Monmouth County Woman - 2013 September/October

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Ce leb rat

ar e Y ing Our 5th

An Educational Resource for Women and Their Families

Monmouth Gastroenterology’s team of six specially trained doctors specialize in the treatment of diseases dealing with the digestive system. Learn more about them on pages 30 & 31.

Photo by Annette Jenkins Photography

Acupuncture FAQ’s Page 8

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Trendy Texture Takes The Cake Page 14

Come Experience the Fall Collection at Lynne’s Page 24

Sept./Oct. 2013

Please Take One

Medical Professionals

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ANS Practice Manager, Maryann Gomez, discusses navigating insurance issues in today’s climate. A 2010 report observed that lack of health insurance causes 48,000 unnecessary deaths in America every year. This alarming statistic reminds medical professionals across the country why patient care should always come first. Atlantic NeuroSurgical Specialists (ANS) strongly believes that not one patient should be denied treatment because of their insurance plan. ANS Neurosurgeons heal some of the most complex medical cases today; giving patients facing painful and life-threatening illnesses compassionate care and access to next-generation treatments. Maryann Gomez, ANS practice Manager, has fostered many great relationships with ANS patients. Her sincere dedication has helped assist numerous patients to get the best insurance coverage possible. “Our patients are like family to us,” says Ms. Gomez. Our practice offers patientcentered care 24/7 and the most cutting edge treatments options available, regardless of a person’s insurance plan.” Health Insurance issues are affecting so many today, but most affected is the senior citizen community. Did you know that a recent study found that 25% of senior citizens declare bankruptcy due to medical expenses, and 43% are forced to sell their primary residence? It’s astounding to think that after a full life of saving to retire, so many have to continue working to afford healthcare.

Ms. Gomez adds that, “ANS understands that neurosurgical operations can be expensive and the complexity of insurance coverage can be emotionally draining and confusing for patients. While our neurosurgeons are busy treating patients, we have a talented staff dedicated specifically to assisting patients with billing questions and concerns.” ANS’s billing department is trained by some of the finest in the field and fully understands the details of coverage options, co-payments, billing and reimbursement issues. “We want to make sure our patients get the care they need. For this reason, our staff will facilitate assistance to persons in need of negotiating and understanding insurance claims as well as help to provide patients with payment plans that can fit within their budget.” With over 50 years of proven experience and a success rate higher than the national average, ANS feels that your health is worth more than anything. Rest assured, ANS will work hard to get you back to where you were before surgery. To make an appointment call 732.455.8225 or visit us on the web at www.ansdocs.com. For more information about our insurance policies, visit www.ansdocs.com/downloads/ ANS_Insurance_Brochure. pdf or call Maryann Gomez at 973.285.7800.

Monmouth County Woman_ConfusedAd-Editorial #917_r3.indd 1

The County Woman Magazine

Confused?

Patients are entitled to the best neurosurgical care in New Jersey. ANS will work with you to ensure the priority is always your health and not your insurance issues. Call Maryann Gomez, Director of Operations at 973.285.7800 to discuss your health coverage or call our Neptune office at 732.455.8225 to make an appointment. Don’t let insurance come before your health. ANS sees all patients. For more information, visit us at www.ansdocs.com or call one of our offices below.

3700 Route 33 Neptune, NJ 07753 732.455.8225 11 Overlook Road Suite 180 Summit, NJ 07901 908.516.2941 89 Sparta Avenue Sparta, NJ 07871 973.729.0266

www.TheCountyWoman.com

310 Madison Avenue Suite 300 Morristown, NJ 07960 973.285.7800

464 Hudson Terrace Suite 203 Englewood Cliffs, NJ 07632 973.285.7800

School House Village 350 Main Street Suite 5 Bedminster, NJ 07921 973.285.7800

1592 Route 739 Dingmans Ferry, PA 18328 973.729.0266

8/9/13 1:37 PM

September/October 2013

Vein Center For Women .......................................... 28 Total Hearing Care................................................... 29 Bio-Behavioral Health ............................................. 30 Bella Derma Medi Spa ............................................ 39 Nina Paonessa, DO, FACOS ................................... 43

^Insurance & Annuities, Investments & Retirement Medical Professionals

Featured Articles

Ranney School ........................................................ 33

^Garden & Local Honey

From The Garden .................................................... 34

^Salon & Spa

^Theatre & Entertainment Gazillion Bubble Show ............................................ 52 Stomp...................................................................... 52 Ann .......................................................................... 53

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^Business Opportunity

Darlene Ignite Energy ................................... 59 Hair & Company ...................................................... 35 Elder Life Management GardenDavis & Local Honey MetLife GroupSpecialist. ........................................... 6 AtlanticSolutions NeuroSurgical .........................................2 From The Garden...............................................................32 Elder Life Management, Inc.. . .............................................10 ^Specialty Cakes & Chocolate Novelties ^Fine Art Photography BeriEsthetique......................................................................3 ^Assisted Living Salon &Jenkins Spa Photography ................................. 67 Chocolate ................................................. 36 Annette InsuranceCarousel & Annuities, Investment & Retirement Rehability Pain andLiving Injury Center. ........................................5 Brandywine Senior ......................................... 7 Hair & Company Oasis Spa................................................37 Premier Pain Centers...........................................................9 ^Elder MetLife Group.....................................................12 ^Community .................. 47, 50-51, 54-55, 58, 60-66 LifeSolutions Management ^Health & Wellness Community. .......................................38, 46, 48, 54, 56-58 The Witlin Center For Advanced Eyecare..........................11 Elder Life Management, Inc. ................................... 37 Meridian Fitness & Wellness ................................8-10 Specialty Cakes & Chocolate Novelties New Jersey Cyberknife.......................................................13 Real Estate Visit our other publications at ^Aquatic Instruction Universal Health Care Navigators......................................18 Hall, Harrison & Johnson Assoc., LLC .................... 40 Chocolate Carousel......................................................14, 29 Orricowww.TheCountyWoman.com Realty .....................................................................42 Seaview Orthopaedic Medical Associates......................19 Five Star Aquatics ................................................... 38 Ocean Health & Weight& Loss .................................. 45 Pediatric & Orthodontic Dentistry Adult Community Plastic Surgery, PA.................................................25 RXOcean Card ................................................................... 56 Please Take Advantage Of Our “Enter To Win” Contests!

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Medical Professionals

Tender Smiles 4 Kids.........................................................15 Total Hearing Care........................................................26-27 NJ Center for the Healing Arts............................................28 Medical Professionals Law Monmouth Gastroenterology. ........................................30-31 Ansell, Grimm & Aaron, PC................................................16 Ocean Hematology and Oncology......................................33 Law Offices of Laura M. D’Orsi, LLC..................................36 Caring Heart & Brain Imaging.............................................34 Monmouth Ocean Medical Services, LLC..........................35 Assisted Living Vein What Center For Women ,PC..............................................39 is an IPL/Photo Facial? Brandywine Senior Living.............................................17, 64 Shore IVFItReproductive .....................................40 is a cosmeticMedicine. procedure that can improve the appearance of damaged skin using high intensity light. It Toms River X-Ray CT &onMRI ................................41 Knitting Crocheting can be used theCenter. face, .neck, décolleté, chest and hands. We and can treat fine lines and wrinkles, enlarged Belanger Podiatry Associates, LLC....................................45 pores, rosacea and reddish discoloration, brown pigmentation disorders, A Stitch Inand Time..................................................................22

Fountainhead Properties....................................................44

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Dr. Sophia Nichols , DMD, MAGD, PA Family Dentistry....23 Improve Health Solutions..............................................20-21 Hall, What Harrisonshould & Johnson Assoc.,after LLC...............................22 I expect my treatment? Fashion And Beauty Spa Botanical, LLC. . ...........................................................43 There is a mild sunburn sensation for the first 24 hours however Lynne’s Fashion Boutique..................................................24 Yoga NineifMind/Body Studio.or ........................................50-51 any capillaries spider veins were treated this redness can last & Finance RX Card. .............................................................................62 a little longer. Hyper-pigmented spot (brown spots) will darken Business over the next Pearls of Wisdom few days and then lighten. Depending on the amount of photo aging it is com- Media LLC.............................................28

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Acupuncture monly recommended to have a series of IPL to get the best results. Adult Day Care Acupuncture Health Services.........................................8, 45

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We Care Adult Care, Inc.....................................................29

A photo facial is based on light absorption by melanin and hemoMedical Professionals globin; treatments are most effective in clients with light skin who are not sun tanned. The lighter the skin, the more pronounced the contrast between the age spots or blood vessels and the skin, making the treatment most effective.

How do I know if I’m a good candidate for IPL Photo Facials?

QA

Do I need to prepare for an IPL Photo Facial?

Generally speaking you don’t need any special preparations to be treated. However, you need to avoid the sun, tanning beds, spray tan products or bronzers. We will recommend that you wear an SPF 30 or higher before and after your treatments.

Yesterdays and Todays......................................................47

Jewelry

Eileen Fox Jewelry.............................................................49

Women Of Monmouth County. .............................52-53 Specials Travel Cloud Nine..........................................................................59

FREE PCA SKIN SUNBLOCK “PERFECTING PROTECTION” Theatre & Entertainment

Buyer & Cellar....................................................................60 Lady Day-The Billie Holiday Musical..................................60 iluminate.............................................................................61 Peter & The Star Catcher...................................................61 WITH EVERY Stomp.................................................................................61

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September/October 2013

2 Publisher’s Note 4 Publisher’s Note An Educational Resource for Women and Their Families

Ocean

Since 2008 Since 2008

Monmouth County Woman Woman COUNTY

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Publisher ........................................................Lynn K. Wolf Publisher..................................................................... lynn@acwoman.com • 609-929-4189 Lynn K. Wolf lynn@acwoman.com • 609-929-4189Jon Pruitt Regional Marketing Director .............................. Regional Marketing Director...........................................Jon jon@thecountywoman.com • 1-866-398-0898 Pruitt jon@thecountywoman.com • 1-866-398-0898

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Welcome to the Sept./Oct. 2013 Welcome to the September/October 2013 Issue Of Ocean County Woman Issue Of Monmouth County Woman

Up and down the Jersey Shore, families were enjoying the lazy, magnificent days of summer. Many of the owners on the boardwalks reported their businesses were doing Up andsaid down Jersey Shore, were enjoying lazy, magnificent well, some eventhe better than last families year. Admittedly, there the is still ongoing construction the northern the Jersey but overall,reported the Jersey Shore is amazdays along of summer. Manyparts of theofowners onShore, the boardwalks their businesses ing. The revitalization proves we are Jersey Strong! were doing well, some said even better than last year. Admittedly, there is still In addition to the high educational found Shore, in this but issue,overall, we want ongoing construction alongquality the northern partsarticles of the Jersey theto bring your attention to several of the specials and events that you won’t want to miss. Jersey Shore is amazing. The revitalization proves we are Jersey Strong! our playtogiveaways are onlyeducational available onarticles Facebook. “Like Us”issue, on Facebook Now, In addition the high quality found in this we want and participate in our play giveaways as well as other offers during the issue. to bring your attention to several of the specials and events that you won’t want to The equinox brings autumn on September 22 at 10:29 PM EDT. The fall and miss. spring equinoxes aregiveaways the only days theavailable year in which the sun crosses Now, our play are of only on Facebook. “Likethe Us”celestial on equator. Enjoy all the fall activities in New Jersey as you watch the landscape silently Facebook and participate in our play giveaways as well as other offers during the burst with vibrant colors of red, yellow and orange. issue. of the staffautumn at The Ocean County Woman, thankPM youEDT. for your continued and for your On Thebehalf equinox brings on September 22 at 10:29 The fall and loyalty, spring equinoxes arecomthe ments, suggestions and support. only days of the year in which the sun crosses the celestial equator. Enjoy all the fall activities in New Jersey as are the Media Partner with NJAWBO Happy Fall,the landscape silently burst with vibrant colors of red, yellowWe you watch and orange. Monmouth, Ocean, Middlesex Region. On behalf of the staff at The Monmouth County Woman, thank you for your continued loyalty, and for We are members of Toms River-Ocean your comments, suggestions and support. County Chamber Of Commerce. Lynn K. Wolf, Publisher and the Staff of Ocean County Woman Happy fall! EVENTS IN OCEAN COUNTY EXCLUSIVE DEALS Media Partner with • AtlantiCare Center for Surgical Weightloss andWe are •the The Ocean Club (pg. 13) Complimentary Wellness (pg. 19) FREE Ongoing weight loss NJAWBO Ocean, 7-dayMonmouth, VIP Pass. Seminars. Middlesex Region. • Koehler Acupuncture (pg. 55) New patients can • Alzheimer’s (pg. 65) Sept. 28 – Lynn K. Wolf, walk Publisher enter to win a free consultation and treatment Point Pleasant Beach. (up to a $100 value.) • Peppermint Tree (pg. 48) Oct. 2 – Open House – Events Specials See the classrooms in action! • Spring Oak Assisted Living (pg. 46) Ongoing – Improve Health Solutions (pg. (pg. 54) 21) Oct. Sep.323– – Health Beri Esthetique (pg. 3) Coupons for discounts off of • CMC Auxiliary Association FREE tours. FREE strength, mobility and and Beauty Expo – includesKitchens door prizes, Laser 360 (+ free consultation), Photofacial treatGourmet Foods in Designer Tourfree – spa balance class, including a free evaluation. Tour and sample foods from professionally services, refreshments and the more ments and Botox • NJAWBO (pg. 75) designed of 6(pg. beautiful homes. We Carekitchens Adult Care 29) Sep. 28 – Alzheimer’s Meridian Fitness and*mention WellnessOcean (pg. 7) County Woman and receive admission our events at member price. • Toms RiverWalk, Chamber 72) Oct. 9 - Luncheon – Memory Point (pg. Pleasant Boardwalk Complimentary 7-Day VIPtoPass open to membersThink and non-members, discussing an Entrepreneurial Tank (pg. 54) Sep. 28 - ETT Improve Health(pg. Solutions (pg.2-3 20)NJ$50 for 1-hr.Expo – • MAC Events 67) Nov Women’s overview of theConference region’s economy since Sandy. Mom’s 360° – includes a book, keynote massage 2 for the price of 1 Admission. • Family Focus 53) Oct. 23rdyou – “Rescue speakers and(pg. childcare while attend Your Chocolate Carousel 29) Win $25pair GiftofCertifi• Total Hearing (pg. (pg. 42) $800 off aany advanced Retirement” – speakers covering all facetsExpo, of retire MAC Events (pg. 38) Nov. 2-3 Women’s cate digital hearing aids. ment and dinner. Hair & Co. Oasis Spa (pg. 37) Win a $30 Gift Brookdale Community College, Lincroft, NJ • NJAWBO (pg. 75) Sept. 26 – Dinner Meeting • Ocean Plastic Surgery (pg. 25) Great coupons Certificate LADACIN (pg. 56) Save the date! Jan. 18, 2014 – Oct. 10 – NJAWBO State Meeting: dealsEvents for Fractionated CO2Women’s Laser Skin Rejuvenation MAC (pg.38) Nov.2-3 Expo - 2 for Polar Bear Plunge “Salute To Women.” ($1800) or Laser Hair Removal ($140 – 3 Treatments) the price of 1 Admission. Oct. NJ 16 Center For the Healing Arts (pg. 28) Coming this – Open House and Networking Plus FREE Health consultation. Acupuncture Services (pg. 45) Enter to win a fall,Events a variety of workshops parents, Expo couples • MAC (pg. 67) Nov. 2-3forWomen’s – and free consultation and treatment. ($200 value) individuals seeking wellness Please Take Advantage Of Our Many Giveaways, Makeovers, Cooking demos, fitness pre“Enter To Win” Contests Throughout The Paper! sentations and more. Featured On The Front Cover: The doctors of Monmouth Gastroenterology, from left to right: Dr. On Laleh Dr. Kenneth Dr.MD, Rajiv Uppal, Dr.Ladi Thomas Fiest, Featured TheMerikhi, Front Cover: Dr. CyrusBelitsis, Khorrami, with his wife Khorrami, Dr. Steven andParviz Dr. Nadeem Baig. Read about theirMotemaden practice onKhorrami, pages 30 & 31. along with Gorcey his father, Khorrami, MD, andmore mother, Parvin MD. Read more about their family practice on pages 40 & 41. Cover photo by Annette Jenkins Photography. Annette can be contacted for appointments Cover photo by Tracy Harman Photography. Tracywith canabe contacted for appointments at 732-797-0377. at 732-936-1416. “Capture the Moment” PHOTOBOOTH at your next event, See more of her professionalyou portrait work more and custom holiday cards on page 78 & 79. can view detailsdesigned on page 63.

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September/October 2013 September/October 2013

Medical Professionals

5

Shrug Off Shoulder Pain With These Easy Tips ^ŚŽƵůĚĞƌ ƉĂŝŶ ĐĂŶ ĂīĞĐƚ ĂŶLJŽŶĞ͕ ŵĂŬŝŶŐ ŝƚ ĚŝĸĐƵůƚ ƚŽ ƉĞƌĨŽƌŵ ƐŝŵƉůĞ ƚĂƐŬƐ ůŝŬĞ ƉƵƫŶŐ ŽŶ Ă ƐŚŝƌƚ͕ ŽƉĞŶŝŶŐ Ă ĚŽŽƌ͕ ĂŶĚ ĞǀĞŶ ƐůĞĞƉŝŶŐ͘ /Ŷ ƐŽŵĞ ĐĂƐĞƐ͕ ƚŚĞ ƉĂŝŶ ĐĂŶ ďĞ ĚĞďŝůŝƚĂƟŶŐ͕ ĐŽŶƟŶƵŝŶŐ ĨŽƌ ĚĂLJƐ Žƌ ǁĞĞŬƐ ŽŶ ĞŶĚ ǁŝƚŚŽƵƚ ƌĞůŝĞĨ͘ dŚĞ ŐŽŽĚ ŶĞǁƐ ŝƐ ƚŚĂƚ ĂŶ ĂĐŚŝŶŐ ƐŚŽƵůĚĞƌ ĐĂŶ ďĞ ďĞĂƚ ďĞŐŝŶŶŝŶŐ ǁŝƚŚ ƚŚĞ ĨŽůůŽǁŝŶŐ ŚĞůƉĨƵů ƟƉƐ͘ tŝƚŚ ĂƉƉƌŽƉƌŝĂƚĞ ĐĂƌĞ͕ ƉĞƌƐŝƐƚĞŶĐĞ ĂŶĚ ƉƌŽĨĞƐƐŝŽŶĂů ŐƵŝĚĂŶĐĞ ĨƌŽŵ Ă ƉŚLJƐŝĐĂů ƚŚĞƌĂƉŝƐƚ Žƌ ŽƚŚĞƌ ŵĞĚŝĐĂů ƉƌŽǀŝĚĞƌ ŝĨ ŶĞĐĞƐƐĂƌLJ͕ LJŽƵ ĐĂŶ ƐŚƌƵŐ ƚŚĞ ƐŚŽƵůĚĞƌ ƉĂŝŶ Žī ĂŶĚ ŐĞƚ ƌŝĚ ŽĨ ĂŶLJ ƐƟīŶĞƐƐ ƚŚĂƚ ŵĂLJ ďĞ ŚŝŶĚĞƌŝŶŐ LJŽƵ ĨƌŽŵ ůŝǀŝŶŐ Ă ŶŽƌŵĂů͕ ĂĐƟǀĞ ůŝĨĞƐƚLJůĞ͘

1. Don’t ignore the pain.

If your shoulder starts to bother you, listen to it. The muscles and joints around the shoulder could ďĞ ŝŶũƵƌĞĚ Žƌ ŝŶŇĂŵĞĚ Ͳ Žƌ ŝƚ ĐŽƵůĚ ďĞ ƚŚĂƚ ƚŚĞ ƐŚŽƵůĚĞƌ ƐŝŵƉůLJ ŶĞĞĚƐ ƐŽŵĞ ƌĞƐƚ͘ dŽ ŚĞůƉ ǁŝƚŚ ƉĂŝŶ ĂŶĚ ƐǁĞůůŝŶŐ͕ ĂƉƉůLJ ŝĐĞ ƚŽ ƚŚĞ ƐŚŽƵůĚĞƌ ĨŽƌ ϭϱͲϮϬ ŵŝŶƵƚĞƐ Ăƚ Ă ƟŵĞ͕ ŐŝǀŝŶŐ LJŽƵƌ ďŽĚLJ Ăƚ ůĞĂƐƚ ĂŶ ŚŽƵƌ ƚŽ ǁĂƌŵ ďĂĐŬ ƵƉ ďĞĨŽƌĞ ƌĞƉĞĂƟŶŐ͘ /ĐŝŶŐ ƚŚĞ ĂīĞĐƚĞĚ ĂƌĞĂ ĨŽƌ ƚŽŽ ůŽŶŐ ǁŽŶ͛ƚ ŚĞůƉ ŝƚ ŚĞĂů ĂŶLJ ĨĂƐƚĞƌ͖ ĂŶĚ ŝƚ ĐŽƵůĚ ĐĂƵƐĞ ĚĂŵĂŐĞ ƚŽ ƚŚĞ ƟƐƐƵĞƐ͘

2. Give your shoulder a good night’s rest.

/Ĩ LJŽƵ ĂƌĞ ĞdžƉĞƌŝĞŶĐŝŶŐ ƉĂŝŶ Žƌ ĚŝƐĐŽŵĨŽƌƚ ŝŶ ĞŝƚŚĞƌ ƐŚŽƵůĚĞƌ͕ ƚŚĞ ďĞƐƚ ƚŚŝŶŐ LJŽƵ ĐĂŶ ĚŽ Ăƚ ŶŝŐŚƚ ŝƐ ƚŽ ŐĞƚ ƐŽŵĞ ƉƌŽƉĞƌ ƌĞƐƚ͘ dŚŝƐ ŵĞĂŶƐ ŶŽƚ ĂĚĚŝŶŐ ĞdžƚƌĂ ƐƚƌĂŝŶ ƚŽ LJŽƵƌ ƐŚŽƵůĚĞƌ ǁŚŝůĞ LJŽƵ ƐůĞĞƉ͘ dŚĞ ďĞƐƚ ƉŽƐŝƟŽŶ ĨŽƌ ƐůĞĞƉŝŶŐ ŝƐ ŽŶ LJŽƵƌ ďĂĐŬ ǁŝƚŚ LJŽƵƌ ŶĞĐŬ ƐƵƉƉŽƌƚĞĚ ďLJ ŽŶĞ ƉŝůůŽǁ͘ /Ĩ LJŽƵ ŵƵƐƚ ƐůĞĞƉ ŽŶ LJŽƵƌ ƐŝĚĞ͕ ŚŽǁĞǀĞƌ͕ ŵĂŬĞ ƐƵƌĞ ŝƚ͛Ɛ ŽŶ ƚŚĞ Ăƌŵ ƚŚĂƚ ŝƐŶ͛ƚ ŚƵƌƟŶŐ͘ WůĂĐĞ Ă ƉŝůůŽǁ ŽŶ ƚŚĞ ďĞĚ ŶĞdžƚ ƚŽ LJŽƵ͕ ĂŶĚ ƌĞƐƚ LJŽƵƌ ƐŽƌĞ Ăƌŵ ŽŶ ƚŽƉ ŽĨ ŝƚ͘

For more health tips, visit www.rehabilitynj.com

3. Perform these simple exercises.

dŚĞƌĞ ĂƌĞ ŵĂŶLJ ĞdžĞƌĐŝƐĞƐ LJŽƵ ĐĂŶ ĚŽ ƚŽ ůĞƐƐĞŶ ƐŚŽƵůĚĞƌ ƉĂŝŶ ĂŶĚ ŝŵƉƌŽǀĞ ŵŽďŝůŝƚLJ͘ ^ŽŵĞ ďĂƐŝĐ ŽŶĞƐ LJŽƵ ĐĂŶ ĚŽ Ăƚ ŚŽŵĞ ŝŶĐůƵĚĞ͗ ͻ Shoulder blade squeeze: ^ŝƚ Žƌ ƐƚĂŶĚ ƵƉ ƐƚƌĂŝŐŚƚ ǁŝƚŚ LJŽƵƌ ĂƌŵƐ ůŽŽƐĞ Ăƚ LJŽƵƌ ƐŝĚĞƐ͕ ƉĂůŵƐ ĨĂĐŝŶŐ ďĂĐŬ͘ ^ůŽǁůLJ ƌŽƚĂƚĞ LJŽƵƌ ƉĂůŵs ĨŽƌǁĂƌĚ͕ ƐƋƵĞĞnjŝŶŐ LJŽƵƌ ƐŚŽƵůĚĞƌ ďůĂĚĞƐ ďĂĐŬ ĂŶĚ ĚŽǁŶ ĂƐ LJŽƵ ĚŽ͘ ,ŽůĚ ĨŽƌ ϯͲϱ ƐĞĐŽŶĚƐ͕ ƚŚĞŶ ƌĞůĂdž͘ ͻ Shoulder rolls: ^ƚĂƌƚ ŝŶ ƚŚĞ ƐĂŵĞ ƉŽƐŝƟŽŶ LJŽƵ ǁŽƵůĚ ĨŽƌ Ă ƐŚŽƵůĚĞƌ ďůĂĚĞ ƐƋƵĞĞnjĞ͘ ZĂŝƐĞ ďŽƚŚ ƐŚŽƵůĚĞƌƐ ƵƉ ƚŽǁĂƌĚƐ LJŽƵƌ ĞĂƌƐ͕ ŚŽůĚ ĨŽƌ ϮͲϯ ƐĞĐŽŶĚƐ͕ ƚŚĞŶ ƐůŽǁůLJ ƌŽƚĂƚĞ ƚŚĞ ƐŚŽƵůĚĞƌƐ ďĂĐŬ ĂŶĚ ĚŽǁŶ͘ ͻ The pendulum: >ŝĞ ĨĂĐĞ ĚŽǁŶ ŽŶ ƚŚĞ ĞĚŐĞ ŽĨ ƚŚĞ ďĞĚ ƐŽ ƚŚĂƚ LJŽƵƌ ĂĐŚŝŶŐ Ăƌŵ ŚĂŶŐƐ ŽǀĞƌ ƚŚĞ ƐŝĚĞ͘ ^ůŽǁůLJ ŵŽǀĞ LJŽƵƌ Ăƌŵ ďĂĐŬ ĂŶĚ ĨŽƌƚŚ͕ ŬĞĞƉŝŶŐ LJŽƵƌ ŶĞĐŬ ŵƵƐĐůĞƐ ƌĞůĂdžĞĚ͕ ƐŽ ƚŚĂƚ LJŽƵƌ Ăƌŵ ƐǁŝŶŐƐ ŐĞŶƚůLJ ůŝŬĞ Ă ƉĞŶĚƵůƵŵ͘ Ž ƚŚŝƐ ĨŽƌ ϭϬͲϭϱ ƐĞĐŽŶĚƐ Ăƚ Ă ƟŵĞ͕ ŝŶĐƌĞĂƐŝŶŐ ŚŽǁ ĨĂƌ LJŽƵƌ Ăƌŵ ƐǁŝŶŐƐ ĂƐ ƚŚĞ ƉĂŝŶ ƐƵďƐŝĚĞƐ͘ /Ĩ ƉĞƌĨŽƌŵŝŶŐ ƚŚĞƐĞ ĞdžĞƌĐŝƐĞƐ ŵĂŬĞƐ LJŽƵƌ ƐŚŽƵůĚĞƌ ĨĞĞů ǁŽƌƐĞ͕ ƐƚŽƉ ĚŽŝŶŐ ƚŚĞŵ ŝŵŵĞĚŝĂƚĞůLJ ĂŶĚ ƐĞĞ Ă ƐŚŽƵůĚĞƌ ƉĂŝŶ ƐƉĞĐŝĂůŝƐƚ ǁŚĞƌĞďLJ ĚŝīĞƌĞŶƚ ĞdžĞƌĐŝƐĞƐ ŵĂLJ ďĞ ƌĞĐŽŵŵĞŶĚĞĚ ĚĞƉĞŶĚŝŶŐ ŽŶ ƚŚĞ ƚLJƉĞ ĂŶĚ ůŽĐĂƟŽŶ ŽĨ LJŽƵƌ ƉĂŝŶ͘

