Monmouth County Woman - November/December 2020

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An Educational Resource for Women and Their Families

FREE ~ Please Take One MAKE GRATITUDE A HABIT.

KEEP DREAMING!

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Everyone feels down or stressed at times, but given the current situation (COVID), many people are feeling an extra level of heaviness and edginess.

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Photo by Carmela Caracappa Photography.

Sometimes it’s easy to get wrapped up in the negative aspects of our lives.

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Travel opens us up to the wonders of the world and connects us to culture and nature.

TRAIN YOUR MIND TO CURB YOUR STRESS AND LIFT YOUR SPIRITS.

Women Helping to Educate and Enhance Life (WHEEL) is a volunteer organization designed to provide women with tools and resources to help make impactful changes in their lives. Geeta Brana started WHEEL in 2019 when she recognized there was a void for a group that encompasses all aspects of change in a woman’s life. Read more on pages 10, 11 & 12.

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Medical Professionals

2

Imagine life without the debilitating effects of peripheral neuropathy!

Do you suffer from peripheral neuropathy?

It is estimated that over 20 million Americans suffer from Peripheral Neuropathy and if you are one of these people, you know firsthand what it’s like to be unable to do the things you like because of the constant tingling, pain, numbness and loss of feeling in your feet and legs. There is nothing more discouraging than feeling you are unable to be fully engaged in the life that you have worked so hard to attain. Your ability to remain active and independent may be greatly diminished by the debilitating symptoms which seem to affect everything you do.

In addition to the physical limitations you may experience, we understand how mentally and emotionally challenging it can be when you are unable to enjoy the simple pleasures of life from walking and exercising, to playing with your grandchildren or simply getting a good night’s sleep! Many patients we see with this condition are also living in fear of losing their balance, or missing a step and falling, potentially leading to something worse. So, if you are sick and tired of the negative impact of peripheral neuropathy on your quality of life and the worsening of symptoms, we are excited to offer our very unique treatment approach that has successfully helped countless people just like you!

SYMPTOMS NUMBNESS, ALTERED SENSATION TINGLING OR BURNING SHARP, SHOOTING PAIN MUSCLE WEAKNESS, CRAMPING LOSS OF BALANCE, COORDINATION

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Conventional treatments for neuropathy are generally unsuccessful since most focus on addressing the symptoms of the disease, not the cause – which is lack of circulation to the peripheral nerves. Often, underlying conditions and comorbidities affecting blood circulation will reduce the nutrient and oxygen flow to that nerve, resulting in distress and damage.

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 several years of research, the technology was originally developed to treat Navy SEAL divers for hypothermia, having the ability to promote fast, oxygen-rich blood flow in the extremities. MicroVas’ powerful, deeply penetrating waveform causes blood to circulate more effectively 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, while accelerating the healing process.

We have witnessed MicroVas’ substantial therapeutic effects and when combined with our extensive manual soft tissue massage and functional conditioning for strength and balance, our primary goal is to help you achieve optimal results for longterm relief!

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Medical Professionals

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Telehealth appointments available for your safety

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November/December 2020

The County Woman

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WelcomeMonmouth to the November/December 2020 Issue of the Monmouth County Woman!

County Monmouth County Since 2008

Since 2008

Woman Dear Readers,

Woman

There is no doubt about it, 2020 has been a year unlike any other. While the pandemic has become a part of our everyday life and we are learning to live with it, it can still feel challenging at times to adjust to this new normal. We are approaching the holiday season and like everything else these days, it’s going to look a bit different. However, that does not mean that traditions must be cancelled. They just need to be tweaked a bit.

I am really looking forward to the holiday season and its clear we could all use a reprieve from the worry and stress of the pandemic. This is a time to exercise our gratitude muscle and take notice of all the ordinary blessings we have in our life.

If you are unable to spend time in person with family members this year, be sure and take advantage of technology and set up zoom calls. As we all know, travelling can bring with it risks and the safest thing we can do is stay home.

While its tempting to think of all the things we may not be able to do this year, it is more important than ever to try and stay positive. New Jersey is beautiful in the winter and there is plenty to do. I personally love Medical Professionals driving around the different towns to see the beautiful holiday lights and REHABILITY ................................................................ 2 decorations. There really is no better time to reflect on our blessings and University Urology Associates of New Jersey .............. 3 deliberately seek out ways to be better for ourselves and our loved ones in All-Care Physical Therapy Center, LLC ........................ 5 2021. This is the season to spread joy, kindness, and wonder. Take time for All correspondence should beAll addressed to: correspondence should be addressed to: Atlantic NeuroSurgical Specialists ............................... 6 yourself and stay healthy.

“Winter is the time for comfort, for good food and warmth, for the touch of a friendly hand and for a talk beside the fire:it is time for home.”

- Edith Sitwell

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The Holidays CountytoWoman The County Woman Happy you and yours!

Bella Derma Medi Spa................................................ 13 P.O. Box 619 P.O. Box 619 Gastroenterologists of Ocean County ........................ 14 Best Wishes, Ocean Hematology & Oncology ................................. 15 Turnersville, NJ 08012 Turnersville, NJ 08012 Lauren Shover, Production Manager, & the Staff at the Monmouth Relievus ...................................................................... 16 The County Woman’s Newspaper is published bi-monthly and isWoman’s available Newspaper free of charge at County Woman Publication The County is published bi-monthly andReproductive is available free ofScience charge at Center of NJ ........................... 17 display stands in approved private and public establishments and authorized display stands in approveddistributors private andonly, public establishments and authorized distributors only, Toms River X-Ray, CT & MRI Center ......................... 18 or by paid mail subscription. or by paid mail subscription.

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November/December 2020

Medical Professionals

5

Understanding Bursitis How Can Physical Therapy Help You?

by Lori Hueburger, DPT

Anatomy and Function of a Bursa

Bursae are fluid-filled sacs that aid in joint motion. There are over 150 bursae in the human body. Bursae are filled with synovial fluid (a lubricant) and they secrete this fluid to counter joint friction with movement. They function to provide a cushion between bones and muscles and their tendons, allowing pain-free movement.

Without a bursa, the tendons would grind over the bones with each movement. When bursitis occurs, it is the inflammation of the bursa sac, causing irritation and making movements painful and difficult. Bursitis occurs most often later in life, the majority of individuals being over 40 years of age. You can see signs of bursitis if the affected joint feels achy or stiff, if it hurts more when you press on it or move it, or it looks swollen or red.

How Bursitis is Diagnosed

Bursitis is often diagnosed through ruling out other pathologies and gathering a detailed medical history and physical exam. Imaging can be useful to diagnose bursitis; while x-ray can rule out other pathologies, it cannot positively establish the presence of bursitis. Ultrasound or MRI can be used to confirm the diagnosis.

Common Causes

Bursitis can occur for a number of different reasons.

Repetitive motions, muscle weakness, poor coordination, improper posture, direct trauma, surgery, calcium deposits, infection or autoimmune disorders can all directly cause bursitis and result in pain and irritation with joint movement.

Types of Bursitis

Subacromial, prepatellar, trochanteric, olecranon and pes anserine are all common areas where bursitis can occur. Subacromial bursitis presents with pain around the shoulder, usually caused by repetitive throwing or overhead reaching. This is the most common of all the types.

Prepatellar and pes anserine bursitis affect the knee joint and can be irritated with kneeling or stairs. Trochanteric

affects the hip joint and can be caused by sudden increased amount of walking or jogging. This type may cause pain with lying on the affected side. Olecranon bursitis affects the elbow, also known as student elbow and can often result in swelling.

Treatment Options

Conservative treatment is usually used first for the treatment of bursitis. This involves rest, ice and taking a pain reliever or anti-inflammatory medicine. If the bursitis is caused by infection, a prescribed antibiotic by a physician can be used. A corticosteroid injection can be used to decrease inflammation. Surgery may also be done to drain the bursa or remove it altogether, which is a more rare option. Physical therapy is a highly effective and less invasive option.

Physical Therapy and Bursitis

Physical therapists are educated and trained to help treat all types of bursitis. During the physical therapy evaluation, your therapist will take measurements to see what musculoskeletal deficits are present and design a personalized exercise program. The program will be targeted to your specific needs and will aim to improve several areas.

Increase Strength. Bursitis is often the result of weak musculature. Weak muscles can lead to injuries or coordination problems. By building up strength in the muscles, joints will move more efficiently and with improved mechanics, leading to decreased rubbing on the bursa and decreased irritation. Along with strength, power

and endurance should be addressed since bursitis is often linked to overuse. Exercises may include free weights, TheraBands or weight-bearing activities.

Improve Range of Motion. Physical therapy will help restore normal motion in the affected joint. Over time from bursitis, joint motion may decrease due to pain or soft tissue changes. Your physical therapist may address this with passive range of motion exercises and then progress to active and stretching. Since any pressure on an inflamed bursa can increase pain, it is imperative to stretch any soft tissue structures that are tight or shortened to decrease pain.

Post-Surgical Care. Although surgery is not a common intervention used for bursitis, if it is performed, then physical therapy can aid in your recovery. Your W omen O f O physical therapist will create a personalized program to cean help Co you regain strength and range of motion in the most painfree and time-efficient mannerDotoli, possible.

Kathleen Esq., Workers’ Compensation & S Ms. Dotoli is a licensed NJ attorney and has been practicing law and protecting workers’ rights Reduce Pain andCounty Swelling.

Modalities can be Bar Association’s Worker’s Compensation Committee and used a member of the NJ State Bar A Committee. Ms. Dotoli has received recognition from the American Institute of Legal Counsel for to address the swelling in the joint.

Therapeutic agents Law Division for Client Satisfaction” in 2016.

Ms. Dotolistimulation also completed ten yearscan of training the Justice James Coleman Workers’ Comp such as icing and electrical bewithgood ways Board Member of the American Red Cross, South Jersey Division and is a Member of the Paralega of her proudestswelling. achievements is being a member of the NJ Bar Foundation’s Vincent Apruz to modulate pain and One decrease This in turn will creates the challenging statewide mock trial program for high school students statewide. allow for the underlying pathologies to be treated.

Relative Ms. Dotoli holds several lectures each year for the public to learn more about Workers’ Compen and maintains her law practice in Ocean County, stating, “This is where my heart is and wher rest can also alleviatelivespain.

Your therapist can instruct you For more information please call, 732-228-7534 or visit www.jerseysh in activity modification and altering movement patterns to Photo by Tracy Harman Photography decrease the stress placed on the joint.

Barbara Sica,Once Director of Reverse Homebr Reoccurrence Prevention. your bursitis Lending, is Born and raised in Ocean County, Barbara Sica has been a trusted source in the local mor treated, your physicalHomeBridge’s therapist will have provided you helped withthousands of local r Director of Reverse Lending, not only has Barbara assisted countless New Jersey seniors maintain their quality of life by explaining to them how a home exercise program.

Bursitis can be a re-occurring Modern reverse mortgages are not the deceptive loans many thought them to be decades a leverage program the equity in theirwill home sohelp they canprevent live the life they’ve become accustomed to, in ad ailment, and your home this. vacation travel, as well as for other things of interest to themselves and their families. considers her approach in the mortgage industry “old school” and takes pride in t By keeping up with theBarbara exercises, you will maintain your customers, as well as being there for them every step of the way during these incredibly impo strength and flexibility.HomeBridge By making modifications, itself is one simple of the faster growing, mortgage specific lenders in the country, li you canFor reduce your riskor for bursitis and decrease severity ofor visit www. more information to schedule an appointment call 732-569-4830 flare-ups. Your physical therapist will instruct you in proper lifting techniques and maintaining proper posture, and Judy Kerlin, Orthopedic Nurse Practitioner, Advocar educate you on the importance of stretching and warming Judy Kerlin, APN, is currently employed at Advocare Stafford Orthopedics up prior to strenuousOriginally exercise. from Philadelphia, PA, she now resides in Ship Bottom, NJ. She h Prior to Physical returning to school to obtainCenter advanced degrees, she worked as a reg At each one of All-Care Therapy Center. After graduation, she became board certified and has worked as an O locations, our staff is past knowledgeable and qualified to for patients with musculo 20 years. Her scope of practice includes caring Judy has office hours on Monday and Wednesday and can treat all orthoped help you with bursitis.

We will create an individualized chronic problems such as arthritis. With her varied experiences and caring de care from exercise program to cater toher.your specific needs. Call for an appointment today!For more information please call 609-597-6092 or visit www.advoca Photo by Tracy Harman Photography

Your safety and health are our first priority

Barnegat Brick - Ramtown Brick - Silverton Forked River Freehold Jackson Manahawkin Manchester Toms River Wall Whiting New Specialty Service Centers

Lori DPT, Physical LoriHeuberger, Heuberger, DPT Therapist, All-Care

We’re open and here for you!

All-Care is following all CDC guidelines to keep you (and us) safe!

