Monmouth County Woman - November/December 2021 by The County Woman

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An Educational Resource for Women and Their Families

FREE ~ Please Take One VARICOSE VEINS? PAINFUL SWOLLEN LEGS? HELP IS AVAILABLE. Varicose

UNDERSTANDING THE TERM ‘IRRITABLE BOWEL SYNDROME.’

Do you suffer with chronically recurring abdominal pain? Page 16

Page 23

Pages 10Pae & 11 32

The Pink Marker Movement is a powerful movement where you rewrite labels that have been covering you. Page 38

Page 19

Photo by Tracy Harman Photography.

Page 19

Veins is one of the most common circulatory problems.

PINK MARKER MOVEMENT.

Cyrus Khorammi, MD, is the Medical Director of Toms River X-Ray, CT & MRI Center. His office is an inspiring story of one of the few remaining family owned and operated radiology centers. Read more on pages 14 & 15.

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Medical Professionals

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November/December 2021

Financial Management

INCENTIVE TRUSTS It can provide additional structure for a beneficiary by using incentives, so as goals are accomplished within a treatment plan that includes caregivers, physicians, therapists, and others, the beneficiary will receive funds. The When it comes to financial and estate planning, it can be especially structure could be cash incentives, but a trust can also ensure that the money difficult to know what to do with a beneficiary who has previously is spent in a particular way, avoiding the potential that the money itself demonstrated poor behavioral patterns. Questions emerge about whether is abused. For example, instead of making a cash distribution, the trustee a financial windfall might actually create more problems than it solves and could be in charge of paying for particular expenses such as a car, vacation, about how to know who to trust with their care. or club membership every year should the beneficiary remain sober. Love being blind often causes us to not realize problems are problems until Being a caregiver is a difficult job and being impartial toward those we care it’s too late (or much more difficult) to solve them, which is why an outside about can be nearly impossible. Care needs to be ongoing and responsive perspective can be important. to changing circumstances. Being a trustee for a beneficiary with substance An incentive trust is a trust that includes provisions requiring beneficiaries abuse issues isn’t easy either. One needs to be careful about distributions to meet certain conditions before the trustee can distribute funds. This so as not to jeopardize other government benefits, one may face difficulties means that the funds can only be accessed in specific situations or for in verifying whether goals are met that would trigger distributions, and specific needs. Some incentive trusts give the trustee the authority to spread additional coordination may be needed to set up a treatment team beyond distributions out so the beneficiary doesn’t receive them all at once, but the the standard team a trust department may work with. incentives can be much more varied. Mr. Hagen notes that “Sometimes individual trustees end up resigning Incentives don’t only need to target negative behavior, such as drug abuse, from the trust due to emotional fatigue.” The best trustee might end up either. For example, a provision encouraging positive behavior might be to being someone that is most familiar with the situation, but it may also be encourage charitable work or giving, offering to provide extra funds for a appropriate to have a co-trustee that deals with many cases of this nature. beneficiary as a reward for volunteer work or to match their charitable gifts. Mr. Hagen also notes that the best institutional trustee choice would likely Martin J. Hagan, J.D. wrote a three part guide for Kiplinger “Designing be one that has familiarity with special needs trusts, such as Garden State Trusts for Beneficiaries with Substance Abuse Problems” that goes over some Trust Company, since we are already familiar with social workers and case of the incentive trust basics. The most important take-away from this article managers that have experience with the medical and health needs of disabled is that the trust is not a magical lamp that will necessarily solve the problem. beneficiaries. “The denial of assistance is sometimes the greatest assistance. The trick is recognizing when this is the case.” - Richelle E. Goodrich

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November/December 2021

Manager’s Note The County Woman The County Woman Welcome to the Winter Issue of the Monmouth County Woman! 4

All correspondence should beAll addressed to: correspondence should be addres

P.O. Box 619 Turnersville, NJ 08012

The leaves are changing their hue and the air is getting crisp. Is it November already? It’s hard to believe the holidays are upon us! Many of our professionals offer fantastic ways to look and feel your best during the holiday season. I hope you’ll heed their advice as you read their articles. Fall is also the perfect time to shop locally for your holiday gifts-there are so many businesses offering quality products and services for you and your family members this season. Reflecting on the past year, I am incredibly fortunate to work with an amazing team of talents writers, graphic designers and photographers. Many days, I am blessed with emails, voicemails, and personal conversations with readers who have benefited from the information we’ve published. Additionally, it has become a pleasure to work with and promote the professionals featured in the Lauren, pictured with her family. Monmouth County Woman Publication and the significant educational impact they make on the readers of the publication. Many times, the articles are critical to the reader’s personal health and wellness! On behalf of the staff at the Monmouth County Woman Publication, we wish you a safe and joyful holiday season and a prosperous New Year!

P.O. Box 619 Turnersville, NJ 08012

woman

The County Woman’s Newspaper is published bi-monthly and isWoman’s available Newspaper free of charge at The County is published bi-monthly and is availa display stands in approved private and public establishments and authorized display stands in approveddistributors private andonly, public establishments and authoriz or by paid mail subscription. or by paid mail subscription. Trademark and U.S. Copyright Laws protect The County Woman’s Newspaper. No Laws part ofprotect The County Woman’s Ne Trademark and U.S. Copyright this paper may be reproduced without the written permission of thebepublisher. this paper may reproduced without the written permission of the publi The County Woman’s Newspaper is not responsibleThe for any editorial comment (other isthan County Woman’s Newspaper not responsible for any editorial co its own), typographical errors from advertisements submitted as camera ready or any its own), typographical errors fromreproducadvertisements submitted as camera re tions of advertisements submitted as camera ready.An tions Educational Resource for Women and Their Families of advertisements submitted as camera ready. If an advertisement does not meet our standards of acceptance, we may does revisenot or meet cancelour it atstandards of acceptance, we may If an advertisement any time, whether or not it has been already acknowledged previously The acknowledged and/or previou any time,and/or whether or not itpublished. has been already Publisher Chris chris@thecountywoman.com advertiser assumes sole responsibility for Lam all statements contained in submitted copy and will advertiser assumes sole responsibility for all statements contained in subm protect andProduction indemnify the Woman’s Newspaper, its protect owners,and publishers, andthe employees, against indemnify Woman’sShover Newspaper, its owners, publishers, an Manager & Advertising Sales Lauren any and all liability loss or expense arising out of claims for libel, unfair loss tradeornames, any and all liability expensepatents, arising out of claims for libel, unfair tra staff@thecountywoman.com copyrights and propriety rights, and all violations ofcopyrights the right ofand privacy or other violations propriety rights, and all violations of the right of privacy o resulting fromManager the publication Padden of this newspaper or resulting its LLC, advertising copy. Billing Cooper Certified Public Accountants from the publication of this newspaper or its advertising copy. The publisher shall be under no liability for failure, The for any reason,shall to insert an advertisepublisher be under no liability for failure, for any reason, to i billing@thecountywoman.com ment. The publisher shall not be liable by reason of ment. error, omission and/or failure to insert anyreason of error, omission and/or The publisher shall not be liable by Designer Design LLC part of an advertisement.Graphic The publisher will not be liable or failure inThe performance partGolden offorandelay advertisement. publisher will not be liable for delay or failu in publication and/or distribution if allCEO or any portion of an issue is delayed or suspended in publication and/or distribution if allfor or any portion of an issue is delaye Lynn K. Wolf any reason. The publisher will exercise reasonable judgment in these instances will and exercise will make any reason. The publisher reasonable judgment in these instan adjustments for the advertiser where and when appropriate. adjustments for the advertiser where and when appropriate. For advertising inquiries, please call: The Woman’s Newspaper assumes no responsibility for unsolicited material orassumes reproducThe Woman’s Newspaper no responsibility for unsolicited mat tions made by advertisers. tions made by advertisers. This newspaper will be published by the 15th of every month.will be published by the 15th of every other month. Thisother newspaper 2008. County Woman, LLC TM COPYRI Representations by The Monmouth County Woman, LLC TM COPYRIGHT Representations by The Monmouth Ce

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

Warmest Regards, Lauren Shover, Production Manager

Contents Medical Professionals

REHABILITY.................................................................. 2 All Care Physical Therapy Center, LLC......................... 6 Shore Vascular & Vein Center................................ 10, 11 Reproductive Science Center of NJ............................ 13 Gastroenterologists of Ocean County......................... 16 Ocean Hematology & Oncology.................................. 17 Relievus....................................................................... 18 Kathy A. Banks, DMD.................................................. 20 Paonessa Colon & Rectal Surgery.............................. 21 University Urology Associates of NJ............... 23, 24, 25

Home Health Care

Travel Agency

Pediatric Dentistry

Fine Art Photography

Featured on the Cover Toms River X-Ray, CT & MRI Center..................... 14, 15

Community........................................................ 30

UM Communities HomeWorks...................................... 9

Shore Children’s Dental Care...................................... 12

Advocates in Action.................................................... 19

Certified Life Coach

Garden State Trust Company........................................ 3

Jessica L. Conrad........................................................ 19

Elder Law

Health & Wellness

Cosmetic & General Dentistry

Aesthetic Dental Creations............................................ 7

Business & Finance

Tracy Harman Photography........................................ 31

Advocacy

Financial Management

Carluccio, Leone, Dimon, Doyle & Sacks, LLC............. 5

Vagabond Travel Agency............................................. 28

A Mindful Renewal...................................................... 22 Nina Radcliff, MD........................................................ 27 Hypnosis for Women................................................... 29

Women of Monmouth County........... 26

Copiers Plus.................................................................. 8

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November/December 2021

Elder Law

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

ANNEMARIE SCHREIBER, ESQ. Certified Elder Law Attorney*

has the knowledge and experience to help you!

