Monmouth County Woman - January/February 2020 by The County Woman

Monmouth

el eb rat ing O

ur 10th Yea

An Educational Resource for Women and Their Families

FREE ~ Please Take One

LOVE IS IN THE AIR AT LYNNE’S. Did you

know that close to 10 percent of couples in the United States select Valentine’s Day to get engaged?

Page 31

WHAT ARE THE ESTATE DOCUMENTS TO UPDATE WHEN GOING THROUGH A DIVORCE? The

lesson: during divorce, update your will.

MEET DR. JOSEPH JIMENEZ AT REHABILITY.

Dr. Jimenez is eager to assist our patients in an integrative fashion.

Page 13

Pages 4 & 5

Dr. Christine Ally and her team at Shore Premier Dental Arts and Advanced Sleep and TMJ Center of New Jersey are dedicated to providing exceptional service in the treatment of Obstructive Sleep Apnea and TMJ Disorders. They truly care about the health and well-being of their patients and are committed to creating lasting relationships. Read more about Dr. Ally and her professional team on pages 28 & 29.

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Medical Professionals

Peripheral Neuropathy is a nerve disorder known to affect the lives of millions of people throughout the United States. It is a complication found in several different medical conditions including Diabetes, Peripheral Vascular Disease, Cancer and Chemo-Radiation therapies and Metabolic disorders most often. While some cases improve when the underlying cause is managed effectively, sometimes the cause may not always be detectable. As this debilitating condition may progress over time, it is crucial to be proactive with proper treatment, avoiding and further negative impact on quality of life. When functioning normally, the peripheral nerves relay messages from the central nervous system, brain and spinal cord to the rest of the body. However, this key function is disrupted when circulation to peripheral blood vessels becomes impaired, particularly the smaller ones (capillaries), which supply nerve tissues. Without sufficient blood flow making it through capillaries, essential oxygen and nutrients cannot get into the tissues, while the waste products of metabolism cannot get out. The peripheral nervous system eventually becomes distressed and damaged due to starvation and toxicity.

“WE PERSONALLY INVITE YOU TO SCHEDULE A COMPREHENSIVE EVALUATION SO WE MAY DISCUSS YOUR CONDITION AND TO LEARN MORE ABOUT OUR EXCLUSIVE NEUROPATHY PROGRAM" -The REHABILITY Team...We Can Help!

*MOST INSURANCES ACCEPTED, INCLUDING MEDICARE

MicroVas is a FDA-cleared, non-invasive vascular treatment system that delivers electromagnetic energy to targeted areas of the body, stimulating increased circulation to the surrounding tissues. After years of research, this innovative technology was originally engineered to treat NAVY SEAL divers for hypothermia, with the ability to produce a powerful blast of oxygen-rich blood flow into the extremities. MicroVas’ strong, deeply penetrating waveform causes blood to pump and circulate much more efficiently by elevating tissue-oxygen levels. This process may also accelerate lymphatic drainage, helping reduce the effects of swelling by stimulating the body's own immune response. In contrast to other technologies available, studies have demonstrated MicroVas' ability to facilitate new capillary formation, laying the groundwork for new tissue growth and repair while accelerating the healing process. In our experience, MicroVas' therapeutic effects are often substantial and our unique approach of implementation, including extensive manual hands-on therapy and functional conditioning is designed to help you achieve optimal results for long-term relief. "My neuropathy had me miserable day and night and I had just learned to live with it. After five weeks of MicroVas treatments at Rehability, I'm already seeing a difference. They have given me hope and now I feel more motivated to stay active. Thanks so much." -David M. "Since starting treatment at Rehability, I've noticed less pain, tingling and burning sensations from the neuropathy and the MicroVas has made a big difference. Thank you for your kindness and patience." -Grace R. "I had burning in both feet which has reduced significantly with all the MicroVas treatments at Rehability. My balance has improved and I'm able to exercise now with less difficulty." -Bill F.

83 SOUTH STREET SUITE 204 | FREEHOLD, NJ 07728 www.REHABILITYNJ.com

CALL TO SCHEDULE YOUR APPOINTMENT TODAY! 732-780-6230 PHYSICAL THERAPY | CHIROPRACTIC | ACUPUNCTURE

The County Woman Magazine www.TheCountyWoman.com

January/February 2020

Business Spotlight

Meet Dr. Joseph Jimenez at REHABILITY Joseph Jimenez, MD, is a Physical Medicine and Rehabilitation specialist, with over 15 years of diverse experience and training in Interventional and Medical Pain Management, Sports Medicine and Non-Surgical Orthopedics. His practice ideals include preventive care for optimal musculoskeletal health, conservative management of pain and minimally invasive surgery for select patients, using cutting-edge research and healthcare technology.

Skills and Expertise: • Spine injections, such as Epidurals and Facet Joints • Extremity Joint injections • Sacroiliac Joint injections • Trigger Point Injections • Medical Acupuncture • Electrodiagnostic Medicine • Ultrasound-Guided Procedures • Regenerative Medicine • Performance Nutrition

Dr. Jimenez also specializes in minimally invasive procedures including Percutaneous/ Endoscopic Discectomy, Radiofrequency Ablation, Sacroiliac Joint Fusion and Spinal Cord Stimulation. Dr. Jimenez is eager to assist our patients in an integrative fashion achieve optimal physical function, recovery and wellness, all under one roof!

732-780-6230

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January/February 2020

The County Woman

Monmouth County Monmouth Welcome to the Jan/Feb 2020 County Issue of the Monmouth County Woman! Since 2008

Since 2008

Woman

We have all heard the saying, “It takes a village.” Although usually associated with raising children, I would also say it relates to magazine production. In fact, there are so many people involved with producing the County Woman each issue. We simply would not be able to do what we do without the many folks contributing and lending their expertise. From our writers and advertisers, to the many social media followers, and of course, you our valued readers.

On behalf of everyone associated with the County Woman Publications, we would like to thank you for your continued support. As we settle in to 2020, I think this should be a year of getting outside of your comfort zone. After all, that is where the real growth happens. I hope in the year ahead that you try new things and make plenty of mistakes. If you are making mistakes, then you are trying new things and changing your world. We are also coming upon the season of Love and Valentines’ Day. It’s the ideal time to show how much you love those people in your life. Open up your heart and show them how much they mean to you. Speaking of hearts, February is also American Heart Month and reminds us to take care of ours. Did you know that heart disease is the leading cause of death for men and women in the United States? Each year, one in four deaths are caused by heart disease. The Medical Professionals silver lining is that it is a disease that can be prevented when people make healthy REHABILITY.............................................................. 2, 3 choices and adequately manage their health conditions. Hospitals around the All-Care Physical Therapy Center................................. 5 country celebrate American Heart Month by helping raise awareness in their own Allen Morgan Fertility & Reproductive Medicine........... 6 communities about heart disease. Be sure and check out all Gastroenterologists of Ocean County........................... 7 the heart health awareness events in your own town. Ocean Otolaryngology Associates................................ 9 Make 2020 all about encouraging the people you Bella Derma Medi Spa................................................. 10 love in your life to live heart healthy. Atlantic NeuroSurgical Specialists.............................. 11 All correspondence should beAll addressed to: correspondence should be addressed to: Ocean Hematology & Oncology.................................. 15 Best Wishes, The County Woman Reliance Medical Group.............................................. 16 The County Woman Lauren Shover, Production Manager, & the Staff at P.O. Box 619 the Monmouth County Woman Publication P.O. Box 619 Relievus....................................................................... 20

Inside...

woman

Turnersville, NJ 08012

Kathy A. Banks, DMD.................................................. 21

Turnersville, NJ 08012 Toms River X-Ray, CT & MRI Center........................... 23

Advocare Stafford Orthopedics................................... 26 The County Woman’s Newspaper is published bi-monthly andfamily. isWoman’s available Newspaper free of charge at Lauren pictured with her The County is published bi-monthly and is available free of charge at Vein Center for Women............................................... 27 display stands in approved private and public establishments and authorized display stands in approveddistributors private andonly, public establishments and authorized distributors only, Paonessa Colon & Rectal Surgery, PC. . ...................... 30 or by paid mail subscription. or by paid mail subscription. Trademark and U.S. Copyright Laws protect The County Woman’s Newspaper. No Laws part ofprotect The County Woman’s University Urology of NJ............... 35, 36, 37 Trademark and U.S. Copyright Newspaper. No partAssociates of this paper may be reproduced without the written permission of thebepublisher. this paper may reproduced without the written permission of thePersonal publisher.Enhancement Center.................................... 59 The County Woman’s Newspaper is not responsibleThe for any editorial comment (other isthan County Woman’s Newspaper not responsible for any editorial comment (other than Financial Management its own), typographical errors from advertisements submitted as camera ready or any its own), typographical errors fromreproducadvertisements submitted as camera ready or any reproducGarden State Trust Company........................................ 8 tions of advertisements submitted as camera ready.An tions Educational Resource for Women and Their Families of advertisements submitted as camera ready. Wellness If an advertisement does not meet our standards of acceptance, we may revise or cancel it at If an advertisement does not meet our standards of acceptance, Health we may revise& or cancel it at any time, whether or not it has been already acknowledged previously The acknowledged and/or The Natural Pharmacy. any time,and/or whether or not itpublished. has been already previously published. The ................................................ 12 Publisher Chris chris@thecountywoman.com advertiser assumes sole responsibility for Lam all statements contained in submitted copy and will advertiser assumes sole responsibility for all statements contained inHypnosis submitted copy and will for Women................................................... 33 protect andProduction indemnify the Woman’s Newspaper, its owners, publishers, and employees, against protect and indemnify the Woman’s Newspaper, its owners, publishers, and employees, against Cleansing Concepts.................................................... 34 Manager & Advertising Sales Lauren Shover any and all liability loss or expense arising out of claims for libel, unfair loss tradeornames, any and all liability expensepatents, arising out of claims for libel, unfair trade names, patents, Living Healthy Naturally............................................... 51 staff@thecountywoman.com copyrights and propriety rights, and all violations ofcopyrights the right ofand privacy or other violations propriety rights, and all violations of the right of privacy or other violations Legal Professionals resulting fromManager the publication of this newspaper or resulting its advertising Billing Jennifer Hartsig billing@thecountywoman.com from copy. the publication of this newspaper or its advertising copy. ThetoMatus Group................................................. 13 The publisher shall be under no liability for failure, The for any reason,shall to insert an advertisepublisher be under no liability for failure, for any reason, insert anLaw advertiseGraphic Designer error, Golden Design LLCto insert any ment. The publisher shall not be liable by reason of ment. omission and/or failure The publisher shall not be liable by reason of error, omissionAssisted and/or failure to insert any Living K. Wolf part of an advertisement. The publisherCEO will not beLynn liable or failure inThe performance part offor andelay advertisement. publisher will not be liable for delay The or failure in performance Chelsea at Shrewsbury........................................ 14 in publication and/or distribution if all or any portion of an issue isand/or delayed or suspended in publication distribution if allfor or any portion of an issue is delayed or suspended for Pediatric Dentistry For advertising any reason. The publisher will exercise reasonableinquiries, judgment in these instances will andcall: will make any reason. The please publisher exercise reasonable judgment in these instances and will make Tender Smiles 4 Kids....................................... 17, 18, 19 adjustments for the advertiser where and when appropriate. adjustments for the advertiser where and when appropriate. The Woman’s Newspaper assumes no responsibility The for unsolicited material orassumes reproducHome Health Woman’s Newspaper no responsibility for unsolicited material or reproduc- Care tions made by advertisers. tions made by advertisers. UM Communities HomeWorks.................................... 22 This newspaper will be published by the 15th of every month.will be published by the 15th of every other month. Thisother newspaper Financial Independence 2008. County Woman, LLC TM COPYRIGHT Representations by The Monmouth County Woman, LLC TM COPYRIGHT 2008. Representations by The Monmouth ra leb Ce

ting O

ur 10th Year

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Upholstery & Décor

Superior Upholstery & Décor...................................... 34

Radio

Thunder 106.3............................................................. 38

Cake Shoppe & Tea Room

A Sweet Memory Cake Shoppe & Tea Room.............. 39

Funeral Planning

Anchor Monuments..................................................... 40

Acupuncture

Koehler Acupuncture................................................... 41 Women of Monmouth County..... 42, 43

Travel

Vagabond Travel Agency............................................. 45

Theatre & Entertainment

Two River Theater........................................................ 46 Axelrod Performing Arts Center.................................. 53 Gazillion Bubble Show................................................ 54 Harry Townsend’s Last Stand...................................... 55 Cape May Stage.......................................................... 57 Atlantic City Ballet....................................................... 58

Networking for Moms

Moms of Business....................................................... 52 Community................................ 44, 47, 48, 49, 50

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1.866.398.0898

Contact us: Freedom Capital Management.............................. 24, 25 P.O. Box 619 • Turnersville, NJ • 08012 on the Cover FIND US ON THE WEB! FIND US ON THE WEBFeatured ! Shore Premier Dental Arts..................................... 28, 29 856.885.8066 WWW.THECOUNTYWOMAN .COM WWW .THECOUNTYWOMAN .COM & Beauty Fashion

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The County Woman’s Newspaper is published bi-monthly and is available free of charge at display stands in approved private and public establishments and authorized distributors only, or by paid mail subscription. Trademark and U.S. Copyright Laws protect The County Woman’s Newspaper. No part of this paper may be reproduced without the written permission of the publisher. The County Woman’s Newspaper assumes no responsibility for unsolicited material or reproductions made by advertisers. This newspaper will be published by the 15th of every other month. Representations by CW Media Group, LLC, COPYRIGHT 2008.

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January/February 2020

Medical Professionals

Overview Of Lateral Ankle Sprains by Alex Sliazis

Do you know someone who has twisted or rolled their ankle? Lateral ankle sprains are amongst the most common lower limb musculoskeletal injuries in today’s athletes and individuals involved in recreational sports and/or leisure physical activities. According to a 2019 consensus statement from the International Ankle Consortium, up to 70% of individuals have been involved in some sort of ankle injury throughout the course of their lives. The following questions may come to mind: What causes this high percentage? Am I at risk? What are my treatment options? Understanding the Anatomy

The ankle is made up of three connecting joints: The talocrural joint (main ankle joint) – consists of three bones: the tibia, fibula, and talus. The distal ends of the tibia and fibula (lower leg) articulate with the talus (in the foot). This “hinge joint” allows for dorsiflexion and plantarflexion movements (upward/downward). The subtalar joint – consists of two bones: talus and calcaneus (heel bone). Primary movements of this “gliding joint” are inversion and eversion (inward/outward turn). The inferior tibiofibular joint – “the ceiling” – consists of the distal end attachments of the tibia and fibula. Ligaments of the lateral ankle (outside aspect): Anterior talofibular ligament (ATFL) – most commonly injured Calcaneofibular ligament (CFL) – usually injured with conjunction of ATFL Posterior talofibular ligament (PTFL) – rarely injured, strongest of lateral ligaments

Common Causes / Risk Factors

The mechanism of injury resulting in a lateral ankle sprain occurs during an unstable moment of ankle plantarflexion with inversion (downward/inward turn). Some examples of activities that may cause this instability: coming down from a jump or descending from a higher surface, stepping on someone’s foot, coming in contact with crack, hole, or uneven surface when walking or running, and wearing improper footwear for activity-specific demands.

Research has found the following risk factors to correlate with lateral ankle sprains: poor conditioning, overconditioning, muscular fatigue, excessive weight and increased BMI levels, non-compliance with stretching and warm-up prior to physical activity.

Who’s at Greater Risk?

Gender is not a strong indicator for higher rates of lateral ankle sprains. However, age and activity levels are more prevalent. Adolescents between ages 10 and 19 years old who are actively involved in organized sports or recreational activities are at a higher risk to sustain such injury.

Signs and Symptoms

• Pain • Bruising/skin discoloration • Swelling of ankle (greatest on lateral aspect) • Difficulty walking • Inability to stand/put pressure on affected ankle • Tenderness with touch • Stiffness or loss of ankle mobility

How Can Physical Therapy Help?

Grades of Lateral Ankle Sprains / Recovery Time*

Grade 1 – mild, painful and damage to a ligament or ligaments without causing instability at the ankle joint. Recovery Time – 1-3 weeks Grade 2 – moderate, painful and damage to ligament causing a partial/incomplete tear and instability to the ankle joint. Recovery Time – 3-6 weeks Grade 3 – severe, painful or nonexistent pain, complete tear of ligament(s) with instability. Recovery Time – 6-12 weeks *Recovery time is variable.

Medical Imaging / Diagnostic Testing

To rule out ligamentous damage or bone injuries, the following tests may be ordered by your physician prior to or after conservative treatment measures: • X-rays: if suspecting a bone fracture • MRI: higher resolution imaging – suspecting bone, ligament, and/or soft tissue damage

Treatment Options

• Immediately following an ankle injury, the first goal needs to be focused towards reducing pain and inflammation. The RICE regimen should be established

within the first 48-72 hours (RICE = Rest, Ice, Compression, and Elevation). Mild grade 1 sprains can heal on their own by using this regimen with inactivity. • Medication – taking over-the-counter pain medication, with your doctor’s approval. Some examples include nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil, Motrin) and naproxen (Aleve). • If weight-bearing through the involved ankle is too painful, your doctor may give you crutches to allow for a partialweight-bearing status (PWB). • As you progress from PWB to normal walking, you may benefit from wearing a supported ankle brace inside your sneaker. A sample of companies that manufacture braces include AIRCAST, DONJOY, and PROCARE. • Don’t be surprised if you are given a prescription for physical therapy services! Here is a list of the main chronological goals your physical therapist will follow for you to have a successful and healthy recovery: • Reduce pain and inflammation • Regain full ankle range of motion • Restore strength • Facilitate re-education of balance and control • Re-establish speed and agility • Progress to dynamic sport-specific movements • Return to sport and/or recreational hobby

What Happens if I Avoid Treatment?

A previous injury is the greatest risk factor for future injury. Chronic Ankle Instability (CAI) – the occurrence of repetitive episodes of lateral ankle instability resulting in frequent lateral ankle sprains. CAI is common for individuals who do not take the appropriate measures to address their ligament laxity and do not modify their performance.

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The County Woman Magazine www.TheCountyWoman.com

Alex graduated in 2014 with honors from Lebanon Valley College in Pennsylvania with a Bachelor’s Degree of Science in Health Sciences. He continued his graduate education at LVC achieving his Doctorate of Physical Therapy in 2017. Throughout his graduate studies, Alex completed his first and last clinical affiliations in sub-acute rehabilitation and outpatient physical therapy respectively in his hometown area of Ocean/Monmouth County. In addition, he practiced acute care physical therapy in a hospital’s Intensive Care Unit in the Greater Philadelphia Area. Alex’s passion for outpatient physical therapy services occurred after completing an orthopedic clinical rotation with Clemson Sports Medicine and Rehabilitation in Charleston, South Carolina. During the final three years of his college’s doctoral program, Alex was an active volunteer in LVC’s C.U.R.E. Student Run Free Clinic which provided pro-bono physical therapy services to uninsured individuals of the Lebanon County community. Alex’s treatment approach puts emphasis and value on the importance of patient education and communication, hands-on manual care, and functional therapeutic exercise. He sustained two separate ACL and meniscus injuries playing basketball in college, therefore, Alex looks to establish a personal connection with each of his patients to drive an effective and appropriate patient-centered treatment plan.

January/February 2020

Medical Professionals

Egg Freezing / Fertility Preservation Is it Right for Me? By Dr. Allen Morgan Morgan Fertility and Reproductive Medicine Egg freezing allows a woman to take control of her ticking biological clock by banking her eggs for future use. This elective procedure has gained popularity lately due to many large corporations such as Apple and Yahoo now offering egg freezing as an option to their employees who want to focus on career before starting a family.

Adding to the buzz, many celebrities are now openly talking about their choice to freeze their eggs until finding the perfect partner, then undergoing in vitro fertilization (IVF) when the time is right.

Celebrities who reportedly have elected egg freezing:

• Fran Drescher • Bridget Marquardt • Sofia Vergara • Kim Kardashian • Maria Menounos • Janet Jackson • Jennifer Aniston Beyond the intention of pursuing a career or waiting for the right partner, there are many other factors that motivate a person to elect to freeze their eggs for later use. Age, school, lifestyle concerns, or medical concerns such as family history or a cancer diagnosis may also play a role in the decision to freeze eggs for later fertilization. Whatever the motivation a woman may have to freeze her eggs for later use, there are common questions associated with the process that should be taken into consideration prior to making such a big decision.

What is the optimal age to freeze eggs?

Fertility specialists recommend freezing earlier for better quality oocytes (eggs) as well as embryos. Egg freezing is recommended in your 20s and 30s, but it can be done in your 40s. However, in addition to age, we also take into account hormone levels and antral follicle (resting follicle) count.

Indeed, if we look at IVF data, there is an inflection point in pregnancy rates after the age of 35. Between the ages of 38 to 39, there is an even larger inflection point. So, the best advice a woman’s health professional can give to someone who falls into one of these age groups is to start the process with a specialist as soon as you can. It doesn’t hurt to investigate and there is no obligation to proceed, since this may be an elective procedure.

Will my health insurance cover egg freezing?

Typically, most health insurance companies do not cover elective fertility procedures. However, you should check with your provider directly to confirm your specific coverage details. Often some blood tests, ultrasounds or other pre-retrieval procedures may be covered. If you are about to undergo treatment for cancer, your insurance may offer coverage for fertility preservation. There has been much movement in legislation over the past few years advocating for individuals with medical issues such as cancer. The cost is approximately $8500.

How do I choose a doctor to discuss my options?

While there are many fertility specialists in our area to choose from, you will want to find a specialist who not only fits your personality style, but who is known as an expert in egg freezing. Also, you will want to decide whether a fertility “clinic” or a solo practitioner better fits your personality style. Generally speaking, smaller practices offer a more intimate, personalized bedside manner, and larger “clinic” style practices provide a bit less personal experience, while both may have high success rates. Last, it is important to select a doctor who utilizes minimal stimulation (fewer medications) while achieving high success in vitro fertilization (IVF) rates, a sure sign of an expert staff and close monitoring of patients.

Call 732-363-4777 for more information or visit www.MorganFertility.com.