• Telehealth • In-Clinic • In-Home Therapy • In-Network

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

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

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Lori Heuberger works at All-Care Physical Therapy Center’s Barnegat location as Bachelors of Science degree in Kinesiology with a concentration in Exercise Science Lori Heuberger works at All-Care then attended Seton Hall University where she received a Doctorate of Physical Ther Physical Therapy Center’s Barnegat of her classmates conducted extensive research on gait patterns and deviations. This the National Combined Sections Meeting in 2015. location as an outpatient physical Lori has completed clinical rotations in areas of outpatient orthopedic, acute reha therapist. earned has worked withLori and treated a wideher rangeBachelors of diagnoses andof patient populations inclu Parkinson’s, replacements, arthritis and various orthopedic post-surgical. Lori i Sciencejoint degree in Kinesiology with a herself on providing patient-first care. She believes each of her patients’ plans of care concentration in Exercise Science from personal goals.

James Madison University in 2010. Lori For more information about physical therapy at All-Care please visit their website at www.al then attended Seton Hall University where she received

by Tracy Harman aPhoto Doctorate ofPhotography Physical Therapy in 2015. While at Seton LoriWoman and three of her classmates conducted extensive www.TheCountyWoman.com TheHall, County Magazine research on gait patterns and deviations. This research was later accepted to and presented at the National Combined Sections Meeting in 2015.

Lori has completed clinical rotations in areas of outpatient orthopedic, acute rehabilitation and subacute skilled nursing. She has worked with and treated a wide range of diagnoses and patient populations including amputations, cerebral vascular accidents, Parkinson’s, joint replacements, arthritis and various orthopedic post-surgical. Lori is passionate about physical therapy and prides herself on providing patient-first care. She believes each of her patients’ plans of care should be tailored to fit the individual and their personal goals.

November/December 2020

Medical Professionals

6

Monmouth County,

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To conveniently deliver top spine and neurovascular care to more patients in and around Monmouth County, ANS | Altair Health is now open in Eatontown. Here,

ANS is a proud partner of Altair Health.

patients have access to cutting-edge, comprehensive, compassionate care ... close to home.

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ANS | Altair Health Eatontown: 4 Industrial Way W, Eatontown, NJ 833.4.ALTAIR (833.425.8247) | AltairHealth.com

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November/December 2020

Legal Professionals When Abuse is Profuse, Always Refuse to Lose!

Surviving and Thriving – Domestic Violence

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

The Prevention of Domestic Violence Act of 1991 is a statute found within New Jersey’s Code of Criminal Justice, specifically at N.J.S.A. 2C:25-17 through 2C:25-35. The law is found within the criminal laws; the court process is considered civil in nature and final restraining order (FRO) hearings / trials are held in the New Jersey Superior Court, Chancery Division, Family Part. Given the state of COVID-19 and the attendant stressors accompanying it, our practice has seen a tremendous spike in domestic abuse and violence cases, giving us all a great cause for concern.

This article aims to give an extremely basic and brief overview to a complex area of the law in New Jersey. Victims of domestic abuse and violence can use these set of laws through a skilled attorney to navigate through a difficult period of their life and through a legal process that seems intimidating. First, who exactly qualifies as a victim? Our state law defines a victim of domestic violence as any person who is eighteen (18) years of age or older or who is an emancipated minor and who has been subjected to domestic violence by a 1) spouse, 2) former spouse, 3) present household member, 4) past household member, 5) any person, regardless of age, with whom the victim has a child in common, 6) anticipates having a child in common (pregnancy), or 7) has or has had a dating relationship with. See N.J.S.A. 2C:25-19d.

When victims of domestic abuse and violence muster the courage, strength and temerity to finally say enough to their abusers, the process usually begins with a 911 call if there is an active situation or when the victim can safely escape the situation and goes to either the municipal police department or Superior Court. The process can seem overwhelming but either a police officer or court staff will take the initial information and connect the victim before a municipal court judge, a domestic violence hearing officer or a Superior Court judge to obtain a temporary restraining order (TRO). This is known as an ex parte proceeding, meaning that the abuser is not present nor an attorney from their side. An interpreter can be made available and accommodations for any disability if needed. By law, the victim is put under oath and a copy of the testimony is supposed to be kept, either through stenographic medium, tape or longhand notes (if he or she is not physically present). See Rule 5:7A(d). The victim is asked information regarding the predicate (underlying) act or set of acts causing them to seek out a TRO. There is a box to be checked off on the first page of the TRO and the law provides nineteen (19) categories that can fit, including false imprisonment, sexual assault, harassment and stalking.

See N.J.S.A. 2C:25-19a(1)-(19). Additionally, they are asked for information about past history regarding domestic violence and abuse. If during the shock or pressure of this harrowing ordeal a victim forgets information, he or she can either themselves, or better yet, through an attorney, get an amended TRO that includes past acts of violence not initially included.

See State of New Jersey Domestic Violence Procedures Manual § 4.5.7. For most victims at the onset of seeking a TRO, an attorney is not involved; however, it is imperative that the first call they make after getting safe from a current act(s) of domestic abuse and violence is to one. At that point, the judge either grants or denies the TRO. If the TRO is granted, you will be provided a copy of the TRO, which indicates certain things the abuser is prohibited from doing, including, but not limited to, contacting you by any means nor through third parties, to have the abuser vacate the household, prevent them from showing up to your work and other protective measures. Law enforcement are directed to serve a copy of this TRO to put the person on notice

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that a judge has granted this protection. Then by court rule, this event must be heard within ten (10) days to determine whether an FRO is to be granted. See Rule 5:7A(e). Usually, and especially during COVID-19, a reasonable postponement to get an attorney, from either the victim or the abuser, is honored. It should be noted that unlike the criminal justice system, where an attorney will be appointed for you if you cannot afford one, this is inapplicable in the domestic violence arena in New Jersey. It is common, however, for the abuser to be charged criminally as well in either municipal court or Superior Court, depending on the severity of the underlying domestic violence act.

Once the day arrives for the FRO hearing / trial, you will need all your witnesses present along with any evidence that supports your case. This holds true even during the pandemic wherein FRO hearings / trials are being held through virtual court, usually on a Zoom or Microsoft Teams platform.

In our state court system, as the victim / plaintiff, you bear the burden of proof. Fortunately, for domestic violence victims it is the lowest burden of proof, a preponderance of the evidence which essentially means that the evidence is more likely true than not true (essentially slightly over a fifty [50] percent standard). See N.J.S.A. 2C:25-29a. In order for the victim of domestic violence / plaintiff to win, he or she must prove, by a preponderance of the evidence, that 1) the court has jurisdiction to hear this case or, in other words, whether they are a victim of domestic violence as defined above; 2) that they have proven by preponderance of the evidence that at least one predicate act occurred and 3) that they have proven by a preponderance of the evidence that issuance of an FRO is necessary to prevent further abuse or future harm. See generally N.J.S.A. 2C:25-29a(1)-(6); Silver v. Silver, 387 N.J. Super. 112 (App. Div. 2006).

If the victim is successful in obtaining an FRO, it is a major victory for him or her and a major impediment for the defendant / abuser. A judge has the power under this comprehensive act to order a host of things, including, but not limited to, exiting the residence, revocation of a person’s firearms identification purchaser card, a monetary penalty, subject the person to drug testing, fingerprinting, a financial penalty, payments of restitution, payments for rent or mortgage, custody of a pet, parenting time, mandated professional domestic violence counseling. An FRO can have immigration consequences for a non-citizen, can affect a background check, military or security clearance, and if violated, will subject the violator to prosecution in the Criminal Part of the Superior Court for an indictable crime of contempt. An FRO in New Jersey, unlike other jurisdictions, is permanent – it does not need to be renewed and generally it is not removed absent an exception.

This is an extremely simplified version of the major parts of the process. Please call us to utilize our specialized skills, knowledge, education, experience and training to help you break free of the cycle of domestic violence!

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November/December 2020

Financial Management

8

Thoughts On Retirement “Dare to live the life you have dreamed for yourself. Go forward and make your dreams come true.” – Ralph Waldo Emerson In keeping with the theme of this issue of The County Woman, I am going to share some thoughts (not financial) about retirement, because many of you may be thinking of retiring in 2021.

One of the recent changes in approaching retirement has been a shift from a complete exit of the labor force to a partial one. Retiring for many may mean the freedom to work only the amount of time they want, and for work to become an optional part of their lives. This may be because transitioning into retirement can be such a difficult process.

Restructuring one’s finances from the lifelong accumulation model into a lifetime distribution phase, and the new worries of running out of funds, may contribute to a piecemeal transition.

Another part I want concentrate on in this article is that the retiree will have an abundance of unstructured time on his or her hands. Everyone has things to do on their bucket list, but some of those things may be inaccessible due to travel being restricted or other social avenues being shut down due to the pandemic.

Newly available and unfamiliar free time at retirement should be viewed as a special gift you have worked so hard to deserve. Many of the great retirement gift ideas are specifically enjoyable time sinks, and may be more appropriate than ever to consider for you, friends and family getting ready to retire. Here are a few ideas: Gift Idea #1: The Joy of Painting – Startup kit The idea of painting without formal training or classes has long been popular. Bob Ross was one of the most successful of the “TV art teachers” with his Joy of Painting.

Bob’s gentle voice and approach created a relaxing environment in which to give it a try, giving amateurs the confidence that they might paint something to be proud of.

With his step-by-step instructions, even though every participant is following the same directions, they each create something that is uniquely theirs.

Best of all, the startup kit has all the needed materials included, so you don’t have to

hunt separately for brushes or paints or canvas. The kit is available on Amazon and other retailers, though the bobross.com website was under maintenance at the time of this writing. If the hobby works out, more videos are available on different streaming sites, so more paintings could be done after the startup kit is finished.

Gift Idea #2: Gear for outdoor hobbies such as golfing, gardening, or hiking Spending time outdoors and staying active and fit become more important as we age.

Some retirees actually find that they become more fit than ever before, because they devote time to hiking, gardening, golfing.

Initially during the pandemic, golf courses in NJ were shuttered. However, we have now found that being outdoors has a lower risk of transmission, and the courses have now reopened with additional safety precautions in place. Similarly, many state parks have reopened as well.

If you already enjoy these hobbies, the gift may not create a new time sink, but it still encourages the activity. Some don’t realize the impact that quality hiking boots can make in terms of the enjoyability of a hike. Stability and support can be the difference between wanting to do the activity again, or shying away completely.

Gift Idea #3: iPad or Kindle, preloaded with games and books Getting an iPad or Kindle and preloading it with books or games in their favorite genre provides a platform for further exploration and creates an additional use for free time. If they don’t enjoy video games, choose digital versions of things they may do already, such as jigsaw or sudoku puzzles. Many jigsaw apps allow you to create your own jigsaw puzzles, so you could load in family photos to surprise them.

Let me leave you with these thoughts: “Don’t act your age in retirement. Act

like the inner young person you have always been.” “Retirement, a time to enjoy all the things you never had time to do when you worked.”

“Often when you think you’re at the end of something, you’re at the beginning of something else.” (Author Unknown)

Ira J. Brower

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

Our focus is where it should be…

Garden State Trust Company.

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

On You. On Your Family.

On Your Future.

1886 Hinds Road • Suite 2 • Toms River, NJ 08753

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732.255.5000 | gstrustco.com November/December 2020

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November/December 2020

Featured On The Cover

10

Meet The Women Of W.H.E.E.L. Geeta K. Brana Senior Vice President, Financial Advisor FREEDOM CAPITAL MANAGEMENT 960 Holmdel Road, Building 1, Holmdel NJ 07733 Tel: 732-546-9315 Email: GBrana@fcmadvisor.com Web: FCMADVISOR.COM/ Geeta K Brana Geeta K. Brana provides comprehensive wealth management and customized asset management advisory services to women in transition. Geeta has over twenty years of experience in the International Capital Markets. Her career started in London in 1995 with Lloyds Capital Markets where she trained in all aspects of International finance and credit analysis. She joined Sumitomo Mitsui Banking Corporation in 2000, where she gained extensive experience of structuring and trading debt packages for multinational corporations throughout the United Kingdom, Eastern Europe, US and Japan.

In 2003, Geeta began her career in the U.S. with Smith Barney’s Wealth Management Division, (Citigroup) turning her extensive knowledge to helping individuals. In a primarily male-dominated environment, she was able to build a successful wealth management practice in Washington DC and later New York City working with high net worth individuals and institutions.

After a career break while her children were young, Geeta has returned to wealth management through Freedom Capital Management (FCM), a boutique independent advisory firm with deep roots in Monmouth County, NJ. In her spare time Geeta is a public speaker, facilitator of wealth workshops, financial columnist for Monmouth County Woman magazine and an advocate for women’s empowerment and education. Geeta is also the Founder of a volunteer organization, “WHEEL” (Women, Helping Educate & Enhance Life). Currently, the focus of Geeta’s practice is on “Women in Transition”; assisting women in all phases of their lives.

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

Ann Mehl Executive & Business Coaching Address: P.O. Box 6387 Fair Haven, NJ 07704 Phone: 917-355-0956 Email: ann.mehl@gmail.com Web: www.annmehl.com Ann Mehl began her career at Anderson Consulting before becoming an associate at Citigroup Asset Management, covering institutional sales in the Middle East. Later, as one of the top-ranked executive recruiters in New York, Ann got her first taste for coaching, which she has been doing ever since. Ann is a highly seasoned executive coach with a loyal following in New York, where she is known as one of the “go-to” coaches for CEOs in tech startup companies.

