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COVID-19: SUGGESTIONS ON MANAGING PATIENTS WHO ARE UNDERGOING INFERTILITY THERAPY OR DESIRING PREGNANCY.
Currently, very little is known about the impact of COVID-19..
cancer is the most common cancer of the reproductive organs.
WHY WORK WITH A TRAVEL AGENT?
In the age of online booking sites, using a travel agent may feel like going the way of the dinosaur.
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Photo by Tracy Harman Photography.
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WOMEN AND CANCER. PART II. WHAT YOU NEED TO KNOW. Uterine
True independence and understanding are at the core of Garden State Trust Company’s unique value proposition. Caring for and thoughtfully guiding their clients has created the strong trusting relationships they have nurtured over many decades. Read more about this extraordinary professional team on pages 6 & 7.
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Medical Professionals
2 HEALTH NEWS (FREEHOLD, NJ)
A New Sensation
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IN NEUROPATHY CARE Advanced FDA-Cleared Vascular Treatment Provides New Hope!
Peripheral Neuropathy is a nerve disorder known to affect the lives of millions of people throughout the United States. It is a complication found in several different medical conditions including Diabetes, Peripheral Vascular Disease, Cancer and Chemo-Radiation therapies and Metabolic disorders most commonly. While some cases improve when the underlying cause is managed effectively, sometimes the cause may not always be detectable. As this debilitating condition may progress over time, it is crucial to be proactive with proper treatment, avoiding and further negative impact on quality of life. When functioning normally, the peripheral nerves relay messages from the central nervous system, brain and spinal cord to the rest of the body. However, this key function is disrupted when circulation to peripheral blood vessels becomes impaired, particularly the smaller ones (capillaries), that supply nerve tissues. Without sufficient blood flow making it through capillaries, essential oxygen and cannot get into the tissues, while the waste products of metabolism cannot get out. The peripheral nervous system eventually becomes distressed and damaged due to starvation and toxicity.
SYMPTOMS: NUMBNESS, TINGLING, PRICKLING, BURNING, SHARP-SHOOTING PAIN, CRAMPING, MUSCLE WEAKNESS, LOSS OF BALANCE AND COORDINATION, DIFFICULTY WALKING
“WE PERSONALLY INVITE YOU TO SCHEDULE A COMPREHENSIVE EVALUATION TO DETERMINE IF YOU ARE A MICROVAS CANDIDATE AND TO LEARN MORE ABOUT OUR EXCLUSIVE NEUROPATHY PROGRAM!” - The REHABILITY Team...We Can Help!
MicroVas is a FDA-cleared, non-invasive vascular treatment system that delivers electromagnetic energy to targeted areas of the body, stimulating increased circulation to the surrounding tissues. After years of research, this innovative technology was originally engineered to treat NAVY SEAL divers for hypothermia, with the ability to promote oxygenrich circulation in the extremities. MicroVas’ powerful, deeply penetrating waveform causes blood to pump and circulate much more efficiently by elevating tissue oxygen levels. This process may also accelerate lymphatic drainage, helping to reduce the effects of swelling by stimulating the body's own immune response. In contrast to other technologies available, studies have demonstrated MicroVas' ability to facilitate new capillary formation, laying groundwork for new tissue growth and repair while accelerating the healing process. In our experience, MicroVas' therapeutic effects are often substantial and our unique approach of implementation, including manual hands-on therapy and functional conditioning is designed to help you achieve optimal results for long-term relief. "My neuropathy made me miserable day and night and I just learned to live with it. After five weeks of MicroVas treatments at Rehability, I'm already seeing a difference. They have given me hope and now I feel more motivated to stay active. Thanks so much." -David M. "Since starting treatment at Rehability, I've noticed less pain, tingling and burning sensations from the neuropathy and the MicroVas has made a big difference. Thank you for your kindness and patience." -Grace R. "I had burning in both feet which has reduced significantly with all the MicroVas treatments at Rehability. My balance has improved and I'm able to exercise now with less difficulty." -Bill F.
www.REHABILITYNJ.com
CALL TO SCHEDULE YOUR APPOINTMENT TODAY! 732-780-6230 83 SOUTH STREET, SUITE 204 FREEHOLD, NJ 07728
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May/June 2020
Medical Professionals
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COVID-19: Suggestions On Managing Patients Who Are Undergoing Infertility Therapy Or Desiring Pregnancy Dr. Allen Morgan Allen Morgan Fertility and Reproductive Medicine These are excerpts from the American Society for Reproductive Medicine (ASRM) Guidelines released March 22, 2020 as a guideline for fertility doctors.
Currently, very little is known about the impact of COVID-19 on reproduction and pregnancy. There are reports of women who have tested positive for COVID-19 delivering babies free of the disease. This data is reassuring but must be interpreted with caution given the small numbers. Other forms of coronavirus have been linked to increased adverse outcomes during pregnancy, but data specific to COVID-19 is not yet available. It should be emphasized, however, that coronaviruses are unrelated to the ZIKA virus, which had very clear implications for pregnancy and fetal development. Given the information we do have, while it would be wise for individuals with confirmed or presumed COVID-19 infection to avoid pregnancy, there appears to be no cause for alarm for those already pregnant. Nonetheless, out of an abundance of caution, patients who have high likelihood of having COVID-19 (fever and/or cough, shortness of breath, and either exposure within 6 feet of a confirmed COVID-19 patient and within 14 days of onset of
symptoms, or a positive COVID-19 test result), including those planning to use oocyte donors, sperm donors, or gestational carriers, should strive to avoid a pregnancy. If these patients are undergoing active infertility treatment, we suggest that they consider freezing all oocytes or embryos and avoid an embryo transfer until they are diseasefree. Please note this recommendation does not necessarily apply when there solely is a suspicion of COVID-19, because symptoms of COVID-19 are very similar to other, more common forms of respiratory illnesses. ASRM and the Society for Assisted Reproductive Technology (SART) remain concerned that travel restrictions due to the virus may cause intended parents who are using a gestational carrier not to be able to join their newborn in a timely manner. Consequently, we strongly encourage all intended parents and the legal professionals, organizations, and programs that facilitate these arrangements to promptly take the necessary steps to identify families that may be so affected and develop contingencies in the event that these babies need to be cared for following their birth. ASRM/SART member clinics who work with gestational carriers and intended parents are requested to reach out to their patients and those organizations and programs that facilitate gestational carrier arrangements to encourage them to ensure that these steps are taken.
Call 732-363-4777 for more information or visit www.MorganFertility.com.
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The County Woman
Monmouth County Monmouth Welcome to the May/June 2020County Issue of the Monmouth County Woman! Since 2008
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Dear Readers, In these unprecedented times, all we can do is hope for better days ahead. The last few months have been stressful and downright scary for our entire nation, actually world. We have learned to live “virtually “by connecting with our loved ones across a screen. All kinds of plans from graduations to Little League have either been cancelled or postponed. Normal life as we know it was put on hold. However, Mother Nature has not rescheduled and with summer just around the corner the Jersey Shore is about to come alive. With so much of our time restricted, people all across the state will be eager to get outside and get back to living a normal life. There are a myriad of reasons to celebrate in the next couple of months. May and June we can recognize the tremendous work of Moms and Dads everywhere. For many who live at the shore, there will be long days spent at the beach or boardwalk. Take some time to visit all the local restaurants and shops that have no doubt suffered losses due to Covid-19. Whether your idea of fun includes touring the lighthouses or visiting the many local wineries, it’s a time to get out and be thankful we made it through. Please remember to continue to practice sanitary precautions like washing your hands and maintaining a safe distance from one another when appropriate. Enjoy the summer!
Inside... Medical Professionals
REHABILITY.................................................................. 2 Morgan Fertility & Reproductive Medicine.................... 3 All correspondence should be addressed to: All correspondence should be addressed to: Stay Safe, Gastroenterologists of Ocean County........................... 5 Lauren Shover, Production Manager, & Woman The County Woman The County Bella Derma Medi Spa................................................... 8 the Staff at the Monmouth County Woman P.O. Box 619 P.O. Box 619 University Urology Associates of NJ........................... 12 Toms River X-Ray, CT & MRI Center........................... 13 Publication Turnersville, NJ 08012 Turnersville, NJ 08012 Kathy A. Banks, DMD.................................................. 14 The County Woman’s Newspaper is published bi-monthly and isWoman’s available Newspaper free of charge at & Rectal Surgery.............................. 20 The County is published bi-monthly and isPaonessa available freeColon of charge at display stands in approved private and public establishments and authorized display stands in approveddistributors private andonly, public establishments and authorized Reliancedistributors Medical only, Group.............................................. 22 or by paid mail subscription. or by paid mail subscription. Advanced Memory Research Institute........................ 24 Trademark and U.S. Copyright Laws protect The County Woman’s Newspaper. No Laws part ofprotect The County Woman’s Newspaper. No part of Trademark and U.S. Copyright Ocean Hematology & Oncology.................................. 25 this paper may be reproduced without the written permission of the publisher. this paper may be reproduced without the written permission of the publisher. Veincomment Center for Women............................................... 26 The County Woman’s Newspaper is not responsibleThe for any editorial comment (other isthan County Woman’s Newspaper not responsible for any editorial (other than its own), typographical errors from advertisements submitted as camera ready or any Personal its own), typographical errors fromreproducadvertisements submitted as camera ready orEnhancement any reproduc- Center.................................... 39 ra leb Ce
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May/June 2020
Medical Professionals
5
Bloating And Gas And What You Can Do About It Written by: Kenneth Glazier, MD Gastroenterologists of Ocean County
Abdominal distention and bloating are thought to be due to too much gas and are some of the most common gastrointestinal complaints. These symptoms can be eliminated with the help of your gastroenterologist. How do salads and vegetables cause gas?
There are bacteria in the gastrointestinal tract that convert foods such as salad, broccoli, and beans into gas. Small intestinal bacterial overgrowth occurs when too many bacteria form in the small intestine and can cause gas, bloating, abdominal discomfort, diarrhea and anemia. It can be caused by slow motility of the intestine that can occur in normal aging, diabetes and scleroderma. Other causes include decreased stomach acid from medications such as omeprazole or gastric surgery, NSAID use, Crohn’s disease, pancreatitis, cirrhosis, celiac disease, diverticulosis of the small bowel and prior surgeries. Bacterial overgrowth can be diagnosed in our office with a simple breath test and is treated with antibiotics.
During this troubling time the doctors and staff at Gastroenterologists of Ocean County remain available to care for your needs. We are using telemedicine and offer limited office hours for carefully screened patients. Our endoscopy centers remain open for emergent procedures for which a delay could cause harm to the patient or lead to hospitalization. Please call if you have any questions or concerns, 732-349-4422
I never had a problem with milk when I was younger but now it gives me gas, how is that possible? Lactose is present in most dairy products such as milk, cheese and ice cream and is
digested by an enzyme in the lining of the intestine. This enzyme can sometimes be missing at birth. The enzyme can also be lost later in life due to injury of the intestine from an infection, celiac disease, alcoholism, and Crohn’s disease. More commonly, the enzyme simply disappears with aging. This late-onset lactose malabsorption affects people more depending on their race and ethnicity and can affect close to 100% of Asians in the U.S., 80% of African Americans and 70% of Italians. Symptoms of lactose intolerance include abdominal cramps, distention, flatulence, diarrhea and/or vomiting. Lactose intolerance is also diagnosed with a simple breath test offered in the office.
Omar Tamini, MD Jill Collier, MD Edgar Bigornia, MD Kenneth Glazier, MD
Yogurt makes me distended, does that mean I am lactose intolerant? No. The cultured yogurt at the grocery store does not contain lactose. More likely you
are having trouble digesting the fruit on the bottom part of the yogurt, which contains fructose. Fructose is a sugar found in candy, soda, barbecue sauce, ketchup, jellies, fruiton-the-bottom yogurts, apples, mangos, watermelon, canned fruit, honey, corn syrup and many other food products. Fructose can be malabsorbed by the intestine and produce symptoms of gas and bloating. Fructose intolerance can also be diagnosed by a simple breath test in our office.
Is there a diet for bloating? My first approach is to have patients write a diet/symptom diary of what they eat and
how they feel. This can be used to pinpoint what foods are causing bloating and eliminate those foods from the diet rather than making drastic dietary changes. These results can also help guide which breath tests to start with. An alternative is to follow the low FODMAP diet. This diet tries to eliminate foods that can commonly cause bloating. FODMAP stands for Fermentable Oligo-Di-Monosaccarides and Polyols. These include fructose, lactose, sweeteners, beans, wheat, onion, garlic, lentils, and some fruits. This elimination diet is usually followed for 6 weeks. After this, high FODMAP foods are added one at a time to see if foods trigger symptoms.
How do breath tests work? Bacterial overgrowth and lactose and fructose malabsorption can be detected using a
hydrogen breath detector. Patients either drink a can of soda for fructose intolerance or a glass of whole milk for lactose intolerance at home. Three hours later patients come to the office and blow into the machine once, which takes a few seconds. For the bacterial overgrowth test, patients drink something one hour before coming to the office and have to blow into the machine every 20 minutes until the test is positive. This can take from one hour up to three hours. Our practice has an entire office dedicated to breath testing at least one morning a week.
Jai Mirchandani, MD Teresa Menadier, MD
• Colonoscopy and colon polyp removal • Colon cancer detection and screening • Rectal bleeding evaluation • Ulcer pain evaluation and treatment • Swallowing disorders
• Endoscopic treatment of hemorrhoids • Capsule Endoscopy • Breath testing • Esophageal and anorectal manometry
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March/April 2018
Financial Management
6
Myth Or Reality – What Affects Your Credit Score? Even the most responsible person in the world who has never missed a payment could be missing a good credit score. Why? Because it takes time to build a reputation, which is based on what you’ve done. The general guidance for creating a good reputation and credit score aligns with what one would expect: Live within your means in order to be able to make payments on time to whoever has extended you any form of credit. Establish a history of paying on time, and lenders will be more likely to want to lend to you. Intuit recently acquired Credit Karma for $7.1 billion, a firm with a user base of over 100 million, with 37 million active monthly users taking advantage of their service to better monitor and build a credit score (among other services). People want to understand their credit scores, and it isn’t always easy to do so. Here are some popular myths that have arisen about credit scores, the reality of where they stem from, and the actual effects they have on one’s credit score. Myth #1: Paying interest on credit cards improves my credit rating. Reality – People associate credit card companies profiting with their wanting to extend ever more credit to boost profits as long as the customer keeps paying the minimum balance. In fact, paying on time improves your credit score even if the balance is paid down to zero. Though having active accounts longer can increase your creditworthiness, it is not necessary for them to be carrying a balance from month to month. Myth #2: Checking my credit score hurts my credit score. Reality – Checking your own credit score does not hurt your credit score, and statistics show that people who do are likely to improve their credit scores. No-effect checks on your credit score: Initiated by you – Checking on your own credit score
Initiated by company – “Soft check” by company requested to pre-approve a credit offering for you When there is an effect Initiated by you – “Hard check” by company requested to extend credit, such as a loan or credit increase – small negative effect Myth #3: I should ask to be extended the amount of credit I need. Reality – One of the metrics for your credit score is based on your credit utilization. If you ask for a credit increase (easiest to get when the credit utilization is lower), it will in fact further reduce the utilization. For example, if you have one credit card using $5,000 of a $10,000 limit, your utilization would be 50%. If that limit was increased to $15,000, your utilization would be reduced to 33%, which would improve your credit rating. This would likely represent a hard check on your credit rating, which may reduce your score at the same time, but that change will only affect your credit rating for one year, and be less than you gained by changing the other metric. Of course, if you increased your spending at the same time, that could end up having an adverse effect and cause you to carry a higher balance. Myth #4: I need a credit card in order to establish a credit history. Reality – The easiest way to establish a credit history is generally to get a secured credit card or loan, or a loan with a co-signer sharing the liability, and build your way up from there. However, a credit card is not required to establish a credit history. One alternative tactic is to request that your landlord or utilities provide a record of your on-time payments to credit bureaus. A great reputation takes a lifetime to build, and a good credit report is no different. Creating a lasting legacy should also involve providing guidance and cultivating values. There’s more to it than simply transferring financial assets to the next generation. The professionals at Garden State Trust Company would be pleased to share some of their insights of what to expect and potential pitfalls to overcome.