4. Seek treatment from a shoulder pain expert.

WĞŽƉůĞ ǁŝƚŚ ĐŚƌŽŶŝĐ ƐŚŽƵůĚĞƌ ƉĂŝŶ ĐŽŶĚŝƟŽŶƐ ĂůŽŶŐ ǁŝƚŚ ƚŚŽƐĞ ƐƵīĞƌŝŶŐ ĨƌŽŵ ƌĞĐĞŶƚ ŝŶũƵƌŝĞƐ ŵĂLJ ďĞŶĞĮƚ ŵŽƐƚ ĨƌŽŵ Ă ƐƉĞĐŝĂůŝnjĞĚ ƚŚĞƌĂƉLJ ƉƌŽƚŽĐŽů ƚĂŝůŽƌĞĚ ƚŽ ĞĂĐŚ ŝŶĚŝǀŝĚƵĂů ĐĂƐĞ͘ /Ĩ LJŽƵ ŶĞĞĚ ƌĞůŝĞĨ ĨƌŽŵ ĂŶ ĂĐŚŝŶŐ ƐŚŽƵůĚĞƌ ƚŚĂƚ ĚŽĞƐŶ͛ƚ ĂƉƉĞĂƌ ƚŽ ďĞ ŝŵƉƌŽǀŝŶŐ ŽŶ ŝƚƐ ŽǁŶ͕ ǁĞ ĞŶĐŽƵƌĂŐĞ LJŽƵ ƚŽ ƐĐŚĞĚƵůĞ ĂŶ ĞǀĂůƵĂƟŽŶ ǁŝƚŚ ŽƵƌ ƚĞĂŵ ŽĨ ƐƉĞĐŝĂůŝƐƚƐ͘ tĞ ŚĂǀĞ ƐƵĐĐĞƐƐĨƵůůLJ ƚƌĞĂƚĞĚ ŚƵŶĚƌĞĚƐ ŽĨ ƐŚŽƵůĚĞƌ ƉĂŝŶ ĐĂƐĞƐ͕ ďŽƚŚ ƐŝŵƉůĞ ĂŶĚ ĐŽŵƉůĞdž͕ ŵŽƐƚ ŽŌĞŶ ǁŝƚŚ ĨĂǀŽƌĂďůĞ ƌĞƐƵůƚƐ͘ ƚŚŽƌŽƵŐŚ͕ ĐŽŵƉůĞƚĞ ƐŚŽƵůĚĞƌ ƉĂŝŶ ĞǀĂůƵĂƟŽŶ ŝƐ ĞƐƐĞŶƟĂů ŝŶ ĚĞǀĞůŽƉŝŶŐ ƚŚĞ ŵŽƐƚ ĂĐĐƵƌĂƚĞ ĚŝĂŐŶŽƐŝƐ ĂŶĚ ĐƵƐƚŽŵŝnjĞĚ ƚƌĞĂƚŵĞŶƚ ƉůĂŶ͕ ĞŶƐƵƌŝŶŐ Ă ƉŽƐŝƟǀĞ ĐůŝŶŝĐĂů ŽƵƚĐŽŵĞ ĨŽƌ ĞĂĐŚ ƉĂƟĞŶƚ͘ ^ŚŽƵůĚĞƌ ƉĂŝŶ ƚƌĞĂƚŵĞŶƚ ƉůĂŶƐ ŵĂLJ ŝŶĐůƵĚĞ͗ ͻ &ƵŶĐƟŽŶĂů ƉŚLJƐŝĐĂů ƚŚĞƌĂƉLJ ĞdžĞƌĐŝƐĞƐ ĂŶĚ ƚŚĞƌĂƉĞƵƟĐ ĂĐƟǀŝƟĞƐ ͻ ŽůĚ ůĂƐĞƌ ƚŚĞƌĂƉLJ ƚŽ ƌĞĚƵĐĞ ŝŶŇĂŵŵĂƟŽŶ ĂŶĚ ŝŵƉƌŽǀĞ ƐŽŌ ƟƐƐƵĞ ŚĞĂůŝŶŐ ͻ dŚĞƌŵŽͲĞůĞĐƚƌŝĐ ĐŽŵƉƌĞƐƐŝŽŶ ƚŚĞƌĂƉLJ ƚŽ ƌĞĚƵĐĞ ƉĂŝŶ ĂŶĚ ƐƉĞĞĚ ƵƉ ƌĞĐŽǀĞƌLJ dŚĞ ƐŚŽƵůĚĞƌ ƉĂŝŶ ƐƉĞĐŝĂůŝƐƚƐ Ăƚ REHABILITY ǁŝůů ǁŽƌŬ ǁŝƚŚ LJŽƵ ƚŽ ƌĞĚƵĐĞ LJŽƵƌ ƉĂŝŶĨƵů ƐLJŵƉƚŽŵƐ͕ ƌĞƐƚŽƌĞ ƐŚŽƵůĚĞƌ ƌĂŶŐĞƐ ŽĨ ŵŽƟŽŶ ĂŶĚ ƐƚƌĞŶŐƚŚĞŶ ĂƐƐŽĐŝĂƚĞĚ ŵƵƐĐůĞƐ ƚŽ ƉƌĞǀĞŶƚ ƌĞͲŝŶũƵƌLJ͘ ͞/ ƌĞĐĞŶƚůLJ ƵŶĚĞƌǁĞŶƚ ƐŚŽƵůĚĞƌ ƐƵƌŐĞƌLJ ƚŽ ƌĞƉĂŝƌ Ă ƚŽƌŶ ƌŽƚĂƚŽƌ ĐƵī͘ DLJ ƐƵƌŐĞŽŶ ƐĂŝĚ / ǁŽƵůĚ ƚŚĞŶ ŶĞĞĚ ƉŚLJƐŝĐĂů ƚŚĞƌĂƉLJ͕ ǁŚŝĐŚ / ƌĞĐĞŝǀĞĚ Ăƚ Z , />/dz͘ / ǁĂƐ ƵŶĚĞƌ ƚŚĞ ĐĂƌĞ ŽĨ ƌ͘ ŚŝĐŬĂƌĂ ĂŶĚ :ĞƐƐŝĞ 'ĂŶŽŶ͕ Wd͘ / ĐĂŶŶŽƚ ŽǀĞƌƐƚĂƚĞ ƚŚĞ ĐĂƌĞ ĂŶĚ ƚƌĞĂƚŵĞŶƚ / ƌĞĐĞŝǀĞĚ ĨƌŽŵ ƚŚĞ ĞŶƟƌĞ ƐƚĂī͕ Ăůů ǁĂƌŵ ĂŶĚ ĐĂƌŝŶŐ ƉĞŽƉůĞ͘ ĂĐŚ ƟŵĞ / ƌĞƚƵƌŶĞĚ ƚŽ ƐĞĞ ŵLJ ƐƵƌŐĞŽŶ ŚĞ ĂůǁĂLJƐ ĞŶĚĞĚ ďLJ ƐĂLJŝŶŐ ͞LJŽƵƌ ƉŚLJƐŝĐĂů ƚŚĞƌĂƉŝƐƚƐ ĂƌĞ ĚŽŝŶŐ Ă ŐƌĞĂƚ ũŽď͊͟ / Ăŵ ŶŽǁ ƉĂŝŶ ĨƌĞĞ ĂŶĚ ŚĂǀĞ ĨƵůů ƵƐĞ ŽĨ ŵLJ Ăƌŵ͘ DLJ ƚŚĂŶŬƐ ŐŽ ŽƵƚ ƚŽ Ăůů ŽĨ ƚŚĞ ZĞŚĂďŝůŝƚLJ ƐƚĂī ĨŽƌ ƚŚĞ ŐƌĞĂƚ ĐĂƌĞ / ƌĞĐĞŝǀĞĚ͘͟ Ͳ ZŽƐĞŵĂƌŝĞ ͖ DĂŶĂůĂƉĂŶ

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September/October 2013

Health

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&Wellness

Fall Back Into Fitness By: Julianne Dods, Vice President, Meridian Fitness & Wellness

It’s no secret that living well and proactively taking care of your body throughout all stages of life is important. One key component to a healthy lifestyle lies in the engagement of regular physical activity; however, adhering to a structured fitness program often has it challenges, especially for mothers of young children. While more and more mothers are taking on full-time careers, their commitment to more traditional female roles, such as managing the household and providing childcare, has not diminished. So, how do these busy moms manage to juggle it all and still find time for the gym?

Elizabeth’s Story . . . Elizabeth Bena-Schaul, a 44year-old mother from Holmdel,

•

Elizabeth credits her daughter Alex with inspiring and motivating her to stay fit.

is one of a growing number of mothers who carve out time from their demanding schedules to make health and fitness a priority. Between preparing meals, cleaning up toys, and acting as a chauffeur, our kids become a tried and true excuse to let a consistent exercise routine fall by the wayside. But not for Elizabeth, who, aside from carrying out her responsibilities as a wife and mother, also juggles a professional career as a school psychologist and moonlights as a fitness enthusiast.

The Personal Trainers of Meridian Fitness & Wellness Are There To Guide You.

future, I have an obligation to take care of myself physically now.” Between juggling domestic and professional responsibilities, there are legitimate reasons why working mothers find it difficult to maintain a regular exercise routine. Add in sleep deprivation and the guilt that generally comes along with indulging in recreational activities outside of the home, working mothers often find that their increased stress levels actually inhibit their exercise behavior. That is not that case for Elizabeth.

schedule training sessions on a weekly basis,” says Kerri. “During the summer months, she is able to fit in a few extra workouts, but as the school year progresses scheduling becomes a bit more difficult.” In order to combat scheduling obstacles, Kerri and Elizabeth set one training session per week that is considered a “no cancel” workout. “Having that appointment set up in both of our schedules is a great way to guarantee that we stay on track with Elizabeth’s training program.” When Elizabeth’s schedule restricts her from more than one personal training ses“I am never going sion per week, she makes it a to tell you I like going point to attend group fitness to the gym,” admits classes instead. Kerri believes it is this important combiElizabeth. “I think of nation of flexibility and set going to the gym as an appointments that really obligation of a responworks for busy moms who sible parent, spouse, are constantly on the go. After all, the most successful and professional. If I fitness routine is the one that want to be an active is convenient and that you participant in my famcan actually maintain. “I owe a lot of my sucily’s life, I have to actuElizabeth and Personal Trainer, Kerri Miano, set one cess to the support of my ally be ACTIVE!” “no-cancel” training session each week. husband, Todd, as well as my relationship with Kerri,” said Elizabeth became a parent later in “Personally and professionally, I can be Elizabeth. As mothers of young children life and firmly believes that maintainunder a lot of stress. Going to the gym who strive to maintain a professional ing a structured fitness regimen will helps me manage that stress, which in career as well as manage a household, allow her to be present as her daughter, turn makes me a better parent, wife, and Kerri and Elizabeth have found a lot Alex, grows up. “My father passed away psychologist,” she says. of common ground. “Our similar life in his mid-40s and I feel his absence For the past year and a half, Elizabeth experiences have enabled us to become at every major life event I have expehas been working with Certified friends. Between picking-things-up-andrienced, from my high school, college Personal Trainer and Meridian Fitness putting-them-down we are able to laugh and graduate school graduations, to and Wellness Group Fitness Director and commiserate.” my wedding day, to the day I became a Kerri Miano. “While juggling her However, as a mother herself, Kerri mother,” says Elizabeth. “The loss of my work schedule as a psychologist and knows that plans often change and child father has taught me an important life managing her daughter’s social and aca- care can become an issue, especially lesson about caring for my health now. demic career, Elizabeth still manages to in the beginning of a fitness journey. If I want to watch Alex grow up in the

Continued next page

For more information on how Meridian Fitness & Wellness can help you change your life, call (732) 335-4200, or visit www.MeridianFitnessandWellness.com

The County Woman Magazine

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September/October 2013

Health Meridian Fits Every Body! For Elizabeth, she had a lot of anxiety about taking time away from her daughter. “Alex is not typically a very outgoing child, but she genuinely enjoys going to the Kids’ Club at the club while I am working out, especially if Kerri’s children are there as well,” says Elizabeth. To get around additional child care issues, Elizabeth and Todd also have Alex in swimming lessons during the summer months while they are training with Kerri. While Kerri and Elizabeth may have forged a friendship, Kerri still manages to push Elizabeth, both physically and mentally, during her training sessions. “Elizabeth and I work well together because we understand each other’s challenges and restrictions as working mothers. I encourage her to stick with her commitment to making fitness a priority which, in turn, keeps her accountable for the goals she wishes to accomplish.” “While I may not always love going to gym, and finding the time and energy to maintain a regular fitness routine can often be a challenge. I truly believe that exercise has helped me become a better mother and wife. It has also made me happier and more productive at work,” Elizabeth says.

If you are ready to take the next step in your fitness journey and change your life as Elizabeth has done, be sure to contact Meridian Fitness and Wellness in Hazlet at (732)-335-4200, or visit us on the web at www.MeridianFitnessandWellness.com, TODAY!

•

Julianne Dods Vice President, Meridian Fitness & Wellness

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September/October 2013

Acupuncture

8

Acupuncture FAQ’s question people ask me all the time: 1. Does it hurt? 2. How does it work? 3. Is it safe?

Acupuncture Does Not Hurt

Written by: Michael D. Beys, L.Ac. , MSTOM Acupuncture Health Services, LLC

Over the years of practicing acupuncture I see some common patterns. Although acupuncture treats pain effectively, it can also treat a myriad of conditions. It is my goal for this article to clarify acupuncture in general. Acupuncture has been around for 6,000 years in some primitive form. It is not till the advent of mining and smelting do we see the use of needles. Acupuncture is one of many disciplines that make up what we call Traditional Chinese Medicine (TCM). TCM consists of acupuncture, herbs, tuina (bodywork), qigong exercise, and vasopneumatic therapy (cupping). In this article we will focus on acupuncture. I tell all my patients that 75% of my job is education. Whether you schedule with myself or another practitioner you should know a few things about acupuncture. These are common

The needles are very fine and are inserted painlessly. The key to painless insertion is to rapidly insert the needle so that the skin does not have a chance to feel it. Once the needle is in we do not introduce or take out any substances like a syringe. Once the needles are in, the body recognizes them as foreign and reacts a certain way. It will immediately divert the

use, and never reused. They are disposed of in sharps containers. There is little risk of cross contamination because I am trained in clean needle technique. Clean needle technique involves the swabbing of acupuncture points with alcohol and insertion of needles within a sterile environment. The World Health Organization (WHO) comments that unlike many drugs, acupuncture is non-toxic and adverse reactions or side effects are minimal. For instance, acupuncture and morphine have similar rates of effectiveness when used for chronic pain, but with acupuncture, unlike morphine, a

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• Frequent Miscarriage • Increased IVF and IUI Success • Infertility • Insufficient Lactation • Menopause

“... The World Health Organization (WHO) comments that unlike many drugs, acupuncture is non-toxic and adverse reactions or side effects are minimal ...� circulation to the affected area. When the blood arrives it bring oxygen, nutrients, immune cells, and hormones for proper physiological function. In order to feel pain it is a signal that goes from the affected area to the brain. Acupuncture has been shown, through the use of MRI, to alter the perception of pain by blocking the pain signal. As the body acknowledges the needle it will try to sedate the patient by releasing endorphins. Endorphins are the feel good hormones that provide the relaxation, and sense of well being that acupuncture is known for. The last question: “Is it safe?� refers mostly to biohazard. The needles are sterile one time

patient does not have the negative side effect of dependency. The National Institutes of Health (NIH) states that relatively few complications have been reported, in light of the millions of people treated with it every year. According to NIH studies, the numbers of people who have received acupuncture treatments in the U.S. has increased.

The County Woman Magazine

• Polycystic Ovaries • Uterine Fibroids Studies have shown Acupuncture can help: • Increase blood flow to the

Acupuncture Health Services offers services exclusively for women, including acupuncture that treats the following conditions: • Amenorrhea • Dysmenorrhea (PMS) • Endometriosis

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uterus, which increases uterine wall thickness. • Increase endorphin production, which has been shown to affect the release of Gonadotropin-releasing hormone (GnRH) and can regulate reproduction. • Lower stress hormones responsible for infertility. • Influence plasma levels of the fertility hormones: FSH, LH, estradiol, and progesterone. • Normalizes the hypothalamic-pituitary-ovarian axis, important for fertility. • Benefits women with polycystic ovarian syndrome.

For more information please visit acuhealthnj.com or email me directly at mbeyslac@gmail.com.

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Michael D. Beys, L.Ac. , MSTOM, is a graduate of Pacific College of Oriental Medicine. His training consisted of over 3000 hours in the study of Acupuncture and Herbal Medicine in a state-approved, nationally accredited college. Michael D. Beys is nationally certified in both Acupuncture and Chinese Herbology. He was the supervising Acupuncturist at RUMC’s substance abuse Detox Center and South Beach Psychiatric Rehab. He is also fluent in Greek, Spanish, and proficient in Mandarin Chinese and Arabic. Currently, Michael’s practice also focuses on Women’s Health and Infertility.

“Going through IVF can be harsh on your body and mind. Pairing acupuncture along side of IVF helped my body get ready for implantation not only physically but mentally as well. I always looked forward to going to acupuncture and I always left feeling calm and de-stressed. Needless to say my pregnancy test came back positive and my overall wellbeing was increased with the help of acupuncture. I would highly recommend Mike Beys at Acupuncture Health Services.� 
–K. B.

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Medical Professionals

9

Solutions To Chronic Pain at Premier Pain Centers One of the most successful methods of treatment she works with is

Carmen M. Quiñones, M.D. Premier Pain Center

Dr. Carmen M. Quiñones is a Board Certified Interventional Pain Management Physician who has been practicing in New Jersey since 2006. She successfully treats many conditions, including spinal stenosis, degenerative disc diseases, whiplash injuries and sciatica. Focused on studying the science of spine and musculoskeletal disorders, her specialty is in interventional pain management modalities, including lumbar epidurals, steroid injections, facet joint nerve blocks, radiofrequency ablation, and trials with spinal cord stimulators. Currently practicing at Premier Pain Centers in Shrewsbury, East Brunswick, and Freehold pain management offices, she is dedicated to enhancing her patient’s quality of life. Dr. Quiñones also sees patients with osteoarthritis and conditions associated with joint and nerve pain. “As a physiatrist, I diagnose muscle, nerve, and bone disease and specialize in non-surgical treatment. I felt that further training in interventional pain management would optimize the care of my patients.”

lumbar epidural steroid injections and nerve blocks. They are usually done for conditions such as low back pain radiating to the leg (“sciatica or radiculopathy”). These conditions are commonly caused by spinal stenosis or a bulging disc putting pressure on the nerve. The lumbar epidural steroid injection is a minimally invasive procedure where a steroid is injected in the space between the vertebra and the meninges covering the spinal cord. “The steroid and local anesthetic will help to decrease inflammation and therefore relieve pain. The pain relief may last from days to years. This will allow the patient to resume their normal activities including an exercise program.” Spinal cord stimulation is an innovative approach frequently used to treat conditions such as chronic lumbar radiculopathy, complex regional pain syndrome and failed back surgery syndrome. The procedure is done after the patient has failed conservative treatment, such as physical therapy, medication and therapeutic injections. The stimulator provides pain relief by transmitting mild electrical impulses to the spinal cord. “The stimulation interrupts the pain signals going into the brain. The patient will experience a pleasant tingling sensation in the area where the pain is felt.

The procedure begins with a trial of the stimulator. This will help determine if the procedure is going to be successful. The trial is done in an outpatient setting,” she adds. The trial leads will be inserted percutaneously into the epidural space. The leads are properly positioned until the patient reaches stimulation in the affected areas. The leads will be connected to an external device and the patient will be sent home. In three to five days the patient will return to the office and the leads are removed. If the patient achieves at least 50% pain relief, then the leads will be implanted permanently, which will require a minimal surgery.

There are many facets that set Premier Pain Centers apart from other practices. “Our practice provides compassionate, quality and state-of-the-art care through an integrated team of physicians and allied-health professionals. Our physicians take a leadership role in the advancement of the science of interventional pain medicine. As an expert in musculoskeletal disorders, my goal is to provide pain relief, and most of all, quality of life!”

chronic). The main difference between chronic and acute spinal related pains and the different methods for treatment are important to understand. She explains, “Acute pain is when the pain is present for less than three months and is usually related to acute tissue damage whether it is post-surgical, herniated disc or any injury. Chronic pain refers to pain that has been present for more than six months. The treatment for acute and chronic pain often overlaps in the early stages.”

Dr. Quinones believes the most challenging aspect of her profession is to create community awareness that there are options for people who suffer from chronic pain. But with a great challenge comes her greatest reward: leading her patients to a pain free life!

Dr. Carmen Quiñones is a member of the American Society of Interventional Pain Physicians (ASIPP) and the New Jersey Society of Interventional Pain Physicians (NJSIPP). Along with her Board Certification, Dr. Quiñones is also a Fellow of the American Academy of Physical Medicine and Rehabilitation (FAAPMR). After completing her medical training with a residency in Physical Medicine and Rehabilitation at Montefiore Medical Center in New York City, she was awarded an Interventional Spine and Pain Fellowship at Emory University in Atlanta, Georgia. Bilingual in Spanish and English, Dr. Quiñones lives in Monmouth County with her family and enjoys hiking and practicing yoga.

Many of Dr. Quiñones’ patients describe their pain as being acute (as opposed to

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

Front seated: Scott E. Metzger, MD; Peter S. Staats, MD, MBA; John Mak, MD; (middle row) Carmen Quiñones, MD; Michael O’Hara, DO; Cherie Weiss, PA-C, ATC, CSCS; (back row) Renee Wolf, PA-C; Sean Li, MD; Kulbir S. Walia, MD and Mark Cattell, RPA-C.

The County Woman Magazine

www.TheCountyWoman.com

September/October 2013

Elder Life Management

10

7 Myths Of Long Term Care Planning Written By: Judith S. Parnes, L.C.S.W., C.M.C., Executive Director, Elder Life Management

What is Care Planning all about - and more specifically Long Term Care planning? No one wants to think about the time in one’s life when we may find ourselves physically or cognitively incapacitated? This is the time when we will need assistance on a daily basis not for a short-term problem, but for chronic long term medical conditions. Needing care daily is not about being old, but about quality of life and minimizing the need for being dependent on others to provide the support needed. Here in the USA, it is true that we are living longer, more active and healthier lives. However, the facts remain that 1 in 2 people over the age of 85 do need help in some way, on a daily basis.

MYTH 1: I am healthy and

probably won’t need help when I am older. As much as we may like to believe we are invincible, odds are high if we live long enough, each of us will one day need help

with some aspect of our living.

MYTH 2: Long-term care

means living someplace other than home. Long Term Care is not a place; it is a type of care. This care can be provided at home, in assisted living, or in a nursing home. Most often, individuals think of Long Term Care as a Nursing Home only. Many people do prefer to stay in their own home, and with assistance and some modifications, staying at home may be possible even as abilities decline. Environmental obstacles, such as stairs, or narrow doorways, etc would need to be evaluated. If a move is being considered, assisted living facilities may be a wonderful option, as increased socialization opportunities are many. And as needs progress, a skilled nursing facility may be the best environment for long term care.

MYTH 3: Medicare and my

Supplemental Insurance pays for long-term care. Medicare and supplemental health insurance pay for treatment of “acute” illnesses only. Hospitalization, and post hospitalization in a skilled nursing home, typically called “SubAcute” Rehab, will be covered by Medicare and sometimes supplemented by the secondary insur-

ance, for a finite period of time. However, the chronic, long-term care costs are not covered by Medicare. Medicare does not pay for continued help with activities of daily living (ADLs) such as getting in and out of bed, walking, bathing, dressing, or assistance with feeding.

Therefore, many individuals with considerable assets, if they live long enough and need significant supportive care for long periods of time, may need the government to pay for this Long Term Care. The reality is that Medicaid is how long term care is financed in the United States.

