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An Educational Resource for Women and Their Families
FREE ~ Please Take One IF YOU ARE SUFFERING WITH NEUROPATHY, YOU ARE NOT ALONE!
It is estimated that over 20 million Americans sugar from Peripheral Neuropathy
Elder Law impacts not only the elderly but the loved ones and friends of the elderly.
WOMEN & CANCER. PART 1.
One of the major diseases affecting women is cancer.
Page 13
Page 12
Photo by Tracy Harman Photography.
Page 2
ELDER LAW: AN ADVENTURE OF A LIFETIME.
The doctors from Gastroenterologists of Ocean County aim to provide the highest quality of compassionate medical care and perform endoscopies in convenient and friendly endoscopy centers. Read more about these excellent physicians on pages 14 & 15.
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Medical Professionals
2
IF YOU ARE SUFFERING WITH NEUROPATHY, YOU ARE NOT ALONE! DO YOU SUFFER FROM PERIPHERAL NEUROPATHY?
ADVANCED FDA-CLEARED VASCULAR TREATMENT PROVIDES NEW HOPE!
It is estimated that over 20 million Americans suffer from Peripheral Neuropathy and if you are one of these people, you know firsthand what it’s like to be unable to do the things you like because of the constant tingling, pain, numbness and loss of feeling in your feet and legs. There is nothing more discouraging than feeling you are unable to be fully engaged in the life that you have worked so hard to attain. Your ability to remain active and independent may be greatly diminished by the debilitating symptoms which seem to affect everything you do.
Conventional treatments for neuropathy are generally unsuccessful since most focus on addressing the symptoms of the disease, not the cause – which is lack of circulation to the peripheral nerves. Often, underlying conditions and co-morbidities affecting blood circulation will reduce the nutrient and oxygen flow to that nerve, resulting in distress and damage.
In addition to the physical limitations you may experience, we understand how mentally and emotionally challenging it can be when you are unable to enjoy the simple pleasures of life from walking and exercising, to playing with your grandchildren or simply getting a good night’s sleep! Many patients we see with this condition are also living in fear of losing their balance, or missing a step and falling, potentially leading to something worse. So, if you are sick and tired of the negative impact of peripheral neuropathy on your quality of life and the worsening of symptoms, we are excited to offer our very unique treatment approach that has successfully helped countless people just like you!
MicroVas is a FDA-cleared, non-invasive vascular treatment system that delivers electromagnetic energy to targeted areas of the body, stimulating increased circulation to the surrounding tissues. After several years of research, the technology was originally developed to treat Navy SEAL divers for hypothermia, having the ability to promote fast, oxygen-rich blood flow in the extremities. MicroVas’ powerful, deeply penetrating waveform causes blood to circulate more effectively by elevating tissue oxygen levels. This process may also accelerate lymphatic drainage, helping to reduce the effects of swelling by stimulating the body’s own immune response, while accelerating the healing process.
SYMPTOMS NUMBNESS, ALTERED SENSATION TINGLING OR BURNING SHARP, SHOOTING PAIN MUSCLE WEAKNESS, CRAMPING LOSS OF BALANCE, COORDINATION DIFFICULTY WALKING
We have witnessed MicroVas’ substantial therapeutic effects and when combined with our extensive manual soft tissue massage and functional conditioning for strength and balance, our primary goal is to help you achieve optimal results for long-term relief! “I was suffering with neuropathy for several years, with little relief from medication. The Microvas treatments have lessened the burning in my feet that would keep me up all night and my balance has noticeably improved when walking and using stairs. The Rehability team has been just wonderful and I thank you all.” – Cathy C. *Most major medical insurance accepted, including Medicare.
PHYSICAL THERAPY | CHIROPRACTIC | ACUPUNCTURE | SPORTS MEDICINE | PAIN MANAGEMENT | www.REHABILITYNJ.com
IT'S TIME TO GET BACK ON YOUR FEET WITH OUR EXCLUSIVE NEUROPATHY PROGRAM!
CALL TODAY TO GET STARTED 732-780-6230 83 SOUTH STREET SUITE 204 FREEHOLD, NJ 07728
The County Woman Magazine www.TheCountyWoman.com
May/June 2021
Financial Management
3
Reaching The Destination “I haven’t been everywhere, but it’s on my list.” – Susan Sontag As of March 16th the date of my preparing this article, New Jersey continues to strongly discourage all non-essential interstate travel. Hopefully very soon COVID risks will wind down with many of us looking forward to traveling long distances to be with family and once again bond with one another. We may not all look forward to getting on an airplane, or car, or train, but we generally look forward to what’s at the end of that day of travel: The destination. Many times, the destination where family gathers is around a member of the family such as a parent or grandparent, and it is difficult to justify the travel expense otherwise. Some of the time, the expense of travel limits some family members from participating, and so a parent or grandparent may help subsidize that cost. Is there a way to make it easier to reach that destination using a trust? Yes. A trust may be created with a travel provision to provide that the funds could only be utilized for travel by the beneficiaries. Here’s a fictionalized example: Jeanette’s parents came to America when she was a child. The family kept in close touch with their European relatives, and two of Jeannette’s children settled there. To facilitate family reunions, one year Jeannette announced that she would provide $25,000 every year to help defray travel expenses. Some years the get-together was in the U.S., some years in Europe, but each year the $25,000 would cover the transatlantic airfares plus incidental expenses for the extended family. The reunions became so important to the family that Jeanette built them into her estate plan. At her death an irrevocable trust was created with the express purpose of funding family travels. Though it was one part of the overall plan, this additional provision would ensure that this tradition continues for many years to come.
Why not just give them the money, and let them decide? The largest reason to favor a trust over a direct gift is to direct the inheritance toward creating a specific experience or memories, and there are many ways travel can be a factor. Your impact would continue though the experiences directly tied to your wishes. Such experiences could include creating the opportunity for children to connect with their heritage or religion, study abroad, or even promote doing philanthropic work in another country. Another great use of leaving inheritance for travel could be to provide for travel expenses if the family members are separated into different states or countries, designating a way to have family reunions, relieving the burden of paying for flights and tension that comes with it. Perhaps your beneficiaries are workaholics, and you want to make sure they reduce their anxiety levels and take a break so you designate places you’ve been inspired by —such as the Grand Canyon— and a fund that encourages them to share in that experience. Can the trust designate the use of funds toward other goals? That depends entirely on the values of the trust creator, and what is set forth in the terms of the trust. Trusts are created so that the desires and values of the creator are repeated. Most trusts don’t have restrictions placed on them at all, but some suggest the funds can only be used for specific purposes to ensure they create positive change for the beneficiaries. This wouldn’t have to be travel — more conventional examples include categories such as education, or a purchase of a home. There are a variety of imaginative and appealing ways that one might be able to provide for one’s heirs. We can provide some ideas to achieve different goals, and would be happy to discuss how a trust could help in co-ordination with your estate planning attorney.
Hoping we can all travel soon! Ira J. Brower Founder
Lifestyle & Money Management Trust & Estate Planning Investment Services Caring for and thoughtfully guiding our clients creates the strong, trusting relationships we have nurtured over the decades. That’s why so many people rely upon our independent company for wealth management and trust & estate services. True independence and understanding are at the core of our unique value proposition.
Our focus is where it should be…
Garden State Trust Company To learn how we can focus on you and your family, contact Adam Brower or Siobhan Connolly.
On You. On Your Family. On Your Future. 2101 Highway 34 South • Suite A • Wall, NJ 07719
WALL, NJ
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The County Woman
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Welcome to the May/June 2021County Issue of the Monmouth County Woman! Monmouth County Monmouth Since 2008
Since 2008
Woman
Woman
Summer Vibes
It’s been one very long year but there appears to be hope on the horizon. Besides the sun coming out, there is a return to normalcy in the air. With summer fast approaching, that old feeling of wanderlust comes with it. There is no doubt, summer 2021 promises to be better than last year. Governor Murphy has eased restrictions and as more folks become vaccinated, we can safely begin to travel again. As long as the vaccine rollout continues, our state will slowly look like those golden days of yore. Summer at the Jersey shore is hard to describe to those who have not been here. From the pristine beaches and boardwalks, to the charm of the local shops, it has something for everyone. This year might be an ideal time to try something new. Get your kids on a surfboard or start a small garden in your yard. Fun Fact: Did you know that NJ’s tomatoes have a national reputation as being the best in the country for their flavor and juiciness? They are grown on much smaller farms for the local market. Medical Professionals If you want to get away but are not ready to hop on a plane, there are REHABILITY.................................................................. 2 endless ideas for day trips across the state. Take some time and explore all our Reproductive Science Center of NJ.............................. 5 wonderful state has to offer! Wishing our readers, a long, lazy summer filled with BBQ’s, good friends University Urology Associates of NJ......................... 8, 9 Allofcorrespondence should beAll addressed to: and plenty fun. correspondence should be addressed to:Therapy Center, LLC....................... 10 All-Care Physical
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The County Woman Magazine www.TheCountyWoman.com
May/June 2021
Medical Professionals
5
Preimplantation Genetic Testing and In-Vitro Fertilization What is preimplantation genetic screening With the ever-increasing awareness and use of in vitro fertilization (IVF) to achieve (PGS)? pregnancy, women may be surprised to learn PGS involves testing an embryo for that their embryos can be tested to check for chromosome abnormalities and chromosome problems that may affect their likelihood of number. This testing becomes more important in older women or in those with advanced ovarian a successful pregnancy and the future health aging following fertility testing. It does not test of their offspring. Preimplantation genetic for specific genetic mutations or diseases as with testing can be performed on high-quality PGD. Since many women and men will have eggs embryos, and this technology can improve and sperm that are not chromosomally normal, the selection of a genetically normal embryo use of PGS can help increase the pregnancy success that in turn has the possibility of reducing following IVF and embryo transfer. future genetic disease. What is the success rate for PGT? What is preimplantation genetic testing Although both PGD and PGS utilize the latest (PGT)? cutting-edge laboratory technologies and are PGT is a laboratory technique where a few cells helpful in selecting the best embryos for transfer of an embryo are removed and tested, providing into the uterus, the success and pregnancy rates are genetic information that is used to select the best affected by many factors. This includes the age of embryo/embryos suitable for transfer. Patients the patient, presence of good ovarian reserve, and undergo an IVF cycle, and embryos are then tested creation of fairly large numbers of high-quality either for their chromosome number or for a embryos for testing. Your individual success rate specific genetic mutation. should be discussed with your physician, and a tailored treatment plan will be constructed to give What tests are done with PGT? you the highest chance of pregnancy and delivery Embryos undergo genetic testing to check for either a specific disease, or are screened to look of a healthy child. at the number of chromosomes present. The Should I have PGT done? results tell whether an embryo carries a specific We welcome you to schedule an appointment genetic mutation, or if it has a normal number in our office to speak with one of our physicians of chromosomes. There are two techniques that about whether PGT is right for you. At the correspond to each testing condition. This includes Reproductive Science Center of New Jersey, we preimplantation genetic diagnosis (PGD) and are available to answer your fertility questions, preimplantation genetic screening (PGS). perform a complete fertility evaluation, and present you with individualized options for conception, What is preimplantation genetic diagnosis all in a comfortable, caring setting. We are a full(PGD)? service fertility center experienced in all the latest For women with hereditary or familial technologies and look forward to helping you cancers, one way to avoid the risk of potentially achieve success. transmitting genetic mutations is to perform PGD. PGD involves testing for specific genetic mutations, such as the BRCA breast cancer gene, For more information call our Eatontown cystic fibrosis, and other single-gene disorders. office number at 732-918-2500 PGD can dramatically decrease the chances of or visit www.FertilityNJ.com. disease in patients undergoing IVF.
Happy Father’s Day “Who’s my hero? That’s a great question... Well, I think my dad is my hero, because he’s someone I look up to every day.”
Helping Small Miracles Happen
• Comprehensive Fertility Care • InVitro Fertilization (IVF) • Intrauterine Insemination • Intracytoplasmic Sperm Injection (ICSI) • Preimplantation Genetic Testing • Egg Freezing • Donor Egg • Treatment for Recurrent Pregnancy Loss • Advanced Robotic Reproductive Surgery
The Compassionate Connection
Pictured (L-R): Dr. William F. Zeigler • Dr. Alan M. Martinez
We are Open and Offering Telehealth Appointments Eatontown • Toms River • Lawrenceville
732-918-2500 • FERTILITYNJ.COM
Personalized Treatment Plans Free Phone Consultations
Happy Father’s Day
Father’s Day is the perfect day to celebrate the joys of having a father. There is simply no way we can ever really thank our father for all he has done for us. On June 20th, strive to make Father’s Day absolutely hassle free for your father and take the responsibilities on yourself for a day. Pamper him a little on this special day of his just as he pampers you all the year round. Give him a warm hug and a big kiss as you wish him a Happy Father’s Day!
The County Woman Magazine www.TheCountyWoman.com
May/June 2021
Professional Dentistry
6
Aesthetic Dental Creations is Pleased to Offer the Following Services:
Balaji Srinivasan, DDS
Creating relationships are the hallmark of Aesthetic Dental Creations office operations. Located in Jackson NJ our dental office offers dental services for both Monmouth and Ocean County NJ residents along with other surrounding towns and counties.
• General and Family Dentistry • Free Cosmetic Consultations • Aesthetic Onlays and Inlays • All Porcelain Crowns (Non-Metal) • Invisalign® • Implant Crowns • Periodontal Therapy • TMJ 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.
What our happy patients have to say… “Dr. Balaji and his team are the best. They explained everything they were doing, kept checking to see if I was okay, and made me feel at ease. Dr. Balaji was excellent with the Novocaine injection, so much so that I barely felt anything. And Kara called the next day to check and see how I was feeling. Top notch office!” - DP ———————————————————————————————————————————— “Dr. Balaji and his entire staff are outstanding! So if you’re looking for dentist or afraid of going to the dentist but needs to go, I truly recommend Aesthetic Dental Creations. Super professional and oh so friendly. And Dr. Balaji ... so very nice, comforting, and gentle. They really care about their patients.” - GC ———————————————————————————————————————————— “All my life I wanted to get my teeth fixed. I never had that perfect smile. My fear of the dentist stopped me from ever getting any work done. Finally I got up the nerve and was referred to Dr. Balaji. Immediately when I went for my consultation I knew I was in good hands. Dr Balaji talked through my fears with me and put me completely at ease. After a couple of visits I have the smile I always wanted. My favorite moment was when the temporaries went in he handed me a mirror and when I smiled, tears immediately started falling. Perfection! I owe it all to Dr. Balji and his AMAZING staff. They care about their patient and you feel that way everytime you walk through the door. Even a cleaning is a pleasure now! Thank You, Thank You, Thank You!!” - CR
Scan here for more testimonials, including videos!