Our focus is where it should be... On You. On Your Family. On Your Future.
Trust & Estate Services Investment Services Lifestyle & Money Management 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 trust & estate services: Garden State Trust Company. To learn how we can focus on you and your family, contact Adam Brower or Siobhan Connolly. 1886 Hinds Road • Suite 2 • Toms River, NJ 08753 Toms River, NJ | Cherry Hill, NJ | Lebanon, NJ | Linwood, NJ
732.255.5000 | gstrustco.com
The County Woman Magazine www.TheCountyWoman.com
May/June 2020
Featured On The Cover
7 Kurt G. Talke, CTFA
Senior Vice President & Trust Officer ktalke@gstrustco.com Lebanon Office
With over 25 years of experience in this industry, Kurt continues to build and develop strong relationships with new and long-time clients through professional associations.
Meet the Garden State Team.
T
rue 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 trust & estate services. Ira J. Brower
Siobhan M. Connolly, CTFA
President & CEO
Vice President & Trust Officer
ibrower@gstrustco.com As Founder, President and CEO of Garden State Trust, Ira has grown the company with the simple premise that caring for and thoughtfully guiding clients develops strong trusting relationships that span generations. In his professional activities, Ira is a Trustee and Chairs the Investment Committee of the 21 Plus Foundation. He is also a member of the Central Ocean Rotary.
Barbara Kannheiser
sconnolly@gstrustco.com Toms River Office Siobhan develops relationships with investment management, trust, and charitable foundation clients. Her focus on Special Needs Trusts often requires navigating dilemmas faced by clients and their families. Siobhan also serves on the Board of Directors for Social Community Activities Network of Monmouth and Ocean counties.
Executive VP & COO
Sean M. Rice, CTFA
bkannheiser@gstrustco.com Barbara is a principal of Garden State Trust Company with over 25 years of experience in fiduciary administration and operations. Barbara oversees all facets of fiduciary activities and is responsible for all financial reporting for Garden State Trust Company. Barbara’s experience and dedication to problem solving promote a culture of quality within the company, as well as responsive service to clients.
Vice President & Trust Officer
srice@gstrustco.com Cherry Hill Office Sean’s role is in expanding our professional network and cultivating new client relationships via professional associations, local community events, and a wide array of relationship building activities.
Adam B. Brower, CTFA
Sean is a member of the Estate and Financial Planning Council of Southern NJ, and the Moorestown Rotary Lunch Club.
abrower@gstrustco.com Toms River Office
Senior Vice President & Trust Officer
Vice President & Trust Officer
Adam takes pride in finding solutions for client’s needs while developing strong and lasting relationships. He is a member of the Estate and Financial Planning Council of Central New Jersey and holds a Life Insurance and Property & Casualty Insurance license through the State of New Jersey. He also sits on the board for the SPCA of Ocean County.
John P. Ritter
jritter@gstrustco.com Cherry Hill Office John has worked in the trust and wealth management industry for the past thirty years in the South Jersey marketplace. His extensive knowledge of trust administration, portfolio management and retirement planning has enabled John to provide guidance and maintain relationships with his clients for decades.
He is a Certified Trust and Financial Advisor (CTFA) through the American Bankers Association and is active in many local estate planning associations.
John M. Bonk, CTFA
Senior Vice President & Trust Officer jbonk@gstrustco.com Lebanon Office
John’s role is to expand our Investment and Fiduciary Service business. His approach has always been to provide trust, estate, investment and tax services in a coordinated manner to enhance the client experience. He is a Certified Trust and Financial Advisor (CFTA) through the American Bankers Association and serves as Trustee of various foundations and associations within the community.
Mary Gonzalez
Assistant Trust Officer mgonzalez@gstrustco.com Toms River Office Mary works directly with clients in meeting their needs and account management. Mary takes pride in working with our clients and helping them reach their goals and addressing their needs.
Emily Brower
Compliance Officer ebrower@gstrustco.com Toms River Office As compliance officer, Emily will be responsible for ensuring that Garden State continues to adhere to the highest industry standards through diligent oversight of policies and procedures necessary to properly manage and safeguard our client’s accounts.
Kerri Jablonski
Administrative Assistant kjablonski@gstrustco.com Toms River Office Kerri will be responsible for bill paying for clients and other basic operational tasks. During tax season, she will also be working directly with the Company’s COO to meet the tax needs of client accounts.
Elicia Salmons
Administrative Assistant esalmons@gstrustco.com Toms River Office
www.gstrustco.com
Toms River 732-255-5000
Lebanon 908-287-7188
Cherry Hill 856-281-1300
Linwood 888-323-5535
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Elicia provides administrative support for our trust officers in meeting the needs of our clients. She also manages accounts payable procedures and internal office management.
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Legal Professionals HELPING PEOPLE PROTECT ASSETS FOR SPECIAL NEEDS CHILDREN AND CONDUCT SMOOTH REAL ESTATE CLOSINGS FOR OVER TWO DECADES. • Special Needs Trusts • Wills & Estate Planning • Guardianships • Health Care Proxies • Long Term Care • Powers of Attorney • Inheritance Tax Planning • Trusts 81 East Water Street Suite 2C, Toms River NJ 08753 732.281.0060 www.MatusLaw.com 125 Half Mile Road, 200 Red Bank, New Jersey 07701 This office by appointment only.
Christine L. Matus, Esq.
9
Planning for the Unexpected: 5 Things You Can Do to Protect Your Children By Christine L. Matus, Esq. Children are every parent’s treasure. You do everything within your power to ensure they are protected and taken care of all the time. However, death is inevitable and therefore, you should put various mechanisms in place to ensure that your kids and properties are in good hands in case the worst happens. In this article, you will learn about specific things you should do to protect your children after you pass away.
1. Create a Trust Fund
A trust fund protects the assets held within it from legal claims. However, you have to put the assets in an irrevocable trust in order to protect them from seizure by banks and creditors. In an irrevocable trust, the terms are created at the onset and cannot be changed. This basically means giving up a certain level of control over the trust, which might be difficult, but is absolutely necessary if you want to ensure the assets are completely protected.
2. Write a Will
Writing a Will is one of the most important things you can do for your children. Through a Will, you can dictate what happens to your assets once you are gone. You can decide how the assets should be distributed among your children. Without a Will, your kids are at an increased risk of inheritance theft.
3. Have Life Insurance
Life insurance is a paramount financial tool you should have for various reasons. A good life insurance policy is essential for a family that has dependent children. This policy takes care of your children’s living expenses and education costs if you die unexpectedly. If a death occurs in the absence of a life insurance policy, all of your resources and investments can be used to pay other expenses like debts or mortgages, leaving your kids with little or nothing to cater for their day-to-day expenses.
4. Choose a Guardian
Appointing a guardian is another essential way of ensuring that your kids will be protected should you die
before they reach the age of 18. A guardian assumes all of your responsibilities in your absence, such as catering for your kids’ education expenses and their daily care. The appointed guardian acts as your child’s trustee and is responsible for their finances until they reach the age of 18. If you fail to appoint a guardian, the courts will decide who should be responsible for your children. Unfortunately, this person may not always be the person you would have wanted.
5. Try to Save Some Money for College
A college education is important for today’s children to succeed in life. A college education can be instrumental in increasing a person’s net worth, but it does not come free. Many students end up taking heavy loans to pay for college, which takes them several years to pay back. Saving for the future is extremely difficult when you are buried in debt. As such, keeping some money aside for your children’s college fees can go a long way.
Whichever way you decide to protect your children financially, it is important to find a reliable and experienced attorney to ensure that you are compliant with the relevant state laws. For any assistance or legal representation, contact the Matus Law Group today.
Recipe Caponata~Compliments of Chef Steph 3/4 cup olive oil 1 large eggplant (about 2 lbs) cut into bite size pieces 6 medium zucchini (about 2 lbs) cut into bit size pieces 1/2lb mushrooms, thinly sliced 1 1/2 cups onion, chopped 1 cup celery, sliced
1 garlic clove minced 1/2 cup red wine vinegar 1/4 cup capers, drained 2 T sugar 3 large tomatoes, cut into bite size chunks 4 1/2 oz pimento stuffed olives, drain & cut in half
In a large saucepan over high heat, cook eggplant, zucchini, mushrooms, onions, celery and garlic in the oil for 10 minutes, stirring occasionally. Stir in the vinegar, capers, sugar, salt and pepper to taste. Reduce heat to low, cover and simmer for 10 minutes or until vegetables are fork tender. Stir in tomatoes and olives and bring to a boil over high heat. Spoon mixture into a bowl, cover and refrigerate at least 3 hours or until well chilled. Recipe by: Cutting Board Creations
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Serves-12
May/June 2020
Financial Independence
10
Contemplating Divorce, Who Should Be At Your Side? Getting divorced? Hiring your own financial
Geeta K. Brana
Senior Vice President Freedom Capital Management Geeta K. Brana provides comprehensive wealth management and advisory services to women in transition. Geeta has over twenty years of experience in the International Capital Markets. Her career started in London in 1995 with Lloyds Capital Markets where she trained in all aspects of International finance and credit analysis. She has worked through many bear markets and has extensive experience of structuring and trading debt packages for multinational corporations throughout the United Kingdom, Eastern Europe, US and Japan. In 2002, Geeta began her career in the U.S. with Smith Barney’s Wealth Management Division, (Citigroup) turning her extensive knowledge to helping individuals. In a primarily male-dominated environment, she was able to build a successful wealth management practice in Washington DC and later New York City working with high-net-worth individuals and institutions. After a career break while her children were young, Geeta has returned to wealth management through Freedom Capital Management (FCM), a boutique independent advisory firm with deep roots in Colts Neck, NJ. Currently, the focus of Geeta’s practice is on “Women In Transition”; assisting women in all phases of their lives – with a special focus on high-net worth divorce.
advisor right away can be the difference between a workable settlement and a financial disaster. As a financial advisor and recent divorcee, I have found that too often in divorces, most people seek financial advice only after the divorce agreement is signed. It’s an easy mistake to make but once the ink is dry it’s often too late to review the true financial impact of divorce and can lead to regret. Your lawyer could be excellent but may not have a financial planner’s expertise or technology resources to calculate and quantify your long term needs – everything from retirement to insurance to college savings and trusts. The divorce process starts with quantifying financial assets. The filing of the Case Information Statement is the most important part of divorce. You could save valuable time and attorney billable hours by working with a financial adviser to help build a complete and accurate picture of the family financial dynamic using advanced financial planning technologies. I use Money Guide Pro, a sophisticated wealth planning tool used to estimate cash-flow, net worth and all aspects of financial reporting required in a divorce. If you don’t know what’s on the table, how can you make an equitable settlement? Another common problem is that one spouse may try to game the system by not disclosing everything. For instance, out of state bank accounts, international bank accounts or foreign business entities. As a recent divorcee I know how the “divorce-discovery” process works. It’s imperative to review statements you would not necessarily look at including credit card statements and life insurance policies. A well trained financial adviser can readily identify abnormalities that could lead to uncovering big secrets and can work with your attorney to subpoena such records. Establish a Post Divorce Settlement Budget: Once you have determined the full scope of your assets and liabilities the next step is to create a budget. Prior to negotiating a divorce settlement agreement each spouse needs to accurately determine future costs such as retirement, college expenses, buying a new home, life insurance, new car or a vacation. Will you each save a certain amount? Will one spouse take care of the tuition? Other future events, such as weddings and post graduate studies will also need to be discussed and put into your budget. Another important consideration often omitted from settlements is the impact of inflation and volatile
interest rates on future expenses. The reality is that many attorneys do not have the software or expertise to plan for these events and you could easily save time and money by preparing these facts in advance with a financial advisor. Planning and Updating Documents: Prior to divorce negotiations, review trusts that are in place, whether they are revocable or irrevocable. This can make a big difference in how assets are funded and distributed. I will review your beneficiaries on your 401K, IRA’s, annuities and life insurance policies. These assets transfer via beneficiary at your death, not through your will. If you leave your exspouse as a beneficiary on these assets, they will be paid to him or her – which is probably not want you want! Assets titled in your individual name will be distributed through your will. It’s important to re-write your will to ensure your assets are distributed according to your wishes. Social Security and remarriage: Social Security benefits are confusing as a married couple – it can be even more complicated when you get divorced. If you were married for 10 years or more, you can claim spousal benefits on your divorced spouse. Depending on your ex’s earnings, your current earnings and your new partner’s earnings, it may not be advantageous to remarry. I can help you calculate several social security strategies and the best strategy will be incorporated into your financial plan. Take care of emotions: No matter how amicable a separation or divorce, it inevitably has a powerful effect on the children. Counseling can be a huge help at this time as a way to minimize the negative effect on children. It can provide them with the kind of unbiased attention, empathy and space to express how things really are for them, which parents may find particularly difficult to offer when they are themselves going through great turmoil, stress and painful change. It’s important to take the time to budget for medical and counseling expenses during the divorce process. Get educated. Stay at home spouses, whether male or female, tend to need independent advice the most. They may not have handled the finances in the past, and may need help to level the playing field when they feel at a disadvantage due to lack of financial knowledge or experience. In addition to my planning services, I provide ongoing education for clients and provide a complimentary “Female Friendly Resource Guide” to get you started. Divorce can create a financial crisis, so it’s a critical time to have someone in your corner. Ideally, if you are about to split up, it is imperative that your financial advisor, before anyone else, is at your side.
Email: GBrana@fcmadvisor.com • www.fcmadvisor.com Office Line: 732-546-9315 • Fax: 888-244-7136 960 Holmdel Road, Building 1, Suite D | Holmdel, NJ 07733 Securities, Insurance and Investment Advisory Services offered through Royal Alliance Associates, Inc., Member FINRA/SIPC and a registered investment advisor. Fixed insurance offered through Freedom Capital Management, which is not affiliated with Royal Alliance Associates, Inc.