She has logged over 5,000 hours of one-on-one coaching, and completed training and certification in the following modalities: Non-Violent Communication, The Herrmann Brain Dominance Instrument, The Immunity to Change Model, Tilt 365. She is also a Martha Beck trained coach, a Relational Life Therapist, and a Corporate Athlete through the Human Performance Institute. Ann is retained by clients to work with their senior executives on a variety of issues including communication, leadership training and conflict resolution. She brings a wealth of real-world experience from her own life in addition to her training as an executive coach. She is the real deal, easily making friendships with clients lasting well beyond their engagements.

Ann has developed workshops and leadership training for hundreds of companies all over the world. She is a graduate of Boston College, where she is a founding member of the non-profit group 4 Boston. Having completed over 50 marathons worldwide, Ann is now a volunteer for Girls on the Run, a transformational learning program for girls ages 8 to 14. Ann is an accomplished speaker and writer, and has given keynote presentations as well as one well-received TEDx talk in the Netherlands. Ann is the author of a book, “Painting with Scissors”, How To Use the Tools You Have to Make Your Life & Work a Masterpiece.

Sarah Krüg Founder, Health Collaboratory CEO, CANCER101 Executive Director, Society for Participatory Medicine 222 Broadway, 19th floor New York, NY 10038 646-638-2202

Bettina Munson, Esq. Lomurro Law 4 Paragon Way Suite 100 Freehold, NJ 07728 732-414-0300 As Managing Partner of Lomurro, Munson, Comer, Brown & Schottland, Tina has more than 25 years of experience in family law and matrimonial cases. She successfully litigated the first U.S. case in which a non-biological mother in a samesex (domestic) partnership was awarded shared custody. She has extensive appellate experience and has published cases in both family law and civil litigation.

Tina has developed an impressive track record litigating relocation cases throughout the state of New Jersey—and was instrumental in Lomurro Law winning the seminal case Baures vs. Lewis. She is a strong proponent of mediation and collaboration.

In 2003, Tina was designated a Certified Matrimonial Law Attorney by the Supreme Court of New Jersey—a designation limited to those attorneys with significant involvement in trial matters in Superior Court; an unblemished reputation as attested to by judges and attorneys; and substantial knowledge and continuing legal education demonstrated by passing a special written examination on trial practice.

Appointed to the New Jersey Supreme Court Committee on Domestic Violence in May 2008, Tina also serves as co-chair of the Family Law section of NJAJ and co-chair of the Boardwalk Seminars. She serves on the Family Law Committee of the Monmouth Bar Association.

Tina was also active in local politics for many years. She was a member of the West Long Branch Democratic Committee from 2001-2008 and was elected as a Councilwoman in 2004. She has been past President of the Brookdale Foundation Board of Trustees. She also serves on the Board of Trustees for The First Tee and Board of Trustees for Deal Golf and Country Club (2015-2018).

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Sarah Krüg is the CEO of CANCER101, a patient advocacy organization whose mission is to help patients and caregivers navigate the cancer journey and partner with their healthcare team to make informed decisions. Sarah is also the founder of the Health Collaboratory, a global innovations hub that paves the path for participatory co-design and collaboration in healthcare, and is focused on amplifying the voice of the patient and caregiver in the design, development and continuous improvement of innovations. Through the Patient Shark Tank®, over 17,000 patients and caregivers across disease states have evaluated over 800 innovations across the globe, including research, technology, and education. In addition, The Health Collaboratory has implemented participatory co-design with patients and caregivers to launch innovations such as Prescription to Learn. She is the Executive Director and Past President of the Society for Participatory Medicine, a patient/ clinician member-driven organization whose mission is to enable collaborative partnerships between patients and healthcare professionals. Sarah serves on the board of the National Organization for Rare Disorders and is Research Chair of the Cancer Education Network.

She previously held the position of Global Education Director in the Medical Education Group at Pfizer, as well as patient advocacy relations. She also established the Global Investigator Initiated Research Program at Pfizer. Prior to joining Pfizer, Sarah spearheaded the development of the Pediatric Disease Management clinical pathways and conducted clinical research at Memorial Sloan-Kettering Cancer Center.

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November/December 2020

Featured On The Cover Sheila Martello Founding Director Stephy’s Place 210 West Front Street, Ste 209 Red Bank, NJ 07701 732-614-1142 www.stephysplace.org info@StephysPlace.org

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Angela R Jones, MD, FACOG Hackensack Meridian Health Medical Group—Healthy Woman OB/GYN, Jackson 27 South Cooks Bridge Rd, #219 Jackson Township, NJ 08527 (732) 431-1616

On September 11, 2001, Sheila (Martello) DiOrio lost her husband Jim Martello in the North Tower of the World Trade Center. Inspired by those who guided her through her grief and pain, she founded Stephy’s Place in September of 2015, which she continues to spearhead as Executive Director today. Stephy’s Place is a support center for grief and loss located in Red Bank, New Jersey. The center’s impact is evident in the many she and her staff have helped and continue to help.

She is an advocate for the process of healing and believes strongly in giving back.

Sheila has achieved her certification in Death and Grief Studies while studying with world-renowned grief counselor Dr Alan Wolfelt at the Center for Loss and Life Transition in Fort Collins, Colorado. Sheila is also a Master Coach in the process of Radical Forgiveness, which allows us to find peace in any situation.

Every year Sheila DiOrio leads “A Mourning Walk—A Journey into the Light.”

As she explains it, “I wanted to give everybody a place that every year they could come and remember their loved one, just like every year on Sept. 11 the world remembers our loved ones.” It is just another way that she continues to companion people through their grief journey.

Supported by her husband Jim DiOrio, they are committed to impact—which has always been at the center of their relationship. Jim, a West Point graduate, is recently retired from the FBI and is the President and CEO of J3 Global, a security company that provides personalized solutions to handle every level of risk mitigation. Jim serves on the advisory board at Stephy’s Place and as a Director of the Johnny Mac Soldiers Fund, an organization that he founded in 2011 after the untimely combat death of his childhood friend and fellow West Point graduate Colonel John McHugh.

Stephy’s Place currently provides 34 support groups to anyone who has lost a loved one for any reason.

Sheila is the mother/stepmother of five children: Jen (and husband Matt Cipolla), Jimmy DiOrio, James and Thomas Martello, and Nick Preston. She resides in Rumson, New Jersey with her husband Jim DiOrio and their youngest, Nick. They are truly a proud and prospering blended family Dena Farash The Mindful Mom Revolution Email: dena@themindfulmomrevolution.com Facebook@themindfulmomrevolution Dena is a Mom, the founder of The Mindful Mom Revolution, Theta Healer™ and Speaker. Her mission is to empower women to do inner work on themselves to feel healed and whole by means of meditation and mindfulness.

She is a leader of women who want to transform their journeys through Mind, Body, and Soul work. She has over 10 years of helping women and 5 years’ experience dedicated to solely working with Mothers to bring about positive change in their lives and, by proxy, the lives of their families.

Angela Jones, MD, FACOG, knew she wanted to be a physician from the age of four and would profess her passion for medicine to whoever would listen growing up in Columbus, Ohio. The daughter of a well-known pastor, Angela Jones is a “tiny, black, woman of color with a HUGE voice,” as she describes herself, while her patients might say she is a brilliant doctor and witty “giggle-starter” with wildly contagious energy!

An award-winning and board-certified obstetrics and gynecology expert, Dr. Angela is also a mother who has been featured on ABC, NBC, CBS, The Bump, Shape, Self, Care.com and more!

Dr. Angela completed her residency at Christiana Care Health System, where she served as chief resident and earned multiple awards for clinical excellence. She received her undergraduate degree from Centre College in Danville, Kentucky and her medical degree at The Medical College of Ohio. In addition, Dr. Angela received certification to perform Da Vinci Robotics during her tenure at Barnabas Health System—and remains one of a handful of female, board-certified robotic surgeons in New Jersey. She currently works for Healthy Woman in Monmouth County, New Jersey.

With the success of her Ask Dr. Angela podcast on iTunes, the Ask Dr. Angela blog, and the Ask Dr. Angela website, a book was a natural next step, providing Dr. Angela another means for her to pursue her passion of empowering women via education and best practice and standard of care medicine. Dr. Angela compiled a list of the questions her patients asked her on a daily basis and the answers she provided. Nothing remains uncovered in her new book.

Karen Carlucci, LCSW, CPC Email: kcarl@karencarlucci.com Web: karencarlucci.com Karen Carlucci, LSCW, CPC, is a licensed psychotherapist and Certified Professional Coach with more than 20 years of experience in the mental health and behavioral health fields.

Karen’s span of experience includes training and workshop facilitation, infusing her passion for supporting people in achieving work-life wellness. In addition to a BA in human resources and an MSW from New York University’s School of Social Work, Karen possesses certificates in training and organizational development and adult psychoanalytic psychotherapy. She maintains a private practice in New York City and is an academic field advisor at Columbia University School of Social Work.

To learn more about the W.H.E.E.L. transition team and details of our upcoming events please follow us on:

Facebook@wheel.women.power Web: www.wheelforwomen.com • Email: wheelforwomen2019@gmail.com The County Woman Magazine

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November/December 2020

Financial Independence

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W.H.E.E.L.? Women Helping to Educate & Enhance Life Women Helping to Educate & Enhance Life is a volunteer organization designed to provide women with tools and resources to help make impactful changes in their lives.

Geeta K. Brana Senior Vice President Financial Advisor

Freedom Capital Management 960 Holmdel Road Building 1 Holmdel, NJ 07733 Email:GBrana@fcmadvisor.com Tel: 732-546-9315 Web: FCMADVISOR.COM Geeta K. Brana provides comprehensive wealth management and asset management advisory services to women in transition.

Geeta has over twenty years of experience in the international capital markets. Her career started in London in 1995 with Lloyds Capital Markets, where she trained in all aspects of international finance and credit analysis. She joined Sumitomo Mitsui Banking Corporation in 2000, where she gained extensive experience of structuring and trading debt packages for multinational corporations throughout the United Kingdom, Eastern Europe, US and Japan.

In 2003, Geeta began her career in the U.S. with Smith Barney’s Wealth Management Division (Citigroup), turning her extensive knowledge to helping individuals. In a primarily male-dominated environment, she was able to build a successful wealth management practice in Washington, DC and later New York City, working with high net worth individuals and institutions.

After a career break while her children were young, Geeta has returned to wealth management through Freedom Capital Management (FCM), a boutique independent advisory firm with deep roots in Monmouth County, NJ. Geeta is also the Founder of WHEEL (Women Helping Educate & Enhance Life).

Currently, the focus of Geeta’s practice is on “Women In Transition”; assisting women in all phases of their lives.

What made you create the WHEEL? When I went through my divorce in 2015, I recognized there was a void for a group that encompasses all aspects of change in a woman’s life. Even as a successful businesswoman with a finance background I was overwhelmed with the enormity of change I faced. In-order to survive I created my own support group of professional women. Merely through trial and error I pieced together a “Super-Women” transition team that helped me through my toughest days.

In subsequent years after my divorce I realized that I was not the only woman seeking practical tools and education to help map out a new life.

Hence, the idea for W.H.E.E.L. (Women Helping to Educate & Enhance Life) was born.

What is WHEEL’s mission statement?

Our goal at W.H.E.E.L. is to help educate & empower women in transition by providing access to expert advice through networking and educational seminars. We have established a “Super-Women’ panel of advisors to help set your wheel of change in motion. Whether you are getting divorced, planning to launch a new business, returning to work, saving for retirement, recently widowed, caring for elderly parents, looking for emotional guidance or seeking health advice – there is FREE advice for all at W.H.E.E.L.

What are the key spokes of the WHEEL? There are eight core spokes of W.H.E.E.L. to help support & educate you on this journey called life:

Legal, Finance, Health, Career, Medical, Grief Management, Mental Health & Mindfulness.

Behind each spoke is an equally talented and well credentialed woman.

What do you pledge?

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

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My commitment at W.H.E.E.L. is to always provide women with access to FREE educational resources. The WHEEL Board members volunteer their services through a combination of free educational seminars, free online content and through our articles in Monmouth County Woman magazine.

Each Board member can be retained for private individual consultation at their respective hourly rate/ fee.

WHEEL public events will always be free.

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Who does WHEEL serve?

WHEEL serves women who are looking to make an impactful change in their lives.

Women often face unique obstacles that can affect their ability to achieve their life goals. Today, women have more responsibility for themselves and their families. So, it is critical that women know how to plan for their future.

Our goal is to help women identify and prepare for life challenges that can include: • Longer life expectancies and financial independence • Unexpected obstacles, such as a job loss, divorce, death of a spouse, or single parenthood.

• Role as primary breadwinners for their families and running their own businesses • Barriers to advancement in the workplace • Unique health care complications including chronic diseases and conditions—such as heart disease, cancer, and diabetes - the leading causes of death for women.

• Mental health issues caused by factors like discrimination, trauma, and stressful life experiences.

Hormonal issues, pregnancy, birth, and parenting stressors can also make women more susceptible to depression.

Where can we learn more about WHEEL?

To learn more about the W.H.E.E.L. transition team and details of our upcoming free events please follow us on Facebook@wheel.women.power or visit www.wheelforwomen.com.