MYTH 4: My wife and I have

MYTH 6: My family will help

saved enough money should we need long-term care. The cost of providing fulltime long-term care assistance to one person can exceed $110,000 year. Individuals who need limited assistance will be able to stretch their retirement savings, but long-term care costs over a long period can deplete bank accounts quickly. Savings can be greatly reduced by the needs of one spouse, leaving the other spouse with fewer financial resources available when they also need care at a later point in time.

MYTH 5: Medicaid is only for “poor people.” Long Term Care Medicaid is only available to individuals who have already “spent down” their assets. It does not replace Medicare or individual Supplemental Insurance, but acts as the “third insurance” that can pay for what the traditional insurances do not cover.

me with whatever I may need. Unpaid family members, typically daughters, are the most common source of long-term care assistance. However, even the most hands-on families typically need outside assistance, utilizing home health aides, adult day care, assistance with transportation to appointments, and professional care management services to help supplement the care they can provide.

MYTH 7: My parents live in

a different state, so there is little I can do to help them. In fact, there is a lot you can do for family members living at a distance. Arranging for a professional geriatric care manager in your parents’ area will allow you to have an experienced elder care consultant working just for your family. This care manager will become your eyes, ears and most importantly be the advocate for your loved one, just as you would if you lived nearby. Geriatric Care Managers are: • Knowledgeable about community resources • Able to coordinate all aspects of necessary medical care • Can apply for public entitlements including Medicaid when appropriate • And sometimes even help to mediate when adult children

Judith S. Parnes, L.C.S.W., C.M.C., Executive Director, Elder Life Management, 931 West Park Avenue, Ocean, New Jersey, 07712

The County Woman Magazine

www.TheCountyWoman.com

have differing opinions about what to do. Care Managers do the work, allowing the family to be lovingly involved without the stress of all the day to day elder care management obligations. It is the Professional Geriatric Care Manager who will dispel the common myths of long term care. To locate a care manager to be your family’s elder care expert, go to www.caremanager.org.

Testimonials Say It All . . .

3

Without your assistance in helping me to get my dad Medicaid approved, I would not have been able to maintain my sanity. I’ve enjoyed our friendship and want to say, simply, but sincerely, thank you!. M.N. ~ Clifton, NJ

3

I will always be grateful to you for guiding me through the dreadful process of getting my mother on Medicaid. The people you help next will never know how lucky they will be! With much appreciation. ~ P.C., Somerset, NJ

3

I just wanted to say thank you. I don’t know what I would do without you. You are the one that keeps me going. It is so difficult to manage my parents and try to work. I don’t live near my mom and she get so confused. I would lose my sanity without your help! A long overdue thank you! ~ LC, Toms River, NJ

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.

September/October 2013

Medical Professionals

11

Dry Eye: Your Questions Answered! of dry eye patients. The majority of DED is evaporative in nature. Oil secreted by the meibomian glands in the eyelids comprise the lipid layer of the tear film, which prevents evaporation. When these glands become clogged, lipid (oil) is unable to be secreted. Without enough oil in the tear film, the tears will evaporate more rapidly than normal.

Written By: Dr Lisa Ortenzio The Witlin Center For Advanced Eyecare

Q: What is Dry Eye? A

: Dry Eye Disease [DED] is a condition in which the tear film does not properly lubricate the surface of the eye due to tear underproduction or tear evaporation. The tear film is comprised of 3 different layers: when this balance is disrupted, the tears cannot function properly to maintain a smooth corneal surface, providing comfort & clear vision. For many years, it was thought that underproduction of the aqueous layer of the tear film was the major cause of dry eye. In reality, this accounts for a small percentage

Q: Who Gets Dry Eye? A : DED is the most under diagnosed condition in eye care; it may affect between 10-20% of the population. Women are affected almost twice as much as men; hormonal changes that occur around menopause are generally the culprit disrupting the tear film. General health conditions such as thyroid disease, lupus, rheumatoid arthritis and diabetes can contribute to symptoms. Medications such as antihistamines, antidepressants, hormone replacement therapy and high blood pressure medications can be a cause. Contact lens wear intolerance can be exacerbated by DED. Our technology driven world certainly does not improve DED symptoms. Staring at electronic devices for even short periods of time causes a decrease in the blink rate, which leads to an ineffective distribution of the tear film across the eye’s surface.

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Q: How do you know you have it? A

: Symptoms of dry eye include tearing, burning, blurry vision, light sensitivity, or a sandy/gritty feeling. Often contact lens wearers find their lenses are very uncomfortable. Sometimes the patient’s symptoms will even outweigh signs we find clinically. These patients are looking for relief and we perform a dry eye exam to assess their condition.

Q: What can be done about it? A : Depending on the severity of the patients’ symptoms, different recommendations are made. If the patient has very mild signs or symptoms, artificial tears (lubricants) can provide some (although short) lasting relief. Prescription Restasis eye drops is a topical form of cyclosporine, a potent anti-inflammatory drug. It works to decrease inflammation that causes dry eye and over time produces healthier tears. It can be very beneficial especially in conjunction with oral Omega 3 fatty acid supplements. Omega 3 fatty acids act to improve the oil secretions, which leads to a better tear film.

Q: What is the A

LipiFlow treatment like?

: Quite relaxing. It is comprised of heat & a gentle massage applied directly to eyelids. No other part of your eye is exposed to the heat. The patient is reclined and both eyes are treated simultaneously. We talk the patient through treatment, with calming music in the background. I, myself, underwent LipiFlow earlier this year. I found it to be very comfortable & soothing; it was like a spa treatment for my eyes. It takes about 15 minutes to

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perform. The goal of LipiFlow treatment is to completely evacuate the contents of the clogged meibomian glands, allowing the glands to “reset� and produce better oils.

Q: How soon after A

treatment will I get relief?

: Patients usually start to feel the benefit about 4-6 weeks after the procedure, sometimes even sooner. The goal of the LipiFlow treatment is evacuating the meibomian glands of their clogged, solidified contents. The glands can then “reset� themselves. We do recommend that the patient continue with their current Ocular Surface Disease regimen, (artificial

tears, lid hygiene, Restasis, and O 3 FA supplements).

Q: Who Can Perform this new treatment? A : At the Witlin Center, I perform the Lipiflow procedure, from the applicator insertion to the removal. DED poses a wide range of vision and quality of life issues. We at Premier Dry Eye Group at the Witlin Center for Advanced Eye Care are excited to provide patients with an option to manage this frustrating condition. It is the only FDA cleared procedure that treats the root cause of Dry Eye. It is extremely gratifying that we can finally give our many Dry Eye patients some true and long lasting relief.

Carolyn N., Age 62, Evaporative Dry Eye sufferer since 2005 How did suffering from Evaporative Dry Eye impact your life? “It was horribly uncomfortable light sensitivity; I couldn’t wear my contacts much. Sometimes I couldn’t drive, I couldn’t read.� After the LipiFlow treatment, when did you start feeling relief? “I would say within a few days.� What has been the difference since the LipiFlow treatment? “I can wear my contacts. It’s very exciting. This has made a huge, huge difference.� How did the treatment compare to your expectations? “It’s been better than I expected.� How did suffering from Evaporative Dry Eye impact your life? “I had trouble keeping my eyes open because of the burning and the pain. I couldn’t read in the evening. I was just miserable.� What were your expectations of the LipiFlow Treatment? “They weren’t that high because nothing helped me before. But I was willing to try it because I was pretty desperate.� What was the LipiFlow procedure like? “There was some discomfort; there wasn’t any pain. Compared to the other treatment it was like going from 15th-century medical treatment to 20th-century.� How soon after the treatment did you start feeling the effects? “Immediately.�

Dr Lisa Ortenzio is a 1990 graduate of the University of Delaware and received her Doctorate from the Pennsylvania College of Optometry in 1995. She then spent 2 years in post graduate training and subsequently practiced at 2 large ophthalmology groups in Central Jersey. Dr. Ortenzio has specialty training for the Lipiview/Lipiflow system, which treats the root cause of dry eye.

September/October 2013

12 8

Delivering the Promise Delivering The Promise

Three Things Your Spouse Needs to Know About Your Traditional IRA

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There was such an amazing response to the information included in the July/August 2013 article, we have decided to run this information again!

will apply unless the spouse satisfies one of the exceptions, such as disability or substantially equal periodic payments. At age 70 ½, the spouse would use the Uniform Lifetime Table to calculate his or her Required Minimum Distribution (RMD.) Over the next two decades, the most chronicled The life expectancy of the spouse traditional generation in IRA—or America will gradually enter would be used to Individual retirement. AtRetirement that point, each waveand of beneficiary baby determine the RMD. Individuals account—can be a great way boomers will quickly discover if their retirement that only take distributions equal to set aside money for your plans, Social Security, and personal savings will be to the RMD amount are said to golden years, as it’s a retirement sufficient to maintain their existing lifestyles and have elected the “stretch option,â€? savings vehicle with attractive because he or she is taking the taxneeds. incentives. However, what

Baby Boomers Look Toward Retirement

and reevaluated each year, or the deceased account holder’s remaining life expectancy. A non-spouse beneficiary calculates life expectancy in the same manner as a surviving spouse except the non-spouse beneficiary determines life expectancy once and cannot recalculate his or minimum happens to the money built up— in a name Baby Boomers given toamount required by her life expectancy. This creates law, therebybeen extending the benefit an IRA when account thosethe born fromowner 1946 to 1964—have the possibility that the surviving of the tax deferred growth for the passes away? Although everyone noted for their creation of the “computer age,â€? spouse could receive RMDs over longest period allowed by law. wants to live forever, to prepare a period of time greater than that quest for physical fitness, and expectations for livfor this situation in the event A 2008 survey conducted by the Employee afforded a non-spouse beneficiary. ingyou’re long and full and lives.your Now, as the Proceeds boomers pass Remain in Name that married into middle age,beneficiary, many are it’s beginning focus their Benefit Research Institute* found that only 18% of to the Deceased spouse is the sole Conclusion Americans attentionfor onyou—and retirement. When the surviving of spouse is the are very confident they will have important your the in Required money toUnderstanding live comfortably retirement. Unlikeknow the previous Great Depression-to-World sole beneficiary of theenough deceased’s spouse—to your options. Minimum Distribution rules is Results also revealed that only 47% of workers IRA and decides not to roll it The first thing is to have a firm War II generation, many baby boomers believe necessary to ensure compliance have over to a spousal IRA, thentried the to calculate how much money they will understanding of the Required they cannot depend on receiving Social Security with this complex set of rules. surviving spouse must begin taking Beginning Date (RBD) of the need for a comfortable and around benefits during their retirement years. In fact, Failureretirement, to take the required RMDs at the later of (1) the year IRA, which is generally April 1 IBMG SFQPSUFE UIBU UIF UPUBM BNPVOU PG UIFJS many economists question the future “securityâ€? of minimum distribution amount following the year inTBWJOHT FYDMVEJOH UIF WBMVF PG UIFJS IPNF BOE which the of the year following the year in could result in a penalty equal to the Social Security trust funds. original account owner dies or benefit plans) is less than $50,000. In which the individual reaches the any defined 50 percent of the amount that compound concern, many (2) theemployed year in which the account age ofTo70further ½. If the account owner should have addition, 22% of workers andbeen 28%distributed of retireesbut said boomers nother have employer-funded retire- have attained age owner would dies prior tomay his or RBD,and was not taken by the beneficiary. they have no savings of any kind. mentaplans. Since, in today’s world, ½. employnames surviving spouse as sole work 70 The penalty tax for not the taking As is true of every generation facing retireees, rather the than employers, beneficiary, spouse has twogenerally assume full the correct RMD amount is inhave ment planning process, baby boomers should Death plans, Occurs general options other than taking responsibility for funding theiraretirement it on or After addition to the tax on the RMD. a disciplined savings program in place. With a the Required lump distribution: (1) transfer is nosum surprise that uncertainty and worry occupy beginning The total tax, including the the intoofhisthose or her commitment to success and a scheduled plan, you theaccount minds assets of many withoutDate guaranteed penalty, could easily exceed 75 The other instance would be own IRA (spousal transfer); or (2) can work toward percent buildingofthe retirement pensions. thenecessary amount distributed. theto secure your own financial future. transfer the assets into an Inherited when death occurs after funds Speak to your tax advisor for Required Beginning Date and IRA. advice on how these rules apply to the surviving spouse is named as your particular situation. the sole beneficiary. In this case, Spousal What Transfer can boomers do to determine if their Pursuant to IRS Circular the surviving spouse may Supplemental elect a Ifsavings a Spousal is elected, readings toisyour ďŹ nancial andtransfer assets will sufficiently fund their retire230, MetLife providing you Spousal transfer. However, any the deceased Participant’s Spouse planning for following retirement.notification: ment years? Definitive answers are often elusive. with the RMD that the deceased spouse “The Couple’s Retirement Puzzleâ€? would transfer the assets into his/ The information contained in After all, life is often filled with many variables, was supposed to take but failed her own existing or new IRA All Roberta K.isTaylor thisbydocument not intended and no regarding one reallyIRAs knows for sure what the prior futureto his or her death to take the rules would or to (and cannot) be used by holds. even with to these constraints, must be taken by the surviving apply to However, the assets transferred anyone to avoid IRS penalties. “How to Retire Happy, Wild and Free: boomers canspouse’s gain much estimating and by December 31 of the the surviving IRA.insight This by spouse This document supports the analyzing would enablethe thefollowing: Surviving Spouse year of death and is not eligible Retirement Wisdom That You Won’t promotion and marketing of to be transferred to the surviving Get From Your Financial Advisorâ€? tot 1PUFOUJBM JODPNF TPVSDFT F H JODPNF QSPEVDdefer taking distributions until insurance by Ernie Zelinski products. You should spouse’s IRA. he or she attains age 70 ½ and seek advice based on your ing real estate, inheritances, etc.). Should the surviving spouse most importantly, the spouse circumstances from an Please call me particular at (732)919-6194. t 1SPKFDUFE CBMBODFT PG SFUJSFNFOU BOE TBWJOHT not elect a spousal transfer, then would be able to name his or independent I have a limited supply. Callerstax will advisor. the surviving spouse must begin her plans. own beneficiary and thereby MetLife, its have your choice of title. agents and receiving RMDs by December permit continuation of the tax t $PTUT PG GVUVSF IFBMUI DBSF OFFET representatives may not give legal 31 of the year following the year deferral for the next generation. or tax advice. 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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 • Retirement Planning • Estate Conservation Strategies* • Education Funding Strategies* • Wealth Accumulation Strategies Investments • Money Market Funds • Traditional and Roth IRAs • Mutual Funds • General Securities

Insurance & Annuities • Whole Life Insurance • Variable Life Insurance • Disability Income Insurance • Term Insurance • Universal Life Insurance • Fixed and Variable Annuities • 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. isDonna subject to interpretation and Hlavacek is a Registered Representative offering securities, including variable products legislative change. Tax results UISPVHI .FU-JGF 4FDVSJUJFT *OD .4* NFNCFS and the appropriateness of any '*/3" 4*1$ /FX :PSL /: *OTVSBODF BOE BOOVJUJFT JTTVFE CZ .FUSPQPMJUBO -JGF *OTVSBODF product for any specific taxpayer $PNQBOZ .-*$ /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 Donna Hlavacek regarding your particular setatof MetLife Solutions Group facts circumstances. 4814 and Outlook Drive Wall Township NJ 07753. Phone # is (732)919-6194.

September/October 2013 January/February 2013

Medical Professionals

13

Cancer doesn’t fight fair. Neither should you. No pain. No incision. No hospital stay. The CyberKnife® is revolutionary technology in the fight against cancer. It treats tumors and lesions throughout the body by focusing pinpoint beams of radiation that destroy cancerous cells with minimal effect to the surrounding healthy tissue. For you, CyberKnife means an outpatient procedure that requires five treatments or fewer with no pain. You can then focus on what’s most important — living your life. Call or visit our website for more information. 732-557-3120

NewJerseyCK.com

Intracranial Kidney Liver Lung Pancreas Prostate Spine Community Medical Center • 99 Route 37 West • Toms River, New Jersey 08755

13USR010-B_NJCK_FightFair_OceanCountyWoman.indd 1

The County Woman Magazine

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8/7/13 9:07 AM

September/October 2013

14

Specialty Cakes

&

Chocolate Novelties

Trendy Texture Takes The Cake

By Lisa Porada
Owner, Cake Designer 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.

Today’s trends in cake decorating are simply sophisticated, elegant, creative and colorful all at the same time. Cakes have seen a resurgence of buttercream frosting. Buttercream was once the traditional frosting for wedding cakes, but in recent years the fondant

covered cake was thought to be more desirable for its sleek appearance. Now, thanks to advanced techniques that allow butter cream to look just as smooth as fondant, cakes iced in butter cream are becoming popular again. This trend is terrific because buttercream frosting tastes better than fondant and is much less expensive. Additionally, we have seen an increase in chocolate frosted cakes, even for elegant occasions like weddings. Gone are the days where brides hid their decadent chocolate cakes under mounds of white fondant. Today’s more simple approach welcomes a cake elegantly iced in a velvety chocolate frosting that looks as mouth watering as it does beautiful.

Textured cakes are definitely IT right now.

In the recent past, the sleek and very smooth cake was all the rage. Today, cakes are being iced with a variety of textures including ruffles, stucco, lined textures, rosette coverings and more. These textured cakes are very elegant while at the same time appearing simple and sophisticated. They have a soft feel to them and are very inviting. Textured cakes can perfectly fit in a rustic

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country wedding setting or a sleek city sophisticated soiree.

The use of color on cakes is another current trend in cake design. The use of color is often combined with texture to create an ombre effect. These ombre cakes start off in a shade of color and then gradually fade to white or into another color at the top of the cake. Even wedding cakes are becoming more colorful. This season, we have done ombre cakes in blues, pinks, lavenders, greens and even blue fading to orange to emulate a sunset! Another use of color is a color burst effect. This is when the cake is iced in a traditional white or chocolate frosting and then a large flower in a bright color adds that burst to finish the design.

Even more interesting is the “naked cake.� You may not have heard of the naked cake yet, but you will! The naked cake is becoming all the rage for the upcoming season. These cakes are simply filled and stacked and not iced at all. That’s right, NO icing, leaving the inside cake layers exposed.

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!

With cakes today, creativity is the name of the game. With care and creativity today’s cake designers can create simple, elegant cakes that are not only delicious but also encompass the recipient’s personality making it easy to have your cake and eat it too.

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

www.chocolatecarousel.com • 732-280-0606

The County Woman Magazine

www.TheCountyWoman.com

September/October 2013

18

PediatricP & Orthodontic ediatric DentistryDentistry

15

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AcVgV_eZgV 5V_eZdecj There are many ways parents of young children can stay in charge of their child’s dental health.� He advises starting visits at 12 months of age. “Seeing children as young as 12 months is very important. Healthy diet and nutrition play key roles in maintaining a healthy mouth. Avoiding sugary drinks and non healthy snacks is a must, and that faithful six month checkup is most important.� He also suggests flossing your child’s teeth when they begin to touch one another. Flossing helps prevent cavities between the teeth. Because flossing is a difficult skill to master, you should floss your child’s teeth until he or she can do it alone; every child is different. The subject of fluoride toothpaste is a contentious one. He adds, “Most toothpaste now contains fluoride, and most people get their fluoride this way. Fluoride toothpaste is very effective in preventing tooth decay. The amount of fluoride in toothpaste is usually enough to lower the level of decay.� In areas where the water supply is fluoridated, fluoride toothpaste

There are many things that set his practice apart. He adds, “My practice is unique because it is an all green, Eco-friendly office and we use digitalized x-rays. Tender Smiles 4 Kids is free of gluten, dyes, sugar, formaldehyde, formocresol, and mercury. Additionally, we have non-glued carpets and hypoallergenic tiles, Pď?˛ď?Ľď?łď?Ľď?Žď?´ď?Ľď?¤ ď?˘ď?š Dď?˛. Mď?Ąď?¸ď?Šď?­ Sď?ľď?Źď?Źď?Ą, with the latest technologies.â€? TenderSmiles4Kids Best of all, their “Tender Teamâ€? 2e EV_UVcD^Z]Vd%<ZUd hands out balloons and coins for aVUZRecZT UV_eZde 5c >Ri prizes, often having as much fun Z^aRced R dZ^a]V aYZ]`d` as the children themselves!

aYj hYV_ ecVReZ_X YZd ÂłaZ_e dZkVU´ aReZV_ed 9V SV]ZVgVd eYRe R]] TYZ]UcV_ UVdVcgV e` SV ecVReVU hZeY cVdaVTe TRcV R_U ^`de `W R]] T`^VUj e` afe eYV^ Re VRdV Dr. Max is responsible for informing and educating parents as well as treating children of all ages and needs. Dr. Max says there are many misunderstandings about his profession. “Many people think that a child’s baby teeth will just fall out. This is where it is my responsibility to educate them comes in.â€? He chose to become involved in Pediatric Dentistry because it is the “field of smiles.â€? He adds, “Whether I am helping to make one better or actually creating them by acting silly with my patients.â€?

>R_j 5V_eR] A]R_d 2TTVaeVU Dr. Max finds the most rewarding part about his profession is when he treats a child who has extensive dental needs or any type of special needs, and then return every 6 months with clean, healthy mouths they are so proud of themselves. As in any profession there are challenges he must face on a daily basis. These have to do with insurance companies which, at times can be a barrier to the prompt delivery of necessary dental care. “Parents are forced to think twice about expenses. To accommodate this concern we are involved in numerous dental plans, and offer in office payment options, along with care credit,� he adds.

gives extra protection. All children up to three years of age should use a toothpaste with a fluoride level of at least 1000ppm (parts per million). After three years old they should use toothpaste that contains 1350ppm to 1500ppm. Parents should supervise their children’s tooth brushing, and use only a pea-sized smear of fluoride toothpaste until they are about 7 years old.

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TenderSmiles4Kids specializes in working with children with special needs and or anxieties. If needed, we can help your child feel relaxed and at peace during their important dental care with these services: t /JUSPVT 0YJEF t 0SBM $POTDJPVT Sedation t *7 4FEBUJPO t (FOFSBM "OFTUIFTJB He receives a great deal of gratification from the fact that children actually enjoy a visit to his office! You can find more information on their website: www.TenderSmiles4kids.com.

Meet The Doctors of TenderSmiles4Kids: • Dr. Max Sulla • Dr. Liya Ostrow • Dr. Martin Halofsky • Dr. Herbert Portnoff • Dr. John Butler • Dr. Monica Chan • Dr. Mark Caplan

Dr. Max’s “Toothfairy Mobileâ€? is a favorite attraction for children at community events. The children get to know the other side of dentistry beyond drillings and ďŹ llings.

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. He currently resides in New Jersey with his wife Elana and 3 children; Matthew 11, Jordana 8, and Vivien 2. In his free time he enjoys traveling, cooking, gardening and sports.

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September/October 2012 September/October 2013

Law

16

What You Don’t Know About Your Car Insurance May Hurt You...

Written by: Kristine M. Bergman, Esq. Ansell Grimm & Aaron, PC

...if you are ever injured in an auto accident. For many New Jersey drivers, the specifics of automobile insurance are less than clear. It is very important you, as a consumer, understand the policy choices that you are given by automobile insurance companies and how those choices may affect you if you are ever involved in an auto accident. As New Jersey drivers, we are well aware that New Jersey auto insurance rates are among the highest in the country. In response to and in hopes of calming the soaring insurance rates, the New Jersey Legislature, in 1988, amended New Jersey automobile insurance law and introduced the “Verbal Threshold” (now known as the “Limitation on Lawsuit” option), which was intended to reduce the number of lawsuits being filed each year in hopes of lowering auto insurance rates. As a result, you are now required to select either the “Limitation on Lawsuit” or the “No Limit on Lawsuit” option when beginning or renewing your auto policies. These terms, however, are rarely explained to us. It is important to understand that your election of the Limitation on Lawsuit option will also extend to limit the rights of immediate family members living with you if they are listed on your auto policy or are non-drivers or drivers who are not covered under any other auto insurance policy.

What Does “Limitations On Lawsuit” Mean?

If you are injured in an auto accident and have elected the “Limitation” option, you will be prevented from recovering any monies for your pain and suffering (referred

to as “non-economic damages”) unless your injuries fall under one of the six (6) specific categories of injuries provided for under our State law. Because personal injury cases are almost always accepted on a contingency fee basis (as in the oft-heard television advertisements “you don’t pay us unless we collect money for you”), attorneys will likely decline to accept a case where the injured person is subject to a “Limitation on Lawsuit” and their injury does not clearly fall into any one of the six specified categories, which are: Type 1 - Death; Type 2 - Dismemberment; Type 3 - Significant disfigurement or scarring; Type 4- Displaced fracture; Type 5 –Loss of a fetus; Type 6 –Permanent injury. While most of these categories are clear in their meaning, the “Type 3” injury can sometimes be a matter of opinion. What you may consider to be “significant” scar or disfigurement simply may not be considered “significant” in the minds of a jury. A large (or multiple) facial laceration, which can be painful, embarrassing and take many months to heal, may fail to satisfy the threshold of injury required under the “Limitation” if there is no permanent scarring or if the scarring would be considered minimal or insignificant to other people. Many injuries suffered in automobile accidents can be very painful and may need long-term treatment; however, if the injury ultimately heals completely without any further known issue, the “Limitation” would apply to prevent you from pursuing a claim regardless of how long you suffered pain. Anyone who has ever suffered a bulging disc well knows the long-term pain and discomfort that this type of injury causes and how much it can impact day-to-day

The County Woman Magazine

life. Despite same, these injuries are likely to fail to meet the criteria of the Lawsuit Limitation.

But The Accident Was Not My Fault!

If you are subject to the “Lawsuit Limitation”, your right to sue for noneconomic damages will be limited even if the other driver is 100% at fault for the accident.

Which Option Should I Choose?