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May/June 2020
Community
11
Managing Mom-Hood, Full-Time Work and Kids’ Education From Home Written by Geeta Brana, Founder, WHEEL Okay, so we’re home, the kids have these virtual learning packets they need to do AND we need to maintain business momentum. As a single mom who works with two schoolaged kids, here is what I recommend: • Talk to your boss: Can you earn money without physically going to your job – to the actual office? In my current job as a financial advisor, I have some capacity to do this. But I can’t manage all aspects of my job from home. I still need to access actual physical files that are in my office and I must work directly with clients. • Get on the same page with your parenting partner or childcare provider: I am divorced, and my ex-husband and I are working closely as a team, splitting our time into shifts with the kids to enable me to work during market trading hours. • Create different zones in the house: I have a home office with a TV and trading screens. Kids are not allowed in there and know that they cannot walk in while I am working. Bedrooms have become study zones. Family room and kitchen are the play zones.
should know how much time is allotted to their online classes, study time, reading, leisure time and household chores. I have split my children’s day into several shifts that include study time, free reading, outdoor play breaks, craft time, Netflix time and video conferencing with friends. • Leverage technology wisely: For younger children, recognize that you may have to relax normal screen-time restrictions to free you up to get more work done. For older children, keep in mind that they may be expected to use technology to complete schoolwork from home. If you do not have enough computers and tablets for everyone to use at the same time, consider how you can work with what you have so that everyone can do what they need. Familiarize yourself now with their school technology system so you’re not scrambling to figure it out later. • Social distancing: means that you have to be prepared to become your child’s best friend and teacher. Embrace the time together and just have fun. I have started to work out every day and I plan to go running, hiking and bike riding with my kids. Most importantly stay safe, help members of the community and wash your hands.
• Create a daily schedule: Kids thrive on routine. Put together a three-ring binder with a daily schedule per page. Every week, your child
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May/June 2020
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MRI CT Scan With Contrast: 3DOr Mammography When Is It Unsafe?
suspicious, patients need to be called Breast cancer is the second leading cause of death back for additional views. The multiple among women. One in 8 women will develop breast images created by 3D mammograms Cancer in cancer in her lifetime. Each year it is estimated that over have such increased this While breast most patients It is common forbe your doctor to order an MRI or CTaccuracy Scanthat with contrast. 252,710 women in the United States will diagnosed there is decreased need for this. On is difficult to with breast cancer and thanwith 40,500 willgeneral, many question what contrast is, are they aremore familiar thewomen scans in allergic to it, average 3D mammograms reduce detect on die from the disease. This is why early detection is so callbacks by up to 40% compared to or is it safe. this standard important. With early detection, the five-year survival traditional mammograms. This means mammogram. Cyrus Khorrami, M.D. 100%. The latestbased liquid (for it is typically include Benadryl and Prednisone. high cholestrol can damage the kidneys over rate is nearly weapon inMRI thescans). fightBecause against less radiation exposure, increased administered through the veins, the contrast Medicating beforehand is not 100 percent time. A simple blood test can determine a breast cancer is 3D mammography (also known as breast convenience forchances our patients, and more persons renal function and whether they can is able to highlight the blood vessels and effective, but the of any major With several mythsThis running tomosynthesis). new technology hasway increased peace of mind. organs the same oral contrast early highlights complications safely have contrast. are very low. around about the dangers detection over traditional mammograms, especially the bowels. IV contrast can help findinblood am allergic to of women contrast,with youdense may also be Greater Q: IWhat can I expect when Q: What is renal function clots, cancer, and other masses hidden inside Q: breasts. accuracy means shellfish. Can I still receive have to do with contrast worried could of organs. betterabout breastwhat cancer detection. having a 3D mammogram? Some scans are done without contrast safety in CT scans? happen to you if you take intravenous A: The process ofcontrast? having a 3D simply because the contrast may not be Patients with normally functioning There is a myth that patients that are it. Keep reading to learn mammogram is the same as a Q: What is a 3D mammogram? How is it different from needed for what the doctors are looking kidneys can receive CT contrast without allergic to shellfish are allergic to the iodine everything you need to know for. For example, if your doctor is searching conventional 2D exam. The fear that their kidneys will be damaged. contained within shellfish and therefore regularcontrast mammograms? about and why it is technologist willtoposition you, for cancer or infection, contrast is usually However, CT dye can potentially worsen would be allergic the iodine containing A: 3D mammogram--also called breast tomosynthesis--is onecontrast of the ismost crucial for physicians and required. However, not necessary compress andIodine take allergy images renal function in a patient who already has IV contrast.your This breast, is untrue. advanced forms to of breast cancer detection. for It uses verythat lowislevel of radiation a CTa scan looking for kidneyto poor renal function. Patients are given as radiologists use in finding different isfrom a myth. Iodineangles. is foundThere’s within no all of our take multiple pictures of the breast. The x-ray tube moves over the breast in an stones or brain injury. Generally, an MRI of mammogram littleUsing contrast3D as possible in order to protect thyroid glands. It is also in table salt. A additional compression required, and it certain conditions. thefrom spinedifferent that is looking forAa computer cause of back arc, capturing multiple images of each breast angles.
pain will not requireofcontrast. YourAdoctor reconstructs these pictures toand create a 3-dimensional picture the breast. regular Q: What Is Contrast and the radiologist will work together to mammogram takes a single picture of the breast. Why Is It Used? determine whether it is appropriate for you
Contrast is a liquid that doctors and to receive contrast. Q: What thewith advantage mammogram? radiologists use is along scans like CTs of 3D and MRIsof tothe diagnose different A: One challenges of conditions interpreting mammograms is normal dense breast Q: Is Contrast Dangerous? and illnesses. It is used to outline internal tissue hiding breast cancer. Additionally, overlapping areas of normal dense In general, allergic reactions vary breast among structures the body and to provide people.breast For example, a peanut allergy tissue canoflook suspicious. This is greater why detecting cancer in women withcan dense detail to is detect Contrast is typically vary fromofa little itching to hospitalization. breasts moredisease. difficult. The 3-dimensional images breast tomosynthesis help given either orally, ingested prior to or has beenItreported thatdistinguish up to 8% ofnormal decrease the tissue overlap that can obscureItcancers. also helps between scans, or intravenously through people receiving IV contrast could have an overlapping breast tissue from breast cancer. an IV. Both are effective in their own ways allergic reaction. Most of these reactions shown that 3D mammograms significantly improve the whenStudies helpinghave to make a diagnosis. are mild, and include a feeling of warmth, detection of breast cancer, especially denser breast It also Oral contrast is a while liquid that in women hives,with itching, nausea and tissue. vomiting. These picks upbarium, breast consumed cancer at an earlier mayare beeasily missed by traditional contains prior to thestage, which reactions treated with Benadryl. mammography. mammograms invasive breast cancers examination. Once3D ingested, the bariumfind 20-65% Severe,more life-threatening reactions, including solution appears white on x-rays and CT compared to traditional 2D mammograms, with an average increase of 41%. anaphylaxis, are extremely rare and occur Scans. This helps the radiologist distinguish in 0.1% of people receiving contrast. At between is bowel and potential disease. my Q: Is what there increased radiation performing a 3D facility, a physician is always a few steps The oral contrast does not taste great, but away from each patient receiving IV contrast mammogram? is widely considered to be safe. The chances and has a large assortment of medications A:a Mammograms levels of radiation. levelany of of patient having anexpose adversepatients reaction to very low at his disposal for quicklyThe treating radiationan exposure from a 3D is the same as that from a traditional including allergic reaction in is mammogram incredibly potential complications. rare. mammogram. So a patient receives all the benefits without anyaincreased risk. Patients who have know allergy IVWith contrast is either a non-ionic iodine traditional mammograms, when atoradiologist finds an area that is contrast may be medicated before based liquid (for CT scans) or a gadolinium receiving the contrast. These medications
theirtechnology, kidneys. Drinking lots of water helps the protect your kidneys from cancer was ablethe toadverse be effects of CT contrast. clearly seen. Patients who are currently receiving dialysis are able to get CT contrast if they are going to be dialyzed within 24past, hoursnot of A: Medicare, and many private insurers, cover 3D mammograms. In the Q: What is renal function? the contrast intravenously. all private insurance companies covered 3Dreceiving mammograms. However, in August shellfish allergy is caused by a muscle protein only takes a few extra seconds. called tropomyosin. A person with a shellfish allergy has insurance no more risk of being allergic to Q: Do companies IV contrast as they do of being allergic to cover 3D mammograms? fruit or eggs.
What does have to do 2018, New Jerseythat enacted a mandate requiring all the insurers Q:nearly What is major renalhealth function with contrast safety? to cover 3D mammograms. have to do with contrast Renal function simply means how Toms River X-ray has been performing mammograms well your kidneys are functioning. safety in MRI scans?
and serving community years. Oursafer 3Dfor patients Another reason thatthe patients may not be for over MRI30 contrast is much able to receive contrastisis the because they on the with poor renaland function. there mammogram latest market has However the most have poor renal function. The physician is a condition called nephrogenic systemic advanced technology. It is our mission to provide the very who is ordering the scan will make the fibrosis. This is an extremely rare disorder best for our patients. We thank you for trusting us with your determination as to whether you’re able to that affects the skin. It is has been linked to health and the health of your loved receive the contrast with your current renal patients with extremely poor renal function ones. We look forward to offering receiving MRI contrast. Therefore patient function. who are on dialysis cannot receive MRI you this significant advance in breast Q: How do I know if my contrast. cancer screening. kidneys are functioning Contrast is safe for most patients with only a few exceptions as we have discussed properly? above. As always, please feel free to call this As we get older, like may things in office so our staff can help answer any of Cyrus Khorrami, M.D. our body, our kidneys sometimes do not your questions. Medical function as well. Other conditions such as Director diabetes, high blood pressure, smoking, and PARVIZ KHORRAMI, M.D. CYRUS KHORRAMI, M.D. Founder Medical Director PARVIN MOTEMADEN KHORRAMI, M.D.
732-244-0777
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1.5 T and 3 T High Field Open Bore MRIs 3-D Mammography Nuclear Medicine Bone Densitometry
Deer Chase Professional Park • 154 Route 37 West • Toms River, NJ 08755 • Fax: 732-244-1428
www.TomsRiverXray.com5
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May/June 2020 September/October 2018
Medical Professionals
14
We Take COVID-19 Very Seriously Our first priority is and always has been to protect our patients, families and staff from potentially infective materials, viruses, TB, bacteria, and blood-borne pathogens.
Kathy A. Banks, DMD Oral & Maxillofacial Surgery
Your Expert in the Face, Mouth and Jaws 249 S. Main Street Barnegat , NJ Specialty Lic #4070
609-488-2325 www.drbanksoms.com Office Hours: 8 AM - 5 PM (Mon. - Fri.)
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Our up-to-date infection control measures are, and have always been: • Wearing gloves, masks, eye protection, and personal protection equipment • Utilization of appropriate barriers and handwashing protocols to prevent cross-contamination • Using CDC-recommended disinfection products and techniques to decontaminate our treatment areas – including furniture, equipment, and work surfaces – between patients • Sterilization of all patient-related, non-disposable items and instruments, and using a rigid sterilization monitoring program • Cleaning and disinfecting non-patient areas such as the bathroom and reception area, doorknobs and door handles • Having tissues and hand sanitizers available in each area of the office If you have an upcoming appointment, please reschedule if you are experiencing any cold or flu-like symptoms. We look forward to working with you through this difficult period.
For more information, call 609-488-2325 or visit www.drbanksoms.com.
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May/June 2020
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May/June 2020
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Hypnosis for Women Professional Hypnosis & Coaching Rhoda Kopy, Director 1541 Rt. 37 East, Suite E Toms River, NJ 08753 732-270-0080 www.HypnoForWomen.com
Health & Wellness Three Techniques to Help Improve Your Mindset During Difficult Times ON A PERSONAL NOTE… I don’t know if, as you’re reading this, we’re still confined – or if our world has “reopened.” Through this ordeal, many people have been extremely stressed, fearful, and worried – and at a loss as to how to deal with those feelings. Some have fallen into unhealthy patterns, not knowing how to release them, and feeling stuck and guilty. If you need help, please know that I – and many of my colleagues – have shifted to online or phone sessions, at deeply discounted rates for those who’ve been hit hard financially. Once the all-clear is given, I look forward to being with you in person. These are challenging times, emotionally and financially, but we’ll all get through this by helping each other. To navigate through this surreal time, we’ve all had 3) Engage in mental rehearsal after your to be resourceful, adaptable, and gutsy. And we’ve been centering breaths. If your goal is greater relaxation, doing whatever we need to – because that’s what we imagine yourself in a place that makes you feel happy do – as intelligent beings who want to stay healthy and and peaceful, and linger there. If you need to change well. While there have been positive effects that have negative patterns, imagine yourself engaging in smarter resulted from this situation, it’s the not-so-positive behaviors. Notice the details. Doing this activates effects that need addressing. the same neural pathways in the brain, as though Here are a few powerful techniques for lowering you actually made that smarter choice. It works for stress, building a more positive mindset, and professional athletes; it will work for you, too. improving immune system functioning. Don’t be If you feel you need additional help, know that fooled. They may seem deceptively simple, but they hypnosis / coaching is a gentle and effective way to work, if practiced regularly. help you feel more calm and relaxed, and empowered 1) Pay attention to your self-talk – the to deal with challenges. Within several sessions, you’ll “program” yourself to relax your mind and body, and messages you give yourself. Are you in a pattern work on resolving key issues. Recordings are provided of constantly making negative statements? That for reinforcement. can make you feel stressed and sad. Recognize that thoughts generally precede feelings, so challenge those This approach is ideal for people who are motivated to change, believe that with the right tools negative thoughts and restate them in more realistic and techniques they are capable of changing, and terms. Instead of, “I don’t know how I’ll make it understand they need to be a partner in the process. through this,” say, “I’ve gotten through tough times before, and I’ll get through this, too.” 2) Practice centering breaths several times a day. Diaphragmatic breathing (or deep belly breaths)
Make Your Mind Work FOR You – Instead of Against You! Rhoda Kopy is a nationally certified consulting hypnotist and wellness coach, with specialty certification in complementary medical hypnotism. She earned a B.S. degree in Biomedical Communications from Richard Stockton College of N.J., has an academic background in nursing, and 20+ years’ experience in community health education and coaching. Rhoda adheres to strict ethical standards of the National Guild of Hypnotists.
can minimize the production of stress hormones and improve your physical and emotional well-being. Regular practice can benefit your immune system, brain, heart, and digestive tract. Do about four breaths, at least four times a day. (Check drweil.com for the 4-7-8 breathing technique.)
Hypnosis For Women ❀ ❀ ❀ ❀
Weight Control Smoking Cessation Relaxation/Comfort Fear Release
For a No-Cost Phone Screening / Consultation, call me at 732-270-0080. Integrating hypnotic techniques and coaching paves the way for successful outcomes and boosts your sense of well-being.
