Monmouth County Woman - January/February 2022 by The County Woman

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An Educational Resource for Women and Their Families

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MICROVASCULAR NEUROPATHY CARE!

Peripheral Neuropathy is a nerve disorder known to affect the lives of millions. Page 19

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Nights are becoming very cold. Page 23

WE CAN BE THERE WHEN YOU CAN’T.

Resisting help is very common in the elderly.

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Pictured above is Lauren Shover, Production Manager, with her beautiful family. Lauren has been with the County Woman for 10 years this coming April. Read more about Lauren and her effortless work ethic on pages 8 & 9. facebook.com/TheCountyWoman

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2022

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Medical Professionals

A NEW SENSATION AT REHABILITY NJ MicroVASCULAR

NEUROPATHY CARE!

Peripheral Neuropathy is a nerve disorder known to affect the lives of millions of Americans with debilitating symptoms such as numbness, tingling, burning and prickling pains in the legs, feet, arms and hands. Over time, many people also develop difficulty with walking, balance and muscle weakness. It is a complication associated with several different medical conditions, including Diabetes, Cancer, Peripheral Vascular Disease 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 nerve damage tends to worsen over time, it is crucial to be proactive with proper treatment, avoiding any negative impact on quality of life.

• • • • • •

NUMBNESS, TINGLING OR BURNING SHARP-SHOOTING PAIN SENSITIVITY TO HOT OR COLD MUSCLE WEAKNESS, CRAMPING LOSS OF BALANCE AND COORDINATION DIFFICULTY WALKING

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 becomes disrupted by disease processes that may impair circulation to peripheral blood vessels, particularly the smaller ones (capillaries), which enter nerve tissues. Without sufficient blood flow making it through the capillaries, essential oxygen and nutrients cannot get into the nerve tissues while the waste products of metabolism cannot get out. The peripheral nervous system eventually becomes distressed and damaged due to starvation and toxicity.

MicroVas is a FDAcleared, advanced treatment option that delivers electromagnetic energy to the affected limb(s), stimulating increased circulation to the surrounding tissues. This innovative technology causes blood to pump and circulate much more efficiently by elevating tissue oxygen levels, laying the groundwork for new tissue growth and repair, while accelerating the healing process. Microvas therapy may also promote lymphatic drainage, notably reducing swelling in some instances and positively influencing the body’s immune response. In our experience, MicroVas’ therapeutic effects are often substantial and our unique approach of implementation including manual hands-on therapy and functional conditioning for strength and balance is designed to help you achieve optimal results for long-term relief. "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 in my feet and the MicroVas has made a big difference. Thank you for your kindness and patience." -Grace R.

"IT'S TIME TO GET BACK ON YOUR FEET WITH OUR EXCLUSIVE NEUROPATHY PROGRAM” –The REHABILITY Team..WE CAN HELP! *Most Insurances Accepted, Including Medicare

PHYSICAL THERAPY | CHIROPRACTIC | ACUPUNCTURE | MEDICAL PAIN MANAGEMENT | www.REHABILITYNJ.com

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January/February 2022

Medical Professionals

Locations throughout Central and and Southern New Jersey Locations in Neptune, Toms River, Jackson, North Brunswick, Egg Harbor Twp, and Hammonton

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January/February 2022

Monmouth County Monmouth Cou Woman Woman

Manager’s Note

Since 2008

All correspondence should beAll addressed to: correspondence should be addres

The County Woman The County Woman

Welcome to the January/February Issue of the Monmouth County Woman! P.O. Box 619 Turnersville, NJ 08012

Dear Readers, I know I am not the only one excited to say farewell to 2021. 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 in store. 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 cannot 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 celebrate 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? Wishing you and your loved ones all the best for the coming year! Best Wishes, Lauren Shover, Production Manager, & the Staff at the Monmouth County Woman Publication The County Woman Magazine

P.O. Box 619 Turnersville, NJ 08012

woman

The County Woman’s Newspaper is published bi-monthly and isWoman’s available Newspaper free of charge at The County is published bi-monthly and is availa display stands in approved private and public establishments and authorized display stands in approveddistributors private andonly, public establishments and authorize or by paid mail subscription. or by paid mail subscription. Trademark and U.S. Copyright Laws protect The County Woman’s Newspaper. No Laws part ofprotect The County Woman’s Ne Trademark and U.S. Copyright this paper may be reproduced without the written permission of thebepublisher. this paper may reproduced without the written permission of the publis The County Woman’s Newspaper is not responsibleThe for any editorial comment (other isthan County Woman’s Newspaper not responsible for any editorial co its own), typographical errors from advertisements submitted as camera ready or any its own), typographical errors fromreproducadvertisements submitted as camera rea tions of advertisements submitted as camera ready.An tions Educational Resource for Women and Their Families of advertisements submitted as camera ready. If an advertisement does not meet our standards of acceptance, we may does revisenot or meet cancelour it atstandards of acceptance, we may If an advertisement any time, whether or not it has been already acknowledged previously The acknowledged and/or previou any time,and/or whether or not itpublished. has been already 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 submi protect andProduction indemnify the Woman’s Newspaper, its protect owners,and publishers, andthe employees, against indemnify Woman’sShover Newspaper, its owners, publishers, an Manager & Advertising Sales Lauren 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 tra staff@thecountywoman.com copyrights and propriety rights, and all violations ofcopyrights the right ofand privacy or other violations propriety rights, and all violations of the right of privacy or 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 in billing@thecountywoman.com ment. The publisher shall not be liable by reason of ment. error, omission and/or failure to insert anyreason of error, omission and/or The publisher shall not be liable by Designer Design LLC part of an advertisement.Graphic The publisher will not be liable or failure inThe performance partGolden offorandelay advertisement. publisher will not be liable for delay or failur in publication and/or distribution if allCEO or any portion of an issue is delayed or suspended in publication and/or distribution if allfor or any portion of an issue is delaye Lynn K. Wolf any reason. The publisher will exercise reasonable judgment in these instances will and exercise will make any reason. The publisher reasonable judgment in these instan 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 mat tions made by advertisers. tions made by advertisers. This newspaper will be published by the 15th of every month.will be published by the 15th of every other month. Thisother newspaper 2008. County Woman, LLC TM COPYRI Representations by The Monmouth County Woman, LLC TM COPYRIGHT Representations by The Monmouth Ce

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

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January/February 2022

Table Of Contents

Medical Professionals

Professional Dentistry

Travel Agency

REHABILITY.................................................................. 2

Aesthetic Dental Creations.......................................... 13

Vagabond Travel Agency............................................. 34

Home Health Care

Women of Monmouth County..... 36, 37

Relievus......................................................................... 3 All-Care Physical Therapy Center LLC......................... 6 Gastroenterologists of Ocean County......................... 11 Ocean Hematology & Oncology.................................. 14 Reproductive Science Center of NJ............................ 15 Shore Vascular & Vein Center............................... 16, 17 University Urology Associates of New Jersey............ 19 Toms River X-Ray, CT & MRI Center..................... 20, 21 Paonessa Colon & Rectal Surgery.............................. 24 Kathy A. Banks, DMD............................................ 26, 27

UM HomeWorks Communities.................................... 18

Health & Wellness Nina Radcliff, MD........................................................ 22 Jersey Shore Pharmacy.............................................. 29

Fine Art Photography Tracy Harman Photography........................................ 39

Community.................................................. 28, 32

Pediatric Dentistry Shore Children’s Dental Care...................................... 23

Business & Finance

Advocacy Advoactes in Action...................................................... 5

Copiers Plus................................................................ 25

Certified Life Coach

Featured on the Cover Meet the Production Manager................................... 8, 9

Jessica L. Conrad........................................................ 30

Theatre & Entertainment

Financial Management Garden State Trust Company...................................... 10

Atlantic City Ballet....................................................... 31

Pet Services

Elder Law Carluccio, Leone, Dimon, Doyle & Sacks, LLC........... 12

Funny Farm Rescue.................................................... 33

Advocacy

The Pink Marker Movement is a powerful movement where you re-write the labels that have been covering you, and likely muting your voice. Through the Pink Marker Course, you will identify, challenge and re-write the labels that depict your story. Take back the power of our voice by bringing your story to the surface in a powerful and moving way. We all have a story! We all have a voice! Now is the time to stand up, Pink Marker in hand, and re-introduce ourselves to the world.

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609-384-9309 • Info@Advocatesinaction.com

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For Pink Mark registration - https://learningacademy.mykajabi.com/store The County Woman Magazine

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January/February 2022

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 2022

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Community Community

February is Heart Month

Heart Disease: It Can Happen at Any Age

Heart disease doesn’t happen just to older adults. It is happening to younger adults more and more often. This is partly because the conditions that lead to heart disease are happening at younger ages. February is Heart Month, the perfect time to learn about your risk for heart disease and the steps you need to take now to help your heart. Heart disease—and the conditions that lead to it—can happen at any age. High rates of obesity and high blood pressure among younger people (ages 35-64) are putting them at risk for heart disease earlier in life. Half of all Americans have at least one of the top three risk factors for heart disease (high blood pressure, high cholesterol, and smoking). You Could Be at Risk Many of the conditions and behaviors that put people at risk for heart disease are appearing at younger ages: • High blood pressure. Millions of Americans of all ages have high blood pressure, including millions of people in their 40s and 50s. About half of people with high blood pressure don’t have it under control. Having uncontrolled high blood pressure is one of the biggest risks for heart disease and other harmful conditions, such as stroke. • High blood cholesterol. High cholesterol can increase the risk for heart disease. Having diabetes and obesity, smoking, eating unhealthy foods, and not getting enough physical activity can all contribute to unhealthy cholesterol levels. • Smoking. More than 37 million U.S. adults are current smokers, and thousands of young people start smoking each day. Smoking damages the blood vessels and can cause heart disease. On average, U.S. adults have hearts that are 7 years than they should be. Watch this video, and figure out your own “heart age” by taking this quiz.

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The County Woman Magazine The County Woman Magazine

Other conditions and behaviors that affect your risk for heart disease include: • Obesity. Carrying extra weight puts stress on the heart. More than 1 in 3 Americans—and nearly 1 in 6 children ages 2 to 19— has obesity. • Diabetes. Diabetes causes sugar to build up in the blood. This can damage blood vessels and nerves that help control the heart muscle. Nearly 1 in 10 people in the United States has diabetes. • Physical inactivity. Staying physically active helps keep the heart and blood vessels healthy. Only 1 in 5 adults meets the physical activity guidelines of getting 150 minutes a week of moderate-intensity activity. • Unhealthy eating patterns. Most Americans, including children, eat too much sodium (salt), which increases blood pressure. Replacing foods high in sodium with fresh fruits and vegetables can help lower blood pressure. But only 1 in 10 adults is getting enough fruits and vegetables each day. Diet high in trans-fat, saturated fat, and added sugar increases the risk factor for heart disease.