Thankful, Grateful And Blessed For Family Caregivers Who are the people in our lives that we are thankful, grateful and blessed to have in our lives? Without a doubt, family caregivers would be at the top of the list. Family caregivers are the foundation of long term care. Caregiving can be a 24 hour/7 days a week job. Caring for a senior with heath or dementia issues or a child with special needs can be non-stop. On a whole, the majority of caregivers are family members. In appreciation for the hard-work and dedication of family caregivers, the month of November is recognized as National Caregiver Appreciation Month. It is a month long tribute to acknowledge those individuals providing care and support to family members and loved ones. Caregivers often turn to elder law attorneys to help navigate the legal issues the caregivers face on a daily basis. Certified Elder Law Attorney, Annemarie Schreiber answered questions and offered informaton on the Caregivers First TV show, hosted by Lynette Whiteman, Executive Director of Caregiver Volunteers Of Central Jersey. The episode aired last December 12th on local TV stations (visit www.scannj.com for listings). It is also be posted on www.CLDDS.com.

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Whether it is helping with financial matters or medical decisions, it is important that the proper legal documents are in place to ensure the caregiver has the appropriate known as a health care proxy authority. To that end,isitalso may be advantageous fordirective, the a durable power of attorney for health care or an advance directive. An caregiver to be named as agent under a power of attorney individual appoints a trusted person to be his or her representative in the for financial matters and/or as agent under a medical event the creator of the document can no longer make medical decisions for directive. The job of a caregiver can be strenuous and him- or herself. demanding. To ease the caregiver’s burden, having these is a legal document in which an individual states his or documents in placemedical will alleviate oneend area of care. stress. her wishes regarding treatment and of life An Early individual’s planning is for designed to prevent theofneed forarelater, preferences medical treatment and end life care oftenmore included in costly, protective proceedings initiated with the court, such as a guardianship. To help either the current caregivers in our lives or the ones that will care for us someday in the future, let’s show that we consider ourselves thankful, grateful and blessed for these people by getting the necessary legal documents in place. Estate Planning, Probate, and Administraton Wills and Trusts Powers of Attorney Advance Medical Directives Disabillity Planning

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

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

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

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November/December 2021

Medical Professionals

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

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

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

Your safety and health are our first priority

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

Hip Precautions

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

Anterior Approach: What to avoid:

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

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

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

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

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Physical Therapy

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

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

November/December 2021

Cosmetic & General Dentistry

Aesthetic Dental Creations is Pleased to Offer the Following Services: • General and Family Dentistry • Aesthetic Onlays and Inlays • All Porcelain Crowns (Non-Metal) • Invisalign® • Implant Crowns • Periodontal Therapy • Dentures/Aesthetic Partial Dentures • Facial Esthetics (such as Botox®) • Non-Invasive Facial Rejuvenation

Dr. Balaji Srinivasan

graduated from Creighton University School of Dentistry in Omaha, NE in 1994. He completed his residency in Advanced Education in General Dentistry at Temple University in Philadelphia, PA in 1995. He is the alumni of the world famous Las Vegas Institute for Advanced Dental Studies and member of the International Association of Physiologic Aesthetics. He also lectures at Monmouth Medical Center.

Patient Friendly Financing Options

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November/December 2021

Business & Finance

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2021

Home Health Care

Be Thankful for the Advice of Nonagenarians By: Deborah Walsh, Corporate Director of Home Care Service, United Methodist Communities America’s population of persons aged 90 (Nonagenarians) and over has almost tripled since 1980, reaching 1.9 million in 2010, and will continue to increase in the coming years. Elders can be a source of wise words and sage advice on dealing with and enjoying life to its fullest. Older generations have decades of experience to share. The younger generation can spend years slowly gaining the experience and making the same mistakes or they can draw on the wisdom of those who’ve already been down the same road. Here are some practical tips elders would like to pass on to younger folks. Quit worrying so much Older adults have the lowest stress levels among the generations since the American Psychological Association began conducting its annual Stress in America survey. Take time to craft the story of your life As we age what ends up mattering most is how our life story has played out. It’s important to know that your life has mattered. When it comes to love, take your time Don’t rush into anything and choose your partner carefully. Love yourself first and get to know the person you love very, very well in all circumstances, the happiest parts, and the stressful parts. You can’t mold your spouse into something that you want. Find romance in the small stuff Encourage and find comfort in even the smallest aspects of your relationship. Emphasize on thinking small – the small minute to minute,

day to day interactions that make up a relationship. Don’t give up on love (at any age) Its easy to give up on love when you’re single and all your friends are married. Keep an open mind and leave room for love and companionship, no matter what stage of life you’re in. Make time for family Parenting means spending quality time with your children, even if work and other obligations make it challenging. Never stop learning The key to a purposeful life is an education and insatiable curiosity. Seeking out new learning opportunities regularly enriches the lives of seniors. Travel while you are young Novel experiences keep elders young and inspired. Don’t wait until the children have grown or you’re retired. Don’t worry about the money…the experience is far more valuable than money will ever be. Listen to your elders and be thankful for them People who have lived through generations play a vital role in how our society functions. Listening to the stories and experiences of older generations can help us understand history and how to better shape our future.

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

Employment Opportunity

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November/December 2021

Medical Professionals Professionals Medical

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MedicalProfessionals Professionals Medical Varicose Veins? PainfulSwollen Swollen Legs? Help IsAvailable! Available! Varicose Veins? Painful Legs? Help IsAnswers Most Common Questions And The Most Common Questions And Answers

Concerning VaricoseVeins Veins ConcerningVaricose

An Interview InterviewWith WithDr. Dr.Jeffrey JeffreyS.S.Gosin... Gosin...