Make Your Mind Work FOR You – Instead of Against You!
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732-270-0080 • www.HypnoForWomen.com 1541 Rt 37 East, Suite E, Toms River, NJ 08753
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May/June 2020
Health & Wellness
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Staying Healthy During COVID-19 Due to the COVID-19 outbreak, citizens around the world are faced with the reality of carrying on everyday routines within their home, including telecommuting and schooling. Staying home is essential for ‘flattening the curve’ and preventing the spread of Eric Sauer, R. Ph. NMD. DHPh and potential exposure to COVID-19, but the change in routine is leaving many in unfamiliar territory – especially when it comes to leading a healthy lifestyle. Keeping your immune system healthy year-round is key to preventing infection and disease. Probably the best precaution each of us must take is to augment the strength of our immune systems, equipping our body’s natural ability to mount an immune response to COVID-19. Eric Sauer, Naturopathic Consultant & Licensed Pharmacist, RPh, NMD, has been in practice for over 25 years and has made these suggestions to strengthen your immunity.
AUGMENTING YOUR IMMUNITY: FIGHTING COVID-19 (1) Protease is an enzyme that breaks down protein substrates (it’s a known fact and protein in nature). 2-3 caps (empty stomach) 2X/day. This is a strong antioxidant.
(2) Vitamin D3 supports the immune systems; most people (9) Magnesium is needed for more than 300 biochemical are deficient in this supplement. reactions in the body. It helps to maintain normal nerve and • 10,000 IU Adults muscle function, supports a healthy immune system, keeps • 5,000 IU Teenagers the heartbeat steady, and helps bones remain strong. 500 mg • 2,000 IU Toddlers is suggested at bedtime. (3) Vitamin C: ALMA-C is very effective! This form contains (10)-(11) Homeopathic – Virosode + Influenza [is this right?] both buffered C and bioflavonoids. Vitamin C needs to combined support the body without any contraindications be a combination for better absorption. Vitamin C also with medicine. (8-10 drops of each daily for 7 days, then 2X strengthens the capillaries in our red blood cells. per week.) (4) Probiotic is a great immune booster – look for one that Ionized water, known as micro-water, is also important. contains multi-strains. This form is best because it supports It’s more alkaline and is better absorbed into our cells. You the good bacteria in the gut. Probiotics are best taken at can read more about ionized water on our website: www. night on an empty stomach. ericsnaturalpharmacy.com Please be safe during these uncertain times in our country (5) Zinc is very important when it comes to immune support. and in our world. Our only defense at this time is to wash 30 mg at bedtime is sufficient. Taking more than 30 mg can our hands, keep sanitizing at home, physically distance be counterproductive since it can throw off copper levels. ourselves from people, and keep a strong immune system. (6) Digestive enzymes are extremely important to take with “You are what you eat; however, your health depends on each meal. 2-3 is suggested. Enzymes are essential for what you digest.” healthy digestion and a healthy body. They help with other For more information call the Pharmacy at: 732.695.0277 chemicals in the body, such as the stomach acid bile, to help The Natural Pharmacy break down food into molecules for a wide range of bodily functions. (7) CoQ10: COVID-19 is a virus that can also affect the heart. CoQ10 is a Eric Sauer, R.Ph., NMD, DHPh very effective co-enzyme for heart www.Ericsnaturalpharmacy.com support. Laurie Lombardi, CDN (8) SuperVitazyme is a vegan www.ericsnaturalpharmacy supplement that contains vegetables and fruits to support healthy cell function. 2 are suggested with Follow us on Facebook thenaturalpharmacy_nj breakfast. The Natural Pharmacy & Organic Skin Bar sobellabeauty1018
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May/June 2020
Women Of Monmouth County
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Rhoda Kopy, BS, CH Nationally Certified Consulting Hypnotist & Wellness Coach, Hypnosis for Women
As a hypnosis practitioner and wellness coach with specialty certification in Complementary Medical Hypnotism, Rhoda Kopy helps people break free of limiting habits, fears, and beliefs. She is celebrating her 15th anniversary as a Nationally Certified Consulting Hypnotist. Her private practice, Hypnosis for Women, in Toms River, serves primarily women, teens, and children, throughout the tri-state area. After earning a B.S. in Biomedical Communications, she worked for various organizations providing community health education and counseling services. She later segued into career services and founded A Hire Image, which offered motivational coaching, marketing, and training. As a result of success she achieved using hypnosis to improve her life, she completed an advanced training program and later opened her private practice. Rhoda co-founded Jersey Shore Hypnosis Practitioners, a peer support and networking group, and is a member of professional hypnosis organizations. Born in Bayonne and raised in North Plainfield, she has lived in Toms River for most of her life. She enjoys coordinating Bookie Babes, attempting to draw, watching meteor showers, traveling with her husband, and playing with friends and family. She has a daughter, two grandsons, and an adopted goofy shih-tzu. Rhoda can help you determine if hypnosis and coaching are appropriate for you. Call her at 732-270-0080 and visit www.HypnoForWomen.com.
Laurie Lombardi, CDN, The Natural Pharmacy Laurie Lombardi is a Clinical Nutritionist, and a Two time Emmy Awardwinning Make-up Artist, for her work on, The Late Show with David Letterman. She is also a Certified Para-Medical Skincare Clinician. She most recently developed a Natural Skincare Line, and Natural Dual Lip Stain/Gloss that are infused with Vanilla & Peppermint Essential Oils, for The Natural Pharmacy’s Organic Skin Bar, where you can also enjoy a Medical Facial Treatment with, NO DOWNTIME! A Facial Treatment includes an Organic Mask that is formulated for your skin type and compounded on the premises, “Always Fresh!” The Organic Skin Bar Concept is “feed your skin as you would your body.” Some of Laurie’s natural skincare products include a 20% Vitamin C Cream, DMAE, a skin tightening agent, Organic Face & Eye Serum, and more. All of her products are, Hormone Free, Chemical Free, GMO Free, and Vegan. Learn more about Laurie Lombardi and her skincare line by visiting www.laurielombardi.com today.
Photo by Tracy Harman Photography
Girija Surya, MD
Geeta K. Brana Senior Vice President, Freedom Capital Management Geeta K. Brana is a Senior Vice President at Freedom Capital Management in Colts Neck, NJ. Geeta provides comprehensive wealth management and advisory services to Women in Transition, assisting women in all phases of their lives – with a special focus on divorce. Geeta has a long history in the financial services sector and she uses her diverse international banking background to help simplify complicated wealth planning issues for her clients. “My goal is to build long-term relationships with my clients based on education and trust,” Ms. Brana said. Geeta started her investment banking career in London (1995) where she was trained in all aspects of international finance and credit analysis. She has extensive experience structuring and trading debt packages for multinational companies throughout the UK, Eastern Europe, Japan and the U.S. In 2002, Geeta began her career in the U.S., turning her extensive knowledge to helping individual investors. In a primarily male-dominated environment, she was able to build a successful wealth management practice in Washington, DC and New York, working with high net worth individuals and institutions. For more information, call 732-546-9315 or visit www.fcmadvisor.com.
Girija Surya is an American citizen by naturalization, was born in India and currently resides in Monmouth County. Dr. Surya attended Stella Maris College and Madras Medical College, where she received her medical degree in 1975. In Medical school she received awards and merits in Anatomy, Physiology, Organic Chemistry, Internal Medicine and Preventative Medicine. In the USA, she started her residency in surgery with a desire to ultimately train in Obstetrics and Gynecology. Her exposure during training, particularly in Cardiac and Vascular surgery, gave her a new passion. She went on to complete an additional 3 year fellowship in cardiovascular and thoracic surgery and got certified by the American Board of General Surgery and Cardiovascular and Thoracic surgery. She has been practicing in Monmouth County since 1994. She has served on the faculty of cardiac surgery in Robert Wood Johnson University Hospital from 1987 - 1990 and subsequently with Thoracic and Cardiovascular group of N.J. at St. Michael’s Medical Center in Newark, N.J. She has two successful Vein Centers, where she treats Vascular disease (both arterial and venous), and also educates women on other connected problems such as diabetes and hyperlipidemia. Dr. Surya has a daughter and a son. She loves biking, dancing, tennis, and watercolors. Contact Dr. Surya at Vein Center for Women / Absolute Vein Care at (732) 254-0500 or visit: www.veincenterforwomen.com
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Vein Center for Women
The County Woman Magazine www.TheCountyWoman.com
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May/June 2020
Women Of Monmouth County Siobhan M. Connolly, CTFA Vice President and Trust Officer Garden State Trust Company Siobhan Connolly moved from New York with her husband and two girls to Howell, NJ in 2008 to be closer to her father who lives in Manasquan. While in New York she taught high school, worked with at risk students teaching career skills and employment preparation and owned a retail business. Siobhan joined Garden State Trust Company, Toms River, NJ, in January of 2009. As Vice President and Trust Officer and senior relationship manager her responsibilities include meeting the needs of trust & estate, investment management and charitable foundation clients. With a Master’s Degree in Education and as a Certified Trust and Financial Advisor Siobhan has found her passion focusing on Special Needs Trusts which often require navigating the dilemmas faced by special needs clients and their families. Siobhan is honored to work with these families and takes pride in helping them provide the best life possible for their loved one. Siobhan currently serves on the Board of Directors for SCAN (Social Community Activities Network) serving the large retiree population of Monmouth and Ocean Counties providing education and resources to enhance their quality of life. Siobhan resides in Howell, NJ with her husband and her daughters. You can reach Siobhan at 732/255-5000 or Email: sconnolly@gstrustco.com. Visit www.gstrustco.com to learn how Siobhan may be able to help you.
Liya Ostrow, DMD TenderSmiles4Kids
Known as Dr. Liya, emigrated from Russia in 1991 at the age of ten. She was a Summa Cum Laude graduate in 2003 from Hunter College in New York. That same year she relocated to Philadelphia to attend the University of Pennsylvania Dental School where she earned her Doctor of Dental Medicine Degree, Cum Laude. While at UPSDM she was keenly involved in programs and visits providing underprivileged children and adults with much needed dental care and education. Advanced studies in her field of Pediatric Dentistry took place at Lutheran Medical Center in Brooklyn, New York. There she served as Chief Resident. Dr. Liya takes pride in providing exceptional dental care with a warm sense of humor and gentle style which helps the children and parents relax during their visits. Caring for children and their dental needs is paramount to everything she does. Dr. Liya is Board Certified by the American Board of Pediatric Dentistry and is a standing member of AAPD (American Academy of Pediatric Dentistry), the NJDA, NJDPA, and the ADA. Dr. Liya is surrounded by medical professionals in her family. She resides in Morganville with her husband Vlady, who is a pediatrician and their three children, Julian (11 yrs.), Kayla (7 yrs.) and Aaron(6 months) plus a 13 yr. old Pekingese named Archie. Dr. Liya enjoys entertaining at home and traveling. For more information or to contact Dr. Liya, please call 732-625-8080 or visit www.tendersmiles4kids.com
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Kathleen Taranto, Paralegal at The Matus Law Group
Kathleen is a graduate of Toms River North and earned three Associate Degrees from Ocean County College, including Criminal Justice, Business Administration, and Paralegal Studies. She is currently enrolled at Liberty University Online, School of Law, working toward her Bachelor of Science Degree in Paralegal Studies with a 4.0 GPA. Kathleen has been a paralegal for many years and recently joined The Matus Law Group. She enjoys helping clients and she is very excited to bring her years of experience to the team at The Matus Law Group. Kathleen is very active in her local church and is also a member of the District NMI Council, where she serves as Central Jersey Zone Chairman. She is enthusiastic about collecting for Crisis Care Kits, which are distributed through Fawn Grove Compassion Center to areas affected by natural disasters throughout the world. Kathleen enjoys spending time with family, knitting, scrapbooking, gardening, and a good book. She also enjoys cake decorating, baking, and playing with Buddy, her cat. For Estate or Special Needs Planning, or to learn more about The Matus Law Group, visit Matuslaw.com or call (732) 281-0060.
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Carolyn Peters, RN, BSN Office Manager, Ocean Otolaryngology Associates Carolyn graduated nursing school from Community Medical Center in Scranton, PA. She then secured a job as an RN at Thomas Jefferson University Hospital in Philadelphia. While working in the ENT unit, she was able to obtain her BSN at TJU School of Nursing. She met her husband, Otolaryngologist Dr. Bruce Peters, and in 1997 opened his private practice in Ocean County. With their goal to provide the highest quality care to their patients, their practice grew quickly and has now expanded to a three-doctor group, with a new location opening in May 2019 in Wall, NJ. Carolyn’s business skills evolved with the practice as well as her ability to assist Dr. Peters in glycolic acid peels and skin care. With his background in facial plastic surgery, they offer medical-grade peels and high-grade NEOVA skin care products for aging and sun-damaged skin. She resides in Monmouth County with her husband and two daughters and loves cooking and beach activities. For more information, call 732-281-0100 or visit www.oceanentfacialplastics.com.
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The County Woman Magazine www.TheCountyWoman.com
Photo by Tracy Harman Photography
May/June 2020
Medical Professionals
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Fecal Incontinence: Dealing With An Embarrassing Condition Nina Paonessa, DO, FACOS, an established colorectal surgeon practicing in Ocean and Monmouth Counties, answers questions about fecal incontinence, a condition that is not only embarrassing and common, yet very rarely discussed.
What is fecal incontinence?
Fecal incontinence, or bowel incontinence, is the inability to control bowel movements, causing the involuntary passage of stool. Symptoms of this often embarrassing disorder range from occasionally leaking small amounts of stool and passing gas, to completely losing control of bowel movements. Classified as a pelvic floor disorder (PFD), fecal incontinence occurs when muscles in the pelvic area cannot support the organs in the pelvis. These organs include the bladder, uterus (women), prostate (men), and rectum.
What causes fecal incontinence and PFD?
The brain controls the muscles of the pelvic floor through the nerves. Medical conditions or injuries that impact the health of nerves (such as diabetes, Parkinson’s disease, stroke, back surgery, spinal stenosis, or childbirth) can result in weakness or injury of the pelvic floor muscle, resulting in fecal incontinence and PFD. Those with PFD are unable to control the muscles in the pelvic floor to have a bowel movement. People with PFD contract these muscles rather than relax them, and because of this, they either can’t have a bowel movement or they have an incomplete one. PFD also includes urinary incontinence and pelvic organ prolapse. In fact, many people suffering with fecal incontinence also experience urinary incontinence. Urinary incontinence is a loss of bladder control due to bladder muscles that are too weak or too strong. Symptoms range from mild leaking to uncontrollable wetting, and become more common with age. Pelvic organ prolapse is a condition in which the uterus, bladder and bowel may “drop” onto the vagina and cause a bulge through the vaginal canal. Also common is a disorder in which the rectum becomes “stretched out” and slips out of the anus. This is called rectal prolapse. It is estimated that nearly one-third of all U.S. women are affected by one of these types of pelvic floor disorders in their lifetime.
incontinence. As stool consistency is affected by what you eat and drink, your doctor may recommend diet modification and adjusting nutritional supplements taken. If nerve or muscle damage is the cause of the fecal incontinence, the physician may recommend exercises and similar therapies to improve function and strength. These exercises include bowel training and biofeedback. Biofeedback is a technique taught by specially trained physiotherapists that can increase anal muscle strength, allowing patients to learn to relax or contract pelvic floor muscles. Medication sometimes helps patients with fecal incontinence. When appropriate, these may be prescribed by your physician.
