherited the year in which the account IBMG SFQPSUFE UIBU UIF UPUBM BNPVOU PG UIFJS Understanding the Required many economists question the future â&#x20AC;&#x153;securityâ&#x20AC;? of age 70 Â˝. would have attained TBWJOHT FYDMVEJOH UIF WBMVF PG UIFJS IPNF BOE Minimum Distribution rules is Spousal Transfer the Social Security trust funds. necessary compliance with If a Spousal transfer is elected, the Death Occurs on or After the any defined benefit plans)tois ensure less than $50,000. In To further compound concern, many employed this complex set of rules. Failure deceased Participantâ&#x20AC;&#x2122;s Spouse would Required beginning Date addition, 22% of workers and 28% of retirees said boomers may not have employer-funded retireto take the required minimum transfer the assets into his/her own The other instance would whenno savings theybehave of any kind. ment or plans. Since, world, employdistribution amount could result existing new IRA All in thetodayâ&#x20AC;&#x2122;s rules work death occurs after the Required As is true of every generation the retireees, rather than employers, generallyBeginning assume full in a penalty equalfacing to 50 percent of regarding IRAs would apply to the Date and the surviving ment planning process, baby boomers should have responsibility forthe funding their retirement the amount that should have been assets transferred to surviving spouse isplans, nameditas the sole a disciplined program place. With by a the distributed butinwas not taken spouseâ&#x20AC;&#x2122;s IRA. Thisthat would enable theand worry beneficiary. In this case, the survivingsavings is no surprise uncertainty occupy beneficiary. The penalty tax for not Surviving Spouse to defer taking spouse may elect a Spousal transfer. commitment to success and a scheduled plan, you the minds of many of those without guaranteed taking the correct RMD amount is distributions until he or she attains However, any RMD that the can work toward building the necessary retirement pensions. in addition to the tax on the RMD. age 70 Â˝ and most importantly, the deceased spouse was supposed to take funds to secure your own financial future. The total tax, including the penalty, spouse would be able to name his but failed to take prior to his or her or her own beneficiary and thereby death must be taken by the surviving could easily exceed 75 percent of the amount distributed. Speak to permit continuation of the tax spouse by December 31 of the year What can boomers do to determine if their your tax advisor for advice on how deferral for the next generation. of death and is not eligible to be Supplemental readings to your ďŹ nancial and assets will sufficiently fund their retirethese rules apply to your particular savings The downside to rolling the transferred to the surviving spouseâ&#x20AC;&#x2122;s planning for retirement. ment years? Definitive answers are often situation. proceeds to a Spousal IRA occurs IRA. elusive. â&#x20AC;&#x153;The Coupleâ&#x20AC;&#x2122;s Retirement Puzzleâ&#x20AC;? all, life is often filled variables, Pursuant to IRS Circular 230, if After the spouse is under 59 Â˝ and with many Should the surviving spouse by Roberta K. Taylor MetLife is providing you with needs to withdraw funds from not elect a spousal transfer, then and no one really knows for sure what the future ornotification: The the following theholds. spousal IRA. Theeven 10 percent the surviving spouse must begin However, with these constraints, information contained in this premature distribution penalty will receiving RMDs by December â&#x20AC;&#x153;How to Retire Happy, Wild and Free: boomers can gain much insight by estimating and document is not intended to (and Retirement Wisdom That You Wonâ&#x20AC;&#x2122;t analyzing the following: cannot) be used by anyone to avoid Get From Your Financial Advisorâ&#x20AC;? IRS penalties. This document t 1PUFOUJBM JODPNF TPVSDFT F H JODPNF QSPEVDby Ernie Zelinski supports the promotion and ing real estate, readings inheritances, etc.). Supplemental to your financial planning for retirement. marketing of insurance products. Please call me You at (732)919-6194. t 1SPKFDUFE CBMBODFT PG SFUJSFNFOU BOE TBWJOHT should seek advice based on I have a limited supply. Callers will plans. your particular circumstances from have your choice of title. tax advisor. an independent t $PTUT PG GVUVSF IFBMUI DBSF OFFET MetLife, its agents and by Roberta K. Taylor * Source: Retirement Confidence t "OOVBMJ[FE SBUF PG JOGMBUJPO PWFS SFUJSFNFOU ZFBST representatives may not giveResearch legal or Survey, Employee Benefit Institute, 2008. tax advice. Any discussion of taxes t "NPVOU PG 4PDJBM 4FDVSJUZ JODPNF UP CF SFDFJWFE Please call me at (732)919-6194. Pursuant to IRS Circularherein 230, MetLife is providing youdocument with the following or related to this notification: The information contained in this brochure is not intended t 1FSDFOUBHF PG QSFTFOU JODPNF SFRVJSFE EVSJOH A copy will be available with an is for general information purposes to (and cannot) be used by anyone to avoid IRS penalties. You should seek only and does notfrom purport to be tax retirement years. advice based on your particular circumstances an independent introductory appointment. advisor. complete or cover every situation.

Baby Boomers Look Toward Retirement

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Donna Hlavacek, Hlavacek CASLÂŽ Donna

Financial Services Representative Investment Advisor Representative

As a Financial Services Representative with the MetLife Solutions Group, an Office Article Presented by: Article of MetLife and a registered representative Donna Hlavacek, Prepared by MetLife Financial Services of MetLife Securities, Donna has been Delivered courtesy of Representative, working with individuals throughout the Donna Hlavacek, Investment Advisor CASL New Jersey, New York And Pennsylvania Representative, MetLife Solutions markets to help them meet their financial MetLife Group and insurance goals. Donna focuses on Retirement Distribution strategies. She will also analyze your portfolio to determine the efficiency of your asset positioning. Donna has 25 years of business management experience, enabling her to assist individuals with employment transitions. Donna has been selected to represent MetLife as a Delivering the Promise Specialist, providing personalized assistance to beneficiaries of MetLife policies. Donna also functions as a Mentor to new representatives in the MetLife Solutions Group.

Products and Services: Personal Financial Needs â&#x20AC;˘ Retirement Planning â&#x20AC;˘ Estate Conservation Strategies* â&#x20AC;˘ Education Funding Strategies* â&#x20AC;˘ Wealth Accumulation Strategies Investments â&#x20AC;˘ Money Market Funds â&#x20AC;˘ Traditional and Roth IRAs â&#x20AC;˘ Mutual Funds â&#x20AC;˘ General Securities

Insurance & Annuities â&#x20AC;˘ Whole Life Insurance â&#x20AC;˘ Variable Life Insurance â&#x20AC;˘ Disability Income Insurance â&#x20AC;˘ Term Insurance â&#x20AC;˘ Universal Life Insurance â&#x20AC;˘ Fixed and Variable Annuities â&#x20AC;˘ Long-Term Care Insurance

4814 Outlook Drive Wall Township, NJ 07753

(732)919-6194

Like most insurance policies, MetLife policies contain exclusions, limitations, reductions of benefits, and terms for keeping them in force. Your MetLife representative can provide you with costs and complete details. *I will work with you and your tax and legal advisers to help you select the most appropriate product solution to suit your specific needs and circumstances. Metropolitan Life Insurance Company (MLIC), New York, NY 10166. Securities and investment advisory services offered by MetLife Securities, Inc. (MSI) (member FINRA/SIPC), a registered investment advisor. Branch Office: 4814 Outlook Dr., Wall Township, NJ 07753. MLIC and MSI are MetLife companies. L0712269514[exp0813][CT,NJ,NY,PA].

This article appears courtesy of Donna Hlavacek. Tax lawHlavacek is subject to interpretation Donna is a Registered Representative offering securities, including products and legislative change.variable Tax results UISPVHI .FU-JGF 4FDVSJUJFT *OD .4* NFNCFS and the appropriateness of any '*/3" 4*1$ /FX :PSL /: *OTVSBODF product for any specific taxpayer BOE BOOVJUJFT JTTVFE CZ .FUSPQPMJUBO -JGF *OTVSBODF $PNQBOZ .-*$ /FX :PSL /: .4* may vary depending on the facts BOE .-*$ BSF .FU-JGF DPNQBOJFT 4IF GPDVTFT PO meeting the individual insurance and financial ser-

vices needs of people in pre-retirement and retire-

and circumstances. You should NFOU NBSLFUT :PV DBO SFBDI %POOB )MBWBDFL BU .FU-JGF 4PMVUJPOT (SPVQ 0VUMPPL %SJWF 8BMM consult with and rely on your own 5PXOTIJQ /+ 1IPOF JT independent legal and tax advisors You can reach Hlavacek regarding yourDonna particular set ofatfacts MetLife Solutions Group and circumstances. 4814 Outlook Drive Wall Township NJ 07753. Phone # is (732)919-6194.

July/August 2013 January/February 2013

Elder Life Management

Do You Need a PHD? Written by: Judith S. Parnes, LCSW, CMC

May was National Geriatric Care Manager Month. A profession that has blossomed as the complexities of aging and spiraling health care costs have placed demands on so many of us. But how many people actually know what a Geriatric Care Manager is, or more importantly how a Professional Care Manager can help? Possibly the simplest way to explain the role of a Geriatric Care Manager is to think of a PHD. Yes, someone who has a Doctorate, not in philosophy, but a doctorate as a Professional Hired Daughter. In times past, when growing older occurred in intimate families of origin, the local physician was available to assist the entire family unit from birth to death. It was typically the daughter who was responsible for care giving, care managing and care planning of an elder parent. This pattern continues today, with adult daughters in our culture remaining in this primary role. However we now hear these daughters being identified as the “sandwich generation” or “women in the middle” or being “burned out”. Geriatric Care Managers provide Assessment, Short Term Solutions and Long Term Planning.

Consider the story of Carole and her mother Barbara: Carole lives 10 minutes away from her mother Barbara. They speak daily and Carole “checks–in” on her mother a few times a week. These visits have progressed from socializing to supervising to caretaking. Carole works full-time, is married with two children, one in high school, and her son in college. Carole now shops, cleans and drives her mother to some family functions. Carole had spoken with Barbara’s doctor and neighbors and was concerned about her mother’s increasing incapacity. Barbara lived alone in her own multi-level home. Her shortterm memory problems were beginning to effect her functional status. She was becoming mildly paranoid and was starting to hoard paper. She continued to drive even after multiple “fenderbenders”. Once, she walked home from the local convenience store, believing her parked car was stolen. On two occasions in the past year, emergency services were called to the house once for a small kitchen fire, and more recently in response to Barbara falling down the front steps. Carole knew it was just a matter of time before a catastrophe would occur. However, no discussion with her mother resulted in any change in her mom’s behavior or decision making. A friend told Carol to call Elder Life Management. A Comprehensive Consultation was scheduled where Carol was able to review her mother’s situation in detail and a plan of action was developed. After only

a few visits with her care manager, Barbara agreed for a care manager to accompany her to the physician appointment she so desperately needed. She also agreed to allow a home health aide to visit daily to help with personal care, food preparation and monitor self-administration of medication. Dialogue was initiated regarding Barbara’s future health care goals. As the immediate situation was defused and present care needs addressed, a long-term plan was developed. It included Barbara agreeing to move to an assisted living facility. This was a gradual process, from in-home services to out of home transition. During this time, with one emergency hospitalization, it was the care manager who ran to the Emergency Room and met Barbara. It was the care manager that spoke with the doctors to ensure quality of care, enabling Carol to complete her work day before going to the hospital. It was the care manager that was advocating within the medical community. It was actually only then that Carole truly realized that her mother needed the Professional Hired Daughter, the Geriatric Care Manager. Carole was finally able to return to “just” being the loving supportive daughter she wanted to be.

Judith Parnes is the 25th person to be certified nationally as a Professional Geriatric Care Manager. Judith S. Parnes, L.C.S.W., C.M.C., Executive Director, Elder Life Management, 931 West Park Avenue, Ocean, New Jersey, 07712

www.elderlifemanagement.org

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

About Professional Geriatric Care Managers In 1985, The National Association of Professional Geriatric Care Managers was formed to advance dignified care for older adults and their families. Membership is based on passing Certification examination and experience. Ms. Judith Parnes became the 25th person to be certified nationally in 1986. For more information or access to a nationwide directory of professional geriatric care managers, please visit www.caremanager.org. • Geriatric Care Managers provide Assessment, Short Term Solutions and Long Term planning. • Care Managers provide services to help with difficult and complex situations. • Care Managers provide services to help individuals apply for public entitlements such as Medicaid. • Care Managers provide consultation and planning for the present and the future. • Care Managers have become the Professionally Hired Daughters.

Testimonials Say It All . . .

I want to thank you for the wonderful service you extended to me while we were going through the process of getting my mother on Medicaid and into an assisted living facility. The process was long, complicated and sometimes emotional but the entire office was tremendously helpful. You made a potentially awful time so stress-free. ~ P. H., Ocean NJ

Without your assistance in getting my dad Medicaid approved I would not have been able to maintain my sanity. I want to say simply but sincerely, thank you. ~ M.N., Clifton NJ

We want you to know that your kindness and support at this time is more deeply appreciated than any words of thanks can express. ~ F. W., Toms River, NJ

The County Woman Magazine

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July/August 2013

Medical Professionals

Most Parents Would Do Anything To Help Their Children…

Lorraine Catalano, CNMT and Imaging Director If you are experiencing memory loss, and/or have a family history of Alzheimer’s disease, the Amyvid PET Scan could help you do just that… help your children. Alzheimer’s disease affects the entire family. Help protect your children by getting an early

diagnosis. Early detection and treatment can help slow down the progression of Alzheimer’s disease. Having the Amyvid PET Scan can give you and your family correct information about the cause of your cognitive impairment. Until this scan was available, the only definitive way of knowing if a person had Alzheimer’s disease was by an autopsy. Many doctors have been treating patients with medications used to treat Alzheimer’s, without the benefit of knowing definitively if that patient really has Alzheimer’s. Using these medications may not be beneficial to patients, and, in some cases, could be detrimental to their health. This scan will give the information needed for doctors to make appropriate treatment decisions.

Amyvid, a radioactive diagnostic agent for Positron Emission Tomography (PET) imaging of the brain is used to estimate beta-amyloid neuritic plaque density in adult patients with cognitive impairment who are being evaluated for Alzheimer’s disease and other causes of cognitive decline. • A negative Amyvid scan result reduces the likelihood that a patient’s cognitive impairment is due to Alzheimer’s disease at the time of image acquisition. • A positive Amyvid scan result indicates moderate to frequent amyloid neuritic plaques; neuropathological examination has shown this amount of amyloid neuritic plaque is present in patients with Alzheimer’s disease. Amyvid is an adjunct to other diagnostic evaluations.

Caring Heart & Brain Imaging is the first imaging center in New Jersey to perform the Amyvid PET Scan. This fantastic imaging tool can diagnose and differentiate the forms of dementia at even earlier ages. We can address cognitive changes and impairment because we know what is attributing to the diagnoses. Diagnosing and staging is vital for doctors to prescribe the

appropriate pharmaceutical treatments and therapies to slow the progression of these diseases. If we can slow down the progression of Alzheimer’s disease, we can give patients and families the time to plan ahead. It also allows the person with Alzheimer’s to participate in health care, financial and legal decisions, as well as giving them precious quality time with their loved ones.

Caring Heart & Brain Imaging 2414 Highway 35, Manasquan, NJ 08736

Phone:

732.292.1008

E-Mail: service@caringheartcoronaryimaging.com

www.CHCI.biz.