4 Ways to Take Control of Your Heart Health

You’re in the driver’s seat when it comes to your heart. Learn how to be heart healthy at any age. Don’t smoke. Smoking is the leading cause of preventable death in the United States. If you don’t smoke, don’t start. If you do smoke, learn how to quit. Manage conditions. Work with your health care team to manage conditions such as high blood pressure and high cholesterol. This includes taking any medicines you have been prescribed. Learn more about preventing and managing high blood pressure and high cholesterol. Make heart-healthy eating changes. Eat food low in trans-fat, saturated fat, added sugar and sodium. Try to fill at least half your plate with vegetables and fruits, and aim for low sodium options. Learn more about how to reduce sodium. Stay active. Get moving for at least 150 minutes per week. You can even break up the 30 minutes into 10-minute blocks. Learn more about how to get enough physical activity. Reference: Centers for Disease Control and Prevention (CDC)

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January/February 2020 January/February 2022

Featured On The Cover

Meet the Production Manager, Lauren Shover This will be Lauren Shover’s 10th year as the Production Manager for County Woman Publications. Considered to be the true “backbone” of the publication by those who work with her, she began her career right before graduating from Rowan University with a Bachelors degree in Public Relations. She later decided to continue her education, earning a Master’s Degree in Communications from Southern New Hampshire University. Her educational background has prepared her well for this role, as the job is not one for the faint of heart. Generally speaking, a magazine production manager oversees the production of a magazine, from initial meetings that decide editorial and advertising, to the final stages of production, design, printing, and circulation. The County Woman Magazine

Luckily, one of Lauren’s strongest qualities is organization, which happens to be critical for this role. The job also demands excellent time management skills and the ability to manage competing deadlines. While chaotic days still exist, Lauren admits to being the type of person that relishes in challenges and actually views them as opportunities. Lauren is excited to reach for some of her goals for the magazine this year. One of them is continuing to explore new opportunities for the magazines and to advertise the publication more on the digital side. She adds, “It is imperative that we remain current and up to date with new advances in technology.”

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January/February 2022

Featured On The Cover Like the rest of the world, the pandemic has affected the organization. “I really miss being able to see my clients in person. One of the best parts about building long lasting relationships is getting to interact with people and getting to know my clients not just on a business level, but on a personal one as well,” she explains. Although they have taken advantage of Zoom meetings and Face Time as much as they can, it is not a substitute for being in person and building connections. Because she lives locally, she has always been able to see her clients and readers in person. However now due to Covid, she has not been able to be out and about as much. This remains one aspect of the job she misses the most.

to embarking on a bright future together. Needless to say she is excited for the upcoming nuptials, but she also looks forward to making new memories with her six-year-old stepdaughter, Harper. She adds, “Chuck and I are also super excited to add more animals to our family farm.” Plans for the future include more travelling with her new family and going camping when the weather gets a bit warmer.

She tells anyone who is interested in taking this career path that they must be able to troubleshoot and delegate. Production coordinators work with all aspects of the magazine from editorial, design, advertising, and production teams. It is up to her to ensure there is coordination among all of these different departments. Sometimes the schedule As we embark on the New Year, Lauren is interested in must be adjusted so the ability to communicate well with adding more social media incentives for her clientele, as well the printers and vendors to ensure print quality is a key part as finding more ways for readers to access the magazine at of the overall success. their fingertips. She is determined to find ways to foster the relationships she has with her clients, in spite of Covid. Lauren extends her deepest gratitude to all of you and gives a special thanks to the publisher of the County Woman Publications, Chris Lam. Please be sure and check A successful magazine has many moving parts and us out on Social Media! various roles that staff play. From the graphic designers, photographers, advertisers, and of course you, the readers. It resembles a gigantic puzzle with everyone doing his or her part to finally come together in the end for print. One of Lauren’s favorite aspects about her role is the ability to exercise her creative muscle. She adds, “I love to create new content for each client which includes designing and developing new ideas.” Another part of the job she enjoys is bringing new business into the magazine. When a new business is wondering why they should advertise she explains that this magazine is not just affordable with competitive pricing, but the informative articles and content for the readers stretch across three different counties. The other advantage for businesses is that they get an all inclusive graphic design experience that gives advertisers the chance to create and design colorful content. 2022 promises to be an exciting one for Lauren---not just professionally, but because she is getting married in April. She and her fiancé Chuck are looking forward The County Woman Magazine

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January/February 2022

Financial Management

SCAMS ALERT - BE ON THE LOOKOUT! Adding new technology into the mix

“Every Time You Turn Around There’s A New Scam” - Maryann Bessette Although we may know of various scams and how to avoid them, we can’t know them all because they are changing all the time, especially as technology evolves. Technology can really give scammers the upper hand by providing new tools to work with to disguise themselves. Here are two examples:

Romance Scam -

By nature, people are social beings who crave social contact, and many older people become lonely and isolated as they age. Too often scammers use another’s loneliness as their strength in order to manipulate them. It’s not just the old story of the golddigger, but instead anyone that befriends the elderly for the sole purpose of inducing them to help with a sudden financial “emergency”. According to the Federal Trade Commission (FTC), romance scams are on the rise.

Safety Tips -

The FTC suggests never sending money or gift cards to anyone you haven’t met in person and also provides some additional steps you should take should you suspect something is off. Stop communicating with the new romance and pay attention to concerns from family and friends. Search online for any “distress story” with the word scam after it to see if the same story is coming up repeatedly with the exact same language.

The False Authority Figure Scam -

Often perpetrated by two people posing as employees of a local electric or gas company who need to check on a “problem”, while the primary resident is distracted by one “employee”, the other steals from the property. Alternatively, someone might call pretending to be from the IRS or from the police, and demand that tax issues or bail for a loved one need to be paid immediately.

A scammer steals your bank’s logo and creates a login website using branding that looks identical to the actual website. They send an email or text asking you to verify information or that your credit card number was stolen and you need to login to request a new one. If you login using your current credentials on the fake website, their website captures your credentials and they can access your accounts to make transfers.

Safety Tips -

Ask for employee identification from anyone coming door to door, even if it seems like you’re forcing an inconvenience on the visitor. It’s also reasonable for you to call your electric or gas company directly prior to allowing them entry to verify that employee’s credentials or that they currently have someone going door to door in your neighborhood. The IRS will not call and demand immediate payment or request payment via a credit, or gift card, nor threaten to bring in police or other agencies to arrest you for not paying. If you don’t owe taxes or have any reason to believe you do, do not give out any information when called. To report an incident call 800-366-4484. Should you receive any digital messages telling you to login to an account, never click through a link on the message itself. Instead, enter your bank’s website address directly or search for your bank on a search engine such as Google. Every time your bank or a financial institution tries to initiate contact with you, utilize the same steps of verifying that it is really them by initiating contact back through their website or app directly. Trust is hard to build and easy to break. At Garden State Trust Company, we take these issues seriously and certain trust services can prevent some scams from occurring by providing a financial gatekeeper for requests for money. For a copy of our Keeping Our Seniors Safe – Watch Your Wallet booklet call 732-255-5000.

Ira J. Brower, Founder

Lifestyle & Money Management Trustee & Executor Services Investment Services True independence and understanding are at the core of our unique value proposition. Caring for and thoughtfully guiding our clients has created the strong trusting relationships we have nurtured over many decades. That’s why so many people rely upon our independent company for wealth management and trustee & executor services:

Garden State Trust Company.

Our focus is where it should be… On You. On Your Family. On Your Future. WALL, NJ | CHERRY HILL, NJ | LEBANON, NJ | LINWOOD, NJ

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To learn how we can focus on you and your family, contact Adam Brower or Siobhan Connolly today.

2101 Highway 34 South • Suite A Wall, NJ 07719

732.255.5000 | gstrustco.com

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January/February 2022

Medical Professionals

Hepatitis CCand theThe Baby Boomer Hepatitis And Baby Boomer Written by Jill Collier, M.D. Medical Director, Endoscopy Center of Toms River

More than 75% of patients infected with Hepatitis C were born between 1945 and 1965 and are part of the Baby Boomer Control and Prevention to recommend routine testing for Hepatitis C virus for all Baby Boomers. Hepatitis C is one of the leading causes of cirrhosis, primary liver cancer, and the need for liver transplantation. Unfortunately it often progresses to severe organ damage before any symptoms are present, making it a silent killer. What is Hepatitis C and how do I get it? Over the course of decades and without many symptoms, this process leads to a scarred and damaged liver. Risk factors for transmission include drug use,

Gastroenterologists of Ocean County, PA A DIVISION OF ALLIED DIGESTIVE HEALTH OMAR TAMIMI, MD JILL COLLIER, MD EDGAR BIGORNIA, MD

tattoos, and blood transfusions prior to widespread blood screening practices of the 1990s. Patients with HIV are at an increased risk, as well as those in the healthcare profession, especially after needle sticks from an infected patient. Still others have

How do I know if I have the infection?

A simple blood test called a Hepatitis C antibody test can detect if you have been exposed to the virus. If this is positive, then further tests are needed to see if testing, imaging of the liver with an ultrasound and additional blood testing to further understand the extent of the infection will be required.

How is Hepatitis C treated?

In the past the treatment of Hepatitis C often required up to a year of therapy with a drug called interferon combined with oral medications. Unfortunately this treatment

KENNETH GLAZIER, MD JAI MIRCHANDANI, MD TERESA MENADIER, MD

treatment for some types of Hepatitis C can now be as simple as one pill a day for eight with many new drugs and regimens being developed.

BOARD CERTIFIED GASTROENTEROLOGISTS WITH HOSPITAL PRIVILEGES AT BOTH COMMUNITY MEDICAL CENTER & OCEAN MEDICAL CENTER

How can I take charge of my risk of Hepatitis C?

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who can easily order the needed lab testing. Once a positive test is found, the next step is to speak with a gastroenterologist and to set a course for a successful treatment. If you are one of the 75 million Baby Boomers in the U.S. today, speak with your healthcare professional to get the testing you need to stay healthy and one step ahead of this insidious infection.

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procedure. Very professional.” she is awesome.

Call us to make an appointment 732-349-4422 Or visit our website www.gastroofocean.com and send us a message!

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easy to take and worked VERY well!”

— Adrienne, 74, Jackson

“I was treated very well by all. In comparison to other facilities (by word of mouth with — Dorothy, 63, Bayville

Visit www.GastroOfOcean.com

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January/February 2022

Elder Law

Establish a plan, diffuse a crisis, or ask a question...

ANNEMARIE SCHREIBER, ESQ. Certified Elder Law Attorney*

has the knowledge and experience to help you!

Four Steps To A Perfect Estate Plan Despite the fact you may think you have completed everything that is necessary for your estate plan once you have signed your estate documents, think again! Experts all agree your estate planning does not stop there. There are four additional steps to the perfect estate plan and they are essential to keep in mind. Upon signing your documents you should: Communicate: Let those named in your documents know you have prepared and signed your documents. It is also important that those individuals know where you have put your documents so they can locate the documents in the event they need to access them. A common mistake people make is to go home and throw the documents in a file. Then, years later, when an emergency arises and you need assistance no one knows where the documents are or who has the authority to make decisions. This leads to confusion and stress. Don’t keep your estate plan a secret. Share the knowledge: This step is probably the hardest for most people. Oftentimes, parents can be reluctant to Certified Elder Law Attorney, Annemarie Schreiber answered questions and offered informaton on the Caregivers First TV show, hosted by Lynette Whiteman, Executive Director of Caregiver Volunteers Of Central Jersey. The episode aired last December 12th on local TV stations (visit www.scannj.com for listings). It is also be posted on www.CLDDS.com.