Is surgery required to treat fecal incontinence?
Those who continue to experience fecal incontinence that continues even with medical treatment may benefit from surgery to correct the problem. Several options exist, depending upon the underlying cause of the incontinence. In most cases, surgery options are minimally invasive, offering less pain, less scarring and shorter recovery time. Dr. Paonessa is a fellowship-trained colorectal surgeon who is trained and has a special interest in treating patients with PFD and fecal incontinence. She always approaches the problem with conservative measures prior to exploring surgical options, if and when necessary.
Testimonial “My experience with Dr. Paonessa was exceptional. She made me feel so comfortable and at ease. I’ve never met a doctor like her. For many years, I thought I had hemorrhoids and was completely uncomfortable. After being diagnosed with a prolapsed rectum, I met with Dr. Paonessa. She immediately put me at ease and explained everything. Dr. Paonessa performed prolapsed rectum surgery and now I feel wonderful. I feel like I came out as a better person.” - Natalie H.
How is fecal incontinence diagnosed?
Physicians will begin the exam by asking about symptoms, taking a careful history and performing a visual inspection of the anus and perineum. A physical examination will determine the patient’s ability to control the pelvic floor muscles. The physician will check for nerve damage, muscle spasms or muscle weakness. Additionally, the physician may request or perform any number of medical tests available, including blood work, X-rays and ultrasounds, to uncover the cause of fecal incontinence.
Who is at risk for developing fecal incontinence?
Although men and women are at risk of developing fecal incontinence and PFD, pelvic floor disorders occur more frequently in women than men. Nearly one in 10 women older than the age of 40 has fecal incontinence, possibly as a complication of childbirth. Other risk factors include being over the age of 55, overweight, postmenopausal, having a past pelvic surgery, nerve damage or a connective tissue disorder.
How is fecal incontinence treated?
Fecal incontinence can be treated in a number of non-invasive ways. Treatment usually combines self-care, medicines, physical therapy and home exercise. Treatment depends on the cause of the problem you have and what best fits your lifestyle. Dietary changes often reduce the occurrence of fecal
Colon and Rectal Surgery
Board Certified in General Surgery and Proctology • laparoscopic surgery • abdominal/pelvic surgery • fecal incontinence • endoanal/rectal ultrasound • anorectal surgery 603 Higgins Avenue Brielle, NJ 08730
• pelvic floor disorders • office proctology • anorectal manometry/ physiology
1364 Route 72, Suite 5 Manahawkin, NJ 08050
Phone: (732) 282-1500 • Fax: (732) Office Hours: M-F 9AM to 5PM
292-9600
www.paonessacrs.com
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May/June 2020
Acupuncture
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74 Brick Blvd. Bldg 1,Ste 102 • Brick, NJ 08723
The County Woman Magazine www.TheCountyWoman.com
May/June 2020
Medical Professionals
22
The Importance of Routine in the Age of Covid-19 The world as we know it has changed due to the global pandemic and if you happen to be quarantined at home, in good health with your family, consider yourself one of the lucky ones. After all, loneliness and isolation are all very normal emotions during this time but if you live alone these feelings are magnified. There is a new normal emerging everyday and we are asked to change course. During this highly unpredictable time, keeping to some form of a schedule or routine is vital to our collective sanity. Of course this routine is going to look very different from whatever you had in place pre quarantine. Try to be deliberate with your time and create a routine that works for you and your loved ones. Exercise and stretching are highly recommended. In addition, this is the ideal time to develop a new hobby or learn a new skill. The Internet is a treasure trove of information and there are endless websites that can help you reach a goal. Although the news is constantly changing, routines help by allowing us to keep some assemblance of normalcy. For example, try and wake up at the same time and get dressed like you would in normal times. These small details can help ellimate some of the stress this situation brings. The stress will take its toll on your physical body and can affect your immune system. Look for ways to alleviate some of that stress by staying active. Check out some of the free workouts or Yoga routines online or through your local gym. Along with keeping your body active, the importance of keeping your mind active cannot be overstated. Pick up a new book or listen to a podcast. Many local libraries have online systems that will enable you to check out electronic books or audiobooks to use on your device at home. Now more than ever we must practice self-care. Think about the things that make you feel relaxed and peaceful. Since we are not able to physically be with our friends the importance of community should also be part of your daily routine. Set aside some time each day to reach out via phone to neighbors and others in your community that could benefit from some conversation. After all, these days can feel long for all of us but even more so for those living alone. And finally, many the experts agree that there is no reason to consume any stressful media before bedtime. Although we have no idea how long this will last it is imperative that we remain calm and not panic. The only thing we can control is our response. We will all have to do our part to keep calm and carry on as best we can. Please call our office, Reliance Medical Group, to learn more about how we can help you.
“Quality Healthcare Is A Right, Not A Privilege”
ADULT MEDICINE I GERIATRICS NEUROLOGY I HOUSE CALLS BEAT COVID-19
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(732) 920-8022
Reliance Medical Group is using telemedicine and remote monitoring to help your family remain as healthy as possible!
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Patient Monitors Breathing, Temperature, Blood Pressure Report On The Mobile App - Notifications For Concerning Results
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Patient Monitoring, Schedule Appointments, Patient Portal Local Emergency Updates (COVID-19)
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The County Woman Magazine www.TheCountyWoman.com
May/June 2020
Home Health Care Keeping Elders Healthy, Connected And Safe
Deborah Walsh,
Executive Director, HomeWorks
As I write this, we are experiencing a global crisis. The novel coronavirus disease (COVID-19) outbreak is threatening everyone and especially seniors all over the world. The elderly are our national treasures: moms and dads, aunts and uncles, sisters and brothers, and of course our beloved grandparents. Various ethical and religious traditions find their own ways to affirm an elemental truth of human life: older adults deserve our respect and, when necessary, our protection. Our moral fabric is best measured by how we treat the vulnerable. Since the outbreak of the coronavirus pandemic, we have witnessed communities coming together. We’ve seen individuals engaging in simple acts of kindness that are especially impactful to those seniors who are sick and quarantined.
Here are five suggestions for helping to keep our elders healthy, connected and safe:
1. Elders and people in their kinship circle can use this opportunity to connect. Create schedules to be in touch with family, friends, and community. Simply calling more frequently can make a difference. Schedule a morning or evening check-in time and treasure those conversations.
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2. Letters and cards are a wonderful way to show you care. Let’s face it, most of us still love receiving cards and letters. Say the things in cards and letters that may be difficult to say in person. 3. Find out what the older adults in your life need; do they need prescriptions or groceries to be picked up and brought to their doorstep? As social-distancing recommendations continue, they may be running out of supplies and feel afraid to go to the store. 4. Encourage physical activity, outside walks or sitting by a window to get fresh air. Perhaps, call before and after the walk to check on their safety. 5. Recognize the importance of faith and religious practice at this time. Many congregations have prayer services on-line. Drop off an iPad already linked with their church or religious group and coach them by phone on how to connect. Honor the elders in your life now and once this pandemic ends, I hope we will hold them closer and cherish them more deeply. The bible says, “You shall rise up before the aged and show deference to the old.” Look out for our elders and, in the process, become more human yourself.
For more information, call 732-838-1950 or visit www.UMCHomeworks.org. In-home care for seniors. Call today for a free in-home assessment.
732-838-1950 • UMCHomeworks.org. 54 Olin St, Ocean Grove, NJ
Mom is such A special word the lovliest I’ve ever heard. A toast to you, Above all the rest Mom, you’re so special You are simply the best.
Happy Mother’s Day
Happy Mother’s Day Mother’s Day is the perfect day to celebrate the joys of
having a mother. There is simply no way we can ever really thank our mother for all she has done for us. On May 10th, strive to make Mother’s Day absolutely hassle free for your mother and take the responsibilities on yourself for a day. Pamper her a little on this special day of hers just as she pampers you all the year round. Give her a warm hug and a big kiss as you wish her a Happy Mother’s Day!
The County Woman Magazine www.TheCountyWoman.com
May/June 2020
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Medical Professionals Women and Alzheimer’s Disease Alzheimer’s disease affects 13 million women in the United States. Almost two-thirds of Americans living with Alzheimer’s are women. In their 60s, women are twice as likely to develop Alzheimer's disease during the rest of their lives as they are to develop breast cancer.
Memory Center
Women are also more likely to be a caregiver for someone living with Alzheimer’s disease.
9 Mule Road Suite E 9 Toms River, NJ 08755
More than 60% of Alzheimer's and dementia caregivers are women.
(732) 341-9500
More than three in five unpaid Alzheimer’s caregivers are women. While these statistics can be unnerving, it is important that those who need support receive it. At AMRINJ, we offer free memory evaluations for those who may be experiencing symptoms of memory loss. We also offer access to the most up-to-date research opportunities to help find a treatment or cure for Alzheimer’s disease. We also offer our support group, Caring for Caregivers, to help those caring for someone with memory loss. This group meets at AMRINJ every second and fourth Wednesday of the month.
Call today to schedule your FREE memory evaluation.
732-341-9500
Dr. Sanjiv Sharma is a boardcertified geriatrician who specializes in memory loss. His mission is to educate all patients and families on memory loss, Alzheimer’s disease and dementia and bring the latest research to those directly affected by these diseases.
www.AMRINJ.com
Statistics and information from the Alzheimer’s Association website: “Women and Alzheimer’s” https://www.alz.org/alzheimers-dementia/what-is-alzheimers/women-and-alzheimer-s
The County Woman Magazine www.TheCountyWoman.com
May/June 2020
Medical Professionals
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Women and Cancer… November Is National Lung Cancer Awareness MonthPart lI
What You Need To Know
What You Need To Know
Did you know that lung cancer is the leading cause of cancer deaths in both men and women in the U.S.? Approximately 200,000 new cases are diagnosed each year and 27 percent CANCER OF THE UTERUS of all cancer deaths are from lung cancer. Uterine cancer, also known as What causes lung cancer? endometrial cancer, is the most common Smoking. Smoking is the number onecancer risk factor cancer. Even though offor thelung reproductive organsnon-smokers among can also get lung cancer, the risk is much higher in those who smoke. The more you smoke, the women in the US. It is estimated that about higher your risk. The likelihood of getting lung cancer decreases after you quit smoking. Tobacco 52,000 women will be diagnosed with smoke damages cells in the lungs, causing the cells to grow abnormally. Regular exposure to endometrial cancer this year. smoke from someone else’s cigarettes, cigars or pipes (called second-hand smoking) can increase cancer is rare in women less than a person’s risk of lung cancer, even if they Uterine are non-smokers. Exposure to asbestos. Certain jobs 45 suchyears as shipbuilding, asbestos mining, or in of age. Most cases are insulation diagnosed automotive brake repair may cause exposure to asbestos. Asbestos fibers can irritate the lungs women over 55. and cause cancer. When combined with smoking, the risk of developing lung cancer is much Risk Factors: higher. released Hormonal Prolonged Radon. Radon is an invisible, odorless gas by soil andfactors: some rocks. Exposure to higher levels of radon can cause cancer, especially lung cancer. exposure to the female hormone estrogen
directly linked to developing endometrial What are the types of lungis cancer?
There are two different lung cancer: small cell and during non-smalltheir cell. This difference cancer. Women whotypes hadofmore menstrual cycles lifetime haveis based on the type of cancer cells. Most lung cancers non-small Among the non-small an increased risk of getting cancer of theareuterus. Forcell. example, if you started cellyour lung periods cancers, there are several subtypes: adenocarcinoma, squamous cell and large cell. before age 12, and you have your menopause in your late
What symptoms and fifties,are youthe have an increased risksigns? of endometrial cancer. Women who take
Symptoms and signs include coughing, hemoptysis (coughing blood), shortness estrogen alone as hormone replacement therapy alsouphave a high risk.of The breath, chest pain, fatigue and weight loss. number of pregnancies a woman had plays a protective role. In women who Most often, the symptoms do not manifest until the cancer is advanced. Sometimes lung cancer never had children, risklung of on uterine cancer is other high.reasons. can be detected as a shadowthe in the an X-ray done for
Tamoxifen, a drug used in the treatment of breast cancer, may lead to How is it diagnosed?
What you should know:
• If you are a heavy smoker, and have been smoking for several years, ask your doctor if you need to do an X-ray or a CT scan. Treatment: • Ask your MD about different methods to help you quit Hysterectomy is the main treatment for cancer of the uterus. In addition smoking. • If are diagnosed with lung cancer, askand about the type of cancer you have, will toyou removing the uterus, both ovaries surrounding lymph nodes stage and other features such as EGFR mutation. be removed. Depending on the stage of the cancer and a few other factors, • What your treatment plan? radiation therapy and/or chemotherapy after someiswomen may require • What are the side-effects of treatment? surgery. • Are there support services available?
As with any other cancer, prevention, early detection and treatment are
Immunotherapy in lung cancer. three important steps in reducing the fatality of uterine cancer. Lifestyle
Over the last few decades, immunotherapy agents have been studied in the treatment of modifications, including eating a low-fat diet and daily exercise, are key many cancers, including lung cancer. Several immunotherapy drugs are now approved for use. inOur lowering of the symptoms and the seeking immuneyour systemrisk. fightsAwareness cancer cells normally, and thus reduces chanceprompt of attention normal is equally essential. transforming cells into cancer cells. But this does not work always, as people with normal immune systems also develop cancer. The principle of immune therapy is based on boosting the immune system so that it can efficiently destroy cancer cells. The use of immune checkpoint inhibitors has been a major breakthrough in cancer research. These drugs help to take the “brakes” off the immune system, so that they can recognize and kill cancer cells more effectively. OPDIVO, KEYTRUDA, and TECENTRIQ are some of the immune checkpoint inhibitors that are used Testimonials in lung cancer. Even though these drugs don’t have the typical side effects of Patient chemotherapy, they still can cause reactions such as inflammatory disorders.