The County Woman Magazine www.TheCountyWoman.com
May/June 2021
Business Spotlight
7
Dr. Balaji’s Office Keeps the Smiles Bright Professional Dentistry
Aesthetic Dental Creations is a dental office known for creating relationships with their patients. In other words, there is nothing average about the practice. As an alumnus of the world-renowned Las Vegas Institute for Advanced Dental Training, he can provide services that most traditional offices cannot. His specialized training in adhesive dentistry, smile design, and TMJ/Migraine Therapy gives him the opportunity to provide incredible and unique dental care.
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What’s With The CBD Craze?
CW: What is a typical first visit like? This visit is the most critical and will be very thorough. We take digital radiographs, which have one-tenth the radiation exposure as traditional x-rays. We also take high resolution dental photographs. You will be able to assess the condition of your dental health in true high definition. Our patients will also receive a head/neck exam, oral cancer screening, and periodontal evaluation. After these results come back we are able to prepare a comprehensive treatment plan.
The Endocannabinoid System (ECS)
In order to understand what cannabidiol (CBD) is, we first need to learn more about the endocannabinoid system or ECS. This system was discovered in the early ’90s and has been researched ever since. The ECS is a network of receptors (CB1 and CB2) that are present throughout our body. They reside in places like the heart, lungs, brain, gut, skin, etc. Our bodies produce CW: How has Covid changed the overall structure of your practice? molecules (endocannabinoids) such as anandamide (AEA) and To be honest, it didn’t change the structure. My practice is not a big multi2-arachidonoylglycerol (2-AG), which bind to these receptors, provider practice that sees 30-40 patients a day. I have always valued quality over allowing our internal functions to run smoothly. This is known as quantity. My patients rarely wait to be seen and we run on time. This business homeostasis. philosophy has allowed me to continue to see the same number of patients per day CB1 receptors are mainly found in the central nervous system, as before the pandemic. and CB2 receptors are found in the peripheral nervous system, CW: What options do you offer for adults looking to avoid traditional especially immune cells. When our bodies don’t produce enough Dr. Balaji pictured with his beautiful family. braces? molecules to bind to these receptors, we go toward a state of We offer Six Month Smiles, which is essentially short-term orthodontics and is imbalance. This can lead to inflammation, free radical production, specifically for those adults. It is for patients mostly concerned with the appearance CW: What do you think is important when visiting a dental office? immunodeficiency, For us, it’s about etc. truly respecting our patient’s time and providing quality dental of their front teeth. We are actually one of the first dentists in Ocean County to CBD is a naturally occurring component derived from the hemp offer this procedure. Besides it being a safe and effective cosmetic solution, it is also care. I do not expect them to wait for me. My motto has always been quality plant. theWe cannabis plant with theon hemp plant. over People quantity,often every confuse single time. are an office that thrives quality of care highly affordable and fits most lifestyles. The brackets are tooth colored so it isn’t Theandcannabis plant contains tetrahydrocannabinol (THC) while respect for our patient’s time. That means you will never encounter athe waiting as distracting as traditional metal braces. We also offer Invisalign for those who hemp plant contains littlegoing to no THC. You will not get the “psychoroom full of people when in for your visit, whether it’s a cleaning or annual don’t want wires or brackets. We have taken the best aspects of braces and modified active” effect or “high” with hemp-derived CBD. CBD’s molecular checkup. treatment and the materials to give adults a common-sense solution. structure is similar to that of our busy own or endocannabinoids it has the CW: Has your office remained are patients moresocautious about CW: Tell us about the precautions you have implemented since the onset ability to bind to the CB1 and CB2 receptors. When CBD binds to coming in? of the pandemic? these receptors, it allows for balance or homeostasis. Our bodies are Dental offices have always been safe places to visit. We have been early adopters Our office has remained busy and in some cases even busier than before. People bombarded withbecause free radical as a result of was stress, had put offdaily treatment of the production pandemic so naturally there an influx of of PPE since the early 80’s. We did add additional protective barriers to keep poor diet, obesity, inflammation, smoking, etc. By offering our ECS patients once everything opened up again. Because patients were more stressed they everyone safe during these unknown times, but this was in addition to the steps we high-quality CBD products, it gives our bodies a fighting chance to just broke more teeth due to clenching and grinding habits. All in all, I have been have always taken. We brought in different equipment to allow us to practice even combat potential imbalances we may have. as busyany (if not busier) than pre-Covid. safer dentistry. We follow CDC guidelines when it comes to sterilization and safety CW: How has your to this new normal? to look forstaff in transitioned CBD protocols and screen all patients prior to their appointments. We make decisions What It My team is incredible. They understand complexity this virus is important to know that since thethe Farm Act of of2018 was and based on the most current information available. the landscape brings to any small They have met and tackled the passed, it took itthe hemp plant offbusiness. the controlled substances list. That challenges while providing same quality of source care thatlow-grade we pride ourselves being said, there are manythe companies that CBD on. Our patients enjoy coming here not only for the dentistry we provide, but also for from hemp plants that aren’t grown in organic soil. It is important to the relationships that arewill created. I am be acan partbe of laced that. Iwithin couldn’tthe do any of know that poor soil result in blessed toxinstothat this without caring peoplealso working me. that is full spectrum so hemp plant. You should lookalongside for a CBD
732-363-5370
CW: youadded are not improving yourhealthy patient’s smiles, what that youWhen get the benefit of all the components ofdo theyou whole which enjoyhemp doingplant, in your free include time? terpenes and other cannabinoids. Since CBD an Ioil, is important tokeep findusa quite water-soluble product My wifeisand haveittwo children that active. I coach my son’s so baseball that youteam getand theget most for your money. compete If it separates oiltrack and to watch my daughter in high like school I also enjoy won’t golfinghave whenathe time allows. We also enjoy ECS. spending time with andsoccer. water, it likely significant effect on your friends andthe family whenever possible. should have the United States And finally, CBD you purchase Hemp Authority stamp of approval to show it has met the stringent requirements of a high-quality CBD.
The County Woman Magazine www.TheCountyWoman.com
May/June 2021
Feel free to email or call us to learn more about the high-quality
Medical Professionals
8
New Wh iting er /Manchest Location in Ocean County!
University Urology Associates of New Jersey is Proud to welcome Nabet G. Kasabian, MD to the group.
Telehealth appointments available for your safety
The County Woman Magazine www.TheCountyWoman.com
May/June 2021
Medical Professionals
9
Meet Dr. Kasabian of University Urology Associates of New Jersey
Dr. Kasabian has returned to New Jersey from the Wilmington Veterans Affairs Medical Center in Wilmington, Delaware where he served as a Staff Urologist to our Nations Veterans. He has been in practice for 30 years. He graduated from the Autonomous University of Guadalajara in 1982 and completed his postgraduate training at the Boston University Medical School Residency and Fellowship Program in Neuro-Urology and Female Urology. He has been in many practice settings and has taught several residents in programs affiliated with University Hospital in Newark, and the East Orange Veteran’s Affairs Medical Center (UMDNJNewark Medical School), Elmhurst Hospital Medical Center, and The Mount Sinai Hospital (Mt. Sinai School of Medicine), and Cooper University Hospital (UMDNJ-Robert Wood Johnson Medical School, Camden, New Jersey). He is Board Certified by The American Board of Urology and is a Fellow of the American College of Surgeons. He joined UUANJ in January of 2021.
HAMILTON 1374 Whitehorse Hamilton Sq. Rd. Hamilton, NJ 08690 609-581-5900
HOWELL 2364 Route 9 South Howell, NJ 07731 732-926-5300
FREEHOLD 495 Iron Bridge Rd. Freehold, NJ 07728 732-928-5300
TOMS RIVER 20 Hospital Drive Toms River, NJ 08755 732-286-6644
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TOMS RIVER 780 Route 37 West Suite 235 Toms River, NJ 08755
WHITING 490 Hwy 530 Manchester Twp, NJ 08759
May/June 2021
Medical Professionals
10
Torticollis: What Is It and How Do You Treat It? By Allison Elbeblawy PTA
What is torticollis?
Torticollis, also known as wry neck, means “twisted neck.” It is most often caused by the tightening of the muscle that connects the breastbone and the collarbone to the skull. This muscle is called the sternocleidomastoid or SCM, which is the common abbreviation. The SCM assists in rotation and side bending of the neck. Who does it affect and why?
Torticollis most commonly affects infants. When a baby is born with the condition, it is called congenital muscular torticollis. It can also occur after birth and sometimes later on in life, which is called acquired muscular torticollis. Congenital torticollis most likely happens in utero and can be caused by the way your baby is positioned in the womb, with his/ her head tilted to one side. It can also be due to injury of the muscle during delivery. Although it can look painful, it usually is not. Acquired muscular torticollis in an infant can be caused by positioning. If the baby tends to sleep with his/her head towards one side or is positioned to one side during feeding, the SCM can tighten. It can also be caused by an injury to the head or neck, which can cause the muscle to spasm. In much less common cases, the condition can be caused by abnormalities of the cervical vertebrae (bones in the neck). The bones in the neck can either be abnormally formed, fused together, or both. This condition is called Klippel-Feil syndrome. This condition can also Your safety and health are our first priority
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affect a child’s hearing and kidney function. The recommended stretching exercises performed to treat congenital and acquired muscular torticollis are ineffective and can be dangerous for a child with Klippel-Feil syndrome. It is important to have a thorough examination by your baby’s pediatrician to determine the cause of your child’s symptoms.
recommended that your child be seen by the physical therapist or physical therapist assistant as prescribed by the doctor. Treatment can include stretching exercises, various positioning to promote head control, and soft tissue massage to the affected muscle. Treatment should always incorporate various forms of play, whether it be visually using toys or through playful sounds or song that will stimulate the baby and encourage What does it look like? him/her to turn toward the desired side. This can Torticollis is usually spotted in the first also assist in keeping your baby calm and relaxed couple months of the child’s life. It can be very to achieve a successful treatment. prominent and can look like your child’s head is A home program including the stretching and tilted to one side and has limited neck movement. positioning will be given by the therapist for the Another common sign can be a small bump on parent to continue with at home. Positioning the side of the neck. In more severe cases, it can throughout the day during play time, feeding be accompanied by positional plagiocephaly (flat time, and while sleeping and resting are also head), which happens when the child consistently very important for the child’s recovery. “Tummy sleeps and rests his/her head to one side, flattening time” is also very important as it allows for the that side of the skull. The condition’s severity can strengthening and stability of the neck muscles. also be very mild and may be difficult to detect If muscular torticollis is detected early within when looking at your baby. There is no need to the first couple of months of life, and consistent worry if you don’t notice because your pediatrician treatment through physical therapy and the most definitely will. Your pediatrician will provide instructed home stretching program is followed, a physical examination and possibly order X-rays then results and to determine which type of torticollis your child improvements may have. Depending on the type and severity, will begin to be your doctor may order other diagnostic testing. seen. At All-Care Treating torticollis with physical therapy Physical Therapy Physical therapy is often prescribed by the Center, we can doctor and is a successful intervention of the provide one-oncondition. A physical therapist will perform an one treatment initial evaluation of the child, which can include that will assist in measurements and palpation. Then the therapist the recovery of will develop a specific treatment plan for your this condition. child. After the plan of care is developed, it is
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The County Woman Magazine www.TheCountyWoman.com
Allison Elbeblawy PTA Physical Therapy Assistant
Allison Elbeblawy is a Physical Therapist Assistant (PTA) in All Care Physical Therapy. She holds an Associate’s Degree in Applied Science from the Physical Therapist Assistant Program at Union County College. Allison works closely with supervising Physical Therapists to implement treatment programs in order to decrease pain, increase strength, and improve ADL function to improve the patient’s quality of life. She has a focus in outpatient orthopedic care where she utilizes various manual therapy techniques and therapeutic exercise interventions. Allison has worked with patient’s of all ages ranging from 6 weeks to 96 years, but has found a passion for working with babies and children with Special Needs. Allison strives to give each patient she works with the best quality of care while upholding a positive attitude and compassion.
May/June 2021
Medical Professionals Medical Professionals
6
Medical P rofe 11
Groundbreaking NewRemoval Technology Groundbreaking New Technology For Laser Tattoo Groundbreaking New Technology for Laser Tattoo Removal
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That gives you a set how com About ™ announces en light en , the newest, most complete price the beginning and eliminates uncertainty of not knowing the exact number Ourin medical director, Dr. Jeffreythe Gosin, is a Board Certified Vascular Surgeon.laser has solutionthat available anywhere laser ofHe treatments will ultimately needed. for Our staff cantattoo give youremoval. moreprocedures information tattoo rem has years of experience in be performing cosmetic vascular laser about pricing after we your tattoo.laser. Over those years, he has been asked the numb ™examine Excel using highly enthe light enacclaimed is the most V™ advanced laser system available a good id About Us byfor many patients if he could safe and effective tattoo removal. It is the world’s first examined Our medical director, Dr. laser system to combine also remove their tattoos with both picosecond and nanosecond Partial Jeffrey Gosin, is a Board Certified technology with dual V™ wavelength lasers. 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Some colors are more difficult to clear completely t However,Therefore, our new enlighten™ picosecond laser has shown to be fasterhow and many more IfIfyou are experiencing others. it is impossible to know in been the very beginning you are c effective thanwill the ultimately prior lasers used for tattoo In fact, many can expect to “tattoo regret” and would like treatments be needed or removal. how completely it willpeople be removed. experiencing “tattoo obtain excellent results in half the number of treatments, or less, than with prior lasers. to have your tattoo removed However, our new enlighten™ picosecond laser has been shown to be faster JEFFREY442 S.Bethel GOSIN, MD FACS Our doctor can give you a good idea of the number of treatments that will be needed regret” andcall would or changed, us forlike a Road and more effective than the prior lasers used for tattoo removal. In fact, many after your tattoo is examined. consultation. to have your tattoo Somers Point, NJ 08244 people can expect to obtain excellent results in half the number of treatments, or Partial Tattoo Removal (609) 927-VEIN (8346) removed or changed, call 442 Bethel Road less,Due than prior lasers. Our doctor can give you afactors, good idea the number to with change in circumstances, relationships and other someofpeople desire Somers Point, NJ 08244 www.EndTattooRegret.com Forformore information, of treatments that changed. will be needed your tattoo is examined. us a consultation. to have their tattoos We canafter remove parts of tattoos, while leaving other parts Partial Tattoo Removal intact, to allow for tattoo changes. call 609-927-8346 Cost Due to change in circumstances, relationships and other factors, some people The County Woman Magazine(609) 927 VEIN www.TheCountyWoma (8346) or visit desire have their tattooson changed. can remove parts while Costtowill vary depending a numberWe of factors including theof sizetattoos, of the tattoo and the number of treatments Keep in mind that with enlighten™, you should www.EndTattooRegret.com. www.EndTattooRegret.com leaving other parts intact, toneeded. allow for tattoo changes.
enlighten™ is the most advanced laser system enavailable lighten™for is the most advanced safe and effective laser system available for safe and tattoo removal. It is the effective tattoo removal. It is the world’s world’s first laser system first laser system to combine bothto combine both picosecond and picosecond and nanosecond technology withwith dual wavelength lasers. Thislasers. allows nanosecond technology dual wavelength individualized treatment of all colors of This allows individualized treatment of all colors of ink ink and skin types for the fastest, most and skin types for the fastest, most complete laser tattoo complete laser tattoo removal ever removal ever available. available.