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Call 732.363.4777 200 Perrine Rd Suite #229 Old Bridge, NJ 08857

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January/February 2020

Medical Professionals

Burning Questions

About Gastro Esophageal Reflux Disease Written by: Kenneth Glazier, MD Gastroenterologists of Ocean County Most of us at one time or another has suffered from heartburn. We have all seen the ads for the numerous acid suppressing medicines. The question is when to take notice of these symptoms and to seek the advice of a doctor. What is GERD? Gastro Esophageal Reflux Disease (GERD) is a condition related to stomach acid backing up into the esophagus. The esophagus is the food tube that connects the mouth to the stomach. At the bottom of the esophagus is a muscle called the lower esophageal sphincter (LES). The job of the LES is to squeeze the bottom of the esophagus tight to prevent the stomach acid from splashing up and burning the esophagus. It is supposed to stay closed at all times except when we swallow, belch or vomit. The LES can inappropriately relax causing acid to enter the esophagus. When stomach acid enters the esophagus it can damage the lining of the esophagus and cause symptoms such as a burning sensation in the chest called heartburn. Reflux may be so severe that a person may believe they are having a heart attack. Atypical symptoms can also occur like excess belching, hoarseness, sore throat, asthma, or chronic cough.

What is Endoscopy? Upper endoscopy is a painless procedure that is performed in our outpatient endoscopy center. The test may only take five minutes to perform. The test is performed by a gastro-enterologist while you sleep. An anesthesiologist is also involved to provide sedation through an intravenous needle. The doctor will take a pencil thin tube with a light and a camera on the tip and slide it into your mouth and follow the pathway the food takes down the esophagus, stomach and small intestine. These areas can be carefully examined, photographed and biopsied. The risks of complications from the test are very small. There are no alterna-tive tests that can allow the doctor to take important biopsies of the esophagus which are necessary to diagnose Barrett’s esophagus and cancer of the esophagus. As you can see heartburn may not just be a symptom to grin and bear, but may represent a serious health problem. It is therefore very important to talk to your doctor if your symptoms are long standing, require chronic medication therapy or are associated with alarm features.

What can I do to prevent GERD? There are a number of lifestyle and dietary changes that can be tried for most people with GERD. Avoiding foods and beverages that can inappropriately relax the LES is recommended, such as fatty foods, spices, tomato products, coffee, alcohol and sodas. Stopping cigarette smoking and losing weight if overweight can improve symptoms. Behavior modifications such as elevating the head of your bed on blocks or using a specifically designed wedge will help keep the stomach contents and acid in the stomach. Decreasing the size of portions of dinner and eating dinner 2 to 3 hours before bedtime can also avoid night time GERD. What medicines are used to treat GERD? Medicines used to treat GERD include antacids which neutralize acid already produced by the stomach. Other medicines like H2-blockers and proton pump inhibitors suppress the production of acid by the stomach. These medicines are used to prevent symptoms of heartburn and aid in healing of acid induced injury. These medicines are available both over the counter and by prescription. Prescription medications are usually stronger and may give better relief of symptoms. When should I worry about GERD? There are certain alarm symptoms that may indicate a more serious condition than just typical GERD. If someone with heartburn has problems swallowing, weight loss, nausea, anemia, or blood in the stool then they should tell their doctor. Patients who have had heartburn more than five years or have heartburn starting after the age of 45 should also be concerned and notify their doctor. Alarm symptoms may indicate bleeding ulcers, scars in the esophagus called stric-tures or even cancer of the esophagus. If medications are required for more than an occasional use or for prolonged periods of time it is important to discuss with your doctor. Patients with heartburn for a long time dramatically increase their risk for developing Barrett’s esopha-gus and cancer of the esophagus.

Omar Tamini, MD Jill Collier, MD Edgar Bigornia, MD Kenneth Glazier, MD Jai Mirchandani, MD Teresa Menadier, MD

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

What is Barrett’s Esophagus? Barrett’s Esophagus is a permanent change in the type of cells lining the esophagus in a reaction to chronic acid injury. This condition is associated with an increased risk for the development of cancer of the esophagus. Esophageal cancer is increasing in incidence more rapidly than any other type of cancer. Barrett’s esophagus is most commonly diagnosed in Caucasian males in their fifties to sixties. Barrett’s Esophagus and cancer of the esophagus are best diagnosed with upper endoscopy.

• Endoscopic treatment of hemorrhoids • Capsule Endoscopy • Breath testing • Esophageal and anorectal manometry

A Division of Allied Digestive Health

Happy New Year!

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ty Woman Magazine

January/February 2020

March/April 2018

Financial Management

Think Hard Before Tapping Your 401(k) Balance One of the features that makes 401(k) plans so attractive is that your money is not completely out of reach should an emergency need arise. Most plans allow for loans that are completely tax free if repaid as agreed. (Interest payments will be required, but they will be credited to the account.) In a major emergency, a hardship withdrawal may be permitted, subject to income tax and, usually, a 10% penalty as well. Borrow?

At first glance 401(k) loans may look particularly appealing. After all, you make those payments of principal and interest to yourself. However, if the interest that you pay is less than your borrowed dollars would have earned in the plan, you will slow the growth of your retirement nest egg. Moreover, you pay with after-tax dollars—replacing your original taxdeferred contributions. Loans must be repaid in no more than five years. (Fifteen-year terms are allowed for loans to purchase a home.) If you leave your job before a loan is repaid, you’ll have to pay it off, or the open balance will be considered a premature withdrawal subject to income tax and penalty. Potentially more serious yet, the burden of loan payments may make it impossible to continue your 401(k) contributions.

Withdraw?

It’s not easy to make a hardship withdrawal from your 401(k) account. You must show an “immediate and heavy financial need” for: medical expenses not covered by insurance; the purchase of a principal residence; postsecondary tuition; or to avoid eviction from or foreclosure on a principal residence. Many plans also include funeral and child support expenses. You also must show that you have no other resources reasonably available to meet these costs. This means that you first must fail to qualify for a plan loan. Once you take a hardship withdrawal, you will be barred from contributing to your plan for at least 12 months.

Pay now or pay later

To examine the effect of these options, let us compare the long-term results for Nancy Needful, a hypothetical 35-year-old worker with a $30,000 balance in her 401(k) plan. Nancy contributes $150 monthly to her account. Faced with a sudden emergency need for $10,000, Nancy has three options. Nancy can: A. Take a loan of $10,000 from her plan at an 8% interest rate and cease making contributions until the loan is repaid in five years, making monthly payments of $202.76, and resuming her $150 contribution after five years. B. Make a hardship withdrawal of $12,500 to provide the cash that she needs and cover her income tax and penalty, resuming her participation in the plan after one year. C. Obtain a $10,000 advance on an inheritance, continuing her participation in the plan.

Here’s how those choices will play out: The long-range cost of raising $10,000 Reduced plan accumulations

At age 55

At age 60

At age 65

Loan $199,384 $310,352 $470,186

Withdrawal

$166,609

$259,317

$397,437

Advance $236,007 $362,709 $551,476

Source: The Merrill Anderson Company. Assumes a steady 8% return on investment, does not represent any particular investment.

As we see, by taking the advance on her inheritance and continuing plan contributions, earning an 8% return on her investments, Nancy ends up at age 65 with 17.4% more than if she had taken the loan and fully 38.8% more than with the withdrawal. The lesson: Tapping into your retirement plan assets should be your very last resort.

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732.255.5000 | gstrustco.com January/February 2020

Legal Professionals Medical Professionals

7 19 9

PERSONALNasal INJURY CLAIMS – WHEN YOUDangers NEED A LAWYER Congestion And The Size Matters Of Over-The-Counter Nasal Sprays

When bad things happen to good people, a lawyer’s services are necessary to ensure that you get the most compensation for your injuries.

Nasal congestion is a common problem.

Why do I need a personal injury attorney? Almost everyone has had a stuffy nose at some point in their Experience and expertise. Personal injury attorneys often have: Causes can vary, other including •lives. Trial experience (whereas types ofallergies, attorneyssinusitis, may not); viral infection, anatomical abnormalities. Most people self-treat before •and Negotiation experience; •seeking An in-depth understanding of medical diagnoses intranasal and processesdecongestants, associated with medical advice. Over-the-counter personal injuries; and drugs such as phenylephrine, can bring near instant relief. These • An in-depth understanding of negligence law and other torts. medications are meant for short-term use only, three days or fewer. Factors to consider IfWhen used you for begin morethe than three overuse of intranasal decongestants process of days, choosing a personal injury attorney, you will can to lead to worsening nasala obstruction andimportant dependence the want understand what makes good lawyer. One factoron is trial experience. While notname all cases to condition trial and most out medicamentosa. of court, you will medication. The of go this is settle rhinitis want to hire an attorney who is a certified trial attorney and is by a Rhinitis medicamentosa is drug-induced swelling ofnot theintimidated nasal trial. passages due to a rebound phenomenon. The more you use the Know the facts of your case and have as much documentation as medicine, the more stuffy your nose becomes. People find themselves possible. trapped in a vicious Before meeting with ancycle. attorney for an initial consultation, write down and

Law offices range in size from sole practitioners to firms with hundreds of lawyers. While large firms may be more attractive, there are undeniable benefits to hiring a smaller firm.

3. TheFirm spray is no longer helping. Small 4. You experience withdrawal symptoms you try Small firms can be an excellent choice and so you may wantwhen to consider retaining oneto if itquit makesthe sense, given the natureas of your legal problem.sleep Although no two spray, such headaches, trouble, firms are the same, potential of hiring a small firm include: restlessness, and benefits anxiety. • A more direct working relationship with your lawyer.

There one long-term to this problem: you Your caseisisonly not going to get lostsolution in the shuffle.

•have Lowertofees andusing costs. Itthe is not unusual for a small firm to charge less than a big stop nose spray. firm might charge for doing the same type of work. youinformal suspectworking you arerelationship. addicted You to your nosetospray, is time for • A If more are likely get to it know everyone in your lawyer’s officephysician. if he or she isWe with a small can your lead tonose a better you to see an ENT can helpfirm. you This get off working relationship, which may make you feel more comfortable. spray. There are medications that can be prescribed for both short-

and to help treat rhinitis medicamentosa. Forlong-term a free use consultation, please contactWe can also help identify the cause Esq., of yourat nasal congestion and help solve the Kevin Riordan, 732-240-2250. problem safely for the long term. There are a wide variety of diseases that can cause nasal congestion, conditions such as allergic rhinitis, Kevin B. Riordan, Esq. nonallergic rhinitis, deviated nasal septum, nasal polyps, use of over 20 years of trying cases in New Jersey, youchronic sinusitis, and CPAPWith machine, upper respiratory infection, can rest assured that if you hire Kevin Riordan he will not pregnancy. ENT physicians have the training and the tools to make settle for less than the fair amount. A lawyer’s services the correct diagnosis and youmost down the path of breathing clearly are necessary to ensure youget get the compensation through your nose. for your injuries. Kevin attended Kalamazzo College and

know many factsclues of your caseyou as possible. Hereasare some that have rhinitis medicamentosa: The attorney may want to see any or all of the following: 1. Your main and only symptom is nasal congestion. • Police or incident report cannot identify triggers typically seen with •2. You Medical documents, including bills, diagnoses, and test results allergies. • Pictures of the location of the incident or accident, damage, injuries or anything from the scene received his law degree from New York Law School. He is a • Written statements from witnesses member of the Ocean and American Bar Associations. He Dr. Christina Gillespie is a board certified Otolaryngoloigist who has been in practice in Toms River since 2013. • Your insurance policy (if applicable) She completed her internship and residency in Otolaryngology at Walter Reed Army Medical Center. Beforeby moving to is certified the Supreme Court as a Civil Trial Attorney. River, she served as Chief of Otolaryngology at William Beaumont Army Medical Center in El Paso, Texas for Feel comfortableToms with the attorney eight years. At Ocean Otolaryngology, Dr. Gillespie sees patients of all ages with a variety of medical problems. Her

You are going to specialties be spending a good amount of time with yourand lawyer, include pediatric otolaryngology, sinus surgery, surgeryso foryou sleep apnea. She also treats common medical conditions such as hearing loss, tinnitus, hoarseness and chronic cough. want to make sure they make you feel comfortable, will be available to answer any Dr. Gillespie resides in Monmouth County with her husband and daughter. She enjoys spending time with her family as they explore the Jersey Shore. questions youMDmay She have, and will have a positive outlook about your case. Christina Gillespie, Certified by the SupremeBruce Court W. Peters,of DO, FACS is also an avid tennis player.

Kevin B. Riordan

New Jersey as a Civil Trial Attorney

TESTIMONIAL “I am a long-time client of Kevin Riordan. Among other things, he has represented my mother for a fall and me in a worker’s compensation case, with great results. Sometimes the process gets complicated, but I feel confident when he is battling on our side because I know he has a great reputation as a trial attorney.”— William H., Manahawkin

Dawn

Stephen Kupferberg, MD, FACS

732-240-2250 kriordan@kbrlawfirm.com

54 Bey Lea Rd., Suite 3, Toms River, NJ 20 Hadley Ave., Toms 1707 River,Atlantic NJ 08753 Avenue, Wall Township, NJ

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Medical Professionals

It Took 40 Years and Four Physicians to Diagnose One Man’s Intense Back Pain – and One Day for Him to Feel Relief Jan Mondrus was in his 20s, riding in the back seat of a car when he arched his back and felt a flood of pain. It was the first time the musician, now in his mid-60s, experienced an intense spasm in his lower back. Little did Jan know this would be the start of a tumultuous 40-year journey toward beating back pain. “After a few more occasional back spasms, I went to my doctor and had an MRI,” says Jan. “He said I had herniated discs and at that point, there was nothing he could do for me.” Years later, after more painful spasms that temporarily left Jan unable to walk, he saw another doctor and got the same answer.

Atlantic NeuroSurgical Specialists

Jan’s spasms continued intermittently over the next 20 years.

and Altair Health, specialists in

“Then my leg started hurting. Soon I couldn’t walk, stand up for very long or even sit down in most chairs. My leg was threequarters numb and I was essentially incapacitated,” he explains. Fast forward through a consult with an orthopedic surgeon, a diagnosis of spondylosis – essentially a fractured spine – and Jan found himself researching spine surgeons. “Dr. Scott A. Meyer at Atlantic NeuroSurgical Specialists stood out because of his expertise with complex and minimally invasive spine surgeries,” Jan notes.

comprehensive spine care, are After decades of pain, musician and avid gardener Jan Mondrus finally found a spine surgeon who could treat his fractured spine.

now seeing patients in Freehold. How can we help you?

ANS, New Jersey’s largest neurosurgical practice and one of the most advanced in the country, is a proud partner of Altair Health, one of the nation’s first physician-managed healthcare systems devoted to comprehensive spine care. Dr. Meyer, a board-certified neurosurgeon, performed decompression surgery to alleviate the pressure Jan’s spine was exerting on his nerves, as well as spinal fusion to correct the structure of his vertebrae. “Going into surgery, I had no guarantees I would ever feel my leg again. Lo and behold, I regained feeling and felt relief the very next day,” says Jan. One month later, Jan was back to digging in his garden and cleared to play tennis, which another physician said he would never be able to play again. “Jan’s story highlights how important it is for patients with spine injuries to consult with a neurosurgeon who focuses specifically on the spine,” notes Dr. Meyer. “If Jan had resigned himself to being restricted by his pain, the ending to his story would be quite different.” Atlantic NeuroSurgical Specialists (ANS) is New Jersey’s largest neurosurgical practice and one of the most advanced in the country. ANS is steering Altair Health’s efforts to take the prevention, diagnosis and treatment of spine conditions to the next level. To learn more, visit www.ANSdocs.com and www.AltairHealth.com.

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ansdocs.com 833.4ALTAIR (833.425.8247)

January/February 2020

Medical Professionals

DNA Health Testing: For Your Health Plan “The Future Of Medicine” Why would you get genetic testing? Written by Eric Sauer, R. Ph. NMD. DHPh Genetic testing is a type of medical test that identifies changes in chromosomes, genes, or proteins. The results of a genetic test can confirm or rule out a suspected genetic condition or help determine a person’s chance of developing or passing on a genetic disorder. • DNA testing tells us how the body works. • DNA is the carrier of genetic information in the body. • DNA SNPs (single-nucleotide polymorphisms) are a genetic variance at a single position in the DNA of a person. SNPs can be used to evaluate an individual’s genetic predisposition to developing a disease. • DNA testing tells us what is working and what is compromised.

We can work with our genes to obtain optimal health! • One of the most important pieces of information we can use to improve our health is the SNP. • Most SNPs don’t seem to affect us much but can make a huge difference. • SNPs in the MTHFR gene can create a variety of problems, including obsessiveness to irritability to birth defects to cancer. SNPs can produce these effects but they don’t have to.

Genetic Interpretation: • Everyone is born with genetic SNPs; this is out of our control. • You do not have control over the genes you inherit, but you do have control over the triggers you expose to your genes. • Identifying genetic SNPs can help to guide healthier choices and allow supplementation for specific depletions. Epigenetics: • A person’s health isn’t generally a reflection of genes, but how their environment is influencing them. • Genes are the direct cause of less than 1% of diseases; 99% is how we respond to the world. WHY TEST? • Genetic testing: to some people it tells them who they are, but it should tell your potential. • Nothing is written in stone (almost nothing); most often these genes are friendly and flexible to our input and self-correct. • We can fix things and avoid potential negative outcomes. • Watch the signs that need clearing/help…give support nutritionally. WHY THIS IS GOOD FOR YOU? 01) When you “hit the nail on the head” you get better results and higher compliance. 02) You are getting to the causes, rather than chasing symptoms. 03) The public is learning more about genetics, and wants to work with someone who can help them understand the results.

WHAT DOES ALL OF THIS MEAN? There are three types of patients. One patient gets bitten by a tick and nothing happens. Another patient gets bitten by a tick; 3 days of antibiotics helps them with their condition. The third patient gets bitten, and when they’re given antibiotics, nothing happens, and their symptoms persist. This is WHY. When SNPs are off, it is difficult to get well and recover. This is for those people who have severe illnesses as well, i.e., autoimmune, cardiovascular, autism, Parkinson’s, Alzheimer’s, and even cancer. We have DNA test kits to provide us with information needed to figure out which SNP is off, and it is possible to correct it with the right nutrition program and specific supplements. Dr. Eric Sauer has been working with DNA analysis for over 5 years. He is incredibly gifted with his knowledge, and has the ability to figure out even the most difficult cases. He takes his time with each patient and has an amazing following in his practice, which is over 20 years. For more information, call the Natural Pharmacy & Organic Skin Bar. Dr. Eric does phone consults as well. 732.695.0277 www.ericsnaturalpharmacy.com

Eric Sauer, R.Ph., NMD, DHPh www.Ericsnaturalpharmacy.com Laurie Lombardi, CDN www.ericsnaturalpharmacy Follow us on Facebook The Natural Pharmacy & Organic Skin Bar

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January/February 2020

Legal Professionals HELPING PEOPLE PROTECT ASSETS FOR SPECIAL NEEDS CHILDREN AND CONDUCT SMOOTH REAL ESTATE CLOSINGS FOR OVER TWO DECADES. • Special Needs Trusts • Wills & Estate Planning • Guardianships • Health Care Proxies • Long Term Care • Powers of Attorney • Inheritance Tax Planning • Trusts 81 East Water Street Suite 2C, Toms River NJ 08753 732.281.0060 www.MatusLaw.com 125 Half Mile Road, 200 Red Bank, New Jersey 07701 This office by appointment only.

Christine L. Matus, Esq.

What Are The Estate Documents To Update When Going Through A Divorce? By Christine L. Matus, Esq.

The story of a divorcing couple in Arizona demonstrates why you need to update your estate plan at divorce. The couple, who were in their early 40s and had been married for several years, had created a multimillion-dollar business together. When they filed for divorce, the process became bitter and full of disagreements about small issues. They were thinking in the moment about the immediate dollars and cents, but didn’t consider what would happen with assets at death. During divorce, update your will to ensure your assets go where you want them to go. One night the wife had dinner with friends. Sadly, she died in a tragic car accident on her way home. Neither she nor her husband had changed their wills. As a result, everything she had, including the half of the business that belonged to her, went to the husband. Her family was left with nothing. In this case, an interim will could have stated that her share of the marital estate would go to her parents. The lesson: during divorce, update your will to ensure your assets go where you want them to go, such as to your parents or to a child from the current marriage or a previous one. In addition to changing your will, you must also change the following: 1. Power of attorney documents. It’s essential that you change your powers of attorney during

divorce. You need a medical power of attorney to ensure that your estranged spouse can’t make medical decisions on your behalf. Remove any financial powers of attorney as well. 2. Guardian for your minor children. If you have chosen a guardian for minor children in your will, any change will have to be agreed to by your estranged spouse. You cannot create an interim will that excludes the other parent as a guardian, unless your spouse’s parental rights have already been removed. 3. Accounts with named beneficiaries. While you’re in the process of divorcing, you typically cannot change the named beneficiaries on 401(k) plans or life insurance policies, though if needed, you might be able to obtain an interim order to authorize a change. Once your divorce agreement is in place, it might state which beneficiary designations can and cannot be changed. Once your divorce is final, remember to review interim documents and other documents again. Any trust you have with your former spouse will have to be revoked or amended. The assets will have to be moved to a new trust. The Matus Law Group can help make sure all documents are properly changed along the way.

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

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

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

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Serves-12

January/February 2020

Assisted Living

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Happy Valentine’s Day

X and O Rice Krispy Treats- A Fun Unique Craft For Kids

1. In large saucepan melt butter over low heat. Add marshmallows and stir until completely melted. Remove from heat. 2. Add KELLOGG’S RICE KRISPIES cereal. Stir until well coated. 3 tablespoons butter or margarine 3. Using buttered spatula or wax paper, evenly press mixture into 15 x 10 x 1-inch pan coated with cooking spray. Cool slightly. Using 1 package JET-PUFFED Marshmallows cookie cutters coated with cooking spray cut into X and O shapes. Decorate with frosting and/or candies. Best if served the same day. 6 cups Kellogg’s® Rice Krispies® cereal Microwave Directions: In microwave-safe bowl heat butter and marshmallows on HIGH for 3 minutes, stirring after 2 minutes. Stir Canned frosting or decorating gel until smooth. Follow steps 2 and 3 above. Microwave cooking times may vary. Food coloring Note: For best results, use fresh marshmallows. 1 jar (7 oz.) marshmallow crème can be substituted for marshmallows. Diet, reduced Assorted candies calorie or tub margarine is not recommended. Store no more than two days at room temperature in airtight container. To freeze, place in layers separated by wax paper in airtight container. Freeze for up to 6 weeks. Let stand at room temperature for 15 minutes before serving.