To access helpful online free resources please visit http://www.fcmadvisor.com/-Geeta-K-Brana.e820315.htm Email the WHEEL team direct at wheelforwomen19@gmail.com November/December 2020

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Medical Professionals

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Medical Professionals

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COVID-19 and the Digestive Tract

By Jill Collier, M.D. Medical Director Endoscopy Center of Toms River COVID-19 is an illness caused by infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

Although widely known to affect the respiratory system, in many cases gastrointestinal symptoms may play a role or be part of the presentation. It is important for the general population to recognize these symptoms in order to act upon them with appropriate testing and quarantine.

What gastrointestinal symptoms are seen with COVID-19 infection?

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

How is COVID-19 transmitted?

COVID-19 is thought to be transmitted by respiratory droplets. This has led to the widespread advice to wear face coverings such as masks and to safe distance with six feet between individuals to prevent transmission.

In addition, the virus is believed to remain viable on surfaces and therefore strict hand washing and avoidance of touching surfaces which may have harbored the virus is also recommended. Recent studies have also revealed that the virus can be detected in stool specimens of infected patients. In addition the virus may continue to be detected in the stool well after the respiratory symptoms have resolved.

How are the digestive symptoms of COVID-19 treated?

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

How does COVID-19 affect the liver?

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

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

Many patients with ulcerative colitis and Crohn’s disease take medications that suppress their immune system. These patients are also more likely to be hospitalized for their disease or to be seen at medical facilities for infusion therapies. Despite this, studies have not shown any increased risk of contracting the infection, or adverse outcomes. Adverse outcomes continue to be associated with other concurrent medical issues

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such as diabetes and advanced age. It is not recommended for patients with IBD to stop their medications, unless in the setting of documented COVID-19. All patients with flares of their IBD should be tested for COVID-19 infection.

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

Currently in New Jersey all patients undergoing elective procedures such as endoscopy and colonoscopy are required to have testing for SARSCoV-2 infection. This is obtained through nasal swab or saliva to detect active infection via polymerase chain reaction (PCR). This is one of many ways patients and staff at endoscopy facilities are protected. In addition, routine measures of masking, safe distancing, thorough facility cleansing and universal personal protective equipment (PPE) for staff are required. It is not recommended for patients to delay needed care during the epidemic as this may lead to adverse outcomes.

In conclusion, COVID-19 can be understood as a viral illness with potential to affect not just the respiratory system but also the digestive system. If you think you may have contracted the infection, you are advised to call your health care provider, who can direct you to proper testing.

Omar Tamini, mD Jill COllier, mD eDgar BigOrnia, mD KenneTh glazier, mD Jai mirChanDani, mD Teresa menaDier, mD

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

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

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2020

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November/December March/April 20182020

Medical Professionals Professionals November Is National Lung Medical Cancer Awareness Month Submitted by Sarah J. Easaw, MD, FACP

ways. For example, they may cause cells to divide Whether it is Mark, who was diagnosed with at a faster than normal rate, which could increase leukemia at age 45, or Marge, who was diagnosed the chances that DNA changes will occur. with colon cancer at age 80, or Mary, who was Carcinogens do not cause cancer in every case, What you should know: What You Need To Know diagnosed with breast cancer in her thirties, they all all the time.

Substances labeled • If you are a heavy smoker, and have been smoking for as carcinogens may haveleading the same cause question, Did you know that lung cancer is the of ultimately: cancer “Why me? Why several years, ask your doctor if you need to do an I get cancer? deaths in both men and women indid the U.S.?

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Submitted

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Radon is an invisible, odorless gasthe released by soilmultiply and some rocks. in Exposure to somehow, it makes cells abundant boosting the immune system so that it can efficiently destroy cancer cells. is it diagnosed? higher levels of radon can cause cancer, especially lung cancer.

6.TheAvoid prolonged exposure to sunlight. Use protective cells that are made in the body are destroyed by the body’s own defense use of immune checkpoint inhibitors has been a major breakthrough in cancer research. numbers.

Usually, abnormal cells nce your doctor suspects that you have lungWhat cancer, will be CT scans and in that are made These drugs help to take the “brakes” off the immune system, so that they can recognize and kill areyou the types ofsent lungfor cancer? sunscreen. mechanism, process called ‘apoptosis’ or types programmed cell death.

When oneffectively. the level of evidence that links each to the There are twoaccurately different of lung cancer: cell and non-small cell.

This difference is cancer cells more ases, a PET scan. A PETa scan can detect cancer more than othersmall tests.

The in the body are destroyed by the body’s own based on the type of cancer cells. Most lung cancers are non-small cell. Among the non-small OPDIVO, KEYTRUDA, andmedical TECENTRIQ are some of the immune checkpoint inhibitors 7.

Get regular check-ups screening. This includes there isbya taking defecta biopsy in apoptosis, cells accumulate and become tumors. sis is confirmed of the suspicious lesions seen on the X-ray or CT cancer. ofthesethe 1for carcinogens cell lungdefense cancers, there mechanism, are several subtypes: adenocarcinoma, cell and large cell.

Even though drugsknown don’t have theGroup typical side effects of a processsquamous called ‘apoptosis’ orthat are used in lung cancer.Some chemotherapy, they still can cause reactions such as inflammatory disorders. screening mammogram, PAP smear, colonoscopy, chest CT The scans also help to see if the cancer has spread to any other organs, a process called are symptoms and signs?factors.

The damage to the DNAWhat canprogrammed bethecaused bycell several There death. there is a defect in Symptoms and signs include coughing, hemoptysisWhen (coughing up blood), shortness of asis. are some changes or mutations heavy smokers, and dermatology evaluation for about lung cancer and the treatment Cmore virus, radioactive materials, tobaccoofsmoking, breath, that chest pain, fatigue and weightaccumulate loss.and are present are inherited from tumors. Toinlearn apoptosis, cells and become other cancers, contact Dr. Sarahskin Easaw at 732-961-0010 or Most often, the symptoms do not manifest until the cancer is advanced. Sometimes lung cancer screening against cancer. here different stages? etc. A detailed list of the carcinogens is available on birth, which can later make cana beperson for cancer.

Only a small detected as susceptible a shadow in the lung on an X-ray done for other reasons. visit www.oceanhemonc.com. ging is different for small cell and non-small cell lung cancers.

Small cell lung cancer has How is it diagnosed?

American Society’s website, cancer.org. percentage of cancers develop Once thisyourway.

In the majority of you cases, certain Iftheyou have Cancer any questions about any cancer-related suspects that you haveoutside lung cancer,the will be sent for CT scans and in wo stages: limited stage (confined within the lungs) ordoctor extensive (spread lungs). some cases, a PET scan. A PET scan can detect cancer more accurately than other tests. The Even though exposure to carcinogens increases environmental factors play a major role. inherited and arethat present birth, which questions, please contact Dr. Sarah J. Easaw at n-small cell lung cancer has four stages: stages Ithat to IV.are Stage I is aabiopsy small tumor is seen onfrom diagnosis is confirmed by taking of the suspicious lesions the X-ray or CT scans. scansdevelopment alsoLarger helpmake to seetumors if theacancer has spread to any other a process called the chance of developing cancer, a variety of other factors that playtoathe role inThethe ofand cancer are: ed to theSome lung, that has not spread lymph glands. those that areorgans,for can later person susceptible cancer.

Only 732-961-0010 or visit www.oceanhemonc.com. metastasis. to the lymph glands come under stages II and III. When percentage the cancer hasof spread to other factors also play a role. While most of it is beyond a tobacco small cancers develop this way. In • Lifestyle factors (nutrition, use, physical activity, Are there different stages? it is stageetc.)

IV. Staging for small of cell and non-small cell lung cancers.

Small cell lung cancer has our control, there are some things which a person theis different majority cases, certain environmental factors only two stages: limited stage (confined within the lungs) or extensive (spread outside the lungs).

Non-small cell lung cancer has four stages: stages I to IV. Stage I is a small tumor that is can do to reduce their chance of getting cancer. t are •the treatment options?exposures play a major role. light, radon gas, Naturally occurring (ultraviolet confined to the lung, that has not spread to the lymph glands. Larger tumors and those that are Compassionate Cancer Care, Close to Home atment is infectious based on the stage and the type of lung cancer.

Small cell lung cancer is mainly spread to the lymph glandsfactors come underthat stages II play and III. When the cancer has spread to other 1. Practice a healthy lifestyle and good dietary agents, etc.)

Some a role in the development it is stage IV. with chemotherapy. In limited stage smallorgans, cell lung cancer, radiation can be combined Sarah J. Easaw MD, FACP habits. Eat more fruits and vegetables and • Medical treatments (chemotherapy, radiation, immune are: options?

Whatof arecancer the treatment hemotherapy.

Treatment is based on the stage and the type of lung cancer. Small cell lung cancer is mainly Board Certified Hematology & Oncology lower the amount of fatty foods. system-suppressing drugs, etc.)

• bychemotherapy.

Lifestyle factors (nutrition, tobacco use, rly stage non-small cell lung cancer is best treated surgical resection. experienced treated with In limited stage An small cell lung cancer, radiation can be combined with chemotherapy. specialist • Workplace exposures 2. Exercise daily. n removes the tumor, surrounding normal lung tissuephysical and the lymph glandsetc.) around it. activity, Early stage non-small cell lung cancer is best treated by surgical resection. An experienced fter removing the tumor, cancer cells can remain and cause recurrent either in the Serving Monmouth and Ocean Counties surgeon removes the tumor, surroundingcancer, normal lung tissue and the lymph glands around it.

• Household exposures • Naturally occurring exposures (ultraviolet light, 3. Avoid obesity.

Even after removing the tumor, cancer cells can remain and cause recurrent cancer, either in the self or in•other organs.

Chemotherapy, radiation or both are used after surgery to reduce for more than 15 years Pollution lung itself or in other organs.gas, Chemotherapy, radiation oragents, both are usedetc.) after surgery to reduce radon infectious 4. Quit smoking. nce of recurrent cancer. the chance of recurrent cancer.

Advanced stage lung cancer treated with chemotherapy.

The types of chemotherapy drugs exposures that lead toistreatments cancer are(chemotherapy, called carcinogens.

• can Medical radiation, vanced stageSubstances lung cancer isand treated with chemotherapy.

The types of chemotherapy drugs 5. Avoid excessive alcohol use. used are based on the type of lung cancer, age of the patient, other medical illnesses, etc. There is • Clinical expertise in the treatment of Cancer and Blood Disorders e based Some on the type of lung cancer, age ofaffect the patient, other medical illnesses, etc.lung There ongoing researchimmune to improve the outcome in lead patients with cancer.isdrugs, system-suppressing etc.) carcinogens do not DNA directly, but to cancer in other 6. Avoid prolonged Use • State-of the-art Cancerexposure Care, into a sunlight. warm and personalized in lung g research to improve the outcome in patients with lung cancer. ways.

For example, they mayWhat’s cause cells to cancer? divide at a faster than normal • new Workplace exposures atmosphere protective sunscreen.

Targeted agents: Medicines that target certain proteins or receptors on the cancer cells are being developed for the treatment of various cancers. These targeted agents attack the t’s new inwhich lung could cancer? rate, increase the chances that DNA changes will occur.

• Easily close to GSP • specifically, Household exposures cancer cells sparing other cells.

Targeted agents cause less severe side effects than 7. accessible Get regular location, medical check-ups for screening. rgeted agents:Carcinogens Medicines thatdo target certain proteins or receptors on the cancer cells chemotherapy.

• Affiliated with RWJ /Barnabas Health Medical Group, a not cause Acancer in every case, all the time.

Substances • Pollution few different targeted agents are found to be beneficial in lung cancer. Tarceva (erlotinib) ng developed for the treatment of various cancers.

These targeted agents attack the multispecialty physician network. is a drug that works in certain types of of lung cancer-causing cancers carrying a mutation inpotential. a receptor called labeled as carcinogens may have different levels smear, colonoscopy, chest CT in heavy and exposures that canof lung lead tothatcancer EGFR. A newSubstances drug called crizotinib wasside approved recentlythan for the treatment cancer cells specifically, sparing other cells. Targeted agents cause less severe effects a geneprolonged, called ALK fusion oncogene. after high levels of exposure.

And therapy.Some may cause cancer onlycarries smokers, and dermatology evaluation called carcinogens.

Some do not Treating Patients and Families with for Respect and Care…

No are two tumors are alike!

Even among lung cancers, there carcinogens are different distinguishing chooses the type of treatmentdepends based on a number factors, including for any particular riskYourofoncologist developing cancer onof many ew different targeted agents areperson, found tothe befeatures. beneficial in lung cancer.

Tarceva (erlotinib) screening against skin cancer. the cell type, stage, different biological markers on the cancer cells, and your other medical Ocean Hematology & Oncology ug that works in certain types ofhow lungthey cancers a mutation in a receptor called factors, including arecarrying exposed to a carcinogen, the length and problems.

A new drug called crizotinib was approved recently for the treatment of lung cancer that www.TheCountyWoman.com intensity of the exposure, and the person’s genetic makeup.

The County Woman Magazine 2018 a gene called ALK fusion oncogene.

If you have any questions about any cancer-related questions, please November/December contact There are several substances that are proven to be carcinogens.