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

Cardiac Breakthrough Slipping Away at the Jersey Shore… The Jersey Shore has suffered some great losses in the recent past due to Super Storm Sandy and the Nor’easter…and now, another great loss seems inevitable. Caring Heart & Brain Imaging has made the latest cardiac technology available to residents of the Jersey Shore, who could only benefit from this same testing if they traveled to New York City, Philadelphia or Northern Jersey. Unfortunately, educating patients and doctors is taking time, and not enough

patients are aware that they can ask their family practice doctor or cardiologist to write a script for the test that will accurately and specifically determine if your heart muscle is receiving adequate blood flow and if that blood flow is evenly distributed. The test to ask for is called a Cardiac PET Perfusion study with Rubidium. The Cardiac PET Perfusion study is the newest version of a cardiac stress test. For those people who have had the

Just call

732 292-1008 or visit our website at

www.CHCI.biz

The County Woman Magazine

old test, the most compelling reasons for having the Cardiac PET Perfusion study performed at Caring Heart & Brain Imaging are: • Speedier Scan Times – approximately 45 minutes as opposed to 2-1/2 to 4 hours for the old SPECT scan, • Patient Exposure to Radiation is cut in half - the Attrius scanner reduces patient exposure to radiation, and Rubidium, the agent used in the scan, has a short half-life, so the amount of radiation exposure is substantially less than a chest x-ray. • Improved Images – PET provides clearer, more precise 2D images better suited for detection of disease. • Avoidance of Unnecessary Procedures – Test images are

so accurate, procedures such as stent implantation and even coronary bypass surgery might be avoided. • We will provide transportation, if necessary. If you have some, or all of the risk factors mentioned below, you should see your family practice doctor and ask if you would benefit from the Cardiac PET Perfusion study performed at Caring Heart & Brain Imaging. • Smoking. • High LDL, or “bad” cholesterol and low HDL, or “good” cholesterol. • Uncontrolled hypertension (high blood pressure). • Physical inactivity. • Obesity (more than 20% over one’s ideal body weight). • Uncontrolled diabetes.

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• Uncontrolled stress and anger. • Family history of heart disease • Post-menopausal • Race (African Americans, American Indians, and Mexican Americans are more likely to have heart disease than Caucasians) Don’t let this opportunity to receive the best and most accurate technology for cardiac care slip away from you. Tell your doctor you want only the best. We are happy to answer any questions you or your doctor may have. We can be reached at 732-292-1008, or visit our website at www.CHCI.biz At Caring Heart & Brain Imaging, you are in our caring hands!

July/August 2013

Law

Getting Out of Debt Is Easier Than You Think: Bankruptcy Basics or Chapter 13 of the Bankruptcy Code. A Chapter 7 is a liquidation proceeding where a trustee can take and sell any “non-exempt assets” for the benefit of your creditors. You will receive a discharge of your debt within about four months from the date of filing. The law allows you to claim exemptions for your property including cars, personal goods, your home, and even life insurance policies. Most people who file a Chapter 7 petition will be able to claim all of their property is subject to an exemption and be able to keep all of their assets thus, leaving no “non-exempt” assets for the trustee to liquidate.

Written by: Bridget K. Dorney, Esq. In today’s difficult economic climate, where property values have decreased rapidly and unemployment rates and the costs of living continue to rise, people are finding it difficult to make ends meet. Even a small financial setback such as an unexpected medical issue or a temporary loss of employment can result in overwhelming debt. Fortunately, filing a bankruptcy petition is a simple and efficient way to help solve your financial woes and put you on the road to a life free from debt. Here are some basics to help you decide whether bankruptcy is the right choice for you:

1) Won’t Filing Bankruptcy Ruin My Credit and Financial Future?

Absolutely not. In fact, carrying a significant amount of debt or failing to pay your bills in a timely manner can harm your credit score. After filing bankruptcy and receiving your discharge, you can apply for and use credit cards to start rebuilding your credit score, immediately. In addition, because a Chapter 13 requires a debtor to be on a budget for a series of months, those debtors will be well accustomed to controlling their finances by the time they receive their discharge, and will be ready to take on their financial future.

2) What “Chapter” Should I File and What Are the Differences Between Them?

Most individuals will file a petition in bankruptcy under what is called Chapter 7

A Chapter 13 involves a repayment plan where you repay a portion of your debt over a series of months. Chapter 13 filers typically have assets that would otherwise be subject to liquidation in a Chapter 7 proceeding. One significant benefit of a Chapter 13 filing is, under certain circumstances, you may be able to strip away a second mortgage from your home.

3) Am I Eligible To File?

There are income limits for people filing a Chapter 7 petition which are set according to where you reside and the number of people in your household. For example, the income limit for a four person family living in Monmouth County is $103,786, after deducting allowable expenses. For Chapter 13 filers, there is no income limit, but a person must be earning a regular wage and be able to pay back a portion of the debt. Also, if you have previously filed a bankruptcy and received a discharge, certain waiting periods apply before you can receive another discharge.

most debt arising from credit cards, medical bills, deficiencies from a repossession or foreclosure will be wiped away in a bankruptcy (with some exceptions); other debts are not dischargeable. These include most taxes, fines or penalties owed to the government, most student loan debts, debts arising from false financial statements or fraud, and child support obligations. In addition, any debt you incur after the filing of your petition will not be dischargeable. This includes condominium fees, medical bills, and utility bills. Finally, a bankruptcy will only discharge personal debt. If you have a debt secured by an asset, such as a mortgage or car loan, in order to keep the asset, you must make the monthly payments or risk losing the asset.

5) What Other Benefits Can I Expect From Bankruptcy?

While the bankruptcy laws are highly technical and seemingly complex, they can help you get the debt relief you need for a fresh financial start. If you are having financial difficulties, or have questions about how bankruptcy could help you and your family, you should consult with an experienced attorney who can help you decide the best course of action. The above information is intended for informational purposes only and should not be considered legal advice.

Aside from the discharge, one of the most significant benefits of filing bankruptcy

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A commitment to excellence. A commitment to people.

4) Can I Discharge All of My Debt?

1500 Lawrence Avenue Ocean, NJ 07712 732.922.1000

No, not all debts are dischargeable. While

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is known as the “automatic stay.” This is a powerful tool which temporarily stops foreclosures, evictions, repossessions and collection activities such as wage garnishments and bank account seizures from proceeding against you. The automatic stay gives you a breathing spell which relieves some of your financial pressures and allows you to try and resolve some of your financial issues with your creditors.

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341 Broad Street Clifton, NJ 07013 973.247.9000

140 Grand Street, Suite 501 White Plains, NY 10601 800.569.3886

July/August 2013

Medical Professionals

Menstrual Irregularities? Overweight? Excessive Facial/Body Hair?

Allen Morgan, M.D. Shore IVF and Reproductive Medicine, Lakewood and Colts Neck

You Might Have PCOS

olycystic ovary syndrome (PCOS) is the most common hormonal disorder in women, affecting 5-10% of the female population. This syndrome was first identified in 1935 by Stein and Leventhal who found certain common characteristics among women with PCOS. It is characterized by irregular menstrual periods and infertility due to a lack of ovulation (release of an egg), and by signs of excess male hormones overproduced by the ovaries. The ovaries are usually enlarged with a smooth surface and multiple small cysts seen on an ultrasound exam. The small cysts are actually follicles (the small fluid sacs that house the eggs) that have not grown large enough to release their eggs. Because PCOS is a syndrome, and not a disease, the treatment is targeted at the most concerning symptom. Lifestyle changes and treatments to prevent diseases associated with PCOS can be implemented.

What are the Symptoms?

the birth control pill. The pill provides the right hormonal signals to the uterus to allow regular menstrual periods, and to keep the lining of the uterus from getting too thick. This effect allows for lighter periods and a reduced risk of cancerous changes to the lining. It also suppresses the ovaries, so that they do not make as much testosterone. Another hormonal option is to give progesterone for 5-10 days each month. This will cause the thickened lining of the uterus to slough within one week. This treatment is often given (after a negative pregnancy test) prior to starting birth control pills or fertility treatments. Neither treatment makes the ovaries ovulate.

ď śExcess hair growth

is a frustrating problem and is due to the effects of excess testosterone on the hair follicles. Normally in women hair follicles on the face and

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lower abdomen donâ&#x20AC;&#x2122;t make thick hair, but with excess testosterone they do. The hair follicles may also make excess sebum leading to acne, or grow hair so fast that it falls out. One effective treatment is the birth control pill, which lowers testosterone levels and lessens hair growth and acne. It takes several months to see the improvement. Other medicines that block testosterone production can be given but must be accompanied by birth control because they can cause birth defects, particularly in male fetuses. Laser hair removal is the most effective way to permanently remove the unwanted hair and takes about 6 treatments over one year. It should be done only after the ovaries have been suppressed of their testosterone production or the hair will continue to grow. â&#x20AC;&#x153;Women who have excessive facial or body hair are often ashamed,â&#x20AC;? Dr. Morgan says. â&#x20AC;&#x153;They donâ&#x20AC;&#x2122;t

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â&#x20AC;˘ â&#x20AC;˘ â&#x20AC;˘ â&#x20AC;˘ â&#x20AC;˘ â&#x20AC;˘ â&#x20AC;˘ â&#x20AC;˘ â&#x20AC;˘ â&#x20AC;˘ â&#x20AC;˘ â&#x20AC;˘ â&#x20AC;˘ â&#x20AC;˘ â&#x20AC;˘ â&#x20AC;˘ â&#x20AC;˘ â&#x20AC;˘

ď śIt is estimated that up to

3/4 of patients with PCOS have some form of insulin resistance, particularly those who are overweight or obese. Up to 15% of patients actually have diabetes. Studies have shown that weight loss can improve or eliminate these problems, but many patients also need the help of medications to lower insulin levels and balance their sugar metabolism. This is important for overall health because it will decrease the risk of diabetes and heart disease. Medications can also allow the ovaries to start functioning normally, which could result in more regular menstrual cycles, ovulation and pregnancy.

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occur with PCOS because of the lack of ovulation. The most common treatment for inducing ovulation is to give the fertility pill clomiphene 0RVW +02 DQG WUDGLWLRQDO citrate (Clomid, KHDOWK LQVXUDQFH SODQV Serophene). DFFHSWHG Clomiphene citrate helps the body make more folliclestimulating hormone (FSH) to stimulate the growth and release of follicles ĆŹ and their eggs. Eighty Č&#x2C6; Â&#x2018;Â&#x17D;Â&#x203A;Â&#x2026;Â&#x203A;Â&#x2022;Â&#x2013;Â&#x2039;Â&#x2026; Â&#x2DC;Â&#x192;Â&#x201D;Â&#x2039;Â&#x192;Â? Â&#x203A;Â?Â&#x2020;Â&#x201D;Â&#x2018;Â?Â&#x2021; â&#x20AC;˘ â&#x20AC;˘ â&#x20AC;˘ â&#x20AC;˘

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Â&#x201D;Â&#x2021;Â?Â&#x192;Â&#x2013;Â&#x2014;Â&#x201D;Â&#x2021; Â&#x2021;Â?Â&#x2018;Â&#x2019;Â&#x192;Â&#x2014;Â&#x2022;Â&#x2021;

Luckily, most of the symptoms caused by PCOS can be successfully treated. Dr. Allen Morgan is an expert in PCOS and would be happy to discuss your situation with you.

â&#x20AC;˘ â&#x20AC;˘

Â&#x192;Â&#x2019;Â&#x192;Â&#x201D;Â&#x2018;Â&#x2022;Â&#x2026;Â&#x2018;Â&#x2019;Â&#x2039;Â&#x2026; Â&#x2014;Â&#x201D;Â&#x2030;Â&#x2021;Â&#x201D;Â&#x203A; Â?Â&#x2020;Â&#x2018;Â?Â&#x2021;Â&#x2013;Â&#x201D;Â&#x2039;Â&#x2018;Â&#x2022;Â&#x2039;Â&#x2022; Â&#x2039;Â&#x201E;Â&#x201D;Â&#x2018;Â&#x2039;Â&#x2020; Â&#x201D;Â&#x2021;Â&#x192;Â&#x2013;Â?Â&#x2021;Â?Â&#x2013; Â&#x2018;Â&#x201E;Â&#x2018;Â&#x2013;Â&#x2039;Â&#x2026; Â&#x2014;Â&#x201D;Â&#x2030;Â&#x2021;Â&#x201D;Â&#x203A;ÇŁ Â&#x2C6;Â&#x2018;Â&#x201D; Â&#x2014;Â&#x2013;Â&#x2021;Â&#x201D;Â&#x2039;Â?Â&#x2021; Â&#x192;Â?Â&#x2020; Â&#x2018;Â&#x2013;Â&#x160;Â&#x2021;Â&#x201D; Â&#x2019;Â&#x2021;Â&#x17D;Â&#x2DC;Â&#x2039;Â&#x2026; Â&#x2019;Â&#x201D;Â&#x2018;Â&#x201E;Â&#x17D;Â&#x2021;Â?Â&#x2022;

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are a symptom of PCOS. The most common treatment is

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percent of patients will ovulate and half of those who ovulate will ultimately conceive after several attempts. There is a modest increase in the risk of having twins (5-7%) with clomiphene citrate. Some patients do not respond to clomiphene citrate and may require other therapies. One option is to give medications to lower insulin levels to help the ovaries ovulate, or to respond better to other fertility medications. Another option is to use fertility shots that contain FSH. These shots directly stimulate the ovaries, but must be used carefully because patients with PCOS can have an excessive response to these medicines and make too many eggs, increasing the risk of multiple pregnancies including the possibility of triplets or higher order pregnancies. Therefore, these medicines must be monitored carefully by a trained Fertility Specialist (Reproductive Endocrinologist). Some patients can also benefit from in Vitro Fertilization (IVF).

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realize that their â&#x20AC;&#x2DC;problemâ&#x20AC;&#x2122; could be a treatable syndrome.â&#x20AC;?

www.TheCountyWoman.com

Dr. Allen Morgan of Shore IVF and Reproductive Medicine on Route 70 in Lakewood has been practicing for sixteen years and is board certified by the American Board of Obstetrics and Gynecology (1994) and Reproductive Endocrinology and Infertility (1999). Dr. Morgan teaches OB-GYN residents at Jersey Shore University Medical Center who get their clinical experience in reproductive endocrinology under his tutelage. Dr. Morgan is a Fellow of the American College of Obstetrics and Gynecology, the American Society for Reproductive Medicine and the American Association of Gynecologic Laparoscopic Surgeons. He is an associate member of the Society of Reproductive Endocrinologists. Dr. Morgan is on the staff of Monmouth Medical Center, Long Branch; Riverview Medical Center, Red Bank; Community Medical Center, Toms River; Central State Hospital, Freehold; Kimball Medical Center, Lakewood; Ocean Medical Center, Brick; Jersey Shore Medical Center, Neptune; and Southern Ocean County Hospital, Manahawkin.

July/August 2013

Law

I Do â&#x20AC;&#x201C; Just Sign Here First! Prenuptial Agreements

Presented by: Law Offices of Laura M. Dâ&#x20AC;&#x2122;Orsi, L.L.C.

What is a prenuptial agreement?

A prenuptial agreement is an agreement that you enter into before your marriage that may establish your rights and your future spouseâ&#x20AC;&#x2122;s rights to premarital property, marital property and alimony.

Should I have a prenuptial agreement?

A prenuptial agreement may be a good idea if you and your future spouse are both entering into the marriage with premarital assets. If you and your future spouse have been working for years prior to the marriage, you may have accumulated a home, a business and accounts such as bank accounts or a 401K that you would want to remain an exempt asset in Enter to Win

the event that the marriage does not work out. Also, in a situation where the parents of a future spouse wish to provide funding for a marital home, a prenuptial agreement would help to establish that those funds remain the separate property of the party whose parents provided the funds, in the event that the future Husband and future Wife divorced at a later time. A prenuptial agreement may also be beneficial in a later in life marriage where both parties have children from a prior marriage, and want to ensure certain assets are exempt from the marital estate so that they can be transferred to their children from a prior marriage.