You will need:

• • • • • •

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January/February 2020

Medical Professionals

November Targeted Is National Lung Cancer Awareness Month Therapy for Cancer:

Cure for More, Based on Personalized Treatment What You Need To Know

Did you know that lung cancer is the leading cause of cancer deaths in both men and women in the U.S.? Approximately Submitted Sarah J. Easaw, MD, FACPeach year and 27 percent 200,000bynew cases are diagnosed of all cancer deaths are from lung cancer.

Identify thelung enemy, What causes cancer?target and attack—this is the method used fight against cancer in Smoking. Smoking is the numberin onethe risk factor for lung cancer. Even though non-smokers can also get lung cancer, the risk is much higher in those who smoke. The more you smoke, the 21st century. By identifying specific targets the higher your risk. The likelihood of getting lung cancer decreases after you quit smoking. Tobacco thecells cancer drugs that smokeon damages in the lungs,cells causing and the cells discovering to grow abnormally. Regular exposure to smokework from someone else’s cigarettes, cigars or pipes (called second-hand smoking) can increase on those targets, cancer treatment has now a person’s risk of lung cancer, even if they are non-smokers. advanced size fitsasbestos all” approach to Exposure to asbestos.from Certain a jobs“one such as shipbuilding, mining, insulation or automotive brake repair may cause exposure one. to asbestos. Asbestos fibers can irritate the lungs a more personalized

What you should know:

• If you are a heavy smoker, and have been smoking for several years, ask your doctor if you need to do an or a CT scan. of targeted therapy is a drug called Herceptin, used X-ray Another example • Ask your MD about different methods to help you quit in the treatment of breast cancer. About 30% of breast cancer patients smoking. a protein Her-2 on the surface cancer cells. •express If you are diagnosedcalled with lung cancer, ask about theof type of cancer youThis have,subtype ofstage breast cancer patients historically did worse. Herceptin attacks the and other features such as EGFR mutation. and thus results in improved clinical outcome for Her-2 •Her-2 What isprotein your treatment plan? •positive What arebreast the side-effects of treatment? cancer patients. •Hundreds Are there support available? of newservices targeted agents are now being used in various cancers,

Immunotherapy in lung cancer. either alone or in combination with chemotherapy. Many more drugs

from exposure to the Mustard gas was devoid of lymphoid and myeloid

Over the last few decades, immunotherapy agents have been studied in the treatment of are incancers, the pipeline are being extensively. many including and lung cancer. Severalstudied immunotherapy drugs are now approved for use. Now cancersystem cellsfights are also in detail, identify the factors that Our immune canceranalyzed cells normally, and thusto reduces the chance of transforming normal cells into cancer cells. But this does not work always, as people with predict the risk of relapse and response to a specific treatment. What normal immune systems also develop cancer. The principle of immune therapy is based on works for one person may not be beneficial for another. Cancer cells are boosting the immune system so that it can efficiently destroy cancer cells. unique, like individual patients,hasand treatment is The usejust of immune checkpoint inhibitors beencancer a major breakthrough in also cancertailored research. These drugs help to take the “brakes” off the immune system, so that they can recognize and kill accordingly. cancer more effectively. Thecellsadvent of targeted therapy signals a bright future for millions of OPDIVO, KEYTRUDA, and TECENTRIQ are some of the immune checkpoint inhibitors cancer patients their that are used in lung and cancer. Evenfamilies. though these drugs don’t have the typical side effects of chemotherapy, they still can cause reactions such as inflammatory disorders.

Symptoms and signs include coughing, hemoptysis (coughing up blood), shortness of a related inweight eliminating cancer cells from experimental breath, chestcompound, pain, fatigue and loss. Most often, The the symptoms do not manifest cancerstudy is advanced. animals. encouraging results until fromthetheir led toSometimes humanlung cancer can be detected as a shadow in the lung on an X-ray done for other reasons. experiments, thus marking the beginning of an amazing journey in the

To If you any cancer-related questions, learnhave more about lung cancer and the treatmentplease of contact Dr. Sarah J.Dr. Easaw 732-961-0010 or visit other cancers, contact Sarah at Easaw at 732-961-0010 or visit www.oceanhemonc.com. www.oceanhemonc.com.

and cause cancer. When combined with smoking, the risk of developing lung cancer is much For several decades, chemotherapy had been the mainstay of cancer higher. treatment. Theisdiscovery drugsgasused to by killsoilcancer cells was incidental Radon. Radon an invisible,of odorless released and some rocks. Exposure to during World War Two scientists, Goodman and Alfred higher levels of radon canII. cause cancer, especially Louis lung cancer.

Gilman, to of study thecancer? effects of chemicals used in warfare. What arewere thesent types lung

There are two different types lung cancer:tosmall cell and gas non-small This combat. difference is Thousands were killed byofexposure Mustard used cell. in the based on the type of cancer cells. Most lung cancers are non-small cell. Among the non-small Gilman and Goodman found that the bone marrow of those who died cell lung cancers, there are several subtypes: adenocarcinoma, squamous cell and large cell.

What are the and signs? cells. They usedsymptoms this observation to study the effect of Nitrogen Mustard,

How is it diagnosed? fight against cancer.

Once your doctor suspects that you have lung cancer, you will be sent for CT scans and in Cancer cells, in general, multiply rapidly when compared to normal some cases, a PET scan. A PET scan can detect cancer more accurately than other tests. The cells. Chemotherapy drugs kill cancer cells bylesions halting their growth, diagnosis is confirmed by taking a biopsy of the suspicious seen on the X-ray or CT scans. The scans helpdivision to see if the has spread to any other organs, a process called inhibiting thealsocell atcancer different levels. The main disadvantage metastasis. to this approach is that these drugs are unable to distinguish normal

Are different stages? cells there from cancer cells. While the growth of cancer cells is slowed down,

is differentofforother small cell and non-small cellcells. lung cancers. Small cell so isStaging the growth rapidly dividing This leads to lung a lotcancer of has only two stages: limited stage (confined within the lungs) or extensive (spread outside the lungs). unwanted For benefiting Non-smallsymptoms. cell lung cancer has decades, four stages: cancer stages I topatients, IV. Stage Iwhile is a small tumor that is confined to the lung, that has not spread to the lymph glands. Larger tumors from chemotherapy, had to pay a price due to side effects. and those that are spread to the lymph under in stages II and III. When cancer has spread Research has glands been come ongoing minimizing thethe side effects of to other organs, it is stage IV.

chemotherapy as well as finding drugs that focus on cancer cells alone.

What are the Medicines weretreatment discoveredoptions? to focus on individual cancer cells, while

Treatment is based on the stage and the type of lung cancer. Small cell lung cancer is mainly minimizing the effectsIn on normal cells.cellMany typesradiation of cancers now treated with chemotherapy. limited stage small lung cancer, can beare combined with chemotherapy. reaching a “cure,” thanks to the successful research on Targeted agents. stage non-small cancer best treatedcalled by surgical resection. An experienced TheEarly perfect examplecell is lung a type of isleukemia CML (chronic myeloid surgeon removes the tumor, surrounding normal lung tissue and the lymph glands around it. leukemia). A translocation between chromosomes and a resultant Even after removing the tumor, cancer cells can two remain and cause recurrent cancer, either in the abnormal chromosome called Philadelphia the initial lung itself or in other organs. Chemotherapy, radiation orchromosome both are used afterissurgery to reduce the chance of recurrent cancer. step in CML. The fusion protein (bcr-abl tyrosine kinase) that results Advanced stage lung cancer is treated with chemotherapy. The types of chemotherapy drugs from this stimulates the abnormal growth of white blood cells and leads used are based on the type of lung cancer, age of the patient, other medical illnesses, etc. There is to the development ofthe leukemia. ongoing research to improve outcome in patients with lung cancer.

Identifying target, the Philadelphia chromosome, and the fusion What’s new inthelung cancer?

protein, was a major breakthrough For Targetedbcr-abl, agents: Medicines that target certain proteinsin or cancer receptorsresearch. on the cancer cells are being developed for the treatment of various cancers. These targeted agents attack the years, a bone marrow transplant was the only hope for cure for patients cancer cells specifically, sparing other cells. Targeted agents cause less severe side effects than with CML. Bone marrow transplant is not an option for a majority of chemotherapy. patients and carries risk.toDiscovery oflung a drug called A few different targetedsignificant agents are found be beneficial in cancer. TarcevaImatinib (erlotinib) is a drug that that worksattacks in certainthe typesfusion of lung protein cancers carrying a mutation in a receptor (Gleevec) and thus eliminates the called genetic EGFR. A new drug called crizotinib was approved recently for the treatment of lung cancer change behind the development of CML opened up the road to cure.that carries a gene called ALK fusion oncogene. Now thanare95% CML have benefited from this drug No more two tumors alike! of Even amongpatients lung cancers, there are different distinguishing features. Yourbeen oncologist chooses the type of treatment based onthe a number of factors, and have long-term survivors. This marks beginning of including another the cell type, stage, different biological markers on the cancer cells, and your other medical milestone in the fight against cancer, namely “targeted therapy.” problems.

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January/February 2018 2020 November/December

Medical Professionals

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VERSA

YEAR

If you want to lose weight, be healthier, increase your energy, improve your nutritional intake and reclaim a healthy glow, you need to decide to take charge of yourself! When it comes to losing weight, changing your life isn’t as difficult as you may think. New research has indicated that even a small weight loss can result in enormous gains and potentially life-changing changes. You can reduce your risk of heart attack, cancer, stroke, dementia and more, just by losing 10 pounds! At times, the difference between what you weigh and what you want to weigh may seem insurmountable. You are not alone in your frustration! The average American woman weighs 165 pounds and has a BMI (body mass index) of 28%, which is overweight—nearly obese! In 1960, the average American woman’s weight was 140 pounds. At this rate, in the next 50 years, your daughter or granddaughter will weigh 190 pounds. It’s never too late! Now that the New Year is here and cold days are ahead, we tend to search out comfort foods. The hectic holiday season was just around the corner; this is a great time to make a change and take care of YOURSELF! It’s never too late to turn things around. One way to help yourself to stop weight gain is to learn to curb your cravings. Food cravings are a normal part of life. While the occasional “craving” isn’t a big deal, if it happens regularly, it can lead to weight gain. Understanding what causes cravings may help you develop a realistic plan for dealing with them. Understanding Your Cravings Hormones that our body produces can influence how, when and why we eat certain foods. Eating SUGAR, FAT and/or SALT triggers the release of DOPAMINE, a “feelgood” brain chemical that can also make you want to eat when you’re not really hungry. Over time, the mere sight or smell of some foods can make them irresistible! Other types of food leave a sensory memory imprint with the dopamine surge. This explains why many of us tend to be “emotional eaters” and crave “comfort foods.” Another hormone, SEROTONIN, tends to decrease during specific times of the month. Both PMS (pre-menstrual syndrome) and PMDD (pre-menstrual dysphoric disorder) are characteristic of a significant drop of SEROTONIN. Both respond favorably to…CARBOHYDRATES! This clearly magnifies food cravings! Since junk food and processed foods tend to be packed with fat, sugar and salt, they increase the release of DOPAMINE significantly. Try your best to avoid these convenient foods. When at the supermarket, shop the perimeter—where you’ll find fresh, unprocessed foods. Incorporate healthy, more complex carbohydrates to regulate SEROTONIN. Do not skip meals! Establish a regular eating pattern, including breakfast, lunch, dinner, and one to two healthy snacks. You will find that if you incorporate these changes, you will eat less at each meal, choose healthier foods, and have fewer cravings. Over time, you will feel healthier, sleep more efficiently, have more energy and better moods, and lose your excess weight!

2019

2 COLOR

YEAR

YOUR FAMILY IS OUR FAMILY RELIANCEMEDICALGROUP.NET ADULT MEDICINE Reliance Adult Medicine is dedicated to providing value-based care that increases the patient’s life quality and satisfaction while reducing costs. • Preventative Primary Care • Periodic & Employment Physicals • Cholesterol & High Blood Pressure Screenings • Diabetic Screenings & Dietary GERIATRICS Reliance seeks to increase the span of healthy, active life

for older adults through evaluation and treatment of medical issues. • Alzheimer’s and dementia • Arthritis • Depression • Diabetes • Falls and Mobility • Osteoporosis • Stroke • High Blood Pressure

NEUROLOGY Treatment and consultation for patients who have brain disorders, vertigo, seizure disorders, migraine, epilepsy, dementia, chronic pain, cerebrovascular disease, and other similar conditions. • Neurology Expert • Neurophysiology Testing • Disability Evaluation • EMG/Nerve Conduction HOUSE CALLS Reliance provides healthcare for adult patients unable

to leave their home to see a doctor. • Quick Appointments • Timely Response • Consistent Quality Care • Dedicated Medical Team to Provide Housebound Medical Care • Patient Satisfaction • Wellness Exams/Annual Blood Work

Ludys Katz

Briana Boyer

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APN

The County Woman Magazine www.TheCountyWoman.com

855-RELIANCE Toll-Free

January/February 2020

Pediatric Dentistry

Healthy Eating Leads To Healthy Healthy Smiles! Smiles! Healthy If you want healthy and goodIflooking you want healthy goodteeth as an and adult, it is looking teeth as an adult, it is important to take care of them important to take care during childhood. Dietofisthem directly during childhood. Diet isand directly linked to the strength beauty linked to the strength and beauty of teethmalnutrition is the of teethmalnutrition the number one cause forisweak number one cause teeth and junk foodforis weak the biggest teeth and junk food is the biggest culprit when it comes to tooth decay. Vitamins, minerals, and culprit when it comes to tooth decay. Vitamins, minerals, and other essential nutrients keep crowns safe from damage and other essential nutrients safecan from damage and they strengthen them sokeep that crowns your child enjoy sweets they strengthen them so that your child can enjoy sweets without worry. without worry. Naturally, fruits and vegetables are the most important source of nutrients. Vitamin Naturally, andcomponent vegetables of aredental the most important nutrients.to C isfruits a critical health. It helps source to boostofresistance

Vitamin is aitcritical of dental health. It helps boost resistance to cavities,Cand has thecomponent added benefit of strengthening gums.to Oranges, kiwis, and cavities, and it has the added benefit of strengthening gums. Oranges, kiwis, and strawberries are great sources of Vitamin C and they prevent harmful bacteria from strawberries are great sources of colonizing and contributing to Vitamin gingivitis.C and they prevent harmful bacteria from colonizing and contributing to gingivitis. Dairy products are also essential in the fight against tooth decay. Rich inDairy products are also in the decay. Rich calcium and Vitamin D,essential milk should be fight a dailyagainst routinetooth for your children. inEncourage calcium and Vitamin D,on milk should be a daily your children. them to snack low-sugar yogurt androutine cheese,for because these dairy Encourage them to snack on low-sugar yogurt and cheese, because theseand dairy products raise the pH levels in the mouth (which helps prevent decay) they products raise the of pHthe levels the mouthby(which prevent decay) and they reduce the effect acidsinproduced dental helps plaque. reduce the effect of the acids produced by dental plaque.

What our happy patients are saying… What our happy patients are saying…

“It’s a wonderful feeling when we come to the office. My “It’s a wonderful feeling we come to theisoffice. little boys love you guyswhen and their happiness what My matters. little lovewhat you you guysguys and are their happiness what matters. Keepboys doing doing, being iswonderful and Keep doing what -you guys are doing, being wonderful and loving.” Noah Michaels loving.” - Noah Michaels “Gabby and Dr. Max were great and very patient with my “Gabby and nice Dr. Max wereabout greathaving and very with my son. It was to learn thepatient orthodontist right son. It and was nice learnthe about having the orthodontist right there also to have option of laughing gas to help my there and also the to have the option of laughing gas to help my son through process.” - Jonathan Walsh son through the process.” - Jonathan Walsh

Other powerful ingredients are seeds. Try to include seeds like pumpkin, sunflower Other powerful ingredients seeds. to include likeperfectly pumpkin, and sesame seeds intoare your kid’sTry packed lunch-seeds they go with sunflower and sesame seeds into your kid’s packed lunchthey go perfectly with sandwiches and burgers. Seeds are naturally high in fat content, which is very sandwiches andthe burgers. are naturally high inand fat content, which is very important for body; Seeds they reinforce the enamel reduce the chance of cavities. important for the body; they reinforce the enamel and reduce the chance of cavities. Crunchy vegetables like cauliflower, green beans, carrots, and cabbage are not only Crunchy vegetables likeavailable cauliflower, green carrots, andthey cabbage are not delicious and readily in your localbeans, grocery store, but also provide only delicious readilyteeth available in your grocery store, butchewing. they alsoThe provide a unique way and of helping through the local necessity of extended achewing unique way of helping teeth through the necessity of extended chewing. The process acts as a tooth cleaner, scrubbing the teeth and removing plaque chewing process as a tooth cleaner, scrubbing the teeth and removing plaque that gathers afteracts meals. thatBelieve gathers itafter meals. or not, it is also important to encourage your child to have a piece of Believe it or not, it alsodaily. important to encourage your minutes child to after have meals a piece Chewing gum for fifteen sugar-free chewingisgum of sugar-free chewing gum daily. Chewing gum for fifteen minutes after meals is very efficient in polishing the tooth surface and removing food debris from the iscrevices. very efficient polishing the production, tooth surfacewhich and removing debris from the It alsoinincreases saliva acts as anfood anti-bacterial agent. crevices. It also increases saliva production, which acts but as an agent. All of these foods will benefit your child’s teeth, it anti-bacterial is also important to avoid All of these foods will benefit your child’s teeth, but it is also important to the problematic foods that can get stuck between teeth and cause cavities. As avoid the problematic foods that canthe getamount stuck between teeth cause cavities. a parent, it is important to regulate of sweets andand sticky candies thatAs ayour parent, it isconsumes. importantFoods to regulate the amount of sweets andand sticky that child like caramel, taffy, hard candy, sodacandies can cause your child consumes. Foods like caramel, taffy, hard candy, and soda can cause major destruction in your child’s mouth. If your child cannot resist sticky sweet major destruction youridea child’s mouth. your childgum cannot resist sweet temptation, it is ain good to have someIf sugar-free handy to sticky help protect temptation, it is a good ideaoftothese havefoods. some sugar-free gum handy to help protect against the harmful effects against harmful effects of maintain these foods. Lastthe but not the least, the habit of seeing a dentist twice a year Last but not the least, maintain the habit of seeing a dentist twice and brushing at least twice a day. Regular brushing is the most aessential year andpart brushing at least twice a day. Regular brushing is the in maintaining healthy teeth both in childhood andmost essential part in maintaining healthy teeth both in childhood and adulthood! adulthood!

For more information or to schedule an appointment For more information or tocall schedule an for your child, 732-625-8080 or appointment for your child, call 732-625-8080 or visit www.TenderSmiles4Kids.com. visit www.TenderSmiles4Kids.com.

FREE

Orthodontic Consultation/2nd Option Visit Orthodontic Consultation/ Patient Call Jon PaulNew Butler, DMD inVisit our office today! 2nd Option

Welcoming Package FREE Infant Exam $99 Value *Up to 24for months of age. With coupon only $160 only.

$285 value) New Patient (a Welcoming Package $16000 $285 Value *With coupon 6/30/2018 only. Non-insured patients only. Expires Expires 6/30/19

Pediatric, Laser & Orthodontic Dentistry Pediatric, Laser &AREA OrthodonticSOMERSET Dentistry FREEHOLD • MANALAPAN

TenderSmiles4Kids.com TenderSmiles4Kids.com EDISON

122 Professional View Dr. NORTH BRUNSWICK AREA WOODBRIDGE AREA FREEHOLD • MANALAPAN AREA SOMERSET EDISON ROSELLE/LINDEN Bldg. 100, 2nd Floor 1330 How Ln 1656 Oak Tree Road 122 Professional View Dr. NORTH BRUNSWICK AREA WOODBRIDGE AREA AREA Freehold, NJ 07728 North Brunswick, NJ 08902 Edison, NJ 08820 Bldg. 100, 2nd Floor 1330 How Ln 1656 Oak Tree Road 2209 N Wood Ave. 732.625.8080 732.249.1010 732.549.3773 Freehold, NJ 07728 North Brunswick, NJ 08902 Edison, NJ 08820 Roselle, NJ 07203 732.625.8080 732.249.1010 732.549.3773 908.245.5556 www.TheCountyWoman.com The County Woman Magazine

The County Woman Magazine www.TheCountyWoman.com

May/June 2017

January/February 2020

Pediatric entistry PediatricD Dentistry

18 6

Healthy Eating Leads ToChildren’s Dental Health Month February Is National Healthy Smiles!

National Children’s Dental Health Month (NCDHM) is a celebration of awareness of good oral health habits for children. Dentists and other oral health providers across the country take time to focus on preventative oral health care for kids. Other powerful ingredients are seeds. Try to include seeds like pumpkin, If you want healthy and good-

Dr. Liya Ostrow & Dr. Max Sulla

looking teeth as an adult, it is important to take care of them Despite being almost 100 percent preventable, tooth decay during childhood. Dietaccording is directly is the most common chronic disease in children, linked and to the strength and beauty to the National Institute of Dental Craniofacial Research. of teethmalnutrition is the Cavities plague many youngsters, from babies to those in their one of cause for weak late teens. In fact, more thannumber 40 percent children ages 2 to andteeth, junk food the biggest 11 have had a cavity in their teeth primary whileismore than culprit when it comes to tooth decay. minerals, two-thirds of 16to 19-year-olds have Vitamins, had a cavity in theirand other essential nutrients keep crowns safe from damage and permanent teeth. they Dr. Liya Ostrow was introduced to Dr. Maxchild Sulla through a colleague while strengthen them so that your can enjoy sweets she was in her final year of residency at Lutheran Medical Center in Brooklyn as a without worry.