Still two tumors are alike! Even among lung cancers, there are different distinguishing Dr.forSarah J. Easaw at 732-961-0010 others arechooses felt tothebetype involved withbased a high but their role is not or visit www.oceanhemonc.com. s. Your oncologist of treatment on a risk number ofcancer, factors, including 1255 Route 70, 31S • Lakewood, NJ 08701 type, stage, different biological substantially proven.markers on the cancer cells, and your other medical ms.

732-961-0010 The International Agency for Research on Cancer (IARC) is a part of the Visit our website: www.oceanhemonc.com World Healt Organization identifying on the level County Woman Magazine(WHO) that works on www.TheCountyWoman.com November/December 2018

15

“Why Did I Get Cancer, Doc?”

Medical Professionals

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November/December 2020

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November/December 2020

Medical Professionals

17

Male Factor Infertility…

Helping Small Miracles Happen

Why We Shouldn’t Forget about the Sperm!

Oftentimes, a couple experiencing difficulty trying to conceive may presume that the cause of infertility is an inherent problem with the female partner. However, the contribution from the male fertility perspective should not be overlooked. It is estimated that in 2040% of couples experiencing difficulties conceiving, a male problem may be a contributing cause, and may be the sole factor in 20% of couples. Therefore, it is important to understand sperm abnormalities and their potential impact on fertility.

How is the male evaluated?

The first step along with a detailed medical history and physical exam is completion of a semen analysis.

This test consists of collection of semen and analysis of various sperm parameters. Total volume, sperm numbers (concentration), sperm movement (motility), and sperm shape (morphology) are recorded, and abnormalities in these values can influence the likelihood of pregnancy success.

What defines male infertility?

Some cases of male infertility include low sperm count (oligospermia), lack of any identifiable sperm (azoospermia), and abnormally-shaped sperm (teratospermia). The extent of sperm abnormalities on pregnancy outcomes is constantly under re-evaluation; however it is evident that these parameters contribute to pregnancy success.

What are the causes of male infertility?

In approximately 40-50% of men with fertility issues, the cause remains unknown. Other identified causes include problems with sperm or testicle development, a problem with sperm transport, or other structural problems that affect sperm development.

Common anatomical conditions that directly influence sperm number include swollen veins around the testicles, and a current hernia or history of a hernia repair. Urological evaluation allows identification of whether the problem is due to abnormal anatomy as in the case of a blockage, or because of suboptimal production of sperm as in a hormonal imbalance.

Other cases of male infertility can be attributed to poor movement (poor motility) or abnormally shaped sperm (poor morphology). Even with minor changes in sperm number or shape, there is a lower chance of pregnancy, especially when there is a low proportion of normal sperm.

What are the treatment options?

Treatment of male infertility depends both on the cause of abnormal sperm values, and the extent to which the numbers are abnormal. In some cases, mild abnormal sperm findings can be approached by performing an intrauterine insemination (IUI), which is placement of a concentrated sperm sample directly in the uterus. If the semen analysis values are grossly abnormal, a complete hormonal evaluation and examination by a male infertility urologist can help determine if the problem can be treated medically or surgically. In the case of patients with more severe abnormalities not amenable to surgery, use of in-vitro fertilization (IVF) with injection of a single sperm (ICSI) directly into a mature egg has allowed couples with male infertility to have a family of their own.

At the Reproductive Science Center of New Jersey, we are available to answer your fertility questions, perform a complete fertility evaluation of both the male and female partner, and present you with individualized options for conception all in a comfortable and caring setting. Our patients are made to feel like guests in our home. We are a full service fertility center experienced in all the latest technologies and look forward to help you achieve success.

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

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

The Compassionate Connection

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

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

732-918-2500 • FERTILITYNJ.COM

Personalized Treatment Plans Free Phone Consultations

Recipe

Making the Most of Fall Harvest, Compliments of Chef Steph Autumn Vegetable Medley with Rosemary and Nutmeg

Serves 6

The County Woman Magazine

9 ounce(s) fennel bulb with stalks 2 cup(s) butternut squash cut into 1/2 cubes 1 1/2 cup(s) parsnip cut into 1 inch thick slices 1 1/2 cup(s) carrot cut into 1 inch thick slices 1 tablespoon(s) olive oil 1 1/2 teaspoon(s) rosemary, fresh chopped 1/2 teaspoon(s) salt 1/4 teaspoon(s) pepper 1 dash(es) nutmeg freshly grated 1/3 cup(s) Parmesan cheese

Preheat oven to 425°.

Trim tough outer leaves from fennel. Cut fennel bulb in half lengt wise; discard core. Cut each half into three wedges. Combine fennel, squash, and next 7 ingredients (through nutmeg) in a large shallow roasting pan coated with cooking spray. Bake at 425° for 35 minutes or until vegetables are tender, stirring occasionally. Sprinkle vegetable mixture with cheese, if desired, just before serving.

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Recipe by: Cutting Board Creations

November/December 2020

Medical Medical Professionals Professionals

18

37

3D Mammography Advances In X-Ray suspicious, patients need to be called Breast cancer is the second leading cause of death backofforall additional views. The multiple among women. One inThe 8 women will develop breast x-ray machine is the grandfather radiology equipment.

When it was invented images created by 3D mammograms Cancer in cancer in her lifetime.

Each year it is estimated that over in 1895 by Wilhelm Conrad Roetgen in Germany, it was the first time doctors could look have such increased accuracy that this breast 252,710 women in the United States will be diagnosed inside the human body without dissection.

This spurred an entire science of imaging that there is decreased need for this.

On is difficult to with breast cancer and more than 40,500 women will created the field of radiology as we know it today.

We reduce now have amazing like average 3D mammograms detect machines on die from the disease. This is why early detection is so by upmedicine to 40% compared to ultrasounds, MRIs, CAT scans, PET/CTs,callbacks nuclear imaging, and others that can this standard important. With early detection, the five-year survival traditional mammograms.

This means mammogram. image the human body like never before.

Despite these new cutting-edge modalities, CyrusisKhorrami, rate nearlyM.D. 100%. The latest weapon in the fight against less radiation exposure, increased standard x-rays areknown still the ordered and most used test, and there continue to be breast cancer is 3D mammography (also asmost breast convenience for our patients, and more advances in the field of x-rays. tomosynthesis). This new technology has increased early peace of mind. detection over traditional mammograms, especially in How are with x-rays created?

How doaccuracy means What are Q: What can I expect whenthe advantages of digital women dense breasts. Greater they make images? radiography? better breast cancer detection. having a 3D mammogram?

Electrons are subatomic particles that encircle all atoms.

X-rays are created when weis it different from Q: What is a 3D mammogram?

How can take electrons and use them to strike special regular mammograms? metals.

Those metals then emit x-rays.

This is A: 3D mammogram--also called breast tomosynthesis--is one of the most all created within x-raycancer tubes.

Those x-rays advanced forms of breast detection.

It uses apass very low level of radiation to take multiple picturesand of the breast. x-rayfilm, tube and moves over the breast in an through a patient strike theThe x-ray arc, capturing multiple images of each breast from different the x-ray turns the film black. As the x-ray passes angles. A computer reconstructs these pictures to create a 3-dimensional picture of the breast. A regular through a person’s body, the different densities mammogram takes a single picture of the breast. within the body block the x-ray beam. If the beam isQ:partially the film is gray.

If the x-ray Whatblocked, is the advantage of 3D mammogram? isA:blocked completely, then the filmmammograms stays white.is normal dense breast One of the challenges of interpreting tissue breast bones cancer. block Additionally, overlapping So, forhiding example, the x-ray beams areas of normal dense breast tissue can look suspicious.

This is why detecting breast the cancer in women with dense completely, which is why the bones are white, breasts is more difficult. The 3-dimensional images of breast tomosynthesis help skin is gray, and the surrounding space is black. decrease the tissue overlap that can obscure cancers. It also helps distinguish normal

A: The process of having There a 3D is markedly increased speed in using mammogram is the same as a radiography. In the past when x-rays were digital conventional 2D exam.

The taken, we had to wait for the films to be processed technologist will position you, in order to see the images. Now, the x-rays taken compress your breast, and take images the no technologist are faster and the images from different angles. by There’s arerequired, createdand immediately.

Our love the Using 3Dpatients mammogram additional compression it technology, the only takes a few extra improved seconds. speed and efficiency, and our radiologists cancerfaster was than ableever. to be are able to diagnose disease Q: Do insurance Much companies clearly seen. like how pictures taken on the newest cover 3D mammograms? cameras are sharper and clearer, digital radiography A: Medicare, and many private insurers, cover 3Dand mammograms. the past, not is the latest technology creates theInclearest all private insurance companies covered 3D mammograms. However, in August images. Our ability to detect subtle infections and 2018, New Jersey enacted a mandate requiring nearly all the major health insurers fractures has never been better. to cover 3D mammograms.

Digital radiography uses the latest computerized Toms River X-ray has been performing mammograms images to process x-rays and there are new, more overlapping breast tissue from breast cancer. and serving the community for over 30 years. Our 3D What new advances are there in efficient metals used in the x-ray tubes. These Studies have shown that 3D mammograms significantly improve the mammogram is the latest on the market and has the most x-rays? detection of breast cancer, especially in women with denser breastBones tissue. Itofalso advances Ithave significantly reduced radiation dose the hand block technology. advanced is our mission to provide the very have been advances x-ray picks upThere breast cancer at an many earlier stage, whichinmay be missed bythe traditional in ourWe x-rays.

Keeping radiation doses as lowyour a x-ray beamsbest making for our patients. thank you for trusting us with mammography.

3Dthe mammograms find metal 20-65% more invasive breast cancers technology over decades. The used them appear white. possibleofwhile health and the health yourproducing loved the highest quality images compared to traditional 2D mammograms, with an to average increase of 41%. to create the x-ray beam has been improved is our primary goal. ones. We look forward to offering create x-rayradiation beams. Theperforming x-ray film useda to be like the Q: Is more thereefficient increased 3D you this significant advance in breast film used in a camera. Now that our cameras are digital, so are our cancer Toms screening.

River X-ray uses the most advanced digital radiography mammogram? x-rays. The x-ray beams now strike a computerized “digital film.” available on the market. We believe this is the best thing we can A: Mammograms expose patients to very low levels of radiation. The level of This immediately creates an image of the patient’s body and sends it provide for our patients. As always, if you have any questions, radiation exposure from a 3D mammogram is the same as that from a traditional wirelessly to a computer that displays the image.

This is called digital please feel Cyrus free to Khorrami, contact ourM.D. staff at (732) 244-0777. mammogram. So a patient receives all the benefits without any increased risk. radiography.

Medical Director With traditional mammograms, when a radiologist finds an area that is PARVIZ KHORRAMI, M.D. CYRUS KHORRAMI, M.D. Founder Medical Director PARVIN MOTEMADEN KHORRAMI, M.D.

732-244-0777

PET/CT Ultrasound CT Scan Diagnostic X-Ray

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

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

www.TomsRiverXray.com5

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November/December 2020 September/October 2018

Home Health Care

19

Make Gratitude A Habit Deborah Walsh,

gratitude. Improved sleep quality, increased energy, being less sick, having less pain, and even a decrease in blood pressure are side effects of feeling grateful.

Here are a few tips on how to help your senior loved one make gratitude a habit:

Executive Director, HomeWorks

Sometimes it’s easy to get wrapped up in the negative aspects of our lives. As we age, the loss of loved ones, diminishing health, and slow days after a lifetime in a busy career or bringing • Instead of just going for a up children can really take a toll walk, go for a mindful walk. Notice beautiful things on a senior’s mental well-being. around you, like a pretty flower or the clouds or a sunset.

Helping loved ones through these tough times, • Practice meditation, focusing on things you are grateful especially during a pandemic, can be difficult. If for. you are caring for an elderly loved one, practicing • Keep a gratitude journal that focuses on the people, events gratitude and making it a habit is one way to help and experiences that have a positive impact on our lives, if seniors deal with their troubles. only for 5 minutes a day.

Many studies have shown that being kind to one another and • Writing gratitude letters can help us appreciate the people showing gratitude to the people around us can have a positive who are special to us. impact on our lives. Practicing gratitude brings about many • Saying please and thank you shows gratefulness. emotional benefits, such as making you feel more relaxed, more optimistic, and more able to dwell on happy memories. There are also social benefits of practicing gratitude. Those who display gratitude are typically friendlier and more likeable to others and have deeper relationships and more friendships. People are kinder towards us! You also feel healthier when you have an attitude of

We shouldn’t ignore the hardships of the seniors in our care. We can’t make their pain go away, but we can help them to be grateful every day, which enhances their lives and makes the pain easier to handle.

For more information, call 732-838-1950 or visit www.UMCHomeworks.org.

In-home care for seniors.

Call today for a free in-home assessment.

732-838-1950 • UMCHomeworks.org.

54 Olin St, Ocean Grove, NJ

Genovese Counseling Services

Health & Wellness We Are Partners In Healing

Christine Genovese, LPC

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

609 568-6299

Email: healing@genovesecounseling.com

genovesecounseling.com The County Woman Magazine

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

Being invited into another person’s space to help them heal is an honor and a privilege. Seeking counseling is actually selfeducation, and learning about grief, anxiety and major life change, is a partnership.

