Monmouth County Woman - January/February 2021 by The County Woman

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Business Spotlight

Smiles Come Easy At THE UROLOGY GROUP OF CHOICE. Aesthetic Dental Creations

Besides having the latest in advanced technology and cutting edge procedures, Dr. Balaji and his staff take the time to educate their patients about their oral health. Dr. Balaji and his talented team perform root canals, veneers, periodontal therapy, deep bleaching, TMJ treatment, and all-porcelain crowns. Your first visit to their office is the most critical and thorough one. From our digital radiographs which have one tenth the radiation exposure as traditional x-rays, to our digital photography, you will be able to see the condition of your dental health in high definition.” Also part of this exam is a head/neck exam, oral cancer screening, and periodontal evaluation. Once he compiles all of the results, Dr. Balaji comes up with recommendations on how to treat your dental, as well as your overall health. A treatment that Dr. Balaji offers is “Six Month SmilesTM”, also known as short term orthodontics for adults who do not want to have comprehensive orthodontic treatment and are mostly concerned with the appearance of their front teeth. In fact, he was one of the first dentists in Ocean County to offer this procedure. “Essentially, we have perfected a revolutionary combination of proven orthodontic techniques, modern materials, and innovative thought which is known as Six Month SmilesTM,” he says. If you or someone you know is not 100% happy with their smile, then this treatment might be for you. Besides being a safe and effective cosmetic solution, it is also highly affordable

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Treating patients with compassion, dignity, mutual respect, and trust remains our steadfast goal.

and fits most lifestyles. By utilizing specialized clear braces to gently straighten and align teeth, the procedure takes just about six months. He adds, “We have taken the best aspects of braces and modified treatment and the materials to give adults a common-sense solution.” Dr. Balaji also offers Invisalign® for anyone looking for a more comprehensive approach. We offer two different choices based on your needs. Another technique he has become known for is the Fountain of Youth DenturesTM. Besides taking years off your appearance, they can drastically improve your confidence. He adds, “Many traditional dentists use the same fabrication methods they learned in dental school years ago to make dentures, and this results in that “generic” look that most denture wearers exhibit. Because these traditional denture fabrication methods do not take into account modern smile design concepts, they do not consider the collapsed musculature, which is a result of a poor bite relationship.” By using the latest techniques and sophisticated equipment known as ultra low frequency tens unit, Dr. Balaji is able to completely relax your muscles in order to find the correct jaw position and actually give you the appearance of having a face-lift without the surgery. “This method completely contradicts the way all dentists are taught in dental school. It’s time to change old habits and realize there are better ways to achieve the enhancements for denture wearers,” he says. Dr. Balaji is an alumnus of the worldrenowned Las Vegas Institute for Advanced Dental Training. This allows him to provide services that most traditional offices cannot. His specialized training in adhesive dentistry, smile design, and TMJ/Migraine Therapy gives him the opportunity to provide truly exceptional dental care. “These teeth are the only ones we get so when selecting a dentist, you want to go where its about quality and the highest level of care,” he says. No matter what your age, if you are looking for an exceptional dental experience, visit Aesthetic Dental Creations today. Dr. Balaji and his wife Tracie have two beautiful children, Ava, age fourteen, and Gavin, age eleven. Baseball has always been a passion for Dr. Balaji and when he is not at the office, he enjoys coaching his son’s baseball team and watching his daughter play soccer.

Aesthetic Dental Creations offers a wide variety of cosmetic and general dentistry services.

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AMRI was founded in 2013 by Dr. Sanjiv Sharma.

Pages 10 & 11Balaji Srinivasan, DDS

Dr. Balaji Srinivasan

General and Family Dentistry Free Cosmetic Consultations TMJ/Migraine Therapy Aesthetic Onlays and Inlays All Porcelain Crowns (Non-Metal) Invisalign® Implant Crowns Periodontal Therapy Dentures/Aesthetic Partial Dentures Facial Esthetics (such as BOTOX® or JUVEDERM®) Six Month SmilesTM

Pages 26 & 27

Creating relationships are the hallmark of Aesthetic Dental Creations office operations. Located in Jackson NJ our dental office offers dental programs for both Monmouth and Ocean County NJ DDS residents Balaji Srinivasan, along with other surrounding Creating relationships are the towns andofcounties. hallmark Aesthetic Dental Creations office operations. Located in Jackson NJ our dental office offers dental programs for both Monmouth and Ocean County NJ residents What our happy patients havealong to say… with other surrounding “Love this dental office, I couldn’t imagine going anywhere else! and The entire staff is warm and towns counties.

welcoming and Dr. “B” is just amazing! I give them a million stars.” - LS ——————————————————————— “Received an excellent, thorough cleaning and exam by Aesthetic Dental’s professional team. Online Scheduling AvAilAble Office staff are always friendly, helpful and courteous. No wait time in the office as usual.” - CS ——————————————————————— “This is the best dentist in the world. I had head pain for over 25 years. I saw countless dentists, a neurologist, and even had sinus surgery. All the dentists said I did not have TMJ or any other tooth problems that would produce the pain. It was depressing. My neurologist found about aboutoffice, Dr. B,I couldn’t and suggested I gogoing for aanywhere consultation. I didn’t wantstaff to go to another “Love this dental imagine else! The entire is warm and dentist. However when hejust suggested it again, thought, why not. welcoming and Dr. “B” is amazing! I give Ithem a million stars.It” was - LS the best thing I ever did. Dr B said he could help me and believed I did have TMJ. He made me an orthotic that has ——————————————————————— taken my head pain away. Gone after 25 years of misery! His office staff is knowledgeable, kind, “Received an excellent, cleaning and exam bysay Aesthetic professional team. and compassionate! Thethorough office itself is beautiful. I can’t enoughDental’s good things about Aesthetic Office staff are always friendly, helpful andDr. courteous. No await in the office usual.” - CS Dental Creations and the very wonderful Balaji! I am verytime happy patient. ” -asJM ——————————————————————— “Thisstaff is theis best inand the since world. I hadbeen headapain for over I saw countless “The verydentist friendly I have patient since25 Dr.years. Srinivasan started his dentists, Iafeel neurologist, and evenTop hadofsinus surgery. the no dentists saidwith I didmy notteeth! haveIfTMJ practice like family there. the line care, All I trust one else he ever or any other tooth problems that would changed locations, I would follow. ” - CMproduce the pain. It was depressing. My neurologist found about about Dr. B, and suggested I go for a consultation. I didn’t want to go to another dentist. However when he suggested it again, I thought, why not. It was the best thing I ever did. Dr B said he could help me and believed I did have TMJ. He made me an orthotic that has here more videos! takenScan my head painfor away. Gonetestimonials, after 25 years of including misery! His office staff is knowledgeable, kind, and compassionate! The office itself is beautiful. I can’t say enough good things about Aesthetic Dental Creations and the very wonderful Dr. Balaji! I am a very happy patient.” - JM ——————————————————————— November/December 2018 “The staff is very friendly and since I have been a patient since Dr. Srinivasan started his practice I feel like family there. Top of the line care, I trust no one else with my teeth! If he ever changed locations, I would follow.” - CM

What our happy patients have to say…

Photo by Tracy Harman Photography.

After a visit with Dr. Balaji Srinivasan, otherwise known as Dr. Balaji, and his team at Aesthetic Dental Creations you quickly realize that this is not your typical dentist’s office. They are all about creating relationships along with your dental health. He adds, “We provide our patients with the highest standard of care and service. When coming up with goals for my practice, the main priority was to treat our patients the way I would like to be treated. That would mean he would know me personally, and I would not feel like a number when visiting their office.” Dr. Balaji is a stickler for quality care and not having his patients wait. You will never see a waiting room full of people. “I don’t expect my patients to wait. I respect their time and providing quality dental care is my priority. Quality over quantity every single time.”

TREATING MEMORY LOSS.

SMILES ARE GUARANTEED AT AESTHETIC DENTAL CREATIONS.

Scan here for more testimonials, including videos!

Cyrus Khorammi, MD, is the Medical Director of Toms River X-Ray, CT & MRI Center. His office is an inspiring story of one of the few remaining family owned and operated radiology centers. Read more on pages 20 & 21.

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Medical Professionals

2 HEALTH NEWS (FREEHOLD, NJ)

A New Sensation

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IN NEUROPATHY CARE Advanced FDA-Cleared Vascular Treatment Provides New Hope!

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 commonly. 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), that supply nerve tissues. Without sufficient blood flow making it through capillaries, essential oxygen and 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.

SYMPTOMS: NUMBNESS, TINGLING, PRICKLING, BURNING, SHARP-SHOOTING PAIN, CRAMPING, MUSCLE WEAKNESS, LOSS OF BALANCE AND COORDINATION, DIFFICULTY WALKING

“WE PERSONALLY INVITE YOU TO SCHEDULE A COMPREHENSIVE EVALUATION TO DETERMINE IF YOU ARE A MICROVAS CANDIDATE AND TO LEARN MORE ABOUT OUR EXCLUSIVE NEUROPATHY PROGRAM” - The REHABILITY Team...We Can Help!

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 promote oxygenrich circulation in the extremities. MicroVas’ powerful, 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 to 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 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 manual hands-on therapy and functional conditioning is designed to help you achieve optimal results for long-term relief. "My neuropathy made me miserable day and night and I 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.

www.REHABILITYNJ.com | PHYSICAL THERAPY | CHIROPRACTIC | ACUPUNCTURE | SPORTS MEDICINE

CALL TO SCHEDULE YOUR APPOINTMENT TODAY! 732-780-6230 83 SOUTH STREET SUITE 204 FREEHOLD, NJ 07728

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January/February 2021

Medical Professionals

New Wh iting er /Manchest Location in Ocean County!

University Urology Associates of New Jersey is Proud to welcome Nabet G. Kasabian, MD to the group.

Telehealth appointments available for your safety

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January/February 2021

The County Woman

WelcomeMonmouth to the January/February Issue of the Monmouth County Woman! County Monmouth2021 County Since 2008

Since 2008

Woman

Dear Readers, I know I am not the only one excited to say farewell to 2020. It has been a year like no other. Although we are not quite “back to normal,” there is undoubtedly more hope in the air these days. During times of great strife, it is so important to try and stay positive. After all, with hard times comes growth and change. We all know the pandemic has wreaked havoc on the economy and has caused illness for so many. Now more than ever, we must create some positivity in our lives. Maybe it’s practicing a random act of kindness for a friend, or supporting a small business. I know I am very much looking forward to what the new year has to bring. The month of February is American Heart Month. Let’s try and raise some awareness about the importance of heart health and urge our friends and loved ones to prevent heart disease. Did you know that 47% of all Americans have at least 1 in 3 key risk factors for heart disease? These days, when it comes to factors we can control, we must do just that! Live a healthy lifestyle and keep your blood pressure and cholesterol levels normal. Also in the month of February we have Valentine’s Day. Send someone you love some red roses, or better yet some chocolate. Did you know that dark chocolate is packed with antioxidants and can improve brain function?

“The New Year stands before us, like a chapter in a book, waiting to be written.” —Melody Beattie

Inside... Medical Professionals

REHABILITY.................................................................. 2 University Urology Associates of New Jersey............... 3 All-Care Physical Therapy Center LLC.......................... 5 Wishing you and your loved ones all the best All correspondence should beAll addressed to: correspondence should be addressed Shore Vascularto: & Vein Center.................................... 6, 7 for the coming year! Reproductive Science of New Jersey........................... 8 The County Woman The County Woman Best Wishes, P.O. Box 619& the Staff at the P.O. Box 619 Gastroenterologists of Ocean County........................... 9 Lauren Shover, Production Manager, Monmouth Atlantic NeuroSurgical Specialists.............................. 12 Turnersville, NJ 08012 Turnersville, NJ 08012 County Woman Publication Kathy A. Banks, DMD.................................................. 14 The County Woman’s Newspaper is published bi-monthly and isWoman’s available Newspaper free of charge at The County is published bi-monthly andOcean is available free of charge at Associates.............................. 15 Otolaryngology display stands in approved private and public establishments and authorized display stands in approveddistributors private andonly, public establishments and authorized distributors only, Relievus....................................................................... 16 or by paid mail subscription. or by paid mail subscription. Trademark and U.S. Copyright Laws protect The County Woman’s Newspaper. No part of Trademark and U.S. Copyright Laws protect The County Woman’s Newspaper. No part&ofOncology.................................. 17 Ocean Hematology this paper may be reproduced without the written permission of thebepublisher. this paper may reproduced without the written permission of the publisher. Bella Derma Medi Spa................................................. 25 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 its own), typographical errors from advertisements submitted as camera ready or any Advanced Research Institute.................. 26, 27 its own), typographical errors fromreproducadvertisements submitted as camera ready orMemory any reproductions of advertisements submitted as camera ready.An tions Educational Resource for Women and Their Families of advertisements submitted as camera ready. Paonessa Colon & Rectal Surgery.............................. 28 If an advertisement does not meet our standards of acceptance, we may does revisenot or meet cancelour it atstandards of acceptance, we may revise or cancel it at If an advertisement any time, whether or not it has been already acknowledged previously The acknowledged and/orPersonal any time,and/or whether or not itpublished. has been already previously Enhancement published. The Center.................................... 39 leb Ce

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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 in submitted copy and will protect andProduction indemnify the Woman’s Newspaper, its protect owners,and publishers, andthe employees, against indemnify Woman’sShover Newspaper, its owners, publishers, and employees, Manager & Advertising Sales Lauren Cosmetic &against General Dentistry 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, staff@thecountywoman.com Aesthetic Dental Creations. ................................... 10, 11 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 resulting fromManager the publication Padden of this newspaper or resulting its LLC, advertising copy. Billing Cooper Certified Public Accountants from the publication of this newspaper or its advertising copy. 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, to insert an advertisebilling@thecountywoman.com Professionals ment. The publisher shall not be liable by reason of ment. error, omission and/or failure to insert anyreason of error, omissionLegal The publisher shall not be liable by and/or failure to insert any Designer Golden Design LLC part of an advertisement.Graphic The publisher will not be liable for delay or failure in performance E F Chowdhry Law Practice........................................ 13 part of an advertisement. The publisher will not be liable for delay or failure in performance in publication and/or distribution if allCEO or any portion of an issue is delayed or suspended for in publication and/or distribution if all or any portion of an issue is delayed or suspended for Lynn K. Wolf James Treanor, Esq..................................................... 34 any reason. The publisher will exercise reasonable judgment in these instances will and exercise will make any reason. The publisher reasonable judgment in these instances and will make adjustments for the advertiser where and when appropriate. adjustments for the advertiser where and when appropriate. For advertising inquiries, please call: The Woman’s Newspaper assumes no responsibility for unsolicited material orassumes reproducThe Woman’s Newspaper no responsibility for unsolicited material or reproducFinancial Management tions made by advertisers. tions made by advertisers. Garden State Trust Company................................ 18, 19 This newspaper will be published by the 15th of every month.will be published by the 15th of every other month. Thisother newspaper TM TM 2008. County Woman, LLC COPYRIGHT 2008. Representations by The Monmouth County Woman, LLC COPYRIGHT Representations by The Monmouth

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Home Health Care

UM Communities HomeWorks.................................... 23

Counseling Services

Genovese Counseling Services................................... 23

Financial Independence

Freedom Capital Management.................................... 24

Women of Monmouth County........... 32 Travel Agency

Vagabond Travel Agency............................................. 35

Community...................................... 30, 31, 37, 38

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1.866.398.0898

Contact us: Featured on the Cover IND619 US •ON THE WEB! NJ P.O.FBox Turnersville, • 08012 FIND US ON THE WEB ! River X-Ray, CT & MRI Center..................... 20, 21 Toms

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Jersey Shore Pharmacy.............................................. 22 Hypnosis for Women................................................... 29 facebook.com/TheCounty Woman facebook.com/TheCounty @TheCountyWoman Woman

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 2021

Medical Professionals

Total Hip Arthroplasty Anterior Approach vs. Posterior Approach David Walinger, PTA

Total hip arthroplasty (THA) is used worldwide as one of the most effective procedures for relieving pain, restoring function, and improving quality of life in patients with painful or deformed hip joints. Improvements in hip arthroplasty procedures have led to faster recovery, shorter hospitalization, and higher patient satisfaction.