is the cause of most varicose Varicose is the cause of most varicose Varicoseveins veinsand andtheir theirunderlying underlying veins. We have now performed cause, known as venous reflux disease, cause, known as venous reflux disease, veins. We have now performed thousands of these procedures are the most circulatory aricose veins are one thethemost vasvas cular areare varicose veins andand venous reflux diagnosed? thousands of these procedures are the most circulatory aricose veins are oneofcommon ofcommon mostcommon common cular How How varicose veins venous reflux diagnosed? and results have been excellent.” problems that affect individuals of all and results have been excellent.” conditions affecting women...and men of all ages. An experienced vascular specialist can make the the diagnosis withwith problems that affect individuals of all conditions affecting women...and men of all ages. An experienced vascular specialist can make diagnosis “One of the significant ages. “One ofoftheaofmedical significant ages. Treatment options inin a combination history, physical examination and and a a Treatment optionshave haveimproved improvedgreatly greatly a combination a medical history, physical examination advantages to seeing a vascular These conditions are twice as common as advantages to seeing a vascular These conditions are twice as common as recent years. spite ofofthese advancements, painless vascular testtest called a Doppler ultrasound (also(also known as as recentcoronary years.InIn spite these advancements, painless vascular called a Doppler ultrasound known surgeon for vein care is that heart disease. They occur when vein surgeon for vein care is that coronary heart disease. They occur when vein many people mistakenly still treatduplex scan.) Making thethe correct diagnosis is essential manyvalves people stillbelieve believethat that treat- a venous a venous scan.) Making correct diagnosis is essential we treat theduplex fullfull spectrum of ininmistakenly the legs become damaged, causing we treat the spectrum of valves the legs become damaged, causing ment for this problem is difficult, painful, and in properly treating this condition. mentabnormal for this problem is difficult, painful, and in properly treating this condition. diseases, from routine blood flow affected veins. vascular diseases, from routine abnormal blood flowininthe the affected veins. vascular simply considered “cosmetic.” Other people How are varicose veins and venous reflux treated? simply considered “cosmetic.” Other people to very complicated ones” says Consequently, blood is isallowed toto pool in in thethe How are varicose veins and to very complicated ones” saysvenous reflux treated? Consequently, blood allowed pool may experience leg pain and other symptoms Sometimes compression stockings willwill be sufficient to control Gosin. “We have experience may experience leg pain and symptoms lower legs. This causes a variety physical Sometimes compression stockings be sufficient to control Gosin. “We have experience lower legs. This causes a other varietyof of physical Dr.Dr. Jeffrey but they don’t realize what is causing their with conventional open surgery, Jeffrey S. S. Gosin, Gosin,MD, MD,FACS FACS symptoms such as leg pain, leg swelling, symptoms and prevent complications. When procedures are but they don’t realize what is causing their with conventional opencomplications. surgery, symptoms such as leganswer pain, leg swelling, symptoms and prevent When procedures needed, are needed, condition. This article will some and aretechnology certainly prepared heaviness and fatigue, andcondition. skin itching. It can also will causeanswer the appearance of current and techniques, allow for treatment WITHOUT This article some and are certainly prepared heaviness and fatigue, and skin itching. It can also cause the appearance current technology and techniques, allow for treatment WITHOUT good news is that modern common regarding varicose veins, of theto do that when necessary. unsightly varicose and spider veins.questions need for painful surgery. One The of the best, most proven treatments The good news is that modern common questions regarding varicose veins, to do that when necessary. unsightly varicose and spider veins. the need for painful surgery. One of the best, most proven treatments JeffreyPeople S. Gosin,who MD, FACS the associated symptoms, and treatment. However, more and more we are have occupations that require standing, such as casino vein care allows for treatment JeffreyPeople S. Gosin,who MD, FACS for venous reflux is the Closure® referred to asfor Venefit™. the associated symptoms, and such treatment. more and weProcedure, areProcedure, have occupations that require standing, as casino veinnow care forHowever, venous reflux is themore Closure® nowallows referred to astreatment Venefit™. able to treat our patients with employees, food servers, school teachers, and many other similar jobs are of many of these problems What are varicose veins? school teachers, and many other similar jobs are Thisable minimally invasive procedure is performed right in the office in to treat our patients with employees, food servers, many of these problems What are varicosetoveins? This minimally procedure of is performed right in the office in invasiveinvasive procedures. especially these problems. In addition, people who have a family Varicoseprone veins are swollen veins that can be seen through the skin. inminimally less than 30 minutes, with no incisions, minimal discomfort, a far less invasive way than in minimally invasive procedures. especially prone to these problems. In addition, people who have a family This is especially true for with no incisions, history of varicose who veins are overweight, or seen who have beenthe pregnant Varicose veins areveins, swollen that can be through skin. in less than 30 minutes, minimal discomfort, a far less invasive way than in They oftenofhave a bulging, twisted appearance. Some varicose veins and excellent results. This isveins especially true for history varicose veins, who are overweight, or who haveany been pregnant the past. varicose and venous are at risk. It is also possible to have varicose veins without of these risk They often have aand bulging, twistedOthers appearance. varicose veins and excellent results. the past. may be discolored. mayveins beSome smaller. They varicose veins and venous are atvery risk.large It is also possible to have varicose without anycan of these riskHow long is the recovery from vein treatment? reflux.” factors. may be very large and discolored. Others may be smaller. They can How longare issuffering theindividuals recovery from vein treatment? reflux.” occur anywhere on the legs,and including groin area.more common factors. Ifmost you from the appearance of varicose In cases cansymptoms return toortheir usual activities within reflux disease varicose the veins become occur Venous anywhere on the legs, including the groin area. If you are suffering from the symptoms or appearance of varicose In most cases individuals can return to their usual activities within Venous reflux disease and varicose veins become more common veins, or if you have leg symptoms that you think might be related to your with age. Existing varicose veins can also become more prominent or What causes varicose veins? a day of the procedure. veins, if haveCertified leg symptoms that you think might be related to your with age.must Existing varicose veins can In also become more prominent What causes varicose a day oforthe procedure. theyou Board Vascular Surgeon at Shore Vascular & Vein symptomatic asflow individuals get older. cases, people Blood up,veins? against gravity, tomore exitsevere the legs and returnwith toor long Is circulation, varicose vein treatment covered by health insurance? circulation, the Board Vascular Surgeon at Shore Vascular & Vein asflow individuals get older. In cases, people with long Center Blood Our must up,have against gravity, tomore exit the legs return to loss is available to help.Certified Mostcovered health insurance is accepted. standing varicose veins and chronic legvalves swelling can develop permanent thesymptomatic heart. leg veins one-way thatsevere assist inand this process. IsVenous varicose veindisease treatment by health insurance?in many reflux is a medical condition. Therefore, Center is available to help. Most health insurance is accepted. standing varicose veins and chronic leg swelling can develop permanent loss ofheart. integrity and discoloration of the skin, leg wounds, andflow clots. the Our leg veins haveand one-way valves that assist inblood this Those valves can malfunction leak, causing blood to in process. the Venous reflux disease is a medical condition. Therefore, cases, varicose vein treatment is covered by health insurance. Anin many of integrity andmalfunction discolorationand of the skin, leg wounds, andflow blood clots. Those valves can leak, causing blood to in the The good news The is that modern care allows treatmentthe of pressure many of wrong direction. blood thenvein pools in the legs,forincreasing for a center consultation orhealth for additional cases,Please varicose vein treatment iswill covered insurance. An experienced veincall treatment have by insurance specialists who The good news is that modern vein care allows for treatment of many of wrong direction. The blood then pools in the legs, increasing the pressure these problems in a far less invasive way than in the past. for a(609) consultation or (8346) for additional in the veins. This is known as venous reflux disease or Chronic Venous experienced vein treatment center willtohave insurance specialists who will work Please with yourcall insurance company confirm coverage. information. 927-VEIN these problems in a far less invasive way than in the past. in the veins. This is known as venous reflux disease or Chronic Venous Insufficiency (CVI). Venous reflux one of thesurgery most are common causes Hospitalization and painful veinis stripping not necessary.

Insufficiency (CVI). reflux one of thesurgery most are common causes Hospitalization and painful veinis stripping notShore necessary. Jeffrey Gosin, M.D.,Venous a Board Certified Vascular Surgeon with of varicose veins. Jeffrey M.D., a Board VascularweSurgeon with Shorefor VascularGosin, & Vein Center states, Certified “In our practice, have been caring of varicose veins. What are the symptoms of varicose veins and venous reflux disease?

individuals problems, as varicose our entirefor Vascular & with Veinvascular Center states, “In such our practice, weveins, have for been caring

will work or with yourus insurance company to confirm (8346) coverage. information. (609) 927-VEIN visit at www.GetGreatLegs.com. VISIT www.GetGreatLegs.com or visit us at www.GetGreatLegs.com. VISIT www.GetGreatLegs.com

What are the of varicose veinsreflux and may venous disease? People withsymptoms varicose veins and venous feelreflux leg pain, leg careers. In recent years there have been fantastic advancements theentire individuals with vascular problems, such as varicose veins, forinour • The The Venefit ClosureProcedure Procedure PeopleIn with varicose veins and venous reflux may leg pain, legis heaviness, leg fatigue and/or leghave swelling. Itching ofadvancements the feel skin ofstate-of-thethe legs treatment ofrecent vascular disease. many we can offer these careers. years there In beencases fantastic in the • The The Venefit ClosureProcedure Procedure • Microphlebectomy alsotreatment very leg common complaint. Standing may worsen Many heaviness, and/or legAs swelling. Itching of offer the skin ofstate-of-thethe legs arta treatments to our patients. a result, we are able tosymptoms. treat most of the is offatigue vascular disease. In many cases we can these • Microphlebectomy • Sclerotherapy for treatment of spider people will common noticethat appearance ofabulging legsare veins. However, some also a treatments very complaint. Standing worsen Many vein problems people experience with may minimally art tothe our patients. As result, we ableinvasive, tosymptoms. treatoutpatient most of the veins • Sclerotherapy for treatment of spider people will only feel discomfort butofnot notice any cosmetic changes. notice the appearance bulging legs veins. However, some procedures. Many of these are performed right in the office. These vein problems that people experience with minimally invasive, outpatient • Excel V Vascular Laser for treatment of veins procedures have the advantage safeany andthe effective. Patients people willvaricose only feel discomfort but notvery notice cosmetic changes. procedures. Many of these are of performed right in office. I thought veins are just abeing cosmetic problem. Is thatThese true? spider and unsightly facial veins of • Excelveins V Vascular Laser for treatment usually experience minimal discomfort, are able to and walk immediately procedures have the advantage of being very safe effective. Patients It is important to understand that varicose veins and venous reflux I thought varicose veins are just a cosmetic problem. Is that true? • IACspider Accredited Vascular veins Noninvasive and unsightly facial veins following the procedures, anddiscomfort, have fast recovery.” experience minimal are able to walk immediately areusually NOT necessarily simple cosmetic problems. This can be a sign of Laboratory on site It is important to understand that varicose veins and venous reflux One ofthe theprocedures, advancements inhave veinfast carerecovery.” is the Closure Procedure. This • IAC Accredited Noninvasive Vascular and an following abnormal condition in the circulation. In addition tocan pain, some indi• Enlighten(TM) Laser are NOT necessarily simple cosmetic problems. This be a sign of Laboratory on siteTattoo Removal procedure treats varicose veins at their underlying source, by eliminating One ofbe the advancements inswelling, vein care is the Closure Procedure. This viduals may at risk for chronic permanent skin discoloration, an venous abnormal condition in the circulation. In addition tohas pain, some indireflux. Dr. Gosin states, Closure Procedure • Enlighten(TM) Laser Tattoo Removal procedure treats varicose veins at“The their underlying source, bygreatly eliminating open wounds and even blood clots. With early diagnosis and treatment, viduals may be at risk for chronic swelling, permanent skin discoloration, improved the way that we treat patients with varicose veins and venous venous reflux. Dr. Gosin “The Closure Procedure has often greatlyhas long-term complications canstates, usually be prevented. Treatment reflux disease. It iseven performed in a comfortable office setting. General open wounds and blood clots. With early diagnosis and treatment, improved the way that we treat patients with varicose veins and venous the added benefit of improving aesthetics, even in cases that are not anesthesia is not necessary. The whole procedure is guided by ultrasound. long-term complications can usually be prevented. Treatment often reflux disease. It is performed in a comfortable office setting. Generalhas considered “cosmetic.” Therefore, incisions and suturesaesthetics, are not needed. means less pain theanesthesia added benefit improving evenThat iniscases thatby are notand is notof necessary. The whole procedure guided ultrasound. faster recovery for our patients. The procedure takes about 20 minutes Who is at risk for varicose veins? are not needed. That means less paintoand considered “cosmetic.” Therefore, incisions and sutures perform and standing is over 95% successful venous reflux, which Prolonged sitting on in oneeliminating place, family history of varicose faster recovery forvaricose ouror patients. 442 Bethel Road Who is at risk for veins?The procedure takes about 20 minutes to veins, and being overweight are all known risks. In addition, increasing perform and standing is over 95% successful venous reflux, which Somers Point, NJ 08244 TESTIMONIAL Prolonged or sitting on in oneeliminating place, family history of varicose 442 Bethel Road(8346) age and pregnancy are risk factors. Some people may develop varicose (609) 927-VEIN legs lookoverweight and feel soare much better! Making appointments was veins,“My and being all known risks. In addition, increasing Somers Point, NJ 08244 TESTIMONIAL veinseasy without having any of these conditions. and they worked with myknown crazy schedule. Dr. Gosin and his staff www.GetGreatLegs.com age and pregnancy are risk factors. Some people may develop varicose (609) 927-VEIN (8346) “My legs and feel soabout muchmybetter! Makingrecommend!” appointments was were very look understanding care. Highly - K.R. veinseasy without having any of these conditions. and they worked with myknown crazy schedule. Dr. Gosin and his staff www.GetGreatLegs.com

www.TheCountyWoman.com The were County Magazine very Woman understanding about my care. Highly recommend!” - K.R. www.TheCountyWoman.com The County Woman Magazine www.TheCountyWoman.com The County Woman Magazine