Chief Resident. Following the initial interview, Dr. Max Sulla knew that she would Naturally, fruits and vegetables are the most important source of nutrients. complement the Tender Smiles team. Now, after working together for eight years, Vitamin C is a critical component of dental health. It helps to boost resistance to they complement each other and share many of the same ideals. Dr. Max adds, cavities, and it has the added benefit of strengthening gums. Oranges, kiwis, and “We have a shared knowledge of sedation dentistry and our work complements one strawberries are great sources of Vitamin C and they prevent harmful bacteria from another well.” Their compassion, knowledge and emphasis on early intervention colonizing and contributing to gingivitis. make them a true “dream team.” Dairy products are also essential in the fight against tooth decay. Rich In dentistry, there is nothing more important than early intervention. Although in calcium and Vitamin D, milk should be a daily routine for your children. they do everything they can to help a child understand the value of their oral Encourage them to snack on low-sugar yogurt and cheese, because these dairy health and develop a commitment to healthy mouth habits from an early age, not products raise the pH levels in the mouth (which helps prevent decay) and they everything can be prevented. Some children are born with dental problems or with reduce the effect of the acids produced by dental plaque. a predisposition to them, and even children who practice good dental habits can develop problems or disease. “In those cases, our goal is to provide the absolute best care for this child with a patients pleasant, non-frightening experience,” Dr. Ostrow adds. What our happy are saying… “It’s a wonderful feeling when we come to the office. My little boys love you guys and their happiness is what matters. Keep doing what you guys are doing, being wonderful and loving.” - Noah Michaels

sunflower and sesame seeds into your kid’s packed lunchthey go perfectly with sandwiches and burgers. Seeds are naturally high in fat content, which is very We recently caught up with each of them to hear first-hand important for the body; they reinforce the enamel and reduce the chance of cavities. about the way they are making a true difference in the local Crunchy vegetables like cauliflower, green beans, carrots, and cabbage are not dentistry field. only delicious and readily available in your local grocery store, but they also provide waySulla of helping teeth through the necessity of extended chewing. The a unique Dr. Max graduated NYU College chewing process acts as a tooth cleaner, scrubbing the teeth and removing plaque of Dentistry with his D.D.S. with honors that gathers after meals. and then received his Pediatric Dentistry Believe it or not, it is also important to encourage your child to have a piece

degree from the University of Medicine of sugar-free chewing gum daily. Chewing gum for fifteen minutes after meals and Dentistry ofpolishing New Jersey. He is an and removing food debris from the is very efficient in the tooth surface immediate past president of the NJ crevices. It also increases saliva production, which acts as an anti-bacterial agent. Academy of Pediatric Dentistry and a All of these foods will benefit your child’s teeth, but it is also important to New Jersey public policy advocate for the avoid the problematic foods that can get stuck between teeth and cause cavities. As American Dentistry. a parent, it isAcademy importantoftoPediatric regulate the amount of sweets and sticky candies that He wife, Elana, three taffy, hard candy, and soda can cause yourand childhis consumes. Foodshave like caramel, children: Matthew, 18; child’s Jordana, 15;Ifand major destruction in your mouth. your child cannot resist sticky sweet Viven, 9. In his free time he enjoys and gardening. temptation, it is a good idea to have sometraveling, sugar-free cooking gum handy to help protect He receives a great dealofofthese gratification from the fact that children against the harmful effects foods. actually enjoy visit to his office! the habit of seeing a dentist twice Last but not athe least, maintain a year You can more information on their www.TenderSmiles4kids.com andfind brushing at least twice a day.website: Regular brushing is the most essential part in maintaining healthy teeth both in childhood and CW: Why is it so important for young children to get a head start on adulthood! their dental health? Dr. For Max:more Because information it encourages a healthier lifestyle overall andan prevents decay. If or to schedule parents start their kids with good dental hygiene early, then their diet is likely to be appointment forbenefit your child, call 732-625-8080 or good, which in turn will their overall health.

visit www.TenderSmiles4Kids.com.

We Wish You A Happy New Year!

“Gabby and Dr. Max were great and very patient with my son. It was nice to learn about having the orthodontist right there and also to have the option of laughing gas to help my son through the process.” - Jonathan Walsh

FREE

Orthodontic Consultation/2nd Option Visit Orthodontic Consultation/ Patient Call Jon PaulNew Butler, DMD inVisit our office today! 2nd Option

Welcoming Package FREE Infant Exam $99 Value *Up to 24for months of age. With coupon only $160 only.

$285 value) New Patient (a Welcoming Package $16000 $285 Value *With coupon 6/30/2018 only. Non-insured patients only. Expires Expires 6/30/19

Pediatric, Laser & Orthodontic Dentistry TenderSmiles4Kids.com Pediatric, Laser & Orthodontic Dentistry TenderSmiles4Kids.com FREEHOLD • MANALAPAN AREA SOMERSET EDISON

The County Woman Magazine www.TheCountyWoman.com

May/June 2017

January/February 2020

Pediatric Dentistry

Celebrate With The Team At Tender Smiles 4 Kids

CW: When should children begin using toothpaste and how much should we use? Dr. Max: The sooner the better! Starting at birth, clean your child’s gums with a soft infant toothbrush or cloth and water. Parents should use a tiny smear of fluoride toothpaste to brush baby teeth twice daily as soon as they erupt and a soft, age-appropriate sized toothbrush. Once children are three to six years old, then the amount should be increased to a pea-size dollop, and parents should perform or assist your child’s tooth brushing. Remember that young children do not have the ability to brush their teeth effectively. Children should spit out and not swallow excess toothpaste after brushing. CW: How can parents make tooth brushing more fun for toddlers? Dr. Max: Character toothbrushes, lots of praise and reward stickers will definitely help, but most important is doing the same routine daily so they get used to it from an early age. CW: Are you seeing an increase in cavities in young children these days? Dr. Max: Yes, due to a diversified diet frequently filled with junk food and sweetened drinks. CW: What kind of unique health programs do you have for children? Dr. Max: We do school programs given by a registered Dental Hygienist throughout three counties. In addition, this year we began mobile dentistry where team of hygienists and dentists visit local schools to provide comprehensive preventative treatments such as examination, cleaning, x-rays, sealants and fluoride application.

Dr. Liya emigrated from Russia in 1991 at the age of ten. She was a Summa Cum Laude graduate in 2003 from Hunter College in New York. That same year she relocated to Philadelphia to attend the University of Pennsylvania School of Dental Medicine, where she earned her Doctor of Dental Medicine degree, Cum Laude. While at UPSDM she was keenly involved in programs and visits providing underprivileged children and adults with much-needed dental care and education. Advanced studies in her field of Pediatric Dentistry took place at Lutheran Medical Center in Brooklyn, New York, where she served as Chief Resident. Dr. Liya is Board Certified by the American Board of Pediatric Dentistry She lives in Marlboro with her husband, Vlady, who is a pediatric endocrinologist, and their two children, Julian (10 yrs.) and Kayla (7 yrs.), plus an 11-year-old Pekingese named Archie. In addition, Dr. Ostrow just welcomed a beautiful baby boy named Aaron. CW: What is the most rewarding part about your profession? Dr. Liya: I enjoy spending most of my day with children. Being a part of the non-scary world of dentistry and hearing at the end of the appointment, “This was fun.” CW: What is the best part about working with Dr. Max? Dr. Liya: His knowledge, compassion, humor and approach to children are something that I admire greatly. I have learned a great deal from him. CW: What are the best preventative measures parents can take when it comes to dental health for their children? Dr. Liya: Children should see a dentist regularly every six months. This allows dental professionals to constantly educate parents and children on oral hygiene, as well as give nutritional advice. Some examples are to encourage your children to eat regular, nutritious meals and avoid frequent between-meal snacking. Other preventative measures include fluoride and sealants which protect teeth from decay.

By participating in NCDHM, parents and kids learn about good oral health habits, such as how to properly brush and floss. Parents learn how to check their child’s mouth for early signs of gum disease and what proper nutrition is required to minimize periodontal disease. With proper guidance and following some simple tips, parents can help their children retain their beautiful smile for years to come.

Schedule your appointment today at the location closest to you!

The County Woman Magazine www.TheCountyWoman.com

January/February 2020

Medical Professionals

The County Woman Magazine www.TheCountyWoman.com

January/February 2020

Medical Professionals

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

Oral and Maxillofacial Surgery in Dr. Banks’s office: SEE DR. BANKS! It’s More Than Just Wisdom Teeth

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

Both conditions are correctable problems in almost all patients, according to Dr. Banks. Wisdom teeth, or third molars, can to remove the unerupted or When the gum ridge wherebe teeth are missing isand too thin to place a dentalimpacted implant, tooth, and together troublesome painful if there bone grafting can be performed to correct the problem. What means is with that the a bone orthodontist, Dr. is not enough space for thethat teeth replacement product, or even the patient’s own erupt bone, can placed into theBanks deficient will area, discuss options for to completely intobethe mouth stabilized, and allowed to heal.into Following healing, dental implants can be placed into that future tooth replacement. a useful position. Wisdom area and then restored with porcelain teeth. This procedure is called “ridge augmentation” Extra teeth: Some patient teeth that have not surfaced out and can be accomplished in both the top andthrough bottom jaws. have extra teeth, called of the bone the gums into teeth. These mouth are called impacted When teeth are missing, thethe sinus that lies above the top jaw will expand supernumerary downward can occur anywhere in the teeth and usually will need to be into the ridge and cause bone loss in the gum ridge. This is a correctable problem as well, according mouth and usually need to removed to prevent gum disease to Dr. Banks. “A Sub-Antral Sinus Augmentation – commonly called a ‘Sinus Lift Procedure’ – can be be removed, especially when the presence of the extra tooth is and other types of infections and performed, sometimes even at the time of implant placement. This procedure increases the amount of impeding the eruption or causing damage to the other teeth. cysts from forming. bone in the area where we would like to place a dental implant. Again, a bone replacement product or Sometimes other teeth do not erupt into the The supernumerary tooth could be impacted, as in the case of a even the patient’s own bone mouth can be properly, used.” and this is generally noted mesiodens, an extra tooth that forms in between the two upper Kathy A. Banks, DMD frontthe teeth. If the supernumerary tooth is impacted, Dr. Banks will assess a child is in what we call thethe “mixed A common misconceptionwhen is that the bone is placed into sinus. In reality, sinus membrane the position the supernumerary tooth in the jaws with a cone beam thereit are somebe, and is actually lifted up (hence to name dentition” “sinus lift”)phase back(when to where should the boneofgraft material CT scan in the office, so that surgical removal can be discussed and baby teeth and some adult teeth). is placed under the sinus membrane, restoring the gum ridge and the sinus contour together in one planned. Dr. Banks removes supernumerary teeth in the office setting or Impacted teeth can occur anywhere procedure. the operating room, depending on the difficulty of the procedure. in the mouth: incisors, canine teeth, Dr. Banks incorporates state-of-the-art diagnostic procedures, such as 3D beam CT have scanning cone Some patients congenitally missing teeth; that is when all the bicuspids and molars. In most cases, of the face and jaws, to evaluate her once patients for bone grafting procedures. “That way, I can accurately teeth don’t develop. This condition is also called partial agenesis of teeth. the child is under the care of an diagnose the magnitude of the boneorthodontist, loss in the area place implants and the lateral incisors andquality lower second bicuspids are common areas for Dr.where Bankswe willwould assess like to Upper of the patient’s bone ridge in that area, and pre-plan the surgery to ensure the best possible outcome.” this condition to occur, but it can occur in any area of the mouth. In the position of the tooth in the jaw Sheprecisely also prepares advanced materials intoshow grafting as the L-PRF somesuch cases, primary tooth, if present, will be retained until the patient with a and coneuses beam CT scanbiologic in the office, and will the procedures (Leukocyte-Platelet Rich Fibrin) which areismade right in the officeitat the time of surgery. matures and facial bone growth is complete. At this stage, using a cone patients and the parents where the tooth and determine whether beam CT for guidance, is possible to there move isthe tooth with orthodontic traction whether the And finally, a preconceived notion that these or procedures are painful procedures. “There Dr. Banks will coordinate with the dentist and orthodontist, and a plan tooth is so badly positioned in the jaw that it must be removed. are multiple anesthesia options for the surgical part of the bone grafting process,” she says. “We offerwill be formulated to remove the primary tooth and so place restoration If the impacted tooth is a candidate to be nitrous moved orthodontically, intravenous general anesthesia and sedation, oxide and local Dr. anesthesia” thatanallimplant her patients can in the area to replace the tooth. In all these situations, Dr. Banks will coordinate care with your Banks will discuss and plan a procedure to expose the tooth crown be treated comfortably. orthodontist and your general dentist to ensure the optimal outcome and to bond a special orthodontic bracket with an attachment for “Of course, I’m making it sound easy but these procedures are technically demanding and years and experience. Astake a Board-Certified Oral and Maxillofacial Surgeon the orthodontist to use to move of practice gain proper expertise. You only want your bone grafting procedures and board performed certified by by theaNational Dental Board of Anesthesiology, Dr. the toothtointo itsthe correct position. well-trained, ABOMS-certified oral and maxillofacial surgeon.” Banks is your surgical expert in conditions of the face, mouth and jaws. These procedures are performed in the office with the comfort of sedation anesthesia. If the unerupted or impacted tooth cannot be moved orthodontically, then Dr. Banks will discuss and plan a surgery

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

Kathy A. Banks, DMD Oral & Maxillofacial Surgery

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

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

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

November/December 2017 January/February 2020

Home Health Care

Why Hire A Personal Caregiver In A Nursing Home Or Assisted Living Community?

Deborah Walsh,

A private caregiver can assist with bathing, showering, dressing, and

Executive Director, HomeWorks

You might be asking yourself what is the benefit of hiring a private caregiver if my parent moves to a nursing home or assisted living community? A private caregiver can assist with the transition from home to a facility, help with packing and moving, and give you someone to depend on to help your loved one get settled in and acquainted with staff and other residents.

grooming on the client’s schedule and not on the facility schedule. When toileting, the private caregiver is available and can assist right away, which helps with remaining continent. A private caregiver has more time to be meticulously observant about the client’s health and report subtle changes. This is very valuable in preventing emergency room visits or hospitalizations. Many care facilities do an excellent job in caring for their residents, but individual attention may be limited. A private caregiver can enhance the health and safety of your loved one when in a care setting, increase quality of life, and become a valuable resource to you and your family.

An important role for the hired caregiver in a nursing home or assisted living is to personalize the care and provide one-on-one support to the client. For example, they can alert families of personal needs, such as clothing, toiletries, books, snacks, etc. A private caregiver has the time to focus attention on just one person and develop a meaningful relationship. Having the time to engage with the client in activities such as offsite trips to church or the movies adds to the quality of life for the client. Other activities can include assisting with calls to family members, viewing messages and pictures, and using a smart phone or iPad.

For more information, call 732-838-1950 or visit www.UMCHomeworks.org. In-home care for seniors. Call today for a free in-home assessment.

732-838-1950 • UMCHomeworks.org. 54 Olin St, Ocean Grove, NJ

Happy New Year Wishing you and your family a happy and prosperous New Year in 2020! “Year’s end is neither an end nor a beginning, but a ‘going on’, with all the wisdom that experience can instill in us. Cheers to a new year and another chance for us to get it right.”

- Oprah Winfrey

“Your success and happiness lies in you. Resolve to keep happy, and your joy and you shall form an invincible host against difficulties.”

- Helen Keller

“We will open the book. Its pages are blank. We are going to put words on them ourselves. The book is called Opportunity and its first chapter is New Year’s Day.” - Edith Lovejoy Pierce

“Each New Year, we have before us a brand new book containing 365 blank pages. Let us fill them with all the forgotten things from last year—the words we forgot to say, the love we forgot to show, and the charity we forgot to offer.”

“We spend January 1st walking through our lives, room by room, drawing up a list of work to be done, cracks to be patched. Maybe this year, to balance the list, we ought to walk through the rooms of our lives... not looking for flaws, but for potential.”

- Peggy Toney Horton

- Ellen Goodman

The County Woman Magazine www.TheCountyWoman.com

January/February 2020

Medical Medical Professionals Professionals

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3D Mammography Blood In The Urine suspicious, patients need to be called Breast cancer is the second leading cause of death year one my friends called me, expressing that her family back for additional concern views. The multiple among women. One Last in 8 women willof develop breast images created byexamination. 3D mammograms She couldn’t found in her urine a routine Cancersee in cancer in her lifetime.doctor Each year it isblood estimated that overduring have such increased accuracy that this breast any blood, and in fact she felt fine. This condition, called hematuria, has many 252,710 women in the United States will be diagnosed there is decreased need for this. On benign butwomen my friend worried becauseisitdifficult couldto also be with breast cancer and more causes, than 40,500 will was understandably average 3D mammograms reduce detect on die from the disease. a This is why early is so condition such as cancer. symptom of adetection more serious callbacks by up to 40% compared to this standard important. With early detection, the five-year survival traditional mammograms. This means mammogram. Cyrus Khorrami, M.D. 100%. The latest weapon ina cystoscopy. is a procedureless thatradiation uses a tinyexposure, camera toincreased The good news for my friend is that her CT urogram rate is nearly the fightThis against look inside the bladder to provide a more detailed view. negative and her hematuria was cleared up without breast cancer is 3D mammography (also known as breast convenience for our patients,was and more treatment. Much to her relief, her hematuria was due to tomosynthesis). This new technology has increased early peace of mind. aggressive exercise (she was training for a marathon around Q What are the types and causes of Q especially What is a CT detection over traditional mammograms, in urogram? time). But only by taking pro-active steps to obtain The diseases that cause hematuria can occur can hematuria? Q:makes What can I expectthat when women with dense breasts. Greater accuracy means an accurate diagnosis was she able to obtain this peace of anywhere from the kidneys (which urine) to the Hematuria (blood in the urine) can be seen in up to mind. better breast cancer detection. having a 3D mammogram? bladder (which stores the urine) to the ureters (the tubes 21 percent of the population. In fact, up to 18 percent of

Medical Professionals

that carry urine from the kidneysA:toThe the bladder). One process of having a 3D normal individuals can have some degree of hematuria. of the most effective diagnostic tools for this condition However, it can be a symptom of an important medical mammogram is the same as a Q: What is a 3D mammogram? How is itis the different from CT urogram. During this conventional process, a CT (CAT) condition requiring work-up and treatment. 2D exam. The mammograms? scan uses an x-ray beam that rotates around a patient’s regular Things that can cause hematuria include kidney technologist will position you, body to the be absorbed A computer processes stones, or injury to the bladder and/or kidneys, A: 3Dinfection mammogram--also called breast tomosynthesis--is one of most by detectors. compress your breast, and take images the information to create images. Intravenous contrast overly aggressive andcancer cancer.detection. In men, prostate advanced formsexercise, of breast It uses a very low level of radiation to from different angles. Last year one of myisfriends called herupfamily injected intome, the expressing patient so concern it can bethat taken by the There’s no enlargement or pictures prostate infection can cause take multiple of the breast. Thehematuria. x-ray tube moves over the breast in an Using 3D mammogram additional bladder.examination. Using the most sophisticated doctor found isblood in kidneys, her urineureters duringand a routine Shecompression couldn’t see required, and it arc,There are twomultiple types of hematuria. hematuria capturing images of Gross each breast from different angles. A computer technology, the only takes a few seconds. software, the radiologist can recreate and analyze visible blood in the urine. Often the urineany is red or brown blood, and inpicture factcomputer sheoffelt fine. This A condition, called hematuria, hasextra many reconstructs these pictures to create a 3-dimensional the breast. regular was able to be the kidneys, ureters, and bladder in exquisite detail. This and occasionally contains clots. Microhematuria iscauses, indicated “The staff arecancer professional and they benign but my friend was understandably worried because it could also becompanies mammogram takes a single picture of the breast. Q: Do insurance clearly seen. examination can accurately look for kidney stones as well f by red blood cells in the Khorrami, urine and M.D. can only be seen under a Cyrus work as a team. They go above and a symptom of a more serious condition suchThe as cancer. as kidney infections. real advantage of3D this mammograms? test is the microscope. Microhematuria is often an incidental finding CT urograms provide exquisite detail of the kidneys, ureters, cover beyond the callandofbladder. duty.” Q: What is the advantage of medical 3D mammogram? ability to detect very small cancers in these organs. discovered on urine testsWhat as partare of a the routine types and causes of hematuria? A: Medicare, and many private insurers, cover 3D mammograms. In the past, not A: One of the challengesHematuria of interpreting mammograms is normal dense breast evaluation. (blood in the urine) can be seen in up to 21 percent of the population. In fact, up to 18 ~ Michael, Manchester

Blood In The Urine

Medical Pro

essionals

Patient Testimonials...