The County Woman Magazine
www.TheCountyWoman.com
The County Woman Magazine www.TheCountyWoman.com
November/December 2018
May/June 2021
Elder Law
12
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!
Elder Law: An Adventure of a Lifetime Life is an Adventure.
However, when thinking about life’s adventures, I would venture to guess that many people would not include Elder Law as one of life’s adventures. Yet, Elder Law touches upon so many aspects of our lives that it undoubtedly is an adventure of a lifetime. Elder Law attorneys work with seniors and their families with the following areas: • Guardianships • Retirement Planning •Long-Term Care planning •Estate Planning, such as Wills and Trusts •Medicaid counseling, advocacy, and representation •Eligibility for Medicare, Social Security, and Veterans’ benefits •Guardianships and Incompetency, including Durable Powers of Attorney •Health-care needs planning, including medical advance directives •Elder abuse recognition and prevention •Placement in and advocacy with facilities 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.
Elder Law impacts not only the elderly but the loved ones and the friends of the elderly because this area of the law covers a multitude of legal issues. As family members age or when an unexpected medical crises results in disability, loss of income, and high medical expenses, it is also known a health proxy directive, can threaten financial security for as the entirecarefamily. Longa durable power of attorney for health care or an advance directive. term care is extremely expensive and is rarely covered An appoints a trusted person to be many his or herfamilies representative byindividual Medicare health insurance. For the in the event the creator of the document can no longer make medical decisions for Medicaid program is an essential component of planning him- or herself. for how to pay for long-term care. The Medicaid eligibility is a and legal document which individual states his or rules are complex there is ain lot of an misinformation her wishes regarding medical treatment and end of life care. An individual’s about how an individual can qualify for benefits. preferences for medical treatment and end of life care are often included in
With the help of an Elder Law attorney, life can be an enjoyable adventure for which you can be fully prepared for the legal issues that we all face as we age. Reach out to our office to start your adventure.
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.
The County Woman Magazine www.TheCountyWoman.com
May/June 2021
Medical Professionals Professionals November Is National Lung Medical Cancer Awareness Month
What You Need To Know
13
Women and Cancer…Part l What you should know:
• If you are a heavy smoker, and have been smoking for several years, ask your doctor if you need to do an X-ray or a CT scan. • Ask your MD about different methods to help you quit smoking. • If you are diagnosed with lung cancer, ask about the type of cancer you have, What causes lung cancer? forfeatures PAP testing if done for cancer, or if cervix is left behind, The U.S. Department of stage and other such asafterwards; EGFR mutation. moking. Smoking is the number one risk factor for lung cancer. Even though non-smokers screening should be continued. o get lung cancer, the risk is much higher in those who smoke. The moreHuman you smoke, the • What is your treatment plan? Health and Services’ your risk. The likelihood of getting lung cancer decreases after you quit smoking. Tobacco • What are theHPV side-effects of treatment? Vaccination Office ofRegular Women’s is damages cells in the lungs, causing the cells to grow abnormally. exposure to Health • Are there support services Another available? good piece of news is that there are two very effective vaccines
Did you know that lung cancer is the leading cause of cancer deaths in both men and women in the U.S.? Approximately 200,000 new cases are diagnosed each year and 27 percent of all cancer deaths are from lung cancer.
What You Need To Know
from someone else’s cigarettes, cigars or pipes (called second-hand smoking) increase coordinating acan week-long Immunotherapy in lung cancer.– that will prevent those cases of cervical cancer – Gardasil and Cervarix on’s risk of lung cancer, even if they are non-smokers. observance celebrated Over the last few decades, immunotherapy agents have been studiedto in females the treatment of xposure to asbestos. Certain jobs such as shipbuilding, asbestos mining, insulation or that are linked to HPV. The vaccine is given between the ages many cancers, including lung cancer. Several immunotherapy drugs are now approved for use. # nationwide otive brake repair may cause exposure to asbestos. Asbestos fibers can irritate the lungs as Women’s Health ofsystem 9 andfights 26 years, andnormally, to malesandbetween 9 and 21. It’sofgiven in three doses, Our immune cancer cells thus reduces the chance use cancer. When combined with smoking, the risk of developing lung cancer is much Awareness Week. The aim is ideally before the person has become sexually active. Please transforming normal cells into cancer cells. But this does not work always, as people with note: vaccinated . normal immunewomen systems also The principle of immune therapy is based on tenderness stilldevelop need cancer. screening! Side effects include mild redness, toby empower women adon. Radon is an invisible, odorless gas released soil and some rocks. Exposure to to improve What you should know: boosting the immune system so that it can efficiently destroy cancer cells. What You Need To Know and swelling at and thehaveinjection as well as an increased risk of blood clots, levels of radon can cause cancer, especially lung cancer. If you are a heavy smoker, been smoking site, for their physical and mental use of•immune checkpoint inhibitors has been a major breakthrough in cancer research. Did you know that lung cancer is the leading cause ofThe cancer several years,long-term ask your doctor if side you need to do an have been reported. but no effects in both men and women in the U.S.? Approximately at are the types of lung cancer? deathshealth. These drugs helpX-ray to or take “brakes” off the immune system, so that they can recognize and kill a CTthe scan. new cases are diagnosed each year and 27 percent • Ask your MD about different to help you Stay tuned formethods part-two ofquitthis two-part series in the July/August issue. There are two different types of lung cancer: small200,000 cell and non-small cell. This difference is cancer cells more effectively. of all cancer deaths are from lung cancer. smoking. on the type of cancer cells. Most lung cancers are non-small cell. Among the non-small OPDIVO, KEYTRUDA, and TECENTRIQ are some ofthe theyouuterus. immune checkpoint inhibitors Next issue we will discuss cancer ofcancer of have, THERE ARE A FEW IMPORTANT STEPS WOMEN MUST • If you are diagnosed with lung cancer, ask about the type What causes lung cancer? other features as EGFRthese mutation. ng cancers, there are several subtypes: adenocarcinoma, squamous celloneand largeforcell. thatnon-smokers are used instage lungandcancer. Evensuch though drugs don’t have the typical side effects of Smoking. Smoking is the number risk factor lung cancer. Even though also get lung cancer, the risk is much higher in those who smoke. The more you smoke, the • What is your treatment plan? TAKE IN THE ROADcanTO HEALTH: stillthecan causeofreactions smoking. Tobacco • they What are side-effects treatment? such as inflammatory disorders. at are the symptoms and signs?higher your risk. The likelihood of getting lung cancer decreases after you quitchemotherapy,
Medical Professionals
November Is National Lung Cancer Awareness Month
To learn more about treatment of cancer, contact smoke damages cells in the lungs, causing the cells for to growcheck-ups abnormally. Regular exposure to • Visit a health care professional regularly and • Are there support services available? Dr. Sarah J.lung Easaw at 732-961-0010. mptoms and signs include coughing, hemoptysis (coughing blood), smoke from someone else’sup cigarettes, cigars shortness or pipes (calledof second-hand smoking) can increase Immunotherapy in lung cancer.cancer and the treatment of To learn more about
a person’s risk of lung cancer, even if they are non-smokers. preventive , chest pain, fatigue and weightscreenings. loss. Over the last few decades, immunotherapy agents have been studied in the treatment of 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 often, the • symptoms do not manifest until the cancer advanced. Sometimes lung cancer Get active. automotive brakeisrepair may cause exposure to asbestos. Asbestos fibers can irritate the lungscancers, Our immune system fights cancer cells normally, and thus reduces the chance of and cause cancer. When combined with smoking, the risk of developing lung cancer is much detected • as Eat a shadow in the lung on an X-ray done for other reasons. visit www.oceanhemonc.com. transforming normal cells into cancer cells. But this does not work always, as people with healthy. higher.
Radon. Radon is an invisible, odorless gas released by soil and some rocks. Exposure to w is it diagnosed? • Pay attention to mental includes getting higher levelshealth, of radon can causewhich cancer, especially lung cancer.
nce your doctor suspects that you have lungWhat cancer, will be CT scans and in areyou the types ofsent lungfor cancer? enough sleep and managing stress. There are twoaccurately different types of lung cancer: cell and non-small cell. This difference is cases, a PET 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 • Avoid unhealthy behavior. 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. ofseethe major diseases affecting women is cancer, which kills more The scans alsoOne help to if the cancer has spread to the anysymptoms other organs, process called What are and asigns? Symptoms and signs include coughing, hemoptysis (coughing blood), shortness of than a quarter million women every year in the U.S. But thatupnumber could asis. breath, chest pain, fatigue and weight loss.
Most often, the symptoms do not manifest until the cancer is advanced. Sometimes lung cancer be reducedstages? through early diagnosis and appropriate treatment. there different can be detected as a shadow in the lung on an X-ray done for other reasons. Some cancers affect both men and women others aging is different for small cell and non-small cell cancers. Smallwhile cell lung cancerare hasunique to How islung it diagnosed? Once your doctor suspects that you haveoutside lung cancer,the you lungs). will be sent for CT scans and in wo stages:women. limited stage (confined within the lungs) or extensive (spread They include breast cancer[note that breast cancer is NOT unique some cases, a PET scan. A PET scan can detect cancer more accurately than other tests. The on-small cell lung cancermen has four stages I to IV. Stage I is aabiopsy small tumor that isasseenwell diagnosis is confirmed by taking suspicious lesions on theas X-raycancer or CT to women, getstages: it too] (the most common inof the the U.S.) scans. The scans alsoLarger help to seetumors if the cancerand has spread other ed to the lung, that has not spread to the lymph glands. thoseto any that areorgans, a process called metastasis. external genitalia. That is the group we will of the ovaries, cervix, uterus to the lymph glands come under stages II andand III. When the cancer has spread to other Are there different stages? , it is stagefocus IV. on here. Staging is different for small cell and non-small cell lung cancers. Small cell lung cancer has
Testimonials
normal immune systems also develop cancer. The principle of immune therapy is based on boosting the immune system so that it can efficiently destroy cancer cells. “Dear Easaw, The useDr. of immune checkpoint inhibitors has been a major breakthrough in cancer research. These drugs help to take the “brakes” off the immune system, so that they can recognize and kill I am writing to thank you for your kindness in caring for my Mom. My family has comfort in cancer cells more effectively. OPDIVO, that KEYTRUDA, andtaken TECENTRIQ are by someaofcompassionate the immune checkpoint inhibitors knowing she was care of group of folks who made her multiple trips that are used in lung cancer. Even though these drugs don’t have the typical side effects of to the office and hospital tolerable. I have also appreciated your kindness and patience in taking my chemotherapy, they still can cause reactions such as inflammatory disorders.
many calls to discuss my Mom’s schedule, results etc.”
To learn more about lung cancer and the treatment of other contact Dr. found Sarah aEasaw at 732-961-0010 “I amcancers, so glad that I finally great doctor to help meornavigate visit www.oceanhemonc.com.
cancer.”
only two stages: limited stage (confined within the lungs) or extensive (spread outside the lungs). Non-small cell lung cancer has four stages: stages I to IV. Stage I is a small tumor that is confined to the lung, that has not spread to the lymph glands. Larger tumors and those that are type of lung Small cancer is mainly spread to thecancer. lymph glands comecell underlung stages II and III. When the cancer has spread to other it is stage IV. smallorgans, cell lung cancer, radiation can be combined
Targeted agents: Medicines that target certain proteins or receptors on the cancer cells
menstrual arecycles, post-coital, post-menopausal). being developed for the treatmentand of various cancers. These targeted agents attack the at’s newbetween in lungregular cancer? cancer cells specifically, sparing other cells. Targeted agents cause less severe side effects than rgeted agents: Medicines that target certain proteins or receptors on the cancer cells chemotherapy. Screening and EarlyA few Detection different targeted agents are found to be beneficial in lung cancer. Tarceva (erlotinib)
through my newly diagnosed
Dear Dr. Easaw & Staff, “Thank you all so much for the wonderful care that you gave Mom. You all added that personal touch, that most people, including my family couldn’t and wouldn’t give. For that we will always be thankful.”