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share information about their finances with their children. At the very least, they need to know where they can find an accurate list of all of your accounts and investments, as well as a list of all internet passwords. Review your medical directive with your agent and share your thoughts regarding medical care so they are familiar with your is also known as a health care proxy directive, wishes. a durable power of attorney for health care or an advance directive. An Outindividual with the old:a Shred all documentation that is noin the appoints trusted person to be his or her representative longer save can your onesmedical the time andfor event needed. the creator This of the will document no loved longer make decisions him- orofherself. energy trying to determine the status of accounts and assets that haveislong redeemed a legalbeen document in whichor anclosed. individual states his or Update: Finally, you needtreatment to keepandyour plan current. her wishes regarding medical end of life care. An individual’s preferences for medical and endestate of life care often included What may have beentreatment an excellent planareseveral years in ago may no longer fit your needs. Lives change, family relationships change, finances change: all of which often necessitate changes to your documents. If you need assistance with your estate planning documents or if you have any questions related to your estate planning, please contact the Law Offices of Carluccio, Leone, Dimon, Doyle, and Sacks, we’ll be happy to help. Estate Planning, Probate, and Administraton Wills and Trusts Powers of Attorney Advance Medical Directives Disabillity Planning

Guardianships/ Conservatorships Medicaid/Medicare Planning Asset Preservation and Protection Elder Abuse Cases

Healthcare Decisions Nursing Home Issues Social Security Counseling and Document Preparation Estate and Gift Taxes ...and More.

* As a Certified Elder Law Attorney (CELA) by the ABA approved National Elder Law Foundation, Annemarie Schreiber is one of only 400 or so attorneys in the entire United States who is a qualified CELA. She is certified by the ABA approved Natonal Elder Law Foundation and has years of experience offering clients in Ocean and Monmouth counties the legal counsel they need to plan ahead for their future or the future of their loved ones work through difficult situations.

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January/February 2022

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The County Woman Magazine

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January/February 2022

Medical Professionals 14 Professionals November Is National Lung Medical 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 Riskcombined of COVID-related complications in cancer patients: use cancer. When 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. 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 smoking. 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. studies were tohigher assess of severity COVID 19after patients with Tobacco • they at are the Several 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 Most calledhospitals crizotiniband waschemotherapy approved recently for thecenters treatment lung cancer thattesting 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

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

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January/February 2022

Medical Professionals

What Can I Do If I Haven’t Been Able To Get Pregnant? Although pregnancy may seem like an inevitable event in a woman’s life,1 in 8 women will have difficulty conceiving. If you have been trying to conceive and have been unsuccessful, you do not need to feel like you are alone. There are many resources available to help, and discussing your concerns with your gynecologist or infertility specialist may be the first step to achieve that goal. How long do I try before visiting my doctor? A healthy fertile couple has approximately a 20% chance of achieving pregnancy per month, with a cumulative pregnancy rate of 85% over the course of a year. It is recommended for a couple to seek infertility counseling and evaluation after the course of 1 year of monthly unprotected intercourse. Since the likelihood of pregnancy success decreases with female age, for women over age 35, it is recommended to seek further evaluation after a 6 month period of attempting conception.

When I see an infertility specialist, what will happen? A reproductive endocrinologist will take a medical history of both the female and partner. This includes a review of your menstrual history, and a discussion of any corresponding medical conditions, current medications, and surgical history. In addition, a physical exam and pelvic ultrasound should be performed as part of your infertility workup. Blood testing is done to determine hormone levels that affect your ability to achieve pregnancy. Finally, a uterus and fallopian tube assessment is performed to determine if any factors exist that can impair your ability to get pregnant.

Wishing you and your “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.”

If there is a male partner, a semen analysis to evaluate for the presence and function of normal sperm should be performed. Approximately 30-40% of couples will have an identified “male factor” that contributes to their infertility.

What are my options if I need treatment? Depending on your infertility evaluation, your physician will recommend an individualized treatment plan that increases your chances of conceiving. In some cases, a woman needs help releasing an egg (ovulating). There are medications that promote the development and release of an egg from the ovaries. Oftentimes, pelvic ultrasound examination will be carried out to monitor and determine the response of the ovaries to stimulation medications. As mentioned previously, the cause of infertility may stem from the male, and a concentrated sperm sample can be placed directly inside the uterus via an “intrauterine insemination”, thus increasing the chances of the egg and sperm meeting to fertilize. In more severe cases of infertility, including blocked fallopian tubes, severely decreased ovarian function, or severe sperm abnormalities, your physician may recommend that you undergo in-vitro fertilization to best increase your likelihood of conceiving. At the Reproductive Science Center of New Jersey, we are available to answer your fertility questions, perform a complete fertility evaluation, and present you with individualized options for conception all in a comfortable and caring setting. Our patients are made to feel like guests in our home. We are a full service fertility center experienced in all the latest technologies and look forward to help you achieve success. Reproductive Science Center of NJ has three locations, Lawrenceville, Eatontown, and Toms River. Our center offers convenient hours along with Free Phone Consultations and Free Second Opinions.

For more information call our Eatontown office number at 732-918-2500 or visit www.FertilityNJ.com.

The Compassionate Connection

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

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family a happy and prosperous

- 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

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

Happy New Year

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

- Oprah Winfrey

Helping Small Miracles Happen

“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

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New Year in 2022!

“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 2022

Medical Medical Professionals Professionals

10 16

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? Varicose veins areup,swollen canthe belegs seenandthrough 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 TheThe County Woman Magazine County Woman Magazine

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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May/June2022 2016 January/February

Medical Professionals

Spring Is Here! Get Your Legs Summer Ready! SHORE VASCULAR & VEIN CENTER Trust the Board Certiied vascular surgeon of the region’s premiere Vascular and Vein Care Center to help you get great legs. We have extensive experience with thousands of successful cases. We treat varicose veins at the source of the problem for the most eﬀective results with minimal discomfort and fast recovery. Most people are able to return to their usual activities within about a day. SOME OF OUR SERVICES: e Closure Procedure • Microphlebectomy • Sclerotherapy (Asclera) Scle for treatment of spider veins • Excel V Vascular Laser for treatment of spider veins and unsightly facial veins. • IAC Accredited noninvasive vascular laboratory laborato on site • IAC Accredited Vein Center Lorem Ipsum

609-927-VEIN (8346) 442 Bethel Road • Somers Point, NJ 08244 • www.GetGreatLegs.com The County Woman Magazine

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Jeﬀrey Gosin, M.D. F.A.C.S. Board Certiied Vascular Surgeon

January/February 2022

Home Health Care

We Can Be There When You Can’t losing independence and is not the best time to start home care. The By: Deborah Walsh, ideal time to introduce a companion may be when a loved one begins Corporate Director of Home Care Service, United Methodist Communities to struggle with things like meal prep, cleaning, and laundry. We are finding that seniors are more comfortable with a companion rather than a home health aide and the cost is less. Concern about cost may At United Methodist be their barrier to accepting help at home. Communities HomeWorks, we Companion care offers emotional support to seniors who don’t often hear stories from frustrated necessarily require medical services. The possibilities are endless as to family members about mom what a companion caregiver can offer – here are a few. or dad refusing to accept any help at home even • Accompanying your loved one to doctor’s appointments and though they clearly need it. advocating on their behalf Resisting help is very common in the elderly. The fear of losing • Engaging in social activities such as reading, watching TV together, independence and control, the invasion of privacy, and distress about playing cards, or board games a stranger in the house are all reasons for this. • Planning meals and cooking for them or together The concept of home care can seem very intrusive, but not all • Shopping and errands seniors have the same needs. These can range Companion care can provide from complete assistance with personal care and socialization, which is vital to mental all activities of daily living (ADLs) to simple health and reducing feelings of loneliness. companionship and help with shopping, meal prep During this time when seniors stay in and laundry (IADLs). their homes, social isolation may become Many of our clients are now opting for home an issue. Companion care ensures that care earlier by gradually introducing companion they have regular interaction with others. care once or twice a week. Your loved one can As relationships develop seniors come to remain safely at home in this challenging time. look forward to their time together and They can guide your loved one and can facilitate this can help reduce feelings of depression. video calls to keep you connected, can provide Jump into companion care and introduce wellness checks, and perform errands such as help for your loved one in a gradual, less shopping and meal preparation. costly, and less threating way. Waiting until mom or dad are at a stage when they need daily or live-in care heightens the fear of

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. 76 West Main Street, Freehold, NJ 07728

Happy Valentine’s Day

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

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

You will need:

• • • • • •

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January/February 2022

Medical Professionals

THE UROLOGY GROUP OF CHOICE Happy New Year!

Telehealth ts appointmen available for your safety

The Physicians of University Urology Associates of New Jersey

have been recognized by fellow medical practitioners to be among the best urologists in the Garden State. At UUANJ, we continually strive to provide comprehensive, state-of-the -art, urological services with emphasis on patient education and shared decision making. Treating patients with compassion, dignity, mutual respect, and trust remains our steadfast goal.

For Appointments: (609) 581-5900 (732) 286-6644 UUANJ.COM Hamilton 1374 WH Hamilton Sq. Rd. Hamilton, NJ 08690

Freehold 495 Iron Bridge Rd. Freehold, NJ 07728

Toms River: 20 Hospital Drive Toms River, NJ 08755

Howell 2364 Route 9 South Howell, NJ 07731

Toms River 780 Route 37 W Toms River, NJ 08755

Whiting 490 Hwy 530 Manchester Twp, NJ 08759

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January/February 2022

Medical Professionals

The Arthrogram A close friend hurt his shoulder. He had a MRI which showed a little arthritis and tendon inflammation. He had a few weeks of rehab and continued to have shoulder pain. At this point, his orthopedic surgeon ordered a MRI arthrogram. My friend did not know what an arthrogram was and how was it different from his first MRI. Q: What is an arthrogram? How is it performed? A: An arthrogram is the procedure of injecting dye into the joint. After the dye is injected, images are taken. This is most commonly done by CT or MRI. An arthrogram can be performed on any joint but the most common joints are the shoulders, knees, hips, and wrists. The radiologist cleans the skin using a sterilizing antiseptic and drapes the area with sterile dressings. Using a local anesthetic such as novacaine, the skin and deeper soft tissue is numbed. A very thin needle is inserted into the joint using the x-ray images as a guide. A tiny amount of x-ray dye is injected into the joint to confirm the needle is in the correct area. Then the joint is filled with the arthrogram dye. After the arthrogram dye has been injected, the patient is escorted to either the MRI or the CT scanner (depending on what type of arthrogram they are having).

Q: What is the arthrogram dye? What happens after it is injected? A: If the patient is having an MRI arthrogram, the dye is MRI contrast that

is heavily diluted with sterile saline (mild salt water). If the patient is having a CT arthrogram, the dye is CT contrast that is heavily diluted with sterile saline. Once the dye is injected, the patient has their MRI or CT. Afterwards, the dye in the joint will naturally absorb into the body. Since the dye is mostly salt water, it is safely injected, absorbed, and eventually excreted.

Q: What is the benefit of doing an arthrogram? A: Slightly distending the joint with fluid makes it easier to see inside

the joint. The injected dye helps outline what is inside the joint to help determine whether anything is torn. This is especially helpful to detect labral tears in the shoulders and hips.

Q: Is the procedure painful? A: The joint is made numb with the local anesthetic. Afterwards the joint

can feel sore however this does not last more than 24 hours and is easily treated with Tylenol or Advil.

Q: How should I prepare for an arthrogram? A: No special preparation is usually

required. It is best to wear comfortable clothes without metal (buttons, zippers, hooks, etc.).

The white fluid help outline the structures inside the joint to determine what is intact and what is torn. This patient has a subtle labral tear that can only be seen on this arthrogram.