Cost was, and often is the factor in deciding which option to elect. The “Lawsuit Limitation” will lower the cost of your annual policy premium by an average of about $500.00, but will significantly limit your right to sue for pain and suffering if you are ever injured in an automobile accident. Policyholders who elect the “No Limit on Lawsuit Option” maintain the right to sue for pain and suffering regardless of whether

or not they meet the criteria of one of the six categories of injuries. Of course this does not guarantee success of recouping monies for your pain and suffering, however the “No Limit” option will enable you to make a claim for pain and suffering where the Lawsuit Limit would deny you that right if your injuries did not fall into one of the six categories. The ultimate choice in which option to elect belongs to the policyholder, but the choice should be made knowingly. You should not be asked to give up any of your rights before you understand what it is you are giving up. Kristine M. Bergman, Esq. is an attorney with the Law Firm of Ansell Grimm & Aaron, PC, Ocean Township, New Jersey, and practices in the firm’s Personal Injury Litigation Department. The above information is intended for informational purposes only and should not be considered legal advice.

Areas of Practice: Bankruptcy Civil Litigation Commercial Litigation Commercial Real Estate Contract Criminal Defense DUI

Employment Law Finance & Banking Land Use & Zoning Matrimonial & Family Medical Malpractice Mortgage Banking Municipal Court Defense

Municipal Law Personal Injury Real Property Tax Appeals Residential Real Estate Traffic Violations Wills, Trusts & Estates

A commitment to excellence. A commitment to people.

1500 Lawrence Avenue Ocean, NJ 07712 732.922.1000

www.TheCountyWoman.com

341 Broad Street Clifton, NJ 07013 973.247.9000

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

September/October 2013

Assisted Living “Memorable Smile”

and triumphs. Her eyes grow bright and sometimes tearful as she shares her experiences at Brandywine.

The first question one might ask Marva Poindexter, Care Manager at Brandywine Senior Living at Wall, could be, “Why would you leave the beautiful, sunny isle of Barbados? Isn’t the average temperature, year-round, between 70 and 88 degrees? And then you see the smile and the picture begins to get clear. “It’s the residents. I love all of my residents,” she says. “They are all so unique and special to me.” And that’s what it’s all about for Marva. Yes, she left the tropical paradise and comforts of sunny Barbados and traded them for the colder, more unpredictable weather of coastal New Jersey. She moved from Barbados to New York in 1993 and then migrated south to West Long Branch, Monmouth County, New Jersey. She has lived in Asbury Park for the past 15 years. Perhaps Marva finds herself in a profession that’s characterized by selfless dedication and commitment to caring for seniors who need some assistance, support and compassion because it’s what she has been doing ever since she was a young girl. She was working in housekeeping when a friend told her about obtaining a Home Health Aide certification. While holding down two jobs, she completed that certification and knowing that caring for seniors is in her heart, she applied for a job at Brandywine Senior Living at Wall (formerly Waterford Glen). Marva has many innate talents which are necessary to being a good care manager. One of those talents involves being a patient listener. Sometimes, for a variety of physical or cognitive reasons, residents cannot express themselves clearly like they once could. She’s able to give to residents (“my other family”) her undivided attention while they tell fascinating stories about life’s challenges

17

“I got really close to one resident who loved to knit. She knitted scarves in every color! She was so very special to me. When she was in the hospital, after she was transferred to rehab, I visited with her and brought her knitting needles. I just knew she would love that.” “Another resident called me her “coordinator” because I matched all of her jewelry with her fine clothes. She really took pride in the way she looked.” She also loves her job because of her fellow team members. “Everyone helps out each other just like family.You don’t have to ask. They just jump in and do it. It’s different here and that’s why I’ve stayed for the past 9 years!” said Marva. When not working two jobs, Marva spends time with her family. Ironically, her sister works as a Reflections Care Manager at the same community as Marva, taking care of residents with dementia related diseases. Her son works at another Brandywine community in Shrewsbury, NJ as a chef. How fortunate we are at Brandywine to have an entire family of talented, caring and compassionate individuals as members of our team. Marva loves to dream and talk about the future. Her hopes and dreams haven’t been quite fulfilled yet, so she feels that she has a lot more to accomplish. She has her heart set on being a nurse one day. “I’ll get there!” she says with her trademark smile, beaming with confidence and selfassurance. None of us who know her have any doubt about that!

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

Cheers

CHEERS

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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 September/October 2013

Medical Professionals

18

Charting Your Course for Good Health Do you or a loved one need to see a medical provider but often struggle with getting to the office or missing work to get to an appointment?

Universal Health Care Navigators works in collaboration with our patients to chart a course to good health! We navigate your health care needs with expertise! Our mission is to offer a holistic and an all-encompassing approach to healthcare through our comprehensive medicine practices. So what does this mean to you? The answer is better health and quality of life. Our Services:

House Calls Specialties:

đƫ Comprehensive Physical Examinations đƫ Continued Medical Follow-Up Appointments đƫ Psychological Assessments đƫ Dementia Assessment & Treatment đƫ Nutritional Assessment & Management đƫ Vaccinations đƫ Laboratory Studies đƫ Physical & Occupational Therapy đƫ Specialty Referrals đƫ Orthotic & Prosthetic Coordination đƫ Durable Medical Equipment Coordination

đƫ Primary Care đƫ Sick Visits đƫ Wound Management đƫ Functional Medicine

đƫ Specialty Lab Testing đƫ Provider of Dr. Emma’s Weight-Loss Network (As Seen on Dr. Oz)

Scheduling a House Call House Calls are scheduled by calling our office at 732 832 7817. You will receive a call from our office reminding you of your scheduled appointment 12-24 hours prior to your visit. Presently, we are only providing house calls on patients 18 years of age and older.

331 Newman Springs Rd. | Bldg. 1, 4th Fl., Ste. 143 | Red Bank, NJ 07701

732 832 7817 | FAX 609 336 7897 WWW.UNIVERSALNAVIGATORS.COM PHONE

Ask about our Care Management services at

732 832 7816.

đƫPediatric

đƫBereavement Groups

đƫCounseling/Life Coaching

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September/October 2013

Medical Professionals

19

Treating Pediatric Orthopaedic Fractures Q Q Q Q Why are broken bones (fractures) and other orthopaedic injuries in children different than those of adults?

Written By: Dr. Paul T. Haynes II, MD Pediatric Orthopaedics

Football, field hockey, soccer, basketball, ice-skating, wrestling, cheerleading, etc… The variety of sporting and recreational activities available to children abounds.

Mamazing energy and arry that with their

indefatigable appetite for fun, one can certainly understand how their propensity for injury is elevated compared to adults. Indeed, approximately 40% of boys and 20% of girls will experience an injury that may result in a broken bone. In terms of orthopaedic injuries, children are not considered “little” adults. As such, their orthopaedic treatment is as unique as they are.

There a few reasons why children’s fractures behave differently than those in the adult. Children’s bones possess unique anatomy and physiology, compared to adults, that predisposes them to distinctive injuries. At the ends of the majority of children’s bones are growth plates. These specialized structures allow for the bulk of longitudinal growth – arms and legs to grow. Growth plates are comprised of a small, complex cluster of specialized cartilage cells that regulate and generate skeletal growth. Because they are made of cartilage, they are weaker or softer than mature bone. During an injury, energy often finds the “weakest-link,” which results in fractures in and around the growth plate. Surrounding every bone is a thick layer of supportive tissue – periosteum. This structure is considerably thinner in the adult. The robust periosteum in children allows for accelerated bone healing and may also help keep fractures better aligned. The anemic adult periosteum does not possess the same ability to constrain fractures from displacing (the broken bones moving from their normal position) nor allow them to heal at the same pace. Lastly, as children mature, their muscular development may outpace their bony development. Muscles, and their bony insertions into bones (tendons), and liga-

ments (structures that often connect bones) may be stronger than the bone they are acting on. In adults, ligaments, muscles and tendons are usually the “weak-link.” It is this unique arrangement that may lead to fractures in children as opposed to ligament, tendon or muscle tears in adults.

What types of fractures occur in children?

As the growth plate is a relatively weaker structure within the pediatric bone, it is frequently involved in fractures. The most commonly used classification system for growth plate fractures is the Salter-Harris fracture classification. It accounts for the most common types of growth plate fractures and injuries. In general, as the growth plate fracture level in the Salter-Harris classification is elevated from I to V, so is the potential damage to the growth plate itself. This may have an impact on the bone’s or limb’s normal development. In addition to fractures involving the growth plate, children may incur other distinct fracture types. As their bones are softer or weaker than adults, children may have buckle (torus) or greenstick fractures. In buckle or torus fractures, one side of the child’s bone literally buckles under pressure while the opposite side remains intact. These types of fractures most often occur after a fall on an outstretched hand within one of the bones near the end of the forearm. Greenstick fractures are likened to a young tree

branch being bent – one side splinters while the other side contorts. These types of fractures often occur in the forearm.

How are children’s fracture treated?

Ironically, the characteristics that make children prone to certain types of fractures also allow them to heal uniquely. The majority of fractures that happen in children are amenable to conservative treatment – casts, splints or slings. Also, treatment times are often reduced with fractures in children as opposed to adults. A fracture in the lower leg or thigh bone of a child will often heal in a cast in a relatively short period of time whereas, a similar fracture in an adult will require a lengthy time in a cast or an operation. Special consideration is warranted regarding fractures involving the growth plate. There are times that fracture in and around the growth plate requires manipulation or surgical intervention. Manipulation (to move the fracture fragments into acceptable position) may be accomplished with local but may also require general anesthesia in the emergency or operating rooms. Alternatively, some fractures require an operation that will secure the fracture fragments in better position using smooth pins, screws or thin rods. A unique treatment plan is created for each child and fracture – this often is devised in consultation with a pediatric orthopedist.

What types of complications can occur with pediatric fractures?

Complications may certainly happen with any fracture but there is a higher likelihood of complications with fractures in and around growth plates. The more the growth plate is disturbed, the higher the potential for complications. Growth plates allow for longitudinal growth – their disruption may lead to deformity (limbs growing in a bent fashion) or for limb length discrepancy (the opposite limb being shorter or longer than the injured extremity). For this reason, fractures involving the growth plate warrant closer and often longer observation after injury. Approximately 2-8% of fractures involving the growth plate result in complications. If such a complication arises, there are many treatments devised to correct the issue.

Q

What should be done if you suspect a fracture in a child?

A fracture will often declare itself as pain, swelling, redness, tenderness and/or deformity. Immediate treatment should ensue. An evaluation by an orthopaedic surgeon should be sought in a timely fashion particularly with regards to fractures involving the growth plate.

Official Team Doctors Of:

Seaview Orthopaedic & Medical Associates

Official Team Doctors Of:

■ SATELLITE OFFICE IN LAKEWOOD

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

Dr. Paul 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. Seaview has physicians specializing in General Orthopaedic, Pain Management and Rehabilitation, Sports Medicine, Pediatric Orthopaedic and Independent Medical Evaluations.

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. www.TheCountyWoman.com The County Woman Magazine September/October 2013 CHRISTOPHER J. SPAGNUOLA, M.D., P.A.

Health

20

&

Wellness

BVS`Sya a] [cQV W\T]`[ObW]\ ]cb bVS`S OP]cb eSWUVb Z]aa V]e R] 7 Y\]e eVWQV RWSb b] QV]]aS One of the most important parts of any successful weight loss program is that it resets your metabolism. Im-

prove Health Solutions offers a safe doctor-supervised weight loss program that sheds weight from the body quickly with long-lasting effects. Patients are losing weight and keeping it off because this program offers something that others do not - hCG (human chorionic gonadotropin) supplementation to reset your metabolism. The hCG diet (as seen on Dr. Oz) has received much attention because of its success, but patients need to understand how it works. The program consists of a low dose of pharmaceutical-grade hCG hormone, a daily intake of 500 calories, and most important, doctor supervision. Most patients comfortably lose about a pound a day without hunger. To see if the hCG weight loss program is right for you, contact Improve Health Solutions at 866-807-8686!

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We customize your care through hormonal, diet and nutritional balance. Ask Our Anti-Aging Physician How We May Help! Kelly McPadden, RT(R)(M), LMT, HC

Robert Frankel, MD

Kelly trained as a radiologic technologist and has practiced for over 20 years. Early in her career she took additional studies in women’s imaging, specializing in mammography and is licensed through the ARRT. Her training at The Institute for Integrated Nutrition combines a mind/body approach to health and nutrition. 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.

Dr. Robert Frankel is a board certified emergency physician who trained at Albert Einstein Medical Center for over a decade. He is also certified by the Federation of Anti-Aging Regenerative Medicine and holds a doctorate in chiropractic. His training in both tradition medicine and holistic anti-aging care makes him a unique practitioner. His approach to each patient is based in individual care. Dr. Frankel breaks the paradigm “one drug works the same for each person�. The practice customizes your care with nutrition, diet and hormonal balance.

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Unlike most practices that use conventional medicine, we use natural medicine. The problem with conventional medicine is that it views each patient as a group of symptoms. For each symptom, a pill is given to extinguish it. Many times, a medication’s side effects produce more side effects and symptoms that need more pills. As a functional, anti-aging practice, we search for the root cause of your discomfort. There is often an imbalance of your hormonal or nutritional status. The holistic treatments that we perform improve your overall health and give you more energy and a renewed zest for life.

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The County Woman Magazine

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September/October 2013

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mentioned on an episode of Dr. tabolism will be altered to be defined as the transformayour body stores fat for the much faster than it was before Oz, is the decreased appetite tion of food into energy. In winter. The muscle mass loss making the low-calorie diet less the diet. By carefully following theory, if the amount of food reduces your metabolism. As a Doctors also reinstructions by your HCG diet or calories you need amounts result, your lower calorie intake of a struggle. ealth & ellness port that weight gain is unlikely physician you are likely to end exactly to the amount of calodoesn’t assist in dropping the the treacherous cycle associated ries you consume, your weight weight as fast as you would like once the HCG diet program with the yo-yo diet. has ended, because your mewill remain unchanged or even because you still have metaincrease. When the amount of bolic needs to fulfill. Once the Estrogen, for example, has found in the body. Studies have size fits allâ€? approach. 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important hormones and they are ignored. The reason is conventional medicine often is not well versed on the important role that estrogen and progesterone play, not only in the way women feel, but also that diminished hormones negatively affect their overall health.

ProveraÂŽ (a synthetic product and created in lab) are both are viewed as foreign to the body. The other is bio-identical hormone, often produced as cream for skin. These hormones are the same chemical structure as humans and react in the body as natural hormone.

such as “the pill.� Hormones such as PremarinŽ, ProveraŽ and PremproŽ are examples. PremarinŽ is a horse estrogen from urine. ProveraŽ is a synthetic product not

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The County Woman Magazine

Woman Magazine

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www.TheCountyWoman.com

September/October 2013

May/June 2013

Knitting nitting & &C K Crocheting rocheting

56 22

:cf H\Y @cjY CZ MUfb A Message From the Owner‌

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started A Stitch in Time as a result of my reaching the end of one career, and my need to begin another. After having spent 25 years in Corporate Americathe last 16 of those in Human Resources – I was Michele Vail, Owner ready for a change. One day, my best friend called A Stitch In Time and asked me if I wanted to take knitting lessons with her. This was a learning experience that forever changed my life. At the time, I didn’t know “yarn shops� existed. However, my inspiration/ education came from a local yarn shop in Colts Neck and its owner. The experience was such a positive one, that I promised myself someday I’d have a new career. Several years later that promised was fulfilled.

^I opened A Stitch in Time on Nov.15, 2011.

It truly has been a labor of love. I’ve learned many facets of owning my own business, and I consider myself very lucky to have so many years of corporate experience Health & & Wellness Wellness Health

to fall back on. It’s a constant source of amazement to me how often I still use my Human Resource and negotiating skills. I have made a lot of new friends, and have broadened my needle art knowledge (not to mention my new-found addiction to spinning fiber!). I could not have accomplished any of this on my own. I owe a great deal to my very supportive friends and family, including those who scratched their heads and said, “You want to open a WHAT?� Thank goodness they all allowed me the opportunity to be creative and take the risk. A Stitch in Time is located in historic Farmingdale, NJ. A charming yarn shop for knitting and crocheting enthusiasts, we offer brand name yarns knitting and crocheting needles and hooks, published patterns, notions, inspiration and guidance for all levels of knitters and crocheters. Our shop is easily accessible from Route 34, the Garden State Parkway, and Route 9. Join in for a lesson, monthly sales/events, or daily open knitting and crocheting. Additional information can be found on my website: www.sityarn.com or by calling the Shop directly at 732-938-3233. There is a wooden sign next to the cash register that reflects the true nature of A Stitch in Time. It states simply: Enter as strangers, leave as friends. Here’s hoping that I will have the opportunity to make many more friends for many more years to come.

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Unique Jewelr y, Bags & Gif ts From Around t he World

... being still does not mean Americans suffer don’t move.million It means move to inprotect our bodies from

from asthma and allergies. Multiple chemical sensitivity is a heightened - E’yen A. Gardner reaction to substances that cause symptoms ranging from respiratory ailments to depression and anxiety. The growing consensus is that the flood of new chemicals introduced into the environment every year Written By: are making people sick. Dr. Yvonne H. Johnson Most of the contamiHall, Harrison nants found in the indoor & Johnson Assoc., LLC air are invisible, harmful chemicals, natural allergens and man-made pollutants. e spend as 150 million Americans live much as 90 per- in areas with unhealthy cent of our time levels of air pollution. Offiindoors, where accord- cials estimate that this kind ing to the American of air quality is responsible Lung Association, “the for 4000 premature deaths air can be worse inside every year. The dust, danthan it is outside.� der and particles in your Environmental and furniture and carpet that Photo by Paul Dempsey man-made contaminants you cannot see invade your are not what your family P r a c t i c elungs y o and u r your p a sbody s i o neach . should be breathing. As a day. It is our responsibility consequence, more than 50

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Organic Cosmetics, Green Products & Therapeutic Massage

Are Our Homes Responsible for theLongIncrease in Breathing Difficulties? Beach Island Yoga Nine Studio

The County Woman Magazine The County Woman Magazine

design provides a clean and is regarded as therapy for able to sleep through the OPEN ALL YEAR ROUND harmful pollutants inside sterile environment without stress. night and wake up reour homes. And how can the generation of 7 harmful Individuals living with freshed in the morning. DAYS A WEEK we improve our indoor ozone production. In addaily breathing difficulties For additional inenvironment? An easy so- 4&15 0$5 6QDPNJOH &WFOUT dition, the KenkoAir Purifi- are amazed at the improveformation, the ability to lution is a simple purificaerTM produces beneficial ment they experience experience these technolotion system that cleans Fri the11/29 negative that improve within a very short period gies first hand, or if you - Sun ions 12/1 +JN #FOOFU 5BOUSJD *NNFSTJPO 4NJUIWJMMF

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every minute. life. High amountsDBMM GPS JOGPSNBUJPO of these breathing begin to return our other products, please Airborne contaminants negative ions are found in to normal but they will also call Dr. Johnson at 732101settings 8FFL $PVSTF t 'PS 3FBM 'JSTU 5JNF #FHJOOFST can be removed with theYoganatural such as fornotice that they are finally 409-2995. 4FTTJPOT 4UBSU 4VO 8FET PS 5IVST 4FQUFNCFS PS 4NJUIWJMMF )BNNPOUPO installation of a KenkoAir ests and near waterfalls. A 4QBDF -JNJUFE t $"-- '03 %&5"*-4 "/% 03 13& 3&(*453"5*0/ PurifierTM.*ODMVEFT XFFLT PG VOMJNJUFE DMBTTFT BOE B iHSFFOw UPQ RVBMJUZ MBUFY KVUF NBU This Air walk through Providing years of wellness Wellness Technology is a forest $BMM /08 PS TJHO VQ BU XXX ZPHBOJOF DPN to the community. the absolute standard of or by a Inspiring you to achieve and maintain optimal health with excellence in air filtration Rope moun- Wall Classes - Smithville 4p-5p See wthe aging process: natural solutions that help you to slow down ebsite fo and is combined with green tain r osteoporosis, diabetes, joint and deep ctissue renal lass scdiscomfort, 9/22 - Standing Postures 10/13 - Inversions hedule technology. The Kenstream and respiratory challenges, without side effects!! 10/27 - Backbends 11/9 - Shoulders koAir PurifierTM features feels Dr. Yvonne H. Johnson -JWF .VTJD 'MPX JO 4NJUIWJMMF 5IVSTEBZ /JHIUT QN advanced multiple stage soothHall, Harrison & Johnson Assoc., LLC filtration, including an ing and Smithville 9/26 Sharon Sable ULPA (ultra low penetra- Smithville relaxing 732-409-2995 Coming Bob Fowler & Melanie Rice tion air) filter, that can and "U 5IF %PPS 'PS 0VS 'BCVMPVT "SUJTUT email: drjohnson@hallharrisonjohnson deliver performance supe(JGU $FSUJmDBUFT "WBJMBCMF GPS $MBTTFT PS .BTTBHFT rior to the systems in many GooD HeALTH Is PrICeLess – WWW.YOGANINE.COM hospital operating rooms, PrevenTIon Is KeY! high-tech clean rooms 609.494.9299 609.404.0999 609.481.2455 You can view and learn about HAMMONTON SHIP BOTTOM LBI SMITHVILLE MIND/BODY STUDIO and the laboratories of the more innovative products at U.S. National Institutes www.hallharrisonjohnson.com of Health. This patented

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September/October 2013 September/October 2013

Cosmetic Dentistry

23

Much More Than a Facial Expression: The Power of a Smile

Written by: Sophia Nichols, D.M.D., M.A.G.D., P.A.

Enhancing Communication Good communication is the foundation of successful relationships, both personally and professionally. But, we communicate with much more than words. In fact, research shows that over 80% of all human interaction is nonverbal. The ability to understand and use nonverbal communication is a powerful tool that helps us connect with others and build better relationships. Every look, every gesture, every twitch of an eyebrow communicates an inaudible message. Our posture, eye contact and hand movements all play an important role in nonverbal communication, but one of the most significant ways we communicate with others is with our smile. A smile is part of a universal language. The author and world-

renowned photographer, Elan Sun Star writes, “A smile, like a picture, is a universal language that transcends not only every cultural boundary but also every conceptual boundary. No matter what village or town or city you go to, a smile means the same thing regardless of your age, culture, ethnicity, financial status, faith, or nationality. A smile is a smile is a smile, and a smile by any other name looks the same. It comes from the heart; thus there are no misinterpretations. Innately, we know that we are all in this together by smiling, we can unleash powerful forces from within.� A smile can diffuse a contentious misunderstanding, prevent arguments, and help us navigate a challenging situation, comfort a frightened child or lonely person. It allows us to positively respond to others in our environment and signal that we welcome them. It indicates that we are receptive and open. It can change our mood and help us in your daily personal life. It’s free, effortless, powerful and contagious! Smiling for your health There are tremendous health benefits to smiling. Scientific evidence suggests that smiling creates a biochemical response, activating neuro-hormones, endorphins and nitric oxide to make us feel great. Endorphins are chemicals produced by our bodies that act as natural pain relievers, similar to opiates, and can help reduce physical and emotional

About the Practice‌ 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.

pain and stress while increasing our sense of well-being. According to Mark Stibich, a consultant at Columbia University, and contributor to a Guide to Longevity at about.com —Smiling: 1. Boosts the Immune System. Smiling can actually stimulate your immune response by helping you relax. 2. Lowers Blood Pressure. When you smile, there is evidence that your blood pressure can decrease. 3. Releases Endorphins and Serotonin. Research has reported that smiling releases endorphins, which are natural pain relievers, along with serotonin, which is also associated with feel good properties. Dr. Rollin McCarthy, Ph.D., the Institute of Heartmath’s Executive Vice President and Director of Research states: “The science shows that by consciously cultivating a smile—both on your face and in your heart—you can take a proactive role in creating your own health, happiness, and fulfillment, while positively affecting others and your environment�. A great smile is always in style According to new research from the American Academy of Cosmetic Dentistry (AACD), consum-

ers say they would pay to fix their teeth before they would pay for weight loss help. Of the 80 percent of American adults who in a recent poll admitted they would spend money to hide or correct aging flaws, 62 percent said they would pay to fix the quality of their teeth, compared with 48 percent who said they would invest in weight loss help. Women are more likely than men to invest in such improvements (84 percent versus 75 percent). Nearly half (45 percent) of Americans think a person’s smile can defy aging’s effects while eyes come in a distant second (34 percent). Perhaps speaking from experience, 54 percent of Americans over 50 attest that a smile can overcome decades of birthdays. “A great smile is always in style, and these results prove it,� said AACD President Dr. Ron Goodlin. It’s easy to see what you would look like with a new smile We have new digital software that lets patients see what they could look like before they have any cosmetic treatment done. It only takes a few minutes to do a smile simulation and it’s free. See an example below.

Quotes to smile about “A smile is a universal welcome.� - Max Eastman “A smile is a powerful weapon. You can even break ice with it.� - Author Unknown “A smile is the curve that sets all things straight.� - Phyllis Diller “A smile of encouragement at the right moment may act like sunlight on a closed-up flower; it may be the turning point for a struggling life.� - Joseph Addison “There are hundreds of languages in the world, but a smile speaks them all.� - Anonymous “Always smile when you can. It is cheap medicine!� - Lord Byron

Call Dr. Nichols for your next dental appointment.

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September/October 2013

Fashion

24

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Beauty

Come Experience The Fall Collection at Lynne’s! 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. Fall is my favorite season for clothing, as there are so many choices in fabrics, colors and styles. Many of our transitional pieces are lightweight fabrics, which are good for layering, and also travel well. I can’t wait for you to come and experience them for yourself. You will see many rich jewel tone colors, as well as muted colors of greys and blacks – the staples of our wardrobes in the northeast. But don’t be afraid to add some color, which will play an important part of our fall fashions. The trends that you will also be seeing this season are color block designs and styles that feature the peplum look, both in evening wear as well as in daytime clothing. Our evening collections are also arriving daily, and we have many new wonderful choices for you. Whether you are attending a wedding, are the mother of the bride or groom, or just need to add something special to your wardrobe, it is our pleasure to dress you for your special event. As we will be receiving new merchandise every day, both clothing and accessories, remember to come in often!

Looking forward to seeing you soon!