Q Urine od In The

all private insurance tissue hiding breast cancer. Additionally, overlapping areasQof normalifdense breast a patient have a CTcompanies covered 3D mammograms. However, in August percent of normal individuals can have some degree ofWhat hematuria. However, it cancannot be a symptom of an important 2018, New Jersey enacted a mandate requiring nearly all the major health insurers tissue canis look suspicious. This is why up? detecting breast cancer in women with dense medical condition requiring work-up and treatment. Q How hematuria worked urogram? to cover 3D mammograms. “I was informed by the staff regarding Things that can cause hematuria includeof kidney infection or injury to the bladder aand/or iscalled more difficult. The 3-dimensional images breast tomosynthesis help Painful hematuria is more likely to that have a non-cancerous stones, The CT urogram requires injecting smallkidneys, amountoverly x-ray one of my breasts friends me, expressing concern her family mybeen procedure and what it entailed. aggressive and cancer. men, prostate enlargement or prostate suchthe as the passing ofexercise, a that kidney or In acouldn’t urinary dye intodistinguish the veins. Ifinfection a patientcan hascause a Toms dyehematuria. allergy or hasX-ray poor has decrease tissue overlap canstone obscure cancers. It also helps normal River performing mammograms blood incause her urine during a There routine examination. She see hematuria are two types of hematuria. Gross is visible blood in the urine. Often the urine is red or brown This really relieved any anxieties tract infection.breast Painless hematuria may also have a benign kidney function that prevents the safe administration of overlapping tissue from breast cancer. serving the community for over 30 years. Our 3D I nd in factcause; she felt fine. This condition, hematuria, has many and occasionally contains clots. is the indicated by reda blood cellswithout in the and urine and caninjection only be seen however, cancer is also acalled possibility that Microhematuria should x-ray dye, CT scan a contrast can may have had!” Studies have shown that 3D mammograms significantly improve the a microscope. oftenbean incidental finding discovered on urine tests as part of a routine mammogram is the latest on the market and has the most s, but mybefriend was understandably worried because it should couldisalso considered. A under detailed analysis of Microhematuria the urine be breast performed instead. detection of breast cancer, especially in women with denser tissue. It alsoIn addition, MRI and ultrasound of medical evaluation. advanced technology. It is our mission provide be performed to look for signs of kidney disease and to the kidneys and bladder can be performed to examine these Subtle cancer in theto right kidney whichthe was very a more serious condition such as cancer. ~ Jean, Toms River picks up breast cancer at anisearlier stage, which may up? be missed traditional CTby urograms provide exquisite detail of the kidneys, ureters, How hematuria worked only detected using a CT urogram. detect cancer cells. Often a urologist will have to perform organs. best for our patients. We thank you for trusting us with your and bladder. mammography. 3D mammograms find is20-65% more invasive breast cancers Painful hematuria more likely to have a non-cancerous cause such as the passing of a kidney stone causes of hematuria? and the health of your loved compared mammograms, increase of 41%. or a urinary tract infection. hematuria may also have a benign cause; however,health cancer is also a possibility e) can be seen in up to to 21 traditional percent of the2D population. In Painless fact, upwith to 18an average

ssionals

ones. We lookdisease forward to offering that should bebe considered. analysis of the urine should be performed to look for signs of kidney ome degree of hematuria. However, it can a symptomAofdetailed an important and to detect cancer cells. Often a urologist will have to perform a cystoscopy. This is a procedure that uses a tiny Q: Is there increased radiation performing a 3D you this significant advance in breast d treatment. theand/or bladder to provide a more detailed view. ude kidney stones, infection camera or injurytotolook theinside bladder kidneys, overly cancer screening. mammogram? rostate or prostate infection can cause hematuria. see enlargement What is a CT urogram? A: isMammograms expose veryislow levels of radiation. The level of oss visible blood in the urine.patients Often thetourine red or brown anyhematuria The diseases thatcan cause can occur can anywhere from the kidneys (which makes urine) to the maturia is radiation indicated byexposure red bloodfrom cells ina the and onlyhematuria seensame 3Durine mammogram isbethe as that from a traditional bladder (which stores the urine) to the ureters (the tubes that carry urine from the kidneys to the bladder). One of lso be ften an incidental finding discovered on urine tests as part of a routine Cyrus Khorrami, M.D. mammogram. So patient receives all the without isany risk. the amost effective diagnostic toolsbenefits for this condition theincreased CT urogram. During this process, a CT (CAT) scan uses Medical With traditional when a aradiologist finds areaSubtle that is cancer in the right kidney which was CT urograms provide exquisite detail of the kidneys, ureters, Subtle bladderDirector cancer in a patient with hematuria that is best seen an x-raymammograms, beam that rotates around patient’s body to bean absorbed by detectors. A computer processes the informaed up? and bladder. using a CT urogram. onlysodetected CT urogram. tion to create images. Intravenous contrast is injected into the patient it can beusing takena up by the kidneys, ureters ly to have a non-cancerous cause such as the passing of a kidney stone and bladder. Using the most sophisticated computer software, the radiologist can recreate and analyze the kidneys, 8 aturia may also have a benign cause;and however, cancer is also adetail. possibility ureters, bladder in exquisite This examination can accurately look for kidney stones as well as kidney rtant PARVIZ KHORRAMI, M.D. CYRUS. KHORRAMI, M.D. Patient Testimonials .. alysis of the urine should beinfections. performedThe to look signs ofofkidney disease real for advantage this test is the ability to detect very small cancers in these organs. Founder Medical Director ist will have to perform a cystoscopy. This is a procedure that uses a tiny “The staff are professional and they work as a overly PARVIN MOTEMADEN What if a patient cannot have a CT urogram? ide a more detailed view. team. They go above andM.D. beyond the call of KHORRAMI, The CT urogram requires injecting a small amount x-ray dye into the veins. If a patient has a dye allergy duty.” brown or has poor kidney function that prevents the safe administration of the x-ray dye, a CT scan without a contrast 1.5~ Michael, T and 3 TManchester High PET/CT een uria can occur can anywhereinjection from thecan kidneys (which makes urine) to the MRI and ultrasound of the kidneys and bladder can be performed be performed instead. In addition, ne Field Open Bore MRIs eters (the tubes that carry urine from the kidneys to the bladder). One of to examine these organs. “I wasUltrasound informed by the staff regarding my 3-D Mammography s condition is the CT urogram. During this process, CT (CAT) CT Scan The good news for myawhich friend is thatscan heruses CT urogram was negative and her hematuria was cleared up without Subtle cancer in the right kidney was procedure and what it entailed. This really relieved bladder cancer a patient with hematuria that is best seen nt’s body to be absorbed byonly detectors. AMuch computer processes informa-was dueSubtle Nuclear Medicine detected using a CT treatment. to herurogram. relief, herthe hematuria to aggressive exercisein(she was training for a marathon around Diagnostic X-Ray any anxieties I may have had!” using a CT urogram. st is injected into the patientthat so ittime). can be taken the kidneys, ureters ne But onlyup byby taking pro-active steps to obtain an accurate diagnosis was she able to Bone Densitometry ~ Jean, Toms River dlity computer software, the radiologist can recreate and analyze the kidneys, obtain this peace of mind. his examination can accurately look for kidney stones as well as kidneyPark • 154 Route 37 West • Toms River, NJ 08755 sease Deer Chase Professional Patient Testimonials . . . is the ability to detect very small cancers in these organs. tiny “The staff are professional and they work as a 5 5 ot have a CT urogram? As always, contact our office team. They go above and beyond the call of cting a small amount x-ray dye into the veins. If a patient has a dye allergy where our staff will be more duty.” sothe of the x-ray dye, a CT scan without a contrast The County Woman Magazine www.TheCountyWoman.com January/February 2020 thesafe administration ~ Michael, Manchester than happy to assist you. www.TheCountyWoman.com The County Woman Magazine September/October 2018 dition, One of MRI and ultrasound of the kidneys and bladder can be performed

Q Q

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• Fax: 732-244-1428

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Financial Independence

Money Issues That Concern

Never before in U.S. history have so many adults been unmarried. There are now 109 million Americans, 18 and older, who are divorced, widowed or have always been single. That’s 45 percent of the adult population!

Geeta K. Brana Senior Vice President Financial Advisor

Freedom Capital Management 960 Holmdel Road Building 1 Holmdel, NJ 07733 Email:GBrana@fcmadvisor.com Tel: 732-546-9315 Web: FCMADVISOR.COM Geeta K. Brana provides comprehensive wealth management and asset management advisory services to women in transition. Geeta has over twenty years of experience in the international capital markets. Her career started in London in 1995 with Lloyds Capital Markets, where she trained in all aspects of international finance and credit analysis. She joined Sumitomo Mitsui Banking Corporation in 2000, where she gained extensive experience of structuring and trading debt packages for multinational corporations throughout the United Kingdom, Eastern Europe, US and Japan. In 2003, Geeta began her career in the U.S. with Smith Barney’s Wealth Management Division (Citigroup), turning her extensive knowledge to helping individuals. In a primarily male-dominated environment, she was able to build a successful wealth management practice in Washington, DC and later New York City, working with high net worth individuals and institutions. After a career break while her children were young, Geeta has returned to wealth management through Freedom Capital Management (FCM), a boutique independent advisory firm with deep roots in Monmouth County, NJ. Geeta is also the Founder of WHEEL (Women Helping Educate & Enhance Life). Currently, the focus of Geeta’s practice is on “Women In Transition”; assisting women in all phases of their lives.

WHEEL.WOMEN.POWER WWW.WHEELFORWOMEN.COM Securities and investment advisory services offered through Royal Alliance Associates, Inc. (RAA), member FINRA/SIPC. RAA is separately owned and other entities and/or marketing names, products or services referenced here are independent of RAA. RAA does not provide tax or legal advice.

Young adults are delaying marriage for many reasons, including a challenging job market, falling wages, and growing debt. Others are forsaking it altogether.

Handling personal finances—separately or as a couple As unmarried partners, you need to decide whether to handle your finances separately, together, or in some combination. If you decide to combine finances, you should proceed with caution. You should realize that your relationship lacks many of the legal safeguards of marriage. If the relationship ends, no divorce courts or uniform guidelines exist to separate your shared assets. If you incur joint debt, you are each fully responsible for the entire amount (as is true of a married couple). Also, it’s possible that your partner could drain the funds from a joint account. Have a frank discussion of goals Have a frank discussion of your financial values, priorities, and goals before deciding whether to handle your finances separately or as a couple. Estimate your net worth separately, and also as a couple, if you plan on pooling your financial resources. Decide whether you’ll handle household finances through joint or separate bank accounts. Prepare a budget, identifying which expenses you’ll pay separately and which expenses you’ll share. Weigh the pros and cons before obtaining joint credit cards. Consider protecting yourself with a domestic partner agreement A domestic partner agreement is a written contract between you and your partner that primarily addresses the sharing of income, expenses, and property. It supports your ownership rights and clarifies your intentions for the distribution of your property if you die or your relationship ends. Few, if any, laws specifically govern the rights and responsibilities of unmarried partners regarding the sharing of property and finances. If your relationship ends, there are no uniform guidelines for sorting commingled finances and dividing shared property. By setting clear ground rules up front, a domestic partner agreement can help your relationship run more smoothly and ease the handling of disputes in case of separation or death. Estimating your net worth—separately and together Your net worth is simply your assets minus your liabilities. Put another way, it is all that you own, less all that you owe. A net worth statement measures your financial position. You can use it as the basis for determining how much you’ll each contribute to your common expenses, such as household expenses. With periodic updating, your net worth statement presents a picture of your progress in meeting your long-

The County Woman Magazine www.TheCountyWoman.com

term financial goals. It provides information you can use to formulate a sound investment strategy and to plan for your insurance, retirement, and estate needs. You should consider calculating your net worth separately and also jointly if you’re planning to pool financial resources. In calculating your net worth separately, account for only your individual portion of jointly owned assets and shared liabilities. If you prepare a joint net worth statement, put both your names on it and don’t include any separately owned assets.

Developing a budget The thought of developing a budget intimidates many people. Don’t let that happen to you. A mutually agreedupon budget helps to keep finances straight and avoid arguments over money and bills. Begin by agreeing on which expenses you’ll share and which you’ll keep separate. For shared expenses, decide whether you’ll split them equally or in proportion to your income or net worth. Include your share of household expenses as a fixed cost in your budget so you don’t forget to set aside funds to cover it. Credit cards—separate or joint You can open a joint credit card account, or you can add your partner to your existing credit card as an authorized user. • If you apply for a joint credit card, you each fill out a separate credit application and each must pass a separate credit review. If you receive joint cards, you are each fully responsible for all charges on the account—your partner’s as well as your own. You must both faithfully record your charges. An unexpected bill due to a forgotten charge or a lost receipt can derail your budget. If these surprises result in late payments or leave you unable to pay the bill, they can damage your credit rating. Tip: If your relationship ends, request each creditor to close each joint credit card account. Don’t split the cards with your partner, taking some while he or she takes others. You are each still fully responsible for all charges on any joint account. Tip: You can add your partner to your existing credit card as an “authorized user” simply by requesting this of your credit card company. In this case, your credit application is based solely on your own credit rating, and you are solely responsible for all payments on the account. Tip: Even if you establish joint credit card accounts, you should consider the importance of establishing or maintaining a separate credit history.

Handling household finances—Separately or jointly One of the first issues you face when living together is how to handle your household expenses. Will you manage your finances separately? Will you share some costs, paying others individually? Or will you pool income and expenses? There are probably as many arrangements as there are couples. The cleanest approach is to keep your finances

January/February 2020

Financial Independence

Unmarried Couples…

separate, but that’s not always convenient. Also, it doesn’t promote relationshipbuilding as a couple.

other cares for the family or home. Before pooling your financial resources, be sure you agree on financial goals and have a spending plan.

Caution: Before combining your finances, you should realize that your relationship lacks many of the legal safeguards that the law extends to married couples. There are no divorce courts, laws, or uniform guidelines to aid in separating your assets once you combine them. If your partner fails to meet his or her obligations, you’ll bear the entire burden of any joint debt. A restraining order that prevents your partner from selling off joint assets may not be as readily available to you as it would be to a spouse.

Caution: Once you open a joint bank account, you’re each responsible for all activity in that account. As mentioned above, there are some big drawbacks to consider.

Paying expenses from a joint bank account If you decide to combine bill paying, one approach is to open a joint checking account for shared bills, while keeping separate checking accounts for personal expenses. You can avoid problems by clearly defining the expenses your joint account will cover. Joint expenses generally include housing-related costs, such as mortgage or rent, utilities, household insurance, property taxes, and food. Personal expenses typically include clothing, car expenses, personal insurance, personal debt, and individual hobbies or interests. You can categorize expenses in whatever way works best for you. You can begin the process by following these steps: • Forecast your annual expenses. Once you’ve identified your joint expenses, forecast them for a year, being sure to include those that come due monthly, quarterly, semiannually, and annually. Divide the yearly total by 12 to get an average monthly cost. • Decide how you’ll split these costs, equally or apportioned in some way. If you decide to apportion your expenses, net worth is a better basis for apportioning them than income. Every month, you each deposit a check from your personal account into the joint account to cover your share. Caution: While joint accounts make sharing expenses easy, there are some big drawbacks to consider. Once you open a joint bank account, you’re each responsible for all checks drawn on that account, plus all bank charges. Record-keeping can become a nightmare, especially if you’re both simultaneously writing checks and withdrawing cash from automatic teller machines. Creditors can seize the funds in a joint bank account to satisfy one partner’s obligation. If your relationship ends, verifying your contribution to the shared expenses may be difficult. One of you can drain the funds in a joint account, while the other may find it difficult to get a restraining order preventing this. Or one of you could simply clean out the account and walk away with the funds. Tip: You can protect yourselves by setting up a joint account that requires both signatures for withdrawals. Also, if you each contribute an average monthly amount, set up an interest-bearing account, since it may be carrying funds from month to month.

Paying expenses from separate bank accounts If you prefer a simple financial arrangement and want to avoid the liability of a joint account, you can keep your finances separate. This is the cleanest approach. One of you can pay the bills and collect from the other. Or you can both split the task, with each of you paying certain bills and squaring accounts monthly. Tip: Always pay your share by check, or get a receipt from your partner. This helps to straighten out any bill-paying errors and also documents your contribution in case of a breakup.

Pooling income and expenses You can also opt to pool your incomes and pay expenses from a joint account. This may work best when you’re in a long-term relationship, when your incomes are comparable, or when you’ve made equivalent tradeoffs, such as one working while the

Planning for retirement—separately or as a couple You lack the spousal benefits available to married couples. How will you plan for retirement—separately or as a couple? Before answering this question, you should consider that as an unmarried partner, you’re ineligible to receive spousal benefits from two key sources that many married partners depend on: Social Security and defined benefit pension plans. • Social Security—Social Security does not pay benefits to an unmarried partner. While you may qualify for Social Security benefits based on your own earnings, or that of a deceased former spouse or ex-spouse, you can’t receive benefits based on your unmarried partner’s record. • Defined benefit pension plans—Defined benefit pension plans typically don’t offer benefits to a non-spousal beneficiary. A spouse, in contrast, is legally entitled to receive benefits unless he or she waives that right. A surviving spouse can expect to receive 50 percent of a deceased partner’s pension benefits. If the partner dies before benefits begin, the surviving spouse will receive 50 percent of the accrued benefit.

Consider creating your own safety net separately You should clarify what retirement benefits you can expect to receive from each other. Unless your partner has set up a funded irrevocable trust for you that will withstand a permanent separation, it may be best to plan as if you’re single. Also, you should consider the possibility that your relationship could end before retirement. Will you plan for retirement separately or as a couple? What approaches will you take if you’re ineligible to receive benefits from one another’s retirement plans? Planning for retirement together If you choose to plan for retirement together, here are some approaches you can take: • Use life insurance to fund your partner’s retirement—Life insurance offers a vehicle to provide significant replacement income for your partner. You can cross-own life insurance policies, or you can purchase an individual policy naming your partner as the beneficiary. 1. Cross-owned policies—With cross-owned policies, you each buy a policy on the other’s life. When one of you dies, the surviving partner collects the policy’s death benefit and invests the proceeds to produce the needed income. You may need to demonstrate that you have an insurable interest in each other to cross-own life insurance. Married couples are assumed to have an insurable interest. Unmarried couples who own a house or business together are also considered to have an insurable interest, although only up to the value of their shares of the mortgage or business. You can prove insurable interest by providing evidence of jointly owned assets and, possibly, copies of wills or trust documents. 2. Individual policies—You can also own an individual policy, naming your partner as the beneficiary. • Designate your partner as the beneficiary of your qualified retirement plan—You can name each other as beneficiaries of qualified retirement plans, such as 401(k)s, 403(b)s, and individual retirement accounts (IRAs). Caution: However, upon your death the options available to your partner will generally not be as favorable as the options that would be available to a spouse beneficiary.

The County Woman Magazine www.TheCountyWoman.com

January/February 2020

Medical Professionals

The County Woman Magazine www.TheCountyWoman.com

January/February 2020

Health & Wellness

Can Sclerotherapy Help Treat My Spider Veins? Girija Surya, M.D.

Other Side Effects Include:

Board Certified in Thoracic & Cardiovascular Surgery

Hi! Friends In earlier articles we have discussed the pathophysiology of Varicose Veins and treatment of larger Varicose Veins.Today we will talk about the treatment of Spider Veins.

• Larger veins that have been injected may become lumpy and hard and may require several months to dissolve and fade or might need needle aspiration to remove the painful clot. • Brown lines or spots may appear at the vein site. In most cases, they disappear within three to six months. • Neovascularization: the development of new, tiny blood vessels may occur at the site of Sclerotherapy treatment. These tiny veins can appear days or weeks after the procedure, but should fade within three to twelve months without further treatment. Should any of the following side effects occur, contact your doctor immediately. These include: • Inflammation within five inches of the groin • A sudden onset of a swollen leg • Formation of small ulcers at the injection site.

Medical ProfessionalsSclerotherapy Effectiveness:

Sclerotherapy

Sclerotherapy is the name of a non-surgical procedure to treat spider veins. The Studies have shown that as many as 50%-80% of injected veins may be eliminated with procedure involves injecting a solution through a very fine needle directly into the vein. The each session of Sclerotherapy. Although this procedure works for most patients, the results solution irritates the lining of the blood vessel, causing it to swell and stick together and the are always variable and are somewhat unpredictable. In general, spider veins respond in blood to clot. Over time, the vessel turns into scar tissue that fades from view. Sclerotherapy three to six weeks and larger veins respond in three to four months. is a proven procedure and has been in use since the 1930s. During the procedure, you may If the veins respond to the treatment they will not reappear. However, new veins may experience mild discomfort for oneand todepends two minutes, especially whenoflarger veinsasare injected. at theInclude: same rate as before. If needed, you may return for injections. Usually followon the size and location the veins, well as Otherappear Side Effects ds The procedure itself takes approximately 15 to 30 minutes. The number ofAgents veins used injected in• Larger veins that have been injected may become the general medical condi tion of the patient. up sessions are necessary for complete resolution. cles we have one session varies and depends on for theSclerotherapy size and location of the veins, as well 1% as the general are Polidocanol and Asclera, & 0.5%. lumpy and hard and may require several months to pathophysiology medical condition of the patient. Agents usedhypertonic for Sclerotherapy Polidocanol Asclera, dissolve Please contact at the toVein Center for Women by sending an Sotradecol, saline and are glycerine are someand of the and fade or mightDr. need Surya needle aspiration ins and 1% & 0.5%. Sotradecol, hypertonic saline and glycerine are some of the agents commonly agents commonly used. Foam sclerotherapy is used more remove the painful clot. email to msgs@veincenterforwomen.com. arger Varicose used. Foam sclerotherapy is used more is the solution of polidocanol or sotradecol and itand is theit solution of polidocanol or sotradecol mixed • Brown lines or spots may appear at the vein site. In we will talk with air and agitated to make foam just before injecting. most cases, they vdisappear within three to six months. mixed with air and agitated to make foam just before injecting. This is very effective and atment of This is very effective and reduces the amount of the • Neovascularization: the development of new, tiny reduces the amount of the chemical solution used at the session. chemical solution used at the session. blood vessels may occur at the site of Sclerotherapy What Happens After Sclerotherapy? treatment. These tiny veins can appear days or weeks y After sclerotherapy you will beWhat able Happens to drive yourself home and resume your reg¬ular After Sclerotherapy? after the procedure, but should fade within three to rapy is thedaily nameactivities. of a non-surgical procedure Walking is encouraged. After You will be instructed to be wear support stockings sclerotherapy you will able to drive twelve months without further treatment. Should any eins. The procedure involves injecting a to compress the treated veins. Following the injections, yourself home and resume your reg¬ular daily activities. of the following side effects occur, contact your doctor h avoid aspirin, ibuprofen, or other antiinflammatory drugs immediately. These include: Walking is encouraged. You will be instructed to wear le support stockings to compress themay treated for at least 48 hours. Tylenol be veins. used ifFollowing needed. Also, • Inflammation within five inches of the groin e vein. the injections, avoid aspirin, ibuprofen, or other antiyou should avoid the following for 48 hours after treatment: • A sudden onset of a swollen leg itates inflammatory drugs for at least 48 hours. Tylenol may be • Formation of small ulcers at the injection site. • Hot baths e Schedule appointments “24/7” used if needed. Also, you should avoid the following for 48 • Hot compresses using hours after treatment: Sclerotherapy Effectiveness: www.VeinCenterForWomen.com • Whirlpools or saunas tick • Hot baths Studies have shown that as many as 50%-80% of e blood • Direct exposure to sunlight up to two weeks at least. injected veins may be eliminated each session M.D. of Girijawith Surya, • Showers Hot compresses me, the are permitted, but the water should be cooler Sclerotherapy. Although this procedure works for most o scar Certified Thoracic & Cardiovascular usual. or saunas • than Whirlpools patients, the results areBoard always variable and areinsomewhat from unpredictable. In general, spider veins respond in three to •Side Direct exposure toof sunlight up to two weeks at least. Effects Sclerotherapy apy is a Colonial Commons There milder but effects, such should as itching, which re and Showers areare permitted, the water be cooler thancan six weeks and larger veins respond in three to four months. 1656 Oak Tree Rd. will not reappear. 670 N.theyBeers St. last for one or two days after the procedure. Also, you If the veins respond to the treatment since usual. may experience raised, red areas at the injection site. However, new veins may appear at the same rate as before. 3rd Floor ing Bldg. 2, Ste. 4 you Side Sclerotherapy TheseEffects shouldofdisappear within a few days. Bruising mayIf needed, you may return for injections. Usually follow-up resolution. Edison, NJ 08820 mild There around are milder such as itching, which canseveralsessions are necessary for complete Holmdel, NJ 07733 also occur theeffects, injection side and can take one to last or two after the procedure. Also, you daysfororone weeks to days resolve. Please contact Dr. Surya at the Vein pecially may experience raised, red areas at the injection site. These ns are should disappear within a few days. Bruising may also occur Center for Women by sending an email Email: msgs@veincenterforwomen.com ocedure itself takes approximately 15 to 30 around the injection side and can take several days or weeks to msgs@veincenterforwomen.com. umber of veins injected in one session varies to resolve.

an Sclerotherapy Help Treat My Spider Veins?