The focus of this practice is structured to support all adults including educational professionals who are experiencing stress, grief, anxiety, depression and major life change. Working through life changing experiences, no matter how great or small, can be difficult especially when navigating

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multiple situations at once. I am here to listen, validate what you are experiencing, discuss possible solutions, and hold space with you. Having worked in an agency setting as well as the school system has allowed me to develop a wide variety of methods for reaching people who are hurting or simply want to sort things out.

Through the use of a pointer and a strong relationship, Christine and the client use the natural gaze to incorporate Brainspotting into the therapeutic session.

November/December 2020

20 16

MedicalPro Professionals Medical fessionals Medical Professionals

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Does Your Child Snore Or Have Sore Throats?

Children with enlarged tonsils can also develop sleep-disordered breathing. Sleep-disordered breathing refers to abnormal breathing or decreased breathing when children are sleeping. Symptoms include snoring, mouth breathing and pauses in breathing. Sleepdisordered breathing can mean the child has obstructive sleep apnea. Signs of sleep-disordered breathing in children include hyperactive behavior, sleepiness, inattention and poor concentration. Sleep-disordered breathing can also be associated with poor school performance. Sleep-disordered breathing can also lead to failure to thrive and should be considered in children with growth failure. The recommended treatment for sleep-disordered breathing in children is removal of the adenoids and tonsils.

Written by: Christina Gillespie, MD. Children are prone to issues involving the adenoids and tonsils. The adenoids are lymphoid tissue located in the back of the nose. Enlarged adenoids can lead to a variety of symptoms in children, including mouth breathing, chronic nasal obstruction, chronic runny nose, snoring at night, and trouble breathing at night.

Problems with the adenoids can lead to sinus infections and ear infections. The tonsils can lead to infections and sleep apnea. Problems with the adenoids and tonsils are extremely common. In fact, adenotonsillectomy is the second most common outpatient pediatric surgery performed in the United States.

Tonsillar issues can affect children of all ages. Tonsillitis is a common problem. The symptoms of tonsillitis include sore throat, red-appearing tonsils, white coating on tonsils, change in voice, uncomfortable swallowing, adenopathy and fever. Children are typically seen by their pediatrician. The pediatrician will try to differentiate viral infection from bacterial infection. If diagnosed with bacterial tonsillitis, recommended treatment is antibiotics. Children who get recurrent infections may be candidates for tonsillectomy. Some patients develop chronic tonsillitis, which is chronic sore throat and halitosis.

Adenoid Tonsil

If you suspect your child has problems of the adenoids or tonsils, then you should make an appointment with an otolaryngologist. Commonly known as ENT doctors, otolaryngologists are specialists in the treatment of adenoid and tonsillar problems. At your initial visit, a thorough history will be obtained.

Your child will then be examined. Additional testing may be ordered, such as labs, x-rays or sleep studies. After a thorough consideration of all the information, you and your otolaryngologist will discuss if your child will benefit from adenoidectomy and/or tonsillectomy.

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

Bruce W. Peters, DO, FACS

Stephen Kupferberg, MD, FACS

54 Bey Lea Rd., Suite 3, Toms River, NJ 61 Lacey Rd., Whiting, NJ

54 Bey Lea Rd., Suite 3, Toms River, NJ 1673 Rt. 88 W, Brick, NJ 1707 Atlantic Avenue, Wall Township, NJ

For more information, call information, 732-281-0100 visit www.OceanENTFacialPlastics.com.

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

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May/June 2017 November/December November/December2018 2020

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The Holiday Survival Guide For Patients With Irritable Bowel Syndrome (IBS) Nina Paonessa, DO, FACOS As we enter into the Holiday season, those patients who suffer from Irritable Bowel Syndrome (IBS), whether it be diarrhea predominant (IBS-D) or constipation predominant (IBS-C), may be experiencing a sense of anxiety. This is a time of social gatherings and eating out. Daily routines and schedules tend to be altered. For patients with IBS, changes in diets and eating schedules can wreak havoc on the gastrointestinal system. This, in turn, causes stress and anxiety and may lessen the enjoyment that may otherwise be had by those suffering from IBS. The following are some helpful tips for patients with IBS to help manage and control their symptoms so they can enjoy the holiday season and minimize any undue stress.

First and foremost, recognize and avoid food triggers.

Most patients with IBS are familiar with certain foods that aggravate or “trigger” symptoms of abdominal cramps, diarrhea and/or constipation. These are known as “food triggers.” Common food triggers are dairy, spicy foods, tomato, caffeine, leafy green vegetables and/or other fruits and vegetables high in fiber (i.e., spaghetti squash, cabbage, brussels sprouts, oranges, pineapple, etc.).

Second, keep hydrated. Be sure to drink water.

Avoid an excess of caffeinated, alcoholic or sugary drinks. This includes coffee, tea, soda, and mixed drinks containing fruit juices or other sugarcontaining mixes such as margaritas, daiquiris, punches, etc. BE AWARE: Apple cider may be a food trigger because of the sugar content and eggnog may be a food trigger due to the dairy components.

All of us at Paonessa Colon and Rectal Surgery wish you and your families a happy, healthy and safe Holiday Season.

The Holiday season is a time of celebrating, and more importantly, giving thanks for all of our good fortune and blessings. The staff at Paonessa Colon and Rectal Surgery is especially thankful for all of our patients, who we consider a part of our family and friends, and for the privilege of caring for them.

Third, keep your routine as best as you can.

This includes taking a fiber supplement daily. Even when traveling, this is possible because most fiber supplements are available in travel packets. Pack your probiotics as well. Most probiotics may be left unrefrigerated for a certain amount of time. This is convenient when traveling.

Fourth, be prepared.

Always carry an IN CASE OF EMERGENCY (ICE) kit. For patients with IBS-D, pack an “ICE” dose of Imodium tablets. If you’re a patient who suffers from unpredictable, sudden bouts of diarrhea, especially after eating, take one or two Imodium prior to eating. This will help to avoid any stress or embarrassing accidents that could potentially occur. BE AWARE: This should not be done on a routine basis unless specifically discussed with your physician. For patients with IBS-C, pack stool softeners. For those patients who may suffer from severe constipation, pack a gentle laxative as well. For an added feeling of security, pack an extra pair of undergarments and/or pants in a travel bag or purse. This will alleviate an embarrassing situation or stress related to having a potential incontinent episode.

Dr. Paonessa is a board-certified colon and rectal surgeon who specializes in treating all diseases of the colon and rectum, including Irritable Bowel Syndrome. If you suffer from IBS and need guidance, call Paonessa Colon and Rectal Surgery today to make an appointment with Dr. Paonessa. She will get you on the road to feeling well and managing your symptoms.

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Colon and Rectal Surgery

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

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www.paonessacrs.com November/December 2020

Medical Professionals

22

A Safe, Clean, And Friendly Environment

Kathy A. Banks, DMD Oral & Maxillofacial Surgery

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

609-488-2325 www.drbanksoms.com Office Hours: 8 AM - 5 PM (Mon. - Fri.)

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

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

You have had to hold the family together through shortages of food and household items, and to comfort your loved ones and reassure them that they will be alright when our lives become more normal. You have had to explain to your children hand hygiene, social distancing and wearing a mask.

The health and well-being of you and your family is of paramount concern. If you or your family members are suffering from any conditions regarding the face, mouth, and jaws, please know that our office is a safe, clean, and friendly environment for treatment.

We have always adhered to the highest standards of asepsis and sterilization, a topic I have lectured on many times. We have changed our patient scheduling to allow for social distancing, and our office team members have always worn appropriate PPE to prevent transmission of diseases. We have continued these practices and have added further protective practices to enhance our safety.

We are open every weekday and offer our full scope of services including injectable facial cosmetic enhancements, RevitaliZe dental implant solutions, wisdom tooth extractions, and treatment of children and adolescents for various oral and maxillofacial conditions with local, sedation, or general anesthesia options available. Please know that treatment is available for you and your family here in our modern, clean and friendly office where our number-one concern is your safety and comfort.

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

The County Woman Magazine

www.TheCountyWoman.com

November/December 2020

Legal Professionals

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November/December 2020

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Fine Art Photography

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November/December 2020

Fine Art Photography

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November/December 2020

Medical Professionals

26

I didn’t think that this would ever happen to me, because I remember everything. I read a lot, and I am active...

MEMORY LOSS IS NOT

A NORMAL PART OF AGING

IDENTIFYING ALZHEIMER’S DISEASE EARLY IS THE KEY TO TREATMENT PAMELA & JOHN It was during a routine visit to the Neurologist when Pamela expressed a concern for her husband John’s forgetfulness. Her Neurologist suggested they visit Advanced Memory Research Institute of NJ (AMRI) for a free memory evaluation. Memory evaluations consist of a 60-90 minute consultation with a physician and tests to measure cognitive function.

John went to AMRI in Early 2018 for his evaluation accompanied by his wife Pamela.

Bringing a close family member or caregiver is vital to the process, as they will provide an outside perspective during the interview.

Fortunately for John, he scored very well on the tests, and the doctors said he was not showing any signs of cognitive decline.

However, during the caregiver interview, the clinician noticed Pamela was having difficulty finding words, and she often had to pause to think before answering their questions.

Having successfully completed John’s evaluation, Pamela was offered a screening for herself as well. After reviewing the results of her testing, Dr. Sharma diagnosed her with mild cognitive impairment (MCI). MCI can be an early sign of Alzheimer’s or the first stages of progressive decline to other dementias. It is a decline in usual cognition such as memory, language functions and

reasoning – but with no disorientation during daily activities.

“After my test, Dr Sharma came back and said you have MCI, and I was stunned by that. I thought - wait me? It couldn’t happen to me. I didn’t think I had anything wrong with me. I had a great life – I mean I still do. I didn’t think that this would ever happen to me, because I remember everything. I read a lot, and I am active,” Pamela Said.

In March of 2018, Pamela decided to participate in a clinical trial at AMRI. During the trial process, Pamela received a PET scan of the brain which confirmed her diagnosis for MCI due to Alzheimer’s disease.

“I didn’t hesitate at all. I said what do I have to lose, and I love it here. From the minute I got here, I loved everyone who I talked to. They had all had such a great sense of humor. I was so happy – I couldn’t tell you. I could not do it without them. I am so glad – it was a gift,” said Pamela.

“It has been two and a half years now – and they are my family. If I get scared, I know I am in good hands. So, I have to say you have to take the test. It is a win/win situation. Either you find out that there is not a problem, but if there is – believe me – you will fall in love with these people. I know I do.

They take care of me. I am not afraid at all for my future. I have no hesitation, because without them, I could not get better.

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

The County Woman Magazine

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JOIN A STUDY AT AMRI Our team at AMRI has more than 50 years of combined experience conducting clinical trials. We specialize in the most innovative study options in every stage of cognitive decline.

Do you or someone you know have concerns about memory loss? At AMRI, we are dedicated to preventing your loved one’s memories from fading away. We stand by our work and invite you to our center for a free consultation. This evaluation will look at the patient’s general memory health and capacity for recollection. One of our doctors will then provide a detailed analysis of those findings.

All our services are 100% free of charge. There are no co-pays, and in fact, we do not even collect your insurance information. If you are concerned about yourself or a loved one, call AMRI today and put your mind at ease.

SANJIV SHARMA, MD, CPI Founder & Principal Investigator - AMRINJ “We now have amyloid PET imaging – which can diagnose patients before they even know they have this disease. 90% of the clinical research protocols are focused on these early patients.”

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

November/December 2020

Health & Wellness

27

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

Dawn Ferrentino

Health & Prosperity Specialist

Did you gain a few extra pounds recently due to stress eating? Did you find yourself eating more than normal during these times? Has your exercise been limited due to gyms being closed or limited? Did you lose an income during this time and you;re looking for something to help fill the gap? Now is the time to take your health and your wealth back.

Diets fail us. Living a healthy lifestyle is what works! Are you sick and tired of feeling sick and tired? Are you having trouble losing weight? Do you struggle to get out of bed when that alarm clock goes off? Or maybe an extra $500 a month would help relieve some stress. If you answered yes to any of the above, keep reading! Dawn Ferrentino specializes in helping thousands of people achieve their desired physical goals and feel their absolute best they possibly can! If you are ready to make a healthy lifestyle change that will help you shed weight and be healthy at the same time, this is exactly what you are looking for.

Here are some main points to know about this program: • Easy, convenient and sustainable lifestyle • Guaranteed results - get your body back or get your money back • Weight loss/ energy/improved performance • One on one coaching • Customized packages to fit everyone with an opportunity to create some extra money if you so chose by sharing your results with others! Contact Dawn today at 908-208=0002 for your free consultation.

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November/December 2020

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Acupuncture

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www.TheCountyWoman.com

November/December 2020

44

M edicalProfessionals Professionals Medical Medical Professionals

4529

High High Heels, heels, Gait Gait, And and Venous Dysfunction Chronic venous insufficiency (CVI), a medical condition where the veins cannot pump v enough blood back to the heart, is a common problem but there are many ways to treat it. In addition to surgical procedures, there are more conservative measures such as compression stockings, weight loss, leg elevation, and local treatment of venous ulcers.