Lynne & Staff

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!

www.lynnesfashionboutique.com Fall Hours

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

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September/October 2013

Medical Professionals

25

Skin Rejuvenation After A Summer Of Fun

Submitted by: Dr. Stephen E. Small, Board Certified Plastic Surgeon

I

t has been another great summer at the Jersey Shore and while enjoying those beautiful days you may have used sunblock, a hat and maybe even an umbrella to protect your skin.

Despite these measures, you might be noticing some changes to your skin, including changes in texture (roughness or unevenness), prominent pores, fine lines, wrinkles and discoloration (brown and red spots). These

changes are the most noticeable in our face, chest décolleté and hands. As we age, the collagen production in our skin decreases and the structural support diminishes, causing visible changes. Ultraviolet light from the sun and other factors, such as smoking contribute to these changes. Good skincare and skin protection help you maintain youthful skin but are not 100% restorative or protective. Advances in fractionated CO2 laser skincare now offer treatments with little to no downtime while enhancing the skin strength and elasticity. The result is more youthful, smoother skin with better texture and color. This laser technology works by placing a grid pattern of tiny pulses of light with a column of energy into the second layer of the skin resulting in new collagen formation and skin renewal. The fractionation (untreated areas of skin) between these pulses accelerates recovery. Recovery that once took weeks now takes a few days with the Matrix Fractionated C02 Laser.

At Ocean Plastic Surgery, P.A. and Laser Center, Dr. Small has extensive laser experience and utilizes the Matrix Fractionated C02 Laser for a personalized, precisely controlled treatment with an intensity of treatment to meet your specific needs and allotted downtime.

Q

Am I a candidate?

Matrix Fractionated Laser Treatments are safe, effective, affordable and proven treatment for virtually all skin types except very dark skin. A personalized consultation will determine if this treatment is right for you.

Q

How long will the treatment take?

Q

Is the treatment painful?

Treatment length depends on how many areas are treated but an average treatment takes about 30 minutes.

A topical anesthetic is applied before the treatment to reduce any discomfort. During the treatment, the skin will feel warm and also feel tighter and firmer. You may feel as if you have sunburn for a couple of days following the

Artistry • Beauty • Rejuvenation Non Invasive Botox Juvederm Radiesse Boletero

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Matrix Fractional C02 Resurfacing Hair Removal Spider Vein Tattoo Removal Photofacials Erbium Laser Refresher Peels Pulsed Dye Laser Scar Treatment

Face

Facelift Cheek Lift Neck Lift Eyelid Surgery Fat Transfer~ Lipoaugmentation Rhinoplasty Chin Augmentation Otoplasty

Breast

Augmentation Lift Reduction Reconstruction Revision Augmentation Revision Reconstruction

The County Woman Magazine

You will see an appreciable improvement in as little as one week. The full benefits of the treatment will continue to be appreciated even months from the treatment as the skin renewal process from the new collagen formation continues to restore your natural beauty.

Q

Can I have other treatments?

We personalize your treatments according to your needs and desires. Other procedures that will compliment the laser treatment are neck liposculpture, fat transfer, upper and lower eyelid lifts as well as face and neck lifts. These additional procedures can be discussed during your initial consultation.

Q

This treatment can be performed anytime and the downtime tailored to your lifestyle. However, sun exposure after treatment needs to be minimized making this skin rejuvenation treatment ideal after a summer of fun at the Jersey Shore. Dr. Small’s goal is to help his patients achieve a beautifully natural appearance. He understands that undergoing plastic surgery is very personal, and strives to provide an exceptional experience by attending to your unique needs and expectations. You will be cared for in a comfortable, compassionate setting with a staff that is ready to serve you. Call to schedule your appointment, 732-255-7155.

September/October Specials Fractionated C02 Laser Skin Rejuvenation

$1800.00 (excluding tax) LASER HAIR REMOVAL

$140 for 3 Treatments

Lip/Chin/Sideburns/Underarms/or Bikini ( You choose one of these areas/Excluding tax)

Disclaimer: Offer subject to change without notice. Void where prohibited by law. Must be 18 years of age or older. Treatments are Non-transferrable or divisible. Offer subject to change without notice. All treatments must be redeemed in one year of forfeited. The patient and any other person responsible for payment has a right to refuse to pay, cancel payment, or be reimbursed for payment for any other service, examination, or treatment that is performed as a result of and within 72 hours of responding to the advertisement for free, discounted fee, or reduced fee service, examination, or treatment.

Great Prices and Packages for other laser hair removal areas Offers expires Oct 31, 2013

OCEAN PLASTIC SURGERY P.A. AND LASER CENTER

780 Route 37 West Suite 240 Toms River, NJ

Toms River, NJ • Manahawkin, NJ Office: 732-255-7155

Photo Courtesy of Sandstone Medical Technologies, LLC and R. Weiss, MD Photo Courtesy of Ben Light, MD and Sandstone Medical Technologies, LLC

www.oceanplasticsurgerynj.com • 732-255-7155

Q

What should I expect from the treatment?

When should I have this treatment?

Call Today! Complimentary Consultation

Vectra 3 D Imaging Breast Face Body

1301 Route 72 West Suite 260 Manahawkin, NJ

procedure depending on the your specific treatment.

www.TheCountyWoman.com

September/October 2013

Medical Professionals

26

Be Passionate About Your Hearing Health! you would think only Baby Boomers would have hearing loss. Not true! While hearing loss is a normal part of aging, the largest age group with hearing loss are people between 18 and 64 – about 19 million people compared to 14 million at retirement age!

a gerontologist, I am an expert in the study and trends of aging. I am a researcher, Emmy award winning journalist, and a passionate spokesperson for mature adults. I became associated with Total Hearing Care, a leading hearing health care provider, because they are also passionate about providing unsurpassed hearing health care and support to the mature adult. I recently turned to Elizabeth Cook, M.A., FAAA, Total Hearing Care’s Chief Audiologist, to learn more about how each of us should be managing our hearing health as we move through life.

Why is hearing loss becoming more prevalent Gerontologist and at an earlier age? One Total Hearing Care reason is the use of Spokesperson hand-held music players and headphones. major retirement Today, one in five wave began in 2011 teens has some form of hearing when the first of the Baby Boomers turned 65. loss – a rate that is 30% higher than The number of Americans in the 1980s and aged 55 and older will 1990s! Overall, more than almost double by 2030— 10 million Americans are from 60 million in 2000 to experiencing hearing 107 million. The number loss due to irreversible of Americans over 65 will damage to their hearing more than double, from from noise. 34.8 million in 2000 to 70.3 million in 2030. Regardless of your age, be passionate about With statistics like that, your hearing health! As

Dr. Alexis Abramson

A

What I’ve learned is that you are never too young (or old) to get a hearing screening. Hearing loss is an inevitable part of aging, but approximately 95% of people with hearing loss can be helped with hearing aids. According

wore. Today, hearing aids come in a variety of sizes and colors. They can rest behind the ear or sit invisibly in the ear canal. Today’s hearing devices are also fully digital and some even use Bluetooth technology to turn your hearing aids into a wireless headset so you can more easily hear your TV, listen to music, and even take phone calls directly through your hearing device!

to Ms. Cook, “Only about 15 percent of general practitioners routinely screen for hearing loss during a physical exam. Total Hearing Care offers free hearing screenings at all of our clinics, and we encourage people to make annual hearing screenings part of their overall health care.” She recommends that people schedule their free annual hearing screening while making their annual physical appointment.

Whether you are part of the older I took Ms. Cook’s generation now, recommendation and I had will be in the not my hearing tested by Total too distant future, Hearing Care. It took just a or think as a young few minutes, was painless, adult may have and now I have a hearing hearing difficulties, baseline as part of my plan on having a medical records history. hearing screening as part of your Hearing devices today overall health care. Taking can be considered a control of your hearing fashion statement! No means taking control of longer are hearing aids your life. the big clunky analog devices your grandparents

Editor’s Note: Total Hearing Care has more than 37 locations in New Jersey, Delaware and New York. Learn more at www.njhearingaids.com or by calling 1-855-YOU-HEAR (968-4327). Dr. Alexis Abramson can be reached at alexis@abramson.com. Learn more about Dr. Abramson at her website www.alexisabramson.com.

800

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Whatever your hearing needs may be, we invite you and a guest to our special events where you will receive:

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Call Today to Schedule an Appointment!

1-855-YOU-HEAR

Elizabeth W. Cook, M.A., FAAA, Chief Audiologist, NJ Hearing Aid Supervising Dispenser Lic. #697

The County Woman Magazine

www.TheCountyWoman.com

September/October 2013

Medical Professionals

27

Let Total Hearing Care bring you back to the world of better hearing.

.com

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At Total Hearing Care, we are committed to delivering unsurpassed hearing health care by placing your individual needs first. We pledge to provide affordable, custom-tailored solutions supported by our R ALEXI TO professional and dedicated D staff. OVE s ww .alexisabram

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

Thursday, September 19th 10:30 am Tuscany Restaurant & Bar 1490 Rt. 88 W., Brick

Date: Luncheon: Location:

732-474-8949

Thursday, September 26th 10:00 am Brennen’s Steakhouse 62 W. Sylvania Ave., Neptune City

732-474-8977

October Events - FREE Special Hearing Workshop Date: Time: Address:

Tues., October 15th & Wed., October 16th 9:00 am - 5:00 pm Total Hearing Care 525 Jack Martin Blvd., Suite 104, Brick

Date: Time: Address:

732-474-8949

Thurs., October 24th & Fri., October 25th 9:00 am - 5:00 pm Total Hearing Care 444 Neptune Blvd., Suite 1, Neptune

732-474-8977

Please call early to make an appointment. Appointments are available on a first-come, first-served basis and are FREE OF CHARGE. TOTAL HEARING CARE’S SOUTH JERSEY LOCATIONS BAYVILLE • BRICK • CAPE MAY • HOLMDEL • MANALAPAN • MONROE NEPTUNE • NORTHFIELD • VINELAND • SEA GIRT • SHREWSBURY • WHITING 1-855-YOU-HEAR (968-4327)

www.njhearingaids.com Elizabeth W. Cook, M.A., FAAA, Chief Audiologist, NJ Hearing Aid Supervising Dispenser Lic. #697

The County Woman Magazine

www.TheCountyWoman.com

September/October 2013

Medical Professionals

28

sage). There is a respect for each and to be aware of what treatrespect to the course of your integrative mental ments are occurring simultaneindividual’s journey and for the treatment. Don’t be afraid to ask health professional? ously. Approximately half of the stories that make up the history questions. Let your providers Since there are no legal stanindividuals diagnosed with mood of their lives. There is a belief know about all of the medicadards that define words such as or anxiety disorders are using a that these “biographiesâ€? influ“holisticâ€? or “integrative,â€? adver- tions you are taking, including combination of therapies and ence the biology that manifests those that are “naturalâ€? and those tisements don’t necessarily give in illness or in health. Integrative conventional and “naturalâ€? drugs us any clear indication of the that you self-prescribe including to alleviate symptoms. For this Sď?ľď?˘ď?­ď?Šď?´ď?´ď?Ľď?¤ Bď?š: Cď?Ąď?˛ď?Żď?Ź Vď?Ľď?Šď?şď?Ľď?˛, health care supports all of the alcohol and “recreationalâ€? drugs. training, education or credibility reason, it is important for health MA, ACS, NCC, LPC important aspects of life, includTrust your intuition when choosof the professionals behind the care professionals to ask the right ing creativity, cultural expression ing your health care providers. ads. Therefore, it is important for questions and to collaborate in hen health care practitio- and the celebration of comRemember that you are entrustconsumers to do some research seeking answers when treating munity. To have “healthâ€? means ners view their patients ing them with your whole life. when seeking professionals who individuals who come seeking that the whole person is in balas partners and when there is as are truly integrative. help. Carol L. Veizer, MA, ACS, NCC, ance – physically, emotionally, much concern for feelings, relaToday, these individuals may LPC is the founder and director There are some key psychologically, and spiritually. important to exploreand thethe questions. and to assist those seeking health tionships, spirituality of the NJ Center for the Healing first seek counsel from a medical questions to ask: Therefore, there is no “healthâ€? Arts, which has been designated as the environment sustainability Sometimesofexploration inviteswithoutin“mental a process of crossing bridges doctor, a chiropractor, health.â€? What is your education and one of the first integrative mental is fora physical a usastothere go on journeyhealth, that takes to places they have never been. an acupuncturist, or training? health centers in the country. Since “There is no a psychotherapist. The Experience of Transformation: Renewing Mind, Body, and Spirit new healing system arises. In this us to “roads less travelled,â€? just as It is a journey shared between 1989, Carol and her team of menHave you had specialized Therefore, it is health without new integrative system, the goal tal health and complementary and illness challenges us to travel roads clients, patients, practitioners, and important training in integrative that The Creative and Practical Parent health mental health.â€? of treatment is much more than alternative health care professionals and/or mental health care? patients disclose to recovery. Along the way, we may community in an environment have offered opportunities for the the absence of symptoms or disUnderstanding your Personal Mythology all of their treatAre youUnique comfortable working cross bridges that connect a place that supports the healing journey integration of mind-body and spirit. ease; it is optimal health of mind, What Is An Integrative ments to all of in collaboration with diverse “NJCHAâ€? is also a highly sought we’ve to a place we have Approach and cultivates social interaction Integrative Yoga Relieve Anxiety and Depression To Mental their health care body,known and spirit. healthto care professionals? after internship and practicum site never been. As we open ourselvesHealththrough Care?education, wellness professionals. graduate between students in the mental Can I discuss with you my Paradoxical Healing Interventions: CrossingforBridges Past, What Is Integrative Integrative mental health Mental health proto new experiences, we change our opportunities, and cultural and health professions who are seeking choice to use multiple treatHealth Care? is an evolving, whole-systems fessionals trained in additional training in integrative perspective and may see before us a creative expression. Present andments Future without being judged? Integrative health care is approach to wellness of mind, integrative approachmental health care. world of new possibilities. As we approach the year of our based on the philosophy that body, and spirit. It considers that The Feldenkrais Method is influenced by a variety are associated with we invite you health At the NJ Center for the symptoms 25th anniversary, Client Testimonial . . . I was referred to the NJfor Center for the Healing Arts by my of interrelated such transcend as life multiples and that mulThe Sacred Partnership: A Workshop Couples Healing Arts,factors people tocauses explore your own questions choices, environment, genetic physician. I had been taking medication for depression, but I was still struggling. He told me that the tiple approaches to assessment labels and diagnoses. with us to participate in often comeThe makeup, intimate relationships, and treatment mayand be necessary Wellness Opportunity CafĂŠand (A “coffee learning experience) best results from a combination of medication therapyhouseâ€? and that “NJCHAâ€? has helped The is not toand “manageâ€? illness. andgoal the meaning purpose in some of ourmay classes andmany events so that each individual of his patients. Now I feel like I am getting reacquainted with the person I used to be. I am And, in 2014, a celebration concert (The return of “The Queen of Heartsâ€?) life. As it a model it is collaborative attain anthat optimal of health Rather, is to understand the very maystate take you to places actually excited about life again. I so appreciate that my doctor and my therapist collaborate about and multidisciplinary. It isperson’s open and well-being. Therefore, the personal stories of each life my care. I now understand the meaning of healthcare! ~ Susan P., Middletown, NJ you have never been‌ to and recognizes the importance integrative mental health profes-

Integrating CoffeeWHouses, Concerts, Yoga, Education ‌ and Mental Health 1 2 3 4

Submitted By: Carol Veizer, MA, ACS, NCC, LPC

What is... ...mental illness? ...mental health?

What is the difference?

If we took away labels and diagnoses, would we be able to recognize one from the other in every situation? What factors determine mental health? What roles do culture, education, creativity, and social interaction play in crossing bridges between health and illness? There are no absolute answers to the questions proposed above, but it seems

Coming this fall:

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248 Broad Street, Red Bank, New Jersey 07701 • 732-747-2944 • www.njcha.org

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Social Media Marketing The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

Habits to be a Successful Tweeter? Part I of II

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Jackie Berman, Pearls of Wisdom Media

Pearls of Wisdom Media LLC

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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The County Woman Magazine

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September/October 2013

Adult Day Care

29

We Care Adult Care Supports The Alzheimer’s Memory Walk Saturday September 28, 2013 Point Pleasant Boardwalk

 One out of nine people age  Unless something is done,  Cost to Medicare and “A world without 65 and older has Alzheimer’s and Alzheimer’s will cost an estimated Medicaid will increase over 500 Alzheimer’s” is one out of three over 85 $1.2 TRILLION (in today’s dollars) percent! has AD. in 2050. the vision of the www.alz.org/facts  Alzheimer’s disease is the 6th Alzheimer’s Association leading cause of death for people Your donations mean so much! in the United States. We need your help Checks payable to:  In 2012, 15.4 million family Alzheimer’s Association greater NJ Chapter TODAY! and friends provided 17.5 billion If you have not been paying attention you should start. The facts are as follows:

hours of care to those with Alzheimer’s and other dementiascare valued at $216.4 billion.

 5 million people have

 More than 60 percent

Alzheimer’s disease in the United States.

 This number is projected to grow to 16 million by 2050.

of Alzheimer’s and dementia caregivers rate the emotional stress of care giving as high or very high; more than one-third report symptoms of depression.

“We Care” Medical Adult Day Care staff is a team of professionals who work together to meet the needs, not only of the care receiver, but also the caregiver. The team consists of: Administrator, RN’s, Social Worker, Activity Director, Transportation Staff, Dietician, Pharmacy Consultant, and Nursing Assistants. We are proud of our Staff at We Care as we have a professional staff with years of experience and commitment to the members and their families. We Care Adult Care improves the lives of people by providing a safe stimulating place for them to participate in activities, exercise, socialization with peers, and health monitoring by an RN. We also provide meals, transportation and the elevation of self-esteem.

Complimentary day, funding and grants to those that qualifyCome see why “We Care” Adult Day Care Makes the DIFFERENCE!

And can be mailed to:

We Care Adult Care 552-A Highway 35 Red Bank, NJ 07701 WE CARE ADULT CARE, INC. is an adult day care center whose purpose is to provide the highest quality of alternative care to all seniors.

Union Square Mall 552A State Route 35 Red Bank, NJ 07701 (P) 732.741.7363 (F) 732.741.9188 www.WeCareAdultDayCare.com

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

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Union Square Mall 552A State Route 35 Red Bank, NJ 07701

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Name: __________________________________________________________________________ Address: ________________________________________________________________________ City: ________________________________________ State: ___________ Zip: _______________ Phone: (______)______________________ Email: _______________________________________ Mail To: The County Woman • P.O. Box 619 • Turnersville, NJ 08012

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

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The County Woman Magazine

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September/October 2013

Medical Pr ofessionals Professionals

306

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Why Should I Have A Colonoscopy?

H colonoscopy can be scary earing that you need a

and preparing for it may seem like a tough task. But remember that colon cancer is one of the few cancers we can prevent successfully with a colonoscopy. Don’t wait for symptoms or problems; colorectal cancer screening is about the power of prevention.

Colorectal cancer is the second leading cause of death from cancer in the United States, after breast cancer in women and prostate cancer in men. The risk of the average person between the ages of 50 to 80 developing colon cancer is about six percent or almost 1 in 20. Family history of colorectal cancer and certain other cancers (ovarian, uterine, breast and other GI cancers), inflamatory bowel disease (Ulcerative and Crohn’s Colitis), obesity and smoking significantly increase this risk. Colorectal cancer arises when cancer cells form in the lining of the colon or rectum. The colon and rectum make up the large intestine, which is the last part of the body’s digestive system. Food enters the stomach by way of the esophagus, passes through 20 feet of small bowel, where most absorption of nutrients occur, and the remainder traverses the large bowel where excess water is absorbed, ultimately becoming stool which exits the rectum. Colon cancer can occur anywhere

Monmouth Gastroenterology Monmouth 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. A. Gorcey, Gorcey, MD MD Rajiv Uppal, MD Rajiv Uppal, MD

And Physician AndOur Our New New Female Female Physician

Laleh Laleh Merikhi, Merikhi, MD Nurse NursePractitioners Practitioners

Dawn Dawn Loveland, ANP Shannon Khulusi, FNP Shannon Khulusi, Adult & & Pediatric Pediatric Gastroenterology Gastroenterology Adult Colon Cancer Screening & All Endoscopic EndoscopicProcedures Procedures Colon Cancer Screening & All All GI & Liver Diseases All GI & Liver Diseases • Nutrition Heartburn • Hepatitis • Hemorrhoids

! ! !

Board Certified Physicians Board Certified 219 Taylors Mill RoadPhysicians • Manalapan

" 831 Tennant Road • Manalapan ! " 1540 Route 138 West, Building 1 • Wall " 1270 Route 35 South • Middletown

!%$ ( $! $!& ( 142 Route 35 35 • Eatontown • Main * Office

732.389.5004 732.389.5004

The County Woman Magazine The County Woman Magazine

in the large bowel or rectum and usually begin as a small growth called a polyp. At first, a polyp is small and harmless and causes no symptoms. Over time, polyps gets bigger, which can lead to bleeiding or blockage of the colon. By the time these symptoms occur, the polyp most likely has developed into a cancer that continues to grow and spread to other organs (metastasize.) “One of the big myths is that if you feel well, you are well.� That’s not true with colon cancer. Precancerous polyps are found in 25 percent of average patients screened.

What Is Colorectal Cancer Screening?

A

Colorectal cancer screening looks for polyps and cancer in the colon and rectum in their early stages, before they cause any symptoms. Detecting cancers earlier reduces the likelihood of spreading, overall survival rates increase, and the need for chemotherapy decreases. It usually takes about 5 to 10 years for a small polyp to develop into a colon cancer. This gives us a great window of opportunity to screen, as well as the abiliy to prevent new polyps from forming. Screening is most commonly accomplished with the help of an instrument called a colonoscope, which allows us to find polyps and remove them before they have a chance to develop into cancer. By detecting polyps in their early stages, they are usually smaller, and their removal becomes easier and safer. Other modes of detection include barium enema and virtual colonoscopy. These are x-ray methods of detection that involve inserting contrast media such as barium through a tube placed into the rectum similar to an enema. These tests are done without sedation, have a lower polyp detection rate than colonoscopy and expose the patient to radiation. In addition, if a polyp is detected, a colonoscopy will be required for removal, subjecting the patient to a second test.

What Is A Colonoscopy?

A

A colonoscopy is the vehicle by which colorectal cancer screening is performed. The colonoscope is a soft flexible tube, about the thickness of an index finger, with a light and video lens on the tip. Images are viewed on a high definition television monitor. After the patient is sedated, the colonoscope is inserted into the rectum and passed to the very beginning of the large intestine, where the small intestine ends. Air is used to inflate the colon, which in its natural state is like a deflated balloon. Inflation is important in order to get a good view of the walls of the colon and rectum, so as not to miss any polyps hiding in the deflated creases. Instruments can be passed through the colonoscope for removing polyps and sampling tissue (biopsy). Any polyp or tissue removed is then sent to a pathologist for review under a microscope.

What Happens Before And After The Colonoscopy?

A

In order to achieve the best chance of finding small polyps, the stool needs to be cleared from the colon. This process is referred to as the “colon prep� (preparation). The colon prep generally begins 2 days prior to the procedure with a low residue diet (avoiding fibrous foods, nuts, seeds, vegetables and fruits) and ends the night before with gentle laxatives. This process is important because if there’s stool in the way, the camera will not be able to get a good look at the walls of the colon and rectum, resulting in missed polyps or cancers, and usually necessitating a repeat procedure. Sedation with intravenous medications will be administered by an anesthesiologist before and during the colonoscopy. These medications will make you sleep, resulting in no memory, or feelings of discomfort. Patients generally wake up in the recovery

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room with no recollection of the procedure. The most common question patients have after the procedure is “when are we going to start?� Arrangements must be made for someone to drive you home because the sedative used by the anesthesiologist impairs driving ability.

When Should I Have A Colonoscopy?

A

The American Cancer Society recommends colon cancer screening to begin at the age of 50. Recent literature documents that African-Americans develop larger polyps earlier and therefore should start screening at the age of 45. If there’s a family history of colon cancer, multiple colon polyps, or related cancers like ovarian or uterine cancer, screening should start at age 40 or 10 years younger than the earliest family member who had that cancer. Obesity and smoking can also increase the risk of colon cancer and polyps.

Conclusion . . .

A

In conclusion, colorectal cancer is the second leading cause of death from cancer in the United States. Early diagnosis of colon cancer and removing polyps before they have a chance to turn into a cancer, has been shown to save lives and as a result save the healthcare system money. Colonoscopy is the gold standard in polyp and colon cancer detection, and the only detection mode that allows removal of the polyp at the time of the test. Colonoscopy is safe when performed by a skilled colonoscopist, as well as painless thanks to advances in outpatient sedation. Please make sure you talk to your family and friends about having a colonoscopy. Don’t take no for an answer, as there is no excuse for missing a potential colon cancer.

May/June 2011 September/October 2013

Featured

on the

Cover

31

Let Monmouth Gastroenterology Detect the Cause of Your Stomach Pain Do you suffer from digestive difficulties or stomach pain?

Dr. Steven A. Gorcey

We all know there is something about this topic that makes people a little bit uncomfortable. This leads many people to suffer in silence. Sometimes solutions can be as easy as making diet or lifestyle changes. However, when the answer is not as simple, you may need to see a specialist. After all, when it comes to stomach pain finding the cause of your trouble can be quite challenging. With offices conveniently located in the New Jersey area, Monmouth Gastroenterology of Eatontown are Board Certified Physicians in Gastroenterology and Internal Medicine. They combine state of the art medicine with cutting edge technology and provide the highest level of care for gastrointestinal, liver disease and colorectal cancer prevention, detection and screening in the Monmouth County area. Their practice has one goal in mind and that is to make their patients live longer, feel better and improve overall quality of life. Their team of six specially trained doctors in the field of gastroenterology specializes in the treatment of diseases dealing with the digestive system. Their subspecialty focuses on the disorders of the digestive tract, which include the esophagus, stomach, small intestine, large intestine (colon), liver and pancreas.

The six physicians in the practice include: Dr. Nadeem Baig

In addition to performing EGD (esophagogastroduodenoscopy) and Colonoscopy, Dr. Baig has advanced training in ERCP (Endoscopic Retrograde Cholangiopancretography) and EUS (Endoscopic Ultrasound). He completed his fellowship at Thomas Jefferson University Hospital in Gastroenterology and Hepatology.