Do I need a lawyer to draft a prenuptial agreement? Yes. It is always best for both parties to have an attorney to draft a prenuptial agreement.

Can I have the prenuptial agreement done the night before the wedding?

It is best if the prenuptial agreement is drafted and executed a significant period of time before the wedding. Neither party should feel any pressure or duress in the execution of a prenuptial agreement.

What if I feel bad asking

The County Woman Magazine

â&#x20AC;&#x153;

my future spouse to sign a prenuptial agreement?

A prenuptial agreement may be a good idea if you and your future spouse are both entering into the marriage with premarital assets.

It may be a difficult subject to approach, but if you feel that you have assets that you want to specifically exclude from the marital estate, a prenuptial agreement is the most conservative approach. If you do not have a prenuptial agreement and the marriage does not work out, it may be difficult to exempt assets that you brought into the marriage, once they are converted to marital assets. Discussing difficult issues today may prevent you from having regrets at a later date.

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What assets do I need to disclose in a prenuptial agreement?

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In order for the agreement to be enforceable you and your future spouse must list all assets and liabilities which exist at the time you are executing the prenuptial agreement.

Can a prenuptial agreement specify rights with respect to the children and future child support?

A prenuptial agreement in New Jersey cannot establish issues related to the children and future financial obligations to the children. These issues would have to be resolved at a later date in the event that the marriage does not work out.

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If you have legal concerns, call the Law Offices of Laura M. Dâ&#x20AC;&#x2122;Orsi, L.L.C., 52 Reckless Place, Red Bank, New Jersey 07701,

732-741-3121,

www.lauradorsilaw.com, ldorsi@lauradorsilaw.com Laura Dâ&#x20AC;&#x2122;Orsi was raised in Monmouth County. She is certified by the Supreme Court of New Jersey as a Matrimonial Law Attorney and practices matrimonial law in Red Bank, at the Law Offices of Laura M. Dâ&#x20AC;&#x2122;Orsi, LLC. She has been a licensed attorney since 1990 and has practiced matrimonial law exclusively for 11 years. Laura is a member of the Jersey Shore Collaborative Law Group and is a Certified Mediator. She regularly assists the Court with Court ordered mediations. In addition to practicing law, Ms. Dâ&#x20AC;&#x2122;Orsi has also helped run a battered womenâ&#x20AC;&#x2122;s shelter in Essex County, which was a project very gratifying to her.

www.TheCountyWoman.com

July/August 2013

Medical Professionals

The Doctors Of Seaview Orthopaedic & Medical Associates • STEVEN BERKOWITZ, MD, PA, FAAOS • KENNETH CHERN, MD, PA, FAAOS • HARALAMBOS DEMETRIADES, MD, PA, FAAOS • JOEL FECHISIN, MD • KEIRON GREAVES, MD • ARON GREEN, MD, PA, FAAOS • PAUL HAYNES II, MD • ARTHUR MARK, MD, PA, FAAOS • KEVIN MCDAID, MD, PA, FAAOS • ADAM MEYERS, DO, FAAPMR • ROY MITTMAN, MD, PA • HOAN-VU NGUYEN, MD, PA, FAAOS • ROBERT PANNULLO, MD, FAAPMR • CHRISTOPHER SPAGNUOLA, MD, PA, FAAOS • SUNIL THACKER, MD, PA, FAAOS • ARTHUR VASEN, MD, PhD, PA, FAAOS • PRAVEEN YALAMANCHILI, MD

Meet The Doctors . . .

{Steven Berkowitz,

MD, FACS, FAAOS, CIME

Dr. Berkowitz attended medical school at the College of Medicine, SUNY Health Science Center at Brooklyn, NY and completed a residency at NYOH/New York (Columbia) Presbyterian Medical Center. He is board certified by the American Board of Orthopaedic Surgery, as well as the American Board of Independent Medical Examiners. He is an attending physician at Jersey Shore University Medical Center and Ocean Medical Center.

{Kenneth Chern,

MD, FAAOS

Dr. Chern is a graduate of the College of Physicians and Surgeons Columbia University, NY and completed his residency at NY Orthopaedic Hospital/Columbia Presbyterian Medical Center, NY. He completed a Fellowship in sports medicine at Southern Sports Medicine and Orthopaedic Center in Nashville. He is board certified by the American Board of Orthopaedic surgery with a subspecialty certification in sports medicine. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.

{Haralambos Demetriades,

MD, FAAOS

Dr. Demetriades attended Mt. Sinai School of Medicine in New York and completed his residency training at Mt. Sinai Medical Center. Dr. Demetriades continued on to obtain a Fellowship in

The County Woman Magazine

Spinal Surgery Fellowship at Beth Israel Medical Center. He is board certified by the American Board of Orthopaedic Surgery. His specialties are spine surgery, spine trauma and deformity and scoliosis. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.

{Joel Fechisin,

Dr. Fechisin is a graduate of UMDNJ-Robert Wood Johnson Medical School. Following a one-year surgical internship at Abington Memorial Hospital in Abington, Pennsylvania, he completed his residency in orthopaedic surgery at Monmouth Medical. He went on to earn his Fellowship in Adult Reconstruction at Insall Scott Kelly Institute in New York, NY. Dr. Fechisin specializes in all disorders and injuries of the knee, total joint replacement, and also has subspecialty training in arthroscopy and cruciate ligament reconstruction. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.

{Keiron Greaves,

Dr. Greaves graduated UMDNJ Robert Wood Johnson Medical School. He completed his residency in Anesthesiology at SUNY Downstate Medical Center in 1993. Dr. Greaves completed his Fellowship training in Pain Management at SUNY Heath Science Center at Brooklyn University Hospital, Kings County Department of Anesthesiology, and Long Island College Hospital Veterans Administration Hospital in Brooklyn, NY. Dr. Greaves is board certified in pain management. He is an attending physician at Monmouth Medical Center.

{Aron Green,

MD, FAAOS

Dr. Green is a graduate of the University of Medicine and Dentistry of New Jersey/New Jersey Medical School. He also completed a Foot and Ankle Fellowship at Allegheny General Hospital in Pittsburgh, PA. He is board certified by the American Board of Orthopaedic Surgery and is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.

{Paul Haynes II,

Dr. Paul Haynes completed medical school at UMDNJ/New Jersey Medical School in Newark New Jersey. Following medical school, he completed internship and residency at Albert Einstein College of Medicine at Montefiore Medical Center, Waters Place, in www.TheCountyWoman.com

Bronx New York. He went on to complete his fellowship in Orthopaedic Surgery and Pediatric Sports Medicine, Limb & Pediatric Deformity at Albert Einstein College of Medicine Montefiore Medical Center at Waters Place, in Bronx New York. He also completed an Arthroscopic Fellowship at Staten Island Orthopedics & Sports Medicine, in Staten Island, New York. Dr. Haynes is a general orthopaedic surgeon, specializing in Pediatric Sports Medicine, Limb & Pediatric Spine Deformity as well as General and Pediatric Orthopaedics/Surgery. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center, Monmouth Medical Center and Saint Peter’s University Hospital.

{Arthur Mark,

MD, FAAOS

Dr. Mark is a graduate of Temple University School of Medicine. He completed his residency training at Albert Einstein Medical Center. Dr. Mark then obtained a Fellowship at Massachusetts General Hospital in Adult Reconstruction. He presently is a Clinical Assistant Professor of Orthopedic Surgery at Drexel University College of Medicine. His specialties are general orthopaedic surgery and total joint replacement and revision. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.

{Kevin McDaid,

MD, FAAOS

{Adam Meyers,

DO, FAAPMR

Dr. McDaid is a graduate of Thomas Jefferson University in Philadelphia, Pennsylvania. He completed his residency at Monmouth Medical Center and his Fellowship training in upper extremity/hand surgery at The Hand Center of San Antonio in Texas. He specializes in general orthopedic surgery and upper extremity and hand surgery. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center. Dr. Meyers received his medical degree from the University of Health Sciences College of Osteopathic Medicine and also trained at the University of Pennsylvania and the Hospital of the University of Pennsylvania. He completed his residency training at The Hospital of the University of Pennsylvania and is certified by the American Board of Physical Medicine and Rehabilitation and the American Academy of Electrodiagnostic Medicine. He is an attending physician at Monmouth Medical Center.

July/August 2013

Medical Professionals

Seaview Orthopaedics is committed to providing quality care in Monmouth and Ocean Counties. We specialize in surgical and non-surgical care of orthopaedic-related injuries.

{Roy Mittman,

Dr. Mittman attended Albert Einstein College of Medicine in New York. He completed his residency at Montefiore Medical Center in New York. He specializes in general orthopaedic surgery, total joint replacement and arthroscopic surgery. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.

{Hoan-Vu Nguyen,

MD, FAAOS

Dr. Nguyen is a graduate of Temple University School of Medicine and completed his residency training at Penn State Milton S. Hersey Medical Center. From there he obtained his Fellowship in spine surgery at San Diego Center for Spinal Disorders. He specializes in general orthopaedic surgery, neck and back surgery and disc replacement. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.

{Robert Pannullo,

MD, CIME, FAAPMR

Dr. Pannullo is a graduate of Wayne State University School of Medicine and also trained at KDV Orthopaedics and Rehabilitation in York, PA. He completed his residency at New York Hospital/Cornell Medical Center (currently NY Presbyterian Hospital) and completed an Interventional Spine Techniques and Pain Management Fellowship at KDV Orthopaedics & Rehabilitation, LTD. He is a specialist is Physical Medicine and Rehabilitation and EMG Testing. He is certified by the American Board of Physical Medicine and Rehabilitation and the American Board of Independent Medical

Examiners. He is an attending physician at Jersey Shore Medical Center, Ocean Medical Center and Monmouth Medical Center.

{Christopher Spagnuola,

MD, FAAOS

Dr. Spagnuola is a graduate of The University of Medicine and Dentistry of New Jersey. He completed his residency at Monmouth Medical Center. He received his Fellowship at Thomas Jefferson University in Sports Medicine He completed further training at Monmouth Medical Center and Children’s Hospital of Philadelphia. He is board certified by the American Board of Orthopaedic Surgery with sub-specialty certification in sports medicine. Dr. Spagnuola worked as an Assistant Team Physician for the Philadelphia Phillies and Wings organizations. He specializes in arthroscopic surgery. He is presently a Clinical Assistant Professor of Orthopaedic Surgery at Drexel University College of Medicine.

{Sunil Thacker,

MD, FAAOS

Dr. Sunil Thacker is a graduate of UMDNJ-New Jersey Medical School. He also completed his residency at UMDNJ-New Jersey Medical School. He went on to earn his Fellowship in sports medicine at the University of Pennsylvania in Philadelphia, PA and is board certified by the American Board of Orthopaedic Surgery. His practice also focuses on joint preservation arthroplasty in active adults. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center, Monmouth Medical Center and Saint Peter’s University Hospital. ABOUT SEAVIEW ORTHOPAEDICS: At Seaview Orthopaedic & Medical Associates, we have been committed to providing you with quality orthopedic care for over 30 years! Our patients’ total experience with our practice is our number one priority.

Seaview Orthopaedic & Medical Associates

If you have questions or concerns, call Seaview Orthopaedic & Medical Associates, 732-660-6200.

{Arthur Vasen,

MD, PhD, FAAOS

Dr. Vasen attended the University of Medicine and Dentistry of New Jersey- Robert Wood Johnson Medical School. He completed his residency at Case Western Reserve University Cleveland, OH. He earned his Fellowship at Brigham and Women’s Hospital in hand and upper extremity surgery. His specialties are general orthopaedics, trauma surgery, hand and upper extremity surgery and arthritis surgery. Dr. Vasen is board certified by the American Board of Orthopaedic Surgery. He is presently an Assistant Clinical Professor at Drexel University College of Medicine. Also, he is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.

{Praveen Yalamanchili,

Dr. Yalamanchili attended medical school at UMDNJ - Robert Wood Johnson Medical School and completed his orthopaedic residency at UMDNJ- New Jersey Medical School. He specializes in the treatment of spinal disorders including degenerative, deformity and trauma and has particular interest in cervical (neck) surgery as well as minimally invasive and motion sparing procedures. Dr. Yalamanchili is a fellowship-trained Spine Surgeon, who completed his training at Emory University in Atlanta, Georgia. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center, Monmouth Medical Center and Saint Peter’s University Hospital. TEAM APPROACH: We encourage you to become part of your healing process by asking questions and actively participating in you doctor’s instructions. Your confidence and trust in your doctor will ultimately lead to a quicker recovery period to Team put you back on track with Official Doctors Of:your daily activities and pleasures. Should you require medical treatment for orthopaedic injuries or bone disease, please give us a call. We would be happy to be there for you in your time of need.

Call one of our convenient locations to schedule your appointment.

Board Certified And Fellowship Trained Physicians

Specializing in:

Spinal Surgery/Scoliosis • Hand & Upper Extremity Total Joint Replacement • Trauma/Fracture Care Bone Density Testing • Osteoporosis Management ■ FREEHOLD OFFICE ■ MONROE OFFICE ■ BARNEGAT OFFICE Workers’ Compensation • Independent Medical Exams 222 Schanck Road 294 Applegarth Road, Suite C 500 Barnegat Blvd, Bldg. 200 Freehold, NJ 07728 Monroe• Twp., NJ 08831Orthopaedics Barnegat, NJ 08005 Foot & Ankle General

STEVEN BERKOWITZ, M.D., P.A. ■ OCEAN OFFICE ■ BRICK OFFICE ROY D. MITTMAN, M.D., P.A. 1200 Eagle Avenue 1640 Route 88 West ARTHUR P. VASEN, M.D., PH.D., P.A. Ocean, NJ 07712 Brick, NJ 08724 Ph: (732) 660-6200 Ph: (732)P.A. 458-7866 Ph: (732) 462-1700 Ph: 609-495-1888 Ph: 609-488-3988 KENNETH Y. CHERN, M.D., Patriot’s Park HARALAMBOS DEMETRIADES, M.D., P.A. www.seaviewortho.com • 732-660-6200 222 Schanck Road • Freehold, NJ ARTHUR K. MARK, M.D., P.A.

The County Woman Magazine

Official Team Doctors Of:

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■ SATELLITE OFFICE IN LAKEWOOD

July/August 2013

AdultCommunity

Fountainhead At Jacksonâ&#x20AC;&#x2122;s Spectacular Summer Savings On New And Pre-Owned Homes www.njfountainheadhomes.com

Submitted By: Nancy Viviano Fountainhead Properties

Home shoppers age 55 and up are finding Fountainhead At Jackson a â&#x20AC;&#x153;must seeâ&#x20AC;? community on their search for a new or pre-owned home. Located in Jackson Township, one of central New Jerseyâ&#x20AC;&#x2122;s most desirable communities, Fountainheadâ&#x20AC;&#x2122;s â&#x20AC;&#x153;for saleâ&#x20AC;? list is chock full of quality manufactured homes the rank high in terms of price and value.

Nancy Viviano, Marketing Director for the community said, â&#x20AC;&#x153;Our community is quite unique in that we afford buyers a â&#x20AC;&#x153;total packageâ&#x20AC;? that produces savings on the â&#x20AC;&#x153;buy sideâ&#x20AC;? going in, and affordable and predictable living expenses for years to come.â&#x20AC;? She explained that Fountainhead is a land lease community. This means that while you purchase and own your home, youâ&#x20AC;&#x2122;ll lease the land. She noted that one affordable monthly lease payment also includes all local property taxes. â&#x20AC;&#x153;Our new homes,â&#x20AC;? said Viviano, â&#x20AC;&#x153;are factory built to a rigorous construction code mandated by the Department of Housing and Urban Development. Our buyers are getting a home that is comparable to a site-built home in every respect. Identical construction materials, same appliances, and built with energy efficiencies to help homeowners control heating and air-conditioning costs.â&#x20AC;?