Cervical Cancer at are the treatment options?
eatment is based on the stage and the Cervical cancer is the third most common cancer among women d with chemotherapy. In limited stage worldwide. More than 85% occur in developing countries, but it is also What are the treatment options? hemotherapy. Treatment is based on the stage and the type of lung cancer. lung cancer is mainly among the top ten causes of cancer deaths among women inSmall thecellU.S. Over rly stage non-small cell lung cancer is best treated surgical Inresection. treated withby chemotherapy. limited stage An small experienced cell lung cancer, radiation can be combined of cases are linked to lung a sexually transmitted virusaround calledit.HPV (human with chemotherapy. n removes95% the tumor, surrounding normal tissue and the lymph glands Early stage non-small cell lung cancer is best treated by surgical resection. An experienced fter removing the tumor, cancer cells can remain and cause recurrent either inthethe papilloma virus). surgeon removes the tumor, surroundingcancer, normal lung tissue and lymph glands around it. Even after removing the tumor, cancer cells can remain and cause recurrent cancer, either in the self or in otherRisk organs. Chemotherapy, or both are used after surgery to reducesmoking, factors include radiation early and promiscuous sexual activity, lung itself or in other organs. Chemotherapy, radiation or both are used after surgery to reduce ance of recurrent cancer. the chance of recurrent cancer. prolonged use of birth control pills, immunosuppression. In drugs Advanced stageSTDs, lung cancer isand with chemotherapy. The types of chemotherapy dvanced stage lung cancer is treated with chemotherapy. The typestreated of chemotherapy drugs used are based on the type of lung cancer, age of the patient, other medical illnesses, etc. There is its early stages, this disease can be asymptomatic. Symptoms in later stages re based on the type of lung cancer, age of the patient, other medical illnesses, etc.lung There ongoing research to improve the outcome in patients with cancer.is bloody vaginal discharge, pain, and abnormal vaginal bleeding (in What’s new in lung cancer? ng researchinclude to improve the outcome in patients with lung cancer.
or
Compassionate Cancer Care, Close to Home Sarah J. Easaw MD, FACP Board Certified Hematology & Oncology specialist Serving Monmouth and Ocean Counties for more than 15 years • Clinical expertise in the treatment of Cancer and Blood Disorders • State-of the-art Cancer Care, in a warm and personalized atmosphere • Easily accessible location, close to GSP • Affiliated with RWJ /Barnabas Health Medical Group, a multispecialty physician network.
ng developed the treatment various cancers. These targeted agents attack the is a drug that worksearly in certain detection types of lung cancers carrying a mutation indeaths a receptor called Thefor good news is of that screening and can prevent EGFR. A new drug called crizotinib wasside approved recentlythan for the treatment of lung cancer that cells specifically, sparing other cells. Targeted agents cause less severe effects cervical cancer and pre-cancerous lesions can be a gene called ALK fusion oncogene. therapy. from cervical cancer. Both carries Treating Patients and Families with Respect and Care… No two tumors are alike! Even among lung cancers, there are different distinguishing detected doing PAP smears. Women should routine tests Your oncologist chooses the typestart of treatment based on aPAP number of factors,at including few different targetedby agents are found to befeatures. beneficial in lung cancer. Tarceva (erlotinib) the cell type, stage, different biological markers on the cancer cells, and your other medical Ocean Hematology & Oncology ug that works in certain types Between of lung cancers carrying mutation in athey receptor called have the test 21 years of age. the ages ofa21 and 29, should problems. . A new drug called was approved recently forevery the treatment of lung cancer every twocrizotinib years; between 30The and 65, years; and overthat65, they may www.TheCountyWoman.com County Womanfive Magazine November/December 2018 a gene called ALK fusion oncogene. discontinue screening if they have had: o two tumors are alike! Even among lung cancers, there are different distinguishing • Three negative tests inon a arow; es. Your oncologist chooses the type ofpap treatment based number of factors, including 1255 Route 70, 31S • Lakewood, NJ 08701 l type, stage, different biological markers on the cancer cells, and your other medical • Regular pap tests; ms. 732-961-0010 • No abnormal pap tests in 10 years.
Woman If a total hysterectomy reasons, there’s no need County Magazine is performed for benignwww.TheCountyWoman.com
Visit our website: www.oceanhemonc.com November/December 2018
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May/June 2021
Medical Professionals
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Medical Professionals
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Gastroparesis
What Is It And Why Does My Doctor Think I Have This Condition? Written by: Dr. Omar Tamimi Medical Director of Endoscopy Center of Ocean County
Do you suffer with chronic nausea, abdominal pain, bloating after meals or even an early feeling of fullness with smaller portions? You may in fact be suffering the symptoms of Gastroparesis.
Is there treatment or a cure for Gastroparesis?
Treatment and the occasional cure are based on the suspected underlying cause. Eliminating offending medications, when feasible, would be considered curative. Dietary management with control of blood sugar as well as consuming foods that improve gastric emptying is the mainstay of therapy. There are a limited number of medications that are available to assist in symptom control. When these fail, a gastric pacemaker may be an option in some patients. Surgical intervention is controversial and investigational at this time.
What is Gastroparesis?
Gastroparesis is a condition in which foods that are consumed remain in the stomach for an extended period of time in the absence of a known physical blockage resulting in classic symptoms. It occurs four times more often in women than in men.
If you are experiencing the above symptoms take the first step and talk to your doctor or call The Gastroenterologists of Ocean County today.
What are the symptoms of Gastroparesis?
The most common symptoms of Gastroparesis are recurrent or persistent nausea followed in frequency by abdominal pain, bloating, early fullness with meals and recurrent vomiting of previously ingested foods. In more severe cases intractable vomiting can lead to hospitalization and weight loss.
Omar Tamimi, MD
What causes Gastroparesis?
Jill Collier, MD
Complication due to diabetes including elevated blood sugars accounts for approximately 1/3 of patient who suffer with this condition. Multiple medications including narcotics as well as surgical procedures involving the stomach and chest add to the patient figures. Unfortunately, in 4 out of 10 patients the underlying cause cannot be determined. These are labeled “idiopathic gastroparesis”. Since 4 out of 5 patients with this condition are in fact women it is theorized that hormonal effects may play an important role in this idiopathic group.
Edgar Bigornia, MD Kenneth Glazier, MD Jai Mirchandani, MD Teresa Menadier, MD
How do you know if you suffer with Gastroparesis?
If you are suffering with the listed symptoms the first step is to discuss the matter with your physician. A thorough history and physical exam is indicated to exclude other possibilities or raise clinical suspicion of the condition. The initial testing to make the diagnosis would include a careful endoscopic exam of the stomach to exclude the possibility of a physical blockage or other disorders of gastric anatomy. Thereafter a nuclear radiologic test that involves ingesting a solid meal is performed to evaluate the gastric emptying time would be necessary. This is the “Gold Standard” of test to confirm the diagnosis. Alternative testing to a Gastric Emptying Study are currently being investigated but are not readily available or approved.
• Colonoscopy and colon polyp removal • Colon cancer detection and screening • Rectal bleeding evaluation • Ulcer pain evaluation and treatment • Swallowing disorders
• Endoscopic treatment of hemorrhoids • Capsule Endoscopy • Breath testing • Esophageal and anorectal manometry
TOP DOCTOR
2021
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Patient Testimonials “I cannot say enough, how everyone was kind and understanding. This was my first time using Dr. Tamimi and I now have become a patient for life. There was no judgment from anyone. Thank you all, for being so caring.” - Wayne, age 51, Bayville
A Division of Allied Digestive Health
“Dr. Tamimi and his staff are as good as it gets!” - Joseph, age 72, Waretown “Everyone was just wonderful! If every doctor and his staff were like Dr. Tamimi and his staff, there wouldn’t be any complaints!”- Judith, age 68, Toms River
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May/June March/April 20182021
Meet The Doctors
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Meet the Doctors of Gastroenterologists of Ocean County Omar Tamimi, MD
Doctor Omar Tamimi joined our practice in 1992. He is Board Certified in Gastroenterology. He is a graduate of Rutgers University and University of St. George’s Medical School. His medical training was completed at Seton Hall University, St. Joseph’s hospital, Patterson, NJ. Since completing his medical training he has performed over 25,000 endoscopic procedures and has vast experience in all aspects of the practice of Gastroenterology. Dr Tamimi is currently Medical Director of the Endoscopy Center of Ocean County, and is a former Chairperson of the Department of Gastroenterology at Community Medical Center. Doctor Tamimi and his wife Patty have three children with whom they are very involved. Doctor Tamimi enjoys outdoor sports, vacationing and spending time with his family and is a big fan of Rutgers sports teams and Bruce Springsteen.
Edgar Bigornia, MD
Doctor Edgar Bigornia is Board Certified in Gastroenterology. He is a graduate of Brandeis University and attended Medical School at SUNY Health Science Center at Brooklyn (Downstate) in New York. His Internal Medicine training was completed at Albert Einstein College of Medicine and he served as a Chief Medical Resident at Booth Memorial Hospital. His Gastroenterology fellowship was at New York Medical College. He is the recipient of the Lawlor Award for the best scientific paper submitted by a fellow at the American College of Gastroenterology meeting. He previously practiced in Poughkeepsie, NY. He enjoys outdoor sports with his family. He listens to all types of music and relaxes by playing the piano and guitar.
Jai Mirchandani, MD
Doctor Jai Mirchandani is Board Certified in Gastroenterology. He graduated from Johns Hopkins University and the University of Medicine and Dentistry-New Jersey Medical School. He completed his medical residency at the University of Illinois at Chicago, and his Gastroenterology training at New York Medical College in Valhalla, NY. He served as an attending physician and instructor at Maimonides Medical Center for three years, where he was the Director of Capsule Endoscopy, Director of the Colon Cancer Screening program, and the Assistant Program Director for the Gastroenterology Fellowship program. Dr. Mirchandani has presented half a dozen abstracts at the national gastroenterology meetings, and his work has won two awards at the American College of Gastroenterology. He is the author of a chapter published in “Curbside Consultation of the Pancreas”. Dr. Mirchandani and his wife, neurologist Lakshmi Nadiminti, D.O., are the parents of two young children. Dr. Mirchandani enjoys spending time with his family, listening to music, and is an avid sports fan.
Call today to schedule your procedure in one of our tranquil and private endoscopy centers!
Jill Collier, MD
Doctor Jill Collier is Board Certified in Gastroenterology and joined our practice in 1995. She is a graduate of the University of Pennsylvania, where she was Phi Beta Kappa and Magna Cum Laude. She attended medical school at Mt. Sinai School of Medicine in Manhattan where she was elected to the honor society, Alpha Omega Alpha. Her medical residency was also completed at Mt. Sinai. Her Gastroenterology fellowship was completed at Montefiore Hospital/Albert Einstein College of Medicine in New York. She received extensive training in all aspects of Gastroenterology and has performed over 20,000 procedures. She has been chosen as one of “America’s Top Physicians” annually since 2007. Doctor Collier is currently Medical Director of the Endoscopy Center of Toms River . She was chairperson of the Division of Gastroenterology at Community Medical Center from 2010-2014. Doctor Collier and her husband Douglas have two children. She enjoys skiing, reading, travelling and being involved with her children’s activities.
Kenneth Glazier, MD
Doctor Kenneth Glazier is Board Certified in Gastroenterology. He graduated from the University of Michigan and Northwestern University Medical School. He completed his medical residency at Boston City Hospital and his training at Columbia University College of Physicians and Surgeons in Manhattan then Robert Wood Johnson Medical School in New Jersey. He has extensive experience in the treatment of Inflammatory Bowel Disease at the Crohn’s and Colitis Center of New Jersey and published a manuscript on the use of 6MP in treating Crohn’s disease. He is presently a Clinical Assistant Professor of Medicine at Rutgers-Robert Wood Johnson Medical School and joined the group after five years in private practice in the Marlboro-Freehold area.Dr Glazier is currently Vice President of the Medical Staff at Community Medical Center. He was previously Chairperson of the Department of Gastroenterology. Dr Glazier was selected as one of New Jersey’s top doctors in NJ Monthly magazine for the past six years. Doctor Glazier and his wife, pediatrician Kim Glazier, MD are the parents of two children. Dr. Glazier enjoys sports including golf and softball.
Teresa Menadier, MD
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 husband Todd and their two young children, baking, dancing and listening to flamenco guitar.
We hope this enlightens you about the consultative gastroenterlogical services that we provide. We perform endoscopic procedures in the convenience of our two office based endoscopy centers. We aim to provide the highest quality of compassionate medical care and perform endoscopies in a convenient, friendly, non-threatening office setting. We serve patients from many different backgrounds, which is mirrored in the diversity of our physicians.
www.GastroOfOcean.com 473 & 477 Lakehurst Rd. Toms River, NJ 08755 732-349-4422
1617 Rte. 88 W. Brick, NJ 08724 732-349-4422
939 Lacey Rd. Forked River, NJ 08701 609-971-5949
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A Division of Allied Digestive Health
May/June 2021
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Medical Professionals
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May/June 2021
Medical Medical Professionals Professionals
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The Left Side of my Abdomen Hurts — Could it be Diverticulitis?
3D Mammography
pain in the abdomen and pelvis. If the pain is in the lower abdomen, and particularly if the pain is located on the left side, it may
suspicious, patients need to be called Breast cancer is the second leading cause of death back for additional views. The multiple among women. One in 8 women will develop breast many forms of diverticulitis are resolved with rest, temporary changes diet, by and cases imagesincreated 3Dantibiotics, mammogramssome extremes Cancer in may require cancer in her lifetime. Each year it is estimated that over have such increased accuracy that this breast 252,710 women in the United States will be diagnosed there is decreased need for this. On is difficult to with breast cancer and more than 40,500 women will average 3D mammograms reduce detect on from the disease. is why Q: How diagnose diverticulitis? Q:die What are diverticula? WhatThis causes them?early detection is so callbacks by up to 40% compared to do you this standard With detection, A: important. First, the “bowel” areearly the loops of intestine the in five-year survival A: means A physicalmammogram. exam performed by a doctor can traditional mammograms. This rate is nearly 100%. The weapon in the fight against your abdomen that digest food. Alllatest of us have a diagnose diverticulitis. A CT scan is often performed less radiation exposure, increased small bowelcancer and large bowel called the colon). (also known as breast seemore if the diverticulitis is mild and uncomplicated breast is 3D (also mammography convenience for our patients,to and and can be treated with medications alone, or if it tomosynthesis). This new technology has increased early peace of mind. the bowel. Although they can form anywhere along requires surgery. Early detection and treatment is detection over traditional mammograms, especially in the intestines, the left colon is the most common crucial.. Q: What can I expect when women with dense breasts. Greater accuracy means location. Q: What are the risk factors to develop better breast cancer detection. having a 3D mammogram?