Love Your Legs Again!! Vein Center for Women

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veincenterforwomen.com Professionals

Recipe

Holmdel Colonial Commons • 670 N. Beers St. • Bldg. 2, Suite 4 Old Bridge • 2 Hospital Plaza, Suite 330 Princeton • 21 Jefferson Place, Raymond Rd. Compliments of Chef StephMetuchen • 205 Bridge St. 732-254-0500 msgs@VeinCenterForWomen.com 1 sheet puff pastry, thawed and rolled Preheat the oven to 400 degress. admin@VeinCenterForWomen.com Roll out puff pastry, cut into four equal sized pieces. out into a 14in square. Place 1 1/2www.VeinCenterForWomen.com tablesoons of herbed cheese in the center of each piece. 4 boneless chicken breasts, cooked

Chicken In Puff Pastry

1/3 cup herbed soft cheese 1/4 cup fresh parsley , chopped 1 large egg Optional ingredients-chopped spinach, diced roasted red peppers, additional cheese, etc.

Top herbed cheese with a chicken breast and then chopped parsley Next, fold the corners of the pastry over the chicken breast. Place chicken pastry seam side down on a baking sheet covered in parchement. Lightly brush the top with a whisked egg. Us For AorCool Event! Bake Join for 20-25minutes until crust is golden brown.

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Medical Professionals

Sleep Apnea, The Silent Killer Christine Ally, DDS, FAGD, FICOI Qualified Dentist, American Academy of Dental Sleep Medicine Fellow, Academy of General Dentistry Fellow, International Congress of Oral Implantologists Member, American Sleep and Breathing Academy Obstructive sleep apnea is a sleep disorder in which a person stops breathing periodically throughout the night due to physical blockage of the airway. These stops in breathing usually last for around ten seconds and are often followed by snorts, gasps, or choking sounds as a person’s body fights to resume breathing again. When you stop breathing during the night, your brain responds by partially waking to send signals to the respiratory system to work harder to get past the obstruction. This repeated stop in breathing is very detrimental to overall health and is linked to a number of medical conditions. These range from depression and sexual dysfunction to increased risk of heart attacks, strokes and premature cardiac death.

Dental Appliances for Sleep Apnea

Before any treatment options can be determined, a sleep study must first be performed to determine the severity of one’s symptoms as it can have a direct influence on the recommended therapy. However, a diagnosis of obstructive sleep apnea (OSA) should be treated and monitored by a trained clinician. There are various types of comfortable dental appliances which can be made by an experienced doctor such as Dr. Ally to treat OSA and improve patients’ health. For moderate to severe sleep apnea patients, most sleep professionals will recommend CPAP therapy as a first-line treatment option. For mild to moderate sleep apnea, a dental device is often the recommended therapy. Dental devices may also be recommended to be worn in conjunction with a CPAP device.

Who Qualifies for These Appliances?

• Patients with mild to moderate sleep apnea (not recommended for moderate to severe sleep apnea) • Patients with primary snoring (in absence of sleep apnea)

• Patients who have tried and failed at CPAP therapy may qualify • Patients who were unsuccessful with or refused surgeries such as tonsillectomy, adenoidectomy, craniofacial operations, or tracheostomy • In combination with CPAP device to help lower patient’s apnea/hypopnea index for more tolerable air pressure settings If you’re concerned you have sleep apnea, you should contact your physician to discuss or contact a highly trained dental professional to discuss treatment options. Dr. Ally at Shore Premier Dental Arts/Advanced Sleep and TMJ Center of New Jersey offers a complimentary consultation to discuss your concerns or treatment options. She is a highly trained and skilled clinician with extensive experience in treating OSA patients with oral appliances. Give us a call to see how we can help with your concerns.

Schedule a FREE CONSULTATION with Dr. Ally to learn about our comfortable and convenient sleep apnea treatment.

180 White Road, Suite 212 Little Silver, NJ 07739

Advanced Sleep and TMJ Center of New Jersey

The County Woman Magazine

732-842-6370 advancedsleepandtmj.com

www.TheCountyWoman.com

January/February 2020

Featured On The Cover

Meet The Dental Professionals At Advanced Sleep and TMJ Center of New Jersey

Christine Ally

Dana Hurden-Hall Office Manager

Practice Administrator

Dr. Christine Ally, originally from Toronto has found herself fulfilling her passion as a dentist on the Jersey Shore which she now calls home. As the Owner of Advanced Sleep and TMJ Center of New Jersey and Sheore Premier Dental Arts she is a highly skilled clinician with extensive experience in the treatment of patients with Obstructive Sleep Apnea using oral appliance therapy. She is a Fellow of the Academy of General Dentistry, Fellow of the International Congress of Oral Implantologists and a Qualified Dentist of the American Academy of Dental Sleep Medicine. Dr. Ally obtained her undergraduate degree from the University of Toronto and her dental surgery degree from The University of Western Ontario. Graduating among the top in her class, she completed internships at New York Presbyterian Hospital and Massachusetts General Hospital followed a residency at Yale. She has spent a significant part of her career offering dental care to medically compromised patients. Dr Ally has had years of advanced training in the treatment of patients with OSA and who are unable to use a CPAP and has helped countless patients overcome this condition with dental appliances. In her spare time, she is an avid photographer. She also treasures her time with her family, traveling and trying new cuisines.

Dana Hurder-Hall is the office manager at Advanced Sleep and TMJ Center of NJ and Shore Premier Dental Arts. Dana was born and raised in Spring Lake, NJ. She attended Manasquan High School where she was able to simultaneously study Dental Assisting with Radiology during her senior year. Dana then went on to earn her Radiology, Certified and Registered Dental Assistant licenses and was employed as an Expanded Functions Chairside Assistant for more than 25 years. After returning to college and earning her Associates Degree in Applied Science, she returned to the dental field as an office manager and Marketing Liaison in both private practice and corporate environments. Dana is also an accomplished Dental Assisting with Radiology Instructor, formerly with Advantage Career Institute, Eatontown, NJ. She currently resides in Howell with her 3 children, Jake, Shannon and Dawson and their yellow lab Camo. She is best recognized for her stellar patient and staff relations and warm, welcoming demeanor. Her greatest satisfaction is leaving her patients with the BEST dental experience possible, and a BIG smile.

Brigid King is the newest member to join the team at Shore Premier Dental Arts and Advanced Sleep and TMJ as the Practice Administrator. Brigid has many years of experience organizing and managing all aspects of a dental practice as well as her experience working with our Sleep Apnea patients. During her career she has worked with multioffice practices as well as working on the corporate side of dentistry, in New York as well as New Jersey. She has worked assessing and assisting dental offices to help them reach their full potential in all aspects. She understands the importance of patient care and loves helping patients understand the importance of a healthy mouth and how that it can affect their overall health. Brigid grew up in Bergen County, New Jersey and currently resides in Eatontown, New Jersey. She enjoys traveling, cooking and spending time with her three sons as well as family and friends.

DDS, FICOI, FAGD

Brigid King

732-842-6370 • 1-877-NJ-APNEA • 1-877-652-7632 Advanced Sleep and TMJ Center of New Jersey

shorepremierdental.com • advancedsleepandtmj.com

The County Woman Magazine www.TheCountyWoman.com

January/February 2020

Medical Professionals

Got An Itch That Can’t Be Scratched? Nina J. Paonessa, D.O., F.A.C.O.S.

the perianal skin may be thickened. An examination of the anal canal via an anoscope will also be performed in order to ensure there is not any intra-anal pathology causing the symptoms such as hemorrhoids, warts, a polyp or tumor. Considering the serious diseases that may cause the symptoms of pruritus ani, it is very important not to selfdiagnose, but rather to seek consultation with a physician. In certain situations, a small skin biopsy may need to be performed.

As we enter the New Year, a common ailment affects many individuals. This is the time of year when How is pruritus ani treated? people make New Year’s resolutions The first goal of treatment of pruritus ani is to make a correct diagnosis. That means to eat “healthy” and diet in order to determining if the condition is primary pruritus ani or secondary pruritus ani caused lose weight for spring break or in preparation for by a medical condition/disease. Once this has been accomplished and it is confirmed that the patient has primary pruritus ani, the goal of therapy is to restore clean, dry and the summer. This is also the time of year for football intact perianal skin. This will help to alleviate the symptom of itching. The first step is to season and tailgating parties and all of the foods alter the consistency of the stool so as to avoid seepage of stool from the anus. This may that are associated with it. Because of these unique be accomplished with diet modification and adding a fiber supplement. The second step in treatment is to discontinue any offending agents such as cortisone situations, many people suffer from aggravating symptoms of perianal itching, burning, and discomfort ointments, hemorrhoid creams, lotions, perfumes, soaps and baby/toilet wipes. Topical agents containing alcohol are very irritating to the perianal skin. Likewise, any topical as well as a “wet” or moist feeling in the perianal agent that causes the perianal skin to remain moist should be avoided. This includes area. Vaseline, witch hazel, A & D ointment, antibacterial ointments, etc. Additionally, it is important to remember not to over-clean the perianal area. This causes further skin What is pruritus ani? Pruritus ani is a Latin term literally meaning “itchy anus.” It is an uncomfortable sensation around the anus which produces the desire to scratch. Scratching causes irritation of the perianal skin, which in turn causes the desire to scratch more. The skin becomes more irritated and damaged, which causes the desire to scratch even more. This becomes a vicious cycle. Pruritus ani affects 1% to 5% of the population. Although it affects both men and women, it is four times as common in men. This condition is most often encountered in patients in their 40’s to 60’s. Pruritus ani is treated medically. An accurate diagnosis is mandatory for proper care.

What causes pruritus ani?

The symptom of pruritus or itching is common to many anorectal conditions. Disorders such as hemorrhoids, skin tags, fecal soilage and/or incontinence, anal fistulae, anal fissures and anal warts all may be associated with itching. This is termed secondary pruritus ani. However, pruritus ani may be independent of these conditions. This is called primary pruritus ani. The cause of the syndrome in these cases is usually from topical agents applied to the perianal skin and/or the pH of the stool. The pH of the stool is determined by foods which we eat. In addition to inadequate hygiene, overzealous or aggressive hygiene using irritating soaps, fragrances and lotions may cause pruritus ani. Overzealous cleaning and the use of topical steroids can destroy natural skin barriers and cause trauma to the anal skin, making the problem worse. As such, attempting to keep the perianal skin too clean, is harmful and may worsen the problem. The use of baby/toilet wipes is a common culprit for many patients suffering from pruritus. It is very important to note that there are many medical conditions that may cause perianal itching and are treated differently from basic, primary pruritus ani. There are infectious conditions such as bacterial skin infections, fungal infections, parasitic infections (pinworms or scabies) and viral infections (anal warts). Skin conditions such as psoriasis, seborrheic dermatitis, contact dermatitis, and lichen sclerosus may cause secondary perianal itching. Local cancers such as Bowen’s disease or Paget’s disease are also potential causes of pruritus ani. How is pruritus ani diagnosed? In order to accurately diagnose pruritus ani, your physician will obtain a complete history and physical examination. The timing and duration of the symptoms are important factors. Toileting rituals/behaviors, stool frequency and consistency, and hygiene/cleansing routines are noted in order to help make a diagnosis. Travel history, medical history and medications taken are also important. It is crucial to include any supplements taken, topical ointments/creams used and whether or not baby/toilet wipes are being used. A careful diet history is also taken in order to identify any possible contributing agents. Your doctor will perform a physical examination. This will include a careful inspection of the perianal skin and a digital rectal examination. Common findings are irritated, swollen, reddened skin that may have linear ulcerations/cracks. Sometimes

breakdown and irritation. Believe it or not, plain water is the best way to keep the perianal skin clean and healthy. Finally, the last step in treatment is to modify the diet to avoid a change in pH. Foods related to pruritus ani include caffeine, colas, citrus, dairy, tomatoes, nuts and beer. As mentioned earlier, these foods are very common during this time of year while watching football or trying to lose weight.

Where can you find help?

Dr. Paonessa is very familiar with diagnosing and treating pruritus ani as well as all the other diseases/conditions that may be mistaken for pruritus ani. Since there are many serious diseases that may be mistaken for primary pruritus ani, it is very important to see a physician trained in treating this condition. It is incredible how a fairly simple ailment such as pruritus ani can alter a patient’s daily life and affect his/her quality of life. Don’t hesitate to pick up the phone and call for a consultation. Stop suffering and begin to live life again.

Colon and Rectal Surgery

Board Certified in General Surgery and Proctology • laparoscopic surgery • abdominal/pelvic surgery • fecal incontinence • endoanal/rectal ultrasound • anorectal surgery 603 Higgins Avenue Brielle, NJ 08730

• pelvic floor disorders • office proctology • anorectal manometry/ physiology 1364 Route 72, Suite 5 Manahawkin, NJ 08050

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

292-9600

www.paonessacrs.com

The County Woman Magazine www.TheCountyWoman.com

January/February 2020

♥ ♥ ♥ ♥ ♥ ♥ ♥ ♥ ♥ ♥ ♥ ♥ ♥

Cameron Blake

Fashion & Beauty

Love is in the Air at Lynne’s Did you know that close to 10 percent of couples in the United States select Valentine’s Day to get engaged? This intimate holiday offers a memorable backdrop for couples about to embark on an engagement. If you or someone you know is getting married this year, now is the ideal time to buy a dress. Pretty soon, prices will increase due to the trade tensions between the United States and China. Experts say both sides will increase tariffs on countless products as soon as this summer. Whether it’s your daughter about to tie the knot, or your son; Lynne’s Boutique has you covered! Before you begin your search for that ideal dress, it’s important to arm yourself with a few “do’s and don’ts.” After all, following proper protocol for this important day will ensure no one gets offended. Usually, the mother of the bride will select her dress and then let the mother of the groom know what she chose so the two can complement one another. In a perfect world, the mother of the groom’s dress should complement the mother of the bride’s dress, as well as the bridesmaids. One color that is completely off limits to both parties is white, or other similar shade that matches the bride’s dress. Also keep in mind which silhouettes flatter you the most and which areas you would like to accentuate. At Lynne’s, we have a wide range of price points and designs that ensure you are looking your best whether it’s a formal affair, or a casual one on the beach. As long as you consult the bride and groom about what their vision is, you can’t go wrong. Lastly, by making the decision to shop at Lynne’s you are choosing Joseph Ribkoff to support local, small businesses. We will always give you a high Lynne Goldberg, Owner of level of personalized care that is so hard to find these days. Lynne’s Fashion Boutique,

♥ ♥ ♥ ♥ ♥ ♥ ♥ ♥

Best Wishes, Lynne Goldberg

732-530-5443

Winter Hours: Tues. - Fri.10:30am - 4:30 pm Sat. 10:30am - 4:00pm • Closed Sundays and Mondays

31 Church Street, Little Silver, NJ www.lynnesfashionboutique.com

has been in the women’s retail clothing business since 1989, and her boutique has evolved and changed along with the times. Specializing in Mother of the Bride or Groom attire, she also carries a wide selection of casual ready-towear and accessories that will allow you to dress well and feel comfortable-for everyday or any occasion.

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January/February 2020

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January/February 2020

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

The Thought of NOT Smoking Scares Me Maybe you recognize that you need to stop smoking, but you have a hard time imagining your life without it. After all, it’s been woven into almost everything you do; and you do it on automatic pilot – when you’re on the phone, driving, using the computer, reading, having coffee, etc. Often, without realizing it, you’ve used smoking to handle emotions and deal with challenges, telling yourself: “It relaxes me.” “It helps me concentrate.” “I deserve it.” “It’s my friend.” “It’s something to do.” “I need it.” But none of those makes sense. You probably know that. Nicotine is actually a stimulant that increases your blood pressure and heart rate, and compromises your health in numerous ways. Smoking affects every organ and system in your body, and often leads to chronic disease and dependence on others. It will probably shorten your life. Change may seem scary. The thought of cigarettes no longer being a part of your life may seem scary. But the thought of continuing to smoke is the most frightening path of all. With the right guidance, tools, and techniques, you are absolutely capable of changing – and living a life that’s much more full and satisfying than the one you’re living now. Imagine what it will be like to not have that cloud hanging over you – the worry, the guilt, the burden, the imprisonment. So instead of being afraid of quitting, start focusing on what you’ll be gaining:

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

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• A more youthful appearance – fewer wrinkles • Dealing with feelings instead of smoking them away • Being a positive role model…and so much more Are you ready to end the “tug of war” that’s going on inside of you – the battle between the part of you that wants to quit smoking and the other part that’s afraid to let go? Each year, over one million people in this country quit. And those who participate in smoking cessation programs have a much higher rate of staying smoke-free. You can do this! Private hypnosis smoking cessation programs have been successful in creating permanent change for motivated individuals. It’s a drug-free approach, based on neuroscience, that makes becoming smokefree easier and builds your sense of empowerment. It addresses key physical, behavioral, and emotional issues. You’ll be prompted to replace the ritual of smoking with healthier, smarter behaviors, and you’ll love how good you feel about finally being free. This approach is ideal for people who are motivated to change, believe that with the right tools and techniques they are capable of changing, and understand they need to be a partner in the process.

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

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

The County Woman Magazine www.TheCountyWoman.com

January/February 2020

Health & Wellness

Cleansing Concepts Of Red Bank Is Now Offering Therapeutic Cupping Karen Palmer offers both Medicupping Therapy and Sports Cupping Therapy. Medicupping is a gentler form of cupping, utilizing a machine with different size cups where the patient chooses intensity. It usually does not leave the marks like traditional cupping therapy. Both cupping therapies relieve pain and inflammation, open chest and lungs, and sedate the nervous system, which helps insomnia, anxiety and headaches. Cupping is known for opening lymphatic flow and circulation, which helps dissipate cellulite and improve overall health. At Cleansing Concepts we offer a combination of cupping therapy followed by an ionic foot detox. This helps to remove the toxins from the body,

further reducing inflammation. This combination alleviates pain and stiffness in joints and reduces stress. Conditions that respond to cupping therapy are fibromyalgia, arthritis, IBS, stagnant lymph, toxicity, migraines and headaches, high blood pressure, plantar fasciitis and much more.

Karen Palmer, Certified Medicupping Therapist B.A. Health, Sports Medicine, CMT, Sports Cupping Therapist

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January/February 2020

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Medical Medical Professionals Professionals Medical Professionals Medical Professionals

THE UROLOGY GROUP OF CHOICE

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January/February July/August2020 2019 May/June 2019 May/June 2019

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Business Spotlight Featured On The Cover

Meet The Doctors Of Meet The Doctors Of Meet The Doctors Of University ofNew NewJersey Jersey UniversityUrology Urology Associates Associates ofof University Urology Associates New Jersey Mukaram Gazi, MD, FACS Dr. Mukaram Gazi, the founding member of UUANJ, graduated from the University of Miami School of Medicine and completed his post-graduate training in urology at UMDNJ Robert Wood Johnson Medical School (now known as Rutgers RWJ Medical School) in New Brunswick, NJ. In practice since 2003, this exceptionally skilled, minimally invasive surgeon treats the full range of urinary tract and male reproductive disorders—from no-scalpel vasectomies, erectile dysfunction, and urinary incontinence to state-of-the-art robotic surgery for prostate cancer and enlarged prostate (BPH). Dr. Gazi is devoted to his patients, treating them like family in a Professor at Fox Chase Cancer Center and Clinical Assistant Professor at Rutgers Robert Wood Johnson Medical School. Dr. Gazi’s background and expertise, combined with honest communication, have earned him recognition as one of America’s Top Urologists by Consumers’ Research Council of America and Castle Connolly Medical, Ltd., and again this year as a Top Doctor by New Jersey Monthly.

Parvez Mahmood, MD, FACS Dr. Mahmood has been in practice in Ocean County since 1974. He received his training in New York City at Mount Sinai Hospital, New York University Medical Center, Bellevue Hospital Center and Memorial Sloan Kettering Cancer Center. He is currently an Adjunct Clinical Professor at Fox Chase Cancer Center and Clinical Assistant Professor at Rutgers Robert Wood Johnson Medical School. Dr. of the American College of Surgeons.

AlexanderGotesman, Gotesman,MD MD Alexander Dr. Gotesman earned his medical degree from the State University of New York at Stony Brook and completed his urology residency training program at Mount Sinai Medical Center in New York in 2005. After graduation, Dr. Gotesman he currently specializes in adult and pediatric ambulatory national medical societies and is a member of the prestigious Alpha Omega Alpha medical honor society. Dr. Gotesman has received several awards and recognition for his, patient-centered care philosophy. He Joined UUANJ in 2012.

WHAT IS A UROLOGIST? A urologist is a physician who has been trained to treat disorders of the male and female urinary tract (bladder, ureter, kidney, and urethra) and the male reproductive system. Urologists encounter many issues and must have knowledge of internal medicine, pediatrics, gynecology, and other specialties as they are used regularly. surgical subspecialty. A urologist with advanced may be a Fellow of the American College of Surgeons (FACS).