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very interested in science so it was a natural progression for him to pursue a career in medicine. His specialty is the treatment of disorders of the circulatory system – also known as vascular surgery. He grew up in a “surgical” family and his dad was his partner for 17 years until he retired. He adds, “When I was a child my Dad would bring me to the hospital to make rounds with him on weekends. I really looked up to him and what he did for a living.” It was his father’s dedication and satisfaction with his own career that had a lasting impression on the younger Gosin. Dr. Gosin: My specialty involves treating vein problems, such as varicose veins and spider veins. I also treat diseases of the arteries such as aneurysms, blockage in the arteries to the brain, called carotid artery stenosis and peripheral artery disease (PAD). As a surgeon, I am able to perform surgery when necessary. However, in many cases I am able to treat these vascular problems using modern, minimally invasive nonsurgical methods.

CW: What is the most rewarding part about your profession? Dr. Gosin:

better and healthier. In some cases, people experience dramatic improvements in their quality of life. It is a wonderful feeling to know that I was able to provide that.

CW: What is the most challenging?

Dr. Gosin: Every case can provide its own unique challenge. It is important to remember that each patient I treat is an individual. Certain elements of his or her care may be more challenging than a similar condition in another person. It is that variation that makes my job so interesting.

CW: Are varicose veins a genetic problem? Can they be prevented?

Dr. Gosin: Genetics are one of the most important risk factors in the development of varicose veins. Individuals with a family history are more likely to develop the condition themselves, than individuals who do not have that family history. However, genetics are just one of a number of recognized risk factors. Other risk factors include prolonged standing, pregnancy, increasing age and being overweight. It is also interesting to note that some people will develop varicose veins without any of those risk factors. Although there is no way to absolutely prevent the development of varicose veins, certain precautions, like wearing compression stockings, may help to keep the symptoms at bay.

911

condition?

Dr. Gosin: Treatment varies based on an individual’s particular obtain their care from a specialist. While varicose veins may cause cosmetic concerns for some people, others with this condition will actually have an underlying abnormality with the valves in the leg

diagnosing and treating the underlying condition, then treatment will likely be incomplete and provide only temporary improvement.

recovery with minimal pain and “down time.”

CW: How do you stay current with trends happening in your profession? Dr. Gosin: Vascular surgery is a specialty that has seen fantastic in a program of “lifelong learning” and current with the major specialty journals and regularly attend conferences. Dr. Gosin grew up on the Jersey Shore, and after graduation from the Medical College, he completed his training and was delighted to come back and begin his practice. He completed his residency in general surgery and a fellowship in vascular surgery at Robert Wood Johnson University Hospital. He has three children and enjoys spending time at the beach and boating. Dr. College of Surgeons and a member of Society for Clinical Vascular Surgery, and numerous other national surgical and vascular societies.

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Helping Small Miracles Happen

Endometriosis And Infertility WHAT IS ENDOMETRIOSIS?

Endometriosis is a condition where tissue normally located in the uterus is abnormally found elsewhere in the abdomen. It affects women primarily from the late teenage years to the time of menopause. Classically, endometriosis is responsible for much of the chronic pelvic pain symptoms in women of reproductive age, and a common cause of infertility. Although the exact cause is unknown, evidence supports a genetic predisposition to developing endometriosis.

WHAT ARE THE SYMPTOMS?

Women with endometriosis often experience painful periods and pelvic pain varying from a mild annoyance to severe debilitating pain. It is estimated that endometriosis may be present in up to a third of reproductive age women with pelvic pain, and up to forty percent of women presenting with infertility.

HOW IS ENDOMETRIOSIS DIAGNOSED?

A detailed medical history, physical exam, and pelvic ultrasound are common components in the workup of a patient with suspected endometriosis. Medical history may be consistent with painful menstrual periods, including pain with intercourse and pain when having a bowel movement or voiding. Ovarian cysts can be found on ultrasound that may or may not be symptomatic. A definitive diagnosis is based on surgical exploration of the abdomen, with visual evidence of endometriosis.

WHAT CAUSES ENDOMETRIOSIS?

Although the exact cause of endometriosis is unknown, this benign disease is thought to arise from a combination of menstrual fluid that backflows from the uterus into the fallopian tubes and enters the abdomen. Another likely factor is cellular changes that create endometriosis implants in the abdomen, or that an altered immune system response allows these endometriosis cells to successfully survive and grow outside of the uterine cavity.

HOW DOES ENDOMETRIOSIS AFFECT MY CHANCES OF FERTILITY? Women with endometriosis have a strong association with infertility. It is estimated that between 20 and 40 percent of infertile women have endometriosis, and that the extent of infertility is directly associated with the severity of disease.

WHAT ARE MY TREATMENT OPTIONS?

Treatment of endometriosis depends on the clinical symptoms, which include pelvic pain and/or infertility. Medical treatment includes the use of anti-inflammatory medications or oral contraceptives in those women with mild symptoms not desiring pregnancy. Medications that decrease the production of estrogen in the body are also being utilized to treat this disease. Although medical therapies address the symptoms, they do not provide a measurable benefit regarding fertility. Therefore, on a case-by-case basis, surgical treatment may be beneficial in restoring ovarian and fallopian tube anatomy, and to remove endometriosis implants. Fertility treatments may often be required to achieve pregnancy. Endometriosis can affect many facets of a woman’s health. It is important that patients be educated about the implications of this condition, and that proper evaluation and care is implemented by their provider. At the Reproductive Science Center of New Jersey, we are available to answer your fertility questions, perform a complete fertility evaluation, and present you with individualized options for conception, all in a comfortable and caring setting. Our patients are made to feel like guests in our home. We are a full-service fertility center experienced in all the latest technologies and look forward to helping you achieve success.

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

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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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Medical Medical Professionals Professionals

3D Mammography Advances In X-Ray suspicious, patients need to be called Breast cancer is the second leading cause of death back for additional views. The multiple among women. One inThe 8 women will develop breast x-ray machine is the grandfather of all radiology equipment. When it was invented images created by 3D mammograms Cancer in cancer in her lifetime. it is estimated thatRoetgen over inEach 1895year by Wilhelm Conrad in Germany, was the could look have such increaseditaccuracy that first time doctors this breast 252,710 women in the United States will be diagnosed inside the human body without dissection. This spurred an On entire science of imaging that there is decreased need for this. is difficult to with breast cancer and more than 40,500 women will average 3D mammograms created the field of radiology as we know it today. We reduce now have amazing like detect machines on die from the disease. This is why early detection is so callbacks by up to 40% compared to this standard CAT survival scans, PET/CTs, nuclear medicine imaging, and others that can important. With earlyultrasounds, detection, theMRIs, five-year traditional mammograms. This means mammogram. image human like never before. Despite these new cutting-edge modalities, rate nearlyM.D. 100%. The latestthe weapon in body the fight against CyrusisKhorrami, less radiation exposure, increased standard x-rays areknown still the ordered andfor most used and test, and there continue to be breast cancer is 3D mammography (also asmost breast convenience our patients, more advances in the field of x-rays. tomosynthesis). This new technology has increased early peace of mind. detection over traditional mammograms, especially in Q: What can I expect whenthe advantages of digital How are with x-rays created? How doaccuracy means What are women dense breasts. Greater better breast cancer detection. having a 3D mammogram? they make images? radiography?