Nobody knows for sure what causes diverticula diverticulitis? A: The process of having a 3D to form. One popular theory has to do with pressure A: mammogram is the same as aobesity, lack of exercise, and advanced age are all risk Q: is aspasms 3D mammogram? How is it different from fromWhat the muscle moving food and stool colonThe factors. Other risk factors include medications such as conventional 2D exam. from the Small diverticulum extending through the bowels. Food enters the large bowel, regular mammograms? technologist will position you,steroids, opiate painkillers, and non-opiate painkillers where it continues to digest. By the end of the A: 3Dbowel, mammogram--also called breast tomosynthesis--is one of the most large the food is now considered stool and compress your breast, and take images (such as aspirin, ibuprofen, and naproxen).. advanced forms of breast cancer detection. It uses a very low to Q: level Whatofisradiation diverticulitis? How is different it treated? from angles. There’s no Q: If and I have I prevent having take multiple pictures of the breast. The x-ray tube moves over A: the breast in an Using 3Dcan mammogram additional compression required, it diverticulosis, diverticulitis? arc, capturing multiplestool images of each from different angles. A computer to move heavy/dense through itsbreast long length. technology, the only takes a few extra seconds. A: To prevent diverticulitis, doctors often reconstructs these pictures to create 3-dimensional of the breast. A regular With that buildup in pressure over adecades, small picture cancer was able to recommend be in the left lower abdomen, as well as fever, nausea, maintaining a healthy weight, exercising regularly, and bulging pouches can form at weak of areas the colon mammogram takes a single picture theofbreast. companies clearly seen. and change in bowel habits. Q: MildDo casesinsurance can be treated with antibiotics, a liquid diet3D for a mammograms? few days, cover also help decrease the risk of diverticulitis. Q: Whatform, is the of 3D mammogram? diverticula theyadvantage do not go away. and Tylenol for pain. Severe cases of diverticulitis A: Medicare, and many private insurers, coveravoiding 3D mammograms. In the past, not A: the challenges interpreting mammograms is can normal dense breast bowel to scar down (called Q: What about nuts and seeds? Q: One Howofcommon is it toofhave diverticula? cause the diseased all private insurance companies covered 3D mammograms. However, August A: In the past, it was thought that foods in which tissue hidingmultiple breast cancer. Additionally, overlapping areasaofstricture) normal dense breast A: Having diverticula is called diverticulosis. and not let any stool pass. In some 2018, New Jersey enacted a mandate requiring nearly all the such majorashealth contained indigestible particles nuts, insurers tissue can look suspicious. This is why detecting breast cancer in awomen with dense cases, hole may form in thetobowel (perforation), cover 3D mammograms. fruits with very small seeds, and popcorn caused is rare is in more patients underThe 30 years old. But itimages is very of breast breasts difficult. 3-dimensional tomosynthesis help acids, and bacteria into your which can spill stool, common in patients over 60 years old. Diverticulosis decrease the tissue overlap that can obscure cancers. It alsoabdominal helps distinguish River cavity. normal In these cases,Toms an abscess mayX-ray form has been performing mammograms and seeds can fall inside a diverticula and cause overlapping breast tissue from breast cancer. and serving the community for over 30 years. Our 3D and requires drainage. In other cases, the diseased Studies have shown that 3D mammograms significantly improve the to the vagina can “stick” or bladder and form mammogram is the latest market and thewho most shown on this the was not the case, and has patients ate stool in the left side of your colon isin thewomen densestwith anddenserbowel detection of breast cancer, especially breast tissue. It also advanced technology. It is our mission toincrease provide the very popcorn and nuts did not their risk of picks up breast cancer at an earlier stage, which may be missed by traditional required repair (or fortoour patients. We thank you for trusting us with your causes increased pressure in the left side of your colon severe cases, surgery may be best mammography. 3D mammograms find 20-65% more invasive breast cancers patients who have had multiple bouts of diverticulitis health and the health of your loved compared to traditional 2D mammograms, with an average increase of 41%. complications.. found in the left side of your colon. believe these types ones. We look forward to offering of food are triggers.
Q: IsIf there increased radiation performing a 3D youplease this significant in breast with your primary care you have additional questions or would like more information, consideradvance further discussion cancer screening. mammogram? you have additional questions or would doctor or gastroenterologist. Call our officeIf at 732-244-0777 and our staff can assist you. like more A: Mammograms expose patients to very low levels of radiation. The level of information, please consider further discussion with your radiation exposure from a 3D mammogram is the same as that from a traditional primary care doctor or gastroenterologist. Call our office at Cyrus Khorrami, M.D. Cyrus Khorrami, M.D. mammogram. So a patient receives all the benefits without any increased risk. 732-244-0777 and our staff can assist you. Medical Director Medical Director With traditional mammograms, when a radiologist finds an area that is PARVIZ KHORRAMI, M.D. CYRUS KHORRAMI, M.D. Founder Medical Director PARVIN MOTEMADEN KHORRAMI, M.D.
732-244-0777
PET/CT Ultrasound CT Scan Diagnostic X-Ray
1.5 T and 3 T High Field Open Bore MRIs 3-D Mammography Nuclear Medicine Bone Densitometry
Deer Chase Professional Park • 154 Route 37 West • Toms River, NJ 08755 • Fax: 732-244-1428
www.TomsRiverXray.com5
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May/June 2021 September/October 2018
Home Health Care
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The Live-In Caregiver Deborah Walsh,
Executive Director, HomeWorks
Most of us understand the benefits of having a live-in caregiver and remaining in the comfort of one’s home. Consider for a moment the perspective of the caregiver who must move out of their own home, leave family behind, and move into a client’s home. We certainly understand the point of view of the client but want to take a moment to view it from the standpoint of the caregiver and to highlight the work that they do.
Both the caregiver and client come from different backgrounds and personal histories. A caregiver must attend to a client’s most personal needs. A client must allow the caregiver to be privy to her personal life. Both are difficult. Yet, each needs the other and they compromise to make the situation mutually beneficial. Cultural differences, food choices, routines and more, come into play. A caregiver must navigate the client’s family relationships and discover how to fit into the family dynamic. She often advocates and speaks to family with and for the client as she gains more knowledge of the client’s needs and routines. We take for granted our dining routines; eating and mealtime is significant for all of us. In the caregiving situation, food is a key part of the equation for both the caregiver and the client. Often the caregiver is from a different culture. Buying familiar food and meal preparation is something that takes considerable work so that both are content with the living situation. This process, the give and take, is significant in building the relationship.
Companionship is another foundational element to building the relationship. Our caregivers spend time playing board games, cards, puzzles and more to interact with their clients. Going to dinner or lunch together or to church services and the beauty salon are also often on the day’s agenda. This special time together fosters the bond. The nurse who oversees the situation is always in touch and is essential in supporting this relationship. He or she will guide the caregiver and the client in getting past small hurdles and issues. We are often pleased to see the interesting combinations of caregiver and client who come together with HomeWorks. It is not unusual to have a caregiver from Africa preparing an Italian dish for a client or a client from the Mid-West enjoying a Jamaican dish. It can be an enriching life experience. At United Methodist Communities HomeWorks, we understand that both the client and the caregiver are entering a very new situation. We work hard to make sure personalities are compatible and the relationship can develop in a positive way. The tenderness, patience, and love expressed by our live-in caregivers are very special and often mimic a familial bond. Caregivers are sometimes alone with a client at end of life; they comfort the client, sometimes holding them in their arms at their last breath. They grieve with the family, and yet they continue to do their difficult work and start the process again with someone new. This is the life of a live-in caregiver. We appreciate them, respect them, and acknowledge the hard work that they perform for us at United Methodist Communities HomeWorks.
For more information, call 732-838-1950 or visit www.UMCHomeworks.org. In-home care for seniors. Call today for a free in-home assessment.
732-838-1950 • UMCHomeworks.org. 54 Olin St, Ocean Grove, NJ
Genovese Counseling Services
Health & Wellness We Are Partners In Healing
Christine Genovese, LPC
Psychotherapist • Brainspotting Practitioner 125 E. Main Street, Suite 6 • Tuckerton, NJ 08087 553 New Road, Suite E • Somers Point, NJ 08244
609 568-6299
Email: healing@genovesecounseling.com
genovesecounseling.com
Christine Genovese works with educators and other adults experiencing grief, anxiety and major life change. We are partners in healing.
Being invited into another person’s space to help them heal is an honor and a privilege. Seeking counseling is actually selfeducation, and learning about grief, anxiety and major life change, is a partnership. The focus of this practice is structured to support all adults including educational professionals who are experiencing stress, grief, anxiety, depression and major life change. Working through life changing experiences, no matter how great or small, can be difficult especially when navigating
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multiple situations at once. I am here to listen, validate what you are experiencing, discuss possible solutions, and hold space with you. Having worked in an agency setting as well as the school system has allowed me to develop a wide variety of methods for reaching people who are hurting or simply want to sort things out. Through the use of a pointer and a strong relationship, Christine and the client use the natural gaze to incorporate Brainspotting into the therapeutic session.
May/June 2021
Theatre & Entertainment
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Join Us For Our 2021 Virtual Season Go to acballet.org/attend Premier Subscription and Solo Passes Available
www.acballet.org 609-348-7201
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May/June 2021
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Medical Professionals
When is Neck Pain More than Just Stress? Healthy, active and in her 30s, Erika Kiel had no real cause for concern when she began experiencing neck pain. When it didn’t subside, she headed to a chiropractor who started treating her for what they believed was stress-induced neck pain. But after four weeks of treatment and intensifying pain, Erika knew something was really wrong. “It came to the point where it felt like I had charley horses constantly going down the back of my neck,” says Erika. “It got so bad that I went to the emergency room. Like the chiropractor, the ER doctors told me it was just really bad stress. They sent me home with a few Valium and instructions to follow up with an orthopedic doctor.”
NEED A SPINE SPECIALIST? HOW ABOUT A TEAM? Spine Surgery Neurosurgery
Erika took herself to urgent care for an X ray, saw the orthopedist and a physical therapist. After two PT sessions, the therapist also sensed there was something else at play. An MRI scan was ordered for Erika.
Pain Management
“Never in a million years did I think they would call me and tell me I had a brain tumor,” she says.
Physical Therapy
The tumor was malignant and had entered the brainstem, making it highly difficult to treat.
Physiatry
Erika’s parents began intensive research to find a neurosurgeon who specializes in removing deep-seated brain tumors. Their research led them to Yaron A. Moshel, MD, PhD, a member of the team at Altair Health and co-director of the Gerald J. Glasser Brain Tumor Center at Overlook Medical Center. Dr. Moshel specializes in removing complex brain tumors as safely as possible with the help of computer-guided navigation, awake brain mapping during surgery, endoscopic techniques and microsurgery to get to hard-to-reach places. Erika traveled from South Jersey up to Summit to see Dr. Moshel.
Sports Medicine Just months after undergoing neurosurgery at the Gerald J. Glasser Brain Tumor Center, Erika Kiel graduated with her master’s degree in business.
“After the misdiagnoses and poor quality of care I had received from other physicians, I immediately felt comfortable with Dr. Moshel,” explains Erika. “It was very clear this was his area of expertise. He was direct about the severity and urgency of the situation, but he was also reassuring.” Dr. Moshel led Erika’s care team at the Glasser Center, which also included neuro-oncologist Nicholas Metrus, MD and radiation oncologist Joana Emmolo, MD. “Heading into surgery, we knew this would be a complex procedure,” explains Dr. Moshel. “Erika’s tumor had encased one of the main arteries feeding the brain stem, called the vertebral artery, entered the brainstem and extended down into her upper spinal cord. Having the right team and technologies in place was critical.” With a team monitoring the function of Erika’s spinal cord, larynx, vocal cords, soft palate, tongue, facial nerve and hearing to evaluate the viability of the brain stem during surgery, Dr. Moshel performed a craniotomy and successfully removed all of the tumor, even the parts going into the brainstem and around the vertebral artery. The tumor turned out to be an ependymoma, which could have led to paralysis and been fatal. With the complete surgical removal of the tumor, however, Erika was able to avoid chemotherapy and radiation. “I’m so fortunate to have had Dr. Moshel as my surgeon,” says Erika. “After my first visit with him, a nurse gave me a pamphlet with a photo of him on the front of it. On my first day back to work, I taped it to the side of my desk so every now and then I can look at it and remind myself that I am alive because of him.” To learn more, visit AltairHealth.com or call 833.4 ALTAIR (833.425.8247).
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Eatontown | Freehold | Morristown Somerville | Summit | Wayne altairhealth.com 833.4ALTAIR (833.425.8247)
May/June 2021
Financial Independence
Geeta K. Brana Senior Vice President Financial Advisor
960 Holmdel Road Building 1 Holmdel, NJ 07733 Email:GBrana@femadvisor.com Tel: 732-546-9315 Web: GEETABRANA.COM Geeta K. Brana provides comprehensive wealth management and asset management advisory services to women in transition. Geeta has over twenty years of experience in the International Capital Markets. Her career started in London in 1995 with Lloyds Capital Markets, where she trained in all aspects of international finance and credit analysis. She joined Sumitomo Mitsui Banking Corporation in 2000, where she gained extensive experience of structuring and trading debt packages for multinational corporations throughout the United Kingdom, Eastern Europe, US and Japan. In 2003, Geeta began her career in the U.S. with Smith Barney’s Wealth Management Division (Citigroup), turning her extensive knowledge to helping individuals. In a primarily male-dominated environment, she was able to build a successful wealth management practice in Washington, DC and later New York City, working with high net worth individuals and institutions. After a career break while her children were young, Geeta has returned to wealth management through FCM, a boutique independent advisory firm with deep roots in Monmouth County, NJ. Geeta is also the Founder of WHEEL (Women Helping Educate & Enhance Life). Currently, the focus of Geeta’s practice is on “Women In Transition”; assisting women in all phases of their lives.
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Educating, Inspiring & Empowering Women to Invest with Confidence It is my honor to share with you the launch of my own wealth advisory practice exclusively focused on educating and empowering women to invest with confidence. Effective March 17, 2021, “GEETA BRANA Wealth” will be open for business at a new location on the web! The address is www.geetabrana.com I created a “Women Focused” wealth advisory practice because I wanted to help women bridge the confidence gap when it comes to investing. With extensive global investing experience and a career that spans over 24 years and three continents, I have often seen how the financial planning industry fails to adequately address women’s unique needs and perspectives. Financial success is a goal for many, but women face unique barriers that can make that goal more difficult to achieve. Women live longer, earn less, and head far more single-parent households than do men. Many married women still defer much of their financial decision making to spouses. Yet nine out of ten women will handle their own finances at some point in their lives. Understanding today’s financial landscape can help women: • Rise to the challenge, • Know their worth, • And take control of their futures. While we can’t create economic equality overnight, I can help make sure every woman is fully equipped, supported and prepared to pursue her own unique goals. Let’s get to work, together. Let Geeta Brana Wealth support your journey.
Call: 732-546-9315 or Email: GBrana@fcmadvisor.com for a free consultation.
Be Financially Fearless Visit www.geetabrana.com to access unique resources designed to give women the necessary tools to take control of their financial lives.
WHEEL.WOMEN.POWER WWW.WHEELFORWOMEN.COM Securities and investment advisory services offered through Royal Alliance Associates, Inc. (RAA), member FINRA/ SIPC. RAA is separately owned and other entities and/or marketing names, products or services referenced here are independent of RAA. RAA does not provide tax or legal advice.
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May/June 2021
Health & Wellness
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Hypnosis for Women Professional Hypnosis & Coaching Rhoda Kopy, Director 1541 Rt. 37 East, Suite E Toms River, NJ 08753 732-270-0080 www.HypnoForWomen.com
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.