Vivianoâ&#x20AC;&#x2122;s current inventory includes a never-lived-in model home built by the highly acclaimed Ritz Craft Homes. With a roomy 1250 square feet of living space, 2 bedroom, 2 bath unit with a large kitchen and family room, is stunning inside and out. Thereâ&#x20AC;&#x2122;s also a laundry area already equipped with a washer and dryer. The kitchen comes complete with a dishwasher. Prices starting at $109,900 to approximately $150,000 the home is sited on a roomy 5000+/- square foot home site. Financing is available and the home is ready for immediate occupancy. This is just one of about a dozen new and preowned homes priced to sell and move-in ready at Fountainhead. In discussing the land-lease concept Viviano said, â&#x20AC;&#x153;Prospective buyers learn about the incredible savings theyâ&#x20AC;&#x2122;ll enjoy as a Fountainhead resident. Instead of sinking tens of thousands of

dollars into a home/land purchase, they can take the land cost of a prospective home purchase and bank it as a nest egg or rainy day fund for future use. And, because our manufactured homes are taxed differently than site-built homes they wonâ&#x20AC;&#x2122;t get hit with an annual tax bill of $3000, $4000, or more. The savings we offer are very, very, real.â&#x20AC;? Fountainhead is conveniently located at 1 Rose Drive, just off North Cooks Bridge Road in Jackson Township. Exit 21 off of I-195 is less than five minutes from the communityâ&#x20AC;&#x2122;s entrance. The sales office is open between 10am and 4pm. It is best to call Nancy at 732-928-3100 to set up an appointment. During the busy summer season Fountainhead tries to schedule visitors to ensure they have enough time to show the community and answer questions.

Spectacular

Home Savings! Select a lot in the established neighborhood and receive optional self clean gas range with microwave above for free at closing. Closing must occur before 12/31/13.

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July/August 2013

Garden

Local Honey

The Many Health Benefits of Local Raw Honey Raw honey is full of enzymes, minerals, vitamins and proteins.

In order to enjoy the health benefits of honey, it is important to remember not to heat your honey above 140˙F. Doing so can destroy all of the enzymes that are beneficial to your health. Pasteurizing is an unnecessary step in honey, since it kills the elements of the honey that are healthiest and most important. Pasteurized honey has little more benefit than the other sugars we seek to avoid. Due to its low water content, honey does not easily grow harmful bacteria. It can last indefinitely without refrigeration. It acts as a cough suppressant, boosts immunity, and can be used to improve blood sugar and sensitivity to insulin. When other topical antibiotics are not well tolerated, honey can be made into an ointment and be applied to diabetic ulcers, eczema and canker sores. When honey is used as a supplement in tea with ginger or apple cider vinegar, it can relieve nausea caused by morning sickness. At 64 calories in a tablespoon, it’s one of the healthiest sweeteners you can find.

Bee Pollen And 10 Benefits Of Regular Use Collected by the bees, and condensed into its pellet-like form, bee pollen is used to feed young bees inside the hive. It’s loaded with nutrients and serves plenty of everyday purposes.

Booster- The range of 1Energy nutrients found in bee pollen makes it

a great natural energizer. Carbohydrates, protein and b vitamins are great for keeping you going all day by enhancing stamina and blocking fatigue.

Soother- Bee Pollen is often 2Skin used in topical products that aim to treat inflammatory skin irritations like psoriasis. The amino acids and vitamins protect the skin and aid the regeneration of cells.

System- Bee Pollen 3Respiratory contains a high number of antioxidants that may have an anti-inflammatory effect on the tissues of the lungs preventing the onset of asthma.

Allergies- Pollen reduces 4Treating the presence of histamine, improving many allergies, which is great for the coming summer season.

System- In addition to 5Digestive healthful vitamins, minerals and protein, bee pollen contains enzymes that aid in digestion. Enzymes assist your body in getting all the nutrients you need from the food you eat.

6Pollen is good for the intestinal tract Immune System Booster-

and thereby supports the immune system. According to health expert Dr. Joseph Mercola, bee pollen has antibiotic-type properties that can help protect the body from contracting viruses. It’s also rich in antioxidants that protect the cells from the damaging oxidation of free radicals.

7used holistically for healing addictions Treats Addictions- Bee pollen is

and inhibiting cravings by suppressing impulses. It helps to curb appetite, which is very helpful for people who may be over eaters.

system8Cardiovascular Bee pollen contains large amounts of

Rutin; an anti-oxidant that helps strengthen capillaries and blood vessels. It also assists with circulatory problems and corrects cholesterol levels.

Aid- Men who suffer from 9Prostate benign prostate hyperplasia can find relief by using bee pollen. Bee pollen can help reduce inflammation to stop frequent urges to urinate.

problems10Infertility Bee pollen stimulates and restores

ovarian function and works as a hormone booster.

Fresh Cut Flowers

We also grow many varieties of cut flowers. We have dahlias, zinnias, sunflowers, coxcomb hydrangeas, snapdragons and more. We can cut flowers right on the spot, and make a wonderfully fresh bouquet for you. We can also do arrangements in baskets as well. Our fresh cut flowers are a great way to liven up your day. We also sell fresh fruit from our orchard, which are typically ready for picking by mid July. Apples, pears, peaches and blackberries are just a few of the varieties of fruit we have to offer as well as an array of vegetables from our garden. With all these options available to you, you can get just about anything you need for a sweet and beautiful summer.

Favors

A great idea for making either a small get together or a large-scale party special is a favor that your guests can take home at the end of the day. From The Garden Inc. has a unique idea that your guests will love: HONEY FAVORS! Jars of honey can be fitted with customized labels that will add a little something special to your special day. Another option is sleeved honey sticks that make a great treat and come folded in a paper sleeve that will remind your guest of the fun time they had. Whether it’s a wedding, bridal shower, baby shower, anniversary, or fundraiser you can be assured From The Garden Inc. can offer you a treat unlike any other.

Orange Raspberry Elixir

1 oolong-tea bag, like twinings 1 two-inch piece of orange peel 6 fresh raspberries 2-½ tsp. honey

Steep tea bag, orange peel and raspberries in 1-cup hot water for two minutes. Remove the tea bag and strain. Stir in honey, makes 1 serving. (Bonus: The d-limonene in orange peels soothes heartburn.)

Drew and Patty would love to meet you and share the benefits of real, local honey with you. Stop by our honey farm on Fairfield Road!

732-866-1745

www.FromThe Garden.com

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

M Medical edical P Professionals rofessionals

Hip Arthroscopy: A New Technique To Treat Persistent Hip Pain and the splitting of muscles and other soft tissues in order to see into joints is necessary.

symptoms associated with joint. Hip arthroscopy can address intraarticular hip injuries. Usually osteoarthrosis, abnormal CAM and the location of pain is in the groin pincer lesions, cartilage damage and along the inside part and front and labral tears by introducing A New Option of the thigh. Patients can complain a tube like video camera thinner Since the recent development of pain just simply walking and than a BIC pen into the hip joint of hip arthroscopy, many people discomfort with prolonged sitting through small incisions instead of hip Orthopaedics pain that previously the hip bent. may However, pain open surgeryminimal which necessitates Written by: Hoan-Vu T. Nguyen, MD, with Seaview addition, thewith growing uterus stretch or weaken incision, post-operative went undetected and therefore is often exacerbated by activities making large incisions and shortened even muscles around the pelvis. Moreover, added weight stabilization, hospital untreated are now being managed involving sudden rotation and dislocating the hip joint in order for to quicker and compensatory changes in walking patterns during stay, and potential Four out of five people will suffer from back pain in arthroscopically. Hip arthroscopy torquing of the trunk on the hip see inside. Hip arthroscopy is often pregnancy can place strain on the SI joints resulting in recovery. their lifetime. For many it is debilitating and impedes has become a viable option for joint as seen in soccer, baseball, unsuccessful in treating advanced Written by: of life. Their pain can go on for years to SIJ inflammation and ultimately causing pelvic pain. According to Dr. their quality many people relegated to living hockey and golf. There may be pain osteoarthrosis in which joint Kenneth Y. Chern, M.D., P.A. after achildbirth the has Nguyen, decades without relief. with their pain and modifying For most orwomen catchingpostpartum, with arising from cartilage been worn“The downiFuse to the Hip arthroscopy, or a “hip scope,” is a of Seaview Orthopaedics SI joints revertposition. to normal, and locked Implant System intended Some very common causes of low back pain Hip arthroscopy their lifestyles. has willseated Paintightened, associated with underlying bone. In these casesiship minimally-invasive procedure. The use of an position. Unfortunately for 20% of women, full for sacroiliac fusion for arthroscope means that the procedure recently been in the limelight with originate from the Sacroiliac (SI) Joint which are the going up and down stairs is often replacement surgery would be more Traditionally, hip pain was celebrated athletes, such astightening Alex present. Difficulty appropriate. conditions including fails to resume andwith thesegetting women develop joints located at the two dimples of the lower back. is done using 2-3 small incisions rather than often attributed to a strain of Rodriguez of the New York Yankees, on socks and shoes is a common a more invasive “open” surgery that would varying intensity of chronic low back pain. sacroiliac joint disruptions Sacroiliac Joint disorders are commonly misdiagnosed the various muscles or tendons having undergone successful surgery require a much larger incision complaint. Elsedegenerative Fails In addition to pregnancy and childbirth, theWhen All and in patients with low back pain due to parallels to certain to help them return to a higher level Although there are several around the ball and socket of Non-operative measures should sacroiliitis. The iFuse spinal conditions. Pain generated from SI joint disorders sacroiliac joints may be disrupted due to age related of play. causes of intra-articular hip pain, be tried first in the treatment of takes the joint.in varying degrees on one degenerative changes, prior trauma, previous lumbar procedure typically mayhip present or both sides of The hip joint consists of a ball osteoarthrosis, which is a result of most cases of intraarticular hip fusion, or a comorbidity like about an hour and requires low back. would The pain in the locations called femoralother head that movesdegenerative wear andsacroiliitis, tear with softening and Dr. Kenneth Chern is a graduate theAn example be acan hip also be felt pain. A consistent program of Ankylosing Spondylitis. one overnight stay in the than the joint itself limited to thesocket called inside of a deep the of the College of Physicians and degeneration of the cartilage is the flexor strain from, say,including, sprinting orbut not strengthening the muscle about Many patients undergoThis conservative hospital. The procedure may of Columbia University, acetabulum. layerleg. of soft tissue groin, hip, thigh, buttocks, and down the back ofA the most common. condition treatments jumping. With the development the hip can take stress off the joint. Surgeons NY, and Fellowship trained in Sports that is very smooth often middle age, including, but notpresents limitedafter to physical therapy, SIAny jointtight muscle of more be done with local or general Painsophisticated originatingimaging from SI joint disorders usually is called cartilage and tendons Medicine and Arthroscopic Surgery at bonded to theofbone of the but can be found in younger radiofrequency modalities suchcertain as MRI, we have andisthe injections, chiropractic manipulations, anesthesia present with movements changing around the hip should bedetermined stretched. by the the Sports Medicine Center at Baptist femoral acetabulum to people with hip dysplasia. Hip without been able toMany “see into the hip joint” Antiinflammatory medications ablations. However, conservative therapies the surgeon based on the patient’s position. patients will experience the head painand from Hospital in Nashville, Tennessee. help them move smoothly against dysplasia a condition whichinto position and nowand recognize with appropriate precautions can andislock the jointinback overall condition.” sitting will trythat to many avoid hip sitting on the affected side by ability to tighten Board certified, a Fellow in the each other. There are ligaments the shape of the femoral head and injuries, which had previously gone be used to decrease pain. Cortisone American Academy of Orthopaedic may only at best have provided temporary pain relief leaning on the less affected side of the buttocks or may To learn more about the iFuse Implant System or soft tissue ropes that help keep /or acetabulum has developed unrecognized and untreated, occur injections into the hip joint can be Surgeons, and a member of the until now. experience pain while sitting with legs crossed. Moving the femoral head contained in the visit, www.seaviewortho.com or contact Dr. abnormally causing increased inside the ball and socket joint of performed forplease cases of recalcitrant Arthroscopy Association of North A new surgical option, thejoint iFuse Implant from position of sittingoftothe standing,acetabulum twisting, climbing with physical activity. stresses on the hip leading to System, the hipa itself. Arthroscopy and severe pain. This can an Nguyen forbeadditional information. America. maythe be able accelerated to provide wear painand relief nooffice longerprocedure if fluoroscopy or stairs,and rolling overisinwell bed, getting in/out and called Thereofisthe alsocar, a structure tearforofpatients the knee shoulder known He specializes in sports injuries of labrum, which forms a lip responding around cartilage. Some people have “The an procedure to conservative therapies. is to the public. technique, lifting may beThe painful when the SI joint is the source. the shoulder and knee, performs x-ray guidance is available. Hoan-Vu T. Nguyen, MD of the acetabulum. abnormal bump at the the baseSIofjoint the by surgically which entails a camera and and stabilizes arthroscopic surgery of the ankle, Patients withplacing pain mimicking sciaticatheoredges misdiagnosed as minimally invasive When all else has failed and Dr. Hoan-Vu T. Nguyen is a graduate Injuries to the cartilage, ligaments femoral head called a CAM lesion instruments through small incisions elbow, shoulder, and knee including MRI with intra-articular dye inserting 3 small porous coated, titanium implants across a herniated disc may also be experiencing pain from the of Temple University School of Mediand labrum can cause debilitating and/or an abnormal shelf of bone ACL reconstruction. into joints, has allowed reveals an abnormality remediable the joint to create a fusion,” states Dr. Nguyen. “The SI joint. hip pain. These injuries, since they Diego forChern Spinalis certified in Carticel at the edge of the acetabulum called by arthroscopycine. minimally invasive treatment of thenSan surgery is CenterDr. triangular design and large surface area help minimize Though SI joint disorders present in both males and cartilage transplantation. occur inside the joint itself, are a pincer lesion. These lesions cause injuries. The benefit to patients Disorders and completed a fellowship indicated. fuse the overloaded SI joint compared to females, it is more common Many women referred to as intra-articularrotation causes andfemoroacetabular impingement has been faster recovery and lessin females. in spine surgery. He specializes in cannulated screws.” will experience low back pain duringofpregnancy due to pain. resulting in damage and injury to pain when compared to “open general orthopaedics, neck and back the iFuse offer several hormones released to incisions relax the ligaments allowing the different In addition, There are many the cartilage andprocedure labrum of may the hip surgery” in which large

ligaments to enlarge in preparation for childbirth. In

surgery and disc replacement. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and KĸĐŝĂů dĞĂŵ ŽĐƚŽƌƐ KĨ͗ Monmouth Medical Center.

benefits compared to traditional SI joint fusion;

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Ofﬁcial Team Doctors Of:

■ SATELLITE OFFICE IN LAKEWOOD

Call one of our convenient locations to schedule your appointment.

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Medical Professionals

The Next Generation: “Open” MRI

Cyrus Khorrami, M.D.