Electrons are subatomic particles that encircle Q:atoms. WhatX-rays is a 3D mammogram? How all are created when we can takeis it different from electrons use them to strike special metals. regular and mammograms? Those metals then emitcalled x-rays. This is all created one of the most A: 3D mammogram--also breast tomosynthesis--is advancedx-ray formstubes. of breast cancer detection. uses a very within Those x-rays pass Itthrough a low level of radiation to take multiple of the breast. Theand x-ray moves over the breast in an patient and pictures strike the x-ray film, thetube x-ray arc, capturing multiple images of each breast from different turns the film black. As the x-ray passes through angles. A computer reconstructs these pictures to create a 3-dimensional picture of the breast. A regular amammogram person’s body, different within the takesthe a single picturedensities of the breast. body block the x-ray beam. If the beam is partially Q: What theisadvantage of 3D mammogram? blocked, theisfilm gray. If the x-ray is blocked A: One of thethen challenges of interpreting mammograms completely, the film stays white. So, for is normal dense breast tissue hiding breastblock cancer.the Additionally, overlapping areas of normal dense breast example, bones x-ray beams completely, tissue can look suspicious. This is why detecting breast cancer in women with dense which is why the bones are white, the skin is gray, breasts is more difficult. The 3-dimensional images of breast tomosynthesis help and the the surrounding is black. decrease tissue overlapspace 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 Using 3Dpatients mammogram arerequired, createdand immediately. Our love the additional compression it technology, the only takes a few extra improved seconds. speed and efficiency, and our radiologists cancer was able to be are able to diagnose disease faster than ever. Q: Do insurance companies clearly seen. Much like how pictures taken on the newest cover 3D mammograms? cameras are sharper and clearer, digital radiography A: Medicare, and many private insurers, cover 3D mammograms. In the past, not is the latest technology and creates the clearest all private insurance companies covered 3D mammograms. However, in August images. Our ability tonearly detect infections and 2018, New Jersey enacted a mandate requiring allsubtle 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 to process x-rays30 and there Our are new, overlapping breast tissue from breast cancer. and serving the images community for over years. 3D more What new advances are there in Studies have shown that 3D mammograms significantly improve the metals usedmarket in the x-ray These mammogram is efficient the latest on the andtubes. has the most x-rays? detection of breast cancer, especially in women with denser breastBones tissue. Itofalso advances have significantly reduced radiation dose the hand block technology. It is our mission to provide the very advanced There havecancer been at many advances in x-ray picks up breast an earlier stage, which may be missed by traditional in ourWe x-rays. Keeping radiation doses as lowyour a the 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 ones. We look forward to offering is our primary goal. create x-rayradiation beams. Theperforming x-ray film useda to Q: Is more thereefficient increased 3Dbe like the you this significant advance in breast film used in a camera. Now that our cameras are digital, so are our cancer mammogram? Toms screening. River X-ray uses the most advanced digital radiography 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 aSocomputer that displays the image. called risk. digital please feel Cyrus free to Khorrami, contact ourM.D. staff at (732) 244-0777. mammogram. a patient receives all the benefits withoutThis any is increased Medical Director With traditional mammograms, when a radiologist finds an area that is radiography. PARVIZ KHORRAMI, M.D. CYRUS KHORRAMI, M.D. Founder Medical Director PARVIN MOTEMADEN KHORRAMI, M.D.

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Featured On The Cover

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

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

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

732-244-0777 • TomsRiverXray.com The County Woman Magazine

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November/December 2021

Understand

Medical Professionals

Understanding The Term ‘Irritable Bowel Syndrome’ Written by: Dr. Omar Termini, Gastroenterologists of Ocean County

Do you suffer with chronically recurring abdominal pain and/or abdominal bloating that makes you feel or even look nine months pregnant? Do you suffer with chronic diarrhea that makes you uneasy to leave your house for even short trips? Do you have to rush home from a dinner out or even rush to the bathroom before leaving a restaurant because of the urgency to have a bowel movement? Do you know where every bathroom facility is located on your ride to work? Or do you have difficulty having bowel movements with resulting pain and cramping? If you answered yet to any of these questions, you are in very good company and may be suffering with a common condition called Irritable Bowel Syndrome.

What Is IBS?

Irritable Bowel Syndrome or IBS is a common gastrointestinal disorder that affects the colon or large bowel. It is the most common complaint for which a gastroenterologist is consulted. It is estimated that 1 in 6 Americans suffer with some symptoms of IBS. Women suffer with the disorder more frequently than men and the initial onset of symptoms occur most often in adolescence and early adulthood but man manifest at any age. Though IBS is considered a benign condition with no risk of cancer, intestinal damage or associated inflammation, it is quite debilitating in many patients. IBS is one of the most common reasons for absence from work in the U.S. Symptoms of IBS vary by the subtype but all commonly include abdominal pain, bloating, pain relieved by defecation, mucus rectal discharge and alteration in bowel habits.

leave your house for even short trips? D bat ab

There is no cure for IBS so the goal of therapy is to properly diagnose the disorder and mo thereafter tailor a treatment to the individual. Doctors will often give advice on diet and If y prescribe medications depending on the nature que of the symptoms. Laxatives, antidiarrheals, and antispasmotics are commonly ordered. con Probiotics and alternative therapies can be of Wh great value as well. Irri In conclusion, IBS is a treatable condition com that must be properly diagnosed for optimum therapy and to minimize the likelihood of more the serious conditions remaining undiagnosed. a ga There is no reason why the symptoms of IBS should stop you from enjoying what pleasures som life has to offer. So speak to your doctor soon if you suspect that you suffer with the symptoms offrequently Irritable Bowel Syndrome. than men and the initial onset of

For more information on IBS,considered please contact a benign condition with no risk the Gastroenterologists of Ocean County today!

common reasons for absence from work in t the subtype but all commonly include abdo defecation, mucus rectal discharge and alter

Gastroenterologists of Ocean County, PA A DIVISION OF ALLIED DIGESTIVE HEALTH OMAR TAMIMI, MD

explains the illness. It has been theorized tha JILL COLLIER, MD proper muscle fun dysfunction that prevents EDGAR BIGORNIA, MD

contributing factors.

KENNETH GLAZIER, MD

How Is IBS Diagnosed?

JAI MIRCHANDANI, MD

What Is The Cause Of IBS?

TERESA MENADIER, MD

Despite the common frequency of this disorder, there is no defines cause of IBS. Research has failed to detect any specific defect in the gastrointestinal tract that explains the illness. It has been theorized that a motility disorder (nervous system dysfunction that prevents proper muscle function of intestines) is the prime defect but this has yet to be confirmed. Most experts believe that there are likely multiple contributing factors.

BOARD CERTIFIED GASTROENTEROLOGISTS Disorders that can mimic or cause similar sy WITH HOSPITAL PRIVILEGES AT BOTH COMMUNITY MEDICAL CENTER (gluten sensitivity), Lactose Intolerance and & cancers. To exclude these disorders, when sig OCEAN MEDICAL CENTER

How Is IBS Diagnosed?

Experts in the field have developed clinical criteria to help diagnose IBS. This is based on history a patient gives a doctor during a visit. These criteria can only assist your doctor in making the diagnosis but are not definitive. This means that one must exclude other illnesses that mimic IBS before the diagnosis of IBS is confirmed. Disorders that can mimic or cause similar symptoms of IBS include: Infections, Inflammatory Bowel Disease (Crohn’s Disease and Ulcerative Colitis), Celiac Sprue (gluten sensitivity), Lactose Intolerance and Colon Cancer and other abdominal cancers. To exclude these disorders, when signs and symptoms are present, physicians will often perform blood and stool tests as well as place patients on selective diets. Colonoscopy is often necessary to exclude Colon Cancer or Colitis. Only once these more serious conditions have been excluded by patient history and necessary exams can patients by reassured of the diagnosis and treatment recommended.

Should I Be Concerned?

If your symptoms include bleeding, weight loss, bowel movements that wake you from sleep, oily stools or new symptoms presenting later in life, than it is urgent that you see your doctor right away to have appropriate evaluation as these may be symptoms of much more serious conditions. But even if you do not have these alarm symptoms, you should seek medical advice for treatment of IBS if you suspect you suffer with this disorder. How Is IBS Treated?

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disorder and thereafter tailor a treatment to advice on diet and prescribe medications de

1617 Rt 88 W 473 & 477 939 Lacey Rd. Brick, NJ Magazine Lakehurst Rd. Forked River, TheCounty County Woman Magazine The Woman County Woman Magazine 08723 Toms River, NJ The 08755The NJ 08731 County Woman Magazine Call us to make an appointment 732-349-4422 Or visit our website www.gastroofocean.com and send us a message!

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November/December 2021

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

Did youSubmitted know that the leading canifdo: by lung Sarahcancer J. Easaw,isMD, FACP cause of cancer several years, askWhat your you doctor you need to do an deaths in both men and women in the U.S.? Approximately 1. If you are actively undergoing cancer treatment, take extra caution X-ray or a CT scan. As of today, than 249 million been 200,000 new cases aremore diagnosed each yearpeople and 27have percent to avoid exposure toto COVID: • Ask your MD about different methods help youstay quitaway from anyone other than diagnosed with COVID 19 worldwide died of all cancer deaths are from lung cancer. and over 5 million havesmoking. your immediate household, wear masks, and use strict handwashing from it. The pandemic is still raging and is impacting healthcare

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

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

Medical Professionals

November Is National Lung Cancer Awareness Month

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

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November/December 2021

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Medical Professionals

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November/December 2021

Advocacy

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November/December 2021

Medical Professionals

Tired of Your Ugly and Failing Dental Bridges? Fed Up with Your Dentures? Kathy A. Banks DMD, FACS Board Certified Oral & Maxillofacial Surgeon

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(dentistry by Dr. V. Felici) The County Woman Magazine

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November/December 2021

Medical Professionals

“Thankful, Grateful And Blessed…” Nina Paonessa, DO, FACOS

As we enter the Holiday season and reflect upon all the events of this past year, a tumultuous one at the very least, I cannot agree more on how appropriate this issue’s theme is. “Thankful, grateful and blessed” – just a few words that capture some of the feelings I have held close to my heart throughout this past year.