For details about treatment of endometrial cancer or for any other cancer-related questions, contact Sarah J. Easaw, MD at 732-961-0010
“I thank God every day that Dr. Easaw became an oncology doctor and that lucky enough to have found her.” - and Donna, Toms River. ToI was learn more about lung cancer the treatment of
other Dr. Sarah Easaw 732-961-0010 or “Dr.cancers, Easaw tookcontact the time to answer every one ofatmy questions and guided me to make the best decision for my Mom’s care.” - Melissa, Howell. visit www.oceanhemonc.com.
endometrial cancer in athat minority patients. Once your doctor suspects you haveof lung cancer, you will be sent for CT scans and in Obesity: Endometrial cancer is moremore common among overweight some cases, a PET scan. A PET scan can detect cancer accurately than other tests. The diagnosis by taking a biopsy the suspicious seenhormone on the X-rayproduced or CT womenis confirmed than those who are lean.ofEstrogen, thelesions female scans. Theovaries, scans alsoishelp to made see if thefrom cancerfat hascells. spreadHaving to any other organs, a process called in the also more fat tissue increases metastasis. the amount of estrogen in the body and thus increases the risk of Are there different endometrial cancer. stages? Staging is different for small cellDiets and non-small Smallthe cellrisk lungof cancer has Diet and exercise: high incell fatlung willcancers. increase uterine only two stages: limited stage (confined within the lungs) or extensive (spread outside the lungs). cancer. Exercise a protective effect. Women whoI exercise regularly Non-small cell lunghas cancer has four stages: stages I to IV. Stage is a small tumor that isare less likely develop cancer those with sedentary confined to theto lung, that hasendometrial not spread to the lymphthan glands. Larger tumors and thosehabits. that are spread to the lymph glands come under stages II and III. When the cancer has spread to other Diabetes: Uterine cancer is four times more common in women organs, is stage IV. who ithave diabetes; this is true for those who are obese as well as those with normal What arebody theweight. treatment options? on theSome stage and the type of lung cancer. Smallare cellhereditary lung cancer iscan mainly Treatment Familyis based history: genetic mutations which treated with chemotherapy. In limited stage small cell lung cancer, radiation can be combined lead to endometrial cancer and colon cancer. with chemotherapy. Signs and Symptoms Endometrial Cancer: Early stage non-small cell lung cancerof is best treated by surgical resection. An experienced surgeon removes the tumor, normal lung with tissue endometrial and the lymph glands Bleeding: Mostsurrounding patients diagnosed canceraround haveit. Even after removing the tumor, cancer cells can remain and cause recurrent cancer, either abnormal vaginal bleeding. It could be a change in their periods or in the lung itself or in other organs. Chemotherapy, radiation or both are used after surgery to reduce bleeding between periods or after menopause. It is important to seek the chance of recurrent cancer. medical any irregular immediately. you have drugs Advancedattention stage lung for cancer is treated withbleeding chemotherapy. The types of If chemotherapy gone through menopause, it is especially important to report any etc. vaginal used are based on the type of lung cancer, age of the patient, other medical illnesses, There is bleeding, spotting, orthe abnormal discharge to lung yourcancer. doctor. ongoing research to improve outcome in patients with
Non-bloody vaginal What’s new in lung cancer?discharge may also be a sign of
endometrial cancer. Even you cannot see blood in theondischarge, it Targeted agents: Medicines thatiftarget certain proteins or receptors the cancer cells aredoes beingnot developed for the treatment of various cancers. These targeted agents attack the mean there is no cancer. In about 10% of cases, the discharge cancer cells specifically, sparing other cells. Targeted cause Any less severe side effects than associated with endometrial cancer is notagents bloody. abnormal discharge chemotherapy. should be checked out by your doctor. A few different targeted agents are found to be beneficial in lung cancer. Tarceva (erlotinib) Lower abdominal pain, pressure sensation, feeling a masscalled or lump is a drug that works in certain types of lung cancers carrying a mutation in a receptor EGFR. A new drug called crizotinib was approved recently for the treatment of lung cancer in the lower abdomen and unexpected weight loss are some of the otherthat carries a gene called ALK fusion oncogene. symptoms of uterine cancer. No two tumors are alike! Even among lung cancers, there are different distinguishing Diagnosis is made by doing a biopsy of the lining of the uterus. Before features. Your oncologist chooses the type of treatment based on a number of factors, including a biopsy, an ultrasound of theon pelvis can be to evaluate the size thedoing cell type, stage, different biological markers the cancer cells,done and your other medical of the uterus and the thickness of the endometrial lining. problems.
www.TheCountyWoman.com The County County Woman Woman Magazine Magazine www.TheCountyWoman.com The
May/June 2018 2020 November/December
Medical HealthProfessionals & Wellness
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Can Sclerotherapy Help Treat My Spider Veins? Girija Surya, M.D.
Other Side Effects Include:
Board Certified in Thoracic & Cardiovascular Surgery
Hi! Friends In earlier articles we have discussed the pathophysiology of Varicose Veins and treatment of larger Varicose Veins.Today we will talk about the treatment of Spider Veins.
• Larger veins that have been injected may become lumpy and hard and may require several months to dissolve and fade or might need needle aspiration to remove the painful clot. • Brown lines or spots may appear at the vein site. In most cases, they disappear within three to six months. • Neovascularization: the development of new, tiny blood vessels may occur at the site of Sclerotherapy treatment. These tiny veins can appear days or weeks after the procedure, but should fade within three to twelve months without further treatment. Should any of the following side effects occur, contact your doctor immediately. These include: • Inflammation within five inches of the groin • A sudden onset of a swollen leg • Formation of small ulcers at the injection site.
Medical ProfessionalsSclerotherapy Effectiveness:
Sclerotherapy
Sclerotherapy is the name of a non-surgical procedure to treat spider veins. The Studies have shown that as many as 50%-80% of injected veins may be eliminated with procedure involves injecting a solution through a very fine needle directly into the vein. The each session of Sclerotherapy. Although this procedure works for most patients, the results solution irritates the lining of the blood vessel, causing it to swell and stick together and the are always variable and are somewhat unpredictable. In general, spider veins respond in blood to clot. Over time, the vessel turns into scar tissue that fades from view. Sclerotherapy three to six weeks and larger veins respond in three to four months. is a proven procedure and has been in use since the 1930s. During the procedure, you may If the veins respond to the treatment they will not reappear. However, new veins may experience mild discomfort for oneand todepends two minutes, especially whenoflarger veinsasare injected. appear at theInclude: same rate as before. If needed, you may return for injections. Usually followon the size and location the veins, well as Other Side Effects ds The procedure itself takes approximately 15 to 30 minutes. The number ofAgents veins used injected in• Larger veins that have been injected may become the general medical condi tion of the patient. up sessions are necessary for complete resolution. icles we have one session varies and depends on for theSclerotherapy size and location of the veins, as well 1% as the general are Polidocanol and Asclera, & 0.5%. lumpy and hard and may require several months to pathophysiology medical condition of the patient. Agents usedhypertonic for Sclerotherapy Polidocanol Asclera, dissolve Please contact at the toVein Center for Women by sending an Sotradecol, saline and are glycerine are someand of the and fade or mightDr. need Surya needle aspiration ins and 1% & 0.5%. Sotradecol, hypertonic saline and glycerine are some of the agents commonly agents commonly used. Foam sclerotherapy is used more remove the painful clot. email to msgs@veincenterforwomen.com. arger Varicose used. Foam sclerotherapy is used more is the solution of polidocanol or sotradecol and itand is theit solution of polidocanol or sotradecol mixed • Brown lines or spots may appear at the vein site. In we will talk withfoam air and make foam justisbefore injecting. and most cases, they vdisappear within three to six months. justagitated beforetoinjecting. This very effective atment ofmixed with air and agitated to make This is very effective • Neovascularization: the development of new, tiny reduces the amount of the chemical solution used at and the reduces session.the amount of the chemical solution used at the session. blood vessels may occur at the site of Sclerotherapy What Happens After Sclerotherapy? treatment. These tiny veins can appear days or weeks y After sclerotherapy you will beWhat able Happens to drive yourself home and resume your reg¬ular After Sclerotherapy? after the procedure, but should fade within three to rapy is thedaily nameactivities. of a non-surgical procedure Walking is encouraged. After You will be instructed to be wear support stockings sclerotherapy you will able to drive twelve months without further treatment. Should any eins. The procedure involves injecting a to compress veins. Following the injections, yourself home the and treated resume your reg¬ular daily activities. of the following side effects occur, contact your doctor h avoid aspirin, ibuprofen, or other antiinflammatory drugs immediately. These include: Walking is encouraged. You will be instructed to wear le support stockings to compress themay treated for at least 48 hours. Tylenol be veins. used ifFollowing needed. Also, • Inflammation within five inches of the groin e vein. the injections, avoid aspirin, ibuprofen, or other antiyou should avoid the following for 48 hours after treatment: • A sudden onset of a swollen leg itates inflammatory • Formation of small ulcers at the injection site. • Hot baths drugs for at least 48 hours. Tylenol may be e Schedule appointments “24/7” used if needed. Also, you should avoid the following for 48 • Hot compresses using hours after treatment: Sclerotherapy Effectiveness: www.VeinCenterForWomen.com • Whirlpools or saunas tick • Hot baths Studies have shown that as many as 50%-80% of e blood • Direct exposure to sunlight up to two weeks at least. injected veins may be eliminated each session M.D. of Girijawith Surya, • Showers Hot compresses me, the are permitted, but the water should be cooler Sclerotherapy. Although this procedure works for most o scar Certified Thoracic & Cardiovascular usual. or saunas • than Whirlpools patients, the results areBoard always variable and areinsomewhat from unpredictable. In general, spider veins respond in three to •Side Direct exposure toof sunlight up to two weeks at least. Effects Sclerotherapy apy is a Colonial Commons six weeks and larger veins respond in three to four months. There are milder effects, such as itching, which can re and Showers are permitted, but the water should be cooler than 1656 Oak Tree Rd. will not reappear. 670 N.theyBeers St. last for one or two days after the procedure. Also, you If the veins respond to the treatment since usual. However, new veins may appear at the same rate as before. may experience raised, red areas at the injection site. 3rd Floor ing Bldg. 2, Ste. 4 you Side Sclerotherapy TheseEffects shouldofdisappear within a few days. Bruising mayIf needed, you may return for injections. Usually follow-up resolution. Edison, NJ 08820 mild There around are milder such as itching, which canseveralsessions are necessary for complete Holmdel, NJ 07733 also occur theeffects, injection side and can take one to last or two after the procedure. Also, you daysfororone weeks to days resolve. Please contact Dr. Surya at the Vein pecially may experience raised, red areas at the injection site. These ns are should disappear within a few days. Bruising may also occur Center for Women by sending an email Email: msgs@veincenterforwomen.com rocedure itself takes approximately 15 to 30 around the injection side and can take several days or weeks to msgs@veincenterforwomen.com. umber of veins injected in one session varies to resolve.
an Sclerotherapy Help Treat My Spider Veins?
Love Your Legs Again!! Vein Center for Women
732-254-0500
IN CENTER OR WOMEN
veincenterforwomen.com Professionals
Recipe Chicken In Puff Pastry
Holmdel Colonial Commons • 670 N. Beers St. • Bldg. 2, Suite 4 Old Bridge • 2 Hospital Plaza, Suite 330 Princeton • 21 Jefferson Place, Raymond Rd. Compliments of Chef StephMetuchen • 205 Bridge St. 732-254-0500 msgs@VeinCenterForWomen.com oven to 400 degress. 1 sheet puff pastry, thawed and rolled Preheat the admin@VeinCenterForWomen.com Roll out puff pastry, cut into four equal sized pieces. out into a 14in square. Place 1 1/2www.VeinCenterForWomen.com tablesoons of herbed cheese in the center of each piece. 4 boneless chicken breasts, cooked Top herbed cheese with a chicken breast and then chopped parsley 1/3 cup herbed soft cheese Next, fold the corners of the pastry over the chicken breast. 1/4 cup fresh parsley , chopped Place chicken pastry seam side down on a baking sheet covered in parchement. 1 large egg Optional ingredients-chopped spinach, Lightly brush the top with a whisked egg. Bake for 20-25minutes until crust is golden brown. Join Us For A orCool Event! diced roasted red peppers, additional Vein Center for Women/Absolute Vein Care cheese, etc.
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Feel free tobyadd the optional Hosted Girijaany Surya,of MD, Board Certified in ingredients as well & enjoy! Cardiovascular and Thoracic Surgery the only non-surgical body contouring Live demonstartions • Free consultations treatment that freezes and eliminates stubborn fat from your Holmdel Colonial Commons • The County Woman Magazine Magazine May/June 2019 2020 July/August Commons 670 N.Colonial Beers St. • Bldg. 2, Suite 4 • 670 body. There are no needles, no special diets,www.TheCountyWoman.com and no downtime. Holmdel Old Bridge • 2 Hospital Plaza, Suite 330 N. Beers St. • Bldg. 2, Suite 4 It’s FDA cleared, safe and proven effective.
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Change Your Life in 2020 Licenses May Be Available In Your Area
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Theatre & Entertainment 405 LAFAYETTE ST. CAPE MAY 609.770.8311 CAPEMAYSTAGE.ORG
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Caring for someone with Alzheimer’s isn’t easy. Reaching us is.
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Community
For more information about programs, services or to support please visit OceanMHS.org Happy Father’s Day “Who’s my hero? That’s a great question... Well, I think my dad is my hero, because he’s someone I look up to every day.”
Happy Father’s Day
Father’s Day is the perfect day to celebrate the joys of having a father. There is simply no way we can ever really thank our father for all he has done for us. On June 21st, strive to make Father’s Day absolutely hassle free for your father and take the responsibilities on yourself for a day. Pamper him a little on this special day of his just as he pampers you all the year round. Give him a warm hug and a big kiss as you wish him a Happy Father’s Day!