A friend’s experience . . . My friend Sharon who lives in Washington, DC called me with a medical problem.

he recently started having mild backaches as well as the sensation of “lightening” shooting down her left leg. Her doctor in Washington was concerned she could have a herniated disk in her spine and he recommended an MRI to diagnose the problem. It was explained to her that an MRI is basically a large magnet that images the body. The advantage of the MRI is that unlike some other tests there is no radiation and the detailed images obtained are of excellent quality. The disadvantage is that the test can take up to 45 minutes and one’s entire body enters the MRI through a narrow tube surrounded by the machine. The space between a patient’s body and the machine can be tight. Unfortunately, Sharon is extremely claustro-

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

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

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

MRI Of The Spine: Quality of Images

Traditional Open MRI Sharon came to my office in Toms River and had her examination without any problems. She was so comfortable in our MRI she actually fell asleep! The good news for Sharon is she did not have a herniated disk. She had a small tear in her disk that was causing her symptoms and will heal in several months without surgery. If you are claustrophobic but need to undergo an MRI, before you head to the first facility with an “open” MRI, here is my advice: first contact the facility and ask

Advanced “Open” MRI about the strength of their Open MRI. Ideal strength for the MRI is “1 Tesla” or greater. If you are not sure if a facility’s MRI is spacious enough for your comfort, visit the facility and ask to see the machine. You may also ask if you can lie down in the machine to get a sense of how the procedure will feel. Remember, not all MRIs are alike, and you will want to make certain that the one you will be using provides adequate strength and maximum comfort for your examination.

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

732-244-0777

EXPERIENCE & EXPERTISE

you can count on.

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

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

Specialty Cakes

Chocolate Novelties

Do Me A Favor!

By Lisa Porada, Owner and Cake Designer of Chocolate Carousel Chocolate Carousel is an old-fashioned bakery and sweet shop featuring homemade specialty cakes for all occasions, desserts, hand-dipped chocolates and novelties located in Wall, NJ

Edible Treats Make a Sweet Send-Off for Guests. The tradition of giving away a small gift of appreciation to wedding or party guests dates back many years to a time where the gifts might include sugar cubes and sweet treats like sugared almonds or chocolates. Over time these â&#x20AC;&#x153;favorsâ&#x20AC;? as they became known evolved into a diverse array of items including candles, picture frames, vases and more. However, it is clear that the practice of presenting your guests with sweet treats is one that is both appreciated and a sure success. At Chocolate Carousel, we believe

that even if you are trying to be original, you can get creative with your sweet treat and give a gift that will be both remembered and enjoyed! Everyone loves chocolate, making it the perfect choice to say â&#x20AC;&#x153;thank youâ&#x20AC;? to your guests. There are so many different ways to present chocolate that are fun and unique. Think about small personalized containers like boxes or monogrammed pouches containing a few carefully selected pieces of fine chocolate. One sure way to make your favor memorable and unique is to personalize it. Think about items such as personalized chocolate bars, chocolate lollipops with your photo on them, or edible picture frames with a special totally edible photo inside. Additionally, I have had customers choose to use a treat that is special to them and convert it into a wedding favor, like chocolate dipping and monogramming Oreos or peanut butter cups. A classic favor option, which can be used as a favor for childrenâ&#x20AC;&#x2122;s parties as well as elegant affairs such as showers and weddings, is the Chocolate Lollipop. These pops are very versatile because they can be made in a variety of shapes and sizes to coordinate with specific party themes. They can be made in milk, white or dark chocolate as well as a variety of coordinating colors. Lollipops can also be very elegant, like a heart shaped pop embossed with a coupleâ&#x20AC;&#x2122;s initials and wedding date. There is nothing tastier than a gourmet chocolate covered pretzel and these sweet,

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salty twists make a perfect favor choice. Whether you choose to present guests with a rod or a twist, pretzels can be dipped in chocolate and a variety of toppings such as coconut, chocolate chips or sprinkles and beautifully wrapped into a delicious gift. Toppings are easily coordinated with party themes or colors and can include creative tags that read â&#x20AC;&#x153;we tied the knotâ&#x20AC;?! If you would like to branch out beyond chocolate, cookies are a perfect little thank you for any type of celebration. Think outside the box when thinking about flavors here. Traditional flavors like chocolate chip, oatmeal raisin or sugar are classic, but cookies in flavors like pumpkin or gingersnap may be just perfect for a fall themed event. Like chocolates, cookies too can be monogrammed and iced in coordinating party colors. They can be cut into novel shapes that represent the party theme. They can be packaged in pretty boxes and bags and are often a welcome reminder of the party with the next morningâ&#x20AC;&#x2122;s coffee. One of my favorite party favor ideas is currently very popular. That is the cupcake favor. Today cupcakes are so chic and can be made in so many different flavors, styles and colors that they are easy to match with practically any party theme, style or color. They can be individually boxed or packaged so that guests can enjoy them in the days following your event. At Chocolate Carousel, we even stuff our cupcakes with a variety of yummy flavors that can easily coordinate with the partyâ&#x20AC;&#x2122;s style. As a wedding favor, the cupcakes can be made in a coordinating flavor to the wedding cakeâ&#x20AC;Śitâ&#x20AC;&#x2122;s like sending each guest home with a slice of wedding cake.

Sweet treats can also be a less expensive trinket option so they can be paired with socially conscious favors like donations for a particular charity or cause. No matter what type of sweet treat you decide to use as your favor, remember to personalize it in some way, with your photo, monogram, custom label or printed ribbon. This will give your favor a finished look and allow you to leave your guests with a message of thanks. Edible favors can be so creative and unique that no matter which route you decide to go your guests will enjoy them right to the very last bite! Edible favors are the best way to end your special day on a sweet note!

Enjoy, and remember Lifeâ&#x20AC;&#x2122;s Shortâ&#x20AC;ŚEat Dessert First! Testimonial:

Lisa totally thinks outside the box when it comes to your cake. She really takes your personality into account! We did a cupcake tower and we wanted the traditional cake cutting for the top tier. My husband and I are big ice cream fans and Lisa totally took that idea and ran with it. We loved our cupcakes and cake and will be ordering from Lisa again very soon. Lisa also did our black & white cookies that we were using for our escort cards/favors. She took the time to bag them and put our seating tags on them for us. She even did the ribbon in our accent color. The black & white cookies were so fresh and looked so cool. I have to say Chocolate Carousel is one of my favorite vendors and so easy to work with!

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Chocolate Carousel is a family owned and operated specialty dessert shop located in Wall NJ.

www.chocolatecarousel.com â&#x20AC;˘ 732-280-0606

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

Adult Day Care

A Day Program That Offers So Much More!

By Mary Luby, LCSW As a licensed clinical social worker at We Care Adult Day Care, I assist older adults and their families to assess care needs and connect to appropriate resources through a number of available funding sources. As a healthcare social worker, I also advocate for our members and their families at We Care who are interested in learning more about a myriad of geriatric care management issues. I really enjoy listening to and speaking with seniors who are mapping out their many choices and options. Our Caregiver Support Group provides a place for families to share their experiences and struggles in a warm nonjudgmental gathering. In my practice at We Care, I also educate older adults to some very important facts. In the many presentations I give, we talk about how the number of older adults is climbing. In fact, by 2020 it is estimated that the population of people over 65 will reach 72.1 million, more than twice their number in 2000. Since 2011, 10,000 people turn 65 every day! Such an increase in the number of seniors means more programs are needed. Also, the voice of those seeking these programs is louder and stronger. This population historically votes so those who administer services as well as politicians must listen. Education and advocacy is a very important aspect of my job as a We Care Adult Day Care social worker. We start by noting that most programs are

designed to keep older adults safe in their own home where 80% to 90% of older adults prefer to live. Attendance at a Day Program costs less than half the cost of care at home. How does one get started, then? Throughout Monmouth County and beyond, older adults have many choices of nonprofit and for profit programs and services on the County, State & Federal levels. Information and assistance may be obtained at We Care and through our referral to geriatric care managers, elder attorneys, home health aide agencies, and many other certified and licensed healthcare professionals. What are some examples of care needs and resources to meet them? Our initial conversation at We Care will start with a simple phone or home assessment of your needs presently or in the near future. Weâ&#x20AC;&#x2122;ll discuss â&#x20AC;&#x153;activities of daily living,â&#x20AC;? a term for all the day to day aspects of day to day living we often donâ&#x20AC;&#x2122;t think about. These include personal care needs such as toileting, bathing, dressing, and ambulation, as well as transportation, shopping, etc. Programs are largely income-based, some match you up with a volunteer, while there are some services that are provided based on other criteria, including age alone. It can sometimes feel daunting and challenging to find the right fit of services for you. You donâ&#x20AC;&#x2122;t have to figure it out all alone! After all, no one can really expect to know everything about the many, many programs available to seniors and their families. But, as a licensed clinical social worker, I would be happy to direct you to the formal and informal services that can enhance your quality of life and safety. My free consultation may maximize your independence in your own home. We can also talk about specialized services for good mental health and caregiver support programs too. Consider reaching out for information and support. We Care Adult Care is happy to offer a complimentary guest visit with a full lunch at your convenience. Or, you can stop in anytime for a tour. When you need to get connected, as a social worker I can assist you. You do not need to navigate the maze alone!

Providing Care â&#x20AC;˘ Promoting Excellence â&#x20AC;˘ Preserving Independence

Want to know more, call us at (732)741-7363

for more information or to arrange a visit to â&#x20AC;&#x153;our home away from homeâ&#x20AC;?

www.wecareadultdaycare.com

Tracey L. Wolfman a resident of Middletown for the last 40 years who always had a passion for senior citizens launched â&#x20AC;&#x153;We Care Adult Day Careâ&#x20AC;? in 2000. Tracy is a Registered Nurse with a Masterâ&#x20AC;&#x2122;s in Nursing Administration from Teacherâ&#x20AC;&#x2122;s College, Columbia University. She has spent the last 26 years working with the elderly population specializing in Alzheimerâ&#x20AC;&#x2122;s disease. Her dedication and knowledge have helped many people afflicted by Alzheimerâ&#x20AC;&#x2122;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 â&#x20AC;&#x153;Quality of Lifeâ&#x20AC;? unparalleled by any other Adult Day Care Center in Monmouth County. â&#x20AC;&#x2DC;We Careâ&#x20AC;&#x2122; 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.

WEÂ CAREÂ ADULTÂ CARE,Â INC.Â isÂ anÂ adultÂ dayÂ careÂ centerÂ whoseÂ purposeÂ isÂ toÂ provideÂ theÂ highestÂ qualityÂ ofÂ alternativeÂ careÂ toÂ allÂ seniors.

UnionÂ SquareÂ Mall 552AÂ StateÂ RouteÂ 35 RedÂ Bank,Â NJÂ 07701 (P)Â 732.741.7363 (F)Â 732.741.9188 www.WeCareAdultDayCare.com

Licensed by the Department of Health and Senior Services

Want to know more, contact us at (732) 741-7363 or www.wecareadultdaycare.com

Enter to Win

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The County Woman Magazine

City: ________________________________________ State: ___________ Zip: _______________ Phone: (______)______________________ Email: _______________________________________ Please Clip Out And Mail To: The County Woman â&#x20AC;˘ P.O. Box 619 â&#x20AC;˘ Turnersville, NJ 08012

Please check here if you would like to receive specials from Chocolate Carousel.

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July/August 2013

Real Estate

38 36

@ai ;e FZW 4Wef F[_W Fa 4gk 3 :a_W RATES ARE AT RECORD LOWS! “WE NEED MORE INVENTORY!”

Thanks to the great work of our sales team, we are selling out of our inventory! Please call us for a complimentary market analysis of your home. At Orrico Realty, we take care of your home as if it were our own. We are a company dedicated to providing the very best service to our clients. Having a very professional staff that is dedicated and determined to meet all clients’ professional needs has helped our company grow into what it is today. We attribute Orrico Realty’s success to our staff’s hard work and dedication, and especially, the leadership of our inspiring Broker and Mentor, John Orrico.

Meet The Orrico Family . . . John (Broker)

COLT’S NECK Bretwood Mallet HillDrive

COLT’S NECK 6 Cypress Way

Beautiful PoloPrestwick Estate home StunningRancho 5 bedroom model on 4 acres National with 5 bedrooms and 5.5 at Trump Golf Course locatbathrooms. Finished walkout basement ed on the 5th hole with great views! and Gunite pool. $2,599,000 $1,525,000.

Large 6700+ Sq. Ft. estate has 5 bedrooms and 5.5 baths with a very spacious and open floor plan on Trump National Golf Course. Priced to sell! $1,524,000.

Amy (Secretary) Jason (Salesperson) Joseph (Broker Salesperson) Josephine (Salesperson)

COLT’S NECK Hockhockson Road Rivers Edge Drive 13 acre compound 5 bedroom Beautiful Rivers Edgewith Estate! 5 bedestate home, 4 bedroom guest cottage, rooms, 4.5 bathrooms, very quiet localarge barn, large all-purpose building, tion in the upscale reservoir section. 24 horsein-ground stalls. Majestic! $2,850,000 Gunite pool! $1,399,000.

Benny (Salesperson)

About Us . . .

John Orrico, broker and owner of Orrico Realty has lived and sold real estate in town for over 16 years. He has vast financial knowledge and knows the town very well. “The best thing to have in this business is a good reputation and you can’t do that unless you treat everyone fairly and with mutual respect.” John Orrico is a firm believer in the code of ethics set forth by the Real Estate Commission and values his relationships with clients. Our office is located at 415 Route 34, suite 211 in Colts Neck, NJ 07722 . Colts Neck is a wonderful town filled with horse farms, recreational parks, golf courses, and most importantly: great people. We have a highly acclaimed school system from grades K-12. We are considered a suburb of New York City; about fifty minutes by train and car.

COLT’S NECK Kathleen Drive

(732) 303-0050

COLT’S NECK Koala Court Bretwood Drive

Very Property Sits On 1.41 This Private home has a wonderful view of Acres Of Land Surrounded By Woods! Trump National Golf Course, 2.78 5acres, Bedroom 4.5 Baths. 10kitchen Ft. Ceilings 4 bedrooms, large w/ First Floor, Updated granite, center island,Kitchen, and walk-in panAnd Muchroom More. try. Great has$975,000 vaulted ceiling and a

COLT’S NECK Hambletonian Drive Construction under way! This luxurious 6 bedroom, 7500 Sq. Ft. estate is set on 3 acres in a premier development. $2,599,000.

gas fireplace. $1,459,000.

Foundation In!! This 5800 Sq. Ft. masterpiece will have the highest quality construction and amenities. Top of the line kitchen! $1,350,000.

COLT’S NECK Stone Hill Road This beautiful home has 10 foot ceilings on the first floor, Maple Brookhaven kitchen, 5 bedrooms, 5.5 bathrooms, full finished basement. $1,225,000.

WWW.ORRICOREALESTATE.COM

The County Woman Magazine The County Woman Magazine

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May/June 2013 July/August 2013

Salon

Spa

What’s New At Hair & Company ... Oasis Spa? There are differences in the way hair extensions are prepared, in the techniques used to attach it to your hair and what kind of hair is used. Some systems only differ from materials that are used. With many techniques, some kind of glue or bond is used for attachment. These methods involve coating your own hair with a chemical or foreign substance.

Before Written by: Denise Cruz, Stylist & Colorist Hair & Company... Oasis Spa

ot everyone is born with thick hair, and hair needs change! This is especially true as we age or because of health issues. Women of all ages can turn to extensions for various reasons. Add on hair techniques give your daily look a lift, offering Volume, Movement, Style and even Color! At Hair and Company, our colorist & stylist, Denise Cruz has been certified in Hotheads Hair Extensions and is excited to bring them to you. Hotheads Hair Extensions is a highly innovative hair extension line that provides a beautiful and natural look without damage to your hair or hours of your time spent at the salon. Hair and Company is leading the way in Redbank with Hotheads Hair Extensions. This new method uses 100% human hair and doesn’t involve glue, beads, wefts, braiding

Enter to Win

After or weaving. These hair extensions have been created to stay in and protect the hair. They are also easily removable with the proper solutions and have minimal to no damage on hair.