As 2021 draws to an end, I would like to share a few borrowed quotes which seem to adequately summarize my sentiments:

“For the laughter of the children, for my own life breath, for the abundance of food on this table, for the ones who prepared this sumptuous feast, for the roof over our heads, the clothes on our backs, for our health, and our wealth of blessings, for this opportunity to celebrate with family and friends, for the freedom to pray these words without fear, in any language, in any faith, in this great country, whose landscape is as vast and beautiful as her inhabitants. Thank you, God, for giving The healthcare crisis along with the resultant social and us all these. Amen.” — Rabbi Naomi Levy economic ramifications caused by the Covid-19 pandemic, the “My life is so blessed with some of the most amazing people. turmoil caused by the current political climate, and overall divisive Thank you for being a part of my journey”. - Unknown. attitudes present among the American people, may certainly foster a feeling of despair. Not one of us has been left untouched by any, if not all, of these major crises. However, I am thankful, grateful and blessed to acknowledge that I am still present, healthy, and able to do what I love best – practice the art and science of medicine and surgery. This past year’s struggles simply reinforce my love and gratitude. I am thankful to remain healthy amidst the constant threat of the Covid-19 pandemic, grateful that I have been able to keep my practice afloat in spite of the financial hardships doled out as a result of the Covid-19 pandemic, and blessed to care for the amazing individuals that walk into my office each day. I truly consider it a privilege to care for each and every one of my patients. My life is enriched by their uniqueness, kindness and individuality. I learn something from every encounter. “Thankful, grateful and blessed” are just three of many words to express my sentiments at this time of the year and always.

“Thankful, grateful and blessed” - these three words have a deeper meaning on a broader landscape. I am thankful we live in a world where medicine and science are so advanced as to be able to study and develop treatments for the global pandemic caused by the Covid-19 virus. I am also thankful to live in a country where we, as Americans, have access to healthcare, new and emerging treatments, and vaccines for the Covid-19 virus. I am extremely grateful for all of the frontline workers and all the other Americans who risk their health and safety to contribute to society during this pandemic – workers at any and all essential businesses (grocery stores, pharmacies, restaurants, banks, gas stations, trucking companies, etc.). And we, as Americans, are blessed beyond measure for many liberties we generally take for granted – overall freedom, freedom of speech, religion and individuality, safety and “the pursuit of happiness”. The County Woman Magazine

Wishing you and yours a healthy, happy and safe Holiday season. - Nina J. Paonessa, D.O and Staff

Colon and Rectal Surgery

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

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www.paonessacrs.com November/December 2021

Health & Wellness

A Mindful Journey To Well-Being We have all experienced some type of personal struggle over the last year and while challenges are never fun, there is beauty and growth on the other side.

Gina M. Peccia, MA, LPC, LLC

Gina M.Peccia, MA, LPC, LLC gina@amindfulrenewal.com 2021 New Road, Suite 12B Linwood, NJ 08221

(609) 204-9940 amindfulrenewal.com Begin the journey to a brand new you!

As a Licensed Counselor and Certified Mindful Coach, Gina M. Peccia guides her clients on that journey and helps them achieve their goals.

“Whatever your personal struggle entails, my clinical experience or mindful coaching will help you make the changes to become more successful in your endeavors,” she says. Her practice as a Mindful coach is an active process which helps her clients identify their purpose and mission in life and then guide them on their journey to a more positive state of mind. Mindfulness is defined as a non-judgmental way of paying attention to the present moment. Whether you are stuck in a difficult life transition or dealing with anxiety and depression, Gina has the tools to help move you through those muddy waters. She adds, “So much of the time it is our negative and habitual thinking that can lead to chronic depression and debilitating anxiety.”

Her 15+ years of experience in private practice, agency, and hospital service has allowed her to garner new ways to cope and improve her clients overall outlook on life.

Offering Virtual and In-person appointmen ts

She adds, “I am well-versed in helping my clients meet their goals and propel them toward change so they can become effective in all their endeavors.” Gina’s interest in mindfulness began several years ago and she credits author and mindfulness expert Jon Kabat Zinn for awakening her passion. It’s about being fully awake in our lives and living each moment with intention and gratitude. Because she has been through her own fair share of challenging life transitions, Gina has that rare ability to empathize with others suffering in similar circumstances. Her passion for helping her clients become who they were meant to be and build their own self-confidence brings her a sense of true joy.

Call (609) 204-9940 for a free strategy session, to discover your individual needs! Testimonial “Working with Gina has been a very satisfying and empowering experience. During a time of transition and change, she was able to assist me in identifying a goal and break it down into attainable steps…I highly recommend Gina because she is professional, caring and supportive.” - Beth L.

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November/December 2021

Medical Professionals

THE UROLOGY GROUP OF CHOICE

Telehealth ts appointmen available for your safety

The Physicians of University Urology Associates of New Jersey

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

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

Freehold 495 Iron Bridge Rd. Freehold, NJ 07728

Toms River: 20 Hospital Drive Toms River, NJ 08755

Howell 2364 Route 9 South Howell, NJ 07731

Toms River 780 Route 37 W Toms River, NJ 08755

Whiting 490 Hwy 530 Manchester Twp, NJ 08759

The County Woman Magazine

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November/December 2021

Business Spotlight Featured On The Cover

24 42

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

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

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

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

www.uuanj.com For Appointments: (609) 581-5900 • (732) 928-5300 • UUANJ.COM TheCounty CountyWoman WomanMagazine Magazine The

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November/December November/December2018 2021

# Medical Professionals 43 Featured On The Cover 25 Business Spotlight MeetThe ThePhysicians Doctors Meet The DoctorsOf OfOf Meet UniversityUrology Urology Associates Associates of New Jersey University of New University Urology Associates of New Jersey Jersey Imani Rosario, MD Imani Rosario, MD Dr. Rosario earned her medical degree Dr. Rosario earned her medical degree from the from the internationally acclaimed Georgetown University School of Medicine and Georgetown University School of completed her post-graduate Medicine and completed her post- training in urology at Rutgers New School. After completing graduate training in Jersey urologyMedical at Rutgers New Jersey Medical School. After her training, Dr. Rosario was appointed Assistant completing her training, Dr.inRosario Professor of Surgery the Division of Urology at Rutgers was appointed Assistant Professor of In this position, she was New Jersey Medical School. Surgery in the Division of Urology at responsible for training and teaching medical students, Rutgers New Jersey Medical School. surgeons urologists in training. Dr. Rosario is In thisgeneral position, she was and responsible for training and teaching medical joined UUANJ in 2016. students, general surgeons, and urologists in training. Dr. Rosario is Board Certified by the American Board of Urology. She joined UUANJ in 2016.

Sam A. Qassab, MD HAMILTON Dr. Qassab completed his general 1374 Whitehorse surgical internship and his urology residency training the prestigious Hamilton Sq.atRd.

Emory University in Atlanta, Georgia.

Hamilton, NJ certified 08690robotic surgeon He is a DaVinci and is extensively trained in minimally invasive urologic surgery including robotics and laparoscopy. While training in Atlanta, Dr. Qassab had the distinct pleasure of completing an extra HOWELL 18-months of training and research in urology at the Veteran’s 2364 Route 9 Atlanta South Administration Medical Center where he took care our nation’s heroes. Dr. Howell, NJof 07731 Qassab joined UUANJ in 2018.

Bob Peterson, DC, PA-C

PropaMr. Ghosh, RobertMD Peterson is a retired Chiropractor

Nabet Kasabian, MD, FACS

FREEHOLD

hasearned been aher Physician Assistant for 18 years. Dr. Kasabian has returned to New Jersey Dr. and Ghosh Mr. Peterson working with UUANJ fromIron the Wilmington 495 BridgeVeterans Rd. Affairs undergraduate degreehas at been M.I.T., her Medical Center in Wilmington, Delaware fordegree the last six Mount years. He has been an Adjunct medical from Sinai Freehold, NJ 07728 where he served as a Staff Urologist to SchoolAssociate of Medicine and completed Professor at Mercer County College our Nations Veteran’s. He has been in her surgical training at three for 10 years, teaching Biology, Pathology and practice for 30 years. He graduated from respected hospitals New York and an Assistant Anatomy andinPhysiology, the Autonomous University of Guadalajara City. She is Fellowship-trained in Professor at the Philadelphia University Physician in 1982 and completed his postgraduate Robotics and Minimally Invasive Assistant Studies Program. He has also mentored training at the Boston University Medical Surgery and is a Board Certified TOMS RIVER other Physician Assistants and Licensed Practical School Residency and Fellowship Program Urologist. Over the past years, Dr. in Neuro-Urology Female Urology. Bobasjoined UUANJ GhoshNurses. has served a Director of in 2011. 20 Hospitaland Drive He has been in many practice settings and a Robotic Surgery Program in a has taught several residents in programs Toms River, NJ 08755 hospital-employed position, as well affiliated with University Hospital in as a Urologist in Private Practice, Changala, Ph.D., APN-C Newark, and the East Orange Veteran’s giving her a breadth and depth of experienceBhaskara in both oncology and in general Affairs Medical Center (UMDNJ-Newark Medical School), Elmhurst Hospital Medical urology. In 2015, she enjoyed the distinction of NJ “Top 40 Under 40,” and Center, and The Mount Sinai Hospital (Mt. Sinai School of Medicine), and Cooper has been featured in the media for her expertise on keynote topics inChangala our field. received his Ph.D. in Dr. Bhaskara University Hospital (UMDNJ-Robert Wood Johnson Medical School, Camden, New Dr. Ghosh has a passion for teaching and prides herself on her listening skills, toxicology from South Gujrat University India Certified by The American Board of Urology and is a Fellow of the Jersey). Hein is Board my PSA test came back abnormal. My wife and I were devastated critical thinking, and compassion. She joined UUANJ in October 2020. and his training as a Nurse Practitioner from American College of Surgeons. He joined UUANJ in January of 2021.