Dr. Kenneth Belitsis

Dr. Belitsis specializes in screening colonoscopy and has advanced training in Diseases of the Pancreas and Biliary System offering Endoscopic Ultrasound (EUS) with CORE and fine needle aspiration, Endoscopic Retrograde Cholangiopantography (ERCP) and Cholangioscopy. He offers services including Endocopic Mucosal Resection of early tumors and treatment of Barrett’s Esophagus with ablation.

Dr. Thomas C. Fiest

Dr. Thomas C. Fiest is a Board Certified Internal Medicine & Gastroenterology Specialist in endoscopic procedures. Dr. Fiest has been chosen by Castle Connolly as “Top Doctor” in 2003, 2004, 2005, 2006, 2007, 2008, 2009 and 2010. He was also chosen by New Jersey Monthly as “Top Doctor” in 2007 and 2011. Recently chosen “Top Doctor” by his peers for 2012.

In addition to Colon Cancer Screening, Upper Endoscopies, and ERCP-Endoscopic Retrograde Cholangiopancreatography), Dr Gorcey is one of a few select physicians in the world performing Restorative Obesity Surgery Endoscopically (ROSE procedure). This is an incision-less method of revising the stomach after gastric bypass surgery. Dr. Gorcey was also the first doctor in the state of New Jersey to perform BARRX ablation for Barrets esophagus, a non-invasive way of removing pre-cancerous tissue from the esophagus.

Dr. Laleh A. Merikhi

Her special interests include women’s health issues, Colorectal Cancer Screening, Celiac Disease, functional GI disorders, Gastrointestinal motility disorders, specifically esophageal and ano-rectal disorders. In addition, to performing EGD, Colonoscopy and Capsule Endoscopy, Dr. Merikhi performs Esophageal Manometry, Ano-rectal Manometry, biofeedback training and esophageal PH monitoring. She also focuses on digestive diseases specific to woman.

Dr. Rajiv Uppal

Dr. Uppal’s expertise is in the treatment of Inflammatory Bowel Diseases, (Crohn’s Disease and Ulcerative Colitis), treatment of teenage children and non- surgical treatment of hemorrhoids. Dr. Uppal performs Upper Endoscopy, Colonoscopy, ERCP, esophageal dilatation and more advanced endoscopic procedures including radio frequency ablation of Barrett’s epithelium.

The most rewarding part of their profession is the relationships they build with their patients. The physicians strive to get their patients back to their optimal health with the proper diagnosis and treatment. On the flip side, disorders of the digestive tract are one of the most common reasons for a physician visit and are often the most difficult to diagnose. Often times, the real challenge is helping their patients practice “patience” until we can diagnose their disorder and then help to treat them.” Monmouth Gastroenterology takes great pride in their fine staff and facilities. When you visit their office you will find the staff to be friendly and pleasant. Today, in our fast paced world, everything is just a click away. The Practice Portal which you will find on their website www.monmouthgastro.com enables you to safely and securely view your information after you register with them as a patient. This site allows you to view your medical information, request appointments and prescriptions, send medical or billing questions to staff, update your personal data and obtain forms to complete for your office visit. Due to their specialty, they understand there are certain topics that are embarrassing, however as soon as you have symptoms such as rectal bleeding or diarrhea, call their office and make an appointment. Simple answer but unfortunately not always followed –Early detection is important.”

219 Taylors Mill Road • Manalapan  831 Tennant Road • Manalapan 1540 Route 138 West, Building 1 • Wall  1270 Route 35 South • Middletown

142 Route 35 • Eatontown • Main Office

732.389.5004

The County Woman Magazine

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September/October 2013

32

Garden

&

Local Honey

A Healthy And Safe Solution For Diabetics When we take our products to local farmers markets we’re constantly hearing from people who cannot enjoy honey because of their diabetes. “Nope, can’t have it, I’m a diabetic,” they say. We found it unfair that a disease could turn off someone to the very notion of having a teaspoon of honey to sweeten their foods so we did some research. It turns out that honey can be a safe and effective substitute to sugar. Please note many commercial honeys you can buy at the supermarket are mixed with sugar to begin with, so if you want to have a comfortable and safe sugar substitute, you will want all natural local raw honey. The fructose and natural sugars in honey are enough to stimulate insulin production, but it’s always smart to know what’s in the food you’re buying, and buying local is a great way to keep track of that. If you are a diabetic, you know your body better than anyone, so it’s always good to know what your system can and cannot handle before diving into a great big honey pot. Being aware is smart, but why deny yourself an enjoyable treat when all you

have to do is brush up on what is and is not good for your body? From the Garden has an array of local honey products that work great as sweeteners. When you buy honey from us, you know what you’re getting, all natural local honey, no additives and more importantly no surprises.

Cinnamon & Honey

Combining cinnamon and honey is a great way to reap even more health benefits from a traditionally sweet and enjoyable treat. Making a spread with cinnamon and honey on toast is a wonderful healthy alternative to jelly or jam and has been known to lower cholesterol. Hot water with honey and cinnamon has been known to do wonders for arthritis. Combining cinnamon and honey and taking a spoonful is a great way to deal with the common cold, indigestion, bad breath, bladder infections and more. The list goes on and on. Of all these health benefits, there are items you can find in just one great product at our store.

Our “Wildflower & Cinnamon” honey is a great pre-mixed treat that you’re going to love. As simple as the

name suggests, our “Wildflower & Cinnamon” honey is nothing more than our traditional wildflower honey with a light mixture of certified organic cinnamon. Unlike our creamed cinnamon honey, this product has a much lighter texture and is better capable of providing all the health benefits that cinnamon and honey have to offer. It’s great for mixing in tea, spreading on toast, or adding to your oatmeal in the morning. Between the health benefits and the taste, there’s no reason not to try our “Wildflower & Cinnamon” honey!

Honey Raspberry Citrus Slush This is a great refreshing treat that uses honey and fruit!

1½ cups fresh orange juice ½ cup honey 2 tablespoons lemon juice 2 tablespoons lime juice 1½ cups frozen raspberries 1 cup crushed ice Lemon or lime garnish In a blender combine orange juice, honey, lemon and lime juices. Mix until honey is dissolved. Add raspberries and ice; purée. Serve in beverage glass garnished with lemon or lime.

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

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September/October 2013

Medical Professionals

33

Diagnosed With Breast Cancer: What’s Next? breast is removed surgically, there is a risk of cancer growing back in the same breast or spreading to other organs, a process called metastasis. The risk of metastasis is based on a number of factors. Age, menopause, the stage of the cancer and characteristics of the tumor cells (grade, hormone receptors called ER and PR, and Her-2) all determine the risk of relapse or metastasis.

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

T

he biopsy shows that you have breast cancer. In addition to the shock and emotional turmoil, a thousand questions go through your mind. “The surgeon said that he took everything out, so why do I need chemotherapy?” “What are my chances?” “Am I going to die from cancer?” “My friend only needed to take a pill, why am I not getting that?” No Two Tumors Are Alike Not everyone diagnosed with breast cancer is treated the same because no two tumors are alike. Even after the lump in the

In general, young women tend to have more aggressive tumors and are more often treated with chemotherapy than older women.

Stage

Breast cancer is staged from Stage 0 to Stage IV; Stage 0 is pre-cancerous and is also known as carcinoma in situ (DCIS or LCIS). Stage 0 cancer does not metastasize and does not require chemotherapy. Stage I is a small tumor (<2cm) confined to the breast; when the tumor has spread to the lymph nodes or if the tumor is >2cm it is Stage II. Stage III includes tumors that have spread to lymph nodes in the neck, have affected more than 4 lymph nodes, or have spread to the skin and chest wall. When the cancer has metastasized to other organs (commonly to the bones, lungs or liver), it is Stage IV. The higher the stage, the higher your risk is of relapsing; chemotherapy, hormonal therapy or both are recommended to reduce that risk.

Tumor Characteristics

Certain features on the cancer cells can predict the aggressive-

ness of the cancer. Cancer cells are graded from I to III, grade I being the least aggressive and grade III being the most. The tumor cells are also tested for hormone receptors on the surface of cancer cells, called ER and PR (estrogen and progesterone). Tumor cells are also checked for a protein called Her-2. About 25-30% of all breast cancers are Her-2 positive. Her-2 positive patients are treated with a drug called Herceptin.

Who Needs Chemotherapy?

the collarbone. This is temporary and can be removed after treatment is completed.

Side Effects Chemotherapy can cause nausea, fatigue, vomiting, hair loss, mouth sores, low blood counts and numbness in the extremities. These are all reversible and improve once treatment is discontinued. With the use of newer medications, nausea and vomiting can be prevented considerably. To learn more about treatment of breast cancer or other cancers, contact Dr. Sarah J. Easaw, 732-961-0010

Even if the visible tumor is removed surgically, you may have cancer cells floating around in your system that can deposit in different parts of the body. This can happen a few months to several Compassionate Cancer Care, Close to Home years later, producing metastasis. Research has shown that this risk can be reduced by giving chemotherapy for a few months. In addition, hormonal therapy and Herceptin are used in appropriate patients. After surgery, your surgeon will refer you to a Medical Oncologist who will then determine the kind of treatment you may need. Women who have very early stage breast cancer may not need any treatment and should be observed periodically. Most women with ER and W We offer a full range of Hematology & Oncology services. PR positive tumors are W We are dedicated to providing state-of-the-art cancer care in a treated with Tamoxifen warm and personalized manner. (before menopause), or W Our newly renovated, spacious infusion room provides a Arimidex (Anastrazole) peaceful and friendly atmosphere to patients while they receive

We now hold Group Therapy sessions for cancer patients and caregivers, led by certified psychotherapists.

Patient Testimonials

or Femara (Letrozole) (after menopause). In addition, your medical oncologist may advise you to get chemotherapy based on the other factors mentioned above. The most commonly used chemotherapy drugs are Adriamycin, Cytoxan, Paclitaxel (Taxol), Docetaxel (Taxotere), and 5 Flurouracil (5 FU). The type of chemotherapy and duration used are also based on the risk of metastasis. Chemotherapy is given for approximately 4 to 6 months, starting about 3 to 4 weeks after surgery. Chemotherapy is often administered as an intravenous infusion. To minimize damage to the veins and to ensure proper administration, a device called a port-a-cath can be inserted below

thank God every day that Dr. Easaw became an oncology doctor and that I was lucky kIenough to have found her… Donna, Toms River. Dr. Easaw took the time to answer every one of my questions and guided me to make the best kdecision for my Mom’s care… Melissa, Howell. and her staff became an extension of my family and I feel so fortunate that she kDr.movedEasawher office to Ocean County just when I needed her the most… Dorothy, Toms River.

chemotherapy and other infusions. W Our staff is highly qualified, experienced and compassionate.

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

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

Lakewood, NJ 08701

732.961.0010

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

To Learn More, Visit www.oceanhemonc.com

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September/October 2013

Medical Professionals

34

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.

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Caring Heart & Brain appropriate pharmaceutical the appropriate pharmaceutiImaging is aring the firstHeart imaging& treatments and therapies to cal the treatments and therapies center in New Jersey to slow progression of these Brain Imaging to slow If theweprogression of perform the Amyvid PET diseases. can slow down is the first imaging center in thethese progression Scan. This fantastic imaging diseases.ofIfAlzheimer’s we can to perform the toolNew can Jersey diagnose and disease, we can give patients of slow down the progression Amyvid PET Scan and and families the time to plan differentiate the forms of we Alzheimer’s disease, we can have completed moreages. Amyvid ahead. It also allows the person dementia at even earlier give patients and families WePET can address cognitive Scans than most medical with Alzheimer’s to participate the time to plan ahead. It changes andthroughout impairment centers the Unit- in health care, financial and also allows the person with because we know ed States. This what meansis that our legal decisions, as well as giving Alzheimer’s participate them precioustoquality time in attributing to the diagnoses. reading expert has interpreted Diagnosing and staging is vital with theircare, loved ones. and legal health financial many,toif prescribe not more,the Amyvid for as doctors decisions, as well as giving PET scans than most nuclear them precious quality time radiologists. with their loved ones. This fantastic imaging tool can diagnose and differentiate 2414 Manasquan, NJ 08736 the formsHighway of dementia35, at even earlier ages. We can address Phone: cognitive changes and impairE-Mail: ment because we know what service@caringheartcoronaryimaging.com is attributing to the diagnoses. Diagnosing and staging is vital for doctors to prescribe

Caring Heart & Brain Imaging 732.292.1008

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 Caring Heartgreat & Brain now, another loss seems Imaging is the first imaging inevitable. Caring Heart center in New Jersey to & Brain Imaging has made perform the Amyvid PET the latest cardiac technology Scan. This fantastic imaging tool can diagnose andof the available to residents differentiate Jersey Shore, the whoforms couldofonly dementia at even earlier ages. benefit from this same testing We can address cognitive ifchanges they traveled to New York and impairment City, Philadelphia or Northern because we know what is Jersey. Unfortunately, attributing to the diagnoses. Diagnosing and staging is vital educating patients and doctors doctors to prescribe the isfortaking 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 appropriate pharmaceutical accurately and specifically treatments and therapies to determine if your heart muscle slow the progression of these is receiving adequate blood diseases. If we can slow down flowprogression and if thatofblood flow is the Alzheimer’s disease, we can give patients evenly distributed. The test and families time to plan to ask for is the called a Cardiac ahead. It also allows the person PET Perfusion study with with Alzheimer’s to participate Rubidium. in health care, financial and CardiacasPET legalThe decisions, well Perfusion as giving study is the newest version them precious quality time with their loved ones. of a cardiac stress test. For those people who have had the

To Help Their Children…

Caring Heart & Brain Imaging Just call

2414 Highway 35, Manasquan, NJ 08736

732 292-1008 Phone: 732.292.1008

or visit E-Mail: our website at service@caringheartcoronaryimaging.com

www.CHCI.biz

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 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!

September/October 2013

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conditions affecting the heart or become hospitalized. Serious illt 'BUJHVF ness is more likely in the very t $PVHI BOE TPSF UISPBU NBZ BMTP MVOHT 1OFVNPOJB JT BMTP NPSF common in people with weakened young, older adults, pregnant be present. immune systems, such as those women and people who have t 1FPQMF XJUI UIF GMV VTVBMMZ IBWF who have had a transplant. certain health problems such as a fever for two to five days. This asthma or other forms of lung is different than fever caused by INFECTION bleeding. Any excessive or working, levels of estrogen During the menopausal transition, Written By: disease. other upperirregular respiratory viruses, Who Should Be fall, heavy bleeding or spotting between leading to the typical symptoms of someCONTROL women develop‰ *OGFDUJPO new Alfred B. Parchment, which M.D., usually There have been several resolve after 24 to Vaccinated? — The your periods requires evaluation by menopause. Some women have few problems with mood, such as control measures, like hand F.A.C.O.G. Monmouth Ocean widespread flu outbreaks (called IPVST your doctor. flu vaccine is recommended for while sadness, difficulty concentrating, or no menopausal symptoms washing and covering your mouth Medical Services, LLC other women have bothersome feeling uninterested in normal pandemics), which have led to t .PTU QFPQMF XJUI UIF GMV nearly Irregular vaginal bleeding may be a all people 6 months of age whenactivities, you cough, can help symptoms that interfere with their and sleeping tooto much worldwide deaths of many people. have fever and aches,but it mayand partmuscle of menopause be aolder. The vaccine is especially life. These symptoms often begin prevent or having troubleof staying asleep. the spread influenza Everyonewhen in the room and has some on also signhave of a more Those outbreaks occurred cold serious like problem. important for: the menopause transition, during [1]. Women with a past history of “Ok doc, now that I’m at this a sweater, and you are sitting and most commonly include depression can feel more blue new strains of influenza viruses symptoms, ‘change such asofa life’ runny nose t "EVMUT BHF PS PMEFS can I toss the birth 'SFRVFOU IBOE XBTIJOH XJUI by the window with the fan changes in mood, night sweats, moods during the menopause formed (often from pigs or birds) BOE B TPSF UISPBU 'MV TZNQUPNT t 1FPQMF XIP MJWF JO OVSTJOH control?â€? ď?Łď?¨ď?­ď?Ľď?Žď?´, M.D., and water can help limit the sleep disturbance, vaginal dryness,soaptransition. on having your own personal and humans were infected because usually improve overmost twowomen to homes and andhot other long-term care ď?Żď?Žď?­ď?Żď?ľď?´ď?¨ Oď?Łď?Ľď?Ąď?Ž flashes. Although are less spread of influenza. You can use summer. You’re not sleeping they had no immunity to these five days, although the illness facilities. ď?Šď?Łď?Ľď?ł, LLC likely to become pregnant (without Hot flashes typically begin as a alcohol based hand sanitizers when well. Your partner says you treatment) 45, About The Doctor . . . Dr. viruses. may last forinfertility a week or more. after aget "EVMUT BOE DIJMESFO XIP IBWF sudden feeling of heat in the uppersoap and water are not available. are moody. Your kids are it is still possible, especially if you Parchment is a Board The Certified chest hot feeling most effective way to preWeakness and fatigue may persist chronic lungand or face. heartThe conditions. Ok soyou we know what the are having monthly periods and hiding from you. are infected with (commonly called Physician with a specialty in then spreads throughout the body Whether problem is how do we treat it? vent influenza is by getting the for several weeks This includes children with having sex regularly. In this case Obstetrics and Gynecology. He highly contagious and lasts for two to four minutes. the flu or are caring for someone you should continue to use some going on? influenza (the fluisshot) asthma.Some women sweat during the hot received his medical education vaccine What women will needwash or your withNot theallflu, you should can occuratinthechilform of birth control until you are University ofand Medicine using simple Menopause infection control t "EVMUT BOE DIJMESFO XJUI DISPOJD Complications flash and then feel chills and shiver want treatment for menopausal is defined as the time Flu menopausal. Once you become hands frequently. lts of any and age.Dentistry More of New Jersey. He when the hot flash ends. Some in a woman’s symptoms especially if the measures such as hand wash- life, usually between ‰ $PNQMJDBUJPOT PG menopausal, you cannot get diseases such as diabetes or curs in thereceived winterhis medical training at women have a feeling of anxiety or$PWFS ZPVS NPVUI BOE OPTF XIJMF 45 and 55 years, when the ovaries symptoms are mild. Some ing. Antiviral medicines can also kidney heart disease. influenza maypregnant. occur in some Mount Sinai School of Medicine palpitations during the hot coughing stop producing eggs and menstrual or sneezing and to throw ause people spend symptoms don’t respond – New York University, he infection help where prevent if end. youThe are averagepeople t "EVMUT BOE DIJMESFO XJUI )*7 and pneumonia is the flash. Hot flashes can occur once If you are using a hormonal periods age of treatment. Heavy smokers often away dirty tissues immediately. n close contact practicedwith as a fellow in maternalor twice each day or as often as method of birth control, like pills, exposed to the flu.menopause is 51 years. most common infection. complication. complain of hot flashes that persist sleeve r. fetal medicine. Dr. Parchment has once per hour during the day and Sneezing/coughing an injection, a vaginal ring, ort "EVMUT BOE DIJMESFO XIP IBWF a Many women begin to notice beyond treatment.into Somethe women 1OFVNPOJB JT B TFSJPVT JOGFDUJPO medical privileges at Jersey Shore Flu Symptoms — menstrual periods night. 
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Get The Facts On Menopause

35

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body) can become thin and dry. This can cause you to have vaginal dryness or irritation or to have pain or dryness with sex.

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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 – 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 y. He is father to Alexander Joseph and Alexa Joanne Parchment, as well as husband to the lovely Suzanne K. Parchment.

The County Woman Magazine nty Woman Magazine

www.TheCountyWoman.com www.TheCountyWoman.com

QUALITY VALUE QUALITY SERVICE • Ultra-Sounds • Blood Work • Urological Testing

Our Physician . . . t "MGSFE # 1BSDINFOU . % ' " $ 0 ( Learn more about our doctors and services at www.momsdoctors.com July/August2013 2013 March/April

Law

36

What is Collaborative Divorce? engage in four-way meetings. These meetings allow the parties to explore their issues on their own timeline. The goal is to reach an agreement and then proceed with the divorce through the courts. Additionally, experts such as coaches and financial professionals are utilized to assist in resolving issues.

Presented by: Law Offices of Laura M. D’Orsi, L.L.C.

Collaborative divorce is the newest method of resolving divorce related issues. In a collaborative divorce the attorneys for both sides agree to assist the clients to resolve conflicts by employing cooperative techniques rather than adversarial strategies and litigation. All of the people involved commit themselves to achieving a negotiated outcome. It is agreed that no litigation will be commenced during the negotiations. The most important element of collaborative divorce is that the lawyers commit to manage the conflict, emotional issues and relationship issues creatively. The parties and their lawyers

Community

Why Collaborative Divorce? Why would you pursue collaborative divorce? Collaborative divorce is effective where each side in the divorce is able to reach a fair solution and resolve differences. Collaborative divorce addresses more than just the legal issues. It looks at the impact of divorce on the parties and the children. When a case is litigated in Court, the parties make allegations about each other and are hostile. This inadvertently impacts the children, who see their parents displaying hostility and hatred toward each other. Even though your marriage is ending, in collaborative divorce, you are working together to achieve a resolution that works best for you both. You and your spouse control the process, rather than reacting to deadlines set by a Court. Collaborative divorce is the route to take if you want to maintain a good relationship with your ex-spouse and lessen the impact of the transition on your children. However, collaborative divorce is not for everyone or every situation. It requires that those in-

volved be committed to working with and not against the other party in order to achieve results. In Collaborative divorce you will not get your “pound of fleshâ€? but you might reach an agreement that will keep you and your spouse involved in your children’s lives and maintain an amicable relationship with one another. Collaborative divorce and its participants are committed to creating a process that is safe and that does not cause further harm to the participants and the families involved. The atmosphere of collaborative divorce is respectful and much less stressful than traditional litigation. Collaborative divorce provides the parties with an agreement that is designed by the parties, with the assistance of their collaborative divorce lawyers. Who is a good candidate for collaborative divorce? • Do you still care enough about your spouse and your children to want to reach an amicable agreement rather than have your dirty laundry aired in Court? • Do you want confidentiality with your divorce or do you want Court papers filed as public documents, which slander you and your spouse? Individuals who are able to accept the separation, willing to learn or manage their emotions, interested in the well-being of the other side and committed to

the process are good candidates for collaborative divorce. Those persons involved in collaborative divorce should be able to take the long-term view and be thinking of the future and the maintenance of a relationship

with the other party. If you are interested in pursuing a Collaborative Divorce, Laura D’Orsi, Esq. can assist you. Please also view the website of the Jersey Shore Collaborative Law Group, located at www.jsclg.com.

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If you have legal concerns, call the Law Offices of Laura M. D’Orsi, L.L.C., 52 Reckless Place, Red Bank, New Jersey 07701,

732-741-3121,

www.lauradorsilaw.com, ldorsi@lauradorsilaw.com Laura D’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. D’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. D’Orsi has also helped run a battered women’s shelter in Essex County, which was a project very gratifying to her.

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The County Woman Magazine

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September/October 2013

Salon

&

Spa

37

No More Bad Hair Days!

W : D M

D

arwin is a certified Technical Advisor for Schwarzkopf Professionals always striving for higher education in the art of color and cut.

As a certified Technical Advisor, Darwin began his training at the Paul Mitchell Academy in New York City training also with Vidal Sassoon. His color and cuts are performed with extreme precision. “Growing up in Belize”, Darwin recalls, “I was always

inspired by the various hues found in nature - from the greens of the lush rainforest, from the beautiful sea that illuminated a tranquil turquoise, to the brightness of azure skies - the richness of these colors in nature inspired my imagination and inspired me to bring this love of color to my clients.” Keratin Complex smoothing therapy is a revolutionary smoothing system. It offers shine, softness, and manageability to treat the most unruly, frizzy hair. Keratin offers a variety of different treatments. The Original smoothing system lasts about four months. Keratin blonde is specifically formulated for the smoothing of blonde hair without bringing out the underlying warmth which is common in other keratin treatments on the market. Keratin blonde also lasts about four months. Keratin Complex has changed the beauty industry. Since its launch in 2007, Keratin Complex has led the way with innovative technology and amazing results. It is no wonder

Keratin Complex is now the leading smoothing system in the world! All Keratin Complex treatments and styling products are specially formulated to contain natural keratin protein which rebuilds, restores and rejuvenates all types of hair. NO MORE BAD HAIR DAYS WITH KERATIN COMPLEX.

Hair and Company Oasis Spa welcomes Eileen Carmichael - a full service stylist (trained at the Paul Mitchell Academy NYC), specializing in Brazilian Blowout treatments.

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.

Hair and Company Oasis Spa is now open on Mondays!

Enter to Win

Enter to Win a $30 Gift Certificate to Hair & Co. Oasis Spa 9LVLW ZZZ W KHFRXQW\ZRPDQ FRP WR (QWHU RU &OLS DQG 5HWXUQ WKH &RXSRQ %HORZ Name: __________________________________________________________________________ Address: ________________________________________________________________________ City: ___________________________________ State: _________ Zip: _______________ Phone: (______)______________________ Email: ______________________________________ Mail To: The County Woman • P.O. Box 619 • Turnersville, NJ 08012

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

H&Co.

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The County Woman Magazine

www.TheCountyWoman.com

September/October 2013

Community

38

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The County Woman Magazine

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September/October 2013

Medical Professionals

39

4BZ (PPECZF UP 7FOPVT %JTFBTF BOE 1BJO BOE -PWF :PVS -FHT "HBJO Vein Solution Team Dianne

Advanced Nurse Practitioner

Rita

Sonographer

Filomena

Kathy

Nurse

Receptionist

Treatment of Varicose Veins

Treatment Options: Treatment modalities include conservative therapy, and surgical treatment of Girija Surya, M.D.

Board Certified in Cardiovascular and Thoracic Surgery

About Us

venous disease when needed. Traditional and newer treatments, such as Closure, Stab-phlebectomy and Sclerotherapy are advised when needed.