The County Woman Magazine www.TheCountyWoman.com
May/June 2020
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Lupus Foundation Elegance By Candlelight Dinner & Fashion Show Gala
Saturday, July 11, 2020
The Lupus Foundation of America NJ Chapter, Inc. (LFANJ) will feature a fundraiser, Elegance by Candlelight Dinner & Fashion Show Gala & 50/50, which will take place on Saturday, July 11, 6 to 10pm at Costa’s Restaurant, 120 Chestnut Street, Roselle Park, NJ. The evening will feature beautiful models modeling gorgeous fashions from New York City Glitz, Bayville, NJ, along with the Handsome Male Model Revue and the Miss Teen Models on the runway. Spokesmodel for the evening will be Rockin Robyn Lane from 95.9 The Rat NJ Radio. Music by DJ Lou Nader Productions and performer Frank Sinatra Celebrity Tribute Singer Lou Dottoli (theentertainer.org) & Model/Actress/Singer Tatiana Rivera. And don’t forget to smile for the Photographers Jacqueline DeForne, Troy Alexander, Victor Bubadias, Carl Maiorino, Miguel Aviles and Videographer Kenneth Ho. The evening includes all-you-can-eat Italian, Cocktail Hour Buffet, Dinner Buffet, Dessert, Cash Bar and 50/50 Raffle. Admission is $50 and $30 ages 8 to 12. The night will be filled with fun, fashion, great food and great people. For Reservations please call the Lupus Foundation Office #973379-3226. Kohn is the Event Coordinator for the annual event. Debra was a Para-Medical Examiner Technician Nurse for 32 years but is now an Advocate and Survivor of Lupus. She has been a Professional Runway and Print Model since age 16. She was chosen to compete in the Mrs. NJ America Pageant in 2014 as Mrs. Monmouth County America and won the Pageantry Spirit Award. She was also chosen to compete in the Mrs. NJ United States Pageant 2011 and 2012 as Mrs. Howell Township and won the Community Service Award for all the community volunteer work she has done for her cause for Lupus-Research to Find a Cure. Debra has been awarded the LFA/NJ’s Volunteer Service Awards yearly from 2012 thru 2020 and the Lupus Foundation Courage Award 2015. She was awarded the Butterfly of Hope Award 2016 at the LFA/NJ Annual Awards Meeting & Educational Seminar. She received these awards in recognition of her ongoing volunteer work and fundraising efforts. She also received the Mrs. NJ United States Phenomenal Women’s Award 2019 for all her fundraising events. Debra currently serves as a member of the LFA/NJ Board of Directors. *Lupus is a chronic, autoimmune disease which causes inflammation to various parts of the body, especially the skin, joints, blood and kidneys. The immune system normally protects the body against viruses, bacteria and other foreign materials. In an autoimmune disease like Lupus, the immune system loses its ability to tell the difference between foreign substances and its own cells and tissues. Lupus is NOT infectious, rare or cancerous. Lupus affects people of all ages, including children, but it most often strikes people when they are between the age of 15 and 45. Nine out of ten people with Lupus are women. Although the cause of Lupus is unknown, scientists suspect that individuals are genetically predisposed to Lupus and know that environmental factors such as infections, antibiotics, ultraviolet light, extreme stress and certain drugs play a critical role in triggering Lupus. Women are five times more likely to die from Lupus than men. African Americans are three times more likely to die from Lupus than Caucasians. Lupus can be difficult to diagnose as the symptoms come and go and mimic many other illnesses. Some symptoms of Lupus can include transient joint and muscle pain, fatigue, and rashes caused by or made worse by sensitivity of the fingers to the cold. The risk of heart attack, stroke, kidney failure and osteoporosis is much higher in people with Lupus than in the general population. While medical science has not yet developed a cure for Lupus, new research brings unexpected findings and increased hope each year. (*Remove the Mask Brochure, LFANJ 2013)
Please visit the Lupus Foundation of America New Jersey Chapter, Inc.’s website, www.lupusnj.org for additional information on services, resources and information on the following upcoming events: • Saturday, May 16, 2020 – Educational & Awards Seminar Springfield Public Library, Springfield, NJ • Saturday, June 6, 2020 – Lupus Jazz & Blues Night - The Priory Restaurant, Newark, NJ • Sunday, June 28, 2020 – Walk to End Lupus – Veterans Park, Hamilton Township, NJ Sunday, September 13, 2020 - Walk to End Lupus - Nomahegan Park, Cranford, NJ
LFA/NJ Style & Elegance Dinner Show Gala Models, July 2019 – Olga Berry, Debora Roachford, Debra Kohn, Elizabeth Graciano, Michael Jackson MJXpressions, Susan Korwin, Nadya Roachford, Alessia CirilliEberle, Marla Illuzzi, Maria Mistretta, Owner Piera Bridal Boutique, Wall, NJ – Photo by Photographer Jacqueline DeForne
LFA/NJ Style & Elegance Dinner Show Gala Handsome Male Model Revue Models, July 2019 – Jeremy Dasaro, James Dasaro, Dr. Robert Korwin, Dominic Coccio, Jeffrey Bonner, Frank Musarra, Michael Jackson MJXpressions, Rick McNall, Rasheed Claybrooks, Lonny Domino – Photos by Photographer Jacqueline DeForne
LFA/NJ Style & Elegance Dinner Show Gala – Miss Teen Models 2019 – Emily Carpenter, Amanda Clemente, Harpreet Sodhi, Gretchen Polst, Anusha Ramesh, Brianna Morris, Caitlyn Carpenter, Angel Owens, Tatiana Rivera – Photo by Photographer Jacqueline DeForne
Donations are always accepted to the Lupus Foundation of America, New Jersey Chapter, Inc. (LFA/NJ), 65 Northfield Road – Unit D-1L – Livingston, NJ 07039
The County Woman Magazine www.TheCountyWoman.com
Leonard Andriuzzi, Esq., CEO & President of the LFA/NJ Chapter & Debra Kohn, Event Coordinator & LFA/NJ Board of Directors Member
May/June 2020
Women’s History
32
Elisabeth Kübler-Ross As I sit down to draft this feature, we are in the process of making history with the “COVID-19” pandemic. There are many of us who may be experiencing some type of loss and perhaps some feelings of grief. It may be the loss of loved ones, canceled weddings or special events, feeling disconnected LinkedIn from friends and family, and even perhaps missing out on the experience of “memorable moments” such as a last year of high school and college. As I began my research attempting to identify a famous female in history in the medical field, I came across famous women in science. Among the list was Elisabeth Kübler-Ross. I was quite familiar with Kübler-Ross from my studies as well as my professional practice; however, I never truly immersed myself in learning about Elisabeth the person, and not just the infamous psychiatrist and journalist. Elisabeth Kübler was born on July 8, 1926 in Switzerland. She was the middle of three children. Elisabeth had a desire to become a doctor at a young age. Elisabeth’s father was not in support of her vocational goal; however, Elisabeth forged ahead and went to medical school, graduating in 1957. Elisabeth attempted to obtain a position in the medical field, but due to the time period, females were not recognized candidates for such roles. Elisabeth was a positive and driven woman and became a member of the International Volunteer Service for Peace, helping “ravaged” communities after World War II. Elisabeth worked in a concentration camp and observed many carvings of butterflies on the walls in the caves where prisoners were left in the final hours of their lives—a symbol that Elisabeth would later identify and describe as a “transformation” from life to death. It was through this experience that Elisabeth began the focus of her work in the area of death and dying. After medical school Elisabeth married Emanuel Robert Ross and they relocated to the United States. Elisabeth and Emanuel had two children (Kenneth and Barbara). Elisabeth worked in New York, Colorado and Chicago. Elisabeth was known to have been “appalled” by the unfair treatment of terminally ill and elderly patients. She took the time to talk with the patients and invested herself to care for them through their “transformation” to their next life. Elisabeth provided lectures with dying patients in an effort to destigmatize death. It was Elisabeth’s goal for patients to be afforded the respect and dignity to share their fears, concerns and end-of-life transition. In 1969 Elisabeth published her first book, entitled On Death and Dying. The book explains the stages of grief as a pattern of adjustment with no defined sequence. The stages are denial, anger, bargaining, depression and acceptance. The book has become required reading for most major medical, nursing and psychology programs. The ability to understand our emotions and feelings of grief provides a validation and acknowledgment that what we are feeling is truly real. The book details the aspects of death and dying and enables society to better understand the process of transition. Throughout Elisabeth’s career she has published 24 books, which are available in
Amazon.com
34 languages. She has approximately 49 awards of recognition from the UK to the USA! In the 1980s Elisabeth settled on a 300-acre farm in Virginia and as its president developed “Healing Waters,” a healing and workshop Medium.com center. Over the course of Elisabeth’s career, a career that was “discouraged” by her father, Elisabeth served in administrative roles that have included psychiatrist, educator, chairman of the board, medical director, acting and associate chief of psychiatry, and president of her own healing center. Elisabeth has earned 20 honorary degrees and has an impressive teaching resume that includes instruction to over 125,000 students on the subject of death and dying. Elisabeth settled into retirement in 1996. During Elisabeth’s own “transition” she was frustrated with the inability to control her own metamorphosis. Elisabeth grew her wings on August 24, 2004 at the young age of 78. She made a significant impact in the medical field on the subject of death and dying due to her courage, determination and vision, which enabled her to give a voice to those who were not being heard. Elisabeth has shown humanity that the ability to “embrace life is through death.” On the EKR Foundation eulogy, it was quoted that Elisabeth was referred to as the “death and dying lady”; however, Elisabeth referred to herself as the “life and living lady.” I close with a final message from Dr. Elisabeth Kübler-Ross: “The most beautiful people we have known are those who have known defeat, known suffering, known struggle, known loss, and have found their way out of the depths. These persons have an appreciation, a sensitivity, and an understanding of life that fills them with compassion, gentleness, and a deep loving concern. Beautiful people do not just happen.” (Death: The Final Stage of Growth, 1975) Even though we may be experiencing some aspect of grief during this time, understand that it’s okay, and remember we must not forget to live!
Azquotes.com
Rita King, LCSW is a mental health clinician providing psychotherapy services to adults and children. Rita has worked with individuals with mental illness in the community mental health setting, criminal justice system and private practice setting. Rita is a “De-escalation for Individuals with Special Needs” training facilitator and has trained approximately 1,200 law enforcement professionals to date. Rita is also a CIT trained mental health professional. Rita has a strong passion for women’s history and in her free time she continues to raise awareness of the importance of women’s history through lectures and community speaking engagements.
The County Woman Magazine www.TheCountyWoman.com
May/June 2020
ROMANCE TRAVEL Travel ravel
“Create Lasting Memories” 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
55 63
33 Experience Primer
your children will cherish Whether you’re dreaming of a romantic escape or celebrating an anniversary or wedding, forever. A family vacation is part of those memories. Today’s opportunities a travel expert can create a carefully tailored itinerary to suit your desires. Discover a tropical to travel as a family are as wideyour open as your imaginaYou’ve iver cruising may bebooked the hottest cruising tion. From warm paradise and surround yourself with remarkable sunsets, fine dining, and world class accommodations. 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. cruises have been operating for decades.
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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, including diving and waterskiing, game room and the Ceebee Kids In the of online booking sites,ausing a Travel WithWatersports so many new age fees and
restrictions the airlines have feel The beach beautiful leading to a•like turquoise Caribbean Sea. may going the way ofponcho, the dinosaur. The river cruisingClub. destinations, like isa Advisor 12-day Bordeaux Lightweight sweater, rain and zippered plastic bags T ravel 56 villages, stunning beaches, accentuated by whitewashed buildings. imposed for baggage, you will have to consider leaving your entire closet Travel Advisors services or have knowledge River cruise, or 7-day Danube, offer cruise guests the local provide for wet suits. at home from now on. Some airlines are charging for carry-on bags now, 55 Travel ravel that you can’t get online –you and sometimes, especially in or at63 experience without the long tour bus rides. From April’s • Whatever forget you can purchase on board 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 times of crisis, with a real live person is just plain tulips to December’s Christmas Markets, hundreds of working “Create Lasting Memories” ports or resorts. are the essentials to pack? Moreisfun, more memories! Part of raising aThe family is making memories that beaches together getaway, where everything Included and unlimited. protected white sand and barges glide along Europe’s historic rivers superior. A few years from now what Here isriverboats a packing primer from Carole Kaiman, Travel Professional that your children will cherish Whether you’re dreaming of a romantic escape or celebrating an anniversary or wedding, forever. , with beautiful beaches and great A family vacation is part of those memories. (rated theand best in the Caribbean by Travel & Leisure) exciting watersports and unlimited scuba diving you will remember is the totaltrip. canals, which span thousands of miles of Continental Examples of some of the best opportunities a travel expert can create a carefully tailored itinerary to suit your desires. Discover a tropical might help with the process. Travel Advisors elevate every A great Advisor: Today’s to Virtuoso travel as a family are as wide open as your imaginaYou’ve booked your restaurants to rekindle your spirit and feed the soul. experience of your vacation, NOT iver cruising may be the hottest cruising (for certified divers).connecting North waterways, Sea to Black Sea. paradise and surround yourself with remarkable sunsets, fine dining, and world class accommodations. • Makes you aawaited VIP: Customized itineraries and insider access tion. From warm beaches to exciting adventures, every destination offers a new Themes: River Cruise Line vacation trend around inlong 2017 --the even though river things you forgot to pack. A sample of some Romantic destinations will let you dream of your next BEACHES resorts are about children. Amazing waterparks with body slides, lazy rivers and surf withworld your Travel over with special benefits you can’t get on escape. For a week in the River Caribbean: A Europe Cruiseexperience. is one of the bestallways wethe • Viking River Cruises, through partnership with • Add a few more tee shirts and another pair of shorts Greece, think Santorini or Mykonos with small fishing