In the United States, more than 300,000 patients between 50-80 years of age undergo total hip replacement. The most common cause for requiring a THA is due to osteoarthritis or injury. Symptoms of osteoarthritis include pain, joint stiffness, and decreased range of motion. THA has the ability to relieve pain and improve quality of life. Among all the joints in the human body, the hip joint has a faster, more durable and successful recovery following replacement. The hip joint is a ball-and-socket joint. The prosthetic (artificial) portion of the hip joint consists of two parts, a cup-like component that is attached to the acetabulum (portion of the pelvic bone), and a shaft with a round top that attaches to the femur (thigh bone of the leg). The damaged parts of the hip bone are removed, contoured and replaced with the prosthetic. These material combinations can include metal-on-polyethylene ,metal-on-metal, and ceramic-on-ceramic. Total hip replacements can be performed with two techniques which include an anterior approach or posterior approach. The anterior approach is considered less invasive in comparison to the posterior approach. During a posterior approach, while lying on your side, your orthopedic surgeon will create a 4-7 inch incision behind the hip along the outer buttock

Your safety and health are our first priority

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area. The gluteus maximus muscle is split but will not require repair. Two hip external rotator muscles are detached and then reattached to bone and will heal within 4-6 weeks. The anterior approach is usually performed creating an incision along the front upper thigh separating but not detaching muscle to avoid nerve damage. Following surgery, your physician will discuss your hip precautions to ensure a successful recovery.

Hip Precautions

Posterior Approach: What to avoid: • Sitting on low chair/toilets • Bringing you knee past you hip ( >90 degrees of hip flexion) • Bending at the waist to pick up objects off the floor • Standing “pigeon toed” (inward rotation of feet) • Crossing of legs

Anterior Approach: What to avoid:

• Stepping backwards on your surgical leg • Crossing of legs • Lying on your stomach • Standing with your feet rotated outward *Please consult with your physician regarding hip precautions

We’re open and here for you! All-Care is following all CDC guidelines to keep you (and us) safe! • Telehealth • In-Clinic • In-Home Therapy • In-Network

• Healthy Lungs for COVID Recovered Patients • LSVT Big Parkinson’s Treatment • Certified Hand Specialists

1-855-3ALL-CARE . www.AllCarePTC.com

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Physical Therapy

Early postoperative therapeutic exercises are necessary for preventing blood clots and increasing blood circulation to your lower extremities. Early exercises are also important to strengthen muscles and maintain joint integrity. Following surgery, you will meet your supervising physical therapist in the recovery room to begin exercises implemented in your personal treatment plan. It may feel uncomfortable at first, but these exercises will speed your recovery and reduce your postoperative pain. Outpatient physical therapy sessions will help restore range of motion and increase your proximal hip stability. Weight-bearing activities will help restore strength to optimal levels as well. This level of physical therapy focuses on activity-specific rehabilitation for your personal goals, such as a return to work or other activity. Your physical therapist will incorporate exercises that simulate those activities. These may include lifting techniques, pushing, pulling carts, climbing ladders, agility exercises, or light jogging depending on your recovery and activity level. Today, 80% of all hip replacements last for up to 20 years. Some are not always successful, leaving various factors which increase the chances of failure including an individual’s weight, compliance of hip precautions as well as level of activity and overall health status. Performing strengthening exercises is essential for stabilizing the hip during recovery. Excessively high impact exercises can cause too much force and can increase the likelihood of complications. Skilled manual therapy and rehabilitation is very important in order to regain full potential and proper recovery. For more information on the importance of physical rehabilitation following a total joint replacement surgery, please call (609) 660-1900 to schedule an appointment at our Barnegat location.

David Walinger, PTA David graduated from Union County College where he earned his Associates Degree in Applied Science with successful completion of the Physical Therapist Assistant Program. Prior to this, he attended Bloomsburg University where he studied exercise science. During his clinical rotations he has treated many patients with a variety of pathologies including musculoskeletal injuries, Parkinson’s disease, cerebrovascular accidents, traumatic brain injuries, and more. David is an active member of the American Physical Therapy Association and is delighted to be a part of the All-Care team.

January/February 2021

Medical Medical Professionals Professionals

6 10

The Most Common Questions And Answers Concerning Varicose Veins

Varicose veins are one of the most common vascular conditions affecting women...and men of all ages. Treatment options have improved greatly in recent years. In spite of these advancements, many people mistakenly still believe that treatment for this problem is difficult, painful, and simply considered “cosmetic.” Other people may experience leg pain and other symptoms but they don’t realize what is causing their condition. This article will answeraricose some common questions regarding associated and treatment. veins are one of the most common vascular varicose How are veins, varicosethe veins and venoussymptoms, reflux diagnosed? conditions affecting women...and men of all ages. An experienced vascular specialist can make the diagnosis with techniques, allowoffor treatment history, physical examination and a Treatment greatly in a combination a medical Jeffreyoptions S. Gosin,have MD,improved FACS WITHOUT the need painful recent years. In spite of these advancements, painless vascular test for called a Doppler ultrasound (also known as surgery. One of the best, most many people mistakenly still believe that treat- a proven venoustreatments duplex scan.) Making the correct diagnosis is essential for venous reflux What are varicose veins? ment for this problem is difficult, painful, and inisproperly treating this This condition. the Closure® Procedure. Varicose veins are swollen veins that simply considered “cosmetic.” Other people minimally invasive procedure is venous reflux treated? How are varicose veins and can be seen through the skin. They often performed right in the office in may experience leg pain and other symptoms Sometimes compression less stockings will be sufficient to control have a bulging, twisted appearance. than 30 minutes, with no incisions, but they don’t realize what is causing their and prevent complications. When procedures are needed, Some varicose veins may be very large symptoms minimal discomfort, and excellent condition. This article will answer some results. technology and techniques, allow for treatment WITHOUT and discolored. Others may be smaller. current common questions regarding varicose veins, the need for painful surgery. One of the best, most proven treatments They can occur anywhere on the legs, How long is the recovery Jeffrey S. Gosin, MD, FACS the associated symptoms, and treatment. for venous reflux is the Closure® Procedure, now referred to as Venefit™. including the groin area.

What are varicose veins? What causes varicose veins? veins areup,swollen canthe belegs seenandthrough Varicose Blood must flow against veins gravity,that to exit return tothe theskin. heart. They often have a bulging, twisted appearance. Some varicose veins Our leg veins have one-way valves that assist in this process. Those valves can may be very large and causing discolored. be smaller. TheyThe canblood malfunction and leak, blood Others to flow inmay the wrong direction. then pools in the legs, increasing the pressure in the veins. This is known as venous occur anywhere on the legs, including the groin area. reflux disease or Chronic Venous Insufficiency (CVI). Venous reflux is one of the What varicose mostcauses common causes ofveins? varicose veins. Blood must flow up, against gravity, to exit the legs and return to thelegsymptoms of varicose veins and venous reflux theWhat heart.are Our veins have one-way valves that assist in this process. disease? Those valves can malfunction and leak, causing blood to flow in the People with varicose veins and venous reflux may feel leg pain, leg heaviness, leg wrong direction. The blood then pools in the legs, increasing the pressure fatigue and/or leg swelling. Itching of the skin of the legs is also a very common in complaint. the veins. Standing This is known as venous refluxMany disease or Chronic may worsen symptoms. people will noticeVenous the Insufficiency reflux is one of the most causes appearance of(CVI). bulgingVenous legs veins. However, some people willcommon only feel discomfort not notice any cosmetic changes. of but varicose veins. I thought are just a cosmetic problem. What are thevaricose symptomsveins of varicose veins and venous reflux disease? with varicose veins and venous reflux may feel leg pain, leg IsPeople that true? It is important to understand varicoseItching veins and reflux are NOT heaviness, leg fatigue and/or legthat swelling. of venous the skin of the legs is necessarily simple cosmetic problems. This can be a sign of an abnormal condition also a very common complaint. Standing may worsen symptoms. Many in the circulation. In addition to pain, some individuals may be at risk for chronic people will notice the appearance of bulging legs veins. However, some swelling, permanent skin discoloration, open wounds and even blood clots. With people will onlyand feeltreatment, discomfort but not notice any can cosmetic early diagnosis long-term complications usuallychanges. be prevented. Treatment often has the added benefit of improving aesthetics, even cases that I thought varicose veins are just a cosmetic problem. Is thatintrue? areItnot considered “cosmetic.” is important to understand that varicose veins and venous reflux areWho NOT cosmetic problems. This can be a sign of isnecessarily at risk forsimple varicose veins? Prolongedcondition standing orinsitting on one place,Infamily history varicose veins, and an abnormal the circulation. addition toofpain, some indibeing overweight are all known risks. In addition, increasing age and pregnancy viduals may be at risk for chronic swelling, permanent skin discoloration, are risk factors. Some people may develop varicose veins without having any of open wounds and even blood clots. With early diagnosis and treatment, these known conditions. long-term complications can usually be prevented. Treatment often has arebenefit varicose veins and venouseven reflux diagnosed? theHow added of improving aesthetics, in cases that are not An experienced vascular specialist can make the diagnosis with a combination considered “cosmetic.” of a medical history, physical examination and a painless vascular test called a Who is atultrasound risk for varicose veins? Doppler (also known as a venous duplex scan.) Making the correct diagnosis is essential in properly treating thisplace, condition. Prolonged standing or sitting on one family history of varicose veins, overweight all venous known risks. addition, increasing Howand arebeing varicose veinsare and refluxIntreated? age and pregnancy are risk factors. Some people may develop varicoseand Sometimes compression stockings will be sufficient to control symptoms prevent complications. When procedures areconditions. needed, current technology and veins without having any of these known

from vein treatment? This minimally invasive procedure is performed right in the office In most cases individuals can inreturn less than 30usual minutes, with no incisions, minimal discomfort, to their activities within and excellent results. a day of the procedure.

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

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Medical Profe 7

Groundbreaking NewRemoval Technology Groundbreaking New Technology For Laser Tattoo Groundbreaking New Technology for Laser Tattoo Removal

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Some colors are more difficult to clear completely t However,Therefore, our new enlighten™ picosecond laser has shown to be fasterhow and many more IfIfyou are experiencing others. it is impossible to know in been the very beginning you are c effective thanwill the ultimately prior lasers used for tattoo In fact, many can expect to “tattoo regret” and would like treatments be needed or removal. how completely it willpeople be removed. experiencing “tattoo obtain excellent results in half the number of treatments, or less, than with prior lasers. to have your tattoo removed However, our new enlighten™ picosecond laser has been shown to be faster JEFFREY442 S.Bethel GOSIN, MD FACS Our doctor can give you a good idea of the number of treatments that will be needed regret” andcall would or changed, us forlike a Road and more effective than the prior lasers used for tattoo removal. In fact, many after your tattoo is examined. consultation. to have your tattoo Somers Point, NJ 08244 people can expect to obtain excellent results in half the number of treatments, or Partial Tattoo Removal (609) 927-VEIN (8346) removed or changed, call 442 Bethel Road less,Due than prior lasers. Our doctor can give you afactors, good idea the number to with change in circumstances, relationships and other someofpeople desire Somers Point, NJ 08244 www.EndTattooRegret.com Forformore information, of treatments that changed. will be needed your tattoo is examined. us a consultation. to have their tattoos We canafter remove parts of tattoos, while leaving other parts Partial Tattoo Removal intact, to allow for tattoo changes. call 609-927-8346 Cost Due to change in circumstances, relationships and other factors, some people The County Woman Magazine(609) 927 VEIN www.TheCountyWoma (8346) or visit desire have their tattooson changed. can remove parts while Costtowill vary depending a numberWe of factors including theof sizetattoos, of the tattoo and the number of treatments Keep in mind that with enlighten™, you should www.EndTattooRegret.com. www.EndTattooRegret.com leaving other parts intact, toneeded. allow for tattoo changes.

enlighten™ is the most advanced laser system enavailable lighten™for is the most advanced safe and effective laser system available for safe and tattoo removal. It is the effective tattoo removal. It is the world’s world’s first laser system first laser system to combine bothto combine both picosecond and picosecond and nanosecond technology withwith dual wavelength lasers. Thislasers. allows nanosecond technology dual wavelength individualized treatment of all colors of This allows individualized treatment of all colors of ink ink and skin types for the fastest, most and skin types for the fastest, most complete laser tattoo complete laser tattoo removal ever removal ever available. available.

The County Woman Magazine

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The County Woman Magazine www.TheCountyWoman.com

November/December 2018

January/February 2021

Medical Professionals

Endometrial Receptivity Array (ERA) Endometrial Biopsy Since the birth of the first in vitro fertilization (IVF) baby 40 years ago, the field of reproductive endocrinology has undergone major advances in medications, retrieval procedures, and laboratory techniques. Despite these innovations, the cumulative live pregnancy rate per egg retrieval is 35-48% for women 35 to 37 years old and 13-18% for women over the age of 40. Even though we are able to obtain eggs and sperm to create an embryo, the live birth rate is still less than 50 % nationally. The area that is still an enigma is the “window of implantation.” This denotes the appropriate time to transfer an embryo to maximize the implantation potential of an embryo. Over the years we have found that a specific sequence of events must occur for an embryo to implant and grow. Currently, it is preferable to transfer a blastocyst embryo, which occurs 5 days after fertilization. The blastocyst is transferred into the uterine cavity and the embryo hatches out and makes direct contact with the uterine lining. When it does, both the endometrium and the blastocyst adhere to each other. The embryo begins to undergo a process of invasion to establish a blood supply with the mother. For this sequence of events to occur, the lining of the uterus must have a specific component; this is called receptivity. In the past, we would assess uterine receptivity indirectly using an ultrasound. The lining had

to be a specific thickness and pattern. In recent years, studies have shown this is not an accurate assessment. As a result, we may be transferring embryos at the inappropriate time. A test has been developed that directly evaluates the uterine lining for receptivity: endometrial receptivity analysis (ERA). This is a genetic test which uses a small sample of a woman’s endometrial tissue to evaluate whether or not the uterine lining is prepared and is able to accept an implanting embryo. This test analyzes the endometrial lining at the molecular level, evaluating for 248 genes. It detects a specific genetic signature which identifies the lining as being receptive for an embryo. If it is not ready (pre-receptive) or over-mature (postreceptive), the test will denote changes required to make the lining receptive. In the era of personalized medicine, a “one size fits all” policy is no longer acceptable. With IVF, we individualize ovarian stimulation protocols based on a patient’s/couple’s medical situation. We now recognize the importance of individualized uterine preparation protocols to facilitate an appropriate uterine environment to optimize treatment outcome. ERA is the most objective and accurate test available today for diagnosing endometrial receptivity. It has been used to define an altered “window of implantation,” and thus establish a personalized protocol for each patient. It has been shown to be beneficial in improving reproductive performance in patients with recurrent pregnancy loss, IVF failures, and unexplained infertility.