That’s why at Hair and Company and Oasis Spa we bring you only the best product that we ourselves believe in and would use ourselves. Denise Cruz has been a Hairstylist & Colorist for 19 years and has made Hair and Company and Oasis Spa her home

for 14 years. She has trained at the Redkin Exchange in NYC, Martin Parsons, educated for and studied with L’Oreal Professional, Paul Mitchell, Locics and Goldwell Lines. She also specializes in Updo’s and Special Occasion Hair. Denise has been trained and is certified in Hotheads Hair Extensions. She will consult with

you to help you decide on the best style and solution for your hair.

Call Hair and Company and Oasis Spa at 732-747-6983 to schedule an appointment with Denise Cruz to get your Hothead Hair Extensions!

About the owner: Joann Wiener, owner, opened her business in Red Bank over 37 years ago. She and her husband Howard enjoy working with a talented and experienced staff and serving a loyal base of clientele. She is excited about the addition of the “Oasis Spa” in her salon.

They are the most comfortable and undetectable extensions on the market. There is no matting, frizzing or tangling, and they are much more affordable than most extensions. Hothead Hair Extensions are human hair adhesive weft extensions that are applied without the need of tools or heat. These hair extensions are made uniquely to lie completely seamless and undetectable in the hair. Manufactured with Amazing Quality human Remy hair with the cuticle in tact allows the hair to be reapplied up to 3 times if properly taken care of, while still looking and feeling amazing. Clients will get 8-10 weeks of wear from application Hair Extensions come in many different types.

Enter to Win a $30 Gift Certificate to Hair & Co. Oasis Spa Name: __________________________________________________________________________ Address: ________________________________________________________________________ City: ___________________________________ State: _________ Zip: _______________ Phone: (______)______________________ Email: ______________________________________ Please Clip Out And Mail To: The County Woman • P.O. Box 619 • Turnersville, NJ 08012

Please check here if you would like to receive specials from Hair & Co.

H&Co.

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The County Woman Magazine

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July/August 2013

Landscaping

DESIGN & BUILD SPECIALISTS Multi-Faceted Contracting Company for Over 37 Years When it comes to landscape design, you want it done right the first time — and every time. Meet the team of landscape designers at Jersey Landscaping, LLC. We started in 1976 when Dennis Malibashka decided to pursue his passion and hobby of landscape design. In the past 37 years Jersey Landscaping has evolved into a multi-faceted contracting company covering all bases of the outdoor realm, from landscaping, to irrigation, outdoor lighting — and much more! Jersey landscaping proudly offers outdoor landscape design that works for you AND your area! Landscape Design and Build Specialists Jersey Landscaping can handle the most unique landscaping challenges with creative and innovative solutions, and with expertise and knowledge that sets the industry standard. As landscaping specialists, we never lose sight of the fact that residential landscape design requires continuity with the surrounding architecture and terrain, and continuity with itself. That’s why we take into consideration the inherent qualities and natural rhythms of existing conditions. This creates a framework that allows nature to take over. The result is a living entity that continually grows into its full potential.

Chase Malibashka, Owner

Our designers work with you from start to finish, from initial design to completion of the project. We also will maintain the landscapes we design, nurturing them to become a true outdoor oasis.

PHONE: (732) 462-4289 WWW.JERSEYLANDSCAPING.COM HOME IMPROVEMENT LICENSE #13VH04107400

The County Woman Magazine

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July/August 2013

Premier Consignment Center

An Experience You’ll Not Soon Forget:

“Don’t Give Your Treasures Away, Consign Them Today!” å Not only can you enjoy shopping in the 10,000-square-foot showroom, you can also be a seller.

Written by: Melody Tektas, Owner

Don’t Give Your Treasures Away ~ Consign Them Today!

If you love antiques or collectibles and home décor, you will love Yesterdays and Todays. It is a place to linger, a place in which to amble down the lacquered woodplanked floors. Many customers just can’t leave without buying something. Head right for fine china, vintage kitchen tins and utensils, Asian vases, quilts, hand-painted items, antique dolls, Depression glassware, dishes, candles, quilts and lace. Enjoy the sun-drenched furniture showroom that invites you to seat yourself at a dining set and be transported back to Christmases at Aunt Mildred’s. Sink into a Queen Anne sofa and remember being a child sitting in the same kind of chair, legs dangling impatiently, waiting for Grandma to bring out the tin of Ritz crackers, like the one you saw back in the country kitchen room. Try to find the rainbows cast by prismladen lamps, just like you did years ago. Ambiance matters. You’ll not hear Lady Gaga in this shop! Instead, you’ll peruse to the sounds of Dean Martin, Neil Diamond and other musical greats. Senses shift from the music to the sights…the lighted glass counters hold everything from Royal Doulton figurines to Fenton art glass to toy RC Cola cars. Tiffany lamps hang from ceiling fixtures. Oil paintings of every style adorn the walls and vintage jewelry galore. Melody credits her husband, Moonstar Painting owner and contractor Seyithan Tektas, with translating her vision of Victorian elegance fused with country charm into the reality that customers and consigners experience. OPENING IN JULY!

Our second location will be opening in July

1 Princeton Avenue, Brick behind the Rainbow Diner

(Family and friends also volunteer their time to man the registers and help assemble and arrange consignments as they come in.) “People love it. I have people who hang out in here for hours,” Melody said. “They say, ‘Oh my God, my mother had this, my grandmother had this.’… It’s like walking down memory lane….Things go fast, though. If you want it, you have to buy it.” Stroll back the other way and explore the offerings: vintage handbags for the ladies, and with the men who accompany their women, fishing rods, Hess trucks, vintage magazines, bar signs and the requisite John Wayne posters. “We have quality furniture at reasonable prices. Why pay $5,000 for a new dining room set when you can get better quality for $1,000 or less? You get great things for little money. There really is something for everyone. This isn’t a thrift store; we sell quality items at affordable prices.” Customers aren’t the only ones who benefit. Melody deals with nearly 2700 consignors and has several vendors renting out space. Consignors receive 50 - 60 percent of the sale price; for antiques a higher percentage; and consignors get paid once a month. “People trust me,” Melody said. “We try to get fair prices for all our consignors. We are honest, and have a knowledgeable and personable staff that is great with all our customers.”

Consignments are taken 10 a.m. to 2 p.m. Tuesday and Wednesday.

Yesterdays and Todays accepts all Quality collectibles, jewelry, antiques, new and old furniture, vintage items, toys, magazines, art glass, figurines, paper, military, jukeboxes, slot machines, bar signs, pocketbooks, hats, furs, and much, much, more! She does buyout antiques and estates. Vendor space is also available. Home delivery for customers is available. Call for details.

About the Business…

Melody Tektas is passionate about antiques and treating customers and consigners well. Yesterdays and Todays Consignment Center is her love letter to those who share that passion, and includes vintage collectibles along with select modern items. It took three years of researching antique and vintage markets, and two years of seeking the perfect location before she settled on the 200-year-old Siperstein’s building on Toms River’s Main Street to create Yesterdays and Todays Consignment Center. The center is as rare as many of the items it holds. It’s the only consignment store of its kind in New Jersey. With the success of the Toms River location, a second location in Brick is opening in July.

We buy your unwanted treasures or furniture, and also can have your Estate Sale. So don’t Give Your Treasures Away Consign Them Today!

Come and join our family of Consignors and turn your unwanted Treasures into Cash! Are you downsizing, moving, liquidating an Estate, changing your décor or tired of your collection? Are you starting over, or have you experienced the loss of a loved one? Let Yesterdays and Todays take your worries away! We do all the work - you collect the check! This is how it works: Bring in your items (15 maximum) on Tuesdays and Wednesdays from 10am-2pm. If you are interested in consigning furniture please bring in a picture of your items first. We accept all kinds of furniture – barely used new and antiques. If your furniture is accepted we will pick it up free of charge! So gather up your treasures and come on in! Our dedicated and experienced staff is ready to serve you!

Yesterdays and Todays

New Jersey’s 1st Premier Consignment Center Antiques • Furniture • Estate Sales 812 Main Street Open 7 Days A Week For Your Convenience: Toms River, NJ Mon-Sat 10am-6pm • Sun 10am-5pm Opening Soon! 1 Princeton Avenue 732-608-0413 Brick, NJ

www.YesterdaysandTodays.net

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

Women

Pat Madzin

Monmouth County

From The Garden

With roots in Bradley Beach, Patty Madzin has a history with farm life and agriculture. For 35 years her and her husband Drew have been in the green industry and cultivated and built a 17-acre farm in Freehold/Howell. With a strong moral conviction, they donate food to the Joshua House, Catholic Charities, Howell Seniors and the Tent Community. While their sense of charity has not changed, the farm now serves as a post-retirement project that Patty and Drew enter each day with just as much fervor as all their past endeavors. Patty is eager to please each and every customer, whether it is a bouquet of flowers, jars of honey, favors for a bride or freshly picked apples. There isn’t a moment in her day when she isn’t focused on keeping her customers satisfied and willing to come back. “I’m doing what I’ve always wanted”, she says cheerily as she bags a jar of honey for an area mother. People around Monmouth County understand the health benefits of local honey and are happy there is someone to provide them with natural goods while also supporting a local farm. Patty’s stand is on Fairfield Road and the honey shoppe is down the driveway. For information, please call 732-866-1745 or visit www.FromTheGarden.com.

Beth O’Neill

Beth O’Neill, Certified Assisted Living Administrator and Office Manager has been an employee of We Care Adult Day Care for the past ten years. Beth started working part time in the Activities Department and now is in charge of all front-end operations. Beth brings great enthusiasm and dedication to her role as office manager. She always has a smile to greet customers and assist families with their many needs. Beth enjoys working with the seniors and only wishes adult day care had been available to her when she was a caregiver herself. Beth was born and raised in Brooklyn. She moved to Middletown, New Jersey in 1999 with her husband and four children. They are members of Mary Mother of God Church in Middletown, NJ. When her children where younger, Beth was a Girl Scout Leader, Softball Coach and Pre Cana Leader. With her three older children away at college, Beth keeps busy cheering on her youngest son at all his sporting events. Please call 732-741-7363 or visit www. WeCareAdultDayCare.com.

Photo by Annette Jenkins Photography

Michele Marrucca

Elder Life Management

As a Medicaid Manager for almost 10 years, Michele brings a wealth of knowledge and expertise to her position at Elder Life Management. She is not only passionate about ensuring Medicaid applications are handled efficiently and expediently, she is compassionate when working with clients and their families throughout the Medicaid process. Ms. Marrucca’s past experience working with local hospitals and other non-profit ventures has enabled her to skillfully review, coordinate and complete the financial portion of processing a Medicaid application. Almost as importantly, it has also enabled her to understand that each family has their own dynamics and practices not only in terms of finances as they relate to applying for Medicaid, but also the adjustments a family experiences as their loved ones care needs change and the need for Medicaid becomes a reality. Michele lives in Neptune with her husband and two teenaged children. She spends much of her spare time volunteering for various children’s cancer charities, at her children’s sporting events or on the beach at her beloved Jersey Shore. For more information about assistance with applying for Medicaid or to schedule a Comprehensive Consultation, call Elder Life Management at 732-4938080 or visit the website at www. elderlifemanagement.org.

Photo by Annette Jenkins Photography

Celeste A. Smith, MSW, LSW

The County Woman Magazine

LADACIN Network

A compassionate professional, Celeste Smith has made supporting people with disabilities at LADACIN Network her life’s work. Born in Jersey City and raised in the Bayshore area, the mother and grandmother from Hazlet began her career with the Agency 38 years ago as a Teacher of the Handicapped. Motivated by her keen understanding of people with disabilities and willingness to accept new challenges, Celeste was instrumental in developing many of LADACIN’s lifetime programs and services. She joined her students and clients in their personal journeys to overcome obstacles and live life as independently as possible. Today, Celeste is the Associate Executive Director of Adult Services and supervises the adult activities program, supported employment, residential services, transportation services and oversees the Agency’s 11 facilities. Celeste earned a Master of Education Degree in Special Education from the University of Pittsburgh and her Master of Social Work Degree from Monmouth University. A lifelong animal lover, she supports the Monmouth County SPCA. Celeste enjoys travel and loves to spend time with her family, including her three grandsons. To reach Celeste, call 732-493-5900. For information on LADACIN, visit www.ladacin.org.

Photo by Tracy Harman

We Care Adult Day Care

www.TheCountyWoman.com

Photo by Annette Jenkins Photography

July/August 2013

Women Dr. Cherish Im, Pediatric Dentist

Monmouth County

Tender Smiles 4 Kids www.tendersmiles.com

Cherish Im, also known as Dr. Cherish, was born and raised in Toronto, Canada. While attending high school, she developed an interest in dentistry and began working as a dental assistant. She then continued her education in Ontario and earned a Bachelor’s degree in Science at McMaster University in 2006. She subsequently moved to the United States and attended New York University College of Dentistry, earning her Doctor of Dental Surgery Degree. In her early days of dental school, she developed a strong interest in working with children, prompting her to advance her studies and clinical practice in Pediatric Dentistry at NYU College of Dentistry. During her residency she went to Alaska and many other underprivileged areas to provide dental care and education to those in need. Because of these experiences, Dr. Cherish developed an endearing passion to serve children throughout her career. Dr. Cherish is currently a Board Candidate by the American Board of Pediatric Dentistry, and is also a member of the AAPD (American Academy of Pediatric Dentistry) and ADA (American Dental Association). She is also certified in Basic Life Support (BLS) and Pediatric Advanced Life Support (PALS). Cherish currently resides in New Jersey with her husband, James, and their French bulldog, Mochi. She enjoys singing, traveling, and spending time with family and friends. Call to schedule your appointment today at one of our three locations for Tender Smiles 4 Kids.

Kelly McPadden, RT(R)(M), LMT, HC

A Kneaded Vacation

Comfort comes in many forms, engaging our senses and emotions to soothe pain and release distress. By crafting specialty teas for brewing and sharing along with practicing therapeutic massage my life is dedicated to providing comfort to others. We could all use a focused moment in our day where another human being cares about us. I’ve developed two ways to extend this ideal. With A Kneaded Vacation Therapeutic Massage, an in-home massage service (plus studio in Little Silver), I’m able to bring years of experience to people looking to alleviate their pain and stress. My other passion is my boutique company, Mad Pots of Tea, which creates personalized blends that are based on and inspired by the individual. Recently, I’ve aligned myself with the Ronald McDonald House – where giving people peace of mind and a source of comfort is their singular mission. I was honored to host their Garden Tea Party and will continue donating my time and services there. To contact Nicole about Massage, Seminars or Speaking Engagements, email Nicole@ AKneadedVacation.com, or visit AKneadedVacation.com. For “Weekly Wellness Tips” follow her on Facebook.com/ AKneadedVacationMassage. For your own blend of tea, email Madam@ MadpotsofTea.com or visit Facebook. com/MadPotsofTea.

Photo by Annette Jenkins Photography

Dr. Susan Belanger

The County Woman Magazine

Belanger Podiatry

Dr. Belanger graduated from Northeastern University and earned her medical degree from the New York College of Podiatric Medicine. Following graduation she completed a two-year foot and ankle surgical residency at Saint Barnabas Hospital in the Bronx. In 1998, Dr. Belanger accepted a fellowship position at Kaiser Permanente in Sacramento, California where she trained in trauma of the foot and ankle. After completing her extensive postgraduate training, Dr. Belanger accepted a surgical professorship position, teaching medical school students surgical skills, at the New York School of Podiatric Medicine. Dr. Belanger has worked at several private practices in Monmouth County, before deciding to open her own private practice in Neptune. At this time, Dr. Belanger is presently working at Main Street Foot and Ankle Care in Toms River and maintaining her private practice in Neptune. Dr. Belanger has surgical privileges with Community Medical Center in Toms River and Jersey Shore Hospital in Neptune. Dr. Belanger was born and raised in Warwick, Rhode Island, and now resides in Monmouth County. Dr. Belanger enjoys raising her twins and participates in crossfit fitness training, running and participates in many of the local 5k runs. Dr. Belanger maintains professional affiliations with the following organizations: Fellow, American College of Foot and Ankle Surgeons, New Jersey Podiatric Medical Society, American Academy of Podiatric Practice Management, National Athletic Trainers Association and Southern Monmouth Chamber of Commerce. Visit www.BelangerPodiatry.com.