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November/December January/February2018 2020

Business Featured OnSpotlight The Cover

37 43

Meet The DoctorsOf Of Meet The The Doctors Meet Doctors Of UniversityUrology Urology Associates Associates University Urology Associatesofof ofNew NewJersey Jersey Featured On T New Jersey

Meet The The Do Meet Do 1374 Urology Whitehorse University Assoc University Urology Assoc Hamilton Sq. Rd. Sam A. Qassab, MD

Imani Rosario, Imani Rosario, MD MD

HAMILTON

Dr. Qassab completed his general Dr. Rosario earned her medical surgical internship and his urology Dr. Rosario earned her medical degree from the degree from the internationally residency training at the prestigious Georgetown University School of Medicine and acclaimed Georgetown University Emory University in Atlanta, completed her post-graduate training in urology at School of Medicine and Georgia. HeNJ is a08690 DaVinci certified Hamilton, Rutgers Jersey Medical School. After completing completed herNew post-graduate robotic surgeon and isMD extensively Imani Rosario, her in training, Rosario was appointed Assistant training urologyDr. at Rutgers trained in minimally invasive New Professor Jersey Medical School. After of Surgery in the Division of Urology at Rutgers urologic surgery including robotics completing her training, Dr. New Jersey Medical School. In this position, she was Dr. Rosario earned her in medical deg and laparoscopy. While training Rosario was appointed Assistant responsible for training and teaching medical students, Georgetown School of Med Atlanta, Dr. QassabUniversity had the distinct HOWELL Professor of Surgery theurologists in training. Dr. Rosario is general surgeonsinand completed her post-graduate training in pleasure of completing an extra Division of Urology at Rutgers 2364 Route South Rutgers New Jersey 18-months of 9 training andMedical researchSchool. Af New joined Jersey Medical School. In UUANJ in 2016. her training, Dr. Rosario was appointed in urology at the Atlanta Veteran’s Howell, NJ 07731 this position, she was responsible Administration Medical Center where he tookProfessor care of our nation’sin heroes. of Surgery the Division of for training and teaching medical students, general surgeons, and Dr. Qassab joined UUANJ in 2018. New Jersey Medical School. In this pos urologists in training. Dr. Rosario is Board by the American BobCertified Peterson, DC, PA-C responsible for training and teaching m Board of Urology. She joined UUANJ in 2016. general surgeons and urologists in train Mr. Robert Peterson is a retired Chiropractor FREEHOLD joined UUANJ in 2016. and has been a Physician Assistant for 18 years. Mr. Peterson has been working with UUANJ 495 Iron Bridge Rd. for the last six years. He has been an Adjunct Bhaskara Changala, Ph.D., Freehold, NJ 07728 BobPeterson, Peterson, DC,PA-C PA-C Bob DC, Associate Professor at Mercer County College APN-C for 10 years, teaching Biology, Pathology and Mr. Robert is a retired Physiology, and an Assistant Dr.Anatomy Bhaskaraand Changala received Mr. Peterson Robert Peterson is a retired Ch Chiropractor been a Assistant for 1 his Ph.D. in toxicology from SouthUniversity Physician Professor at the Philadelphia and has and beenhas a Physician Physician for 18 years. GujratAssistant University in India and his Studies Program. He has also mentored Mr. Assistant Peterson has been working with U TOMS RIVER Mr. Peterson has been working training as a Nurse Practitioner other Physician Assistants and Licensed Practical for the last six years. He has been an Ad with UUANJ the last at sixMercer years. County C from Nurses. Monmouth University in Bob joined UUANJ in 2011. Associatefor Professor 20 Hospital Drive He has been an Adjunct Associate West Long Branch, New Jersey. for 10 years, teaching Biology, Patholog Professor at NJ Mercer County He completed preclinical research Toms River, 08755 Anatomy and Physiology, and an Assist College for 10 years, in pharmaceutical toxicology also Professor at theteaching Philadelphia University Bhaskara Ph.D., Biology, Pathology and AnatomyHe has also while in India.Changala, Dr. Changala has APN-C Assistant Studies Program. and Physiology, and an Assistant been a registered nurse and critical other Physician Assistants and Licensed Professor at the Philadelphia care nurseDr. since 2008 and workedreceived his Ph.D. in Bhaskara Changala Nurses. Bob joined UUANJ in 2011. University Physician in the toxicology Post Anesthesia Care Unit at University in India from South Gujrat my PSA test came back abnormal. My wife and I were devastated Assistant Studies Program. He has Community Medical Center for several years to joining andprior his training as UUANJ. a Nurse Practitioner from also mentored other Physician Assistants and Licensed Practical Nurses. He joined UUANJ in January 2018. Monmouth University in West Long Branch, Bobresearch joined UUANJ in 2011. Bhaskara Changala, Ph.D., APN-C New Jersey. He completed preclinical in pharmaceutical toxicology also while in India. my options and discussed the pros and cons of each treatment Dr. Changala has been a registered nurse and Dr. Bhaskara Changala received hi For Appointments critical care nurse since 2008 and worked in toxicology Univers my PSA test came back abnormal. Myfrom wifeSouth andGujrat I were dev the Post Anesthesia Care Unit at Community and his training as a Nurse Practitione (609) 581-5900 and provided us with all the literature so we couldyears refer back to it Medical Center for several prior to joining Monmouth University in West Long B He joined UUANJ in January 2018. when needed. I couldn’t ask forUUANJ. a better team.” New Jersey. He completed preclinical (732) 928-5300

For Appointments (609) 581-5900 • (732) 928-5300 • UUANJ.COM HAMILTON 1374 Whitehorse Hamilton Sq. Rd. Hamilton, NJ 08690

HOWELL

FREEHOLD

TOMS RIVER

Howell, NJ 07731

Freehold, NJ 07728

in pharmaceutical toxicology also whi — 2364 B.BRoute Howell, NJ 9 South 495 Iron Bridge Rd.the pros20and Hospital Drive my options and discussed cons of each treatm

Dr. Changala has been a registered nu UUANJ.COM Toms River, NJ 08755

critical care nurse since 2008 and wor the Post Anesthesia Care Unit at Com and provided us with all the literature so we couldyears refer b Medical Center for several prior www.TheCountyWoman.com The County Woman Magazine November/December 2018 He joined UUANJ when needed. I couldn’t ask forUUANJ. a better team.” The County Woman Magazine www.TheCountyWoman.com January/February 2020in Janua

Radio

The County Woman Magazine www.TheCountyWoman.com

January/February 2020

Cake Shoppe & Tea Room

Committing to ‘Memory’ – Designer Turns Her Baking Hobby Into a Full-Blown Career

AnnMarie Cooney AnnMarie Cooney did not grow up dreaming of becoming a baker. Visions of sugar plums and intricately decorated cakes were not dancing through her head as a young girl. By trade, Cooney was a kitchen designer, but retired early to raise her daughters. “With three girls, my job was to raise good women,” Cooney says. It was a special request from her daughter that would eventually turn her into a highly sought-after cake designer and baker. “It all started because my daughter wanted a cake,” Cooney says with a smile. Cooney’s middle girl, was born with health issues that resulted in special needs. So when she wanted a circus cake for her fifth birthday, Cooney made her the best circus cake around. That was 14 years ago, and her girls quickly caught on to their mom’s special talent. At every birthday, they requested a special cake. “It became, ‘what can we do next’ and ‘how can we top that,’ Cooney says. Then she began making cakes for friends. Cooney’s husband had to build an additional kitchen at her house just to accommodate all of the special cake requests. When Cooney’s youngest daughter entered kindergarten six years ago, Cooney decided she wanted to go back to work. “But, I needed to figure out what I was going to do,” Cooney says. Sadly, Cooney’s grandmother, with whom she was very close, passed away during this time. “I was sitting at home, just very sad, and my cousin called me to meet her at the park with her kids,” Cooney says. However, in the midst of grief, she didn’t feel up to it. “My cousin sad, ‘come on grandma would want us to.’ So I went, Cooney says. On the way to the park, she saw the real estate sign. She checked it out and immediately knew that it would be the perfect location for her bakery, A Sweet Memory Cake Shoppe & Tea Room. “My grandmother left each of her grandchildren a small inheritance and it was just enough for me to open my business,” Cooney explains. Cooney spent about five years at that location before moving to another larger space six months ago just two miles down the road in Waretown. A beautiful picture of her grandmother has watched over her since the day she opened. It’s difficult to simply call Cooney’s creations “cakes.” Some designs are so intricate that they look like art. Cooney and her team created a three-dimensional depiction of Van Gogh’s “Starry Night” that captured the essence of this masterpiece with sweet, swirly curves and lines of vividly hued icing. Then there’s the adorable panda birthday cake that could easily be mistaken for a cuddly toy. The list of unique, edible masterpieces goes on and on, That’s because they average a minimum of 30 specialty cake orders per week, mostly by working with different catering and special event venues in and around Long Beach Island. However, they also have a long list of loyal customers. “Some of our customers started with a gender reveal and now we’re doing their fifth birthday cake,” Cooney says. Customer Kathy Helm of Waretown got her grandson’s birthday cake from Cooney close to five years ago. “It was perfect, I brought a couple pictures of what I wanted and they just did their thing,” Helm says. And she has been coming here ever since. “I’m in sales, so I bring my clients treats from here all the time,” Helm says. She’s also brought her granddaughter to Sweet Memory’s princess tea parties. “Our clients really do become our friends,” adds Cooney. In addition to the special-order cakes, A Sweet Memory, has a selection

of seasonal cakes, mini desserts, cookie sandwiches and other baked goods readily available daily. Other creative creations include their cake pies; cakes topped with pie filling and decorated to look exactly like a pie. “Our baking is very seasonal,” Cooney explains. Winter flavors includes a tasted snowball cupcake, which is a chocolate cake filled with marshmallow and chocolate fudge, frosted with coconut buttercream, rolled in toasted coconut, drizzled with chocolate and topped with marshmallows. Or their gingerbread scone with maple cream. Or the orange, cranberry Christmas scone with orange cream. “My grandmother used to always have her ‘lady friends’, as she called them, over for tea,” Cooney explains, adding that she wanted to honor her grandmother by adding a high tea to her bakery. “We squeezed one table in our previous location and began hosting afternoon teas.” They were all so well-received Cooney has expanded her operation to include a full-time tea room. Decorated with a lovely mix of china and flowers, the tea room serves tea, lunch and snacks from 11 a.m. to 4 p.m. Wednesdays through Sundays. They also offer a high tea, but reservations are required. “Our clients have really created the charm of this place,” says Cooney, who adds almost of her china, platters and place setting have been donated by her customers. High tea ($27.95) is served on tiered platters and begins with an individual pot of tea, chosen from their selection of more than 50 teas. Followed by seasonally inspired salad and homemade soup, four varieties or tea sandwiches, freshly baked scones served with their specialty creams, and completed with a selection of their miniature desserts. “Everything from our meats to spreads, our dressings and chutneys, our soups are all made fresh in-house,” Cooney says. Cooney also places an emphasis on healthy fare. “We source organic whenever possible and offer a large selection or vegetarian friendly dishes,” she says. With the extra space the tea room has added to A Sweet Memory Cake Shoppe and Tea Room, Cooney is able to host special events. “We’ve done cake-decorating classes and other ladies events,” Cooney says. They’ve also hosted princess teas, American Girl teas, unicorn teas and more. They even carry a line of tea geared towards little ones. “We even have a dress up section that ladies and little ladies love,” Cooney says. A little help from above has turned Cooney’s one-time hobby into a business that brings customers joys bite by bite. The business that Cooney started out of her home has grown into a full-time operation with a staff of eight. “We work hard and we work a lot, but we really do love each other,” Cooney says. She says they have become a great team and she couldn’t do all of this without them. Cooney’s brother-in-law, Paul Cooney, recently joined the team as chef and baker. There’s also Sarah Rod, the head decorator, and Cindi Reider, head fondant who works in fine detail. “Sarah and

Cindi are so talented, they really are the best around, they’re artists,” Cooney says. Together, what they create can easily be considered art, but at the end of the day-or party or wedding or afternoon tea- and after the last bite, their masterpiece has been turned into a sweet memory.

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

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

The County Woman Magazine www.TheCountyWoman.com

January/February 2020

Funeral Planning

“Buddy” Bears

Anchor Monuments donated teddy bears to The Children’s Art Therapy “Buddy” Program at Riverview Medical Center in Red Bank, NJ in April 2019. Anna Farro, owner of Anchor Monuments, realized the importance of the program when her daughter attended during the loss of her grandparents. It benefited her family through the grieving process and helped her daughter with providing the support she needed to overcome the loss. This program provides the support and tools needed in helping children deal with grief and long-term illnesses of family members and loved ones. The “Buddies” are a part of the program that provide a feeling of comfort and safety for children going through a tough time in their lives. Each child attending the art therapy program will name their bear and it is theirs to keep.

Anna Farro

Owner • President

Specializing in Granite & Bronze Memorials

Anchor Monuments is proudly woman owned and operated. Learn more about Anna Farro on our website: www.anchormonuments.org.

HappyN New Happy ewYear Happy New Year Year

732.440.7548 • 732.822.5140 • www.anchormonuments.org

RESOLUTION REBOOT: A New Year, A New You!

very year it seems we resolve to eat better, exercise more, lose ten pounds, stop stressing, and start meditating. But while our intentions are good, our follow-through is often lacking. Research has found that after just six months, more than 50 percent of us have given up the goals we set in January. Not this time! The Oprah Magazine featured a series of rules on how to make resolutions so you can set yourself up for success- all year long. We share four of them with you here! Read more in the January 2015 issue of O Magazine!

There’s Nothing Magical About January 1st

Your Slipups Are Only Detours

Day one of the new year may seem like the perfect time for a fresh start, but let’s face it: After a season of indulgence, going cold turkey on anything is iffy at best. Spend a week ramping your brain up for a new behavior and take it a little at a time.

You will give into temptation- but that doesn’t mean you should ditch your goal entirely. Don’t let yourself get sucked into

Resolutions Can Be Small and Fun!

Tech Is Your Friend

Yes, this can be the year you finally give up sweets or get a new job. But why can’t it also be the year you read more books, laugh daily, and daydream freely? These habits belong on everyone’s list.

There are several apps available to help you reach your goals. If you are trying to quit smoking, you may want to check out MyQuitCoach, a free app developed by livestrong.com that allows you to track cravings and devise a quitting plan with short-term and long-term goals. There are also apps to help you count calories (like Countertop) or give you tutorials on getting started with meditation (Headspace).

The County Woman Magazine www.TheCountyWoman.com

Art Gallery

“screw-it syndrome”- instead, say to yourself Yes, I got off track, but I don’t need to make it worse. It’s easier to dig out of a 300-calorie hole than a 3,000-calorie one.

Written by: Arianna Davis & Sarah Z. Wexler

January/February 2020

Acupuncture

The County Woman Magazine www.TheCountyWoman.com

January/February 2020

Women Of Monmouth County

Diane Sinnott

Physical Therapy Assistant All-Care Physical Therapy Center

Diane earned her Associate degree in Applied Science for the Physical Therapist Assistant program from Mercer County College, along with a Bachelors degree from the College of New Jersey. Diane has completed clinical rotations and has worked for several years in an outpatient orthopedic setting. She is an active member of the American Physical Therapy Association. Diane strongly believes in a one on one treatment approach for her patients. This year Diane will further expand her skills by attending continuing education courses in Joint Mobilization, Treatment of the Shoulder Girdle Complex and Sacroiliac Mobilization techniques. For more information, call 1-855-3ALLCARE or visit www.AllCarePTC.com.

Teresa Menadier, MD,

Geeta K. Brana

Senior Vice President Freedom Capital Management

Geeta K. Brana provides comprehensive wealth management and asset management advisory services to women in transition. Geeta has over twenty years of experience in the international capital markets. Her career started in London in 1995 with Lloyds Capital Markets, where she trained in all aspects of international finance and credit analysis. She joined Sumitomo Mitsui Banking Corporation in 2000, where she gained extensive experience of structuring and trading debt packages for multinational corporations throughout the United Kingdom, Eastern Europe, US and Japan. In 2003, Geeta began her career in the U.S. with Smith Barney’s Wealth Management Division (Citigroup), turning her extensive knowledge to helping individuals. In a primarily male-dominated environment, she was able to build a successful wealth management practice in Washington, DC and later New York City, working with high net worth individuals and institutions. After a career break while her children were young, Geeta has returned to wealth management through Freedom Capital Management (FCM), a boutique independent advisory firm with deep roots in Monmouth County, NJ. Geeta is also the Founder of WHEEL (Women Helping Educate & Enhance Life). Currently, the focus of Geeta’s practice is on “Women In Transition”; assisting women in all phases of their lives.

GBrana@FCMAdvisor.com Toll Free: 888-244-7131 Ext 111 Direct: 732-546-9315

Siobhan M. Connolly, CTFA Vice President and Trust Officer Garden State Trust Company

Gastroenterologists of Ocean County

Doctor Teresa Menadier recently joined Gastroenterologists of Ocean County after completing her Gastroenterology fellowship at the University of Virginia. She is a graduate of Tufts University. She obtained her medical degree from Rutgers-New Jersey Medical School in 2012 where she was elected President of the NJMS chapter of the Alpha Omega Alpha Honors Society. Dr. Menadier went on to complete her Internal Medicine residency at the University of Pennsylvania. Sponsored by the ANMS Clinical training program in GI Motility and Neurogastroenterology in October 2017, Dr. Menadier received specialized training in high resolution esophageal and anorectal manometry and pH/impedance interpretation under the supervision of Dr. Henry P. Parkman at Temple University. Her clinical interests include esophageal and anorectal motility disorders, as well as liver diseases. Doctor Menadier loves spending time with her family, baking, dancing and listening to flamenco guitar. For more information, call 732-349-4422 or visit www.GastroOfOcean.com.

Siobhan Connolly moved from New York with her husband and two girls to Howell, NJ in 2008 to be closer to her father who lives in Manasquan. While in New York she taught high school, worked with at risk students teaching career skills and employment preparation and owned a retail business. Siobhan joined Garden State Trust Company, Toms River, NJ, in January of 2009. As Vice President and Trust Officer and senior relationship manager her responsibilities include meeting the needs of trust & estate, investment management and charitable foundation clients. With a Master’s Degree in Education and as a Certified Trust and Financial Advisor Siobhan has found her passion focusing on Special Needs Trusts which often require navigating the dilemmas faced by special needs clients and their families. Siobhan is honored to work with these families and takes pride in helping them provide the best life possible for their loved one. Siobhan currently serves on the Board of Directors for SCAN (Social Community Activities Network) serving the large retiree population of Monmouth and Ocean Counties providing education and resources to enhance their quality of life. Siobhan resides in Howell, NJ with her husband and her daughters. You can reach Siobhan at 732/255-5000 or Email: sconnolly@gstrustco.com. Visit www.gstrustco.com to learn how Siobhan may be able to help you.

Photo AndrewsPhotography Photography PhotobybyDonna Tracy Harman

The County Woman Magazine www.TheCountyWoman.com

Photo by Tracy Harman Photography

January/February 2020

Women Of Monmouth County Brittany Abt, RDA, CDA

TenderSmiles4Kids

I started as a late teenager working in the dental field as a sterilization and lab tech. Quickly moved up the ladder to the doctor’s chairside assistant after receiving my radiology license. As time has passed, I now have been a health care professional for 10 years, with my specialty licenses, RDA and CDA. I have found my passion working in pediatrics at Tender Smiles for Kids in Freehold, NJ, alongside some of the greatest, most successful, intelligent, caring people of the dental field. I truly enjoy waking up for work every day, and giving every child who checks in an easy, fun, relaxing experience. Outside of work I live a healthy lifestyle, and I am a competitive bodybuilder, as well as rescuing animals! I volunteered at a rescue in Howell, NJ, and it was one of the most fulfilling experiences I have had in my lifetime. Above all I love helping others and being an RDA is one of the greatest jobs there is! I have been blessed with my job at Tender Smiles for Kids! For more information, call 732-625-8080 or visit www.tendersmiles4kids.com.

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

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

Photo by Melissa Amorelli Photography

Lynne Goldberg

Photo by Tracy Harman Photography

Cynthia B. Clark

Client Relations Coordinator The Matus Law Group

President, Lynne’s Fashion Boutique Lynne Goldberg, President of Lynne’s Fashion Boutique, was born and raised in Monmouth County where she attended public schools. Lynne began her career as a teacher. She married and soon became a full time mother of two sons. Lynne was always interested in clothing and design and her love of fashion blossomed. She has always enjoyed shopping with an appreciation for excellent quality. Her professional career in the retail field began in 1989. She selects designer clothing only available in specialty shops, and not found in department stores. Together with her exceptional staff, Lynne provides women with expertise in choosing styles that flatter and enhance their physical assets. Her clients greatly appreciate the personal attention they receive. Currently, Lynne resides in Ocean County and enjoys spending time with her family which includes her three grandchildren and two miniature schnauzers. In her spare time, she enjoys practicing yoga and healthy nutrition. Lynne is a member of the Little Silver Professional and Business Association. Lynne can be reached at 31 Church St. in Little Silver and at www.lynnesfashionboutique.com.

Cynthia is the first person to greet you at the firm with her warm and friendly personality. Cynthia is full of energy, has excellent inter-personal skills and is always willing to go that extra mile to assist clients and her co-workers. Her experience comprises 15+ years serving in the public sector. She has been in customer service industries, including law enforcement, event planning and coordination as well as disaster case management for Superstorm Sandy. Cynthia enjoys big family gatherings, spending time with her daughters, grandsons and going for motorcycle rides with her fiancé in her free time. For more information, call 732-281-0060 or visit www.TheMatusLawGroup.com.

Photo by Annette Jenkins Photography

The County Woman Magazine www.TheCountyWoman.com

Photo by Donna Andrews Photography

January/February 2020

Community

The County Woman Magazine www.TheCountyWoman.com

January/February 2020

Travel

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ROMANCE TRAVEL

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TheAprotected white sand and barges glide along Europe’s historic rivers were with families in mind. A deluxe Ocean view few during years from now whatbeaches , the “Jewel of the Atlantic,” Our dedication tofamily our clients before, and after every vacation Here built isriverboats a packing primer from Carole Kaiman, Travel Professional that  Barbados , with beautiful beaches and great • 2 shorts and 2 tees (rated theand best in Best thewhich Caribbean by• Travel & miles Leisure) exciting watersports and unlimited scuba diving Tauck offers family river cruises with its a few pennies). way in is a hired golf cart to the youExamples will remember is the totalTauck canals, span thousands of of Continental of some of the best might help with the process. stateroom with Verandah is perfect for a family of 4 or 5. There’s amakes 3 story AquaDunk body slide for kids a world of difference. enjoy beautiful weather, pink sand beaches • 3 sundresses restaurants to rekindle your spirit and feed the soul. experience of your vacation, NOT (for certified divers).connecting waterways, North Sea to Black Sea. Bridges program, including family cooking right spot. Alsowaterslide. the 2nd floortheRiver CruisetoLine Themes: with no fearFlip onflops, deck,flat or for the younger set, there’s the AquaLab with a looping things you forgot pack.and surf • SHOES: sandals, wedges, sneakers are about children. Amazing waterparks with body slides, lazy rivers and warm friendly Conde’ Nast Traveler ForBEACHES a week inresorts thepeople. Caribbean: A Europe River Cruise is one of the best ways we • Viking River Cruises, through partnership with lessons. of the Benetton store over theSesame fountain isand the perfect *Remember, your Vagabond* Enjoy Your Travel Experience. Disney destinations vary from Caribbean cruises with Disney’s own private island or cruising Europe simulator are a favorite of the kids. The Caribbean Adventure with Street the XBOX play • 2 swimsuits • Pashmina know to explore inland Europe, visiting cities, towns and PBS “Downton Abby” Readers have voted Bermuda “Best Island in the Caribbean” 17 times! Virtuoso Travel Professional can offers Viking cruise guests  Italy where in a private chapel in Florence’s coun “Facebook Like” spot. (put 1 in your carry-on so you can go right to the beach) lounges are so popular with children and families. 19 Specialty restaurants and children’s dining areas provide great choices. There are several brand new River cruise lines villages that traditional big ships usually can’t access. days in England Countryside, and special tour • Sunglasses assist 3 you in planning a vacation with special highlights for the kids to enjoy. 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Over 25 Years

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732-842-2600 Office

for our Digital Magazine and some www.TheCountyWoman.com e County Woman foramazing ourwww.TheCountyWoman.com Digital Magazineand some The CountyMagazine Woman Magazine travel ideas. www.TheCountyWoman.com www.TheCountyWoman.com he County Woman Magazine unty Woman Magazine website: amazing travel ideas. www.TheCountyWoman.com www.TheCountyWoman.com he County Woman Magazine unty Woman Magazine

November/December 2016 January/February 2020

May/June 2014 2014 November/December www.vagabondtvl.com May/June 2014 2015 January/February

Theatre & Entertainment

WILLIAM SHAKESPEARE D I R ECT E D BY

SA R A H O L D R E N

JAN 11 â&#x20AC;&#x201C; F EB 2 FOR TICKETS 732.345.1400 | TWORIVERTHEATER.ORG | 21 BRIDGE AVENUE, RED BANK, NJ

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January/February 2020

Community

2019 Champion Lexi Thompson

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January/February 2020

Community

HAPPY NEW YEAR!