Monmouth University in West Long Branch, New Jersey. He completed preclinical research in pharmaceutical toxicology also while in India. my options and discussed the pros and cons of each treatment Dr. Changala has been a registered nurse and critical care nurse since 2008 and worked in the Post Anesthesia Care Unit at Community and provided us with all the literature so we couldyears refer back to it Medical Center for several prior to joining He joined UUANJ in January 2018. when needed.Hamilton I couldn’t ask forUUANJ. a better team.” Freehold 1374 WH Hamilton Sq. Rd. 495 Rd. NJ —Iron B.BBridge Howell, Hamilton, NJ 08690 Freehold, NJ 07728

Howell 2364 Route 9 South TheCounty CountyWoman Woman Magazine Howell, Magazine NJ 07731 The

Toms River 780 Route 37 W www.TheCountyWoman.com Toms River, NJ 08755 www.TheCountyWoman.com

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For Appointments (609) 581-5900 (732)Toms 928-5300 River:

20 Hospital Drive UUANJ.COM Toms River, NJ 08755

Whiting 490 Hwy 530 November/December Manchester Twp, NJ 08759 20182020 November/December November/December 2021

Women Of Monmouth County

Diane Sinnott

Dr. Mariya Rozov, DDS

Physical Therapy Assistant All-Care Physical Therapy Center

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

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

Rhoda Kopy, CH

Teresa Menadier, MD,

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

Gastroenterologists of Ocean County

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

Photo by Tracy Harman Photography

The County Woman Magazine

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Photo by Tracy Harman Photography

November/December 2021

Health & Wellness

Tis the Season! Apples This fruit is an antioxidant powerhouse, known to help disarm or neutralize harmful waste products that would otherwise cause inflammation, atherosclerosis, dementia, and DNA mutations that may lead to cancerous growth. It’s no wonder they say “an apple a day, keeps the doctor away!”

Mushrooms

Most wild, edible mushrooms only appear in the fall. They offer numerous health benefits: high in protein; low carbohydrate content; and rich in fiber, iron, calcium and other compounds that are believed to help fend off cancer.

Pears

Known for being high in fiber, pears provide a sense of satiety (feeling full), translating to fewer calories consumed to quell hunger. They are also a sensible snack for pre-diabetics and diabetics because fiber decreases absorption of the pear’s carbohydrates, preventing a spike in blood sugar levels.

Sweet potatoes

They’re rich in beta carotene, vitamin B6 (can lower risk for heart attacks), vitamin C (helps your immune system) and iron (assists with red blood cell production).

Citrus

Oranges, tangerines, lemons, limes to grapefruit and more — are a good source of Vitamin C. Citrus also contains antioxidants from the flavonoid group. Respected studies show a diet rich in flavonoids can decrease chances of dying from heart disease by 40%. How? It’s believed that flavonoids improve blood flow through coronary arteries and decrease blood clot formation and “bad” cholesterol levels.

Eating fresh fruit, veggies, herbs and spices is a key ingredient to good health. And there’s something extra scrumdidylicious about fall flavors. Read how they’re great Butternut squash for your taste buds, body, mind and soul! Pumpkins A fall favorite, the meat of the pumpkin is low in calories and provides your body with essential dietary fibers, calcium, potassium, vitamins B and K, and more than 200% of the recommended daily vitamin A. Its radiant orange color results from high amounts of beta-carotene, an essential nutrient that helps maintain eye and skin health as well as neurological function. And studies show that the seeds may help decrease prostate gland enlargement and risk for kidney stones and depression. There are lots of great, easy recipes available with ways to prepare them.

Spices and Herbs

• Cinnamon boasts fun-filled flavor, antibacterial and antifungal protection, and antioxidants (helps protect the body from harmful waste products). • Ginger is commonly used to soothe upset stomachs and reduce nausea. It is also linked to brain function, possibly protecting against Alzheimer’s Disease. Ginger contains a component called gingerol that can help keep infections at bay. • Nutmeg may reduce feelings of pain associated with strains, injuries and even arthritis. It also has impressive fiber content that can help promote healthy digestion. • Cloves, similar to cinnamon, are rich in antioxidants, including vitamin C, which can neutralize dangerous waste products. Also, cloves contain antimicrobial properties that can help keep bacteria at bay and promote oral health. Additionally, it also helps support healthy blood sugar levels and liver and bone health. • Allspice, with anti-inflammatory, antibacterial and antioxidant properties, can help boost the immune system. It also boasts significant copper and iron levels that are essential to red blood cells. • Herbs such as sage, rosemary, turmeric, cilantro, cumin, thyme, paprika all offer incredible health benefits along with great flavors to favorite fall dishes while enriching lives with great fragrances.

Rich in nutrients, antioxidants and fiber, while low in calories, butternut squash is also at the head of its class when it comes to Vitamin A. Just 100 grams of butternut squash contains 354% of the recommended daily allowance!

Kale, cabbage and broccoli

Kale is often called a superfood because it contains such high amounts of Vitamins A, C and K as well as calcium. Cabbage and broccoli also contain plenty of nutrition that can promote heart, brain and skin health, and help to fend off cancer (containing sulforaphane, a characteristic of cruciferous veggies that has been shown to block an enzyme that plays a role in the growth of cancer cells). Enjoy, and you’ll not only up the yummy flavors of your fall, but you’ll also get a boost of powerful health benefits!

Nina Radcliff, M.D.,

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

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

The County Woman Magazine

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November/December 2021

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This charming resort an make AlainWaterways dining has Ocean views •with Avalon “Austrian Highlights” from with IfDucasse-trained you’re cruisingchef in the Caribbean riverboats with focus on current themes. from every room, Watersports including diving and waterskiing, a game room and the Ceebee Kids memorable one.•to With so many new fees and • Yoga pants and 2 tank tops Add a few morewith tee shirts andfishing anotherapair of shorts Vienna highlighting Beer theme. the Greece ,airlines think Santorini orMunich Mykonos small ✿ DISNEY CRUISE ships were built with families in A deluxe family Ocean view restrictions themind. have Club. The beach is beautiful leading to a• turquoise Caribbean Sea. The river cruising destinations, like a 12-day Bordeaux , “Jewel of the Atlantic,” Our dedication to our clients before, during and after everybags vacation Lightweight sweater, rain poncho, and zippered plastic • 2 shorts and 2 tees travelersimposed Prospective mayfor be confused about two aspects of working with a Virtuoso advisor: stunning beaches, accentuated by whitewashed buildings. baggage, youorwill haveDanube, tovillages, consider leaving your entire closet • Tauck offers family river cruises with its Tauck River cruise, 7-day offer cruise guests the local for wet suits. stateroom with Verandah is perfect forfrom a beautiful family of 4airlines or 5. There’s amakes 3 story AquaDunk body slide for kids a beaches world of difference. • What exactly is Virtuoso? weather, pink sand at enjoy home now on.without Some are charging for carry-on bags now, • 3 sundresses experience the long tour bus rides. From April’s •program, Whatever you forget you can purchase on cooking board or at the Bridges including family and other airlines letthere’s you board first if AquaLab you have noCAICOS carry-on bags. So was what created ✿ BEACHES, TURKS & to be the ultimate get • fear people still use advisors? with no onflops, deck, ortravel for the younger set, the with a looping waterslide. tulips to December’s Christmas Markets, hundreds of • SHOES: Flip flat sandals, wedges, sneakers ports or resorts. warm friendly people. Conde’ Nast Traveler areand the essentials to pack? lessons. getaway, where everything is Included and unlimited. The white sand beaches Virtuoso is a global luxurytogether travel network; consists of advisors (and their parent agencies), hotels, resorts, cruise lines, and Enjoy Your Travel Experience. anditbarges glide along Europe’s historic rivers Aprotected fewor years from now what Here isriverboats a packingcruises primer fromwith Carole Kaiman, Travel Professional thatbeautiful Disney destinations vary from Caribbean Disney’s own private island cruising Europe  Barbados , with beaches and great • Pashmina (rated the best in the Caribbean by Travel & Leisure) exciting watersports and unlimited scuba diving Readers have voted Bermuda “Best Island in the Caribbean” 17 times! tour companies. Ultimately,might the help goal oftheeveryone to make your travel experience special. youExamples will rememberof is the total of the best and canals, which spaninvolved thousands ofis miles of Continental some with process. There are several brand new River cruise restaurants to rekindle your spirit and feed the soul. experience of your vacation, NOT • Sunglasses (for to certified divers). with special highlights the kids enjoy. waterways, connecting North Sea to Black Sea. The Internet didfor make it easier to book your own travel, but itYour also created a ton of information overload. Travellines advisors Vagabond Travel Virtuoso Advisor River Cruise Line Themes: the things you forgot to pack. BEACHES resorts are about children. Amazing waterparks with body slides, lazy rivers and surf entering the market such as Emerald Waterways shifted from more transactional (booking tickets and rooms for you) to transformative (working with you to plan the best For a week in the Caribbean: • Packable sun hat and foldable beach bag A Travel Professional with years ofofexpertise work for you, A Europe River Cruise is one the bestFor ways over wewill25 • Viking River Cruises, through partnership with years, *Remember, your Vagabond* simulator are a favorite of the kids. The Caribbean Adventure with Sesame Street and the XBOX play • 2 swimsuits experience possible for you and your family). They help you cutcities, through the clutter. know to explore inland Europe, visiting townsresorts, and PBSTravel “Downton Abby” Viking cruise and Scenic cruises to fill the demand. Eachguests line Virtuoso Professional can The options go on towith Mexican all-inclusive exciting travel to offers • Costume jewelry, (leave the real jewels home) ships Italy where in a private chapel in Florence’s counher only objective isyour to give you the best experience possible and (put 1 in carry-on so you can goand right to the beach) Carole Kaiman lounges are so popular children families. 19properties, Specialty restaurants dining areas provide great choices. villages that traditional big usually can’t access. And and remember: Virtuoso advisors have first-hand knowledge of tour companies, cruise lines, and more. Often, the 3youdays inchildren’s England Countryside, and special tour assist inand planning a vacation tryside you can renew your vows and have aand candlelit the and Arno River. has its highlights, such as theDinner longover ships the andperson an evening purse 2Africa cover-ups will be a great vacation memory. withsummer the mostfamous value added pays a benefit back to you South forfamily families, Alaska tours (Perfect for vacation) ofThat the house. they’re working withIt•to plan your trip is someone they’ve known for years. relationship to help you realize your romantic dreams. Vagabond Travel (1 with sleeves for evenings dining on the beach & 1 Pareo) touches to make your experience a next generation Space-Ships. • Avalon Waterways “Austrian Highlights” from Must as Haves: a traveler. and •fabulous Tauck tours of Europe. memorable one.to Munich highlighting a Beer theme. Yoga pants and 2 tank tops Vienna ✿ DISNEY CRUISE were built with families in mind. A deluxe Ocean view • Insect Repellent, Sun Protection at SPF) ships It’s a great new cruising experience! *Check out Bermuda , the “Jewel of the Atlantic,” Our dedication tofamily our clients before, during and after every vacation • 2(with shorts andleast 2 tees 30 • Tauck offers family river cruises with its Tauck stateroom with Verandah is perfect for a family of 4 or 5. There’s a 3 story AquaDunk body slide for kids Start your unforgettable vacation by contacting Travel Advisor & Romance Specialist makes a world of difference. enjoy beautiful weather, pink sand beaches • 3 sundresses • Facial and bodybe moisturizer If you’d interested in working with an advisor on your next trip(s), please contact us at www.virtuosolife.com Bridges program, including family cooking Start your unforgettable vacation by contacting Travel Advisor Carole Kaiman, at Vagabond Contact Carole Kaiman at Vagabond Travel with no fear onflops, deck, or for the younger set, there’s the AquaLab with a looping waterslide. • SHOES: Flip flat sandals, wedges, sneakers and warm friendly people. Conde’ Nast Traveler lessons. • Make up Bag: waterproof mascara, eyeliner, Carole Kaiman at Vagabond Travel, awith Virtuoso Agency in Little Silver, today! Enjoy Your Travel Experience. for our Digital Magazine carole@vagabondtvl.com or 732-859-5513 or 732-842-2600. Disney destinations vary from Caribbean cruises Disney’s own private island cruising Europe • Pashmina Virtuoso Agency for latest information and Readers have voted Bermuda “Best Island in the Caribbean” 17or times! 732-222-2792 or 732-842-2600. Travel, a Virtuoso Agency in Little Silver today. There aretravel several brand new Advisor River cruise lines hair conditioner and shampoo with • Sunglasses special highlights for the kids to enjoy. Your Vagabond Travel Virtuoso and some amazing ideas. amenities. 732-222-2792 orsun732-842-2600. Create memories that will last lifetime. entering the market such as Emerald • Packable hat and foldable beach bag A Travel Professional with years of expertise will work for you, Create memories that will last a lifetime. aWaterways