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cruises have been operating for decades. *Remember, your Vagabond* Professional andand you’re We have some suggested kid’s focused resorts destinations simulator are a favorite of the kids. The Caribbean Adventure with Sesame Street andwith the XBOXoffers play Viking cruise guests your own. • 2 swimsuits know to explore inland Europe, visiting cities, towns and PBS “Downton Virtuoso Professional ready to pack your Travel Six Hawaiian Islands , enjoy: each with Abby” its can own personality, where in a private chapel in Florence’s counspecial activities and amenities that the entire family will •can’t Takes ittheir from to extraordinary: Advisors assist with Cruise lines have upped gameordinary with expanded (put 1 in your carry-on so you canships goand right to the beach) lounges are so popular with children families. 19 Specialty restaurants and children’s dining areas provide great choices. villages that traditional big usually access. suitcase. 3 days in England Countryside, and special tour assist you in planning a vacation surrounded by blue waters, and where happiness is a way of 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. knowing where to go and when, which hotels have the best Now the big question is: 2 cover-ups are Kauai, Maui, and Big Island. It•will be a great family vacation memory. with the mostfamous value andhouse. addedfeels both country-club and cozy at the same of the BLUFF, ANTIGUA vessels can’t reach. ✿ RiverCURTAIN cruises are luring experienced What do you take locals views, connecting with while traveling. (1 with sleeves for evenings dining onocean the cruisers beachoff&the 1 mega-ships Pareo) touches to your experience afor wonderful andyou? onto intimate time. This charming resort with an make AlainWaterways Ducasse-trained chef dining has Ocean views • Avalon “Austrian Highlights” from with If you’re cruising in the Caribbean • Knows your travel style and what’s important to you, i.e., riverboats with focus on current themes. from every room, a game room and the Ceebee Kids memorable one.•diving WithWatersports so many new including fees and • Yoga pants and 2 tank tops AddMunich aand fewwaterskiing, more tee shirts and another of shorts Vienna to highlighting apair Beer theme. cooking Greece , think Santorini or Mykonos with small fishing private classes or a ships were built with families in mind. A deluxe family Ocean view restrictions the airlines have Club. The beach is beautiful leading to a turquoise Caribbean Sea. The river cruising destinations, like a 12-day Bordeaux , the “Jewel of the Atlantic,” Our dedication to our clients during after everybags vacation • Lightweight sweater,before, rain poncho, and and zippered plastic • 2 shorts and 2 tees imposed for baggage, youorwill haveDanube, tovillages, stunning beaches, accentuated by whitewashed buildings. consider leaving your entire closet • Tauck offers riverfor cruises with its Tauck River cruise, 7-day offer cruise guests the local retreat to refresh. for wetfamily suits. stateroom with Verandah is perfect for a family of 4 or 5. There’s a 3 story AquaDunk body slide kids makes a world of difference. at enjoy beautiful weather, pink sand beaches home from now on.without Some airlines are charging carry-on bagsApril’s now, • 3 sundresses experience the long tour busforrides. From •program, Whatever you forget you can purchase on cooking board or at the Bridges including family • Virtuoso Advisors connects travelers to top and other airlines let you board first if you have no carry-on bags. So what created ✿ BEACHES, TURKS & CAICOS was to be the ultimate get with no fearFlip onflops, deck,flat or for the younger set, there’s the AquaLab with a looping waterslide. tulips to December’s Christmas Markets, hundreds of • SHOES: sandals, wedges, sneakers ports or resorts. warm friendly people. Conde’ Nast Traveler areand the essentials to pack? lessons. hotels, cruise lines, tour operators, and destination together getaway, where everything is Included and unlimited. The white sand beaches Enjoy Your Travel Experience. riverboats and barges glide along Europe’s historic rivers Aprotected fewor years from now what Here is a packing primer from Carole Kaiman, Travel Professional that Disney destinations vary from Caribbean cruises with Disney’s own private island cruising Europe Barbados , with beautiful beaches and great • Pashmina Readers have voted Bermuda “Best Island in the Caribbean” 17 times! (rated the best in the Caribbean by Travel & Leisure) exciting watersports and unlimited scuba diving will rememberof is the total of canals, which span thousands of miles of Continental youExamples specialists. might helpand some the best with the process. There are several brand new River cruise lines restaurants to rekindle your spirit and feed the soul. experience of your Virtuoso vacation, NOT Advisor • Sunglasses (for to certified divers).connecting North Sea to BlackYour with special highlights for the kids enjoy. waterways, Sea. Vagabond Travel Cruise Line Themes: • Can handle almost anything. Problems do occur andtheRiver things you forgot to pack. are about children. Amazing waterparks with body slides,River lazy rivers and surf entering the market such as through Emerald Waterways ForBEACHES a week inresorts Caribbean: • Packable sun and foldable beach bag hat your A Travel Professional with years of expertise will work for you, A Europe River Cruise is one of help the bestFor ways we • Viking Cruises, partnership with over 25 years, Virtuoso Advisor istheyour personal line to help *Remember, your Vagabond* simulator are a favorite of the kids. The Caribbean Adventure with Sesame Street and the XBOX play • 2 swimsuits know to explore inland Europe, visiting cities, towns and PBS “Downton Abby” offers Viking cruise andresorts, Scenic cruises to fill can the demand. Eachguests line Virtuoso Travel Professional The options gocarry-on on to Mexican all-inclusive exciting travel to areas • Costume jewelry, (leave the real jewels home) goand Italy where in a private chapel in Florence’s counand her only objective is to give you the best experience possible and turn things around for the better. (put 1 in your so you canships right to the beach) Carole Kaiman lounges are so popular with children families. 19access. Specialty restaurants dining provide great choices. villages that traditional big usually can’t days inchildren’s England Countryside, and special tour assist 3 you inand planning a vacation tryside you can renew your vows and have a candlelit Dinner over the Arno River. hasthis its highlights, such as the long ships and the and an evening 2Africa cover-ups purse For travelers who have notvacation planned a vacation yet, It•will be a great memory. withsummer the mostfamous valuevacation) andhouse. added South forfamily families, Alaska tours (Perfect for of the to help you realize your romantic dreams. Vagabond Travel with sleeves evenings diningit! onLate the beach & 1next Pareo) generation touches to make your experience a Space-Ships. • Avalon Waterways “Austrian Highlights” from Must Haves: could be the right(1moment toforthink about summer and •fabulous Tauck tours of Europe. memorable one.to Munich highlighting a Beer theme. Yoga pants and 2 tank tops Vienna ✿ DISNEY CRUISE were with families A deluxe Ocean view and months are the perfect time tobuilt get the • Insect Repellent, Sunautumn Protection at least 30 SPF) It’s a great new cruising experience! *Check outin mind. ships Bermuda , the “Jewel of the Atlantic,” Our dedication tofamily our clients before, during and after every vacation • 2(with shorts and 2 tees • 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 absolute utmost of your trip to Italy and France or • 3 sundresses • Facial and body moisturizer Start your unforgettable vacation www.virtuosolife.com Bridges program,at including family cooking by contacting Travel Advisor Carole Kaiman, at Vagabond Contact Carole Kaiman Vagabond Travel with no fearFlip onflops, deck,flat or for the younger set, there’s the AquaLab with a looping waterslide. • SHOES: sandals, wedges, sneakers warm friendly people. Conde’ Nast Traveler wherever your travel dreams are. and Travel, lessons. • Make up Bag: waterproof eyeliner, Carolemascara, Kaiman at Vagabond a Virtuoso Agency in Little Silver, today! Enjoy Your Travel Experience. for our Digital Magazine Disney destinations vary from Caribbean cruises with Disney’s private732-222-2792 island cruisinginformation Europe • Pashmina Virtuoso Agency for or latest and Readers have voted Bermuda “Best Island in the Caribbean” 17 times! orRiver 732-842-2600. Travel, Silver own today. a Virtuoso Agency in Little There are several brand new Advisor cruise lines hair conditioner and shampoo with • Sunglasses special highlights for the kids to enjoy. Your Vagabond Travel Virtuoso and some amazing travel ideas.
✿ DISNEY CRUISE Bermuda
amenities. entering thethat 732-222-2792 orsun 732-842-2600. Create will lifetime. market such as last Emeralda Waterways • Packable hat and foldable beach bag memoriesmemories A Travel Professional with years of expertise will work for you, Create that a lifetime. For will over 25last years, andresorts, Scenic exciting cruises to fill the The go on to Mexican all-inclusive travel to demand. Each line • Costume jewelry, (leave the realoptions jewels home) and her only objective is to give you the best experience possible and Carole Kaiman has its highlights, such as the and an evening purse South Africa for families, Alaska tours (Perfect forTravel summer vacation) long ships and the to help you realize your romantic dreams. Vagabond next generation Space-Ships. Must Haves: and fabulous Tauck tours of Europe. • Insect Repellent, Sun Protection (with at least 30 SPF) It’s a great *Check out new cruising experience! Start your unforgettable vacation by contacting Travel Advisor & Romance Specialist • Facial and body moisturizer Start your unforgettable vacation www.virtuosolife.com byContact contacting TravelKaiman AdvisoratCarole Kaiman, at Vagabond Carole Vagabond Travel • Make up Bag: waterproof mascara, eyeliner, Carole Kaiman at Vagabond Travel, a Virtuoso Agency in Little Silver, today! for our Digital Magazine Over Virtuoso Agency732-222-2792 for latest information and25 Years or 732-842-2600. Travel, a Virtuoso Agency in Little Silver today. hair conditioner and shampoo and some amazing travel ideas.
Carole Kaiman, Travel Specialist Vagabond Travel Virtuoso Agency 542 Prospect Ave.
amenities. 732-222-2792 or 732-842-2600. Create memories that will last a lifetime. Create memories that will last a lifetime. Little New Jersey LittleSilver, Silver New Jersey07739 07739
*Check out www.virtuosolife.com *Check out www.virtuosolife.com for our Digital Magazine and some foramazing our Digital Magazineand some travel ideas. amazing travel ideas.
The County Woman Magazine
The County Woman Magazine e County Woman Magazine The County Woman Magazine e County Woman Magazine
Carole Kaiman, Travel Specialist 732-859-5513 732-222-2792 Direct Vagabond Travel Virtuoso Agency 732-842-2600 Office 542 Prospect Ave.
Over 25 Years
Little LittleSilver, Silver New NewJersey Jersey07739 07739 website: www.vagabondtvl.com 732-222-2792 Direct
732-842-2600 Office
November/December 2016 May/June 2014 2014 November/December May/June 2014 2015 January/February www.vagabondtvl.com
*Check www.TheCountyWoman.com out www.virtuosolife.com *Check out www.virtuosolife.com for our Digital Magazine and some www.TheCountyWoman.com foramazing ourwww.TheCountyWoman.com Digital Magazineand some travel ideas. www.TheCountyWoman.com www.TheCountyWoman.com amazing travel ideas.
website:
The County Woman Magazine www.TheCountyWoman.com The County Woman Magazine The County Woman Magazine The County Woman Magazine
www.TheCountyWoman.com www.TheCountyWoman.com www.TheCountyWoman.com
May/June 2020
November/December 2016 May/June 2014 2014 November/December
Community
34
Answering Needs. Advancing Potential. Serving infants, children, and adults with complex physical and developmental disabilities or delays in Monmouth and Ocean Counties
For over 70 years the support of the community has contributed greatly to LADACIN Network’s success. Your generosity today will help ensure the more than 3,500 people we serve continue to have the resources and services they depend on. Thank you for supporting your local non-profits during this difficult time so that we can provide critical services needed in our community.
UPCOMING SPECIAL EVENTS
FOR EVENT DETAILS AND UPDATES PLEASE VISIT WWW.LADACIN.ORG
The 18th Annual
RAT Rock Open Charity Golf Classic Monday, June 15th at Jumping Brook Country Club, Neptune
Rosebud Gala
is rescheduled to
Saturday, August 22 at the Sheraton Eatontown Hotel
(new location)
For More Information
Casino Night
is rescheduled to Saturday, Nov. 14th
nd
and
Sunday, Nov. 15th at Monmouth Park Racetrack,Oceanport, NJ
Friday, October 16th at Eagle Oaks Golf and Country Club, Farmingdale, NJ
Call Community Relations at 732.493.5900 ext. 263 or email communityrelations@ladacin.org LADACIN Network • 1703 Kneeley Boulevard • Wanamassa, NJ 07712 • www.ladacin.org www.LADACIN.org
New Jersey Marathon
/LADACIN
@LADACIN
The County Woman Magazine www.TheCountyWoman.com
@LADACIN
May/June 2020
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Theatre & Entertainment
The County Woman Magazine www.TheCountyWoman.com
35
Photos by Yurik L. Lozano and Scott L. Friedman.
May/June 2020
Community
36
Stay Healthy, Active & Connected With Scan! What is Social Community Activities Network?
SCAN programs sustain independence, health and happiness among people fifty years of age and older in Monmouth and Ocean Counties by using education and technology to create an environment where the aging population can continue to grow intellectually as well as physically and emotionally, thereby allowing older adults to thrive – not just survive. SCAN is a place where Active Adults meet to be Informed, Empowered and Inspired. Throughout the year, we will continue to introduce new programs and services that complement our mission.
Sponsor Spotlight: We wanted to thank and highlight our Diamond Sponsor, CareOne, for being part of SCAN and helping us to bring our programs, classes and special events to seniors throughout Monmouth and Ocean Counties. CareOne has developed a reputation as a premier health care company and assisted living community due to their commitment to best clinical practices, strong management standards and resident quality of life. They are much more than just an NJ nursing home; they offer a wide variety of services and living arrangements to give each of their residents the individualized care they need and deserve. The CareOne Difference can be seen in the lovely surroundings, the lush courtyards, the tasteful decorations and the restaurant-style dining rooms—things that tell you it is no ordinary health care center. You can feel it in the comfortable amenities and homelike rooms that will put you at ease, and in the reassuring touch of a nurse’s hand as she helps you out of bed. And you can hear it in the laughter coming from the activity room, the enthusiastic greeting of a physical therapist, and the proud farewells of the staff as you leave for home. Learn more about CareOne and find a location near you by visiting: care-one.com.
SCAN’S UPCOMING CLASSES AND EVENTS Since our schedule was tentative at the time of print, we ask that you please visit our website at scannj.org for an update on the start date for our upcoming semester as well as the class and special event schedule for all of our locations, which include the Monmouth Mall, the Freehold Campus at Bethel AME Church, the Freehold Raceway Mall and St. Andrew United Methodist Church in Toms River.
Call SCAN at 732-542-1326 with questions.
TUNE IN TO SCAN TV! Did you know that SCAN produces 3 television shows every month that provide important community information and resources for seniors and caregivers? You can view current and past episodes on our YouTube Channel at any time: https://www.youtube.com/ScanMonmouthCounty
Welcome to SCAN:
Benefits of Becoming a SCAN Member:
Tracey Wolfman, Owner of We Care Adult Care, hosts this show that provides general information on all aspects of topics that are of particular interest to the senior population as well as information about SCAN Education and Resource Center.
• A discount on all SCAN education classes for which there is a fee Community Connections: Thomas Hayes, Director of Customer and Community Relations for NJ Natural Gas Company, hosts this show that provides a • Free one-on-one counseling (by appointment) with NJ State Health communications portal through which a wide range of organizations, governmental Insurance Assistance Program (SHIP) counselors agencies, individuals and businesses can share their wealth of knowledge and experience. • Reduced-cost tickets to SCAN Annual Leaders of Distinction Luncheon in October Caregivers First: Lavelle Jones, AARP NJ State President, hosts this show that provides caregivers with information and resources for caregiving, including topics • Free Lunch & Learn programs at all of our locations: Monmouth such as legal, health insurance, physical wellness, end-of-life issues, and nutrition. Mall, Freehold Borough, Toms River In addition to our shows, we also have • Free Special Events – Technology Fair, Senior Expo, Brain Health produced some special-interest videos such as an Fairs, Transportation/Mobility Fair, Vacation Expo, Housing Options exercise video that was done in collaboration with GymGuyz of Central Monmouth. It is a great way Fair and more to stay active and healthy at home. It can be viewed • Free Lakewood BlueClaws tickets, when available and in season on our YouTube channel as well (link above). The cost of a SCAN membership is $30 per year ($20 for a renewal). 180 Route 35 Eatontown
(basement level of Monmouth Mall)
732-542-1326 • www.scannj.org
Pat Bohse
Executive Director
SCAN Hours: Monday to Friday 9:00 AM to 4:00 PM
The County Woman Magazine www.TheCountyWoman.com
May/June 2020
Networking For Moms
37
Moms Of Business is a community of mom entrepreneurs that uplift, motivate and help one another online and in person on their journey to abundance. Not only do we strive to educate and empower each other through our Facebook groups & resourceful website, but we're all about having fun, making new friends and growing our businesses too. NEW VIRTUAL PERKS JUST ANNOUNCED!
The County Woman Magazine www.TheCountyWoman.com
May/June 2020
38
Community
The County Woman Magazine www.TheCountyWoman.com
May/June 2020
Medical Professionals
The County Woman Magazine www.TheCountyWoman.com
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May/June 2020
TOP DOCTOR
2020
NJTopDocs
D
uring this troubling time the doctors and staff at Gastroenterologists of Ocean County remain available to care for your needs. We are using telemedicine and offer limited office hours for carefully screened patients. Our endoscopy centers remain open for emergent procedures for which a delay could cause harm to the patient or lead to hospitalization. Please call if you have any questions or concerns, 732-349-4422
The County Woman Magazine www.TheCountyWoman.com
• Colonoscopy and colon polyp removal • Colon cancer detection and screening • Rectal bleeding evaluation • Ulcer pain evaluation and treatment • Swallowing disorders • Endoscopic treatment of hemorrhoids • Capsule endoscopy • Esophageal Manometry
May/June 2020