Since an individual’s gait (manner of walking) plays an important role in the function of leg veins, patients with painful venous ulcers should also be assessed to make sure that their gait pattern strikes a good balance between mobility and stability. Some common causes of abnormal gait patterns include weakness of different muscle groups, any condition that affects balance, and improper footwear such as open-backed sandals that cause the wearer to shuffle. There have been no studies showing how extremely high heels affect varicose veins, but since they do affect the gait of the wearer, that would suggest a link between high heels and CVI. Gait testing can detect which of these is at the root of the problem, allowing for appropriate treatment.

Treatment may include gait training and strengthening of the lower extremities. Providing a patient can participate in an exercise program, exercise should be done with compression garments in place. This helps to improve venous return by assisting the calf muscle. Comfortable, well-fitting shoes should be worn that will allow for a heel-to-toe walking pattern. The simple way to help a patient achieve this is to have them take the longest steps they can safely take. Obviously this recommendation is for patients who can balance and have the ability to maintain single limb stance. Some patients will require more exercises to strengthen muscle, improve their balance, and increase their range of motion.

It is crucial that patients maintain proper form while walking and exercising. Once the proper heel-to-toe gait is learned, it is important that adequate walking occurs for at least 30 minutes a day to maximize the benefit. As an added bonus, this will also improve overall health.

call Vein Center for Women ✺ Please 732-254-0500 to schedule an appointment.

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ConservativeTherapy: Therapy: Conservative

Thepatients patientsare areadvised advised about about Leg The Leg Elevation Elevationand anduse useofof Compression Stockings.

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July/August 2016 September/October2020 2017 November/December

Community

30

YOUTH GROUPS M M T TH FT H

YOUNG MEN'S & WOMEN’S GROUP

This group is designed to help young people explore and discuss gender specific issues and challenges.

Topics include: Toxic Relationships, Body Image, and Perception.

WHEN: 2nd and 4th Mondays, 7:00 p.m. – 8:00 p.m.

ART EXPRESSION

This group allows youth to express themselves through different mediums and guided practice. These activities are for any art skill level.

Projects include: Drawing, Painting, Collaborative Art, Collages, and Word Expression.

WHEN: 1st and 3rd Mondays, 7:00 p.m. – 8:00 p.m.

TEEN RAP

This group provides youth with the opportunity to discuss a variety of different topics that are prevalent in the daily life of youth.

Topics include: Peer Pressure, Assertive Communication, Boundaries, and Social Anxiety.

WHEN: Tuesdays, 7:00 pm – 8:00 pm

ANGER MANAGEMENT

This is a group to help youth explore anger and its social, emotional and physical effects, as well as ways of successfully communicating and managing it.

Topics include: Fight or Flight, Coping Strategies, Triggers, and Forgiveness.

WHEN: Thursdays, 7:00 pm – 8:00 pm

TEENS LIVING CLEAN

A support and prevention group for youth interested in drug or alcohol abstinence.

Topics include Risks & Protective Factors, Getting Clean, Coping Skills, and Cycle of Addiction.

WHEN: Fridays, 7:00 pm – 8:00 pm

FAMILY WORKSHOP

MONTHLY

F

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Once a month sessions: one dedicated to parents/guardians and the other for youth.

Topics include: Back-to-School, Suicide Prevention, Bullying, Stress Management/Relaxation & Mindfulness, and Family Engagement with Teenagers.

PARENTS/GUARDIANS: Last Tuesday of the month, 7:00 pm YOUTH: Last Thursday of the month, 3:30 pm

www.TheCountyWoman.com

November/December 2020

Women’s History Nannie Helen Burroughs

Blackpast.org.

At the time of this publication, the nation will have voted for the 46th President of the United States. The year 2020 has challenged Americans in more ways than we could have ever imagined. I have interviewed young and old about their political views. However, one conversation in particular resonated with me and inspired this publication. I was having a conversation with a 12-year-old intelligent young lady who shared that she was not sure who she would vote for if she was eligible to vote and would most likely not exercise her freedom to cast her ballot. I immediately seized the opportunity to educate her about the importance of voting and reaffirmed that her voice matters through her vote.

In celebration of the centennial of the 19th Amendment, I was prepared to revisit publishing a tribute to historical suffragists. However, I came across Nannie Helen Burroughs and was enthralled by her trailblazing and monumental journey as an educator and activist. Nannie Helen Burroughs was born on May 2, 1879 in Orange, Virginia to John and Jennie Burroughs.

Nannie’s parents were slaves and her father passed away when Nannie was a young child. Nannie and her mother relocated from Virginia to Washington, DC. Nannie attended schools in Washington, DC and graduated with honors from the M Street High School.

Nannie was a “standout” in high school; however, when she applied for a teaching job in the DC area, she was not selected. It has been speculated that Nannie was a victim of discrimination by the elite black community because Nannie had darker skin than other African Americans at the school. Nannie did not perceive this level of discrimination as a setback and instead moved forward with establishing her own school. Nannie petitioned the National Baptist Convention for financial support and also gained support from African American mothers and children.

The National Baptist Convention purchased six acres of land in northeast Washington, DC. Although Nannie’s school was gaining some support from the community, Nannie also had her share of setbacks. Nannie was committed to the education of African American women. It was important for Nannie to ensure that women learned to have economic freedom and to effectuate this through education and the right to vote.

Nannie Helen Burroughs opened the National Training School for Women and Girls in 1909. The school educated African American women from around the world. Nannie did not receive any funding from white donors. The goal of the school was to develop students to become “the fiber of a sturdy moral, industrious and intellectual woman.” The curriculum was rigorous and focused on academic as well as vocational models. The areas of study included dressmaking, handicrafts, power machine operation, public speaking, music and physical education. Remember this was the early 1900s! Students attended the school from across the globe. Students were also required to be “practicing Christians” in order to attend the school.

The course included a religious component and included Sunday school classes. It is important to note that the school did not restrict applicants based upon their race.

The vast majority of the student population were from working class families. The school initially started off small with minimal classrooms and with a prominent black history scholar by the name of Dr. Carter G. Woodson as a powerful advocate. Nannie was able to complete the Trades Hall in 1928. The new hall replaced the old building and added more classrooms and administrative offices. In 1964 the school was renamed in Nannie’s honor as the Nannie Helen Burroughs School.

The Trades Hall became a private elementary school before closing in 2006.

The building currently is known to house the Progressive National Baptist Convention.

Nannie Helen Burroughs also focused on her advocacy as a member Twitter.com.

The County Woman Magazine

31

Loc.gov.

Pinterest.es.

Libquotes.com.

www.nps.gov/national-training-school-for-girls.htm,

of the National Association for Colored Women, the National Association of Wage Earners, and Association for the Study of Negro Life and History. Nannie Facebook.com. was known to have delivered over 200 speeches on racial equality Nytimes.com. and education as well as advocacy for the passage of the 19th Amendment. Specifically, Nannie was vocal in sending the message that it was important for African American and white women to work in solidarity in securing the right to vote. Nannie was fully aware of the discrimination faced by African American women by society and felt it was her duty to advocate for not only herself but for the oppressed. In the years leading up to the passage of the 19th Amendment, African Findagrave.com.

Americans were victims of lynching to white mob violence. Nannie knew that the passage of the 19th Amendment would be the impetus to provide proper protection for African Americans through the creation of law.

Nannie Helen Burroughs reportedly died of natural causes on May 20, 1961. As the next President is sworn into office, may we be thankful for Nannie Helen Burroughs. An extraordinary woman who has shown us that through the power of education and advocacy, we can make a difference! As we say goodbye to 2020 and look forward to a fresh new start, I am reminded of a quote from Mehmet Murat Ildan: “In the New Year, never forget to thank your past years because they enabled you to reach today! Without the stairs of the past, you cannot arrive at the future!” Warm regards for a healthy and safe holiday season.

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.

www.TheCountyWoman.com

November/December 2020

ROMANCE TRAVEL Travel ravel

“Create Lasting Memories” 32 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

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.

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 Six Hawaiian Islands Travel opens suitcase. us up to the wonders of the world and surrounded by blue waters, and where happiness is a way of life. Top choices amenities and intriguing itineraries to the places Now big ocean-going question is: are Kauai, Maui, and Big Island.

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Conde’ Nast Traveler areand the essentials to pack? lessons.

Until the traveler feels more comfortable flying 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 (rated the best in the Caribbean by Travel & Leisure) exciting watersports and unlimited scuba diving Readers have voted Bermuda “Best Island in the Caribbean” 17 times! will rememberof is the total of canals, whichtrip” span thousands of miles of Continental youExamples again, the carefully designed “road may be some the best might helpand 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 River Cruise Line Themes: just what is needed now. the things you forgot to pack. are about Amazing waterparks with body slides,River lazy rivers and surf entering the market such as through Emerald Waterways ForBEACHES a week inresorts the River Caribbean: • Packable sun foldable beach bag hat and A Travel Professional with years of expertise will work for you, A Europe Cruisechildren. is one of the bestFor ways we • Viking Cruises, partnership with over 25 years, *Remember, your Vagabond* simulator are a favorite of the kids.

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Little New Jersey LittleSilver, Silver New Jersey07739 07739

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The County Woman Magazine

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

The 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:

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

www.TheCountyWoman.com www.TheCountyWoman.com www.TheCountyWoman.com

November/December 2020 November/December 2016 May/June 2014 2014 November/December

Health & Wellness

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

Train Your Mind To Curb Your Stress And Lift Your Spirits The holidays are approaching, and this year’s will clearly be different than those of previous years, and possibly more stress-provoking.

Everyone feels down or stressed at times, but given the current situation (related to COVID, politics, the economy, social issues, etc.), many people are feeling an extra level of heaviness and edginess.

Check in with yourself and your feelings about the holidays. Are you…

• Happy about getting together with people you care about?

• Sad about not being able to see family and friends you usually do see?

• Stressed about preparing for the holidays?

• Worried about the financial aspect?

• Concerned about contracting the virus through contact with others?

• Grateful for all the positive things surrounding the holidays?

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

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For many, feelings about the holidays are a mixed bag; for some, the feelings are extremely uncomfortable. So, what to do? You probably know there are immediate steps you can take to feel better – like exercising regularly, eating more healthfully, improving your sleep quality, and using relaxation techniques.

There are also powerful and effective techniques used by hypnosis practitioners that allow you to train your mind to be less fearful and more encouraging. They help relieve many of the negative thinking patterns that limit you, while improving your coping skills.

The latest research in neuroscience has taught us more about how the brain operates, and impacts our behavior, thoughts, and feelings. The brain is constantly rewiring itself. That means that you don’t have to stay stuck feeling stressed or down. You can do your own rewiring, so to speak. With the right strategies, you are capable of change. Here are some simple things you can do now:

Hypnosis For Women ❀ ❀ ❀ ❀

Weight Control Smoking Cessation Relaxation/Comfort Fear Release

• Reserve a few minutes daily to clear your mind. Even five minutes will help. Take a few centering breaths (deep belly breaths). As your body calms and relaxes, your mind will feel clearer and will open up to new possibilities. More oxygen will flow to your brain, and muscle tension will lessen. Your problem-solving skills will improve.

• Close your eyes and imagine your holidays as you’d like them to play out (being realistic). Put yourself into that experience. Notice the details. Feel the good feelings. Amp up the colors, brightness, sounds, fragrances. Once you’ve done that, devise a plan to make it happen.

• Become aware of messages you’ve been giving yourself. If you’ve been feeling stressed or down, your messages have likely been negative and unrealistic. The more you embed negative statements and expectations of unpleasant outcomes, the worse you feel. Change your self-talk. Change the messages. Allow for positive outcomes. Periodically repeat affirmations – positive statements. Your mind is a powerful tool – make it work in your favor.

Using hypnosis / coaching is a gentle, effective, and efficient way to help you move forward. This approach is ideal for people who are motivated to change, believe that with the right tools and techniques they are capable of changing, and understand they need to be a partner in the process.

For a 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!

PROFESSIONAL HYPNOSIS AND COACHING SERVICE ❀ ❀ ❀ ❀ ❀

Focus/Concentration Sleep Improvement Studying/Testing Lifestyle Changes Interviewing/Auditions

❀ ❀ ❀ ❀ ❀

Athletics Public Speaking Flying/Driving Socializing Confidence

Make Your Mind Work For You – Instead of Against You

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

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November/December 2020

Women Of Monmouith County

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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.

Erin Intessimoni,

Nurse Practitioner, Relievus

Erin Intessimoni is a Jersey girl. She was born and raised in Winslow Township.

She is a current resident of Waterford Township, where she lives with her husband of 12 years and their two children. From a young age Erin felt very passionate about helping others. She became a registered nurse in 2003 and worked at Thomas Jefferson University Hospital for 10 years. While working she continued her education and obtained her master’s degree in Nursing as a Nurse Practitioner.

Erin presently works at Relievus pain management. She has worked for Relievus for five years. Working as a nurse practitioner in pain management has been very rewarding for Erin. Being able to help her patients have a better quality of life is her main goal. At Relievus she is able to work with a multi-disciplinary team in offering the most up-to-date procedures. Working for Relievus allows Erin to increase her patients’ productivity and self-worth, which is very valuable in pain management.

When Erin is not working, she is spending time with her family. They enjoy going on road trips and outdoor activities. She and her husband recently built a new house and they are working on making it a home.