When Stepping Back Into Life Scares You Our world is gradually expanding. More people have been inoculated against Covid, businesses are reopening or increasing capacity, people are connecting in person, and many are beginning to feel better about travel. Wonderful changes – right? Not necessarily for everyone. Being isolated during the pandemic and having to adjust routines was stress-filled for many of us. But for some, being home felt safe, maybe too safe. There are people who felt comfortable with the isolation - and who found relief in not having to personally interact with others, not having to drive, or to fly on business trips. Home became a safe haven, and they no longer had to step outside their comfort zone. Now there was a valid excuse to not face their already existing fears. For some, being home so much also led to an increase in unhealthy behaviors, like junk food eating, inactivity, more smoking or vaping, etc. And now the excuses are gradually fading. Consider making this your time to deal with what’s been holding you back - and to boldly jump into life. Give yourself permission to finally get “unstuck,” and set yourself free. Regardless of how long you’ve been struggling with a particular fear or negative pattern, you are capable – with the right tools and techniques – of making the changes you choose to make, such as . . . • Increasing your comfort in social and business situations • Communicating confidently, clearly and effectively • Driving on busy roadways or over bridges • Flying • Getting on a healthier lifestyle path • Releasing negative habits - like smoking, vaping, junk food eating, inactivity • Building your motivation and becoming a “do-er,” instead of a procrastinator Those fears and habits are established and reinforced through the subconscious mind; therefore, much of the
Hypnosis For Women ❀ ❀ ❀ ❀
Weight Control Smoking Cessation Relaxation/Comfort Fear Release
solution lies within that part of the mind. And that is precisely why hypnosis is an effective way of releasing fears and negative patterns. Using hypnosis and coaching can transport you from knowing what steps to take, to actually taking those steps. This approach is based on neuroscience – the study of how the mind works. Research in neuroscience has taught us that the brain is capable of rewiring itself for as long as you’re alive, which means you are always capable of changing. By accessing your subconscious mind, fears and negative patterns are much easier to neutralize, and positive patterns can be embedded. An important side benefit of this approach is that it bolsters your ability to relax. Hypnosis is an efficient, holistic, and empowering modality. It works wonderfully for people who truly want to change, believe that with the right tools and techniques they are capable of changing, and who understand they need to be a partner in the process.
For a Free Phone Consultation, call me at 732270-0080. Integrating hypnotic techniques and coaching paves the way for successful outcomes and boosts your sense of well-being. Covid safety precautions are in place. Virtual and in-person sessions are available.
Make Your Mind Work FOR You – Instead of Against You!
PROFESSIONAL HYPNOSIS AND COACHING SERVICE ❀ ❀ ❀ ❀ ❀
Focus/Concentration Sleep Improvement Studying/Testing Lifestyle Changes Interviewing/Auditions
❀ ❀ ❀ ❀ ❀
Athletics Public Speaking Flying/Driving Socializing Confidence
Make Your Mind Work For You – Instead of Against You
732-270-0080 • www.HypnoForWomen.com 1541 Rt 37 East, Suite E, Toms River, NJ 08753
The County Woman Magazine www.TheCountyWoman.com
May/June 2021
Medical Professionals Hemorrhoids: The Bottom Line Nina Paonessa, DO, FACOS
Did you know we are born with hemorrhoidal tissue, it’s a part of our anatomy? Hemorrhoidal tissue lies within the anal canal and perianal area and consists of blood vessels, connective tissue, and a small amount of muscle. Hemorrhoids are described as varicose veins of the anus and rectum because they are enlarged, bulging blood vessels in the anus and lower rectum. The only time we actually feel hemorrhoids is when they become enlarged or symptomatic. Dr. Paonessa likes to use the analogy: “We all have teeth, but we all don’t have cavities.” Likewise, we all have hemorrhoids, but we all don’t have symptomatic hemorrhoids. There are two types of hemorrhoids: internal and external. Both can have different symptoms and often different treatments. Internal (inside) hemorrhoids form in the anus beneath a lining called mucosa, which is not sensitive to touch, pain, stretch or temperature. As such, internal hemorrhoids are commonly associated with painless bleeding and protrusion during bowel movements. It is only when the hemorrhoid completely prolapses from the opening of the anus and cannot be pushed back inside that it becomes severely painful. Internal hemorrhoids are classified in four grades: Grade One: The hemorrhoid is not protruding from the opening of the anus (no prolapse). Grade Two: The hemorrhoid protrudes from the anus but it goes back in on its own. Grade Three: The hemorrhoid protrudes and requires the patient to push it back inside the anus. Grade Four: The hemorrhoid cannot be placed back into the anus by the patient. This is often very painful. External (outside) hemorrhoids form around the anus and are covered by very sensitive skin. The most common complaints associated with external hemorrhoids are occasional swelling, pressure or discomfort. When a hemorrhoid is symptomatic, it becomes a bluish-colored, painful lump outside the anus. If the external hemorrhoid develops a clot (thrombosis), it becomes a hard, painful lump. When the pressure becomes elevated, it can cause the thrombosed hemorrhoid to break down the overlying skin, and the clot begins to leak out. Even after the hemorrhoid has healed, some patients complain about soft tissue outside the anus called an anal skin tag. An anal skin tag is the residual effects from the thrombosed external hemorrhoid. A skin tag may hinder a patient’s ability to clean after a bowel movement. Although there is no treatment for anal skin tags, they can be removed if hygiene becomes an issue for the patient. There are several factors that can cause hemorrhoids, although the exact cause is unknown. Upright posture, alone, increases pressure on the rectal veins and can cause them to bulge. Additional factors include aging, chronic constipation or diarrhea, straining during pregnancy, heredity, straining during bowel movements, overuse of laxatives or enemas, and extended periods of time on the toilet (i.e., reading). Here are some symptoms you should be aware of to determine if you may have a hemorrhoid problem: if you are having bleeding during bowel movements, itching in the anal area, pain, sensitive lumps or prolapsing during bowel movements. If you do experience any of the symptoms, do not treat with over-the-counter medication. Call and make an appointment with your doctor. It is very important to understand that NOT all rectal bleeding is caused by hemorrhoids. As such, it is crucial to seek consultation with a specialist such as a colon and rectal surgeon to be sure that the rectal bleeding is not caused by a serious disease such as anal or colorectal cancer. How hemorrhoids are treated depends on how severe the condition is. If the symptoms are mild, your doctor may simply have you increase your fiber intake in your diet (i.e., fruits, vegetables, breads and cereals) or by adding an oral fiber supplement. It is recommended that you consume 20-35 grams of fiber per day. It is very important to make sure that you drink 8-10 glasses per day of water. Other beverages that contain
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caffeine or alcohol will dehydrate you, so try to decrease your intake of those beverages. These measures help to create a soft, formed stool, thereby eliminating excessive straining during bowel movements. This, in turn, will decrease the pressure on the hemorrhoids. The use of warm water soaks (sitz baths) will also provide relief. There are several outpatient treatments that may be performed in the office to help treat symptomatic hemorrhoids. These include rubber band ligation, infrared photocoagulation, and sclerotherapy. All of these procedures are painless. Dr. Paonessa’s procedure of choice in the office is sclerotherapy. Sclerotherapy involves an injection of a chemical irritant into the hemorrhoid, which causes scarring and shrinkage of the blood vessels present within the hemorrhoidal tissues. This procedure is painless and has few, if any, complications. Sclerotherapy is safe for patients on blood thinners. As with any procedure, you will need to discuss this with your physician. External hemorrhoids may also be treated on an outpatient basis as well. Excision of the hemorrhoidal tissue can be performed. The hemorrhoid will be injected with a numbing agent, and excising of the hemorrhoid along with all blood clots (thrombus) is done. In this case the entire external hemorrhoid is removed, not lanced, so as to avoid any residual skin tag once healed. This procedure provides instant pain relief for those patients suffering from severe pain. Often hemorrhoids that are not thrombosed can be treated with dietary change and sitz baths. There are other procedures that can be done on an outpatient basis at surgery centers or hospitals. These include traditional hemorrhoidectomy, transanal hemorrhoidal dearterialization (THD), and stapled hemorrhoidectomy. As with any surgery, you will need to have your physician evaluate your condition and see what the best option for you is. With advances in local anesthetic and surgical technique, hemorrhoidectomy is not the painful procedure it had been associated with in the past. If you are experiencing any of the symptoms or conditions discussed, please contact Paonessa Colon and Rectal Surgery to make an appointment with Dr. Paonessa. Dr. Paonessa is well trained in all aspects of hemorrhoid management and surgery. In fact, she is the co-editor of the textbook Surgical Treatment of Hemorrhoids, 2nd edition, and authored three of the chapters within this textbook.
Colon and Rectal Surgery
Board Certified in General Surgery and Proctology • laparoscopic surgery • abdominal/pelvic surgery • fecal incontinence • endoanal/rectal ultrasound • anorectal surgery
603 Higgins Avenue Brielle, NJ 08730
The County Woman Magazine www.TheCountyWoman.com
• pelvic floor disorders • office proctology • anorectal manometry/ physiology
1364 Route 72, Suite 5 Manahawkin, NJ 08050
Phone: (732) 282-1500 • Fax: (732) Office Hours: M-F 9AM to 5PM
292-9600
www.paonessacrs.com May/June 2021
Community
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Saturday,, May 8th with Scenic Marina Walk
Traders Cove marina
10AM to 3PM
Brick,, NJ
Rain
or
Shine
The Fair is Free Admission and Open to the Public $10 Registration is Required for the Marina Walk - Includes T-shirt MENTAL, PHYSICAL AND SPIRITUAL FOR WHOLISTIC HEALTH
Vendors Yoga Sessions Marina Walk Health Screenings and
More... with Matt Ryan 94.3 the Point
Mom is such A special word the lovliest I’ve ever heard. A toast to you, Above all the rest Mom, you’re so special You are simply the best.
Happy Mother’s Day
Happy Mother’s Day Mother’s Day is the perfect day to celebrate the joys of
having a mother. There is simply no way we can ever really thank our mother for all she has done for us. On May 9th, strive to make Mother’s Day absolutely hassle free for your mother and take the responsibilities on yourself for a day. Pamper her a little on this special day of hers just as she pampers you all the year round. Give her a warm hug and a big kiss as you wish her a Happy Mother’s Day!
The County Woman Magazine www.TheCountyWoman.com
May/June 2021
Health & Wellness
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Mother’s Day Moms have “super” powers. Mom-power goes beyond ordinary to extraordinary to nurture at every turn. How about those supreme abilities for keeping all the plates spinning of life’s daily demands while patiently engaging in the moment with us? Or, the divine relief that overflows in everything from kissing our boo-boos to the 6th sense of “just knowing” what we need to giving “the” wisdom and insight for processing the dynamics of life? Oh, how about “those” powers to speak with their eyes … and supersonic hearing!! They are superhuman – our superheroes. That’s a lot of responsibility. Thus, it is no surprise that many mothers will put taking care of their own health on the back burner.
Dr. Nina’s What You Need To Know
About Health Screenings Every Woman Should Undergo
What? A fasting blood sample is drawn. We are considered normal if less than 100 mg/dL; Prediabetic if 100-125 mg/dL; and Diabetic if greater than 125 mg/dL. When? Anyone
older than age 45 should be screened. However, if you have a body mass index (BMI) greater than 25, hypertension, sedentary lifestyle, polycystic ovary syndrome, gestational diabetes, a personal history of heart disease or close relatives with diabetes, screening should be performed earlier, regardless of age.
How often? Every 3 years. If there are risk factors, your doctor may recommend more frequently.
BLOOD PRESSURE DENTAL CHECKUP Why? Increased blood pressure can elevate your risk for heart disease, stroke and Why? Many problems—cavities, gum disease, oral cancer—may not be obvious
kidney damage. Early detection allows for lifestyle changes and medications that can decrease disease burden. Symptoms of increased blood pressure are usually not obvious, until the damage has been done.
What? Involves placing a cuff around your biceps and inflating it, followed by
slowly deflating the cuff. A single high reading does not necessarily mean you have hypertension. Your health care provider will likely want to repeat the measurement at the end of a visit, or have you check it at home or at a pharmacy.
When? Age 20 years How often? Every 2 years if it is below 120/80 mm Hg. When higher, your health care provider will likely want to check it more often.
BONE DENSITY SCREENING Why? To diagnose osteoporosis or bone weakness and try to slow down the progression, before breaking a bone.
What? A bone density test uses X-rays to measure how many grams of calcium and other bone minerals are packed into a segment of bone. The bones that are most commonly tested are in the spine, hip and forearm. Although you must lie still, there is no pain or discomfort involved.
until they enter advanced stages. A dentist can spot a problem before it becomes a BIG problem. Additionally, research shows that dental issues can increase your risk of heart disease.
What? Cleaning tartar, plaque, or stains; polishing with a rotating rubber
cup or brush; X-rays on some visits; and an examination. Even if you maintain excellent oral hygiene (brushing, flossing), you still need to see your dentist.
When? As children. Yes, as children. But don’t fret; it’s better late than never. How often? On average, twice a year. This varies depending on the risk
of dental disease. Smokers, diabetics, people with current gum disease or with a chronic illness may need to see their dentist more frequently. Additionally, talk with your doctor to discuss breast, colon, and cervical cancer screenings. Women, too often, put their own health on the backburner caring for others. Please join me this Mother’s Day in taking a pledge to lovingly remind the amazing women in our lives that their health needs to be at the top of their long list of things-to-do.
When? 65 years of age or older. Screening may be recommended earlier if there are risk factors for osteoporosis such as a fracture from normal activity, rheumatoid arthritis, chronic kidney disease, early menopause, history of breast cancer, significant loss of height, smoking, family history of osteoporosis, use of steroid medications for more than one month, use of thyroid hormone replacement or increased alcohol consumption.
How often? Every 2 years. However, it may be appropriate to wait longer. Discuss with your health care provider to determine what is best for you.
FASTING BLOOD SUGAR Why? Symptoms of diabetes and pre-diabetes come on slowly and may not
be obvious. Diabetes can cause numerous issues including blindness, heart attacks, stroke, nerve damage and kidney failure. Early detection and appropriate management can decrease the chance of having these complications.
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 www.TheCountyWoman.com
May/June 2021
Medical Professionals
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Tired of Your Ugly and Failing Dental Bridges? Fed Up with Your Dentures? Kathy A. Banks, DMD Board Certified Oral & Maxillofacial Surgeon
Your Expert in the Face, Mouth and Jaws 249 S. Main Street Barnegat , NJ Specialty Lic #4070
609-488-2325 www.drbanksoms.com Office Hours: 8 AM - 5 PM (Mon. - Fri.)
• Bone Grafting •Dental Implants • General and Intravenous Anesthesia • Jaw Pathology and Reconstuctive Jaw Surgery
Are Your Teeth a Constant Source of Pain and Embarrassment?
You Don’t Have To Live Like This Anymore!
Revitalize® Your Life Dr. Kathy A. Banks is one of the most experienced oral and maxillofacial surgeons in Ocean County providing dental implant surgical services. With Revitalize®, or “all-onfour” treatment, old dentures, missing teeth and failing dental restorations are replaced with new teeth that are connected to dental implants at the same time the dental implants are placed into the jaws, giving patients immediate results.