C. Conservative Therapy

Patients are initially started with Prescription strength compression stockings for at least 3-months on a daily basis to help reduce the symptoms such as pain and swelling. Their condition is monitored and if the situation does not improve, other treatment options are explored. A certified compression hose fitter is on premises to help.

Our philosophy is to promote Total Health for our patients. We evaluate each patient with their Total Health in perspective with a specific focus on the management of venous diseases. In promoting Total Health, we also counsel patients for the management of other related conditions such as weight gain, smoking cessation, nutrition information and other related services.

D. VNUS Closure Procedure

F. Sclerotherapy

E. Stab–Phlebectomy

Diagnoses of Varicose Veins

A. Consultation

Sclerotherapy is used for veins smallThe VNUS Closure Procedure is Stab-Phelebectomy is used for the er than 3mm in diameter. It involves On the new patient visit, the physifor varicose veins bigger than 5mm in removal of varicose veins 3–5mm injecting small veins with an FDA cian conducts a complete history and in diameter through multiple micro approved sclerosing solution such as physical examination and symptoms as- diameter and uses radiofrequency to incisions, utilizing local anesthesia. Sotradecol, Polidocanol or Asclera. sessment. Pictures of legs will be taken close the vein. for medical documentation. The physiG. ClariVein aka MOCA™ ! cian will discuss your vein concerns as Insurance Pre Authorization Insurance Coverage well as your treatment goals. The toal (Non-Thermal Vein Ablation System) Start Early–Due to insurance for Treatment time for consultation could take as is the new Endovascular technique for the requirements, from initial consult, Most insurance commuch as 60 minutes. treatment of venous reflux disease; it companies cover varicose vein it can take as much as three to six

B. Ultrasound

An appointment will be scheduled for an ultrasound for an ultrasound on our premise. A diagnostic Venous Ultrasound is performed to evaluate the superficial veins as well as the deep veins and to map out the incompetent veins. The physician will then discuss the ultrasound results, treatment options and tailor a treatment plan designed specifically for your venous problem. Attention to detail, proven treatment with care and compassion, leads to excellent results. Unless the patient requests for it to be done in a hospital, all procedures are done by a Board certified Vascular Surgeon at our Vein Centers. Procedures are performed either under local anesthesia or with IV sedation.

bines two methods of action: 1) Mechanical agitation of the vessel endothelia by the rotating catheter tip. 2) A sclerosant drug sprayed from the tip of the catheter as it is pulled back to ensure maximum effect.

The County Woman Magazine

months to become “Pain Free.” If patients have coverage, all paperwork is done by our office to obtain pre-authorization.

treatment if it is medically necessary.

7FJO $FOUFS GPS 8PNFO 1 $ Girija Surya M.D., Board Certified Thoracic & Cardiovascular Surgery

Vein Center for Women

Colonial Commons 670 North Beers Street, Building 2, Suite 4 Holmdel, NJ 07733

Absolute Vein Care

Plaza Hill 646 Route 18, Building A, #101 East Brunswick, NJ 08816

ZZZ 9HLQ&HQWHU)RU:RPHQ FRP (PDLO &RQWDFW#9HLQ&HQWHU)RU:RPHQ FRP www.TheCountyWoman.com

September/October 2013

M edical Professionals M edical Professionals

18 40

IbXYfghUbX]b[ :]Vfc]Xg 5bX :Yfh]`]hm Most women experience at least one of the following complaints or side effects:

• Pelvic fullness or discomfort • Increased menstrual cramps • Increased menstrual flow,

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ibroid tumors also are known as leiomyomas or myomas and, by far, are the most common benign uterine tumor. They usually are diagnosed during a regular gynecological examination, but may present with the symptoms of abnormal uterine bleeding, pelvic fullness, infertility, and urinary frequency. Fibroid tumors can be located at different sites within the body of the uterus: subserosal, intramucosal, or submucosal. They can occur as a single tumor or be present with others. The most common consistency of fibroid tumors is hard and firm, but they also can be soft and rubbery.

Q

What Causes Fibroid Tumors? The cause of fibroids is unknown, but they all begin as a single cell that begins to replicate itself to grow. So, once this tumor is removed, it will not come back. There is evidence of increased incidence within families. Estrogen hormone has a major influence which stimulates fibroid growth. Fibroids have the potential to enlarge during pregnancy. During menopause, when there is very little estrogen, the tumors usually shrink.

A

Q

What are the Symptoms of Fibroid Tumors? Symptoms vary from person to person. Very often, women can be completely asymptomatic, even those with large tumors.

A

• • • •

clotting Irregular or painful periods Increased urinary frequency Constipation Bloating

Q

How Common are Fibroid Tumors? Fibroids are the most common gynecological tumor in women. Clinical studies show that 20 to 25 percent of women of reproductive age have fibroids. Although these tumors are for the most part benign, there can be a malignancy rate of 0.10.2 percent. Studies show that these benign tumors are four to six times more common in African-American women that in Caucasian women. This is further evidence of a probable genetic predisposition.

A

Q

How are Fibroid Tumors Diagnosed? Fibroids frequently are diagnosed when an enlarged, irregularly shaped uterus is identified during a pelvic exam. This is confirmed most commonly by ultrasound. An MRI or CT scan also can be used to further define the extent of the tumor and its location.

A

Q

Can Fibroid Tumors cause Infertility? Approximately 10 percent of fibroids can be the primary cause of infertility. Miscarriages or pre-term labor are other complications. Most women who have fibroids are not afflicted and have uncomplicated pregnancies and deliveries. Fibroid tumors can block the fallopian tubes, which can lead to primary infertility. Studies support the fact that if conception is successful, only 10 to 15 percent of women will have complications from their fibroid during pregnancy.

A

The County Woman Magazine The County Woman Magazine

Q

What are the NONSurgical Treatment Options? 1. Medical management with LupronÂŽ injections every three months to shrink the tumor. This places the woman into a temporary state of menopause, which is completely reversible. This is only good for up to six months, then surgery should be performed after the tumor has shrunk. 2. Embolization of the arteries supplying the tumor. This is done as an outpatient procedure in the radiology department at some hospitals. This is a good option for someone who is not interesting in having children and who is also not a good candidate for surgery. 3. Focused high-frequency ultrasound also helps to shrink the tumor but is still not readily available in most hospitals and is not standard of care at this time. It does appear to be very promising, however.

These surgeries can be performed several different ways; 1. Laparoscopically -- with or without robotic assistance 2. Laparotomy -traditional open case with a larger skin incision 3. Vaginally -- this is usually to perform a complete hysterectomy, not a myomectomy Traditional gynecological treatment follows two courses. The first, for small or asymptomatic tumors, is a “wait-and-see� approach, including annual ultrasounds to watch for any changes. The second traditional avenue, usually for larger and more symptomatic disease, is a myomectomy for the superficial tumors and a hysterectomy for the more invasive fibroids. Depending on the philosophy of your gynecologist, the ovaries may or may not be removed. My approach is much

Infertility specialist Allen Morgan, MD, once again has received a two-year accreditation for Shore Area In Vitro Fertilization Laboratories from the College of American Pathologists (CAP). Accreditation was granted based on the results of a comprehensive on-site inspection of the laboratory’s facilities and overall management, as well as its records, staff credentials, and safety program and record.

Dr. Allen Morgan of Shore IVF and Reproductive Medicine has been practicing for 20 16 years and is board certified by the American Board of Obstetrics and Gynecology and Reproductive Endocrinology and Infertility. 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.

Q

What are the Surgical Treatment Options? 1. Myomectomy- remove only the tumor and leave the uterus. 2. Hysterectomy- remove the entire uterus and the tumor together (with or without the ovaries) There is no way to completely remove fibroids successfully without surgery. If a woman is beyond her childbearing years, she could consider a hysterectomy; however, a less-invasive procedure would be removal of the tumor and preservation of the uterus (myomectomy). Today, many GYN surgeons will offer a partial hysterectomy or a supra-cervical hysterectomy, in which the uterus and tumor are removed, but the cervix is left intact, which supports the vaginal vault so there is reduced risk of vaginal prolapse or defects with the strength of the vaginal internal attachments.

more patient-friendly with fertility preservation in mind. However, if the patient is not interested in having children, then the above options are available.

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May/June 2012 September/October 2013

Medical Professionals

41

Why Are You Squeezing My Breasts? Q A

Cyrus Khorrami, M.D.

Besides lung cancer, breast cancer causes more deaths among American women than any other form of cancer. A woman’s chance of developing breast cancer in her lifetime is 1 in 8. Each year about 240,000 new cases of breast cancer are diagnosed (that is one for every 2 and a half minutes). Sadly, 40,000 women die from breast cancer each year (one death every 13 minutes). Screening mammography reduces breast cancer mortality by 25-30% for women ages 50-70 and by 18% for women ages 40-50. Early detection is incredibly important. The 12-year survival rate is 95% for cancers detected that are less than 1 centimeter in size. Despite these statistics, many women still do not consistently have their yearly mammograms. The major complaint is discomfort. Here are some of the more common concerns with mammograms and the explanations as to why they occur.

Why do you have to squeeze my breasts?

When a patient undergoes a mammogram the breasts are placed in between two paddles on the machine. The paddles compress the breast and an x-ray is taken. The paddles apply pressure on the breast. This serves two purposes. First, it holds the breast still. The slightest movement can blur the images. This can limit the sensitivity of detecting tiny calcifications that can be a sign of cancer. The second reason is to displace breast tissue. Breast tissue looks white on mammograms. Unfortunately, cancers also look white on mammograms. Finding cancer in breast tissue can be like finding a snowball in a snow bank. One thing that helps improve detection of cancer is trying to spread out the breast tissue as much as possible. This is performed by the pressure applied by the paddles.

Q

Why do you have to pull my breasts?

Mammograms are all about early A breast cancer detection. Breast cancer can form in any portion of breast

tissue. Therefore, it is important to have as much breast tissue imaged as possible. So our technologists need to physically pull the breast onto the x-ray film so all of the breast tissue is included in the mammogram. Many women do not know breast tissue extends up to the collar bone. It is also very important to image the lymph nodes in the armpits to detect potential early cancer spread. This is why we image and compress high to the level of the shoulder.

Q

Why do you have to take so many images?

The standard way to image the breast is top to bottom and A side to side. Typically, each breast is imaged twice (four x-rays total). Occasionally additional views are needed to better image all the breast tissue from various angles. This helps improve detection of potential breast cancer.

breast cancer detection. Although mammograms can occasionally be uncomfortable, they often save lives. As always if you have any question, please do not hesitate to contact our staff, 732-244-0777.

Q

Sometimes when I am asked to return for more images, the technologists use a paddle that squeezes my breast even more. Why does that happen? The breast is made A up of many layers of overlapping breast

tissue. Occasionally, the radiologist will see an area on the mammogram which is suspicious. It must be determined whether this is truly cancer or overlapping breast tissue. A specialized paddle will be used to press on the area that is suspicious. If the area of concern disappears with the compression, it is likely an artifact and represents overlapping breast tissue. If this area persists with compression, cancer must be considered and additional imaging or a biopsy may be performed. Mammograms are extremely important for

Before

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Small suspicious lesion in the breast disappears with compression. This was not cancer, but overlapping breast tissue

Before

After

Suspicious lesion in the breast that did not disappear with compression. This proved to be a solid mass

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

September/October 2013

Real Estate

42 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)

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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.

The curb Rivers appealEdge of this home5 isbedBeautiful Estate! magnificent! Look no further than this rooms, 4.5 bathrooms, very quiet loca4 bedroom move in condition that tion in the upscale reservoir section. is sure to in-ground please any pool! potential buyers. Gunite $1,399,000.

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About Us . . .

John Orrico, broker and owner of Orrico Realty has lived and sold real estate in town for over 18 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.

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WWW.ORRICOREALESTATE.COM

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www.TheCountyWoman.com www.TheCountyWoman.com

May/June 2013 September/October 2013

Health

&

Wellness

43

Britt Sloan: Changing Lives One Body At A Time

Britt Sloan has had a passion for Eastern medicine and a holistic lifestyle from as far back as she can remember. “It’s all about preventing illness and injury and that manifests itself by adapting a complete lifestyle commitment.� As the founder of Spa Botanical, (spabotanical.com) she creates and markets face and body care products made with natural, organic and 100% vegan ingredients. She is also a massage therapist and a certified IET Practitioner. As an advocate and educator for health and wellness she is passionate about her field. She adds, “It’s not just about selling products and making money. My goal is to be an effective educator for health and wellness. Imagine the profound effects on generations to come if we’re able to not only cure illness, but drastically reduce and prevent it as well. The Eastern and Western medical worlds are finally moving closer

together and acknowledging the importance of both in today’s progressive society. I, like many others in the field of health and wellness, are thrilled to see this pattern of evolution. People no longer want a remedy for their symptoms (i.e. pills), they want to be cured. Hopefully, with continued education and support from the scientific community, it will continue in this very positive direction. Though it is yet vastly uncharted territory, there is an extremely useful and important place for both science and metaphysical modalities in our future and in the future of generations to come. Imagine the impact should we be able to harness the best of both the Eastern & Western medical worlds, and not only to prevent and reduce certain types of disease and illness but, quite possibly to cure and eliminate.� Monmouth County Woman recently sat down with Britt as she invited us into her world of wellness. MCW: How did you first become interested in holistic living? BS: As a pre-teen I started making homemade products for personal use. I’ve always been amazed by the abundant ingredients Mother Nature has to offer. Much of these foods have stood the test of time and remain the best ingredients for food and cosmetics. As I began researching the benefits of whole foods I realized just how far removed we’ve become from nature. I personally wanted to make life style changes and move forward in a more healthy direction. In the last 6-7 years there has been a huge movement of like-mined people who are choosing to live longer, healthier lives. That’s where I found my niche. MCW: Describe the benefits of Integrated Energy Therapy (IET). BS: Integrated Energy Therapy is similar to Reiki but a little more “intense.� Its purpose is to help the patient release negative energies that the body has stored deep within

on a cellular level. Many times we “think� we’ve “let things go,� but in reality we’ve pushed those traumatic experiences so far down into our psyche, that we’re unaware of how it’s manifesting in other areas of our lives or, other parts of our bodies. We’ve all experienced everyday stress in our lives. Some people are unable to release that negative energy and it affects our bodies in debilitating ways like ulcers or through depression. IET is similar to acupressure and acupuncture, but without needles that works on the release of negative energy and correcting the proper flow of the chakras. You do not need to be spiritual or religious to experience the effects. There is nothing for the patient to do but relax and allow the practitioner to work. MCW: What are some benefits of getting massages besides the obvious one of relaxing?

What’s your Skin Type?

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Each Spa Botanical product is blended fresh to order.

About Spa Botanical Spa Botanical began as a humble, one-woman operation, and has since grown into a national business. Spa Botanical is dedicated to the constant research and development of their products to ensure customers receive skin care made with the most beneficial ingredients earth has to offer. Spa Botanical provides all-natural, organic, vegancertified products that not only repair and perfect the skin you were born with, but protects it from the continuous changes in environmental conditions, daily exposure to airborne pollutants, chemicals and free radicals. Spa Botanical’s mission is to offer appealing all-natural skin care products to both men and women who are interested in the look and feel of a healthy body. Every client is different and has different skin care needs. The entire Spa Botanical product line is gentle and pH balanced. They are free of animal by-products, harmful toxins, chemicals, carcinogenics, fragrances, sulfates, dyes and many other harmful ingredients. Visit www.spabotanical.com to learn more about these wonderful products.

The County Woman Magazine

BS: Many people will argue massage is not a luxury--- but a necessity. And I’m so happy to see the medical community getting on board with the advantages to preventive alternative medicine. Recently there have been articles published by the medical community about studies confirming the positive effects that massage can have on the body. A good massage can relieves stress, which helps to lower blood pressure and tension. Studies have also found that massage releases endorphins that make us happy---- a more healthful alternative to pharmaceuticals. MCW: What is the most rewarding part about your profession? BS: Being able to be creative is a huge part of who I am and that makes me the happiest. I find every aspect of my career rewarding and I love educating people on the benefits of healthy products.

www.TheCountyWoman.com

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Adult Community

44

Land Lease Communities Are Perfect Match For 55+

L

and lease communities are a perfect blend of the independence of owning your own home within your financial means and living in a comfortable neighborhood.

Usually several homes to the acre, life in a land lease community is somewhat like the familiar days of enjoying the changing seasons on the stoop of the old homestead. Land leased communities often offer the camaraderie of shared life experiences where most people on the block know each other. Another fact that makes this home ownership choice so appealing is the lower cost of buying the home. Leasing the lot is as financially efficient as any other leasing experience; lower cost, paying for exactly what you need and owning a home that is just the right size. Some land-leased communities advertise with the accent on the origin of the home- usually a manufactured home of one type or another. This type of construction is very durable, energy efficient and easily maintained. Economies in bulk material purchases by the builder yield a more economical offering to the homeowner. Terms can be misunderstood if a potential homeowner’s thinking is not up to date. Manufactured homes include modular homes, manufactured homes and even the older origin of the term mobile homes. As this type of construction has been fine-tuned over the nearly 100 years since its introduction, the actual homes have changed as dramatically as other homes built in the early 1900’s compare to today’s new home. Energy, light, openness of floor plans, and the physical construction are much improved even in the most recent 10 years. Yet, as in

any home comparison, the originals are still viable useful homes that are readily bought, sold and occupied. There are many offerings in the land lease communities; some are age-qualified, some are not; some are gated, some are not. Amenities differ from location to location just as any community. Leasing the land keeps the purchase price of the lot out of the financing and buying transaction, making it affordable to all income levels. The monthly lease cost can vary from one community to another just like any other location-based expenses. Find out what is included in any lease and compare what is offered to what you need and the services you expect to enjoy.

v Fountainhead in Jackson NJ is a land lease community for people at least 55 years of age. The

neighborhood design is often cited as an important and favorable aspect of residing at Fountainhead. With mature trees, off the street parking, enjoyed by responsible homeowners displaying pride in their investments it is a great place to retire. All homes are owner-occupied. The lease fee includes the property tax among other services, and yet it is still very affordable. It can be the perfect solution for people starting over from the tragedy of last fall. Homes from approximately 900 square feet to 1,450 square feet offer many solutions to retiring in comfort. Dining rooms, front porch, carport, walk-in closets, great energy efficiency and natural gas heat are just a few things to select in planning the new home purchase at Fountainhead. Jackson, recently voted one of the best communities in NJ, offers bits of everything that is good about living between 2 major metro areas. Fresh air, great schools,

excellent recreation areas, good roads and all the services are easily accessible to all the residents of this 100 square mile township. The Fountainhead location is just off the major artery in town- County Line Road, 2 miles from I-195, and 5 miles to Route 9. v The three Viviano siblings own and continue to build the Fountainhead community. Nancylu Viviano and brother-in-law Clem Caldarise manage the office, sales and construction while a friendly staff of service and production people complete the team. Nephews and nieces are stepping in as their skills develop. New homes and pre-owned homes are always available, sometimes for immediate occupancy. The future homebuyer knows what they want and need today- and the manufactured home is easily customized to satisfy. Optional room designs, and levels of upgrades and an open-minded developer can be found at the Fountainhead office to please the buyer. Pricing is very clear; beginning at $85,000 for a very basic modestsize home to approximately $160,000 for a deluxe home that can be enhanced up to $175,000. It’s a good idea to call ahead for a visit, but not necessary, home consultants are available Monday thru Friday 10-4:30 and Saturday from 11 a.m. For more information please visit the website or like us on facebook- FountainheadNJ.

Submitted By: Nancy Viviano Fountainhead Properties

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

Pets: You Luv ‘Em, We Luv ‘Em Too!

• New Homes

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

www.NJFountainheadHomes.com

• Pre-Owned Homes • Rental Homes

The County Woman Magazine

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September/October 2013

Medical Professionals

6

45

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: t :PVS XBSUT DIBOHF JO TJ[F PS color t *G UIFZ CFDPNF QBJOGVM t *G UIFZ QFSTJTU SFDVS PS multiply in spite of home treatment t *G ZPV IBWF EJBCFUFT circulatory problems t *G ZPV DBOOPU DPOmEFOUMZ identify the lesion. Simple examination by a podiatrist can let you know if warts are present. The doctor may “pare� 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 :PV DBO 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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t %P OPU QJDL XBSUT UIBU DBO spread the virus. t %P OPU HP CBSFGPPU JO QVCMJD areas. Wear shoes or sandals at public pools or locker rooms. t "WPJE DPOUBDU XJUI XBSUT t ,FFQ ZPVS GFFU DMFBO BOE ESZ See your podiatrist to evaluate these lesions and for a quicker resolution than home remedies.

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July/August 2013 September/October 2013

Community

46

THIS IS THE PLACE TO BE! 4th Annual Wine Tasting

On Friday, September 20, 2013 the Ronald McDonald House (RMH) of Long Branch and New Brunswick will host their 4th Annual Wine Tasting from 6:30 p.m. to 10:30 p.m. at the Robert B. Meyner Reception Center at the PNC Bank Arts Center, Holmdel. Indulge and discover a variety of fine wines from all over the world, cheeses and chocolates while browsing a collective array of items in the silent and live auctions. This year’s Grand Prize Raffle is a trip for two to the Harvest Inn in Napa Valley, California with round trip airline tickets on Southwest Airlines. Tickets are $75 per person. For more information on the Wine Tasting or the Ronald McDonald House, log on to our website www.rmh-cnj.org, or contact Lynne Siedentop at 732-222-8755 ext 30.

Giving is Fashionable - Family Runway Show On Friday, October 18, 2013 the Ronald McDonald House (RMH) of Long Branch and New Brunswick will host their Giving is Fashionable Family Runway Show from 7:00 p.m. to 11:00 p.m. at the The Hyatt Regency in New Brunswick. The RMH Fashion Show celebrates designers, celebrity models, our community & our supporters, but most importantly our families for the purpose of making a difference in our children’s lives. Join us for an evening of fun, fashion, food and festivities. Mingle with friends & celebrities, and bid on exciting travel packages while supporting the families staying at RMH. Tickets are one ticket for $125 or two tickets for $200. For more information on the Fashion Show or the Ronald McDonald House, log on to our website www.rmh-cnj.org, or contact Lynne Siedentop at 732-222-8755 ext 30.

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September/October 2013

Premier Consignment Center

47

An Experience You’ll Not Soon Forget:

“Don’t Give Your Treasures Away, Consign Them Today!” 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 prism-laden 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. (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.”

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.

www.YesterdaysandTodays.net

Our dedicated and experienced staff is ready to serve you!

Yesterdays and Todays

New Jersey’s 1st Premier Consignment Center Antiques • Furniture • Estate Sales 3 Princeton Avenue 812 Main Street Brick, NJ Toms River, NJ

732-701-3471

The County Woman Magazine

Consignments are taken at the Toms River location on Monday and Tuesday from 9:30 am to 2 pm. Our Brick location accepts consignments on Wednesday and Thursday from 9: 30 am to 2 pm.

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We buy your unwanted treasures or furniture, and also can have your Estate Sale.

Vendor Spaces Available At Our New Brick Location!

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.”

Tues-Sat 9am-5pm Sun 10am-4pm

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732-608-0413 Mon-Sat 9am-5pm Sun 10am-4pm

September/October 2013

48

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Community

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September/October 2013

Jewelry

49

Sifting Through The Sand For Hidden Beach Gems With Eileen Fox Allen will bend down and scoop up the most beautiful piece of glass, perfectly shaped for a pendant or earring.

Where exactly does “beach glass” come from?

Written By: Eileen Fox Eileen’s Beach Gems

How did you get involved with jewelry making? I’ve always enjoyed arts and crafts – pottery, weaving, candle making, painting - you name it; I’ve dabbled in it. At one point, I started making beads out of the pottery clay, and from there, I moved into jewelry making. I’ve made hundreds of necklaces, earrings and bracelets out of a variety of materials, from chunky pieces of wood and clay to tiny crystals and pearls. But recently I started using materials that can be found on the beach, which not only saves on material costs but also offers the added attraction of the “hunt.”

What specifically are you looking for on that hunt? Shells, glass, pebbles, anything that might look good hanging from a silver or gold chain. As a Jersey shore native, I have been collecting seashells since I was little, and I’m still always on the lookout for especially pretty or unusual shells. But I never really took much notice of sea glass until I started dating a guy who has a knack for spotting the stuff a mile away. We can be walking along what appears to be a completely clean, empty beach, and suddenly

Also referred to as sea glass, it’s just broken bits of bottles, glasses, tableware and other household items that have been discarded or lost in natural disasters, often many years ago. These pieces have been worn down by wind, water and sand until the edges are smooth and the surfaces are frosted. Most of the glass you find locally is green or brown – which may have something to do with the color of beer bottles. But I’m partial to the blue or white pieces, which are much harder to find.

And how do you turn that from a piece of glass into a piece of jewelry? Allen, my glass-hunter and partner in crime, also happens to be a dentist with a set of drills that can make perfect little holes in glass and shells. After he drills them, I use them as I would any type of bead, pairing them with crystals, pearls and other materials to create necklaces, earrings and bracelets. Of all the crafts I’ve tried, this has been among the most enjoyable – the seaside walks are good exercise, the jewelry making is good therapy, and each finished piece is a memento of my favorite place, the Jersey shore.

Beach Gems can be purchased online at www.etsy.com/shop/EileensBeachGems, and at Anchor Arts, an art studio in Ventnor that offers classes as well as a venue for local artists to showcase their work (www.anchorartsstudio.com).

Eileen Fox was born and raised in Absecon. After earning a BA in Anthropology and Communications from the University of Pennsylvania, she went into publishing, where she worked for 20 years as an editor and writer. Moving from Philadelphia to Washington to New York, she finally circled back to South Jersey to raise a family and continue her career. She has spent the last ten years as a marketing and public relations consultant for a variety of clients, writing brochures, newsletters, articles, news releases, postcards, ads, marketing plans, and website content. When she’s not at her computer, she can often be found at her workbench making jewelry or on the dance floor doing the salsa and meringue. She also enjoys hiking and biking, and does volunteer work for Hadassah. Although she lives in Cherry Hill, Eileen spends almost every weekend at the shore, where she has a wonderful network of friends with whom she travels, does Pilates and shares good times.