Helping Small Miracles Happen

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

The Compassionate Connection

Pictured (L-R): Dr. William F. Zeigler • Dr. Alan M. Martinez

We are Open and Offering Telehealth Appointments Eatontown • Toms River • Lawrenceville

732-918-2500 • FERTILITYNJ.COM

For more information call 732-918-2500 or visit www.FertilityNJ.com.

Personalized Treatment Plans Free Phone Consultations

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:

• • • • • •

The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Medical Professionals

COVID-19 and the Digestive Tract By Jill Collier, M.D. Medical Director Endoscopy Center of Toms River COVID-19 is an illness caused by infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Although widely known to affect the respiratory system, in many cases gastrointestinal symptoms may play a role or be part of the presentation. It is important for the general population to recognize these symptoms in order to act upon them with appropriate testing and quarantine.

What gastrointestinal symptoms are seen with COVID-19 infection?

Although fever, loss of taste, cough, fatigue and shortness of breath are common presentations of COVID-19 infection, gastrointestinal symptoms are frequently noted. Complaints of loss of appetite, nausea and diarrhea are often seen in infected patients. These digestive symptoms may be noted in combination with typical respiratory symptoms, but some patients will experience the intestinal symptoms first or as their only manifestation of the illness.

During this troubling time the doctors and staff at Gastroenterologists of Ocean County remain available to care for your needs. We offer telemedicine visits as well as in person visits for screened patients. Our endoscopy centers remain open for procedures , with pre-procedure COVID testing as mandated. Please call if you have any questions or concerns 732-349-4422 infection. This is obtained through nasal swab or saliva to detect active infection via polymerase chain reaction (PCR). This is one of many ways patients and staff at endoscopy facilities are protected. In addition, routine measures of masking, safe distancing, thorough facility cleansing and universal personal protective equipment (PPE) for staff are required. It is not recommended for patients to delay needed care during the epidemic as this may lead to adverse outcomes. In conclusion, COVID-19 can be understood as a viral illness with potential to affect not just the respiratory system but also the digestive system. If you think you may have contracted the infection, you are advised to call your health care provider, who can direct you to proper testing.

How is COVID-19 transmitted?

COVID-19 is thought to be transmitted by respiratory droplets. This has led to the widespread advice to wear face coverings such as masks and to safe distance with six feet between individuals to prevent transmission. In addition, the virus is believed to remain viable on surfaces and therefore strict hand washing and avoidance of touching surfaces which may have harbored the virus is also recommended. Recent studies have also revealed that the virus can be detected in stool specimens of infected patients. In addition the virus may continue to be detected in the stool well after the respiratory symptoms have resolved.

Omar Tamini, MD Jill Collier, MD Edgar Bigornia, MD Kenneth Glazier, MD

How are the digestive symptoms of COVID-19 treated?

Jai Mirchandani, MD

Symptoms of diarrhea can be treated with over-the-counter medications like loperamide. Hydration is important so patients are encouraged to drink fluids. Symptoms of nausea can be treated with prescriptions to reduce nausea. If patients are unable to maintain hydration orally, intravenous fluids may be required.

Teresa Menadier, MD

How does COVID-19 affect the liver?

Many patients hospitalized with COVID-19 are noted to have elevated liver enzymes upon blood testing. Those who progress to the more severe lifethreatening stage of multisystem organ involvement may experience further deterioration in liver function. Patients with underlying liver diseases like cirrhosis do not appear to have an increased risk of contracting the virus, but like anyone with poor health or advanced age, their prognosis may be worse.

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

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

Do patients with inflammatory bowel disease (IBD) have an increased risk of COVID-19 infection?

Many patients with ulcerative colitis and Crohn’s disease take medications that suppress their immune system. These patients are also more likely to be hospitalized for their disease or to be seen at medical facilities for infusion therapies. Despite this, studies have not shown any increased risk of contracting the infection, or adverse outcomes. Adverse outcomes continue to be associated with other concurrent medical issues such as diabetes and advanced age. It is not recommended for patients with IBD to stop their medications, unless in the setting of documented COVID-19. All patients with flares of their IBD should be tested for COVID-19 infection.

TOP DOCTOR

2020

NJTopDocs

I am scheduled for a colonoscopy or an endoscopy, will I be at increased risk?

A Division of Allied Digestive Health

Currently in New Jersey all patients undergoing elective procedures such as endoscopy and colonoscopy are required to have testing for SARS-CoV-2

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January/February March/April 20182021

Cosmetic & General Dentistry

The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Professional Dentistry

What’s With The CBD Craze? The Endocannabinoid System (ECS) In order to understand what cannabidiol (CBD) is, we first need to learn more about the endocannabinoid system or ECS. This system was discovered in the early ’90s and has been researched ever since. The ECS is a network of receptors (CB1 and CB2) that are present throughout our body. They reside in places like the heart, lungs, brain, gut, skin, etc. Our bodies produce molecules (endocannabinoids) such as anandamide (AEA) and 2-arachidonoylglycerol (2-AG), which bind to these receptors, allowing our internal functions to run smoothly. This is known as homeostasis. CB1 receptors are mainly found in the central nervous system, and CB2 receptors are found in the peripheral nervous system, especially immune cells. When our bodies don’t produce enough molecules to bind to these receptors, we go toward a state of imbalance. This can lead to inflammation, free radical production, immunodeficiency, etc. CBD is a naturally occurring component derived from the hemp plant. People often confuse the cannabis plant with the hemp plant. The cannabis plant contains tetrahydrocannabinol (THC) while the hemp plant contains little to no THC. You will not get the “psychoactive” effect or “high” with hemp-derived CBD. CBD’s molecular structure is similar to that of our own endocannabinoids so it has the ability to bind to the CB1 and CB2 receptors. When CBD binds to these receptors, it allows for balance or homeostasis. Our bodies are bombarded daily with free radical production as a result of stress, poor diet, obesity, inflammation, smoking, etc. By offering our ECS high-quality CBD products, it gives our bodies a fighting chance to combat any potential imbalances we may have.

What to look for in CBD

It is important to know that since the Farm Act of 2018 was passed, it took the hemp plant off the controlled substances list. That being said, there are many companies that source low-grade CBD from hemp plants that aren’t grown in organic soil. It is important to know that poor soil will result in toxins that can be laced within the hemp plant. You should also look for a CBD that is full spectrum so that you get the added benefit of all the healthy components of the whole hemp plant, which include terpenes and other cannabinoids. Since CBD is an oil, it is important to find a water-soluble product so that you get the most for your money. If it separates like oil and water, it likely won’t have a significant effect on your ECS. And finally, the CBD you purchase should have the United States Hemp Authority stamp of approval to show it has met the stringent requirements of a high-quality CBD. Feel free to email or call us to learn more about the high-quality CBD products we offer.

The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Medical Professionals

How Fast Action Helped 87-Year-Old Freehold Woman Survive a Major Stroke Eileen Kelleher, 87, of Freehold, New Jersey, has been a caretaker her entire life. It was only fitting that she receive outstanding care when she needed it the most. “My mom’s stroke literally happened right before my eyes,” says Eileen’s daughter, Margaret Kelleher. “We were at home, having a conversation when she left the room for a moment. She walked back over to my desk, opened her mouth to say something and nothing came out. She was staring straight ahead and started to slump over. I told her she was having a stroke and guided her gently to the floor as I called 911.” Margaret requested her mother be taken to Jersey Shore University Medical Center, where Eileen had been treated for a transient ischemic attack (TIA) – also called a mini stroke – six years ago and for a dangerous spike in her blood pressure just months earlier. Before Margaret arrived at the hospital, she received a call from neurosurgeon Maureen Darwal, DO, who had already evaluated Eileen in the emergency room. Eileen was alert but unable to speak or move the right side of her body. She explained Eileen needed emergency surgery to remove a blood clot in her brain, which was causing her stroke. “Everyone was working so fast,” Margaret recalls. “My mom was in surgery within 90 minutes of the onset of her symptoms at home.”

NEED A SPINE SPECIALIST? HOW ABOUT A TEAM? Spine Surgery Neurosurgery Pain Management Physical Therapy

Eileen Kelleher, pictured with her children, survived a major stroke with no permanent damage after undergoing an emergency thrombectomy to remove a blood clot that traveled from her heart into her brain.

Physiatry Sports Medicine

She credits the speed of care – in addition to the skill of all of the medical personnel and the advancements in medical technology – with enabling her mother to pull through a significant stroke with no permanent damage. “Time is always critical when it comes to stroke care,” explains Dr. Darwal, a member of the neurosurgical team at Altair Health. “In Eileen’s case, our surgical approach also played a big factor in her health.” Dr. Darwal determined Eileen was a great candidate for a thrombectomy – a minimally invasive procedure whereby a small catheter is inserted into the femoral artery near the groin and navigated to the blood clot in the brain. The clot is then removed by a retrievable stent. “Our advanced imaging revealed there was a blockage in a large vessel in Eileen’s brain, but the area of her brain in danger of permanent damage was still receiving some blood flow,” Dr. Darwal continues. “By performing a thrombectomy as quickly as we did, we successfully removed the blockage and saved Eileen from having any lasting damage from her stroke.” Following the procedure, Eileen stayed in the ICU for 48 hours. Eileen was discharged just three days after surgery. With no evidence of permanent damage in follow-up CT scans, she didn’t require any rehab or even in-home physical therapy. However, she was required to wear a heart monitor to help determine the root cause of her stroke. Within the first few hours of wearing the monitor, the doctors diagnosed Eileen with atrial fibrillation. This explained the clot that traveled up to Eileen’s brain and began blocking normal blood flow. Eileen has since had a permanent heart monitor implanted. She is committed to doing everything she can to manage her AFib and avoid another stroke, demonstrating the same grit she has shown in the face of many challenges throughout her life. To learn more, visit AltairHealth.com or call 833.4 ALTAIR (833.425.8247).

The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Legal Professionals When Abuse is Profuse, Always Refuse to Lose! Surviving and Thriving – Domestic Violence By Ehsan F. Chowdhry, Esq.

New Jersey has one of our nation’s strongest set of laws in place to protect victims of domestic violence. Domestic violence appears in many forms, including cyber abuse, emotional / mental abuse, financial abuse, physical abuse, sexual abuse and a whole host of other combinations.

The Prevention of Domestic Violence Act of 1991 is a statute found within New Jersey’s Code of Criminal Justice, specifically at N.J.S.A. 2C:25-17 through 2C:25-35. The law is found within the criminal laws; the court process is considered civil in nature and final restraining order (FRO) hearings / trials are held in the New Jersey Superior Court, Chancery Division, Family Part. Given the state of COVID-19 and the attendant stressors accompanying it, our practice has seen a tremendous spike in domestic abuse and violence cases, giving us all a great cause for concern. This article aims to give an extremely basic and brief overview to a complex area of the law in New Jersey. Victims of domestic abuse and violence can use these set of laws through a skilled attorney to navigate through a difficult period of their life and through a legal process that seems intimidating. First, who exactly qualifies as a victim? Our state law defines a victim of domestic violence as any person who is eighteen (18) years of age or older or who is an emancipated minor and who has been subjected to domestic violence by a 1) spouse, 2) former spouse, 3) present household member, 4) past household member, 5) any person, regardless of age, with whom the victim has a child in common, 6) anticipates having a child in common (pregnancy), or 7) has or has had a dating relationship with. See N.J.S.A. 2C:25-19d. When victims of domestic abuse and violence muster the courage, strength and temerity to finally say enough to their abusers, the process usually begins with a 911 call if there is an active situation or when the victim can safely escape the situation and goes to either the municipal police department or Superior Court. The process can seem overwhelming but either a police officer or court staff will take the initial information and connect the victim before a municipal court judge, a domestic violence hearing officer or a Superior Court judge to obtain a temporary restraining order (TRO). This is known as an ex parte proceeding, meaning that the abuser is not present nor an attorney from their side. An interpreter can be made available and accommodations for any disability if needed. By law, the victim is put under oath and a copy of the testimony is supposed to be kept, either through stenographic medium, tape or longhand notes (if he or she is not physically present). See Rule 5:7A(d). The victim is asked information regarding the predicate (underlying) act or set of acts causing them to seek out a TRO. There is a box to be checked off on the first page of the TRO and the law provides nineteen (19) categories that can fit, including false imprisonment, sexual assault, harassment and stalking. See N.J.S.A. 2C:25-19a(1)-(19). Additionally, they are asked for information about past history regarding domestic violence and abuse. If during the shock or pressure of this harrowing ordeal a victim forgets information, he or she can either themselves, or better yet, through an attorney, get an amended TRO that includes past acts of violence not initially included. See State of New Jersey Domestic Violence Procedures Manual § 4.5.7. For most victims at the onset of seeking a TRO, an attorney is not involved; however, it is imperative that the first call they make after getting safe from a current act(s) of domestic abuse and violence is to one. At that point, the judge either grants or denies the TRO. If the TRO is granted, you will be provided a copy of the TRO, which indicates certain things the abuser is prohibited from doing, including, but not limited to, contacting you by any means nor through third parties, to have the abuser vacate the household, prevent them from showing up to your work and other protective measures. Law enforcement are directed to serve a copy of this TRO to put the person on notice that a judge has granted this protection. Then by court rule, this event must be heard within ten (10) days to determine whether an FRO is to be granted. See Rule 5:7A(e). Usually, and especially during COVID-19, a reasonable postponement to get an attorney, from either the victim or the abuser, is honored. It should be noted that unlike the criminal justice system, where an attorney will be appointed for you if you cannot afford one, this is inapplicable

in the domestic violence arena in New Jersey. It is common, however, for the abuser to be charged criminally as well in either municipal court or Superior Court, depending on the severity of the underlying domestic violence act. Once the day arrives for the FRO hearing / trial, you will need all your witnesses present along with any evidence that supports your case. This holds true even during the pandemic wherein FRO hearings / trials are being held through virtual court, usually on a Zoom or Microsoft Teams platform. In our state court system, as the victim / plaintiff, you bear the burden of proof. Fortunately, for domestic violence victims it is the lowest burden of proof, a preponderance of the evidence which essentially means that the evidence is more likely true than not true (essentially slightly over a fifty [50] percent standard). See N.J.S.A. 2C:25-29a. In order for the victim of domestic violence / plaintiff to win, he or she must prove, by a preponderance of the evidence, that 1) the court has jurisdiction to hear this case or, in other words, whether they are a victim of domestic violence as defined above; 2) that they have proven by preponderance of the evidence that at least one predicate act occurred and 3) that they have proven by a preponderance of the evidence that issuance of an FRO is necessary to prevent further abuse or future harm. See generally N.J.S.A. 2C:25-29a(1)-(6); Silver v. Silver, 387 N.J. Super. 112 (App. Div. 2006). If the victim is successful in obtaining an FRO, it is a major victory for him or her and a major impediment for the defendant / abuser. A judge has the power under this comprehensive act to order a host of things, including, but not limited to, exiting the residence, revocation of a person’s firearms identification purchaser card, a monetary penalty, subject the person to drug testing, fingerprinting, a financial penalty, payments of restitution, payments for rent or mortgage, custody of a pet, parenting time, mandated professional domestic violence counseling. An FRO can have immigration consequences for a non-citizen, can affect a background check, military or security clearance, and if violated, will subject the violator to prosecution in the Criminal Part of the Superior Court for an indictable crime of contempt. An FRO in New Jersey, unlike other jurisdictions, is permanent – it does not need to be renewed and generally it is not removed absent an exception. This is an extremely simplified version of the major parts of the process. Please call us to utilize our specialized skills, knowledge, education, experience and training to help you break free of the cycle of domestic violence!