Photo by Victor Bubadias

Improve Health Solutions

Kelly was born and raised in Brooklyn, N.Y. While attending high school she knew her career would be in healthcare. Kelly trained as a radiologic technologist and has practiced for over 20 years. Early on in her career she took additional studies in women’s imaging, specializing in mammography and is licensed through the ARRT. Kelly decided to become a health counselor to fulfill her passion of working with women who have energy and weight problems and to help improve their health and family life. Her training at The Institute for Integrated Nutrition combines a mind/body approach to health and nutrition. She thoroughly applies this combined knowledge in her practice. Kelly is also a NJ licensed massage therapist. She has a special interest in helping clients that are dealing with complicated pain issues, but specializes in injury recovery and prevention. In addition, she provides general relaxation massage for stress reduction. She is a member of the Associated Bodywork and Massage Professionals. Kelly resides in New Jersey with her two children, Liam and Brigid, her dog, Murray and cat, Natasha. She loves all outdoor activities and spending time with friends and family. Kelly’s office is located at 200 Atlantic Avenue, Suite G, Manasquan. She can be contacted at 732-267-8858. Visit www.ImproveHealthSolutions.com.

Photo by Annette Jenkins Photography

Nicole Lerario, Relaxation Specialist

www.TheCountyWoman.com

Photo by Tracy Harman

July/August 2013

Theatre

&Entertainment

An Electrifying Story Told Through Music, Dance & Technology

“Best New Act in America!” Piers Morgan, America’s Got Talent

New World Stages

340 W. 50th St. (btw. 8th & 9th Ave.)

Telecharge.com 212-239-6200 iLuminate.com

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

Theatre

&Entertainment

“T H I S S T E A M Y M U S I C A L I S A L O V E TRIANGLE WITH A RAZOR’S EDGE. YOU WON’T BE ABLE TO RESIST! ” –THE NEW YORK TIMES

A penetratingly funny show about love

“EXCELLENT!” WOR Radio “HILARIOUS !” BroadwayWorld.com

The Acorn Theatre @ Theatre Row • 410 W 42nd St (Btw 9th & 10th Ave) TELECHARGE.COM • 212-239-6200 • TheBananaMonologues.com F L X

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The County Woman Magazine

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6/10/13 12:18 PM

July/August 2013

Medical Professionals

New Barnabas Health Medical Group

Internal Medicine Practice Opens In Ocean Township compassionate and innovative cutting edge care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources of Barnabas Health the largest not-for-profit integrated health care delivery system in New Jersey and one of the largest in the nation, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence.

About Monmouth Medical Center From left, Barnabas Health Medical Group’s Richard B. Meltzer, M.D., FACP; Michael J. Disciglio, M.D. F.A.C.P.; and Rajneesh G. Mehta, M.D.

Internal Medicine Specialists Drs. Disciglio, Mehta and Meltzer Accepting New Patients at Convenient Rte. 35 State-of-Art Medical Office Michael J. Disciglio, M.D. F.A.C.P., Rajneesh G. Mehta, M.D., and Richard B. Meltzer, M.D., FACP, each specializing in Internal Medicine, have opened a new Medical Office location as part of Barnabas Health Medical Group, in partnership with Monmouth Medical Center. The new office is located at Plaza II 1300 Highway 35 South Suites 101-103, Ocean, New Jersey. “The new primary care office location for Drs. Disciglio, Mehta and Meltzer provides residents of Ocean Township and surrounding areas extremely convenient access to three outstanding internal medicine professionals,” said Frank J. Vozos, M.D., FACS, President and Chief Executive Officer, Monmouth Medical Center. “Both their current and new patients will be extremely pleased with this new state-of-theart medical office.” Dr. Disciglio earned his medical degree from the American University School of Medicine in Washington, D.C., and conducted his residency in Internal Medicine at Monmouth Medical Center. He is board certified in both Internal Medicine

and Geriatrics Medicine. Dr. Disciglio is a member of the American College of Physicians and is also a Fellow of the American College of Physicians. Dr. Mehta received his medical degree from the B.J. Medical College, Gujarat University in India. He completed his Residency in Internal Medicine with Monmouth Medical Center. Dr. Mehta is board certified by the American Board of Internal Medicine. Dr. Meltzer earned his medical degree from the University of Basel Switzerland, and fulfilled his Residency in Internal Medicine with Monmouth Medical Center. He is board certified in Internal Medicine and is a member of the American College of Physician and is Fellow of the American College of Physicians. To schedule an appointment with Drs. Disciglio, Mehta or Meltzer, please call (732) 531-6400. Office hours are Monday to Friday, 9 a.m. to 5 p.m., with additional evening hours for each physician. Same day appointments are available. Barnabas Health Medical Group accepts most major insurances.

About the Barnabas Health Medical Group

Barnabas Health Medical Group is a multispecialty group practice comprised of highly trained and experienced world class primary and specialty care physicians. Barnabas Health Medical Group physicians provide

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Located in Long Branch, N.J., Monmouth Medical Center, a Barnabas Health facility, along with the Children’s Hospital at Monmouth Medical Center, is one of New Jersey’s largest academic medical centers and has been a teaching affiliate of Philadelphia’s Drexel University College of Medicine for more than 40 years. From its earliest days, Monmouth Medical Center has been a leader in surgical advancement and has introduced many technological firsts to the region, including robotic surgery and other minimally invasive techniques. The hospital is routinely recognized by HealthGrades, the nation’s largest premier independent health care quality company, for excellence in both emergency medicine and maternity care. U.S. News & World Report has recognized Monmouth as a regional leader in cancer, geriatrics, gynecology, neurology and neurosurgery.

About Barnabas Health

Barnabas Health is the largest not-for-profit integrated health care delivery system in New Jersey and one of the largest in the nation, with more than two million patient visits and delivery of more than 17,600 babies annually. The system includes six acute care hospitals, two children’s hospitals, a freestanding behavioral health center, ambulatory care centers, geriatric centers, the state’s largest behavioral health network and comprehensive home care and hospice programs. As the second-largest private employer in New Jersey, Barnabas Health includes 18,200 employees and 4,600 physicians - or one-fifth of the actively practicing physicians in New Jersey. For more information, visit www. barnabashealth.org.

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With several internal medicine offices located throughout Monmouth County, Barnabas Health Medical Group offers local residents access to high quality services and expert professionals in the comfort and convenience of their own communities. Barnabas Health Medical Group’s internal medicine practices include: Anthony Ricca, M.D. 82 Bethany Road, Hazlet 732-264-5656 Kenneth Granet, M.D. Pranathi Mandadi, M.D. 166 Morris Ave., Long Branch 732-229-2020 Harold Chafkin, M.D. Donald Cuccia, M.D. Paul Luparello, M.D. Julia Ritsan, DO Sunit Desai, M.D. Russell Gross, M.D. Shamim Saeed, M.D. 1270 Rt. 35, Middletown 732-615-3900 Paul Barnickel, M.D. Gerlando Parisi, M.D. 223 Monmouth Road, West Long Branch 732-229-3838 Gautam Desai, M.D. Jenalyn Canullas, APN 842 Broadway, West Long Branch 732-222-0180 Zorica Mercadante, M.D. 223 Monmouth Road, West Long Branch 732-923-1777 Rajneesh Mehta, M.D. Michael Disciglio, M.D. Richard Meltzer, M.D. 1300 Rt. 35 South, Plaza II, Suites 101-103, Ocean 732-531-6400 732-531-1894 Barbara Courtney, M.D. Priya Sai, M.D. 370 Rt. 35, Suite 201, Red Bank 732-842-0290 Sunit Desai, M.D. Russell Gross, M.D. 1270 Rt. 35, Middletown 732-615-3900 1029 Sycamore Avenue, Tinton Falls 732-544-1048

July/August 2013

Community

for more information call 732-578-9200 or email info@cscjerseyshore.org www.cscjerseyshore.org

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Community

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Community

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Health

& Wellness

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

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Or Fill Return avings up to 75 percent THIS IS THE SAVINGS CARD WE WILL SEND YOU BY CALLING THIS IS THE SAVINGS CARD WE WILL SEND YOU BY CALLING family and friends. All cards family and friends. All cards criptions, lab and Request Cards Through Email: Rxplus@Thecountywoman.Com ~ Phone: 856-881-0302 ~ Or Fill Out And Return prescriptions, lab and Or go to our website www.freerxplus.com/FRP00106 or email Rxplus@TheCountyWoman.com you have a prescription. You can THIS IS THE SAVINGS CARD WE WILL SEND YOU BY CALLING 336.587.3370. family and friends. All cards egging resource that provides Call between the hours of 9-5 Monday through Friday. Call between the hours of 9-5 Monday through Friday. ptions, lab and distributed are active andand ready distributed are active ready services. services. Call between the hours of 9-5 Monday through Friday. even share the same card with distributed are active and ready oervices. savings up to 75 percent for use. for use. 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Part D coverProgram will benefit the the “doughnut Program will benefit The reeRxPlus Prescription sngs this program and how Turnersville, NJ 08012-0619 age gap, often referred to as the Turnersville, 08012-0619 age gap, often referred to as the ed, the under insured, andand What nsured, under insured, The Medicare PartPart D coverPONJ Box 619 rogram will benefit the help me?the is Medicare D Return to: “doughnut hole”, is a period of “doughnut hole”, is a period of id Part D participants. dicaid Part D insured, participants. Turnersville, NJ 08012-0619 age“doughnut gap, often hole”? referred to as the d, the under and Acc Ac Address: The County Woman FreeRxPlus Prescription time during the coverage yearyearof time during the coverage take the card to a participly take the card to a partici“doughnut hole”, is a period Part D participants. Thewhen Medicare Part youyou will be DbecoverPO Box 619 P (Jan-Dec) when will Program will benefit the (Jan-Dec) pharmacy when you dropdrop ng pharmacy when you time during the coverage year ke the card to a participaying all drug responsible for paying alltodrug Turnersville, NJ 08012-0619 age gap,for often referred the red, prescription and receive a a responsible your prescription and receive the under insured, and (Jan-Dec) when you will be asyou armacy when you drop coasts out-of-pocket. When you coasts out-of-pocket. When on your medication. ngs on your medication. “doughnutforhole”, is aallperiod of id Part D participants. responsible paying drug rescription and receive a fall intointo thisthis doughnut hole,hole, youyou fall doughnut The The County Magazine 36 36 March/April 20102010 time duringforthe coverage year County Magazine March/April take the cardWoman to Woman a particicoasts out-of-pocket. When you nwuch your are responsible the full costcost are responsible for the full of amedication. Walmart Walgreens much of a Walmart Walgreens (Jan-Dec) when will pharmacy you drop offallprescription into this doughnut drugs you plus hole, you beyou nt will I get? ount will Iwhen get? The County Woman Magazine of prescription drugs plus you 36 March/April 2010 Costco Duane Reade Costco Duane Reade allcost drug continue tofor pay yourfull Part D D areresponsible responsible for the rounts and receive must continue topaying pay your Part depending on ona must hprescription of avary,vary, Walmart Walgreens Discounts depending Target CVS Target CVS premium even though you areyou not out-of-pocket. When premium even though you are you not of coasts prescription drugs plus dication and pharmacy. on your medication. medication and pharmacy. will I get? Costco Duane Rea receiving benefits! receiving benefits! nts typically range from must continue to pay your Part D fall into this doughnut hole, you counts typically range from unts vary, depending on www.TheCountyWoman.com The County Woman Magazine July/August 2013

Community

Long Branch & New Brunswick

Suits & Stilettos Networking Party Put your stylish foot forward and join us for an evening to expand your business/social network. Meet local business professionals and make that connection you’re looking for whether it’s a job opportunity or a new mortgage - we are looking to connect you to the right person. Bring your friend, coworker or professional peer and enjoy hor d’oeuvres, a signature drink, and low music to conduct business networking and make new connections!

Thursday, July 25, 2013 6:00pm - 9:00pm Tickets $15 each or 2 for $20 Purchase tickets online at https://rmh-cnj.ejoinme.org/Networking 8 VENDOR TABLES AVAILABLE 8 SPONSORSHIPS AVAILABLE 8 DOOR PRIZES 8 GIVEAWAYS 8 SPECIALLY PRICED SIGNATURE McTINI DRINK

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Mail to: Ronald McDonald House attn: Networking Party, 131 Bath Ave., Long Branch, NJ 07740 Want more information? Go online to www.rmh-cnj.ejoinme.org/Networking - More information on all sponorships, vendor tables and tickets are available. Deadline for Sponsors and Vendors is June 28, 2013.

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Community

WHAT’S YOUR REASON TO WALK? I WALK TO END ALZHEIMER’S

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SATURDAY, SEPTEMBER 28, 2013 Southern Regional Walk Point Pleasant Beach, NJ (corner of Arnold and Baltimore Avenues) Registration begins at 9 a.m., and the Walk begins at 10 a.m.

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July/August 2013

Business

Finance

Tips for Generating Leads via Social Media Is your business still struggling to get leads while using social media? In most cases social media is best used to generate leads, or send traffic to your website where you get a chance to do this again. Producing great content that your audience wants to read will help you do this. 1. Create a landing page offering a cheat sheet or help guide in return for an email, name and telephone number at a push. If someone responds to a great tip then ask if they need more help. 2. LinkedIn has an Answers section. Dive right in and answer questions that LinkedIn users have about your specialty, and if your answer is voted the best answer you will gain a point of expertise. One of the best features on LinkedIn is the ‘who viewed your profile’ section. Check if these users are a good target for your products and services, if they are then reach out to them, if not then find out how they came about your profile and try to build a relationship with them anyway, you never know when you might need their help in the future! 3. Use the community that you have built to spread your business. Offering discounts, special offers and contest is one way of sparking the intrigue and excitement

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of the crowd. Contests will soon enough become viral especially when contestants possess the mindset to win, hence, propagating your business. Discounts and special offers are pleasing to buyers. It acts as a reward to your buyers, which spark a signal that they are important, and you are a good person to buy from 4. SHARE, LIKE, RETWEET.  Always reciprocate the act of others. You can’t expect others to like, share and retweet whatever you posted if you don’t do it to them as well. Make sure that you make this a habit when you are engaged in social media marketing. Acknowledge someone who reaches out to you, don’t ignore them. Put in mind that social media marketing is based mainly on building relationships. By following this tip, you would likely build social trust that is essential in social media marketing. 5. Engage in Conversations. Read and analyze the posts of others and try to join in their conversations. Engage in topics that are of interest and share ideas. Take what you learn from listening and use it as a tool. By doing this, your business will be empowered with knowledge thus achieving higher customer satisfaction.

Remember this is SOCIAL MEDIA! BE SOCIAL!!!

Jackie Berman, Pearls of Wisdom Media

Jackie Berman 732.610.1567 PearlsOfWisdomMedia@gmail.com www.twitter.com/jackieberman Social Media –Don’t have the time? Let Pearls of Wisdom take over.

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Community

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Community

Letter From NJAWBO Shore Region President Jackie Berman NJAWBO Shore Doesn’t Rest in the Summer!

On July 25th, NJAWBO Shore will be part of the Suit & Stilettos Networking Party to benefit Ronald McDonald House. Sponsorships and tickets are available at http://ow.ly/lrSTM.