LET’S MAKE 2020 THE BEST YEAR YET! What is Social Community Activities Network?

SCAN programs sustain independence, health and happiness among people fifty years of age and older in Monmouth and Ocean Counties by using education and technology to create an environment where the aging population can continue to grow intellectually as well as physically and emotionally, thereby allowing older adults to thrive – not just survive. SCAN is a place where Active Adults meet to be Informed, Empowered and Inspired. Throughout the year, we will continue to introduce new programs and services that complement our mission.

SCAN Partnered With Monmouth University For A Unique Service Learning Experience During The Fall Semester Our SCAN members had an exceptional opportunity to extend their learning experience during the Fall Semester by attending a class at Monmouth University. Specialist Professor Sue Polito, a Geriatric Nurse Practitioner and a faculty member in the School of Nursing and Health Studies, taught the class called Human Aging. 15 SCAN members attended the class along with the MU students. One goal of the Human Aging intergenerational class was to help younger folks develop empathy for aging adults when they were exposed to the real-life situations of the SCAN members. The younger students had the opportunity to meet and interact with their SCAN classmates who are well advanced in the aging process. The more senior class participants had the chance to share the realities of aging with their younger counterparts. MU students also joined their older counterparts at classes at SCAN throughout the semester, choosing subjects such as Art, Bone Up Against Osteoporosis, Dance for Fitness, Spanish & Italian Language classes, How to Use Technology, Learn to Play Mahjong and more. As the students gained a better understanding of the realities of the aging process, they gained valuable insight on how to improve their own health as they continue to age. It was a wonderful experience for both SCAN members and the Monmouth University students that benefited everyone who attended.

SCAN’S UPCOMING CLASSES AND EVENTS! Our Winter class listing is available! A new year is a great time to get out of your comfort zone, make new friends and be informed, empowered and inspired. The Winter Semester begins January 6 and will run through April 3. SCAN offers something for everyone! Choose from Acting & Improv, Art, Foreign Languages, Dance, Fitness, Yoga, TV Production & More! Visit scannj.org to view the full class listing or stop by our Monmouth Campus, located in the basement level of the Monmouth Mall, to pick one up. New to SCAN? Try a class of your choice for FREE on us—just call to register.

All programs listed below are FREE and open to the public but registration is required. Call SCAN 732-542-1326 to reserve your spot in advance!

WORKSHOPS & SPECIAL EVENTS

January 30 – Caregivers & You: Senior Living: Know Your Options Lunch & Learn, 12:15PM – 1:15PM.

Industry experts from Sunrise Senior Living will provide an informative and visual presentation on everything you always wanted to know regarding assisted living and other senior living options. Attend this workshop and leave with expert knowledge on how to determine the best approach to senior care. Compare and understand the difference between homecare, skilled nursing, short-term rehabilitation stays, independent living. Lunch will be provided. Limited to 25 people. Reserve your seat early.

February 6 – Make Your Wishes Known, 1:00PM – 2:00PM.

This workshop will walk you through the 5 Wishes and the conversations you should be having with family, friends and healthcare providers about your wishes in advance of a serious illness. The 5 Wishes are (1) the person I want to make care decisions for me when I can’t; (2) the kind of medical treatment I want or don’t want; (3) how comfortable I want to be; (4) how I want people to treat me; and (5) what I want my loved ones to know. Discussion points will also include POLST and some of the decisions at end of life such as DNR/DNH/DNI, feeding tubes/IV, hospice, and endof-life doula. Instructor: Jennifer Dral

February 14 – Lunch & Learn, 11:30AM – 1:30PM.

This program is FREE and open to the community. Please call the office for details on the topics that will be covered during this event. Presentations will be followed by lunch. RSVP is required.

March 2 – April 6 (meets weekly on Mondays) – Diabetes SelfManagement, 10:00AM – 12:30PM.

This FREE 6-week diabetes-specific workshop covers dealing with hyper/hypoglycemia, stress, depression, healthy eating, medication use and working effectively with healthcare providers. In a positive group setting, participants will make weekly action plans, share their experiences, and help each other solve problems they encounter in creating and carrying out their self-management program. Participants receive the companion book Living a Healthy Life with Chronic Conditions. Open to men and women 60+. Registration is required. Limited to 20 students.

FREEHOLD EVENTS

AT THE FREEHOLD RACEWAY MALL January 23 – Heads Up Seniors, 1:00PM – 2:00PM.

This workshop by the Brain Injury Alliance of New Jersey will present ways to decrease falls with proper medication management, house safety and maintaining assertiveness. Instructor: Laura Jacobs

February 26 – Music & Memory, 1:00PM – 2:00PM.

Learn about the power of music and the brain and then take a musical tour through the decades of music. You may find yourself singing along with Fran! Instructor: Fran Pannella

SCAN’S FREEHOLD CAMPUS AT BETHEL AME CHURCH located at 3 Waterworks Road, Freehold.

AT THE MONMOUTH MALL, EATONTOWN January 22 – Keeping a Healthy Pantry, 1:00PM – 2:00PM.

Join Registered Dietician Roseann Dogas from Imperial Healthcare as she discusses how to keep a healthy pantry in order to manage cardiac and diabetic diets.

January 27 – March 2 (meets weekly on Mondays) – Take Control of Your Health, 10:00AM – 12:30PM.

This FREE 6-week workshop created by Stanford University provides you with tools to develop your own strategy for managing chronic health conditions such as arthritis, anxiety, or high blood pressure. In a supportive and upbeat setting, you will learn how to manage stress, improve communication, cope with depression, sleep better, and more. Get more out of life by taking control of your health! Participants receive the companion book Living a Healthy Life with Chronic Conditions. Open to men and women 60+. Limited to 20 students.

SCAN and Bethel AME Church offer a place for socialization, fun, friends, conversation, lunch & coffee weekly on Tuesdays from 10:30AM – 2:30PM. We will be expanding our program to include speakers, crafts, movies and exercise. Stay tuned!

OCEAN COUNTY EVENTS

AT ST. ANDREW UNITED METHODIST CHURCH located at 1528 Church Road, Toms River. February 19 – Lunch & Learn, 10:30AM – 1:00PM.

This program is FREE and open to the community. Please call the office for details on the topics that will be covered during this event. Presentations will be followed by lunch. RSVP is required.

180 Route 35 Eatontown

(basement level of Monmouth Mall)

732-542-1326 • www.scannj.org

Pat Bohse

Executive Director

SCAN Hours: Monday to Friday 9:00 AM to 4:00 PM

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January/February 2020

Community

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January/February 2020

Community

Answering Needs. Advancing Potential. Serving infants, children, and adults with complex physical and developmental disabilities or delays in Monmouth and Ocean Counties

March

January

The Rosebud Gala is LADACIN’s premier annual fundraising event featuring dinner and dancing, an awards ceremony, Silent Auction, Rafﬂes and a Floral Centerpiece Contest.

Brick Presbyterian Church Denise Walker For More Information

Saturday, April 25, 2020 5k Sunday, April 26, 2020 New Jersey Marathon (full, half, 4-person relay)

TEA

25 26

L A D AC I N

“Every Step Counts”

We hope that you will be a part of Team LADACIN 2020 by running in the marathon (full, half or relay), or in the 5k, fundraising to support LADACIN, taking a sponsorship or volunteering. For registration, contact events@ladacin.org to receive the team code. Sunday, April 26 - Post Race Fundraising Party Buffet Lunch and Gift Rafﬂe at Patrick’s Pub, Neptune City

Call Community Relations at 732.493.5900 ext. 263 or email communityrelations@ladacin.org LADACIN Network • 1703 Kneeley Boulevard • Wanamassa, NJ 07712 • www.ladacin.org www.LADACIN.org

April

20 20

Humanitarian Honorees

SPLASH FOR LA DA

Honoring those who support the mission of LADACIN Network Willis Towers Watson

EA AK

Pre- and post-plunge festivities to be held at Leggett’s Sand Bar & Restaurant in Manasquan

Don’t miss the opportunity to participate in this memorable event by placing an ad in the Ad Journal, taking a Sponsorship, donating a gift to the Auction, purchasing a 50/50 Rafﬂe Ticket, contributing a Floral Centerpiece, or attending the Gala.

Corporate Honoree

Saturday, January 18, 2020 LADACIN Plunge Manasquan Main Beach

! CIN

Saturday, March 14, 2020 Rosebud Gala Dinner Dance Sheraton Eatontown Hotel

/LADACIN

@LADACIN

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@LADACIN

January/February 2020

Community

Thank you for your generous contribution!

Added Touch Florist - Brick 732.477.7147 • addedtouchflorist.com

Kirk Florist - Farmingdale 732.938.2487 • kirkflorist.com

Ashley’s Floral Beauty - Matawa 732.566.7572 • ashleysfloralbeauty.net

Koch Florist - Middletown 732.671.0744 • kochflorist.net

Barlow’s Flower Farm, Inc. - Sea Girt 732.449.9189 x24 • barlowflowerfarm.com

Little Shop of Flowers - Marlboro 732.332.9766 • littleshopofflowers.org

Especially For You Florist & Gift Shop - Freehold 732.431.0099 • efyflorist.com

Michelle’s Flower Bar - Brick 732.901.5551 • michellesflowerbar.com

Florabundance - Carpinteria, CA 800.201.3597 • florabundance.com

Monmouth County Career Center Horticulture Program Freehold - 732.431.3773 • mcvsd.org

Flower Power Florist & Gifts - Belford 732.495.9400 • flowerpowerfloristandgifts.com

Purple Iris Flower Shop - Pt. Pleasant 732.899.8175 • purpleirisflower.com

Flowers on Rt. 88 - Brick 732.202.022 • flowersonroute88.com

Wegmans - Ocean 732.695.7000 • wegmans.com

Jersey Shore Florist - Neptune 732.775.2233 • jerseyshoreflorist.com

As of 12/02/19

Health & Wellness

Dawn Ferrentino : Health & Wellness Coach Now Is The Time To Take Your First Step To A Healthier You!

Dawn Ferrentino

Health & Prosperity Specialist

The holidays are over and the new year is upon us! Did you overindulge during the holidays? Do you feel bloated from all of the turkey, ham, potatoes and sweets? Are you sick and tired of feeling sick and tired? Are you having trouble losing weight? The average weight gain during the holidays is 10-12 pounds! If you are one of those that enjoyed the holidays maybe a little too much, this may be exactly what you are looking for. Dawn Ferrentino specializes in helping thousands of people achieve their desired physical goals and feel their absolute best they possibly can! If you are ready to make a healthy lifestyle change that will help you shed weight and be healthy at the same time, this is exactly what you are looking for. Here are some main points to know about this program: • Easy, convenient and sustainable life style • Guaranteed results - get your body back or get your money back • Weight loss/energy/improved performance • One on one coaching • Customized packages to fit your needs.

Call: 908.208.0002 Email: dawnferrentino07@gmail.com Web: dawnferrentino.com

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dawn.baronferrentino January/February 2020

Networking For Moms

Moms Of Business is a community of mom entrepreneurs that uplift, motivate and help one another online and in person on their journey to abundance. Not only do we strive to educate and empower each other through our Facebook groups & resourceful website, but we're all about having fun, making new friends and growing our businesses too.

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Join for FREE or really promote your business when you take advantage of upgrading to one of our VIP packages! Learn more about us on & upcoming events at momsofbusiness.com today!

The rewards are endless. I stride to succeed with my clients and find them I spent 14 years in the Financial Services industry as a salesperson and relationship manager. I found

the best place to make a home or make the transition of selling a home as simple and easy.

myself wanting to restart my career. Throughout my life I have bought and sold homes and have a passion for helping people.

I thought, what

would be the perfect marriage of the two to become a real estate agent?

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Become so confident in who you are that no ones opinion, rejection, or behavior can rock you!

January/February 2020

Theatre & Entertainment

Axelrod Pac Announces 2020 Musical Season

Enjoy a taste of Broadway at the shore!

The Axelrod Performing Arts Center is producing three professional hit musicals for their 2020 season: MATILDA, GREASE, and 42ND STREET. Subscripting pricing is available for multiple shows and makes a great holiday gift for theater lovers. MATILDA will debut on March 6 and run through March 20. Based on

the fan-favorite children’s book by Roald Dahl, this adult take on childhood is a perfectly captivating show. Directed and choreographed by Broadway’s own Ricky Hinds, this award-winning musical captures the pitfalls of childhood, the lucid imagination that steals your attention, and what it means to yearn for something greater.

GREASE, based on the unforgettable movie musical, will take the stage May

29-June 14. Join greaser Danny Zucko and the rest of his pack, as well as Sandy Dumbrowski and the rest of the Pink Ladies, as they journey through high school, love, friendship, and rivalry in the 1950s. Packed with energetic songs paired with memorable dances, such as “Greased Lightnin’” and “You’re the One that I Want,” GREASE will electrify the Axelrod.

42ND STREET, centered around aspiring chorus girl Peggy Sawyer of

Allentown, PA, comes to the Axelrod November 6-22. Inspired by Busby Berkeley’s esteemed show-business movie musical, 42ND STREET captures the

journey of Peggy, who finally gets her big break on Broadway when Dorothy Brock breaks her ankle, and director Julian Marsh asks her to fill the vacancy. Don’t miss out on this tap-dancing extravaganza! “Our 2020 season is filled with excitement,” says Axelrod Artistic Director Andrew Deprisco. “Each show features some of Broadway’s leading talents along with the energy and passion that is unique to live, professional theater.” The Axelrod’s 2020 season can be purchased via a subscription program that is perfect for lovers of musical theatre and makes a wonderful holiday gift. The subscription, which is currently on sale, guarantees the best seats at every show at the best price. Premium season subscribers pay $171 for 3 shows, saving $30 or $120 for two shows, saving $14. Individual show tickets range from $47 to $67. The Axelrod PAC’s box office is open Monday-Friday from 10:00 AM to 4:00 PM or by phone at (732) 531-9106 ext. 14. Tickets can also be purchased via the website at www.axelrodartscenter.com. The Axelrod offers free, onsite parking and is handicap accessible.

About the Axelrod Performing Arts Center The Axelrod Performing Arts Center is New Jersey’s newest professional theater, offering main-stage musicals with casts and production teams from New York City and beyond as well as original concerts throughout the year. The Axelrod fosters artistic excellence by showcasing varied and distinct cultural programs that enrich the imaginative, intellectual, and creative soul, while cultivating an appreciation of diverse communities through the pursuit of the arts. For more information, please visit www.axelrodartscenter.com.

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January/February 2020

Theatre & Entertainment

“

INGENIOUS BUBBLE ” WIZARDRY. -THE NEW YORKER

Telecharge.com or 212.239.6200

For groups or birthdays call 866.642.9849

New World Stages 340 W. 50th St.

GazillionBubbleShow.com

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January/February 2020

Theatre & Entertainment

“Touching & hilariously funny.” – Broadway World

DENNIS GRIMALDI PRESENTS Photos: Maria Baranova

TONY® AWARD WINNER SWEENEY TODD

LEN CARIOU CRAIG BIERKO TONY® AWARD NOMINEE THE MUSIC MAN

WRITTEN BY

GEORGE EASTMAN DIRECTED BY Sometimes it’s harder to like someone than it is to love them

KAREN CARPENTER

New York City Center Stage II, 131 W. 55th St. | NYCITYCENTER.org | 212-581-1212

HarryTownsendsLastStand.com

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January/February 2020

Community Table of Repair Contents Shoe

Change Your Life in 2020

Medical Professionals

Elder Law

Carluccio, Leone, Dimon, Doyle & Sacks, LLC ........................... 8 All-Care Physical Therapy Center, LLC ....................................... 2 Shore Vascular & Vein Center ..................................................... 6 Health & Wellness Quality Dermatology .................................................................... 7 Living Healthy Naturally ............................................................... 9 Hypertension and Kidney Group of Ocean County ..................... 9 or Not Yoga ......................................................................... 32 WithCenter spring in the air, it is10 timeHot to freshen up your footwearReproductive Science of NJ .......................................... Hypnosis for Women ................................................................. 33 Advocare Stafford Orthopedics ................................................. 11 and The Friendly Cobbler isNina the perfect place to do so. Radcliff, MD ...................................................................... 44 Ocean Otolaryngology Associates, PA...................................... 15 Lice Lifters ................................................................................. 49 Advanced Sleep Center of New Jersey..................................... 17 Yoga Nine Mind/Body Studio .................................................... 50 man orCenter woman knows how hard it is to22find that perfect pair of shoes that both looks and feels amazPersonalEvery Enhancement .................................................. Jersey Shore Pharmacy ............................................................ 53 ing. So when you finally do get the holy grail of footwear, you to extend its life as long as possible. Whether Hackensack Meridian Int. Health Entrepreneurs & Medicine ........................... 26 ... Join want Woman Publishing Wanted other Professional Dentistry Kathy Banks,your DMD ................................................................ youA.found dream sandals, sneakers, or shoes,27Domenick, owner of Creations The Friendly Cobbler, can help12, you! Aesthetic Dental ............................................ 13, 14 counties that are publishing or have an option to publish in Gastroenterologists of Ocean County ................................. 28, 29 When it comes to extending the life of your shoes, preventative care can do wonders. Before you hit the Cake Be Well ........................................................... 31 theWomen’s UnitedHealth States and BE YOUR OWN BOSS! We areShoppe looking &forTea Room A Sweet Memory Cake Shoppe &new Tea rubber Room............................ streets with a new pair of leather-soled shoes, visit Domenick to put in comfortable, inserts. For 16 Atlantic Neurosurgical Specialists ....................................... 34, 35 and men to publish a few bright, energetic, creative women overRiver 15 X-Ray, years, CT Domenick has......................................... been cleaning and servicing all different kinds of shoes. With friendly, personalized Financial Management Toms & MRI Center 37 our trademarked, copyrighted newspapers IN YOUR COUNTY, 5 Tips for around Sustained Healthof ........................................ 18get service, Domenick will attend to those kicks that have lying atFinancial the bottom your closet. You can Bella Derma Medi Spa............................................................... 38 been Garden State Trust Company .................................................... 19 IN Hematology YOUR IN YOUR OWN BUSINESS! Joinfor the fastest Ocean & Oncology ......................................... 46, in 47time your favoriteSTATE, sandals or sneakers patched up just spring! Paonessa Colon & Rectal Surgery, PCWoman’s ...................................... 48 Bakery growing Newspaper in the Not onlyeducational does Domenick repair shoes, he also offers syndicated services for Uggs, handbags, belts, and anything leather. Bio-Behavioral Health................................................................ 49 Simply Sweet Cupcakes ........................................................... 23 United States. MINIMAL INVESTMENT REQUIRED! References It’s getting warm out quickly, so grab those colorful handbags, wedges, or sneakers and come on over to the Institute for Complementary and Alternative Medicine ............. 52 Pediatric Dentistry provided. Maximum return ... Be your own boss, set your Friendly Cobbler at 1442 New Road, Northfield, NJ to turn them into new, stylish fashions for all to see! 24 Dr. Park Avenue ......................................................................... 55 Ocean Pediatric Dental Associates ........................................... Garden State Medical .................................................... 75 towards own hours and yourtolife mean more! ALL TRAINING Springtime isCenter the make perfect time express gratitude a a loved one or friend! Come see the beautiful,

Step Into Spring With a Fresh New Pair of Old Shoes

Licenses May Be Available In Your Area

Permanent Hair Removal Fine Artleather Photography PROVIDED! If youthat arewere interested in developing with usyou in 2020 Electrolysis ....................................................................... 25a unique bands hand-crafted by DomenickBrick himselfcan customize them by choosing from Tracy Harman Photography......................................................... 3 variety of styles, and charms, and... you can personalize them by & adding your loved one’s name directly onto Nursing Rehabilitation Center in your STATE,studs in your COUNTY Legal Professionals Tallwoods Care Center .............................................................. 30 the band. They are absolute must-haves! Kathleen M. Dotoli, Esq. .............................................................. 4 Business & Finance

CALL 1.800.993.3822 All Shoe Repairs

The Friendly Cobbler

The Matus Law Group ............................................................... 25 Straffi & Straffi, Attorneys at Law .............................................. 36

609.442.4518

The County Woman Publicatons

Yes!

Subscribe Today .......................................................................... 5 Instagram .................................................................................. 20 Testimonials ............................................................................... 21

25% OFF

Copiers Plus .............................................................................. 39 Brick Chamber of Commerce.................................................... 67

Insurance

Arocho Insurance Agency ......................................................... 40

5 63 Holistic Substance Abuse Treatment

Enlightened Solutions................................................................ 45

Acupuncture

Koehler Acupuncture ................................................................. 45

Wigs & Hair Designs

Abstrax Hair Designs ................................................................. 51

Funeral Planning

DeGraff Funeral Home............................................................... 52

Theatre & Entertainment

Cape May Stage ........................................................................ 54 The Other Josh Cohen .............................................................. 56 Show-Score............................................................................... 57 Atlantic City Ballet ..................................................................... 59 Two River Theater ...................................................................... 73 Women of Ocean County ........................ 60, 61, 62

Radio

The Boss 107.1 ......................................................................... 63

Education

Ocean County College .............................................................. 67

Women’s History

Susan Burton............................................................................. 69

Holistic Life Coach

Jessica L. Conrad, M.A., B.A. .................................................. 71 We66, Clean Community ...................... 58, 64, 65, 68, 70,Uggs 71, 72, 74

 Remove Water Stains  Eliminate Salt Stains

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