Visit www.TomsRiverXray.com

Cyrus Khorrami, M.D. Medical Director

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

5 The County Woman Magazine

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January/February 2022

Business Spotlight

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 The County Woman Magazine

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January/February 2022

Health & Wellness

Why Excess Body Weight is Bad for You Modern life in America, including the holidays and COVID-19, has led many people to eat more unhealthy foods, eat bigger food portions, and be less active. As a result, the number of Americans who are overweight or obese (very overweight) has been rising dramatically. The question is: “Are you carrying excess body weight? Are you heavier than you should be?” DR. NINA’S WHAT YOU NEED TO KNOW: About Excess Body Weight & Weight Loss Your battle of the bulge is multi-factorial and also includes modern life issues of: • The overuse of sugar, fat and salt in foods that entice our taste buds and excite our brain’s pleasure centers • Larger serving sizes of foods and drinks at the store, our homes, and restaurants • Increased out-of-home dining • Generally, unhealthy and cheap food options in school and work cafeterias • Prevalence of chronic stress, anxiety and depression which often leads to emotional eating. Comfort foods are aptly named because they are rich in sugar, fat and salt – giving a sense of pleasure, though temporary and fleeting…while the calories and fat stay put. • The culture of holiday overindulgence • Long-work hours and productivity demands that contribute to sedentary lifestyle, stress, unhealthy choices and unbalanced lifestyles • Insomnia impacting appetite regulation • Affordability and convenience of processed, packaged, fatty, fast-food choices • Marketing of unhealthy foods (e.g., double orders for better prices, toys with kid’s meal, and misleading merchandising with images and words like “organic and healthy,” when the product is laden with sugars and unhealthy fats). • Sedentary lifestyle which has been exacerbated by technology--computers, smart phones, tablets--at our workplace, school, and homes • Yo-yo dieting –our bodies are designed to hold onto fat. Long-term calorie restriction sends signals to the brain that triggers a craving for food. Because of the frustration of failure, many people are simply giving up on slimming down, making excess weight their accepted norm.

pound weight loss. And, if you burn 1000 more calories a day than you consume in food, that would equal a two-pound weight loss. And generally speaking, losing weight faster than that can become dangerous, either from not eating enough, or exercising too much. It is paramount to stay focused on this day, this week. Make your commitment to your best health, each day. • Steer clear from fad diets. Many of us greatly desire to lose weight, and as a result can be easily tempted by fad diets—weight loss plans that promise dramatic results. However, when it comes to losing pounds fast or other gimmicks, there is abundant truth in the saying “If it seems too good to be true, it probably is.” Fad diets can range from only consuming cayenne pepper and water, grapefruit, or even the ever-popular Atkins eating plan. While these diets can help you drop several pounds quickly, for most humans, they are nearly impossible to maintain for long periods of time. As a result, their effects are short-term and fleeting when we stop them. And, too, they can also be dangerous to our health as they oftentimes fail to provide our body with essential vitamins and nutrients (malnutrition), cause intestinal issues, and can even dehydrate us. • Exercise is Important – But Not the Key to Weight Loss: Burning calories with exercise is important but cannot overcome bad choices and unhealthy eating habits. But with all the emphasis on working out to “burn off” what you eat, experts underscore you’ve missed the real problem: What you eat. The calories that are burnt in any sixty minutes of physical activity can be wiped out in just minutes with the wrong food. And people who try to lose weight by dedicating hours each day to exercise, get discouraged when the pounds don’t magically melt off. On the other hand, successfully changing what you eat and drink does help when combined with physical activity.

Weight Loss: Key factors play an important role in your ability lose weight effectively.

• Create realistic goals. Patience is a virtue, and, too, a key component of any weight loss plan. Most experts recommend a gradual and steady weight loss of ½ to 2 pounds per week. But for those who are 30 pounds overweight, the idea of a 15-60 week period before attaining that goal can be daunting, frustrating, and defeating. It is important to understand that there is good reason for this recommendation. To lose a pound of fat, it requires that you burn 3,500 calories. In a seven-day week, if you burn 500 more calories than you consume in food, that would equal a one-

Nina Radcliff, M.D.,

is a practicing physician and a Board Certified Anesthesiologist. Often called upon by media to speak to medical health topics impacting our lives today, Dr. Nina is passionate about sharing truths for healthy, balanced living as well as wide preventative measures.

This article is for general information only and should not be used for the diagnosis or treatment of medical conditions and cannot substitute for the advice from your medical professional. Dr. Nina has used all reasonable care in compiling the current information but it may not apply to you and your symptoms. Always consult a doctor or other health care professional for diagnosis and treatment of medical conditions.

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January/February 2022

Pediatric Dentist

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January/February 2022

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 40’s to 60’s. Pruritus ani is treated medically. An accurate diagnosis is mandatory for proper care.

What causes Pruritus Ani?

The symptom of pruritus or itching is common to many anorectal conditions. Disorders such as hemorrhoids, skin tags, fecal soilage and/or incontinence, anal fistulae, anal fissures and anal warts all may be associated with itching. This is termed secondary pruritus ani. However, pruritus ani may be independent of these conditions. This is called primary pruritus ani. The cause of the syndrome in these cases is usually from topical agents applied to the perianal skin and/or the pH of the stool. The pH of the stool is determined by foods which we eat. In addition to inadequate hygiene, overzealous or aggressive hygiene using irritating soaps, fragrances and lotions may cause pruritus ani. Overzealous cleaning and the use of topical steroids can destroy natural skin barriers and cause trauma to the anal skin, making the problem worse. As such, attempting to keep the perianal skin too clean, is harmful and may worsen the problem. The use of baby/toilet wipes is a common culprit for many patients suffering from pruritus. It is very important to note that there are many medical conditions that may cause perianal itching and are treated differently from basic, primary pruritus ani. There are infectious conditions such as bacterial skin infections, fungal infections, parasitic infections (pinworms or scabies) and viral infections (anal warts). Skin conditions such as psoriasis, seborrheic dermatitis, contact dermatitis, and lichen sclerosus may cause secondary perianal itching. Local cancers such as Bowen’s disease or Paget’s disease are also potential causes of pruritus ani.

How is Pruritus Ani diagnosed?

In order to accurately diagnose pruritus ani, your physician will obtain a complete history and physical examination. The timing and duration of the symptoms are important factors. Toileting rituals/behaviors, stool frequency and consistency and hygiene/cleansing routines are noted in order to help make a diagnosis. Travel history, medical history and medications taken are also important. It is crucial to include any supplements taken, topical ointments/creams used and whether or not baby/toilet wipes are being used. A careful diet history is also taken in order to identify any possible contributing agents. Your doctor will perform a physical examination. This will include a careful inspection of the perianal skin and a digital rectal examination. Common findings are irritated, swollen, reddened skin that may have linear ulcerations/cracks. Sometimes 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

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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 break down 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

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

1301 Route 72 West, Suite 240 Manahawkin, NJ 08050

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

292-9600

www.paonessacrs.com January/February 2022

Business & Finance

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www.TheCountyWoman.com www.TheCountyWoman.com The TheCounty County WomanMagazine Magazine Commerical Equipment Showroom & Woman

March/April 2017 November/December September/October2019 2019

January/February 2022

Medical Professionals

If you have been told, “You are not a candidate for dental implants”, Dr. Banks can help you! Kathy A. Banks DMD, FACS Board Certified Oral & Maxillofacial Surgeon

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

The County Woman Magazine

Bill proudly served in the 11th ACR in the Vietnam Conflict. He was severely injured, and was awarded a Purple Heart. His injuries resulted in the loss of most of his upper jaw and teeth. For many years, Bill suffered wearing a partial removable denture that was loose and painful. Because it didn’t fit well, Bill was embarrassed to speak and eat in public. Somehow, Bill found his way to me. He had been told over and over there was no hope for him. He was told that he could never have dental implants, or even a better denture. I told Bill if he was willing to try, then I would try to give him dental implants and a better denture. Over a period of several years, I improved Bill’s jaw bone with bone grafting, and placed dental implants in his top jaw. Now, with the help of Bill’s general dentist, he wears a denture with special snaps that attach to the denture to his dental implants. Bill can now eat, speak and smile with confidence. Thank you for your service, Bill! Dr. Kathy A. Banks is one of the most experienced oral and maxillofacial surgeons in Ocean County providing dental implant surgical services. With Revitalize®, or “all-on-four” treatment, old dentures, missing teeth and failing dental restorations are replaced with new teeth that are connected to dental implants at the same time the dental implants are placed into the jaws, giving patients immediate results.

www.TheCountyWoman.com

January/February 2022

Medical Professionals

Put Your Best Face Forward

Dr. Kathy A. Banks is Ocean County’s # most experienced Oral and Medical Professi Maxillofacial Surgeon in delivering injectable facial fillers and rejuvenation products.

Dr. Banks’ experience with Botox® began in the mid 1990’s while working with patients with various temporomandibular joint problems. “In those days, Botox® was not really given for cosmetic purposes, but to relax the tight chewing muscles to provide relief for patients with certain TMJ problems”, she says. Fast forward to the present day, with the significant advances in nonsurgical treatments for esthetic facial concerns, surgical modalities are now considered for some practitioners to be the “last resort” for treating the ageing face. Dr. Banks is part of a team of oral and maxillofacial surgery specialists who conceived and delivered a series of State Board of Dentistry approved educational courses for other practitioners on the safe and effective delivery of injectable pharmacologic agents. Dr. Banks provides Botox® treatments, as well as a whole array of Allergan® brand injectable fillers. A combination of these products can produce a lifting and smoothing appearance of the face. According to Dr. Banks, The upper facial rejuvenation procedure using Boxox® alone or in combination with Voluma XC® to correct lost volume in the maxillofacial region of the cheeks, Volbella XC® to plump the lips and reduce the appearance of wrinkles around the mouth, injections of Juvederm Ultra XC plus® to reduce the appearance of the nasolabial folds (marionette lines) around the mouth and nose are the most common services sought by patients. The newest Allergan® product, Vollure XC®, is a versatile formulation that adds subtle volume for the correction of moderate to severe facial wrinkles and folds. According to Dr. Banks, this second generation dermal filler has truly unique qualities, making it a very effective product with results lasting about eighteen months in many patients. In addition to Botox® and the entire line up of Allergan® dermal fillers, Dr. Banks offers treatments with Kybella®, a revolutionary product for treatment of submental fullness. “This product is really amazing. It contains a powerful plant derived substance that breaks down fat cells, and they are gone for good!, she states. The treatments are given in a series of three to five sessions and the results

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are permanent. “This product has completely replaced surgical liposuction in the area under the chin”, says Dr. Banks. If you look in the mirror, and see that you appear tired, or wrinkled, make an appointment with Dr. Banks to see what these products can do for you. Its summer! Time to put your best face forward!