 Bermuda

For over 25 years,

andresorts, Scenic cruises to fill the go to you Mexican all-inclusive exciting travel to demand. Each line • Costume jewelry, (leave realoptions jewelsishome) and her onlytheThe objective to on give the best experience possible and Carole Kaiman has its highlights, such as the and an evening purse South Africa for families, Alaska tours (Perfect forTravel summer vacation) long ships and the to help you realize your romantic dreams. Vagabond next generation Space-Ships. Must Haves: and fabulous Tauck tours of Europe. • Insect Repellent, Sun Protection (with at least 30 SPF) It’s a great *Check out new cruising experience! Start your unforgettable vacation by contacting Travel Advisor & Romance Specialist • Facial and body moisturizer Start your unforgettable vacation www.virtuosolife.com byContact contacting TravelKaiman AdvisoratCarole Kaiman, at Vagabond Carole Vagabond Travel • Make up Bag: waterproof eyeliner, Carolemascara, Kaiman at Vagabond Travel, a Virtuoso Agency in Little Silver, today! for our Digital Magazine Over Virtuoso Agency732-222-2792 for latest information and25 Years or 732-842-2600. Travel, a Virtuoso Agency in Little Silver today. hair conditioner and shampoo and some amazing travel ideas.

Carole Kaiman, Travel Specialist Vagabond Travel Virtuoso Agency 542 Prospect Ave. Little LittleSilver, Silver New NewJersey Jersey07739 07739

amenities. 732-222-2792 or 732-842-2600. Create memories that will last a lifetime. Create memories that will last a lifetime.

*Check out www.virtuosolife.com *Check out www.virtuosolife.com for our Digital Magazine and some foramazing our Digital Magazineand some travel ideas. amazing travel ideas.

The County Woman Magazine

The County Woman Magazine e County Woman Magazine The County Woman Magazine 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/June2021 2014 2014 November/December 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 www.TheCountyWoman.com travel ideas. www.TheCountyWoman.com www.TheCountyWoman.com amazing travel ideas.

website:

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January/February 2021

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

Show Your Body Some Love and Gratitude This Holiday Season and Beyond How have you been treating that body of yours? Have you been nurturing it? Neglecting it? Abusing it?

Maybe it’s not perfect, but it does so much for you – things you take for granted. . . like pumping 2000 gallons of blood through your heart chambers each day, regulating body temperature, contracting and expanding your lungs, digesting food, transporting you, allowing you to see, hear, smell, touch – and on and on. By the lifestyle choices you make, you exert substantial control over how your body performs. Since lots of “food holidays” are approaching, consider what messages your body might want to convey to you now, before the festivities begin.

When January rolls around, you don’t have to deal with excess pounds and inches. This year, approach the holidays in a totally different way. Instead of expecting to pack on extra weight, change your mindset now. Here are some affirmations to help you get started . . .

• This is the only body I’ll have in this lifetime, and it deserves to be treated “Please decide to do better this holiday season. Treat with dignity and respect. me like you care about me. I don’t like carrying • Food is for fuel; I handle my feelings and around excess weight, feeling uncomfortable, and getting out of breath so easily. emotions appropriately. My body doesn’t need as much food as you’ve • Overeating and junk food eating prevent been giving me, especially the junky processed stuff. me from being my best self. I don’t like that heavy, bloated feeling. I love feeling • I choose to enjoy the holidays in light and free and energized. Let me remind you that wonderful, loving, sensible ways. that food is for fuel. Eating isn’t meant to be a form

If Your Body Could Write . . .

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.

of entertainment or a way to handle your feelings. Make smart choices most of the time. I’d like to be proud of my lab results for a change. Sitting around is terrible for me. I need to move and get all that oxygenated blood circulating. Let’s go for walks and bike rides. Take me swimming. How about some yoga or tai chi? It’s never too late to get more active, even if it means chair exercises. I want to be able to keep working well for you, to take you where you want to go, to allow you to feel energized and enjoy your life. I promise that if you take good care of me, I’ll take good care of you. You can do this!”

Hypnosis For Women ❀ ❀ ❀ ❀

Weight Control Smoking Cessation Relaxation/Comfort Fear Release

If you need help moving forward, hypnosis is an efficient, holistic, and empowering modality. It works optimally for people who truly want to change, believe that with the right tools and techniques they are capable of creating change, and who understand they need to be a partner in the process. For a brief No-Charge Phone Screening Consult, 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

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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

The County Woman Magazine

www.TheCountyWoman.com

November/December 2021

Community

Answering Needs. Advancing Potential.

THANK YOU TO OUR

Annual Corporate Sponsors for your support of our Mission! The Annual Corporate Sponsorship Program is a partnership between LADACIN Network and participating Corporate Sponsors to advance the needs of people with disabilities. The Agency will make only one yearly request for your financial support, and in return give you premier recognition. Annual Corporate Sponsorship benefits include: • Premium Event Sponsorship recognition and reservations to major fundraising events • Recognition and link on LADACIN Network’s website • Signage at Agency events • Recognition in Agency publications • Signage at Agency locations For more information, email directorofdevelopment@ladacin.org

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Are you looking for a rewarding career where you can really make a difference?

We’re HIRING JOIN OUR TEAM

We offer a comprehensive Benefits Package:

• Medical, Dental, Vision • Generous Paid Time Off • Employees Discounts • 403B Retirement Plan • Staff Appreciation Events • Staff Development Days • Tuition Reimbursement • Continuing Education

Sign on Bonus! For Direct Support and Therapy Full and Part-Time Positions.

Visit our careers page at https://www.ladacin.org/careers and apply today!

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For More 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 2021

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November/December 2021

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November/December 2021

Monmouth County Woman - November/December 2021

Articles inside

Hypnosis for Women

Vagabond Travel Agency

Nina Radcliff, MD

University Urology Associates of NJ..............23, 24

Women of Monmouth County

Paonessa Colon & Rectal Surgery

UM Communities HomeWorks

Ocean Hematology & Oncology

Gastroenterologists of Ocean County

All Care Physical Therapy Center, LLC

Garden State Trust Company

Featured on the Cover Toms River X-Ray, CT & MRI Center....................14

Aesthetic Dental Creations

Shore Vascular & Vein Center...............................10