For more information, call 1-888-985-2727 (ASAP) or visit www.Relievus.com.

Photo by Donna Andrews Photography

Photo by Tracy Harman Photography

Christine Genovese, LPC

Mary Gonzalez,

Genovese Counseling Services, LLC

Assistant Trust Officer, Garden State Trust Company Mary Gonzalez moved to New Jersey with her husband and triplet daughters in 2002 to be closer to her family. Mary began her career with Garden State Trust Company in 2010 as an Administrative Assistant and she was recently promoted to Assistant Trust Officer.

Having a daughter on the autistic spectrum, Mary understands deeply the challenges faced by the families of our special needs clients. She works hard to make sure they receive the resources and assistance they need and deserve. Mary takes pride in working directly with our clients and enjoys building and maintaining a trusting relationship with an understanding of each individual’s specific goals and needs.

Mary will begin working towards her Certified Trust and Financial Advisor (CTFA), a professional designation offered by the American Bankers Association, which provides training and knowledge in taxes, investments, financial planning, trusts and estates.

Mary can be reached at 732-255-5000 or through email mgonzalez@gstrustco.com.

Christine Genovese is a Licensed Professional Counselor with offices in Tuckerton and Somers Point. Raised in Absecon, she has combined her love of education and healing and started her private practice in 2018. After a successful career in education, Christine retired as a teacher and school counselor from the Galloway Township school system. During that time, Christine earned a Master’s Degree in Education from Marygrove University and a Master’s Degree in Counseling Psychology from Georgian Court University. In 2005, she received the Governor’s Teacher Recognition, and in 2009, she received the School Community Advocate for Education award along with her fellow school counselors. From 2012-2016 Christine worked as a per diem therapist for JFS in Margate.

Christine is a Brainspotting Practitioner, which uses a person’s natural gaze along with the therapeutic relationship to process strong emotions.

Christine’s practice is limited to adults experiencing major life change, grief and anxiety, and she is especially passionate about working with educators.

She is a member of the New Jersey Counseling Association and has enjoyed being in private practice since 2012.

Christine enjoys learning about neuroscience, taking metalsmith classes, and hunting for sea glass.

Please call 609 568-6299 or visit genovesecounseling.com for more information.

Photo by Tracy Harman Photography Photo by Donna Andrews Photography

The County Woman Magazine

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Photo by Donna Andrews Photography

November/December 2020

Women Of Monmouth County Anna Brocco, PharmD, MBA

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Rhoda Kopy, CH

Director of Operations and Clinical Research Advanced Memory Research Institute

Nationally Certified Consulting Hypnotist & Wellness Coach, Founder, Hypnosis for Women

Anna Brocco grew up in Toms River, New Jersey and currently lives in Forked River with her husband and toddler son. She is a graduate of Rutgers, The State University of New Jersey, Ernest Mario School of Pharmacy with her doctorate in pharmacy and later, a master’s degree in business. Throughout pharmacy school and after graduation, Anna worked at Community Medical Center in the pharmacy department where she specialized in IV medication preparation.

Anna joined Advanced Memory Research Institute of NJ in 2014 as a clinical research pharmacist and then in 2015, she became the operations manager and then the director of operations and clinical research. Anna uses her clinical trial and business knowledge to bring more research opportunities to the center so that all those who wish to participate in research can have the opportunity.

Anna is also an adjunct clinical professor of pharmacy practice at Fairleigh Dickinson University, School of Pharmacy and Health Sciences. In this role, she educates future pharmacists about clinical research and about Alzheimer’s disease and memory loss.

If you would like to learn more about AMRINJ, please reach out at 732-341-9500 or www.amrinj.com.

Rhoda helps people break free of negative habits, and limiting fears and beliefs, as a master hypnosis practitioner and wellness coach with specialty certification in Medical and Dental Hypnotism. Building each client’s sense of calm, focus, confidence, and empowerment is the hallmark of her approach. She firmly believes that when you learn to make your mind work for you, instead of against you, anything is possible.

Rhoda recently celebrated her 16th anniversary as a clinical hypnotist. Ms. Kopy’s Toms River practice, Hypnosis for Women, which she founded in 2005, serves primarily women, teens, and children, throughout the tri-state area.

After studying nursing and earning a B.S. in Biomedical Communications in 1984, she worked for various organizations providing community health education and counseling services. She later segued into career services and founded A Hire Image, which offered motivational coaching, marketing, and training services.

As a result of success she achieved using hypnosis to improve her life, she completed an advanced training program in 2004, parlayed her education and experience, and opened her private practice. Rhoda also co-founded Jersey Shore Hypnosis Practitioners, a peer support and networking group, and is a certified member of leading professional hypnosis organizations.

Born in Bayonne and raised in North Plainfield, she has lived in Toms River for most of her life. She enjoys coordinating Bookie Babes, watercoloring, watching meteor showers, traveling with her husband, and connecting with friends and family. She has a daughter, two grandsons, and an adopted cockapoo, Gracie.

Rhoda can help you determine if hypnosis and coaching are appropriate for you. She offers confidential in-person and online sessions. Call her at 732-270-0080 for a brief complimentary phone screening, and visit www.HypnoForWomen.com

Photo by Tracy Harman Photography

Patricia L. Morello Certified Medical Assistant Paonessa Colon & Rectal Surgery Patricia L. Morello lived in Manhattan with her father and two siblings before moving to New Jersey. She was always outgoing and had a passion for helping others as such she has pursued a career in healthcare. She first began working with patients as a pharmacy technician. At the same time, she attended Brookdale Community College and then went on to Star Career Academy to become a certified medical assistant in 2012.

Patricia has a passion for caring for others, especially the elderly. As a certified medical assistant, Patricia has gained experience in the specialties of nephrology, cardiology, and most recently in colon and rectal surgery with Dr. Nina Paonessa at Paonessa Colon and Rectal Surgery. It is here that she has gained experience in office-based surgery and treating acute and chronic diseases of the colon and rectum.

She is directly involved in the care of patients. The patients recognize her dedication and commitment to providing excellent patient care and outcomes.

Throughout her career, Patricia has demonstrated her dedication and passion for working in healthcare. Her patients recognize her as being kind hearted, caring, friendly and compassionate. In her free time, Patricia enjoys cooking, baking, walking on the beach and drinking coffee.

For more information, call 732-2821500 or visit www.paonssacrs.com.

Teresa Menadier, MD,

Gastroenterologists of Ocean County

Doctor Teresa Menadier recently joined Gastroenterologists of Ocean County after completing her Gastroenterology fellowship at the University of Virginia. She is a graduate of Tufts University. She obtained her medical degree from Rutgers-New Jersey Medical School in 2012 where she was elected President of the NJMS chapter of the Alpha Omega Alpha Honors Society.

Dr. Menadier went on to complete her Internal Medicine residency at the University of Pennsylvania. Sponsored by the ANMS Clinical training program in GI Motility and Neurogastroenterology in October 2017, Dr. Menadier received specialized training in high resolution esophageal and anorectal manometry and pH/impedance interpretation under the supervision of Dr. Henry P. Parkman at Temple University.

Her clinical interests include esophageal and anorectal motility disorders, as well as liver diseases.

Doctor Menadier loves spending time with her family, baking, dancing and listening to flamenco guitar.

For more information, call 732-349-4422 or visit www.GastroOfOcean.com.

Photo by Tracy Harman Photography

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November/December 2020

Community

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

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

VIRTUAL DIABETES SELF-MANAGEMENT WORKSHOP- FREE! **NEW** Daytime and Evening Option Now Available.

Mondays, November 9 – December 14, 10AM-12PM OR 6PM-8PM.

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

The workshop is free but registration is required by calling SCAN: 732-542-1326.

SCAN’S WINTER SEMESTER WILL BEGIN IN JANUARY 2021!

SCAN’s Virtual Leaders of Distinction Award Celebration was held on Tuesday, October 20!

SCAN’s Leader of Distinction Awards are presented to an outstanding community leader or corporate entity that has made a significant impact on the quality of life of our aging population and the community at large.

The entire event was recorded via Zoom but awards along with a “party in a box” were presented on location to the 2020 honorees (outlined on the right). The President of SCAN’s Board of Directors, and CEO of We Care Adult Care, Tracey Wolfman, kicked off the celebration with some opening remarks and then handed things over to the Master of Ceremonies, David J.V. Meenan.

After the award presentations, closing remarks were made by Executive Director of SCAN, Pat Bohse who congratulated and thanked all of the honorees for the services they provide. She also gave a warm thanks to SCAN’s dedicated Board of Directors, amazing employees, volunteers and the many funders and supporters of SCAN. “It is because of all of them that SCAN is able to provide their members and the general public with trusted information on benefits and services and provide opportunities for them to be social and stay healthy.”

A special thank you to our award sponsors & supporters!

Platinum Sponsor: Grunin Group Gold Sponsor: New Jersey Natural Gas Silver Sponsors: CareOne, Comfort Keepers, Home Drug Store, Jersey Central Power & Light, Hackensack Meridian Health Jersey Shore University Medical Center, PNC Bank, VNA Health Group Supporters: Amy Mallet - Amsley Promotions, The Chelsea at Manalapan, PKF O’Connor Davies, Roger Stein, CPA.

The 2020 Honorees were the staff of the following organizations for their outstanding leadership, continued community support and tireless efforts throughout the COVID-19 pandemic.

CentraState Health Care System

The award was presented by Freeholder Sue Kiley and accepted by John T. Gribbin, CEO, Centrastate.

We will offer a combination of virtual and inperson classes, workshops & events. Stay tuned for more information & visit www.scannj.org for a full class listing in December. Call SCAN at 732-5421326 with questions.

Hackensack Meridian Health Jersey Shore University Medical Center

The award was presented by Jeremy Grunin, President, Grunin Foundation and accepted by Annamarie Cutroneo, Vice President, Operations/ Support Services.

RWJBarnabas Health/ Monmouth Medical Center

The award was presented by Dr. David Stout, President of Brookdale Community College and accepted by Anna Burian, Vice President Ambulatory & Community Health.

SAVE THE DATES:

Join SCAN every Wednesday morning at 9AM on Facebook Live For SCAN FYI (For Your Information) Our hosts Andrea & Marybeth chat with a different guest each week who will share information about community resources and other interesting topics. Go to SCAN’s FB page to join “live”. https://www.facebook.com/SCANNJ/

VIRTUAL LUNCH & LEARNS:

Freehold Neighborhood to Health Coalition

The award was presented by Reverend Ronald Sparks, Senior Pastor of Bethel AME Church & Board Member of SCAN and accepted by Linda Brown, Interim Executive Director.

Interfaith Neighbors, Inc.

The award was presented by Tom Hayes, Director of Customer & Community Relations, New Jersey Natural Gas & Board Member of SCAN and accepted by Paul L. McEvily, Executive Director, Interfaith Neighbors, Inc.

November 5 & December 3

The format of our Lunch & Learns will be a little bit different. You bring your lunch and we’ll bring “the learn”. We’re still offering great presentations from community partners so you can learn about important resources but it will be from the comfort of your own home. Topics and details will be available soon at www.scannj.org or by calling SCAN at 732-542-1326.

180 Route 35 Eatontown

(basement level of Monmouth Mall)

732-542-1326 • www.scannj.org

Pat Bohse

Executive Director

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

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November/December 2020

Community

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November/December 2020

Community

38

Answering Needs. Advancing Potential.

Give and Take Child Care and Preschool Center

SERVING FAMILIES WITH CHILDREN 6 WEEKS TO 9 YEARS

• STATE LICENSED

CUR RICULUM

We have not forgotten the love, learning and fun on which children thrive. LADACIN Network’s Give and Take Child Care is committed to ensuring your child’s safety while continuing to foster their growth and development. Our Child Care Center is now open with strict adherence to CDC, DOH and funding source guidelines.

A state-approved curriculum, Creative Curriculum®, balances teacher-planned and child-initiated learning, emphasizing responsiveness to children’s strengths, interests, needs and learning styles. It is a forward-thinking, comprehensive approach that enables teachers to establish a contentrich, developmentally-appropriate learning environment that supports active learning and promotes children’s progress in all developmental areas.

If you are working at home and your child’s school district is operating remotely, we can help. You can enroll your child in our center on a modified schedule to meet your needs and we will make our best efforts to meet theirs.

LOCATION

Schroth Center 1701 Kneeley Boulevard Wanamassa, NJ 07712 732.493.5900

Although we are not offering on-site tours, we can accommodate you with a virtual tour.

HOURS Monday - Friday 7:30 a.m. - 6:00 p.m.

O UR PHILOSOPHY Give and Take Child Care Center and Preschool provides a safe, nurturing and healthy environment for children ages 6 weeks to 9 years. The infant, toddler, preschool, and morning and afternoon kindergarten wraparound programs respect the diverse cultural, religious and language backgrounds of our families. Give and Take Child Care welcomes children with all abilities and has nursing support throughout the day.

EMAIL: childcare@ladacin.org CCR Vouchers Accepted

S AV E T H E D AT E SATURDAY MARCH 20, 2021

SHERATON EATONTOWN HOTEL EATONTOWN, NJ

For More Event Information

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

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November/December 2020

Medical Professionals

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November/December 2020

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