The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Medical Professionals

A Safe, Clean, And Friendly Environment

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 Office Hours: 8 AM - 5 PM (Mon. - Fri.)

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

Mothers in particular have been forced to deal with COVID-19, quarantine, on-line school learning and home schooling, civil unrest, and the uncertainty and stress that accompanies the world we now live in.

You have had to hold the family together through shortages of food and household items, and to comfort your loved ones and reassure them that they will be alright when our lives become more normal. You have had to explain to your children hand hygiene, social distancing and wearing a mask. The health and well-being of you and your family is of paramount concern. If you or your family members are suffering from any conditions regarding the face, mouth, and jaws, please know that our office is a safe, clean, and friendly environment for treatment. We have always adhered to the highest standards of asepsis and sterilization, a topic I have lectured on many times. We have changed our patient scheduling to allow for social distancing, and our office team members have always worn appropriate PPE to prevent transmission of diseases. We have continued these practices and have added further protective practices to enhance our safety. We are open every weekday and offer our full scope of services including injectable facial cosmetic enhancements, RevitaliZe dental implant solutions, wisdom tooth extractions, and treatment of children and adolescents for various oral and maxillofacial conditions with local, sedation, or general anesthesia options available. Please know that treatment is available for you and your family here in our modern, clean and friendly office where our number-one concern is your safety and comfort.

For more information, call 609-488-2325 or visit www.drbanksoms.com.

The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Medical Professionals

Nasal Congestion And The Dangers Of Over-The-Counter Nasal Sprays Nasal congestion is a common problem. Almost everyone has had a stuffy nose at some point in their lives. Causes can vary, including allergies, sinusitis, viral infection, and anatomical abnormalities. Most people self-treat before seeking medical advice. Over-the-counter intranasal decongestants, drugs such as phenylephrine, can bring near instant relief. These medications are meant for short-term use only, three days or fewer. If used for more than three days, overuse of intranasal decongestants can lead to worsening nasal obstruction and dependence on the medication. The name of this condition is rhinitis medicamentosa. Rhinitis medicamentosa is drug-induced swelling of the nasal passages due to a rebound phenomenon. The more you use the medicine, the more stuffy your nose becomes. People find themselves trapped in a vicious cycle.

Here are some clues that you have rhinitis medicamentosa:

1. Your main and only symptom is nasal congestion. 2. You cannot identify triggers typically seen with allergies.

Christina Gillespie, MD

3. The spray is no longer helping. 4. You experience withdrawal symptoms when you try to quit the spray, such as headaches, sleep trouble, restlessness, and anxiety.

There is only one long-term solution to this problem: you have to stop using the nose spray. If you suspect you are addicted to your nose spray, it is time for you to see an ENT physician. We can help you get off your nose spray. There are medications that can be prescribed for both shortand long-term use to help treat rhinitis medicamentosa. We can also help identify the cause of your nasal congestion and help solve the problem safely for the long term. There are a wide variety of diseases that can cause nasal congestion, conditions such as allergic rhinitis, nonallergic rhinitis, deviated nasal septum, nasal polyps, use of CPAP machine, upper respiratory infection, chronic sinusitis, and pregnancy. ENT physicians have the training and the tools to make the correct diagnosis and get you down the path of breathing clearly through your nose.

Dr. Christina Gillespie is a board certified Otolaryngoloigist who has been in practice in Toms River since 2013. She completed her internship and residency in Otolaryngology at Walter Reed Army Medical Center. Before moving to Toms River, she served as Chief of Otolaryngology at William Beaumont Army Medical Center in El Paso, Texas for eight years. At Ocean Otolaryngology, Dr. Gillespie sees patients of all ages with a variety of medical problems. Her specialties include pediatric otolaryngology, sinus surgery, and surgery for sleep apnea. She also treats common medical conditions such as hearing loss, tinnitus, hoarseness and chronic cough. Dr. Gillespie resides in Monmouth County with her husband and daughter. She enjoys spending time with her family as they explore the Jersey Shore. She is also an avid tennis player.

Bruce W. Peters, DO, FACS

Stephen Kupferberg, MD, FACS

Nurse Practitioner Rajat Sood, APN

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

For more information, call 732-281-0100 or visit www.Ocean ENT FacislPlastics.com.

Happy New Year

Wishing you and your family a happy and prosperous New Year in 2021! “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

- 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

- Edith Lovejoy Pierce

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

- Peggy Toney Horton

The County Woman Magazine www.TheCountyWoman.com

“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 potential.”

- Ellen Goodman

January/February 2021

Medical Professionals

The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Medical Professionals 17 Medical Professionals November Is National Lung Cancer Awareness Month WhatWhat you should know: What You Need To KnowAnd Cancer: Covid-19 You Need To Know • If you are a heavy smoker, and have been smoking for

Did youSubmitted know that the leading canifdo: by lung Sarahcancer J. Easaw,isMD, FACP cause of cancer several years, askWhat your you doctor you need to do an deaths in both men and women in the U.S.? Approximately 1. If you are actively undergoing cancer treatment, take extra caution X-ray or a CT scan. As of today, than 77each million people have been diagnosed 200,000 new cases aremore diagnosed year and 27 percent to avoid exposure toto COVID: Ask your MD about different methods help youstay quitaway from anyone other than with COVID 19are worldwide and 1.7 million have died from it.•The of all cancer deaths from lung cancer. your immediate household, wear masks, and use strict handwashing smoking. pandemic is still raging and is impacting healthcare in many

guidelines, butcancer, don’task delay treatment. Make sure that the • If you are diagnosed with lung aboutthe thecancer type of cancer you have, What causes lung cancer? ways. There are many concerns among healthcare professionals facility where you are getting treatment is also taking these

stage and other features such as EGFR mutation. moking. Smoking is the number one risk factor for lung cancer.in Even though non-smokers and the general public about COVID selected groups of precautions. o get lung cancer, the risk is much higher in those who smoke. The more you smoke, the • What is your treatment plan? 2. Those who were diagnosed with cancer, but are not in need of active people, especially those with cancer. your risk. The likelihood of getting lung cancer decreases after you quit smoking. Tobacco • What are the side-effects of treatment? treatment, should also follow safe practices, but your risk of getting twocausing aspectsthe to cells consider when thinkingRegular about the impact in damages cellsThere in theare lungs, to grow abnormally. exposure to of COVID • Are there support services available? severe infection is not increased due to cancer diagnosis alone. cancer care: from someone else’s cigarettes, cigars or pipes (called second-hand smoking) can increase 3. Report any unusual symptoms to your healthcare provider and Immunotherapy in lung cancer. 1. The risk of death in cancer patients affected by COVID on’s risk of lung cancer, even if they are non-smokers. seek immediate help. COVID symptoms very variable and Over the last few decades, immunotherapy agents have been studiedcan in thebe treatment of 2. The impact of COVID 19 on the timely diagnosis and treatment of xposure to asbestos. Certain jobs such as shipbuilding, asbestos mining, insulation or many cancers, including lung cancer. Several immunotherapy drugs are now approved for use. not everyone presents with fever and chills. Diarrhea, abdominal cancer # Asbestos fibers can irritate the lungs otive brake repair may cause exposure to asbestos. Our immune system cells normally,lack and of thustaste reduces the chance pain, fights sore cancer throat, cough, and smell, of skin rash, redness When Riskcombined of COVID-related complications in cancer patients: use cancer. with smoking, the risk of developing lung cancer is much transforming normal cells into cancer cells. But this does not work always, as people with in the eye, shortness of breath: all these complaints can be the first Most people infected with COVID 19 only experience mild symptoms that resolve . normal immune systems also develop cancer. The principle of immune therapy is based on presenting symptom of COVID. without any treatment. But some are severely affected, needing hospitalization and oxygen adon. Radon is an invisible, odorless gas released by soil and some rocks. Exposure to What you should boosting the immune system soknow: thatoffers it can efficiently destroy cancerprior cells. to procedures, take it! You 4. If your facility COVID screening What You Need To Know support. A significant percentage of people die from COVID 19 infection, in spite of levels of radon can cause cancer, especially lung cancer. If you are a heavy smoker, and have been smoking for use of•immune checkpoint inhibitors has been a major breakthrough in cancer research. Did of you know that lung cancer is the is leading cause ofThe cancer could be hospitalization and ICU care. The risk developing severe infection mainly based on several years, ask yourasymptomatic doctor if you need to do anand still be a carrier. Help prevent transmission deaths in both men and women in the U.S.? Approximately at are the types of lung cancer? These drugs help to take the “brakes” off theby immune so that they can recognize and kill X-ray a CT scan. oforthis deadly virus beingsystem, screened. certain risk factors. 200,000 new cases are diagnosed each year and 27 percent • Askeffectively. your MD about different methods to help you quit There are two different types of lung cancer: small cell and non-small cell. This difference is cancer cells more of all cancer infection deaths areinclude from lung cancer. smoking. Last, but not least, try to stay positive in these tough times. Many people are suffering Risk factors for developing severe COVID older age, diabetes, lung on the type of cancer cells. Most lung cancers are non-small cell. Among the non-small KEYTRUDA, and TECENTRIQ some oftothethe checkpoint inhibitors If you are diagnoseddepression with lung cancer, ask loneliness aboutare the type of cancer youimmune have, anxiety, and due effect of the pandemic. Stay in touch disease, heavy smoking, alcoholism,What uncontrolled high blood pressure, heart disease, OPDIVO, kidney • from causes lung cancer? stage andcancer. other features such as EGFRthese mutation. ng cancers, there are several subtypes: adenocarcinoma, squamous cell large that are used in lung Even though drugs don’t have the typical side effects of another. Smoking. Smoking is the number oneand risk factor forcell. lung cancer. Even though non-smokers with your loved ones, your friends and family, virtually to support one failure, cancer and conditions that cause low immunity. can also get lung cancer, the risk is much higher in those who smoke. The more you smoke, the • What is your treatment plan? stillthecan causeofreactions yourthe risk. risk The likelihood of gettingin lung cancer decreases you quitchemotherapy, smoking. What are side-effects treatment? such as inflammatory disorders. Several studies were tohigher assess of severity COVID 19after patients with Tobacco • they at are the symptoms anddone signs? smoke damages cells in the lungs, causing the cells to grow abnormally. Regular exposure to • Are there support services available? mptoms cancer. and signs include coughing, (coughing up blood), Some studies did nothemoptysis show a significant difference inshortness death in cancer If youinhave any questions about any cancer-related questions, smoke from someone else’s cigarettes, cigars orthe pipesrate (calledof second-hand smoking) can increase Immunotherapy lung cancer.cancer and the treatment of To learn more about lung person’s riskobserved of lung cancer,that even ifthe they are non-smokers. , chest pain, fatigue andCOVID, weight loss. patients with but mostastudies risk was high. Over the last few decades, immunotherapy agents Dr. have been studied in J. the treatment of at 732-961-0010 please contact Sarah Easaw Exposure to asbestos. Certain jobs such as shipbuilding, asbestos mining, insulation or many cancers,contact including lung cancer. Several immunotherapy drugs are now for use. other Dr. Sarah Easaw atapproved 732-961-0010 or often, theNot symptoms do with not manifest until of the cancer isrepair advanced. Sometimes cancer everyone a diagnosis cancer has a may high risk. The risklung is known to irritate be higher automotive brake cause exposure to asbestos. Asbestos fibers can the lungscancers, Our immune system fights cancer cells normally, and thus reduces the chance of or visit www.oceanhemonc.com. and cause cancer. When combined with smoking, the risk of developing lung cancer is much detectedin as the a shadow in thesituations: lung on an X-ray done for other reasons. following visit www.oceanhemonc.com. transforming normal cells into cancer cells. But this does not work always, as people with higher. normal immune systems also develop cancer. The principle of immune therapy is based on Radon. Radon is an invisible, odorless gas released by soil and some rocks. Exposure to 1. Older age Testimonials boosting the immune system so that it can efficiently destroy cancer cells. w is it diagnosed? higher levels of radon can cause cancer, especially lung cancer. The use of immune checkpoint inhibitors has been a major breakthrough in cancer research. 2. Those undergoing active treatment with chemotherapy and “Dear Dr. Easaw, nce your doctor suspects that you have lungWhat cancer, you will be sent for CT scans and in are the types of lung cancer? These drugs help to take the “brakes” off the immune system, so that they can recognize and kill There are twoaccurately different types of lung cancer: cell and non-small cell. This difference is cancer more effectively. I amcellswriting to thank you for your kindness in caring for my Mom. My family has comfort in cases, a PETimmunotherapy scan. A PET scan can detect cancer more than othersmall tests. The based on the type of cancer cells. Most lung cancers are non-small cell. Among the non-small OPDIVO, KEYTRUDA, and TECENTRIQ are some of the immune checkpoint inhibitors 3. Smokers knowing that she was caredrugs of by compassionate group osis is confirmed by taking a biopsy of the suspicious lesions seen on the X-ray or CT cell lung cancers, there are several subtypes: adenocarcinoma, squamous cell and large cell. that are used in lung cancer. Even taken though these don’tahave the typical side effects of of folks who made her multiple trips Lung and cancer of blood andorgans, blood-forming organs chemotherapy, theyand still can cause reactions such as inflammatory disorders. The scans4.also helpcancer to see if the cancer has spread to the anysymptoms other process called to the office hospital tolerable. I have also appreciated your kindness and patience in taking my What are and asigns? (hematologic malignancies) Symptoms and signs include coughing, hemoptysis (coughing up blood), shortness of many calls more to discuss mylung Mom’s schedule, etc.” asis. To learn about cancer andresults the treatment of breath, chest pain, fatigue and weight loss. 5. Within 6 months of receiving high-dose chemotherapy and Sometimes stem cell other cancers, contact Dr. Sarah Easaw at 732-961-0010 or Most often, the symptoms do not manifest until the cancer is advanced. lung cancer there different stages? “I am so glad that I finally found a great doctor to help me navigate through my newly diagnosed can be detected as a shadow in the lung on an X-ray done for other reasons. visit www.oceanhemonc.com. transplant aging is different for small cell and non-small cell lung cancers. Small cell lung cancer has cancer.” is it diagnosed? 6. Prolonged period of lowHow immunity (persistent low white count) Once your suspects that you haveoutside lung cancer,the you lungs). will be sent for CT scans and in wo stages:7.limited stage (confined within the lungs) ordoctor extensive (spread Other co-existing conditions asA diabetes, some cases,such a PET scan. PET scan can detectheart cancer moredisease, accurately than kidney other tests. The Dear Dr. Easaw & Staff, on-small celldisease lung cancer has four stages: stages I to IV. Stage I is aabiopsy small tumor that is seen on the X-ray or CT diagnosis is confirmed by taking of the suspicious lesions “Thank you all so much for the wonderful care that you gave Mom. You all added that personal scans. The scans also help to see if the cancer has spread to any other organs, a process called ed to the lung, that has not spread to the lymph glands. Larger tumors and those that are Excessive caution should be metastasis. taken in patients with the above risk factors to limit their touch, that most people, including my family couldn’t and wouldn’t give. For that we will always be to the lymph glands come under stages II and III. When the cancer has spread to other AreThese there include differentstrict stages?physical distancing, avoiding any exposure to COVID 19 infection. thankful.” , it is stage IV. Staging is different for small cell and non-small cell lung cancers. Small cell lung cancer has gatherings or crowds, always wearing mask when with others, handwashing. only twoastages: limited stage (confined within the and lungs) frequent or extensive (spread outside the lungs). lungreported cancer has four I to IV. and Stage Ishould is a small tumor that is at are the treatment options? In addition, any unusual symptomsNon-small shouldcellbe tostages: thestages doctors warrant confined to the lung, that has not spread to the lymph glands. Larger tumors and those that are Compassionate Cancer Care, Close to Home eatment is based ontesting, the stage and the type of lung Small cell cancer is mainly COVID so that early intervention canglands be come done. spread to thecancer. lymph underlung stages II and III. When the cancer has spread to other organs, it isand stage IV. d with chemotherapy. In limited cell lung cancer, radiation can be combined Impact of COVID 19 stage in thesmall diagnosis treatment of cancer: Sarah J. Easaw MD, FACP Whatmany are thepeople treatment options? hemotherapy. Ever since the pandemic started, tend to stay away from the hospitals Treatment is based on the stage and the type of lung cancer. Small cell lung cancer is mainly Board Certified Hematology & Oncology rly stage and non-small celloffices. lung cancer bestpostponed treated surgical experienced treated withby chemotherapy. limited stage An small cell diagnostic lung cancer, radiation be combined doctors’ Most ishave routineInresection. check-ups and testscanlike with chemotherapy. specialist n removes the tumor, surrounding normal lung tissue and the the lymph glands around it. resection. mammograms and colonoscopies. In centers offer screening tests Earlyaddition, stage non-small cell ability lung cancerof is best treated byto surgical An experienced fter removing the tumor, cancer cells canbyremain and cause recurrent cancer, either in Serving Monmouth and Ocean Counties surgeon removes theof tumor, surrounding normalBecause lung tissue and lymphthere glands around it. at typical levels was impacted the severity the pandemic. ofthethe that, could Even after removing the tumor, cancer cells can remain and cause recurrent cancer, either in the self or inbe other organs. Chemotherapy, radiation or both organs. are used after surgery to reduceforafter a delay in diagnosing and treating cancer. isChemotherapy, a significant challenge healthcare for more than 15 years lung itself or in otherThis radiation or both are used surgery to reduce ance of recurrent cancer. the chance of recurrent cancer. providers. The fear of catching the infection must be weighed against the potential of dying Advanced stage lung cancer is treated with chemotherapy. The types of chemotherapy drugs dvanced stage cancer is treated with early. chemotherapy. The types of chemotherapy drugs fromlung cancer, if not diagnosed used are based on the type of lung cancer, age of the patient, other medical illnesses, etc. There is • Clinical expertise in the treatment of Cancer and Blood Disorders re based on the type of lung cancer, age of the patient, other medical etc. There ongoing research to the outcome in patients with lung cancer.is Most centers have now resumed routine improve screening forillnesses, cancer. A COVID test is done • State-of the-art Cancer Care, in a warm and personalized What’s new in lung cancer? ng research to improve the outcome in patients with lung cancer. prior to any hospital admissions and procedures. All healthcare practice atmosphere Targeted agents: Medicines that target certain facilities proteins or receptors on the strict cancer cells are beingof developed for the and treatment of various cancers. These targeted agents attack in screening COVID implementing mask-wearing forthe at’s newguidelines in lung cancer?for symptoms • Easily accessible location, close to GSP cancer cells specifically, sparing other cells. Targeted agents cause less severe side effects than employees and patients. measures the risk rgeted agents: Medicines that targetThese certain proteinsreduce or receptors onofthecontracting cancer cellsthe infection. chemotherapy. • Affiliated with RWJ /Barnabas Health Medical Group, a A few different targeted agents are found to be beneficial in lung cancer. Tarceva (erlotinib) Harmforinthe delaying cancer treatment: ng developed treatment of various cancers. These targeted agents attack the multispecialty physician network. is a drug that works in certain types of lung cancers carrying a mutation in a receptor called EGFR. A new drug called crizotinib was approved recently for the treatment of lung cancer that Many cancer patients have delayed their treatment due toeffects fear ofthan catching COVID. cells specifically, sparing other cells. Targeted agents cause less severe side carries a gene called ALK fusion oncogene. therapy. This is a legitimate concern because is higher you distinguishing have cancer. Treating Patients and Families with Respect and Care… Nothe two risk tumorsof are severe alike! Eveninfection among lung cancers, there areifdifferent oncologist chooses the type Tarceva of treatment based on a number of factors, including few different are foundcan to lead befeatures. beneficial in lung cancer. But targeted the delayagents in treatment to Your progression of cancer and an(erlotinib) increased risk of dying the cell type, stage, different biological markers on the cancer cells, and your other medical Ocean Hematology & Oncology ug that works carrying a mutation in a receptor called fromin it.certain types of lung cancers problems. . A new drug calledhospitals crizotiniband waschemotherapy approved recently for thecenters treatment lung cancer thattesting Most infusion are of offering COVID to www.TheCountyWoman.com The County Woman Magazine November/December 2018 a gene called oncogene.carriers of COVID prior to chemotherapy and surgical procedures. screenALK for fusion asymptomatic o two tumors alike! Even among lung cancers, aredistancing different distinguishing Strictare enforcement of mask-wearing andthere social also help to reduce the risk of es. Your oncologist chooses the typeThe of treatment on atreatment number ofcan factors, including contracting the disease. impact of based delaying be harmful, especially in 1255 Route 70, 31S • Lakewood, NJ 08701 l type, stage, different biological markers on the cancer cells, and your other medical rapidly growing cancers. The risks and benefits of treatment must be weighed against the ms. 732-961-0010 risks of contracting the infection.