www.drbanksoms.com

Kathy A. Banks, DMD, FACS Board Certified Oral & Maxillofacial Surgeon

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

Specialty Lic #4070

Your Expert in the Face, Mouth & Jaws 609.488.2325

249 S. Main Street • Barnegat , NJ • 8am - 5pm Mon. - Fri.

www.TheCountyWoman.com The County Woman Magazine

Jaunary/February 2022 www.TheCountyWoman

Community

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January/February 2022

❄❆

Health Wellness Health &Wellness Health &&Wellness

29 53

❅

AndAgain…Should Cold Season Is Get Here— It’s That Cough Time Of Year You A Flu Shot? Ready? YouYou Need To Know ❄ What ❅ Are ❄❄ ❆

are at higher risk of developing complications from end of December and early March. You can probably The flu is a respiratory infection that’s caused by Believe it or not, cough and cold season is upon us. Our nights DRINK PLENTY OF WATER: Drinking plenty of water helps flush many different viruses. Up to one in five people get the the flu. This includes people who are 65 and older and get the vaccine starting in September. It’s best to do it are becoming very 1cold and children have been back in school germs out of your body. Water also helps keep your mucous membranes pregnant women. Also, people with certain chronic as early possible you canof head It comes on suddenly, causes flu in the U.S. each year. for about six months now. This is the season everyone dreads. It moist, allowing them to trap theasvirus andsodispose it. off any infections worse symptoms the cold andthe can sniffles be seriouseverywhere—at for medical conditions, “at the pass.” Getting the flu shot early gives your body seems we seethan people with work, atsuch theas asthma or heart disease, would take priority. In addition, it is also important for buildtoup immunity. This means some people. As you know, last year, a new strain of flu mall and even at home. Now is the time to take some steps that BREATHE FRESH time AIR:toTry breathe as much fresh itairwill as protect possible. 5 was thrown into the mix. Called swine flu at first, then those coming into close contact with these people to you better against the flu. will reduce your risk of catching a cold and stock up on things that Recycled, contaminated air can make you sick! Get outside as much as vaccinated early.3 H1N1, it caused symptoms similar when to regular such get happens. If you gotten the vaccine by December or will help with the symptoms theflu, inevitable possible. Cold air will not give youhaven’t a cold! 2 as fever, cough, aches, chills and fatigue. so, or if it hasn’t been reason, stillonce Now, if you’re pregnant, you may wonder if it is For the most part, everyone catches someavailable degreefor of some a cold at least Did getreduce a flu shot your last year? you’re someonea cold ahead andcoming get it when can. Remember that the safe to is, yes.you However, year. Once feel thego symptoms on,you then what? For starters, Youyou can riskIfof catching orget flu.a flu shot. The shorta answer who’s always thought flu shots are just for your nasal mist vaccine is only for healthy, non-pregnant this is not true if you have a severe allergy to eggs. continue the above tips. Also, cover your mouth and nose when you Here are some helpful hints: grandparents, think again. For the 2017-18 flu season, who are between 2 and 49most years importantly— old.5 That’s because the ingredients sneeze for flu shots are grown or cough (no one people else wants your germs). And WASH YOUR HANDS FREQUENTLY: This will help stop the If you do develop cough and cold symptoms, stop the Centers for Disease Controlyou andtouch Prevention (CDC)hasinside eggs. Also, you should not get a vaccine if you spread of germs. Everything potentially cold germs on it— TO WASHinYOUR FREQUENTLY. doorknobs, handrails, pens, PIN pads,getetc. Also, handhad sanitizer to see us.HANDS We can help you select the best over the now recommends that almost everyone a flu shot.keep have a severeeasily reaction to aCONTINUE flu shot in the past. There are many cough and cold medications theyou market accessible—keep it in your car and your desk at work. counter medications to helponput on thethat roadcan to That is, everyone six months and older. These changes If you’re pregnant, request the flu shot, not the nasal with yourvirus. coldThis or cough symptoms. a pill form or recovery. For moreDecongestants information, callin609-660-1111 or will simplify guidelines that have been confusing spray vaccine. It is made from help an inactivated a nasal spray can help with a stuffy nose. Antihistamines can help with REDUCE STRESS: Whenever a big day is coming up, or a deadline to many people. You should know that the new flu makes it safe for you and your baby during pregnancy. visit www.jerseyshore.pharmacy. itchy, eyes. you have rushing to meet, you are more likely toAvoid become sick. vaccine willbeen include the H1N1 strain. trying to Relax, get pregnant for fourwatery weeks after a Cough suppressants help control a nagging cough. 4 Cough drops or throat lozenges help with a sore throat. Tylenol or Motrin yourAny health is more important. Also, try to get at least eight hours of sleep shortage in vaccine supplies this season may vaccination with a nasal spray vaccine. can help any body aches or fever. Before taking any medications, please per night. So, when should you get a flu vaccine? Now is a slightly alter a plan to vaccinate everyone at once, consult your pharmacist or doctor to be sure the medication you are however. In that case, the CDC may prioritize vaccines good time to start thinking about it. Fluwith season runs buying doesn’t aggravate any existing medical conditions or interact with EAT WELL: Certain foods combat as it has in the past. It would first target people who from November to April. Most cases hit between the any current medication you are taking. THIS IS VERY IMPORTANT. colds. Try to include as much of the Many over-the-counter cough and cold medications can cause adverse following as possible in your diet: If you do develop coughbroccoli, and cold symptoms, stop in to see us. Don’t be afraid to ask us, that is what we are here for. effects. cauliflower, garlic, onions, We can help you select thecitrus bestfruits, over the counter medications to help and whole grains. Some put you on the road toevidence recovery. more information, call Once you have determined which medications are safe, alsoFor exists supporting using vitamin C and Echinacea to 609-660-1111 or visit www.JerseyShorePharmacyBarnegat.com. keep some at home so that you are prepared when that cold boost your immune system. comes along.

COUPON: 20% OFF Valid for Over-the-Counter Items Only. Jersey Shore an independently owned and operated full service Expiresis12/31/18. Cannot be combined with any otherPharmacy offers. Expires 12/31/2017

pharmacy. Our pharmacists and technicians are here to answer your questions. Stop by and see what a pharmacy experience should be! MedlinePlus. “Flu.” http://www.nlm.nih.gov/ medlineplus/flu.html

Sources 1. 2. 3. 4. 5.

MedlinePlus. “H1N1 Flu (Swine Flu).” http://www.nlm. nih.gov/medlineplus/h1n1fluswineflu.html Health Day. “Virtually Everyone Should Get a Flu Shot: CDC”http://www.nlm.nih.gov/medlineplus/news/ fullstory_95735.html MayoClinic. “Seasonal flu shot in pregnancy: Is it safe?” http://www.mayoclinic.com/print/influenza/AN00651/ METHOD=print Nemours Foundation. “Is the Flu Vaccine a Good Idea for Your Family?” http://kidshealth.org/parent/general/ body/flu_vaccine.html

TheCounty County Woman Woman Magazine Magazine The The County Woman Magazine

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

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January/February 2017 2020 November/December January/February2018 2022 November/December

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January/February 2022

Theatre & Entertainment

   Spring 2022

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Midsummer Night’s Dream Saturday, March 26, 2022 7pm

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Cinderella

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Saturday, May 21, 2022 7pm

Circus Maximus Theater-Caesars Tickets available at www.acballet.org • 609-348-7201

The County Woman Magazine

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January/February 2022

Community

Crossroad for Angels: Helping Survivors Overcome Their Past Eve Cortes, founder of Crossroad for Angels, strives to educate, help and inform survivors of sexual abuse and incest. Her Story When I walked into my new apartment for the first time and saw the surreal view from the window, it took my breath away. I walked out to the deck and looked out towards the ocean and watched the waves flow back and forth. I was drawn to the ocean, the sound of the waves and the seagulls as they glided by. It brought me back. Back to a place I had spent years trying to forget. As a child I had always lived by the ocean; the sounds and smells of the shore always brought me back to the abuse. I knew my brother loved me, but was this love? It started off with small things like an innocent game of playing house. I was the mom and he was the dad. “This is what mommies and daddies do,” he’d say, demonstrating with my Barbies how they should kiss and touch. Eventually the toys went away and our game of house turned into him on top of me, touching me in the living room, not uttering a word. The silence was deafening. I knew this was wrong, but he was loving me. This was love. Someone loved me. One morning I went downstairs and saw my brother in the living room, where that awful green velvet couch

was, that couch. I told him I wanted a new teddy bear. He told me that he probably couldn’t get me one on that particular day. That’s when I made my threat. If he didn’t get me the bear, I would reveal our secret to the world. He promised me he’d try. The next night, after I had fallen asleep, I woke up to screams. It was my mother crying and screaming for her son. The neighbor was over and had seen me come down the steps. She took me to her place and sat me down to tell me that my brother had killed himself. For years I blamed myself, but I have finally come to terms with the fact that this was all out of my control. One day I was watching my daughter, who, at the time, was four years old, and it hit me. I was her age when it started, and seeing how innocent and vulnerable she was helped me realize I was not at fault. I couldn’t have been, because I was once her. A million mistakes later and years of therapy have helped me heal. I still have eons of healing to do, but I am a great work in progress. I love my new apartment now. I embrace the past and have learned I cannot change it. Whenever I look out into the ocean and can see where the sky and water meet, I know there is something greater out there guiding me. What I experienced with my brother was not love, it was abuse. I know that now and the ocean no longer reminds me of the pain. It brings me hope. I have finally realized that the only way to forget was to remember...

Eve Cortes at age 4

Eve Cortes, Founder

Speaking Arrangements Are Available & FREE

Why I Share My Story Over And Over Again… • Because I know there is a young person out there considering suicide • Because there is a young child out there so afraid of reaching for help, and in need of knowing that they are not alone • Because I know that my truth can move mountains and shatter stigmas • Because there is a woman out there in an abusive relationship, accepting a partner to beat her, because she feels that she deserves a life filled with punishment, because of the guilt she lives with on a daily basis • Because there is someone out there turning to drugs or alcohol to numb their pain • Because I was once that child, and that woman #BreakTheSilence • #MeToo

Eve Cortes

Crossroadforangels.wixsite.com

(609) 626-1920

crossroadforangelsnj@gmail.com Crossroad for Angels Inc

Recipe

Chicken In Puff Pastry Compliments of Chef Steph

Serves 4

1 sheet puff pastry, thawed and rolled out into a 14in square. 4 boneless chicken breasts, cooked 1/3 cup herbed soft cheese 1/4 cup fresh parsley , chopped 1 large egg Optional ingredients-chopped spinach, diced roasted red peppers, additional cheese, etc.

The County Woman Magazine

Preheat the oven to 400 degress. Roll out puff pastry, cut into four equal sized pieces. Place 1 1/2 tablesoons of herbed cheese in the center of each piece. Top herbed cheese with a chicken breast and then chopped parsley Next, fold the corners of the pastry over the chicken breast. Place chicken pastry seam side down on a baking sheet covered in parchement. Lightly brush the top with a whisked egg. Bake for 20-25minutes or until crust is golden brown.