The County Woman Magazine

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September/October 2013

Health

50 THE

&

Wellness

ART of BREATH

and Movement

In yoga practice, we breathe as we do each movement in a way that maximizes the effect of the breath on the body. Linking breath and movement in the belief that evenness of breath, coupled with evenness of movement will lead to evenness of mind. But it’s not as simple as moving with the breath, for our breath informs, guides and fully surrounds movement. Breath begins before the movement starts and ends after the movement completes. This integration of breath and movement requires mindful attention. Only by completely focusing the mind can the movement and breath link together in this elegant dance. Even when “stayingâ€? in a pose, subtle breath focused movement continues. Stillness holds within it a subtle dance. So the next time you take a yoga class, pay attention to each breath you take and mindfully allow the breath to guide your movement. You might be surprised at the profound impact this relatively simple change will have on your practice. “Be soft in your practice. Think of the method as a ďŹ ne silvery stream, not a raging waterfall. Follow the stream, have faith in its course. It will go its own way, meandering here, trickling there. It will ďŹ nd the grooves, the cracks, the crevices. Just follow it. Never let it out of your sight. It will take you...â€?.Sheng-yen.

U niq ue Jewelr y, Bags & Gif ts From Around t he Wor ld

... being still does not mean don’t move. It means move in

Peace

- E’yen A. Gardner

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P r for a c t i Gifts c e y o that u r p aKeep s s i o non . Giving Fair Trade

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Organic Cosmetics, Green Products & Therapeutic Massage

Shop Our Fair Trade Store in Smithville For Your Next Gift

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September/October 2013

Health

&

Wellness

51 THE

ART of BREATH and Movement

Photography by Paul Dempsey

The County Woman Magazine

www.TheCountyWoman.com

September/October 2013

52

Women

of

Monmouth County Sarah J. Easaw, MD, FACP

Debbie Moriarty CyberKnife® Program Nurse Manager, New Jersey CyberKnife® Debbie Moriarty dedicated her career to oncology after being inspired by care given to a family member. Her 26-year career has spanned inpatient medical oncology, radiation oncology, oncology research, inpatient hospice and home care hospice. Born in Orange, N.J., she currently resides in Toms River where she serves as the CyberKnife® program nurse manager for New Jersey CyberKnife at the J. Phillip Citta Regional Cancer Center, a service of Community Medical Center. As a CyberKnife program nurse manager, Debbie provides clinical support and care coordination for cancer patients. Though her career path was inspired by her experience with nurses, her current motivation comes from witnessing the spirit of her patients and working with the experienced New Jersey CyberKnife team. She has been a member of the Oncology Nursing Society for more than 20 years, serving as president of the Central New Jersey chapter in previous years. In her spare time, Debbie enjoys gardening and spending time with her grandchildren. New Jersey CyberKnife treats malignant and benign tumors throughout the body using CyberKnife technology. The center offers the only CyberKnife treatment in Ocean County. For more information visit www.newjerseyck.com.

Dr. Sarah Easaw is a board certified Oncologist and Hematologist who has been practicing in Lakewood since 2006. She completed her internship and esidency in Internal Medicine at Harlem Hospital, affiliated with Columbia University, followed by a fellowship in Hematology and Oncology at New York Medical College in Valhalla, New York. Before moving to Ocean County, she practiced Hematology and Oncology in Westwood, New Jersey for 10 years. Dr. Easaw founded Ocean Hematology & Oncology, a medical practice focusing on the treatment of cancer and blood disorders. She received Star Career Academy’s Excellence in Healthcare Award in 2010. Her clinical expertise is equal to her ability to treat each patient as an individual with care and compassion. “Dr. Easaw is the most wonderful, compassionate woman and doctor that I have ever met,” says a patient. Dr. Easaw is a member of the American Society of Clinical Oncology and the American Society of Hematology and is a fellow of the American College of Physicians. She is affiliated with Kimball Medical Center, Ocean Medical Center and Community Medical Center. She resides in Monmouth County with her husband and two children. To learn more about Dr. Easaw and her practice, call 732-961-0010 or visit www.oceanhemonc.com.

Photo by Tracy Harman Photography

Lynne Griffin

Photo by Tracy Harman Photography

Christina Mendoza

Office Administrator, The Witlin Center for Advanced Eyecare

Assistant General Manager, Meridian Fitness & Wellness

Lynne Griffin is a resident of Little Egg Harbor, was born in the Bronx and moved to Monroe Twp at eight years old. After graduating, she worked in retail until moving to Healthcare 30 years ago with a trip to the Chiropractor! Nine years ago when she felt she needed a challenge, she switched to Ophthalmology to manage The Witlin Center. Lynne is an accomplished Business Manager and “The woman behind the doctors success” most of her career. The Witlin Center for Advanced Eyecare’s 3-location practice keeps Lynne current in the industry as a member of AAOA and going to seminars around the country. She has run educational lectures to different groups and enjoys working with patients and being instrumental in getting their vision restored. Although a dedicated professional, in her spare time Lynne enjoys relaxing with her husband Dennis at their house “down the shore” as well as being out on their boat, going to the gym, visiting Atlantic City and fine dining. She also enjoys spending time with her two college aged children, Shane and Nicole, and strives to live by her motto WORK HARD AND PLAY HARDER! To learn more, visit www.witlineyecare.com.

Originally from Princeton, New Jersey, Christina Mendoza is the Assistant General Manager at Meridian Fitness and Wellness in Hazlet, New Jersey. Christina started her fitness career ten years ago as a Front Desk Associate for a nationally based health and fitness club. She continued to work within the fitness industry throughout college, expanding her knowledge of health and wellness and the impact it has on the community. After graduating from Monmouth University in West Long Branch with a Bachelor’s of Science Degree in International Business and Spanish in 2009, Christina realized that the fitness industry was her true calling. “For the past three years, I have worked as the Marketing Coordinator and as a Les Mills instructor in Lawrenceville and quickly became the Assistant General Manager of Marketing,” says Christina. After hitting several milestones in their Fitness, Marketing and Sales departments, Christina began recognizing her desire to grow within the fitness industry. “I joined the Meridian Fitness and Wellness team in May 2013 and am looking forward to the next chapter in my career.” To contact Christina, call Meridian Fitness and Wellness Hazlet at (732) 335-4200.

Photo by Tracy Harman Photography

The County Woman Magazine

www.TheCountyWoman.com

September/October 2013

Women

of

Monmouth County

Dr. Yvonne H. Johnson

Kyra A. Becker, LCSW, BCD

Hall, Harrison & Johnson Associates, LLC

Assistant Director, NJ Center For the Healing Arts

Dr. Johnson serves as a member of Partners in Health for Meridian Health and is on the board of the New Horizon Treatment Services, Inc. Both programs permit her to lend her expertise to their mission of improving the health of the surrounding communities. Since leaving the pharmaceutical industry, Dr. Johnson returned to her southern roots and natural remedies by becoming the CEO and President of Hall, Harrison & Johnson Assoc., LLC. Her company has partnered with Nikken, the manufacturer of technologies and products that assist in resolving everyday health challenges. These natural solutions provide energy to the body, permitting the body to heal and repair itself from within. The beauty of these phenomenal technologies is that they are non-toxic and produce no side effects but work in synergy to maintain the body in an alkaline environment. Most importantly, these solutions are a compliment to standard, traditional treatment. Dr. Johnson and her husband, Melvin, are longtime residents of Manalapan. She is active in her church community and as a former teacher, enjoys spending time with children and seniors. To learn more about her company and how she may be able to assist you in relieving your discomfort and other health challenges, please contact Dr. Johnson at 732-4092995 or email at drjohnson@hallharrisonjohnson. Visit their website at www. hallharrisonjohnson.com.

Kyra Becker, a native New Yorker, has called Monmouth County her home for 24 years. Her diverse professional and personal background has led her to her current position as the assistant director of the NJ Center for the Healing Arts where she is also a psychotherapist and clinical hypnotherapist. She is especially excited about her role as a supervisor to students from several colleges and universities who come to the NJ Center for the Healing Arts to learn about the integrative mental health model that has been distinguished as being one of the first of its kind in the country. Kyra has a 24-year-old daughter who resides in Manhattan with whom she shares a passion for exercise. She considers both horseback riding and spending time with her dogs activities that help to keep her physically fit. Currently, Kyra’s practice is open to clients who are interested in integrative hypnotherapy. To learn more about Kyra and the team of healing professionals at the NJ Center for the Healing Arts, please visit www.njcha.org or call 732747-2944.

Photo by Annette Jenkins Photography

Luisa Vroman

Photo by Annette Jenkins Photography

Lisa Porada

Director of Development and Community Relations, LADACIN Network

Owner, Cake Designer, Chocolate Carousel

A desire to help children with disabilities led Luisa Vroman to join LADACIN Network 28 years ago. Luisa’s steadfast and caring service to the Agency began in the school program as a music therapist. She has held the positions of Coordinator of Therapy and Director of Ocean County Programs, and now serves as Director of Development and Community Relations. Luisa says, “I am proud to have been involved in an organization that is dedicated to improving the lives of thousands of infants, children and adults with disabilities.” Ms. Vroman is a member of the Monmouth/Ocean Development Council and several local Chambers of Commerce and served on the Board of Directors of the Greater Ocean Township Chamber of Commerce. Luisa received the Constance Weaver Award from the United Way of Ocean County for helping to improve the lives of people in Ocean County. Luisa has lived most of her life in Monmouth County. She resides in Freehold with her husband, Kevin, and is the proud mother of two children. To reach Luisa, call 732-493-5900, ext 266. For more information on LADACIN Network, please visit www. ladacin.org.

Lisa, a lifelong resident of New Jersey has lived in Shrewsbury for 14 years with her husband, John and their daughters, Olivia and Victoria. Creativity and love for the arts is an integral part of this family. Olivia is a classical voice performance major at The College of New Jersey while Victoria is a dance major at Red Bank Regional’s Visual and Performing Arts Academy. Lisa graduated Rutgers with degrees in Spanish and Political Science and Drew University with a Master’s in International Affairs. She worked for several years on Wall Street and later at a consulting firm in New Jersey. However, her love of creating sweets, originating from a high school job in a sweet shop, inspired her to leave the corporate world and pursue her dream. Chocolate Carousel was founded once Lisa completed training in chocolate, pastry and cake design. Lisa heads the company with the support of her husband and family. She is the executive pastry chef and lead cake designer. Chocolate Carousel has received local and national awards for their exceptional quality and service. Chocolate Carousel is a member of the Chamber of Commerce and contributes to many charitable organizations including the Foodbank. Contact Lisa at 732-280-0606, Chocolate Carousel on Facebook or on www.chocolatecarousel.com.

Photo by Annette Jenkins Photography

53

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September/October 2013

54

The County Woman Magazine

Community

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September/October 2013

Social Media

Ocean

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Page 24

Freeze Your Fat Away With CoolSculpting®. A non-invasive, clinically proven procedure to selectively reduce fat layers in problem areas using a patented cooling technology.

An Educational

Resource for Wome n and

Their Families

Page 29

Monmouth Gas troenterology’s tea six specially tra ined doctors spe m of cialize in the treatme nt of diseases dealing with the digest ive system. Lea rn more about them on pages 30 & 31.

The doctors and staff at Toms River X-Ray, CT & MRI Center specialize in diagnosing and ultimately directing the treatment of disease and raphy s Photog injury by using medical imaging techniques such as X-rays, CT, MRI, mammography, and ultrasound. Read more on pages 40 & 41. L. Andrew

Acupuncture FAQ’s Page 8

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Come Experience the Fall Collection at Lynne’s Page 24

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Sept./Oct. 2013

Please Tak e One

Help us hit: 1,000 likes on Facebook & 1,500 followers on Twitter

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Our goal is to reach 1,000 likes on The County Woman Facebook and 1,500 followers on Twitter by October 31, 2013. We will select one person to receive a gift basket out of the cumulative likes we receive from September 1st through October 31st. Our gift basket to you is tailored to the county in which you reside as a thank you. www.twitter.com/TheCountyWoman

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September/October 2013

Community

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September/October 2013

Community

57

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

ND TO E S K L I WA EIMER’ ALZH

For

Dad my

For my Nana

I WA LK ALZH TO END EIME R’S

For

my

kids

’ fut u

re

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.

732.832.7818 alz.org/nj/walk

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58

The County Woman Magazine

Community

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September/October 2013

Travel

59

Girl Trips In Style By: Carole Kaiman Cloud Nine Travel

entertainment (such as attending theater performances or visiting local jazz clubs), and free time to shop.

What’s more fun than hanging out with the most important ladies in Looking for some great girls weekend trips? Need your life while feasting inspiration? Try a shopping trip, on decadent meals, a spa weekend or simply a getaway full of indulging in pampering relaxation by the pool. spa treatments or Ask a group of women to pick their perfect girlfriend getaway and you’re experiencing the great bound to get some creative and varied outdoors? responses. How can you and your According to a recent travel survey, CLOUD NINE TRAVEL learned manfree trips are on the rise, and a large percentage of women polled say they never check in with the office when traveling with pals. Now that’s a real vacation from work!

What’s unique about a women’s trip? It’s safe, relaxed, uncompetitive and stress free. When women travel together they let their hair down. They don’t have to nurture or take care of anyone, except themselves. A women’s trip is a “real vacation,” a time to renew body, mind and spirit. The camaraderie of likeminded women encourages laughter, easy communication, sharing secrets, being one’s self and having lots of fun. Women’s trips have “female specific” activities built into the itineraries--like a spa visit, a cooking class, visits to gardens, evening

traveling crew get on the same page and, ultimately, on the same plane?

Cruisin’…

For gal pals looking to get away on a stress free trip, the gals will leave their worries on dry land and sail aboard one of Regent Seven Seas’ all-inclusive cruises. Female clientele can unwind at the Canyon Ranch Spa Club or let loose dancing at the onboard night club. From piano bars and karaoke to yoga and Pilates to wine tasting and gaming at the casino, Regent Seven Seas keeps them entertained long before reaching the multiple destinations on their cruise.

Culinary Learning Vacations

Shows like Bravo’s Top Chef and Food Network’s Paula’s Home Cooking have created an almost cult-like following for certain celeb chefs and have turned their restaurants into destination hotspots. It can be fun to follow a culinary superstar to a chef ’s table, but many women are no longer content just to taste their dishes; they want to learn how to make the food themselves. That’s likely why the number of women-only culinary vacations has doubled in the past year. Once you’ve got an apron on and mise en place (“everything in place,” as the French say), you and your pals can learn to improve your cutting and cooking techniques as you prepare gourmet meals. The best part of the day (besides bonding with your buds, of course) is enjoying the fruits of your hard labor.

We’ve learned through our travels that it’s all about compromise. Thanks to the recent surge in girlfriend getaways, (56% of women now take them, according to a travel survey), there are more women-only adventures than ever.

You and your group can put your kitchen skills to the test during a 2 to 5-day boot camp at The Culinary Institute of America in Greystone, CA. Working alongside renowned chef instructors, you’ll be immersed in the art of food, such as perfecting a beuerre blanc sauce and learning how to braise osso buco.

Instead of standard female-focused fare, such as spa outings and in-suite slumber parties, the following offerings provide the potential for a trip of a lifetime.

Shopping the Souks

thanks to the exotic markets featured in the film Sex and the City 2 and the television show Real Housewives of New York, groups of friends are now planning destination getaways to souks and bazaars worldwide. These open-air markets, found primarily in Middle East cities, include hundreds of individual stalls that sell a menagerie of goods such as spices, fabric, handmade trinkets, tea sets, clothes and even precious jewelry. Some of the most renowned markets include those in Marrakesh, Morocco, Istanbul (Grand Bazaar which Cloud Nine has shopped), Dubai (Gold Market), and Jerusalem (Old City). Call your best gal pals today and plan a fabulous, fun, getaway, then call Cloud Nine to plan the stress free adventure.

Cloud Nine Travel 732-222-2792

It used to be that groups of gal-pals aspired to do their vacation shopping along Rodeo Drive in Beverly Hills or New York’s Madison Avenue. But

732-222-2792

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September/October 2013

60

Theatre

&Entertainment

dee dee bridgewaTer

in

T he F inal C omebaCk oF a l egend T he b eginning oF a l egaCy ZPerformances Begin september 19thY

“stunningly good!” -BBC “Marvelous theatre!” -Daily Telegraph

“you feel as if you are in a Billie holiday concert.” -Financial Times PHOTO: JOAN MARCUS

telecharge.com 2 212-239-6200 2 ladydaytheMusical.com The Little Shubert Theatre 422 W. 42nd St. 2 Betw. 9th & 10th Aves.

The County Woman Magazine

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September/October 2013

Theatre

&Entertainment

61

A Mesmerizing Story Told Through Music, Dance & Technology

“BEST NEW ACT IN AMERICA!” -Piers Morgan, America’s Got Talent

Telecharge.com 212-239-6200 | iLuminate.com New World Stages, 340 West 50th St.

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September/October 2013

Health

62

& Wellness

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

XCut PrescriptionCard CardOffers OffersSignific Signifi Cut Prescription

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Ourworks Individual program your PdP your PdP ponsible forwhen paying drug the drug that best for the drug that works best for Dec.)Dec.) when you will be re-be re- mize “catastrophic coverage” Use primary Medicare youall will difficult when you yourperiod savings during thisare mize your savings during this has two features: you! you! Our Individual program osts out of for pocket. When Our Individual program sponsible paying all drug sponsible for paying all drugdifficult “catastrophic coverage” Use primary Medicare begins aftercoverage” the provider program “catastrophic Use primary Medicare left without Medicare period whenwhen youcovare difficult period you are has l two has two features: out pocket. When oucosts fallcosts intoofout this ofdoughnut pocket. 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Savings All FDA-are rugs, plus you must continue “doughnut hole” and continue hole” and continue approved medications until“doughnut your “catastrophic covedrugs, understand that famiMedications not not Use Use rxcut to save to participate? plus you must continue Medications rxcut to save to participate? drugs, plus you must continue approved medications are approved medications are until your “catastrophic cove understand that famio pay your Part D premiuntilkicks your in. “catastrophic coveyour understand that famicovered under Medicare 15%-75% on your eligible to receive up to covered erage” The Prescription Savings to pay Part D premito pay your Part D premiunder Medicare 15%-75% on your covered under Medicare 15%-75% on your lieslies across the nation eligible to receive up toup to eligible to receive erage” kicks in. erage” kicks in.Prescription The Prescription Savings ms even though you arenation notcan The Savings across the nation can medications. a 75 percent discount at lies across the can ums ums eveneven though you are though younot are not medications. a 75 apercent discount at at medications. 75topercent discount program a free service all ng from uncontrollable eceiving benefits! AreAre your prescribed program isis a is free service to alltothan more 54,000 pharmaprogram a free service all 54,000 With rxcut there ring from uncontrollable receiving benefits! Are your prescribed uffering from uncontrollable receiving benefits! your prescribed more than 54,000 pharmaWithWith rxcut there are no more than pharmarxcut there are noare no families and individuals that wish cies, including all major conditions as well as the medications not families and individuals that wish excluded medications families and individuals that wish cies, cies, including all major mic conditions well as notnot including all major nomic conditions as well as medications the medications excluded medications RxCut isishere to excluded medications RxCut here to RxCut isashere tothe chains. to save on their prescription. chains. chains. to save on their prescription. covered by Medimaking ends meet and to save on their prescription. covered by Medimaking ends meet and sshelp of making ends and covered by Medihelp you fill in the youyou fill inmeet the help fill in the llOur Maill Our Maintenance Mail-MailOur Maintenance Maintenance care? care? care? ng a healthy lifestyle. ning a healthy lifestyle. ntaining a healthy lifestyle. hole! hole! hole! Order Program: Designed Order Program: Designed Order Program: Designed When does the When does the When does the While Medicare does not ncerns ofreaders readers are always While Medicare does not concerns of readers arehelping always While Medicare does not erns of are always RxCut dedicated to helping to maximize your your savings RxCut is dedicated to tomaximize maximize savings RxCut is isdedicated to helping to your savings card expire? card expire? have an established formuhave an expire? established formu- on all of your maintenance card have an established formuiority, and the The County people priority, and the The County people caught in the Medipeople caught in the Medion all of your maintenance rity, and the The County caught in the Medion all of your maintenance lary, Part D coverage Part D drug coverage Part Ddrug drug coverage care Part “doughnut hole” The card has nono expiration medications through homehome care Part D “doughnut hole”lary,lary, The card has noexpiration expiration medications through nman Magazine has partnered Magazine has partnered are Part DD “doughnut hole” The card has medications through home Magazine has partnered excludes certain categories excludes certain categories certain categories their pharmacy needs.needs. 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ring from uncontrollable mic conditions as well as the f making ends meet and ning a healthy lifestyle. ncerns of readers are always When does the riority, and the The County card expire? you have a aprescription. cancan have a prescription. You can resource thathas provides The card has noYou expiration able resource that provides neesource Magazine partnered youyou have prescription. You that provides even share the same card with even share the same card with oeeRx-Plus upto to 75 percent sssavings toRequest savings up to 75 percent Fill out and return to time receive your FREE savings card! date and cansame be used each offer this even share the card with Cards Through Email: Rxplus@Thecountywoman.Com ~ Phone: 856-881-0302 ~ 336.587.3370. Or Fill OutOut AndAnd Return Request Cards Through Email: Rxplus@Thecountywoman.Com ~ Phone: 856-881-0302 ~ 336.587.3370. Or Fill Return avings up to 75 percent THIS IS THE SAVINGS CARD WE WILL SEND YOU BY CALLING THIS IS THE SAVINGS CARD WE WILL SEND YOU BY CALLING family and friends. All cards family and friends. All cards criptions, lab and Request Cards Through Email: Rxplus@Thecountywoman.Com ~ Phone: 856-881-0302 ~ Or Fill Out And Return prescriptions, lab and Or go to our website www.freerxplus.com/FRP00106 or email Rxplus@TheCountyWoman.com you have a prescription. You can THIS IS THE SAVINGS CARD WE WILL SEND YOU BY CALLING 336.587.3370. family and friends. All cards egging resource that provides Call between the hours of 9-5 Monday through Friday. Call between the hours of 9-5 Monday through Friday. ptions, lab and distributed are active andand ready distributed are active ready services. services. Call between the hours of 9-5 Monday through Friday. even share the same card with distributed are active and ready oervices. savings up to 75 percent for use. for use. Request Cards ThroughforEmail: Rxplus@Thecountywoman.ComNumber ~ Number Phone: ~ Or Fill Out And Return Name: of856-881-0302 Cards: Name: of Cards: use. and family friends. All cards satthis program andand howhow is this program criptions, lab and Name: Number of Cards: program elp me?me? and how What is Medicare D and itservices. help What is Medicare Part D ready distributed are Part active Return to: to: Return ghis Address: hole”? Address: pFreeRxPlus me? What is Medicare “doughnut hole”?Part D TheThe County Woman Prescription County Woman Return to: The FreeRxPlus Prescription “doughnut for use. Name: Number of Cards: The Medicare Part D coverPO Box 619 The Medicare Address: POCounty Box 619Woman hole”? Part D coverProgram will benefit the the “doughnut Program will benefit The reeRxPlus Prescription sngs this program and how Turnersville, NJ 08012-0619 age gap, often referred to as the Turnersville, 08012-0619 age gap, often referred to as the ed, the under insured, andand What nsured, under insured, The Medicare PartPart D coverPONJ Box 619 rogram will benefit the help me?the is Medicare D Return to: “doughnut hole”, is a period of “doughnut hole”, is a period of id Part D participants. dicaid Part D insured, participants. Turnersville, NJ 08012-0619 age“doughnut gap, often hole”? referred to as the d, the under and Acc Ac Address: The County Woman FreeRxPlus Prescription time during the coverage yearyearof time during the coverage take the card to a participly take the card to a partici“doughnut hole”, is a period Part D participants. Thewhen Medicare Part youyou will be DbecoverPO Box 619 P (Jan-Dec) when will Program will benefit the (Jan-Dec) pharmacy when you dropdrop ng pharmacy when you time during the coverage year ke the card to a participaying all drug responsible for paying alltodrug Turnersville, NJ 08012-0619 age gap,for often referred the red, prescription and receive a a responsible your prescription and receive the under insured, and (Jan-Dec) when you will be asyou armacy when you drop coasts out-of-pocket. When you coasts out-of-pocket. When on your medication. ngs on your medication. “doughnutforhole”, is aallperiod of id Part D participants. responsible paying drug rescription and receive a fall intointo thisthis doughnut hole,hole, youyou fall doughnut The The County Magazine 36 36 March/April 20102010 time duringforthe coverage year County Magazine March/April take the cardWoman to Woman a particicoasts out-of-pocket. When you nwuch your are responsible the full costcost are responsible for the full of amedication. Walmart Walgreens much of a Walmart Walgreens (Jan-Dec) when will pharmacy you drop offallprescription into this doughnut drugs you plus hole, you beyou nt will I get? ount will Iwhen get? The County Woman Magazine of prescription drugs plus you 36 March/April 2010 Costco Duane Reade Costco Duane Reade allcost drug continue tofor pay yourfull Part D D areresponsible responsible for the rounts and receive must continue topaying pay your Part depending on ona must hprescription of avary,vary, Walmart Walgreens Discounts depending Target CVS Target CVS premium even though you areyou not out-of-pocket. When premium even though you are you not of coasts prescription drugs plus dication and pharmacy. on your medication. medication and pharmacy. will I get? Costco Duane Rea receiving benefits! receiving benefits! nts typically range from must continue to pay your Part D fall into this doughnut hole, you counts typically range from unts vary, depending on www.TheCountyWoman.com The County Woman Magazine September/October 2013

Fine Art Photography

The County County Woman Woman Magazine Magazine The

www.TheCountyWoman.com www.TheCountyWoman.com

67 63

November/December 2012 September/October 2013

V I C T O RY

V ictory

Brandywine Senior Living has Locations throughout NJ, PA, DE, CT, NY www.Brandycare.com • 1-877-4BRANDY • Relax...We’re here.

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