Medical Professionals

November Is National Lung Cancer Awareness Month

County Woman Magazine

www.TheCountyWoman.com

Visit our website: www.oceanhemonc.com November/December 2018

The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Financial Management

Emotional Investing “Only when you combine sound intellect with emotional discipline do you get rational behavior.” - Warren Buffet We like to think that since the advent of modern portfolio management practices, investing in stocks and bonds has become a cerebral, analytical process with no room for emotion. The truth is that most investors, even institutional investors, are buffeted (no Pun intended) by emotional turbulence from time to time, and that truth is reflected in the volatility of the financial markets. But if a little emotionalism when it comes to investments is unavoidable, too much emotion can be hazardous to your wealth. Here are four symptoms of problem emotions, financial behavior that is inconsistent with sound investment practice. • Fear of loss. Investors are generally motivated by fear or by greed. Behavioral scientists have learned that, for many people, the pain of loss is larger than the sense of satisfaction from a gain of the same size. Similarly, some investors will accept larger risks in order to avoid a loss than they will in seeking a gain. Taken to an extreme, fear of loss leads to investment paralysis. An excessively risk-averse investor may park funds in ultra-safe, low-yielding bank deposits or short-term Treasury securities until a decision is made, accepting long periods of low returns. Or winning investments may be sold off too quickly in an attempt to lock in gains, while losing investments manage to stay in the portfolio indefinitely. • Following the herd. It’s difficult to be a contrarian, to find value that everyone else has overlooked. Many people find it easier to go with the crowd, to own the current hot stock or hot mutual fund. At least that way, if the investment does poorly, one has plenty of fellow sufferers with whom to commiserate. But when “crowd” is defined as one’s family and friends, the crowd’s investment goals may be very different from one’s own. • Hair-trigger reflexes. Markets move on news. In many cases, the first market response is an overreaction, either to the up side or to the down. Sometimes “news” is only new to the general public, and it’s already been reflected in the share price through trading

by those with greater knowledge. The true importance of any news event can only be discerned over the longer-term. Generally, it’s better to watch the market react to news than to be a part of the reaction. Remember that market dips may present the best buying opportunities but they’re also the toughest times, emotionally, for making a commitment to an investment. • Betting only on winners. Some 85% of the new money going into domestic equity mutual funds goes to funds with Morningstar ratings of four or five stars, according to one estimate. This may be one reason that the government requires this disclosure for investment products: Past performance is no guarantee of future results. The disclosure is required because it is true. High returns are usually accompanied by high risks; ultimately, those risks may undermine performance. Abnormal returns, whether they are high or low, tend to return to the average in the long run. Investing on the basis of the very highest recent returns runs a significant risk of getting in at the top of the price cycle, with a strong chance for disappointment. To avoid impulsive decisions that may be tainted with emotion, one needs an investment plan. The best way to moderate the impact of stock and bond volatility in difficult markets is to own some of each. Assets do not move up down in lockstep. When stocks rise, bonds may fall. Or at other times, bonds also may rise when stocks do. The movements of each asset class can be mathematically correlated to the movements of the other classes. Portfolio optimization involves the application of these relationships to the investor’s holdings. Expected returns need to be linked to the investor’s time horizon. Longer time horizons give the investor more time to recover from bad years, more chances to be in the market for good years. We like to say it is time not timing that is most important when developing a portfolio for a client.

Wishing all a very Happy, Prosperous and above all a Healthy 2021! Ira J. Brower

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The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Financial Management

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The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Medical Medical Professionals Professionals

3D Mammography Nuclear Medicine Thyroid Scans suspicious, patients need to be called Breast cancer is the second leading cause of death back for additional views. The multiple among women. One in 8 women will develop breast images created by 3D mammograms Cancer in cancer in her lifetime. Each year it is estimated that over have such increased accuracy that this breast 252,710 women in the United States will be diagnosed there is decreased need for this. On is difficult to with breast cancer and more than 40,500 women will average 3D mammograms reduce detect on die from the disease. This is why early detection is so callbacks by up to 40% compared to this standard important. With early detection, the five-year survival traditional mammograms. This means mammogram. CyrusisKhorrami, rate nearlyM.D. 100%. The latest weapon in the fight against less radiation exposure, increased - Hyperactive thyroidand gland Normal - Normal appearing thyroid Decreased - Poorly(also functioning thyroid breast cancer is 3D mammography known as breastHyperactive convenience for our patients, more take up a lot of the radiotracer and looks gland gland takes up less radiotracer tomosynthesis). This new technology has increased early peace of mind. bigger and brighter detection over traditional mammograms, especially in Q: What can I expect when women with dense breasts. Greater accuracy means thyroid gland is overactive. It can also help in distinguishing between benign (nonThyroid overview better breast cancer detection. having a 3D mammogram?

The main function of the thyroid gland is to make hormones. Hormones are chemicals that are released into the bloodstream. They act as Q: What is a 3D mammogram? How is it different from messengers, affecting cells and tissues in distant parts of the body. Thyroid regularcontrol mammograms? hormones metabolism, a chemical process that regulates the rate at which the bodymammogram--also converts food to energy. A: 3D called breast tomosynthesis--is one of the most advanced Becauseforms the thyroid gland produces hormones travel theof blood and affect of breast cancer detection. It usesthat a very lowin level radiation to body systems, a problem with the gland usually leads to symptoms in other parts take multiple pictures of the breast. The x-ray tube moves over the breast in an of the Symptoms andimages signs vary depending on the thyroid disease problem. arc,body. capturing multiple of each breast from different angles. A or computer Tests to checkthese the thyroid include blood tests, ultrasounds of breast. the neck, reconstructs picturesgland to create a 3-dimensional picture of the A regular biopsies, and thyroid mammogram takes a scans. single picture of the breast.

Q: What the advantage What areisthyroid scans?of 3D mammogram?

of the challenges of interpreting mammograms is normal breast A:AOne thyroid scan is a diagnostic nuclear medicine test that providesdense information tissue the hiding breast and cancer. Additionally, overlapping of normal about structure function of the thyroid. It canareas do this by usingdense smallbreast tissue can look suspicious. This is why detecting breast cancer in women withThese dense doses of radioactive chemicals to create special pictures of the thyroid gland. breasts is more difficult. The 3-dimensional images of breast tomosynthesis help pictures can help doctors see the structure of the thyroid gland and assess how well the tissue overlap that can obscure cancers. It also helps distinguish normal itdecrease is functioning. breast from breast cancer. a chemical called a radionuclide. A overlapping Prior to the scan,tissue the patient is administered Studies have shown that 3D mammograms the like x-rays. radionuclide emits a type of radioactivity called significantly gamma rays –improve which are detection of breast cancer, especially in women with denser breast tissue. It also The gamma rays that are emitted from inside the body are detected by a special picks upCells breastthat cancer at anactive earlierinstage, whichtissue may be missedwill by traditional camera. are most the target or organ take up more mammography. 3D mammograms find 20-65% more invasive breast of the radionuclide. Therefore active parts of the tissue will emit more cancers gamma rays compared to traditional 2D mammograms, increase of 41%. The than less active or inactive parts. The gammawith rays an areaverage then sent to a computer. computer displays the different intensities of radioactivity emitted into different Q: Isofthere increased performing a 3D shades grey. This color map radiation shows the physician possible cold or hot spots of mammogram? cellular activity. A: Mammograms expose patients to very low levels of radiation. The level of radiation exposure fromthyroid a 3D mammogram is the same as that from a traditional Why do we do scans? mammogram. So a patient receives all the benefits increased risk. Your doctor may refer you for a nuclear medicinewithout thyroidany scan if it is believed traditional when a radiologist an see areawhether that is the partsWith of your thyroid mammograms, gland are not functioning properlyfinds and to

cancerous) and malignant (cancerous) thyroid nodules or lumps. Thyroid scans can A: The process of having a 3D also be used to evaluate changes in the gland following medication use, surgery, mammogram is the same as a radiotherapy or chemotherapy. conventional 2D exam. The technologist will position you, How toyour prepare thyroid scan compress breast, andfor takea images from Thedifferent referringangles. physician or the imaging center performing the exam will provide There’s no instructions on how to prepare. theitdays prior to the3D examination, blood tests Using mammogram additional compression required,Inand may be performed to measure the level of thyroid hormones in the blood. Often, technology, the only takes a few extra seconds. the patient will be advised not to eat for severalcancer hours prior to the exam and was able to be wear loose, comfortable clothing. It is also important to leave jewelry Q: Do insurance companies clearly seen. and other metallic accessories at home or remove them prior to the exam, as these objects may cover 3D mammograms? interfere with the procedure. Medicare, and many insurers, cover 3D mammograms. In the past, not A:Depending on the typeprivate of exam, the radionuclide is either injected intravenously all private insurance companies covered 3D mammograms. However, in August (IV), swallowed, or inhaled as a gas. If necessary, a nurse or technologist will insert 2018, New Jersey a mandate requiring nearly major health insurers an IV catheter intoenacted a vein in the patient’s hand or arm.all If the an oral radiotracer is to cover 3D mammograms. used, it is typically swallowed up to 24 hours in advance.