Feel free to add any of the optional ingredients as well & enjoy!

www.TheCountyWoman.com

January/February 2022

Pet Services

Pets

“Unconditional Love” Animals Heal

One of the best places in the world to learn the meaning of “unconditional love” is W the Funny Rescue & Sanctuary in ritten by MFarm att Reeves Mays Landing, NJ. The love in your heart wasn’t put

Hearts

a life at all would be slim to none if it wasn’t for the

If you’ve ever had a pet, youthere have a pretty goodLove idea how much they love you and get worldwide force for good of the Funny Farm Family. to stay. isn’t love till you excited when you come home and how sad they are when you leave. Those are the lucky ones. There is no such thing as distance when it comes to give it away. Love feeds and heals Not all animals are so lucky to have someone love them. matters of the heart. You can feel the love of hearts sometimes beyond The animals at the Funny Farm Rescue are the exceptions. They what have thousands an animal from anywhere in the world through of people each year who come to anyone visit and give them the love need. Mosttoanimals expected. Thethey best way come to the farm from very difficult situations. Many were disabled, abused, injured, or interactive social media. feel make real arrangements love is to help someone else,were There is simply nothing that can make you feel unwanted. Some people simply didn’t for their pets after they animals included. gone and the animals had nowhere to go. How scary thatThe must rewards be for theseyou sweet animalsbetter than being kind to others, especially when it’s not that gave their owners so much love. easy. Good customer service doesn’t matter when there’s receive in return far exceed anything One example is a nameless little black and white baby goat with a broken leg. At lessnever a problem. The true measure of good customer in the world. than a month old, he was injured and was in a lot of pain. His future was dark. Through service a is when things go wrong. Helping an animal ts every disaster, see the bestRescue, in people. series of miracles, Laurie Zaleski, theInFounder of theyou Funny Farm found out about that can’t help themselves and seeing them survive and Neighbors helping It’s almost as if you see this little goat’s situation and didn’t waste any time neighbors. rescuing him. go on to live an amazing life, will impact your life. You angels.his It leg doesn’t matter you don’t We made a custom splint toreal stabilize because hethat couldn’t standknow on itthem. at all. He did it. You can do anything despite all odds. needed and kindness water brought tolove his mouth while he lay in a new warm bed made just for They arefood showing and true for others. When your heart is renewed, there is nothing you can’t face. Your attitude changes. It him. Farley the Farm Manager, a 1-year-old Australian Shepard, took him under his wing y in In the world of animal rescue, we regularly see animals in total desperation. At the and gave him a lot of love and attention. almost seems as if nothing can get you down. Things that once seemed unbearable in your Funny Farm Rescue & Sanctuary, an endless supply of visitors and volunteers give so much get The little goat was black and white and looked so much like a cow that he earned the life, now seem small. You laugh off bullies. You’re a part of something great. You know it. y ones. of their time, talents, support, and supplies. All of their efforts help give animals hope, name “Cowboy.” Over the next few days, and visits to many veterinarians, Zaleski took You feel it. food, shelter most importantly, love. What thesethey people return is something that to him to theand University of Pennsylvania, where hadget theinbest equipment. Several The Funny Farm Rescue & Sanctuary needs you! Miracles happen here everyday can’t be put into words. thousands of dollars were spent trying to save his leg from possible nerve damage and because of people like you! A donation, comment, gift card, a comment on FaceTube or ls When you give love to an animal in need, in return, you feel needed. The love that amputation. even a view on YouTube makes a huge difference in the lives of ess lived housecompared so he could belove cared forgave properly animalHe gives youinisthe tenfold to the you them and received much ha 600 animals in need. It all adds up! socialization with other animals and people. And because of this interaction, he has no idea he’s a goat, out especially when they need it most. This is why people everywhere he thinks he’s a dog! The Funny Farm isn’t just a place for animals to heal. It’s He become addicted to the Funny Farm. This is why visitors come back for Seven months later, not only has Cowboy’s leg healed, he has captured the hearts of people all over an inspirational story, especially for women. The owner, Laurie ng and people all over the world watch our Facebook and YouTube the globe!! He makes everyone laugh and gets into everything! He is now known as the “Donations the Zaleski, has an incredible Live Videos.When They interact usand and donate becomefood personally Inspector.” visitorswith come for theinvolved animals, they barely have time to get out of ability to do good and bring in the stories of hope, kindness, and love. They get involved andcar! their cars when they discover Cowboy is already inside their others along with her. There become something wonderful. Hepart hasofa wonderful, lovable, sweet personality and will stop at nothing to make you laugh and has dea he’s a goat, are no employees on payroll, an unlimited supply of kisses! Everyone is his friend! Somehow he knows what was done for him and he The goodness in people inspires even more goodness in people. f people all over yet hundreds of people come appreciates his life now. It spreads and there are simply no limits. Someone in South Africa “Donations to get out of The unconditional love that comes from an animal is astounding, but the unconditional love that comes from animal that andan never leave. Animals can be inspired by a story on the other side of the world. The ou laugh and has was once in distress is nothing short of miraculous! Nearly 400 of these animals at the Funny Farm Rescue & Sanctuary are waiting become part of their hearts goodness of the Funny Farm touches hearts everywhere. Each of e for him and he to meet you and your family!! Coming to the Farm is easy but leaving your new furry friends is very difficult. forever! tional love that comesthe from an animalanimals that 600 here are real storiesis and their likelihood of having life is precious. If there something we can do as humans to preserve and protect it, in nearly all cases, unny Farm Rescue & Sanctuary All are waiting iends is very difficult. the unconditional love you receive in return is something you will simply never forget. ect it, in nearly all cases,

e”

Photos by Matt Reeves and Laurie Zaleski Follow on Facebook: “Funny Rescue” The Funny Farm Rescue is openusSundays and Tuesdays fromFarm 8am-4pm at 6908 Railroad Blvd., Mays Landing, NJ 08330. Follow us on Facebook: The Funny Farm Rescue is open Sundays and Tuesdays from 8am-4pm at Railroad Blvd., Mays Landing, NJ 08330. “Funny Farm Rescue” There is no admission as we operate entirely by donations and we don’t have any paid positions. Come see 6908 us! www.funnyfarmrescue.org us on Facebook: to: Funny Farm There Rescue • 6908is RailRoad Mays Landing, NJ 08330. noBlvd., admission as we operate entirely by donations and we don’t have any paid positions. Come see us!Follow www.funnyfarmrescue.org For information on scheduling your next event, please contact Robin at: funnyfarmrobin@gmail.com “Funny ________________________________________ For information on scheduling your next event, please contact Laurie at: laurie@funnyfarmrescue.orgFarm Rescue” Gift Amount:

ailroad Blvd., Mays Landing, NJ 08330. itions. Come see us! www.funnyfarmrescue.org : funnyfarmrobin@gmail.com

________________________________________

To donate to the_____________ Funny Farm Rescue, fill out the below information and mail to: Funny Farm Rescue • 6908 RailRoad Blvd., Mays Landing, NJ 08330.

_ Zip:___________________________________

________________________________________ r generous donation!

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Name: _________________________________________________________________________________________________ March/April 2017

Address: ________________________________________________________________________________________________

Gift Amount:

Town: _______________________________________ State: _____________ Zip:___________________________________

_____________

Phone: Email: ___________________________________________________________________________________________ Thank you, in advance, for your generous donation! The TheCounty CountyWoman WomanMagazine Magazine

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March/April 2022 2017 January/February

Travel ravel 34 “Create Lasting Memories” Travel # River Cruising: An Extraordinary “Create Lasting Memories” Travel Taking With A Packing More fun, more memories! PartIt of raising a family You: is making memories that

FAMILY VACATIONS STARRING ROMANCE TRAVEL THE “KIDS” 55 63

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Today’s opportunities to travel as a family arebooked as wideyour open as your imaginaYou’ve tion. From warm beaches to excitinglong adventures, destination offers a new awaitedevery vacation trend around in 2017 -even though river A sample of some withRomantic your Traveldestinations will let you dream of your next escape. experience.

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 Six Hawaiian Islands

suitcase. surrounded by blue waters, and where happiness is a way of life. Top choices

amenities and intriguing itineraries to the places Now big ocean-going question is: are Kauai, Maui, and Big Island. BLUFF, ANTIGUA feels both country-club and cozy at the same vessels can’t reach. ✿ RiverCURTAIN cruises are luring experienced What do you take ocean cruisers off the mega-ships andyou? onto intimate time. This charming resort with an Alain Ducasse-trained for wonderful dining has Ocean views 70 T ravel with If you’re cruisingchef in the Caribbean 00 T ravel riverboats with focus onevery current themes. from room, Watersports including diving and waterskiing, a game room and the Ceebee Kids With so many new fees and

Travel 2022

restrictions the airlines have to a• turquoise The beach beautiful leading Caribbean Sea.poncho, and zippered plastic bags The river cruisingClub. destinations, like isa 12-day Bordeaux Lightweight sweater, rain T ravel 56 villages, stunning beaches, accentuated by whitewashed buildings. imposed for baggage, you will have to consider leaving your entire closet River cruise, or 7-day Danube, offer cruise guests the local for wet suits. at home from now on.without Some airlines are charging carry-on bagsApril’s now, 55 Travel ravel experience the long tour busforrides. From • Whatever you forget you can purchase on board or at63 the and other airlines let you board first “Create if you have noLasting carry-on bags.Memories” So was what created to be the ultimate get ✿ BEACHES, TURKS & CAICOS tulips December’s Markets, hundreds of “Create Memories” ports or resorts. ofto world’s Christmas countries areLasting open to travelers are theMost essentials tothe pack? Moreisfun, more memories! Part of raising aThe family is making memories that beaches together getaway, where everything Included and unlimited. white sand and barges glide along Europe’s historic rivers Aprotected few years from now what from United States, but as variants — including Here isriverboats athe packing primer from Carole Kaiman, Travel Professional that Whether you’re dreaming of a romantic escape or celebrating an anniversary or wedding, beaches and great your children will cherish forever. ,Awith familybeautiful vacation is part of those memories. (rated theand best in the Caribbean by Travel & Leisure) exciting watersports and unlimited scuba diving youExamples will remember is the totalyour canals, which variant span thousands miles of Continental of some of the best a of travel expert can aare carefully to suit desires. Discover a tropical might help with the process. the new Omicron —opportunities cause coronavirus Today’s to travel as create a family as widetailored open as itinerary your imaginaYou’ve booked your restaurants to rekindle your spirit and feed the soul. experience of your vacation, NOT iverand cruising may be the hottest cruising (for certified divers). waterways, connecting North Sea to Black Sea. paradise surround yourself with remarkable sunsets, fine dining, and world cases to rise, some places have restrictions tion. From warmresumed beaches to exciting adventures, every destination offersLine a new Themes: class accommodations. River Cruise • Add a few morewith tee shirts andfishing another pair of shorts  Greece, think Santorini or Mykonos small

FAMILY VACATIONS STARRING ROMANCE TRAVEL THE “KIDS” RiverTaking Cruising: An You: Extraordinary It With A Packing Experience Primer  Barbados

R  Italy

awaited vacation trend around inlong 2017 --the even though river to pack. things you forgot