A RECENT SUCCESS Diane was suffering. She was sick and tired of the pain and embarrassment of loose dentures and messy denture adhesives. Her dentures seemed to control her life. In one day, Diane’s life was changed. Now Diane is pain free, with secure and beautiful upper and lower teeth. No more dentures! No more adhesives! Diane can now chew and smile with confidence.
Diane’s result
(dentistry by Dr. V. Felici)
The County Woman Magazine www.TheCountyWoman.com
May/June 2021
Medical Professionals
Medical Professionals
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If You Have Been Told You Are Not A Candidate For Dental Implants:
Put Your Best Face Forward SEE DR. BANKS! Dr. Kathy A. Banks is Ocean County’s most experienced Oral and
Often, patients are told that they are not candidates for dental implants because they Maxillofacial Surgeon injectable facial “don’t have enough bone” or their “sinus in is toodelivering low.”
fillers and rejuvenation products.
Both conditions are correctable problems in almost all patients, according to Dr. Banks. When the gum ridge where teeth are missing is too thin to place a dental implant, bone grafting can be performed to correct the problem. What that means is that a bone replacement product, or even the patient’s own bone, can be placed into the deficient area, stabilized, and allowed to heal. Following healing, dental implants can be placed into that area and then restored with porcelain teeth. This procedure is called “ridge augmentation” and can be accomplished in both the top and bottom jaws. When teeth are missing, the sinus that lies above the top jaw will expand downward into the ridge and cause bone loss in the gum ridge. This is a correctable problem as well, according to Dr. Banks. “A Sub-Antral Sinus Augmentation – commonly called a ‘Sinus Lift Procedure’ – can be performed, sometimes even at the time of implant placement. This procedure increases the amount of bone in the area where we would like to place a dental implant. Again, a bone replacement product or even the patient’s own bone can be used.” A common misconception is that the bone is placed into the sinus. In reality, the sinus membrane is actually lifted up (hence to name “sinus lift”) back to where it should be, and the bone graft material is placed under the sinus membrane, restoring the gum ridge and the sinus contour together in one procedure. Dr. Banks incorporates state-of-the-art diagnostic procedures, such as 3D cone beam CT scanning of the face and jaws, to evaluate her patients for bone grafting procedures. “That way, I can accurately diagnose the magnitude of the bone loss in the area where we would like to place implants and the quality of the patient’s bone ridge in that area, and pre-plan the surgery to ensure the best possible outcome.” She also prepares and uses advanced biologic into grafting procedures such as L-PRF Ultra XC plus® to reduce the appearance of the nasolabial Dr. Banks’ experience with Botox® began in thematerials mid 1990’s while working injections of Juvederm with patients with various temporomandibular joint problems. “In those days, folds (marionette (Leukocyte-Platelet Rich Fibrin) which are made right in the office at the time of surgery. lines) around the mouth and nose are the most common services
Botox® was not really given for cosmetic purposes, but to relax the tight chewing sought by patients. The newest Allergan® product, Vollure XC®, is a versatile And finally, there is a preconceived notion that these procedures are painful procedures. “There muscles to provide relief for patients with certain TMJ problems”, she says. formulation that adds subtle volume for the correction of moderate to severe facial are surgicaladvances part of inthe bone grafting process,” sheand says. “We offer to Dr. Banks, this second generation dermal filler has Fastmultiple forward toanesthesia the presentoptions day, withfor thethe significant nonsurgical wrinkles folds. According intravenous andsurgical sedation, nitrousareoxide and local anesthesia” that all her patients treatments forgeneral esthetic anesthesia facial concerns, modalities now considered for trulyso unique qualities, making can it a very effective product with results lasting about some practitioners to be the “last resort” for treating the ageing face. eighteen months in many patients. be treated comfortably. Dr. Banks is part of a team of oral and maxillofacial surgery specialists who In addition to Botox® and the entire line up of Allergan® dermal fillers, Dr. “Of course, I’m making it sound easy but these procedures are technicallyBanks demanding and take years conceived and delivered a series of State Board of Dentistry approved educational offers treatments with Kybella®, a revolutionary product for treatment of of practice to gain the proper expertise. onlydelivery want your bone grafting procedures performed a courses for other practitioners on the safe andYou effective of injectable submental fullness. “Thisbyproduct is really amazing. It contains a powerful plant well-trained, oral and maxillofacial surgeon.” pharmacologic ABOMS-certified agents. derived substance that breaks down fat cells, and they are gone for good!, she states. Dr. Banks provides Botox® treatments, as well as a whole array of Allergan® The treatments are given in a series of three to five sessions and the results are brand injectable fillers. A combination of these products can produce a lifting permanent. “This product has completely replaced surgical liposuction in the area and smoothing appearance of the face. According to Dr. Banks, The upper under the chin”, says Dr. Banks. facial rejuvenation procedure using Boxox® alone or in combination with Voluma If you look in the mirror, and see that you appear tired, or wrinkled, make XC® to correct lost volume in the maxillofacial region of the cheeks, Volbella an appointment with Dr. Banks to see what these products can do for you. Its XC® to plump the lips and reduce the appearance of wrinkles around the mouth, summer! Time to put your best face forward!
For more information, call 609-488-2325 or visit www.drbanksoms.com
Kathy A. Banks, DMD Oral & Maxillofacial Surgery
Your Expert in the Face, Mouth and Jaws 249 S. Main Street Barnegat , NJ Specialty Lic #4070
609-488-2325 www.drbanksoms.com www.TheCountyWoman.com The County Woman Magazine The County Woman Magazine www.TheCountyWoman.com
8 AM - 5 PM (Mon. - Fri.) Bone Grafting • Dental Implants General and Intravenous Anesthesia Jaw Pathology and Reconstuctive Jaw Surgery
November/December 2017 May/June 2021
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May/June 2021
Women Of Monmouth County Jessica L Conrad, MA, BA, CPC
29
Geeta K. Brana
Certified Life Coach
Senior Vice President, Freedom Capital Management
Jessica L Conrad is the Owner of Awakenings Wellness Center in Monmouth Beach, NJ. She runs her practice out of that location. Jessica received her Masters in Holistic Health Studies and Bachelors in Psychology from Georgian Court University. She received her Certification for Life Coaching from iPEC located in Shrewsbury, NJ after going through an intense training with over 300 course hours. Jessica is a Women’s Health Advocate. After battling Endometriosis and going through Infertility, Jessica made it her life’s purpose to help other women going through similar experiences. She helps all women at a crossroads in life find clarity and direction. She specializes in Infertility, Endometriosis, and other Reproductive Issues. Jessica has several memberships and affiliations. These include NJAWBO, CYACYL, ICF-NJ, and Resolve. Jessica lives with her Husband, son, and 2 dogs. She loves being outside in nature whether going to the beach, fishing, hiking, gardening, and raising chickens. For more information or to book a Free Consultation call 888-934-5264 or visit jessicalconrad.com
Geeta K. Brana is a Senior Vice President at Freedom Capital Management in Colts Neck, NJ. Geeta provides comprehensive wealth management and advisory services to Women in Transition, assisting women in all phases of their lives – with a special focus on divorce. Geeta has a long history in the financial services sector and she uses her diverse international banking background to help simplify complicated wealth planning issues for her clients. “My goal is to build long-term relationships with my clients based on education and trust,” Ms. Brana said. Geeta started her investment banking career in London (1995) where she was trained in all aspects of international finance and credit analysis. She has extensive experience structuring and trading debt packages for multinational companies throughout the UK, Eastern Europe, Japan and the U.S. In 2002, Geeta began her career in the U.S., turning her extensive knowledge to helping individual investors. In a primarily male-dominated environment, she was able to build a successful wealth management practice in Washington, DC and New York, working with high net worth individuals and institutions. For more information, call 732-546-9315 or visit www.fcmadvisor.com.
Photo by Carmela Caracappa Photography
Diane Sinnott
Maria Jerome
Certified and Registered Dental Assistant Aesthetic Dental Creations
Physical Therapy Assistant All-Care Physical Therapy Center
Diane earned her Associate degree in Applied Science for the Physical Therapist Assistant program from Mercer County College, along with a Bachelors degree from the College of New Jersey. Diane has completed clinical rotations and has worked for several years in an outpatient orthopedic setting. She is an active member of the American Physical Therapy Association. Diane strongly believes in a one on one treatment approach for her patients. This year Diane will further expand her skills by attending continuing education courses in Joint Mobilization, Treatment of the Shoulder Girdle Complex and Sacroiliac Mobilization techniques. For more information, call 1-855-3ALLCARE or visit www.AllCarePTC.com.
Maria Jerome has been practicing as a dental assistant for 6 years. She presently holds licenses as a Certified and Registered Dental Assistant. Maria currently works with Dr. Balaji Srinivasan at Aesthetic Dental Creations in Jackson, NJ. She enjoys the family atmosphere the office provides for the patients; they give every patient their full attention and time. Dr Balaji is one of the few dentists to treat TMJ disorders and its very rewarding for to watch patients’ lives improve. Such improvement in a patient’s life is one of the many reasons Maria began a career in the dental field. Maria resides in Brick NJ and has lived in Ocean County her whole life. In her spare time, Maria enjoys several crafting hobbies including crocheting, drawing and woodburning. For more information, call 732-363-5370 or visit www. AestheticDentalCreations.com.
Photo by Tracy Harman Photography
The County Woman Magazine www.TheCountyWoman.com
May/June 2021
ROMANCE TRAVEL Travel ravel
“Create Lasting Memories” 30 River Cruising: An Extraordinary “Create Lasting Memories” Travel Taking With A Packing More fun, more memories! PartIt of raising a family You: is making memories that
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Experience Primer
your children will cherish Whether you’re dreaming of a romantic escape or celebrating an anniversary or wedding, forever. A family vacation is part of those memories. Today’s opportunities a travel expert can create a carefully tailored itinerary to suit your desires. Discover a tropical to travel as a family are as wideyour open as your imaginaYou’ve iver cruising may bebooked the hottest cruising tion. From warm paradise and surround yourself with remarkable sunsets, fine dining, and world class accommodations. beaches to excitinglong adventures, destination offers a new awaitedevery vacation trend around in 2017 -even though river A sample of some withRomantic your Traveldestinations will let you dream of your next escape. experience. cruises have been operating for decades.
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Professional andand you’re We have some suggested kid’s focused resorts destinations with ready to pack your , each with its own personality, special activities andhave amenities thatgame the entire family will enjoy: Cruise lines upped their with expanded
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suitcase. surrounded by blue waters, and where happiness is a way of life. Top choices
amenities and intriguing itineraries to the places Check youris: Cleared for Now big ocean-going question are Kauai, Maui, and Big Island. BLUFF, feels both country-club and cozy at the same vessels can’t reach. ✿ RiverCURTAIN cruises are luring experienced What do you take to ANTIGUA passport now Takeoff: Turns Out ocean cruisers off the mega-ships and onto intimate time. This charming resort with an Alain Ducasse-trained chef for dining has Ocean views 70 T ravel with you? it is valid If you’re cruisingisinPretty thewonderful Caribbean 00 T ravel ensure Air Travel riverboats with focus onevery current themes. from room, WithWatersports so many new including fees and diving and waterskiing, a game room and the Ceebee Kids
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From •program, Whatever you forget you can purchase board or at the Bridges including family cooking and other airlines let you board first if you have no carry-on bags. So what created buffets, and mask foroncrew and ✿ BEACHES, TURKS & CAICOS was to be therequirements ultimate get with no fearFlip onflops, deck,flat or for the younger set, there’s the AquaLab with a looping waterslide. tulips to December’s Christmas Markets, hundreds of • SHOES: sandals, wedges, sneakers ports or resorts. warm friendly people. Conde’ Nast Traveler areand the essentials to pack? lessons. together getaway, where everything is Included and unlimited. The protected white sand beaches passengers. Others be less evident, though Enjoy Your Travel Experience. and barges glide along Europe’s historic rivers A few years fromwill now what Here isriverboats aState packingcruises primer fromwith Carole Kaiman, Travel Professional that island Disney destinations varythe from(rated Caribbean own private or cruising Europe Disney’s Barbados , with beautiful beaches and great • Pashmina Consult U.S. theand best in thewhich Caribbean by Travelof & miles Leisure) exciting watersports and unlimited scuba diving Readers have voted Bermuda “Best Island in the Caribbean” 17 times! you will remember is the total canals, span thousands of Continental Examples of some the best airequally important, such asofupgraded might help with the process. There are several brand new River cruise lines restaurants to rekindle your spirit and feed the soul. experience of your Virtuoso vacation, NOT Advisor • Sunglasses (for to certified divers).connecting North Sea to BlackYour with special highlights for the kids enjoy. waterways, Sea. Vagabond Travel River Cruise Line Themes: filtration systems. Department’s country-specific the things you forgot to pack. are about Amazing waterparks with body slides,River lazy rivers and surf entering the market such as through Emerald Waterways ForBEACHES a week inresorts the River Caribbean: • Packable sun foldable beach bag hat and A Travel Professional with years of expertise will work for you, A Europe Cruisechildren. is one of the bestFor ways we • Viking Cruises, partnership with over 25 years, *Remember, your Vagabond* simulator are a favorite of the kids. 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Eachguests line Virtuoso Travel Professional The options gocarry-on on towith Mexican all-inclusive exciting travel to areas • Costume COVID-19 jewelry, (leave the real jewels home) goand Italy where in a private chapel in Florence’s counpages for up-to-date and her only objective is to give you the best experience possible and (put 1 in your so you canships right to the beach) Carole Kaiman lounges are so popular children families. 19 Specialty restaurants and children’s dining provide great choices. villages that traditional big usually can’t access. 3 days in England Countryside, and special tour assist you in planning a vacation Purchase “Cancel for Any tryside you can renew your vows and have a candlelit Dinner over the Arno River. has its highlights, such as the long ships and the and an evening purse 2Africa cover-ups It•will be a great vacation Alaska memory. withsummer the mostfamous valuevacation) andhouse. added South forfamily families, tours (Perfect for of the to help you realize your romantic dreams. Vagabond Travel alerts and entry requirements. (1 with sleeves for evenings dining on the beach & 1Reason” Pareo) generation touches to make your experience a Travel Insurance to protect next Space-Ships. • Avalon Waterways “Austrian Highlights” from Must Haves: and •fabulous Tauck tours of Europe. memorable one.to Munich highlighting a Beer theme. Yoga pants and 2 tank tops Vienna your against trip cancellation, family ✿ DISNEY CRUISE were built with families A deluxe Ocean view • Insect Repellent, Sun Protection at SPF) ships It’s a investment great new cruising experience! *Check outin mind. 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. emergency, or simply a change of heart due to enjoy beautiful weather, pink sand beaches • 3 sundresses • Facial and body moisturizer Start your unforgettable vacation www.virtuosolife.com Bridges program,at including family cooking by contacting Travel Advisor Carole Kaiman, at Vagabond Contact Carole Kaiman Vagabond Travel with no fearFlip onflops, deck,flat or for the younger set, there’s the AquaLab with a looping waterslide. • SHOES: sandals, wedges, sneakers and warm friendly people. Conde’ Nast Traveler travel advisories or quarantine restrictions. lessons. • Make up Bag: waterproof eyeliner, Carolemascara, Kaiman at Vagabond Travel, awith Virtuoso Agency in Little Silver, today! Enjoy Yourisland TravelorExperience. for our Digital Magazine Disney destinations vary from Caribbean cruises Disney’s own private cruising Europe • Pashmina Virtuoso Agency for latest information and Readers have voted Bermuda “Best Island in the Caribbean” 17 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.