Toms River X-ray has been performing mammograms What to expect and serving the community for over 30 years. Our 3D mammogram To begin the imaging partlatest of the on exam, themarket patient will lie flat onthe an most is the the and has examination table with their head tipped backward to expose the neck. The advanced technology. It is our mission to provide the very patient must remain still for short periods of time while the gamma camera takes best for our patients. We thank you for trusting us with your the images. These images will take approximately 8 to 10 minutes each. After health and the health of your loved the examination is complete, the technologist will check the images to ensure all ones. We look forward to offering areas were captured successfully. Occasionally, additional images are needed for you this significant advance in breast clarification. This should not cause concern, as the need for more images does not cancer screening. necessarily mean an abnormality was found. The nuclear medicine physician will provide a report to the doctor who ordered the thyroid scan.

Cyrus Khorrami, If your doctor has ordered a scanM.D. of your thyroid, please call Toms River X-ray at (732) Medical Director 244-0777. PARVIZ KHORRAMI, M.D. CYRUS KHORRAMI, M.D. Founder Medical Director PARVIN MOTEMADEN KHORRAMI, M.D.

732-244-0777

PET/CT Ultrasound CT Scan Diagnostic X-Ray

1.5 T and 3 T High Field Open Bore MRIs 3-D Mammography Nuclear Medicine Bone Densitometry

Deer Chase Professional Park • 154 Route 37 West • Toms River, NJ 08755 • Fax: 732-244-1428

www.TomsRiverXray.com5

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January/February 2021 September/October 2018

Featured On The Cover

Dr. Khorrami featured with his wife and two beautiful children.

Toms River X-Ray, CT, And MRI Center: The Last Of The Family Run Radiology Practices As a Radiologist, Dr. Cyrus Khorrami is a medical doctor who specializes in diagnosing and ultimately directing the treatment of disease and injury by using medical imaging techniques such as X-rays, CT, MRI, mammography, and ultrasound. Born into a family of physicians, he has been surrounded by medicine his entire life. “Growing up, I would hear fantastic stories my parents told about how they were able to change people’s lives. I knew this was what I wanted.” He adds, “Radiology answers the question of why someone is sick or why they are in pain. We work closely with all types of medical professionals to diagnose and treat patients. Every case is unique, which makes this field challenging. Reading hundreds of studies a week, I potentially diagnose and help hundreds of patients each week, which makes my job extremely rewarding.” After graduating from George Washington University, he moved to Philadelphia and conducted research at the University of Pennsylvania in creating a melanoma vaccine. He stayed in Philadelphia and attended medical school at Temple School of Medicine. After obtaining his medical degree, Cyrus spent the next four years at Cooper University Hospital for his radiology residency. After becoming a Board Certified Radiologist, he went on to Johns Hopkins Medical Center in Baltimore for a Cross Sectional Body Imaging Fellowship. Although his work has taken him all over the tri-state area, he moved back to Ocean County and enjoys living close to his family. Both of Dr. Khorrami’s parents are physicians. His father, Parviz Khorrami, is also a Radiologist and founded Toms River X-Ray, CT, and MRI Center. The practice began in 1981 when his father decided to leave the hospital system and open his own practice. He opened a small office on Route 37 with a single X-ray machine. Dr. Parviz Khorrami has slowly built his practice up over the last 30 years to now having over 40 employees and offering all imaging modalities. “We are the oldest and the largest privately owned imaging center in the area,” he says. Patients will immediately feel a different level of comfort when treated at Toms River X-Ray, CT, and MRI Center. “Large corporations or hospitals run most radiology practices,” he explains. “Ours is a family-run practice, which is very unusual in radiology. There used to be lots of privately owned radiology centers. Over the years, it became

harder and harder to stay independent. Those other family run, privately-owned centers either closed down or were absorbed by larger radiology groups. It is a story we have all seen a million times. The family owned stores cannot compete with the corporate chains. “My father founded our practice. My mother has been the office administrator for many years. I serve as the medical director. As with any family-run business, we take pride in what we do and work hard to provide the very best service possible. In my experience, larger corporations have less flexibility and less a person touch. We try to be as helpful and understanding as we can. We care deeply for our patients and strive to treat each and every one like they are a part of our family. I believe that is the reason we are able to prosper.” Dr. Khorrami enjoys the field of radiology because there are constantly new technologic breakthroughs and advances in imaging happening. He adds, “It is extremely important to have the most state-of-the-art methodologies and to hire and retain the best staff.” He makes it a priority to keep in close contact with the referring physicians he works with. “All doctors should work together as a team to provide the very best and most complete care for our patients.” Part of his responsibility involves working closely with other referring physicians to help guide diagnosis and treatment for his patients. Once he is able to help figure out the cause of a patient’s symptoms, he can quickly direct appropriate treatment. This can potentially result in catching life-threatening illnesses as quickly as possible. All of their radiologists are highly trained and have many years of experience. Almost all of them have advanced subspecialized training from top academic centers. This allows them to provide the type of quality care seen at any university hospital while still providing the personal attention and level of service of a family-run business. Dr. Khorrami has been married to Dr. Ladi Ilkhani Khorrami for last eight years. “Ladi is incredible. She is the most amazing wife, mother, partner, best friend, doctor, and confidant anyone could dream of.” Ladi is originally from New York and has been working for Hackensack Meridian Health as a primary care physician. Cyrus and Ladi have been blessed with two beautiful healthy boys, Dean (4 years old) and Dylan (2 years old). “Family is so important to us. We are overjoyed we can all work and live near each other. It is exciting to me that I can raise my children right here where I grew up.” Cyrus and Ladi often look to the future. “Perhaps one day our children will become doctors, to grow our practices and to keep the legacy alive.”

732-244-0777 • TomsRiverXray.com

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January/February 2021

Health & Wellness

Cough And Cold Season Is Hereâ&#x20AC;&#x201D; I G H Are You Ready? G G I

Believe it or not, cough and cold season is upon us. Our nights are becoming very cold and children have been back in school for about six months now. This is the season everyone dreads. It VHHPV ZH VHH SHRSOH ZLWK WKH VQLIĂ HV HYHU\ZKHUHÂłDW ZRUN DW WKH mall and even at home. Now is the time to take some steps that will reduce your risk of catching a cold and stock up on things that will help with the symptoms when the inevitable happens. <RX FDQ UHGXFH \RXU ULVN RI FDWFKLQJ D FROG RU Ă X Here are some helpful hints: WASH YOUR HANDS FREQUENTLY: This will help stop the spread of germs. Everything you touch potentially has cold germs on itâ&#x20AC;&#x201D; doorknobs, handrails, pens, PIN pads, etc. Also, keep hand sanitizer easily accessibleâ&#x20AC;&#x201D;keep it in your car and your desk at work. REDUCE STRESS: Whenever a big day is coming up, or a deadline you have been rushing to meet, you are more likely to become sick. Relax, your health is more important. Also, try to get at least eight hours of sleep per night. EAT WELL: Certain foods combat colds. Try to include as much of the following as possible in your diet: EURFFROL FDXOLĂ RZHU JDUOLF RQLRQV citrus fruits, and whole grains. Some evidence also exists supporting using vitamin C and Echinacea to boost your immune system.

DRINK PLENTY OF WATER: 'ULQNLQJ SOHQW\ RI ZDWHU KHOSV Ă XVK germs out of your body. Water also helps keep your mucous membranes moist, allowing them to trap the virus and dispose of it.

BREATHE FRESH AIR: Try to breathe as much fresh air as possible. Recycled, contaminated air can make you sick! Get outside as much as possible. Cold air will not give you a cold! For the most part, everyone catches some degree of a cold at least once a year. Once you feel the symptoms coming on, then what? For starters, continue the above tips. Also, cover your mouth and nose when you sneeze or cough (no one else wants your germs). And most importantlyâ&#x20AC;&#x201D; CONTINUE TO WASH YOUR HANDS FREQUENTLY. There are many cough and cold medications on the market that can help with your cold or cough symptoms. Decongestants in a pill form or a nasal spray can help with a stuffy nose. Antihistamines can help with itchy, watery eyes. Cough suppressants help control a nagging cough. Cough drops or throat lozenges help with a sore throat. Tylenol or Motrin can help any body aches or fever. Before taking any medications, please consult with your pharmacist or doctor to be sure the medication you are buying doesnâ&#x20AC;&#x2122;t aggravate any existing medical conditions or interact with any current medication you are taking. THIS IS VERY IMPORTANT. Many over-the-counter cough and cold medications can cause adverse effects. Donâ&#x20AC;&#x2122;t be afraid to ask us, that is what we are here for.

Once you have determined which medications are safe, keep some at home so that you are prepared when that cold comes along.

Jersey Shore Pharmacy is an independently owned and operated full service pharmacy. Our pharmacists and technicians are here to answer your questions. Stop by and see what a pharmacy experience should be!

For more information, call 609-660-1111 or visit www.jerseyshorepharmacy

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January/February 2021

Home Health Care

The Live-In Caregiver Deborah Walsh,

Executive Director, HomeWorks

Most of us understand the benefits of having a live-in caregiver and remaining in the comfort of one’s home. Consider for a moment the perspective of the caregiver who must move out of their own home, leave family behind, and move into a client’s home. We certainly understand the point of view of the client but want to take a moment to view it from the standpoint of the caregiver and to highlight the work that they do. Both the caregiver and client come from different backgrounds and personal histories. A caregiver must attend to a client’s most personal needs. A client must allow the caregiver to be privy to her personal life. Both are difficult. Yet, each needs the other and they compromise to make the situation mutually beneficial. Cultural differences, food choices, routines and more, come into play. A caregiver must navigate the client’s family relationships and discover how to fit into the family dynamic. She often advocates and speaks to family with and for the client as she gains more knowledge of the client’s needs and routines. We take for granted our dining routines; eating and mealtime is significant for all of us. In the caregiving situation, food is a key part of the equation for both the caregiver and the client. Often the caregiver is from a different culture. Buying familiar food and

meal preparation is something that takes considerable work so that both are content with the living situation. This process, the give and take, is significant in building the relationship. Companionship is another foundational element to building the relationship. Our caregivers spend time playing board games, cards, puzzles and more to interact with their clients. Going to dinner or lunch together or to church services and the beauty salon are also often on the day’s agenda. This special time together fosters the bond. The nurse who oversees the situation is always in touch and is essential in supporting this relationship. He or she will guide the caregiver and the client in getting past small hurdles and issues. We are often pleased to see the interesting combinations of caregiver and client who come together with HomeWorks. It is not unusual to have a caregiver from Africa preparing an Italian dish for a client or a client from the Mid-West enjoying a Jamaican dish. It can be an enriching life experience. At United Methodist Communities HomeWorks, we understand that both the client and the caregiver are entering a very new situation. We work hard to make sure personalities are compatible and the relationship can develop in a positive way. The tenderness, patience, and love expressed by our live-in caregivers are very special and often mimic a familial bond. Caregivers are sometimes alone with a client at end of life; they comfort the client, sometimes holding them in their arms at their last breath. They grieve with the family, and yet they continue to do their difficult work and start the process again with someone new. This is the life of a live-in caregiver. We appreciate them, respect them, and acknowledge the hard work that they perform for us at United Methodist Communities HomeWorks.

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

Genovese Counseling Services

Counseling Services We Are Partners In Healing

Christine Genovese, LPC

Psychotherapist • Brainspotting Practitioner 125 E. Main Street, Suite 6 • Tuckerton, NJ 08087 553 New Road, Suite E • Somers Point, NJ 08244

609 568-6299

Email: healing@genovesecounseling.com

genovesecounseling.com

Christine Genovese works with educators and other adults experiencing grief, anxiety and major life change. We are partners in healing.

Being invited into another person’s space to help them heal is an honor and a privilege. Seeking counseling is actually selfeducation, and learning about grief, anxiety and major life change, is a partnership. The focus of this practice is structured to support all adults including educational professionals who are experiencing stress, grief, anxiety, depression and major life change. Working through life changing experiences, no matter how great or small, can be difficult especially when navigating

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multiple situations at once. I am here to listen, validate what you are experiencing, discuss possible solutions, and hold space with you. Having worked in an agency setting as well as the school system has allowed me to develop a wide variety of methods for reaching people who are hurting or simply want to sort things out. Through the use of a pointer and a strong relationship, Christine and the client use the natural gaze to incorporate Brainspotting into the therapeutic session.

January/February 2021

Financial Independence

Planning for Marriage: Financial Tips for Women Planning for marriage should involve more than just picking out invitations and deciding whether you should serve chicken or fish at the reception. More importantly, you’ll want to take a look at how marriage will impact your financial situation. And while there are a number of issues you’ll need to think about, careful planning can increase the likelihood that you’ll have financial success as you enter this new chapter in your life. Consider a prenuptial agreement

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.

If either you or your future spouse has or may inherit substantial assets, or if either of you has children from previous marriages, you may want to consider a prenuptial agreement. A prenuptial agreement is a binding contract between future spouses that defines the rights, duties, and obligations of the parties during marriage and in the event of legal separation, annulment, divorce, or death. A prenuptial agreement typically addresses the following areas: • Assets and liabilities--What assets will each of you bring into the marriage? What liabilities do each of you have (e.g., credit card/mortgage debt)? • Contributions of each partner--Will there be particular consideration given for special contributions that either of you make (e.g., one spouse limiting his or her career)? • Divorce--If you and your future spouse divorce, will there be alimony or a lump-sum payment? How will you divide assets purchased from joint funds? • Estate planning--Who gets what at the death of either spouse?