Aand sample of destinations let you next escape. are about children. Amazing waterparks withTravel body slides,River lazywill rivers anddream surf of your withRomantic your ForBEACHES a week inresorts the River Caribbean: like pre-arrival testing, quarantine even travel A Europe Cruiseexperience. is one of the best ways wesome • Viking Cruises, through partnership with cruises have been operating for decades. *Remember, your Vagabond* Professional andand you’re We have some suggested kid’s focused resorts destinations with simulator are a favorite of the kids. The Caribbean Adventure with Sesame Street and the XBOX play • 2 bans. swimsuits know to explore inland Europe, visiting cities, townsready and to pack PBSTravel “Downton Viking cruise guests Virtuoso Professional your  lines Six Hawaiian Islands ,enjoy: each with Abby” its can own offers personality, where in a private chapel in Florence’s counspecial activities and amenities that the entire family will Cruise have upped their game with expanded (put As 1 in your carry-on so you can go right to the beach) lounges are so popular with children and families. 19 Specialty restaurants and children’s dining areas provide great choices. villages that traditional big ships usually can’tbyaccess. of this writing, The United States has tightened testing suitcase. 3youdays in England and special tour in planning vacation surrounded blueitswaters, andassist where happiness is aaway ofCountryside, life. Top choices amenities and intriguing itineraries to places ocean-going tryside you can renew your vows and have a candlelit Dinner over the Arno River. Now the big question is: • 2 cover-ups are Kauai, Maui, and BigareIsland. It willrequirements be a great family for allvacation travelers memory. entering the country — including with the mostfamous value andhouse. addedfeels both country-club and cozy at the same of the ✿ CURTAIN BLUFF, ANTIGUA vessels can’t reach. River cruises experienced Whatluring do you take (1 with sleeves for evenings dining onocean the beachoffAmericans. &the 1 mega-ships Pareo) touches to your experience afor wonderful cruisers andyou? onto intimate time. This charming resort an make AlainWaterways dining has Ocean views returning They •with Avalon “Austrian Highlights” from with IfDucasse-trained you’re cruisingchef in the Caribbean riverboats with focus on current themes. from every room, Watersports including diving and waterskiing, a game room and the Ceebee Kids memorable one.•to With so many new fees and • Yoga pants and 2 tank tops Add a few morewith tee shirts andfishing anotherapair of shorts must now provide negative Vienna highlighting Beer theme. the Greece ,airlines think Santorini orMunich Mykonos small ✿ DISNEY CRUISE ships were built with families in A deluxe family Ocean view restrictions themind. have Club. The beach is beautiful leading to a• turquoise Caribbean Sea. The river cruising destinations, like a 12-day Bordeaux , “Jewel of the Atlantic,” Our dedication to our clients before, during and after everybags vacation Lightweight sweater, rain poncho, and zippered plastic • 2 shorts and 2 tees travelersimposed Prospective mayfor be confused about two aspects of working with a Virtuoso advisor: tests taken within oneoffer day ofyourguests stunning beaches, accentuated by whitewashed buildings. baggage, youorwill haveDanube, tovillages, consider leaving entire closet • Tauck offers family river cruises with its Tauck River cruise, 7-day cruise the local for wet suits. stateroom with Verandah is perfect forfrom a beautiful family of 4airlines or 5. There’s amakes 3 story AquaDunk body slide for kids a beaches world of difference. • What exactly is Virtuoso? weather, pink sand at enjoy home now on.without Some are charging for carry-on bags now, • 3 sundresses departure. experience the long tour bus rides. From April’s •program, Whatever you forget you can purchase on cooking board or at the Bridges including family and other airlines letthere’s you board first if AquaLab you have noCAICOS carry-on bags. So was what created ✿ BEACHES, TURKS & to be the ultimate get • fear people still use advisors? with no onflops, deck, ortravel for the younger set, the with a looping waterslide. tulips to December’s Christmas Markets, hundreds of • SHOES: Flip flat sandals, wedges, sneakers ports or resorts. warm friendly people. Conde’ Nast Traveler just returned areand the essentials toHaving pack? lessons. getaway, where everything is Included and unlimited. The white sand beaches Virtuoso is a global luxurytogether travel network; consists of advisors (and their parent agencies), hotels, resorts, cruise lines, and Enjoy Your Travel Experience. anditbarges glide along Europe’s historic rivers Aprotected fewor years from now what Here isriverboats a packingcruises primer fromwith Carole Kaiman, Travel Professional thatbeautiful Disney destinations vary from Caribbean Disney’s own private island cruising Europe  Barbados , with beaches and great • Pashmina from a small ship cruise in (rated the best in the Caribbean by Travel & Leisure) exciting watersports and unlimited scuba diving Readers have voted Bermuda “Best Island in the Caribbean” 17 times! tour companies. Ultimately,might the help goal oftheeveryone to make your travel experience special. youExamples will rememberof is the total of the best and canals, which spaninvolved thousands ofis miles of Continental some with process. There are several brand new River cruise restaurants to rekindle your spirit and feed the soul. experience of your vacation, NOT • Sunglasses (for to certified divers). with special highlights the kids enjoy. waterways, connecting North Sea to Black Sea. The Internet didfor make it easier to book your own travel, but itYour also created a ton of information overload. Travellines advisors Vagabond Travel Virtuoso Advisor the Caribbean, I’ve found River Cruise Line Themes: the things you forgot to pack. BEACHES resorts are about children. Amazing waterparks with body slides, lazy rivers and surf entering the market such as Emerald Waterways shifted from more transactional (booking tickets and rooms for you) to transformative (working with you to plan the best For a week in the Caribbean: • Packable sun hat and foldable beach bag A Travel Professional with years ofofexpertise work for you, A Europe River Cruise is one the bestFor ways over wewill25 • Viking River Cruises, through partnership with years, there are so many different *Remember, your Vagabond* simulator are a favorite of the kids. The Caribbean Adventure with Sesame Street and the XBOX play • 2 swimsuits experience possible for you and your family). They help you cutcities, through the clutter. know to explore inland Europe, visiting townsresorts, and PBSTravel “Downton Abby” Viking cruise and Scenic cruises to fill the demand. Eachguests line Virtuoso Professional can The options go on towith Mexican all-inclusive exciting travel to offers • Costume jewelry, (leave the real jewels home) ships Italy where in a private chapel in Florence’s counher only objective is to give you the best experience possible and protocols from different (put 1 in your carry-on so you can goand right to the beach) Carole Kaiman lounges are so popular children families. 19properties, Specialty restaurants dining areas provide great choices. villages that traditional big usually can’t access. And and remember: Virtuoso advisors have first-hand knowledge of tour companies, cruise lines, and more. Often, the 3youdays inchildren’s England Countryside, and special tour assist inand planning a vacation trysideto you can renew your vows and have aand candlelit the and Arno River. has its highlights, such as theDinner longover ships the andperson an evening purse 2Africa cover-ups will be a islands, great vacation memory. withsummer the mostfamous value added pays a benefit back to you South forfamily families, Alaska tours (Perfect for vacation) it’s ofThat the house. they’re working withIt•to plan your trip is important someone they’ve known for years. relationship to help you realize your romantic dreams. Vagabond Travel (1 with sleeves for evenings dining on the beach & 1 Pareo) touches to make your experience a next generation Space-Ships. • Avalon Waterways “Austrian Highlights” from Must as Haves: a traveler. have the updated and •fabulous Tauck tours of Europe. memorable one.to Munich highlighting a Beer theme. Yoga pants and 2 tankmost tops Vienna ✿ DISNEY CRUISE were built with families in mind. A deluxe Ocean view • Insect Repellent, Sun Protection at SPF) ships It’s a great new cruising experience! *Check out Bermuda , the “Jewel of the Atlantic,” Our dedication tofamily our clients before, during and after every vacation • 2(with shorts andleast 2 tees 30 information. • Tauck offers family river cruises with its Tauck stateroom with Verandah is perfect for a family of 4 or 5. There’s a 3 story AquaDunk body slide for kids Start your unforgettable vacation by contacting Travel Advisor & Romance Specialist makes a world of difference. enjoy beautiful weather, pink sand beaches • 3 sundresses • Facial and bodybe moisturizer If you’d interested in working with an advisor on your next trip(s), please contact us at www.virtuosolife.com Bridges program, including family cooking When you are ready to travel, the best course ofAdvisor actionatisCarole to findKaiman, a Virtuoso Start your unforgettable vacation by contacting Travel at Vagabond Contact Carole Kaiman Vagabond Travel with no fear onflops, deck, or for the younger set, there’s the AquaLab with a looping waterslide. • SHOES: Flip flat sandals, wedges, sneakers and warm friendly people. Conde’ Nast Traveler lessons. • Make up Bag: waterproof mascara, eyeliner, Carole Kaiman at Vagabond Travel, awith Virtuoso Agency in Silver, today! Enjoy Your Travel Experience. for our Digital Magazine carole@vagabondtvl.com or 732-859-5513 or 732-842-2600. Travel Advisor, toCaribbean guide you through the entire process. AnLittle Advisor can assist you in Disney destinations vary from cruises Disney’s own private island cruising Europe • Pashmina Virtuoso Agency for latest information and Readers have voted Bermuda “Best Island in the Caribbean” 17or times! 732-222-2792 or 732-842-2600. Travel, a Virtuoso Agency in Little Silver today. There are several brand new River cruise lines hair conditioner and shampoo with • Sunglasses special highlights for the kids to enjoy. Yourcreating Vagabond Virtuoso Advisor some amazing travel ideas. creating itineraries tailoredCreate toand your interests, aTravel memorable travel experience. amenities. 732-222-2792 or will lifetime. thethat market such as last Emeralda Waterways • Packable sun732-842-2600. hat and foldable beach bag memories A Travel Professional with years of memories expertise will work forayou, Create thatentering will last lifetime.

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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.

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

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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

Little LittleSilver, Silver New NewJersey Jersey07739 07739 website: www.vagabondtvl.com 732-222-2792 Direct

732-842-2600 Office

November/December 2016 May/June2022 2014 2014 November/December May/June 2014 2015 January/February www.vagabondtvl.com January/February

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January/February 2021

Women’s History

Pintrest.com.

“Healthy Mind, Healthy Heart” and motherhood. What is quite amazing about Brené Brown is that she has amazing A new year and a new opportunity to determination. She is resilient and a true heroin in her ability to put words into what “reinvent” oneself. A reinvention looks different many of us experience but just cannot find the way to express ourselves. Although Brené in each of us. I am sure that over the past year may not consider herself a famous woman in history she is changing the wellness of world we have all participated in making history on some level such as an unknown impact we may through one book at a time. In fact, Brené could not obtain a publisher for her first book in 2004 so have had on a family member, friend and even she self- published the book after borrowing money a coworker. to do so. Three years later, the After navigating through another book was purchased by Penguin year of adaptation from COVID-19 Brenebrownfacebook.com. books. In 2010 during a Ted Talk I am confident to say that we start the new year a changed society. on the subject of vulnerability One benefit out of our COVID world is greater awareness Brené unveiled The Gifts of of mental health. Depression, Anxiety and suicide have been Quotefancy.com Imperfection. I believe that The conversations in the forefront of topics that have affected children Gifts of Imperfection is a book that as young as 11 and adults well into their 80s. However, for many can have an impact on a person regardless of age or gender and I highly who are shamed from the stigma attached to a “diagnosis” they recommend that it gets read over and over as every new stage of life continue to quietly suffer alone. When an individual is weighted demands a different “you” and the book’s impact will have different down with stressors it not only has an impact on their mental meaning throughout your lifetime. When we are weighted by mental health but also their physical health, and, generally speaking, this illness we experience fear of rejection from society, we are ashamed toxicity can affect their heart. Case in point, in the movie The Hellolovelystudio.com. of our “uniqueness” and typically the consequence of many of our Grinch starring Jim Carrey, the Grinch lives a life in isolation with behaviors end in guilt. Brené conveys through her literary talent and well his emotional support dog, Max carrying the weight of anger and researched publications that people are not alone. Further, it is not selfish depression for the way in which he was abandoned and mistreated to be self- compassionate and the importance of “cultivating” laughter is throughout his childhood. However, an unexpected turn of events at the forefront of our overall wellness. It can be a difficult task to “feel” transform the Grinch when he encounters Cindy Lou Who. The happy when a person has endeavored illness, loss and feeling stuck. I impact of this innocent and beautiful child who cares for “Mr. would even stretch to say that if you met a person today who says they Grinch” shows Mr. Grinch that kindness can have an big impact are happy, they may just be an outlier which is disheartening. COVID on one’s physical and emotional wellbeing. If you have never seen Bookriot.com. changed the world and took over control our well-being. As goals are the movie, Mr. Grinch is overcome by the kindness and generosity set for the new year, I challenge readers to take their lives back. Shift your by not only Cindy Lou but also the town of Whoville. Mr. Grinch focus on being present in the moment. Schedule your wellness appointments becomes awkwardly emotional and hysterical through good old to take care of YOU. Do not be afraid or intimidated to dig deep and pull fashion laughter. The Grinch’s heart grows and he opens himself up to out the laughter that has been hibernating within you. Remember to sing vulnerability by facing his fears and allows himself to experience the out loud, and dance until you sweat! Most of all allow yourself to embrace feeling of happiness. positive emotions without guilt. Happy New You! In order for positive change to happen in our lives we need to Womenscenter.unc.edu. allow ourselves to be vulnerable. For many this can be paralyzing. One Rita King, LCSW is a mental health clinician of my favorite authors, Brené Brown wrote “The Gifts of Imperfection, Let Go of Who providing psychotherapy services to adults and You Think You’re Supposed to be and Embrace Who You Are.” The book is an amazing children. Rita has worked with individuals with read and outlines what are referred to as Guideposts. These include topics of courage, compassion and connection and letting go of fear, shame and guilt. Brené is not your mental illness in the community mental health typical scholar, born in 1965 in San Antonio, Texas she is the oldest of four children. Brené setting, criminal justice system and private graduated high school and began a 12 year journey to complete a bachelor’s degree in social practice setting. Rita is a “De-escalation for work. Brené continued on to obtain her Master’s Individuals with Special Needs” training facilitator degree in Social work and approximately 6 years and has trained approximately 1,200 law later obtained her Phd. Brené has lived through a enforcement professionals to date. Rita is also a CIT trained great deal in her life from substance use which is mental health professional. Rita has a strong passion for women’s openly shared in her book during graduate school, history and in her free time she continues to raise awareness of the and a lengthy academic history that included importance of women’s history through lectures and community transferring colleges, time off in between, marriage speaking engagements. Popsugar.com.