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amenities. entering thethat 732-222-2792 orsun 732-842-2600. Create will lifetime. market such as last Emeralda Waterways • Packable hat and foldable beach bag memoriesmemories A Travel Professional with years of expertise will work for you, Create that a lifetime. For will over 25last years, andresorts, Scenic exciting cruises to fill the The go on to Mexican all-inclusive travel to demand. Each line • Costume jewelry, (leave the realoptions jewels home) and her only objective is to give you the best experience possible and Carole Kaiman has its highlights, such as the and an evening purse South Africa for families, Alaska tours (Perfect forTravel summer vacation) long ships and the to help you realize your romantic dreams. Vagabond next generation Space-Ships. Must Haves: and fabulous Tauck tours of Europe. • Insect Repellent, Sun Protection (with at least 30 SPF) It’s a great *Check out new cruising experience! Start your unforgettable vacation by contacting Travel Advisor & Romance Specialist • Facial and body moisturizer Start your unforgettable vacation www.virtuosolife.com byContact contacting TravelKaiman AdvisoratCarole Kaiman, at Vagabond Carole Vagabond Travel • Make up Bag: waterproof mascara, eyeliner, Carole Kaiman at Vagabond Travel, a Virtuoso Agency in Little Silver, today! for our Digital Magazine Over Virtuoso Agency732-222-2792 for latest information and25 Years or 732-842-2600. Travel, a Virtuoso Agency in Little Silver today. hair conditioner and shampoo and some amazing travel ideas.
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amenities. 732-222-2792 or 732-842-2600. Create memories that will last a lifetime. Create memories that will last a lifetime. Little New Jersey LittleSilver, Silver New Jersey07739 07739
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The County Woman Magazine
The County Woman Magazine e County Woman Magazine The County Woman Magazine e County Woman Magazine
Carole Kaiman, Travel Specialist 732-859-5513 732-222-2792 Direct Vagabond Travel Virtuoso Agency 732-842-2600 Office 542 Prospect Ave.
Over 25 Years
Little LittleSilver, Silver New NewJersey Jersey07739 07739 website: www.vagabondtvl.com 732-222-2792 Direct
732-842-2600 Office
November/December 2016 May/June 2014 2014 November/December May/June 2014 2015 January/February www.vagabondtvl.com
*Check www.TheCountyWoman.com out www.virtuosolife.com *Check out www.virtuosolife.com for our Digital Magazine and some www.TheCountyWoman.com foramazing ourwww.TheCountyWoman.com Digital Magazineand some travel ideas. www.TheCountyWoman.com www.TheCountyWoman.com amazing travel ideas.
website:
The County Woman Magazine www.TheCountyWoman.com The County Woman Magazine The County Woman Magazine The County Woman Magazine
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May/June 2021
November/December 2016 May/June 2014 2014 November/December
Community
31
Answering Needs. Advancing Potential.
UPCOMING EVENTS
Rising to the Challenges Together
July
Here are just a few of the inspiring success stories of the accomplishments and goals achieved by the Agency and those we serve.
31
Rosebud Gala
LADACIN has been deeply affected by COVID-19. Our staff, teachers, practitioners and therapists had to adapt quickly to the ever-changing restrictions and safety protocols of the pandemic. Our Agency continues to rise, meeting these challenges while ensuring our babies’, students’ and adults’ therapeutic and educational needs are met.
Saturday, July 31, 2021 SHERATON EATONTOWN HOTEL
HONORING 2020 Honorees 2021 Honorees Willis Towers Watson World Insurance Associates LLC Brick Presbyterian Church Ron Taylor Denise Walker
LADACIN Network’s Early Intervention Program (EI) provides early identification, evaluation, and comprehensive services for infants and toddlers showing signs of developmental disabilities or delays in Monmouth and Ocean Counties. The Agency’s Targeted Evaluation Team (TET) provides assessment for eligibility into the EI program in Monmouth County.
WAYS YOU CAN PARTICIPATE Become a Sponsor Advertise in the Gala’s Ad Journal Contribute a Gift for the Auction Make a Monetary Donation
Our TET practitioners had to adjust to the restrictions and safety protocols of the current pandemic. LADACIN provided families a sanitized, private area for them to participate in evaluations for eligibility into the Early Intervention program. Moms and their children work with an in-person therapist while another therapist joins the sessions on a ZOOM platform, resulting in a successful evaluation of the children for the program.
October
16 &17
The Agency continues to help individuals with disabilities to reach their fullest potential and highest level of independence. When Colton began preschool with us, he was only able to take supported steps with the help of his teacher. Through continued support and encouragement he is now using a walker and can navigate the school building. He has even taken two independent steps on his own!
NJ Marathon
Throughout the pandemic, clinics are still being held to address clients’ issues. We were successful in the procurement of a much needed manual and power wheelchair for and adult client. Under the facilitation of our speech department, our dietician provided a virtual training to assist clients in addressing stressful eating to support health and wellness. Michelle, an adult client, found her current splint was no longer functioning. The Agency was able to set up a clinic visit and moved forward with the procurement process of obtaining a new one. View more LADACIN Network stories on our Blog page.
Saturday, October 16, 2021 5K Race
Sunday, October 17, 2021
Full Marathon and Half Marathon We hope that you will be a part of Team LADACIN 2021 by running in the marathon (full or half), or in the 5k, fundraising to support LADACIN, or taking a sponsorship. Your participation will help make a difference in the lives of infants, children, and adults with disabilities or delays. If you are fundraising for LADACIN, contact us for a code to receive a 10% discount on your registration.
Visit LADACIN.org Events page for more information
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
/LADACIN
@LADACIN
The County Woman Magazine www.TheCountyWoman.com
@LADACIN
May/June 2021
32
Community
St. Francis Counseling Service
St. Francis Counseling Service offers individual, family, couples and group therapy to all residents of southern Ocean County on a sliding scale fee based on annual household income. Survivors of sexual violence and victims of crime are eligible for grant funded services. Our staff consists of Masters level therapists specially trained in Sand Play and EMDR therapies.
St. Francis Servicio de Consejería está ofreciendo consejería centrado en el trauma para los residentes Latinos de Ocean County. Si usted ha sufrido abuso o asalto sexual y está listo para hablar, por favor llamenos para mas información. Servicios de consejería están previstos sin costo para los sobrevivientes. Locaciones seguras y confidenciales disponibles en la comunidad para mejor servir nuestros clientes.
Confidential Sexual Violence Advocates serve as 24 hour support to survivors reporting a sexual assault to any Ocean County hospital or police department. They also provide 24 hour support through our Confidential Sexual Violence Hotline at 609-494-1090.
If you are interested in joining our team, please call 609494-1554 for more information.
The County Woman Magazine www.TheCountyWoman.com
May/June 2021
Women’s History
33
“Let’s Play Ball!” With Alyssa Nakken
Nobhillgazette.com
What a difference a year makes in our lives. The spring of 2020 was a tumultuous time of fear, isolation and the unknown. We felt deprived of many things, and as the world was on lockdown, so was “America’s favorite pastime” – BASEBALL. Now here we are a full year later, and the world has done an amazing job at adapting to our new lives of constant change. It is going to be an exciting summer, and Sportingnews.com the prospect of watching our favorite baseball teams come alive again is invigorating! What makes this year most exciting is that the Major League Baseball organization has a new addition to its coaches lineup. Who, you ask? Please allow me to present the first female full-time Major League Baseball assistant coach in history. Such an amazing, exciting time for women in sports.
Alyssa Nakken was born on July 13, 1990 and grew up in Woodland, California. Alyssa was the only girl with two older brothers born to Robert and Gayle Nakken. Alyssa had an interest in the sport at the early age of 5, playing t-ball for her hometown team. Alyssa is a natural in all sports, and it is noted that she played volleyball, basketball and softball at Woodland High School. Alyssa attended Sacramento State University, where she majored in Psychology. During her time at Sacramento State, Alyssa also played first base on the softball Gvwire.com team. She was not just a player but also the team captain and was the four-time “Academic All-American.” What is the significance of an Academic All-American? It is a student who excels not only with their academic performance but also their athletic performance. This is a very difficult achievement for a college student to establish a balance between sports, academic demands and social life in college. After graduating with a Bachelor of Arts in psychology degree, Alyssa furthered her academic studies with a master’s degree in sports management from the University of San Francisco in 2015. Alyssa began to develop her professional career skills after her master’s program by gaining experience in a multitude of roles that included athletic marketing at California State University; a financial planner with Northwestern Mutual; personal softball instructor at Woodland Girls Fastpitch; ticket associate with the Oakland Raiders; and community manager at DIAKADI. All of Alyssa’s roles enabled her to gain experience and confidence before her operations position, in which she was responsible for the team’s health and wellness with the San Francisco Giants. It was toward the end of 2019, and Alyssa was contemplating her long-term plan with the Giants, and there had recently been some changes in the organization. Enter new manager Gabe Kapler. Alyssa made the bold and courageous decision to schedule a lunch with some of the team executives to discuss her future goals with the team. Before long, and unbeknownst to Alyssa, she was interviewing for a position that would be life-changing. In January of 2020 Alyssa would be making history by being offered the assistant coach position for a Major League Baseball team. Sadly, the news was overshadowed by a pandemic. However, Alyssa embraced her new role and
Youtube.com
Abc10.com
used every opportunity to learn, prepare and train during the shutdown. Alyssa appears to thrive with new challenges and appreciates the intensity and demands of the baseball arena. I had the opportunity to watch a podcast interview with Alyssa Nakken, and she noted that she had connected with another female who made history in the NFL. They have become close and have been able to process the challenges associated with being a woman in a male-dominated sport arena. Alyssa also noted that all of the male coaches, administrative staff and players have welcomed her onto the field. Additionally, she has had other coaches mentor her in a positive and respectful manner, for which she admits she is grateful. Alyssa has a dynamic and energizing spirit. Her drive is contagious on and off the field. Upon observation from interviews with Alyssa and on-the-field footage, she has great chemistry on the field and with other sports journalists. Alyssa is quickly gaining respect from her coaching peers with her knowledge of the game and her hard work and determination to bring her team to victory. Even if Alyssa Nakken is not coaching your favorite team, she is a coach to follow. She is a fierce competitor and yet with a background in psychology and sports health and wellness, she has the knowledge and talent to effectively communicate with people and meet them on their “playing field.” In her podcast interview Alyssa shared how she had an interest in learning how to surf. Alyssa is not afraid of adventure. She reported that after attending a friend’s wedding, she got on a plane and flew to Panama, where she had planned to spend a week learning how to surf. Raised in California, she was not near the coast. Alyssa had immersed herself in the sport and for an entire week she surfed from sunrise and sunset. She made a choice to connect with nature and with a sport that has not only physical but psychological demands. Through the experience, Alyssa has become passionate about surfing and admits that she is still in the beginner phase but surfs in Pacifica every chance she can get. As a former health and wellness representative for the Giants, Alyssa has found a way to maintain some self-care through adventure and spontaneity. As we open the doors to new beginnings and new opportunities, may we remember that Alyssa Nakken has shown us to not be afraid to put yourself out there, and that life is an adventure and we need to take time to savor every opportunity and experience that comes before us. Alyssa has entered into the elite class of women coaches and has shown young girls that the future is limitless! As Eleanor Roosevelt once said, “You must do the thing you think you cannot do.” Now, “let’s play ball!” Scroll.in
Rita King, LCSW is a mental health clinician providing psychotherapy services to adults and children. Rita has worked with individuals with mental illness in the community mental health setting, criminal justice system and private practice setting. Rita is a “De-escalation for Individuals with Special Needs” training facilitator and has trained approximately 1,200 law enforcement professionals to date. Rita is also a CIT trained mental health professional. Rita has a strong passion for women’s history and in her free time she continues to raise awareness of the importance of women’s history through lectures and community speaking engagements.
The County Woman Magazine www.TheCountyWoman.com
May/June 2021
Men’s Clothes
34
Fashion & Beauty The Right Fit Do you have a drawer full of bras that are either uncomfortable or the fit is just unflattering? You are not alone, there are tons of women of all ages sstruggling with the same problem! At The Bra Boudoir we are here to help you with all of your lingerie needs. We specialize in bra fittings, where we take the time to not only find out what size fits you best but what style bras fit best on your body. After all there are over 20 different style categories of bras and 100s of different sizes that exist in the bra world. Not only are there huge variations on the bras that are available to buy but our body and breast shapes are all different as well. Each one of us is unique but equally perfect just like a snowflake. During your fitting, we listen to your concerns, we ask you what you do not like about your bras and what you are looking for. Then we will choose different size and style bras that we think will work best for you
and assist you with trying them on until we find your perfect fit. Your concerns, happiness and comfort with your lingerie are important to us, so If you have had a bra fitting elsewhere and the experience left you with bras that are still uncomfortable in one way or another. I encourage you to give The Bra Boudoir a chance. We book our bra fittings by appointment to ensure you a comfortable and private fitting experience where you will get all of the time and attention without distractions from other customers. You can book your bra fitting, shape wear fitting, or lingerie styling for free on our website Brafittingsnewjersey.com or by calling us at 609-829-2867.
Testimonial “I went in to get fitted for a bra as I knew I wasn’t wearing the right size. I am not a small woman and Julie was so very helpful finding me the proper fit. I will not buy my lingerie from anyone else. Superior service and very friendly. Thank you for a wonderful buying experience.”-SLB
The County Woman Magazine www.TheCountyWoman.com
More Than A Measurement
A charming and relaxed boutique for all of your undergarment needs. Specializing in bra, lingerie and shape wear fittings. • Over 100 different bra styles in sizes 28A-46O • Sticky bras and lingerie solution products • Lingerie and shape wear XS-3X • Hosiery by thigh measurement and Swimwear by bra sizes
6024 Main Street • Mays Landing, NJ 08330 *Parking in the back*
www.Brafittingsnewjersey.com • 609-829-2867
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May/June 2021
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May/June 2021
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