Discuss your financial history

Marriage is the union of two separate individuals ... and their finances. While talking about money can be a stressful topic for many couples, you’ll want to sit down and discuss your financial history and your future spouse’s financial history before you merge your money. Start out by taking stock of each of your respective financial situations. You should each make a list of your individual assets (e.g., investments, real estate) and any liabilities (e.g., student loans, credit card debt) you may have. This is also the time to address items such as how much each of you earns and if either of you has additional sources of income (e.g., interest, dividends).

Agree on a system for budgeting/maintaining bank accounts

Right now, you are probably accustomed to managing your finances in a way that is comfortable for you and you alone. Once you are married, you and your spouse will have to agree on a system for budgeting your money and paying your bills together as a couple. Either of you can agree to be in charge of managing the budget, or you can take turns keeping records and paying the bills. If both of you are going to be involved in the budgeting process, make sure that you develop a record-keeping system that both of you understand and agree upon. In addition, you’ll want to keep your records in a joint filing system so that both of you can easily locate important documents. Once you agree on a budgeting system, you’ll be able to establish a budget. Begin by listing all of your income and expenses over a certain time period (for example, monthly). Sources of income can include things such as salaries and wages, interest, and dividends. Expenses can be divided into two categories: fixed (e.g., housing, utilities, food) and discretionary (e.g., entertainment, vacations). Be sure to include occasional expenses (e.g., car maintenance) as well. To help you and your future spouse stay on track with your budget: • Try to make budgeting part of your daily routine • Build occasional rewards into your budget (e.g., going to the movies) • Examine your budget regularly and adjust/make changes as needed This might also be a good time to decide whether you and your future spouse will combine your bank accounts or keep them separate. While maintaining a joint account does have its advantages (e.g., easier recordkeeping and lower maintenance fees), it is sometimes more difficult to keep track of the flow of money when two individuals have access to a single account.

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If you do decide to combine your accounts, each spouse should be responsible for updating the checkbook ledger when he/she writes a check or withdraws funds. If you decide to keep separate accounts, consider opening a joint checking account to pay for household expenses.

Map out your financial future together An important part of financial planning as a couple is to map out your financial future together. Where do you see yourself next year? What about five years from now? Do you want to buy a home together? If you decide to start a family, would one of you stay at home while the other focuses more on his or her career? Together you should make a list of short-term financial goals (e.g., paying off wedding debt, saving for graduate school) and long-term financial goals (e.g., retirement). Once you have decided on your financial goals, you can prioritize them by determining which ones are most important to each of you. After you’ve identified which goals are a priority, you can set your sights on working to achieve them together. Resolve any outstanding credit/debt issues Since having good credit is an important part of any sound financial plan, you’ll want to identify any potential credit/debt problems either you or your future spouse may have and try to resolve them now rather than later. You should each order copies of your credit reports and review them together. You are entitled to a free copy of your credit report from each of the three major credit reporting agencies once every 12 months (go to annualcreditreport.com for more information). For the most part, you are not responsible for your future spouse’s past credit problems, but they can prevent you from getting credit together as a couple after you are married. Even if you’ve always had spotless credit, you may be turned down for credit cards or loans that you apply for together if your future spouse has a bad track record with creditors. As a result, if you find that either one of you does have credit issues, you might want to consider keeping your credit separate until your or your future spouse’s credit record improves.

Consider integrating employee and retirement benefits

If you and your future spouse have separate health insurance coverage, you’ll want to do a cost/benefit analysis of each plan to see if you should continue to keep your health coverage separate. If your future spouse’s health plan has a higher deductible and/or co-payment or fewer benefits than those offered by your plan, he or she may want to join your health plan instead. You’ll also want to compare the premium for one family plan against the cost of two single plans. In addition, if both you and your future spouse participate in an employer-sponsored retirement plan, you should be aware of each plan’s characteristics. Plans may differ as to matching contributions, investment options, and loan provisions. Review each plan together carefully and determine which plan provides the better benefits. If you can afford to, you should each participate to the maximum in your own plan.

Assess your insurance coverage needs

While you might not have felt the need for life and disability insurance when you were single, once you are married you may find that you and your future spouse are financially dependent on each other. If you don’t have life or disability insurance, you will want to have policies in place in order to make sure that your future spouse’s financial needs will be taken care of if you should die prematurely or become disabled. If you already have life and disability insurance, you should reevaluate the adequacy of your existing coverage and be sure to update any beneficiary designations as well. You should also take a look at your auto insurance coverage. Check your policy limits and consider pooling your auto insurance policies with one company (your insurance company may give you a discount if you insure more than one car with them). As for renters/homeowners insurance, you’ll want to make sure your personal property and possessions are adequately covered. NOTE: If you and your future spouse obtain joint credit, both of you will become responsible for 100% of the debt.

January/February 2021

Medical Professionals Professionals MMedical edical P rofessionals

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Medical Professsionals

TREATING MEMORY LOSS CLINICAL TRIALS OFFER ACCESS TO ADVANCED MEMORY TREATMENTS Do you or someone you know have concerns about memory loss? At AMRI, we are dedicated to preventing your loved oneâ&#x20AC;&#x2122;s memories from fading away. We stand by our work and invite you to our center for a free consultation.

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January/February 2021

Medical Professsionals

dvanced Memory Research Institute of New Jersey (AMRI) was founded in 2013 by Dr. Sanjiv Sharma. Dr. Sharma is a board-certified geriatrician who specialized in memory loss. He noticed the increasing incidence of memory loss in Ocean and Monmouth County and began to think of ways to offer support to the region. AMRI offers an opportunity for individuals who feel that their concerns are not being heard. “The most common story we hear is, ‘I complained about my memory to my primary care physician, but they told me there was nothing I could do about it. If it happens, it happens’. Which is so discouraging”, says Lal Ramani, one of the many professionals at AMRI that work with individuals and their families to discuss the problems with their memory. By founding AMRI, Dr. Sharma brought clinical trials and memory research to Central New Jersey. Clinical trials and research are the cornerstone to developing new medical treatments whether it be disease knowledge or actual medications. “Clinical trials offer an opportunity for individuals to make a significant contribution to science.” says Dr. Sharma. AMRI currently offers more than ten protocols in mild cognitive impairment, Alzheimer’s disease, and dementia. TREATMENT FOR MEMORY LOSS During a 60-minute evaluation with one of the AMRI doctors, they will review your complaints and symptoms associated with your memory loss, the potential cause of the loss, and how participation in clinical research could benefit the individual. Part of the clinical trial process is “can we find the earliest cause of this disease so we can make a difference and make the changes,” says Dr. Sharma. Clinical trial participation is a chance for participants to receive high quality care and diagnostic tests that are not widely available to the general population. Through the clinical trial process, a participant does not need to stop their current memory medication and do not require insurance to contribute. “Through clinical research we are trying to target the core cause of disease. By doing this we hope to preserve the current memory of a patient,” says Anna Brocco, PharmD, MBA, Director of Operations and Clinical Research at AMRI. It is her role to bring research opportunities to the center. “I want to make sure we have a protocol for all stages of the disease so that if someone is willing to participate, we have the opportunity for them to do so.”

To learn more about memory evaluations or clinical trials, Call AMRI at 732.341.9500 or visit amrinj.com

Sanjiv Sharma, MD, CPI, Founder & Principal Investigator at Advanced Memory Research Institute of New Jersey suggests early neurological evaluations for memory loss. The team at AMRI has more than 50 years of combined experience conducting clinical trials. All team members also take training though the Alzheimer’s Ass association to work with those living with the disease and those who care for the disease. By doing this training, the AMRI team has more compassion and understanding of the disease. This creates an atmosphere of comfort and joy when being in our office. As one patient said, “From the minute I got here, I loved everyone who I talked to. They all had such a great sense of humor. It has been two and a half years now and they are my family.” “Right now we can diagnose Alzheimer’s disease much earlier. All hope we have in science, can we prevent this disease? To do this we need those who are in the very earliest stages of the disease,” says Dr. Sharma, “That is the gift of clinical trials.”

9 Mule Road, Suite E8, Toms River, NJ 08755

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January/February 2021

Medical Professionals

Got An Itch That Can’t Be Scratched? Nina Paonessa, DO, FACOS As we enter the New Year, a common ailment affects many individuals. This is the time of year when people make New Year’s resolutions to eat “healthy” and diet in order to lose weight for spring break or in preparation for the summer. This is also the time of year for football season and tailgating parties and all of the foods that are associated with it. Because of these unique situations, many people suffer from aggravating symptoms of perianal itching, burning, and discomfort as well as a “wet” or moist feeling in the perianal area.

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 40s to 60s. 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 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.

How is pruritus ani treated?

The first goal of treatment of pruritus ani is to make a correct diagnosis. That means determining if the condition is primary pruritus ani or secondary pruritus ani caused 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 intact perianal skin. This will help to alleviate the symptom of itching. The first step is to alter the consistency of the stool so as to avoid seepage of stool from the anus. This may be accomplished with diet modification and adding a fiber supplement. The second step in treatment is to discontinue any offending agents such as cortisone ointments, hemorrhoid creams, lotions, perfumes, soaps and baby/toilet wipes. Topical agents containing alcohol are very irritating to the perianal skin. Likewise, any topical agent that causes the perianal skin to remain moist should be avoided. This includes 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 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

The County Woman Magazine www.TheCountyWoman.com

• pelvic floor disorders • office proctology • anorectal manometry/ physiology

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www.paonessacrs.com January/February 2021

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

Mind Your Heart . . . Heart-Healthy Often Means Mind-Healthy Following a healthy lifestyle can prevent a myriad of heart conditions and heart-related deaths. You are probably aware that heart disease is the leading cause of death for women and men in the U.S., but you may not know that there appears to be a significant correlation between heart health and brain health. That means that reducing risk factors for heart disease may very well reduce risk factors for cognitive decline and dementia. For those who are prepared to take positive steps, it’s a win-win situation. Many of the risk factors for heart disease are generally preventable: • High blood pressure • High cholesterol • Overweight and obesity • Pre-diabetes and diabetes • Smoking • Inactivity • Poor eating habits • Poor sleep quality • Chronic stress

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.

Look at this list again, and you’ll notice there’s a common thread – lifestyle habits. By changing your unhealthy patterns, you improve your health and wellbeing. Choosing to stay stuck may carry a hefty price. Even if you’ve been caught up in unhealthy patterns for a long time, that doesn’t mean you’re doomed to stay stuck forever. With the right guidance, tools, and techniques, you are absolutely capable of changing. Using hypnosis and coaching can transport you from merely knowing what steps to take, to actually taking those steps. This approach is based on neuroscience – the study of how the mind works. The latest research

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in neuroscience has taught us more about how the brain operates, and how that impacts our behavior, thoughts, and feelings. Your brain is constantly rewiring itself. That means that you are capable of making the changes you want to make. You can do your own rewiring, so to speak. By accessing your subconscious mind, negative patterns are much easier to neutralize, and positive patterns can be embedded. Your private sessions will be comfortable, positive, and nonjudgmental. Clarifying what you want to change and why, along with barriers you’ve encountered, will help create a customized approach that boosts your ability to be successful. A full explanation will be provided so you’re totally comfortable and at ease. Each follow-up appointment includes a discussion of progress and a tailored hypnosis session. You’ll be provided with a comprehensive informational packet, one or several appropriate recordings, and instruction in self-hypnosis. Depending on the specific issue(s) you’re addressing, you’ll have three to six inperson (or virtual) hypnosis sessions after the initial information-gathering session. Reinforcement and repetition are vital to making changes. Hypnosis is an efficient, holistic, and empowering modality. It works wonderfully 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.

(COVID safety precautions are in place to insure the well-being of all.) For a No-Cost Phone Screening / 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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Make Your Mind Work For You – Instead of Against You

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

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January/February 2021

Community

Visit Ladacin.org Careers Page! Direct Support Positions Residential $14.00/hr Drivers/Non-Drivers Full Time and Part Time Positions CHHA & CNA’s welcome to apply

Home Health Aides $15.00/hr

We Are Hiring Comprehensive Benefits Package: • Medical, Dental, Vision (for full-time employees) • Generous Paid Time Off • Employees Discounts • 403B Retirement Plan • Staff Appreciation Events • Staff Development Days

Join Our Team

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OTHER POSITIONS: Physical Therapists Occupational Therapists Speech Language Pathologists Registered Nurses Maintenance

• Continuing Education

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EOE New Jersey law prohibits employers from considering the criminal records of job applicants for employment under certain circumstances.

January/February 2021

Community

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

LADACIN VIRTUAL Plunge 2021 Be Silly While Getting Chilly

Event begins on Saturday, January 16th and runs through Saturday, January 30th Participate from the comfort of your home or wherever you are Plunge in the snow, in the shower or kiddie pool, use a bucket, a garden hose or water balloons. The possibilities are endless!

Get your teams together and be silly while getting chilly! Contests and Prizes Create your online fundraising page and be prepared for some Chilly Challenges! Sponsorship Opportunities are available.

Visit our Plunge web page at LADACIN.org for more information.

SAVE THE DATE May

July

19thAnnual

40th Anniversary

Monday, May 10, 2021

Saturday, July 31, 2021

RAT Rock Open Charity Golf Classic JUMPING BROOK COUNTRY CLUB, NEPTUNE NJ

For More Information

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

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January/February 2021

Women Of Monmouith County

Christine Genovese, LPC Genovese Counseling Services, LLC Christine Genovese is a Licensed Professional Counselor with offices in Tuckerton and Somers Point. Raised in Absecon, she has combined her love of education and healing and started her private practice in 2018. After a successful career in education, Christine retired as a teacher and school counselor from the Galloway Township school system. During that time, Christine earned a Master’s Degree in Education from Marygrove University and a Master’s Degree in Counseling Psychology from Georgian Court University. In 2005, she received the Governor’s Teacher Recognition, and in 2009, she received the School Community Advocate for Education award along with her fellow school counselors. From 2012-2016 Christine worked as a per diem therapist for JFS in Margate. Christine is a Brainspotting Practitioner, which uses a person’s natural gaze along with the therapeutic relationship to process strong emotions. Christine’s practice is limited to adults experiencing major life change, grief and anxiety, and she is especially passionate about working with educators. She is a member of the New Jersey Counseling Association and has enjoyed being in private practice since 2012. Christine enjoys learning about neuroscience, taking metalsmith classes, and hunting for sea glass. Please call 609 568-6299 or visit genovesecounseling.com for more information.

Anna Brocco, PharmD, MBA Director of Operations and Clinical Research Advanced Memory Research Institute Anna Brocco grew up in Toms River, New Jersey and currently lives in Forked River with her husband and toddler son. She is a graduate of Rutgers, The State University of New Jersey, Ernest Mario School of Pharmacy with her doctorate in pharmacy and later, a master’s degree in business. Throughout pharmacy school and after graduation, Anna worked at Community Medical Center in the pharmacy department where she specialized in IV medication preparation. Anna joined Advanced Memory Research Institute of NJ in 2014 as a clinical research pharmacist and then in 2015, she became the operations manager and then the director of operations and clinical research. Anna uses her clinical trial and business knowledge to bring more research opportunities to the center so that all those who wish to participate in research can have the opportunity. Anna is also an adjunct clinical professor of pharmacy practice at Fairleigh Dickinson University, School of Pharmacy and Health Sciences. In this role, she educates future pharmacists about clinical research and about Alzheimer’s disease and memory loss. If you would like to learn more about AMRINJ, please reach out at 732-341-9500 or www.amrinj.com.