The County Woman Magazine

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January/February 2022

Women Of Monmouth County

Dr. Payal Patel

Eve Cortes Go Feet

Dr. Payal Patel is a New Jersey native and is very excited to join the private practice of Go Feet Podiatry, where she will be welcoming patients at office locations in Hammonton, Mays Landing, and Linwood. She has earned a Bachelor of Arts from Temple University in biology and completed her podiatric medical degree at Temple University. She has completed her three-year surgical residency at Virtua Health in South Jersey. Dr. Patel is board qualified with the American Board of Foot and Ankle Surgery. She treats all ailments of the foot and ankle including simple and complex deformities, conservative and surgical intervention of traumatic injuries, forefoot and rearfoot reconstruction, minimally invasive surgery, ankle arthroscopy, diabetic limb salvage, wound care, and sports medicine. Dr. Patel has attended multiple conferences and workshops to keep her skills cutting edge. Dr. Patel enjoys spending time with family and friends, traveling and interior designing. For more information, call 609-704-9001.

Shannon Brown CASA of Ocean County Shannon Brown is a realtor at Clayton & Clayton Relators in Bay Head and is happily married to her high school sweetheart, Scott Brown. They have two sons, ages six and two, which is a large part of the reason that Shannon was drawn to CASA. Shannon expressed feeling helpless knowing there were children out there that needed the stability and love that her children were able to receive. Shannon said, “The children CASA advocate for have been through so much in their lives and had a level of inconsistency that no child should. It is truly fulfilling when the child realized they can trust their CASA after seeing them consistently showing up with a smile. I look at it as a privilege to be able to be a part of their lives as well as a huge responsibility to report my findings to the court.” Last year, Shannon had the opportunity to see her CASA child be adopted by a loving family and has already begun advocating for another family. Shannon works tirelessly advocating for her CASA children and is a great role model for other CASA volunteers as well as women in general.

Crossroad For Angels Ms. Eve Cortes is an American Philanthropist, Captivating Speaker and Business-woman born in Isabella Puerto Rico. Ms. Cortes immigrated to the U.S. mainland from the Commonwealth of Puerto Rico at the age of 5. Since a very young age her parents instilled within her the importance of faith and doing the right thing. Early in her younger years she had an experience which would change her life forever. Ms. Cortes was subjected to sexual abuse by her brother and shortly after she told her brother she was going to disclose what he had done, he committed suicide at the age of 16, The emotional scars that were imprinted upon Ms. Cortes at a young age left her questioning what and why things had occurred in the way they had. She not only had to deal with the trauma of being sexually abused as a child but also had to grieve the loss of her older brother. The agony of her life experiences with her brother and her very public recantment of her story sent shockwaves throughout the family who had supported her however did not want to make public the ordeal. In 2014 Ms. Cortes after establishing herself as a successful entrepreneur owning and operating several tax offices and serving as a highly successful bilingual business woman she decided to start a foundation dedicated towards bringing awareness to children that were victims of sexual abuse named Crossroad for Angels. Since then Crossroad for Angels has cemented itself as a pillar of hope for the hopeless and a voice for all children and the adult survivors who have deep seated wounds and scars. Ms. Cortes has developed quite a reputation and caring for others is at the core of everything she does. Ms. Cortes lives in South Jersey with her children and is involved in charity work and is currently a Realtor associate as well as Ordained Minister, in her downtime Ms. Cortes enjoys reading, spending time with family and friends and walking on the seashore while looking at picturesque views of the sunset.

Briana Bee Director, Enlightened Farm, The Hansen Foundation Briana is the Director of Enlightened Farm and leads horticulture programs for clients of Enlightened Solutions, a substance use disorder (SUD) treatment center, and residents of Serenity Houses, SUD recovery housing. After receiving her BA in Political Science and Public Health from The Catholic University of America, Briana moved to Washington State and joined a social justice community where she worked with at risk populations to improve health disparities. Briana tragically lost her brother Matthew to addiction in 2017 and shortly thereafter returned home to join The Hansen Foundation. She loves fostering the healing relationship between people and nature. She is Vice President of C.R.O.P.S., a local non-profit working towards a more accessible and equitable food system. She is also team facilitator for the Food Democracy Collaborative (FDC), a think-tank that works with NJ universities and colleges that improve the food system in our state. Briana also leads the Young Adult Initiative for AC Pride, a program and outreach organization for LGBTQ Pride Month.

Photo by Tracy Harman Photography

The County Woman Magazine

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January/February 2022

Women Of Monmouth County Mikaela Crowley, PA-C

Alexa D’Amato Barrera, Esq.

Advanced Care OB/GYN

Counselor at Law, D’Amato Law Firm

Mikaela received her bachelor’s degree in Health Sciences from Stockton University in Galloway Township in May of 2018, graduating with honors. She then went on to complete her Master’s degree in Physician Assistant Studies from Thomas Jefferson University in August of 2020, graduating number one in her class and receiving awards for academic excellence. Mikaela is board certified by the National Commission on Certification of Physician Assistants and a member of the American Academy of Physician Assistants and New Jersey State Society of Physician Assistants. As a south jersey native, Mikaela is passionate about providing high quality, compassionate care to women of all ages in her community. When she is not providing care for her patients, Mikaela enjoys spending time with her family and friends, going to the beach, and playing tennis. For more information, call 609272-0506.

Alexa is a Personal Injury attorney representing those injured in most types of accidents. Alexa received both the New Jersey State Bar Associations and the Atlantic County Bar Association’s Young Lawyer of the Year Award. Alexa has been recognized as a Top 40 under 40 in Atlantic County and as a top young lawyer by New Jersey Super Lawyers Rising Stars since 2008 and as a New Jersey Super Lawyer since 2013. Alexa has been a speaker and moderator for NJAJ and on the national level for AAJ. The New Jersey State Bar Association, NJESQ Magazine and the American Associate for Justice have published her writings. Alexa lives in Linwood with her husband, Alexander J. Barrera, Esquire, their three children, Paul, Massimo, and Rocco, their Goldendoodles Emme & Kelce, and two cats, Mickey and Minnie. For more information, call 609-926-3300 or visit www.damatolawfirm.com.

Photo by Donna Andrews Photography

Rhoda Kopy, CH

Dr. Mariya Rozov, DDS Aesthetic Dental Creations Dr. Mariya Rozov has a truly exceptional professional background. Prior to becoming a dentist, she worked as a scientist in biochemical and medical fields. Her resume includes helping parents fulfill their dreams of having kids via reproductive medicine, and working on projects for NASA. As a dentist, Dr. Rozov is committed to providing a high-quality compassionate general and aesthetic dental care in a warm and friendly atmosphere. She brought beautiful smiles to patients within the tri-state region. Dr. Rozov graduated with a DDS degree from New York University School of Dentistry, top ten of her class. This was followed by an extensive residency training at Wyckoff Hospital. As a result, she is highly proficient in all areas of general dentistry and has been consistently recognized by her peers for excellent bedside manner. Dr. Rozov is a member of both the American Dental Association and American Dental Society of Anesthesiology. Dr. Rozov is married to her husband Alex and has a beautiful baby girl, Eleanor. In her spare time, she enjoys spending time with her family as well as traveling and hiking. For more information or to book an appointment please call Aesthetic Dental Creations at (732) 363-5370.

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

Photo by Tracy Harman Photography

The County Woman Magazine

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January/February 2022

Testimonials

Interested In Advertising In The County Woman Publications?

This Is What Our Happy Advertisers Have To Say “The staff at the County Woman is wonderful to work with, and we love being a part of such an informative and interesting publication in our community.”

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“We have been writing articles and adverting our business with Monmouth County Woman for the past few years. Their staff is wonderful and eager to help you collaborate your business needs as well as graphic design. We have found many of our clients continue to read our content and we have increased our clientele as a result.”

- Laurie Lombardi, CDN, The Natural Pharmacy

“We have been working with Lauren and the team at Ocean County Woman for more than a year and we could not be more pleased. After a few issues into OCW, we decided to also advertise in the Atlantic County Woman. As an advertiser, the caring and professionalism shown us is exhibited in the quality of their publications.”

- Ira J. Brower, President, Garden State Trust Company

“Advertising in the Ocean County Woman Publication has proven to Koehler Acupuncture be one of my smartest advertising 128 Drum Point Road • Brick, NJ 08723 decisions. Within the first two weeks 732.262.0637 www.koehleracupuncture.com I had received at least six calls of interest. By the end of the first month I had several more calls and seven new patients in my office. The article also worked great for my existing patients who showed it to their friends to encourage them to come in.”

– Keith Koehler, Owner, Koehler Acupuncture

“Your paper has given us a great venue for advertising our practice. My husband and I love the opportunity to customize our ads with subjects that are relevant to our practice and our patients. Atlantic County Woman has given us great exposure within the community. We have gotten many new patients thanks to your publication. We look forward to advertising with you for many more years to come.”

- Dana Carfagno, Practice Administrator, Advanced Care Ob/Gyn Infertility

Reaching 120,000+ readers throughout Atlantic, Ocean and Monmouth Counties

Don’t you think it’s time for your business to test out the County Woman Publications?

1.866.398.0898 • www.thecountywoman.com The County Woman Magazine

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January/February 2022

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The County Woman Magazine

www.TheCountyWoman.com

January/February 2022

The County Woman Magazine

www.TheCountyWoman.com

January/February 2022

Monmouth County Woman - January/February 2022

Articles inside

Women of Monmouth County....36

Vagabond Travel Agency

Funny Farm Rescue

Nina Radcliff, MD

Paonessa Colon & Rectal Surgery

Toms River X-Ray, CT & MRI Center....................20

Jersey Shore Pharmacy

Reproductive Science Center of NJ

UM HomeWorks Communities

Ocean Hematology & Oncology

Garden State Trust Company

Gastroenterologists of Ocean County

Aesthetic Dental Creations

Carluccio, Leone, Dimon, Doyle & Sacks, LLC

Relievus

Meet the Production Manager..................................8

REHABILITY

All-Care Physical Therapy Center LLC