The weather is heating up but that doesn't mean your marketing efforts should be cooling off. Summer means that the year is about half done which is a perfect time to update your marketing plan. As nice as it would be to hit the pool or the beach, the smart business owner should spend some time considering the best way to attract customers and increase sales over the summer months. For most people, summer is a slow time. Some use it as a chance to catch their breath before gearing up for the holidays, however, why not pick up extra sales now so you aren't so pressured then?

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

Non-members are invited to attend a Shore Region event at member price – mention this article! July & August Meeting Dates Dinner Meeting Sales Training: Close A Deal in A Difficult Economy July 11, 6:00pm Networking Suits & Stilettos Benefit Ronald McDonald House July 25, 6:00pm Bella Vista Country Club, Marlboro Register at http://ow.ly/lrSTM BBQ & Golf Statewide Event August TBD Networking LinkedIn August TBD For details, or to register, visit: www.NJAWBOShore.org Limit one per person. Valid for NJAWBO Shore Region (Monmouth/Ocean/Middlesex) events only.

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We are very pleased to be hosting a State NJAWBO Event in August. This is a great opportunity to meet statewide members and our sponsors, all while having a relaxed BBQ at Bella Vista Country Club and receiving golf instructions. Check our website for details and the date to be announced. NJAWBO is the acronym for the NJ Association of Women Business Owners whose mission is to encourage, empower and energize women in business or those looking to start a business. While many other organizations try to emulate NJAWBO, NJAWBO is the organization that was formed in 1978 and is dubbed “New Jersey's Most Powerful Network” by Business News New Jersey.

NJAWBO Shore doesn’t rest. July 11th, we are having a sales training session with Kevin Shulman. Mr. Shulman has been an affiliate of the Sandler Sales Institute since 1991. He has been training business owners, sales managers, and sales personnel full time to help them grow their business and reach its full potential.

Warmest Regards, Jackie Berman President, NJAWBO Shore Region

Reserve Today!!

Make Y Reser our vation Today !

Sales Training: Close A Deal in A Difficult Economy

Visit our on-line calendar for up to date info: www.NJAWBOShore.org It is Our Mission to provide tools for members to compete in any market place enabling them to operate financially successful businesses. Our Objectives * To encourage and support business ownership by women * To enable women business owners to network and conduct business with one another * To offer ongoing training in business ownership, through programs and seminars offered by the State and Regions * To increase the visibility and clout of women business owners, while furthering their influence and participation in the general business community * To interact with other business organizations

Empower

•

Engage

www.TheCountyWoman.com

•

Energize July/August 2013

Community

Juried and Non-Juried Artwork Exhibition and Sale September 20th - 22nd

Canterbury Art Show... a Tapestry of the Arts St. Georgeâ&#x20AC;&#x2122;s-by-the-River 7 Lincoln Avenue, Rumson www.canterburyartshow.com

The County Woman Magazine

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July/August 2013

Caribbean Boutique Hotel

Bay

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e wonderful h t n i d e t a c Rodn lo ey Hotel

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St. Lucia’s Best Kept Secret!

Testimonial by Lynn K. Wolf, Publisher: “The Hotel Ginger Lily, where we stayed from January 27-30, 2013, is a hidden jewel. The owners are friendly and accommodating, and the staff is very responsive. They offered us great suggestions for restaurants, many of which were within walking distance of the hotel. During the day, we rented a car and had a wonderful time driving around the island, but we always looked forward to coming back in the evening to enjoy a drink around the pool, or relax in the hammock on our balcony. At night, we slept peacefully to the sound of “peepers,” which reminded us of the sounds of springtime nights back home. We would highly recommend this hotel and hope to go back at the end of the year.”

Now offering sale rates on room stays between now and 21st December 2013, too good to miss!

PO Box cp6013 Rodney Bay Village St Lucia, West Indies Tel: +1 758 458 0300 Fax: +1 758 458 0033 info@gingerlilyhotel.com

Visit our website at www.gingerlilyhotel.com for more information or to make a booking.

The County Woman Magazine

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July/August 2013

Breakthrough Product

THE REAL RESULTS OF

NERIUMAD

• NeriumAD Age-Defying Treatment is a night cream that addresses multiple concerns at once: fine lines and wrinkles, discoloration, uneven skin texture, and aging skin. • Nature-based product with no harsh ingredients. • Noncomedogenic and safe for all skin types. • One of the main active ingredients in NeriumAD is a proprietary extract from the Nerium oleander plant, which through an accidental discovery in biotechnology research, long-term testing, and subsequent clinical trials, is now available to you in the form of high-performance skincare. • Verifiable third-part clinical results are from the most advanced facial scanning equipment that uses artificial intelligence to measure actual change in wrinkles and discoloration. Most skincare companies use visual grading of a dermatologist or participant feedback as their “clinical trial” results. • The average NeriumAD clinical trial participant experienced a 30% reduction in the appearance of wrinkles and/or discoloration over the 30-day period.

REAL PEOPLE. REAL SCIENCE. Market

• The anti-aging market is an $80 billion-dollar industry and is expected to grow to $114 billion within the next three years in the US. • In three years’ time, the anti-aging market in the US will be almost as big as the direct sales industry worldwide ($125 billion). • Nine of the top ten billion-dollar direct sales companies are in the beauty category. • Over 50% of wealth generated in the direct sales industry comes from the beauty category, which is larger than all other categories combined. • Nerium International is in the highest-selling dermal category within beauty. Nerium International is in the fastest-growing section of anti-aging category withing dermal. • Skincare products are the “stickiest” products in the industry. • Consumer loyalty to skincare, specifically anti-aging, is very high. This leads to a very high retention rate in customers.

The County Woman Magazine

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July/August 2013

Breakthrough Product “A friend told me to try NeriumAD. As a seventy-four-year-old woman who has always looked fairly young, I said I would give it a try. But after 90 days, my age was guessed at fifty-five. With four children between fifty-four and forty-eight, I felt that was an amazing compliment.” - Adrana “I have struggled with my skin my whole life. I had no idea how irritated it was until I viewed my ‘after’ photo 3 weeks later. I was shocked and amazed. My skin continues to be smoother and my problem skin is a thing of the past. I can’t give up my NeriumAD and neither can my friends and family!” - Lisa

“When I didn’t see results in the first week, I became a little discourage, but I kept using the product and I am so thankful that I did! By the fourth week, the miracle started happening. Now it seems like every day my skin continues to look better and better!” - James “I spent many hours under the sun and have had some pretty invasive treatments, only to return to wrinkles. I have tried everything, but this is the first time I have had other people as me what I was doing differently. I used to avoid jewelry because it drew attention to my neck, but not anymore. Nerium has given me my life back!” - Dinah

Great business opportunity as well as an amazing product!

Visit our website, view our online videos, and contact us to get you started.

“I’ve always had sensitive, fair skin. Because of this, I was hesitant to try NeriumAD. But after just two weeks, I saw a difference with blotchy skin tones as they even out with no allergic reaction at all. Now the wrinkles have dimished, along with more firmness along my jawline. It’s like putting your best face forward. It gives me more confidence. What an easy and safe way to look younger!” - Linda

Joann Juralewicz, Simply Skin

Office: 732.505.4579 joannjuralewicz.nerium.com

REAL RESULTS. Product • NeriumAD is a breakthrough product in the dominant category in the industry. • The unprecedented results and clinical testing of NeriumAD provide a huge differential to other skincare products. • Our relationship with Nerium Skincare, a division of Nerium Biotechnology, creates a huge barrier of entry that includes patents, sourcing, and lengthy biotechnology research. This ensures that our products will never be replicated. • We have the exclusive global rights to Nerium Skincare’s product line for both present and future products. • When you combine a breakthrough product in the dominant category in this industry with high customer retention due to breakthrough results, that provides you a foundation for a real opportunity.

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

Book Corner

‘No Sand In The House!’ Proceeds Help Jersey Shore About the Book…

Proceeds from “No Sand in the House!” are being donated to the following charitable organizations that are working to clean and rebuild the Jersey Shore.

“No Sand in the House!” takes place on LBI but will appeal to anyone who spends time at the Jersey Shore. In this delightfully written and illustrated children’s tale, the main characters, Abby and Charlie, spend much of the book trying to figure out how to comply with their Grandpa’s number one rule: no sand in the house! You can imagine the creative ways that the children try to keep the sand out and what happens once Hurricane Sandy brings the sand in! It is, essentially, a story of hope.

Please visit their sites and let them know how much you appreciate what they are doing! • Alliance for a Living Ocean (ALO) Established over 25 years ago, ALO’s efforts since October 2012 have focused on New Jersey coastal water and beach cleanup through public action and involvement. Even though Hurricane Sandy destroyed ALO’s Long Beach Island office, it continues its mission “to promote and maintain clean water and a healthy coastal environment through education and action.”

A word from the Author… “I started this project in January with the goal of donating proceeds from the book to Hurricane Sandy relief. My own parents lost the entire first floor of their rental property at Long Beach Island, NJ, and many families have suffered much worse. I felt like this project was one small thing that I could do to contribute and to give children a sense of comfort as they head back to the shore this summer.”

http://www.livingocean.org

• High Point Volunteer Fire Company Since 1937, High Point VFC primarily has served the emergency needs of Harvey Cedars, Loveladies, and North Beach while assisting the other fire departments on Long Beach Island and providing community outreach through annual fundraising events.

About the Author…

http://home.comcast.net/~hpvfc/

Jennifer L. Crawford grew up in Verona, New Jersey, but spent as much time as she could each spring and summer being a beach bum on Long Beach Island, New Jersey.

Photo by Bree Fortney

She graduated from Boston College with a B.A. in Political Science and a minor concentration in Communications. She worked as a Reporter for the Newark Star-Ledger before attending law school at The Columbus School of Law at The Catholic University of America, where she earned her Juris Doctor degree.

For ten years, Jen served on active duty in the Army’s Judge Advocate General’s Corps at U.S. locations and overseas locales, including: Korea, Germany and Iraq. She continues to serve as a member of the U.S. Army Reserve and as a military spouse. She and her family still spend summers on Long Beach Island. “No Sand in the House!” is Jennifer’s first book.

The County Woman Magazine

• Hometown Heroes Headquartered in Toms River, NJ, this established 501c(3) maintains a dedicated “Hurricane Sandy Fund” to provide need-based assistance to families throughout Ocean and Monmouth counties.

http://www.njhometownheroes.org/

• Restore the Shore This ongoing effort assists Jersey Shore residents as they recover from the devastation wrought by Hurricane Sandy. Restore the Shore was established to create awareness, gather donations and raise funds for the relief effort at the Jersey Shore through Hometown Heroes.

http://restoretheshore.com/

www.NoSandInTheHouse.com

NOW AVAILABLE! “No Sand in the House!” is now available in paperback at www.amazon.com. We are currently working on our ebook version, follow us on Facebook for updates. SUPPORT NEW JERSEY BUSINESS OWNERS! Visit our website to see a list of locations where you can purchase “No Sand in the House!” RESERVE A HARDCOVER! Hardcover copies take a little bit longer to print but good things come to those who wait! To reserve a hardcover for $18 plus $3.95 S&H, send an email with your contact information to info@nosandinthehouse.com. CONTACT Write to Author Jennifer Crawford at: Info@nosandinthehouse.com Write to Illustrator Hannah Tuohy at: http://hannahtuohyillustrator.blogspot.com/ Connect with “No Sand in the House!” on Facebook: www.Facebook.com/NoSandintheHouse www.TheCountyWoman.com

July/August 2013

Health

& Wellness

wine & wellness Retreat with Laurie Greene Calistoga, California ~ Sept. 17 – 22, 2013 Beautiful Napa Valley awaits! Five nights and six days in the beautiful town of Calistoga filled with yoga, charming accommodations with sweeping mountain views, wine tastings and vineyard tours, volcanic mud baths and natural mineral hot springs. Join Laurie for an escape during the harvest season to enjoy local cuisine, VIP tastings, and biking tours during the beautiful fall landscape.

Enjoy A Wine & Wellness retreat to remember with Laurie by signing up at . . .

www.yogaadventuresworldwide.com

Greene, PdD, E-RYT, YBR. A PhD in anthropology, Laurie oLaurie has practiced yoga since age 15, having grown up in a “yoga family”.

Since then yoga has become her healthy addiction. Always an enthusiastic student, Laurie combines her training in a variety of classical ‘hatha’ traditions, bringing insights and techniques from all these to her eclectic teaching and practice. Training extensively in the Iyengar tradition, emphasis is on safety, technique and proper alignment so that students will get the greatest benefits from their practice and easily experience the joy that yoga affords every fitness level. Laurie is also certified in Vinyasa flow and is registered with the Yoga Alliance as an ‘experienced teacher’ and trainer. Her continuing exploration of classical and newer interpretations of Ashtanga Vinyasa have led her to study with many amazing teachers and to all of them she is forever grateful. Having completed her 500 hour certification with the wonderful Edward Clark and Elizabeth Connelly, Laurie’s passion lies in blending many styles into a practice that is instructive, creative, and fun.

The County Woman Magazine

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July/August 2013

Fine ine Art rt P Photography hotography

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6957< D<CHC;F5D<M Prepping for the Photo Session he beach can T be a perfect

setting for a family portrait session, but it can also be a tricky place to get that perfect photograph.

Professional photographer Annette Jenkins offers a few words of advice on getting the perfect outcome . . .

“It’s all in the prep” states Annette Jenkins. Before Annette does a photo session, she has a telephone consultation where she discusses clothing, hair, makeup, best time of day for light, and best time of day for the family - especially when there are young children involved. She also asks where the client plans to display the photos, since the subjects should wear clothing that blends into the décor.

Lighting, Lighting, Lighting

The first thing Annette does at the photo session is to study the light and figure out how to take the best advantage of it at that given moment. Then she decides what she wants as a background to enhance the image. That background could be the sand, water, dunes or rocks, depending on the feeling she or her client wants to capture. Although many people want water in the background, she adds, that may not work during certain times of the day. A brilliant blue sky and an ocean sparkling like mirrors may be a beautiful sight, but photographing against that will make everyone look washed out. One hour before sunset, however, the sky is tinged with beautiful pinks and lavenders that make the Jersey shore look like a tropical island. Annette on the the Annette Jenkins Jenkins creates creates beach beach photos photos at at various various locations locations on Jersey take the the time time to to Jersey Shore. Shore. During During these these sessions, sessions, she’ll she’ll take make so that that she she can can make you you feel feel relaxed relaxed and and comfortable, comfortable, so truly lifetime memories. memories. truly capture capture and and preserve preserve these these lifetime

The The County County Woman Woman Magazine Magazine

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July/August July/August2013 2012

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·Am [cU` ]g hc WfYUhY U dcfhfU]h h\Uh WUdhifYg mcif gd]f]h"¸ ~ Annette Jenkins

Composition is Key

In addition to timing and light, Annette states that composition is also key. The photographer should pay great attention to detail - the way people hold their hands and position their bodies and heads, the direction that each person is facing, the relationships between the subjects, the distance they stand from each other, and their different heights should all be considered. There is no one approach to producing the perfect photo - it depends on numerous factors, such as the number of people, their heights and ages. The key is to pose people in ways that look natural, yet flattering. A skilled photographer who has taken thousands of photos is like a tennis pro on the court, knowing exactly where to be at any given moment so they can deliver the right shot.

After the Session

After the session, Annette edits the photos and invites the client back to the studio at a later date, where she projects at least 30 images for them to choose from. She helps with their selection, selecting appropriate sizes for the locations where the photos will display. Her services including artistic retouching, canvas, gallery wraps, framing and custom work.

nnette often photographs families with dogs and very large groups, up to 30 people, who are in town vacationing or celebrating a special occasion. What a great way to capture and preserve a lifetime memory! Don’t leave it to chance – call an expert – Annette Jenkins Photography 732-936-1416

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July/August July/August2013 2012

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