Photo by Donna Andrews Photography

Rhoda Kopy, CH Nationally Certified Consulting Hypnotist & Wellness Coach, Founder, Hypnosis for Women Rhoda helps people break free of negative habits, and limiting fears and beliefs, as a master hypnosis practitioner and wellness coach with specialty certification in Medical and Dental Hypnotism. Building each client’s sense of calm, focus, confidence, and empowerment is the hallmark of her approach. She firmly believes that when you learn to make your mind work for you, instead of against you, anything is possible. Rhoda recently celebrated her 16th anniversary as a clinical hypnotist. Ms. Kopy’s Toms River practice, Hypnosis for Women, which she founded in 2005, serves primarily women, teens, and children, throughout the tri-state area. After studying nursing and earning a B.S. in Biomedical Communications in 1984, 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 services. As a result of success she achieved using hypnosis to improve her life, she completed an advanced training program in 2004, parlayed her education and experience, and opened her private practice. Rhoda also co-founded Jersey Shore Hypnosis Practitioners, a peer support and networking group, and is a certified member of leading 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, watercoloring, watching meteor showers, traveling with her husband, and connecting with friends and family. She has a daughter, two grandsons, and an adopted cockapoo, Gracie. Rhoda can help you determine if hypnosis and coaching are appropriate for you. She offers confidential in-person and online sessions. Call her at 732-270-0080 for a brief complimentary phone screening, and visit www.HypnoForWomen.com

Teresa Menadier, MD,

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.

Photo by Tracy Harman Photography

The County Woman Magazine www.TheCountyWoman.com

Photo by Tracy Harman Photography

January/February 2021

Women Of Monmouth County Geeta K. Brana Senior Vice President, Freedom Capital Management Geeta K. Brana is a Senior Vice President at Freedom Capital Management in Colts Neck, NJ. Geeta provides comprehensive wealth management and advisory services to Women in Transition, assisting women in all phases of their lives – with a special focus on divorce. Geeta has a long history in the financial services sector and she uses her diverse international banking background to help simplify complicated wealth planning issues for her clients. “My goal is to build long-term relationships with my clients based on education and trust,” Ms. Brana said. Geeta started her investment banking career in London (1995) where she was trained in all aspects of international finance and credit analysis. She has extensive experience structuring and trading debt packages for multinational companies throughout the UK, Eastern Europe, Japan and the U.S. In 2002, Geeta began her career in the U.S., turning her extensive knowledge to helping individual investors. In a primarily male-dominated environment, she was able to build a successful wealth management practice in Washington, DC and New York, working with high net worth individuals and institutions. For more information, call 732-546-9315 or visit www.fcmadvisor.com.

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.

Photo by Carmela Caracappa Photography

Amy Hatt, CNMT, NMTCB(CT)

Maria Jerome

Certified and Registered Dental Assistant Aesthetic Dental Creations

Lead Nuclear Medicine Technologist, Toms River X-Ray, CT & MRI Center

Amy is a nuclear medicine and PET/CT technologist who began her career 12 years ago. She has earned her BS in Allied Health Technologies from UMDNJ, now known as Rutgers, and is licensed in both nuclear medicine and CT. Before joining Toms River X-Ray, she was the lead nuclear medicine technologist at Monmouth Medical Center Southern Campus and worked as a technologist at Community Medical Center. Amy currently performs among the highest volume of Alzheimer’s disease PET/CT studies in the nation. She has always had a passion for helping others, making a career involving patients the perfect fit for her. Born and raised in Toms River, Amy currently resides in Bayville with her husband and two dogs. In her free time she enjoys indoor rock climbing, is an avid runner, volunteers with Northeast Boston Terrier Rescue, and is an Independent Consultant with Arbonne. For more information, call 732-244-0777 or visit www.tomsriverxray.com.

Maria Jerome has been practicing as a dental assistant for 6 years. She presently holds licenses as a Certified and Registered Dental Assistant. Maria currently works with Dr. Balaji Srinivasan at Aesthetic Dental Creations in Jackson, NJ. She enjoys the family atmosphere the office provides for the patients; they give every patient their full attention and time. Dr Balaji is one of the few dentists to treat TMJ disorders and its very rewarding for to watch patients’ lives improve. Such improvement in a patient’s life is one of the many reasons Maria began a career in the dental field. Maria resides in Brick NJ and has lived in Ocean County her whole life. In her spare time, Maria enjoys several crafting hobbies including crocheting, drawing and woodburning. For more information, call 732-363-5370 or visit www. AestheticDentalCreations.com.

Photo by Tracy Harman Photography

The County Woman Magazine www.TheCountyWoman.com

Photo by Tracy Harman Photography

January/February 2021

Legal Professionals

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January/February 2021

ROMANCE TRAVEL Travel ravel

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amenities. 732-222-2792 or 732-842-2600. Create memories that will last a lifetime. Create memories that will last a lifetime. Little New Jersey LittleSilver, Silver New Jersey07739 07739

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The County Woman Magazine

The County Woman Magazine e County Woman Magazine The County Woman Magazine e County Woman Magazine

Carole Kaiman, Travel Specialist 732-859-5513 732-222-2792 Direct Vagabond Travel Virtuoso Agency 732-842-2600 Office 542 Prospect Ave.

Over 25 Years

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November/December 2016 May/June 2014 2014 November/December May/June 2014 2015 January/February www.vagabondtvl.com

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January/February 2021

November/December 2016 May/June 2014 2014 November/December

Women’s History

Nina Braunwald: A Main Artery In The Surgical World Happy New Year! We all have been waiting for this moment with great anticipation. A chance for restored faith, renewed hope and new beginnings. Although many of you may not realize it and may even deny it, COVID-19 has made us quite resilient and resourceful. As we begin the new year and the winter months ahead, it is important to remain motivated Facebook.com. and energized. Structure, routine and consistency are what keep our blood flowing and our hearts pumping. February is National Heart Month and what better time to honor Dr. Nina Starr Braunwald, the first female to be certified by the American Board of Thoracic Surgery in 1963. Nina Starr was born on March 2, 1928 to Morris and Mary Starr in Brooklyn, New York. Nina attended public schools and had an early interest in working with her hands. Nina had an interest in art and medicine and began her post high school education at the Washington Square College of Arts and Sciences at New York University. Nina’s father was an influence in her life, sparking her interest in the medical field as he was a physician. Nina graduated with a Bachelor of Arts degree in 1949 and immediately transitioned into pursuing a medical degree from New York University’s College of Medicine. In 1952 Nina began an internship and residency at Bellevue Hospital in New York and would continue her work there as the first female surgeon on staff. Nina Starr married Eugene Braunwald, who was also her classmate in college and in medical school. Eugene specialized in the field of cardiology. Nina left her residency and completed a postdoctoral fellowship with a renowned cardiac surgeon from Georgetown University. Nina earned a Master’s degree in Surgery and decided to transfer to Georgetown to complete her residency requirements. During her residency, Nina took a great interest in the field of cardiac surgery. Nina embraced the challenges that came with the training and competition in the field of cardiac surgery. Nina is known to have received training from the chief of the Clinic of Surgery at the National Institutes of Health in Bethesda, Maryland (https://www.ncbi.nlm. nih.gov/pmc/articles/ PMC5408644). In 1965 Dr. Onih.pastperfectonline.com. Nina Braunwald was promoted to Deputy Chief of the Clinic. In 1968 Nina and Eugene Braunwald relocated to San Diego, California, after Eugene received a job offer. Nina obtained a position as an Associate Professor of Surgery. Nina would later go on to establish the cardiac surgical program at the University of San Diego, California. Dr. Nina Braunwald was not finished adding to her lists of “firsts.” After relocation back to the East Coast, Dr. Nina Braunwald became the first woman to join the surgical faculty at Harvard University in the late 1960s. At the time Dr. Nina was entering into the medical field, let alone as a cardiac surgeon, women were not afforded the same level of professionalism as men. However, Dr. Nina Braunwald kept the focus of her research on the patient, not the politics. Although modest about her career, through extensive research as a cardiac surgeon and with her mentors, Dr. Nina Braunwald developed the “bioprosthesis.” This was a prosthetic valve used to replace the mitral valve in the heart. Dr. Nina Braunwald not only designed the bioprosthesis, she fabricated it too. The first surgery was performed on a 44-year-old female. The significance of the mitral valve is that it regulates the blood flow from your lungs into your left heart ventricle, which is the main pumping chamber of your heart. Dr. Nina Braunwald continued to advance the prosthetic from a cloth-covered mechanical valve known as the “Braunwald-Cutter valve” to the stented aortic homograft, which utilized human tissue to treat chronic thromboembolic disease. Dr. Nina Braunwald was truly a female pioneer in the field of cardiac medicine. She was an incredibly talented cardiac thoracic surgeon who was also a researcher in a field that was dominated by men. Dr. Nina Braunwald had the ability to keep pace with “the boys” and continued to work through all of her pregnancies. It has been reported that she even returned to work just 10 days after delivering her children.

Sciencedirect.com.

Researchgate.net.

Nina and Eugene Braunwald had three daughters. Nina worked hard to maintain a work/life balance. It is said that she would be a part of the morning routines with her daughters and be home for dinner in the evenings and bedtime. Remember in the 1960s there was no internet or the luxury of working from home, so any additional work that needed to be done after hours, Nina would return to the office after her children were in bed. Nina was known to always put family first. Sadly, Dr. Nina Braunwald departed this life at the young age of 64 on August 5, 1992. Eugene Braunwald established a foundation and scholarships to support women in the field of cardiac surgery in his wife’s beautiful memory. Dr. Nina Braunwald has shown us that women can have an incredibly successful career and a family too! She never gave up and continued to challenge herself in the best interest of others and in medicine. In the pursuit of your new year’s goals and in the best interest of your “heart” (emotionally and physically), I encourage everyone to laugh a little, to dance a lot and don’t forget to breathe!

Onih.pastperfectonline.com.

Cfmedicine.nlm.nih.gov.

Rita King, LCSW is a mental health clinician providing psychotherapy services to adults and children. Rita has worked with individuals with mental illness in the community mental health setting, criminal justice system and private practice setting. Rita is a “De-escalation for Individuals with Special Needs” training facilitator and has trained approximately 1,200 law enforcement professionals to date. Rita is also a CIT trained mental health professional. Rita has a strong passion for women’s history and in her free time she continues to raise awareness of the importance of women’s history through lectures and community speaking engagements.

The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Community

Stay Active | Stay Healthy | Stay Connected What is Social Community Activities Network (SCAN)?

Social Community Activities Network’s mission is to enhance the quality of life for all adults ages 50+ in Monmouth and Ocean Counties through socialization, education, technology, and assistance with community resources.

HAPPY NEW YEAR! WISHING YOU A NEW YEAR FILLED WITH LOVE, LAUGHTER AND GOOD HEALTH! We hope everyone has been staying safe and healthy.

While 2020 has been challenging, it has also taught us new and important lessons about family, friendship, and community. We are grateful for the journey you have taken with SCAN ever since we transitioned our programming to an online platform, and we appreciate that you warmly welcomed SCAN into your home. We continue to adjust to the many changes in our daily lives, but one thing has remained consistent at SCAN -- we continue to keep our community of seniors: • Active through our classes and special events. • Healthy through our evidence-based programs and social exchanges. • Connected through our weekly SCAN FYI segment on Facebook which provides up to date information that you need to stay informed.

What is Social Community Activities Network (SCAN)?

SCAN is a member-based organization with programs that create the opportunity for adults age 50+ to thrive and help them sustain their independence, health, and happiness. For 2021, SCAN’s Membership and Renewal rate is $15. Your SCAN Membership has many unique opportunities for this Winter Semester such as trivia, an antiquing “from home” show, winter bird watching, chocolate tasting and more! Learn more about member benefits in our class listing.

SCAN Welcomes Reverend Ronald L. Sparks, the Pastor of Bethel AME Church in Freehold to the Board of Directors as Vice President.

Reverend Sparks will be joining Tracey Wolfman, President; Siobhan Connelly, Secretary; and Dana Montanelli, CPA, Treasurer. In addition to pastoring, Reverend Sparks is a member of the Freehold Clergy Association, works with Casa Freehold, an organization supporting immigration issues, and is a member of the NJ Black MultiFaith Alliance. He, along with other faith and community leaders was instrumental in reestablishing the Freehold chapter of the NAACP. Reverend Sparks believes it is important for all to understand our history. “Because if we understand our history, we will realize that we are not standing alone, but rather, we are standing on the shoulders of those who stood before us,” he said. We are very excited for Reverend Sparks to take on a bigger role at SCAN.

SCAN’S Winter Semester Begins January 11!

Our Winter Class Listing is now available! SCAN will continue to offer virtual classes, workshops & events during the winter semester. A new year is a great time to get out of your comfort zone, and you can still make new friends and be informed, empowered and inspired virtually. Grow your social circle online! The Winter Semester begins January 11 and will run through April 9. 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.

SAVE THE DATES:

All programs listed below are FREE and open to the public but registration is required. Register online at www.scannj.org under Free Public Events. Call SCAN with any questions: 732-542-1326!

SCAN FYI:

Join SCAN every Wednesday morning at 9AM on Facebook

Our hosts Andrea & Marybeth chat with a different guest each week who will share information about community resources and other interesting topics. Go to SCAN’s FB page to join “live”. https://www. facebook.com/SCANNJ/ No registration required.

CREATIVE CONVERSATIONS:

January 7, February 4, March 4, April 1, 4-5PM

Art comes in many forms! Join SCAN’s monthly online series featuring guest artists. Open to the public via Zoom Video & Call-In option are both available. Guests and topics will be available on scannj.org soon.

VIRTUAL LUNCH & LEARNS: February 11 & March 25

You bring your lunch and we’ll bring “the learn” into your home. We’re offering great presentations from community partners so you can learn about important resources. Topics and details will be available soon at www.scannj.org or by calling SCAN at 732-542-1326.

VIRTUAL DIABETES SELF-MANAGEMENT WORKSHOP- FREE! **NEW** Morning, Daytime and Evening Option Now Available. Classes meet one time each week for 6 weeks.

This 6-Week Online Workshop is ideal for those who want to better manage their diabetes as well as those who are pre-diabetic or care for someone who has diabetes. All who are aged 60+ and live in Monmouth County are invited to participate. Participants will receive a companion book, “Living a Healthy Life With Chronic Conditions”. The workshop is FREE but registration is required by calling SCAN: 732-542-1326.

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 2021

Community

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January/February 2021

Medical Professionals

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January/February 2021

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January/February 2021