Monmouth County Woman - March/April 2021 by The County Woman

Monmouth

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An Educational Resource for Women and Their Families

FREE ~ Please Take One CHRONIC ANKLE INSTABILITY.

A screening test is a recommended medical test to examine precancerous lesions prior to the development of cancer. Page 17

HOW DO I KNOW IF MY WISDOM TEETH NEED TREATMENT?

The initial decision to remove third molars is most often made by a general dentist or orthodontist. Pages 24 & 25

Photo by Tracy Harman Photography.

With every step you take, your feet are the only connection between your body and the ground. Page 5

MARCH IS COLON CANCER AWARENESS MONTH.

The doctors at University Urology Associates of New Jersey (UUANJ) have been recognized by fellow medical practitioners as among the best urologists in the Garden State. Read more on pages 28 & 29.

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2021

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Medical Professionals

A NEW SENSATION AT REHABILITY NJ MicroVASCULAR

NEUROPATHY CARE!

Peripheral Neuropathy is a nerve disorder known to affect the lives of millions of Americans with debilitating symptoms such as numbness, tingling, burning and prickling pains in the legs, feet, arms and hands. Over time, many people also develop difficulty with walking, balance and muscle weakness. It is a complication associated with several different medical conditions, including Diabetes, Cancer, Peripheral Vascular Disease and Metabolic disorders most commonly. While some cases improve when the underlying cause is managed effectively, sometimes the cause may not always be detectable. As nerve damage tends to worsen over time, it is crucial to be proactive with proper treatment, avoiding any negative impact on quality of life.

• • • • • •

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

When functioning normally, the peripheral nerves relay messages from the central nervous system, brain and spinal cord to the rest of the body. However, this key function becomes disrupted by disease processes that may impair circulation to peripheral blood vessels, particularly the smaller ones (capillaries), which enter nerve tissues. Without sufficient blood flow making it through the capillaries, essential oxygen and nutrients cannot get into the nerve tissues while the waste products of metabolism cannot get out. The peripheral nervous system eventually becomes distressed and damaged due to starvation and toxicity.

MicroVas is a FDAcleared, advanced treatment option that delivers electromagnetic energy to the affected limb(s), stimulating increased circulation to the surrounding tissues. This innovative technology causes blood to pump and circulate much more efficiently by elevating tissue oxygen levels, laying the groundwork for new tissue growth and repair, while accelerating the healing process. Microvas therapy may also promote lymphatic drainage, notably reducing swelling in some instances and positively influencing the body’s immune response. In our experience, MicroVas’ therapeutic effects are often substantial and our unique approach of implementation including manual hands-on therapy and functional conditioning for strength and balance is designed to help you achieve optimal results for long-term relief. "After five weeks of MicroVas treatments at Rehability, I'm already seeing a difference. They have given me hope and now I feel more motivated to stay active. Thanks so much." -David M. "Since starting treatment at Rehability, I've noticed less pain, tingling and burning sensations in my feet and the MicroVas has made a big difference. Thank you for your kindness and patience." -Grace R.

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

PHYSICAL THERAPY | CHIROPRACTIC | ACUPUNCTURE | SPORTS MEDICINE | www.REHABILITYNJ.com

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March/April 2021

Elder Law

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

ANNEMARIE SCHREIBER, ESQ. Certified Elder Law Attorney*

has the knowledge and experience to help you!

Springing Power of Attorney With the theme of this edition being ‘Spring into Happiness,’ it seemed only fitting to talk about Springing Powers of Attorney. A Power of Attorney, also known as a POA, is a document that allows you to appoint an agent to transact financial, legal, or business transactions on your behalf. In the POA document you are known as the principal, and the person you appoint to act on your behalf is known as your agent or attorney in fact. Keep in mind your agent or attorney in fact does not have to be an attorney; it can be your spouse or some other relative, a friend, or an associate. For Powers of Attorney known as Durable Powers of Attorney, the authority granted to your agent takes effect immediately. Many people mistakenly think a POA does not take effect until they become incapacitated. There is another type of Power of Attorney, known as a Springing Power of Attorney, that does not become effective unless or until you are incapacitated. This kind of POA ‘springs’ into life when it is needed. The key to a Springing Power of Attorney is the event that triggers the POA’s effectiveness: the principal’s inability to handle his or her own affairs due to his or her incapacity. On its face this may sound like an easy precaution to take, but in reality it can be problematic. A Springing Power of Attorney requires a doctor’s examination and report. Oftentimes, two doctors’ certifications are required. It can take weeks to get the 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.

doctors’ certifications, and during that time no one will have the authority to take care of your affairs. An issue may arise as to the level of the principal’s incapacity. For a principal who is in a coma, the doctors may willingly provide the certifications. But for someone with dementia, who has moments of lucidity, the doctors may be less inclined to sign certifications as the doctors may be reluctant to allow the agent complete control of the principal’s financial affairs. Another complication may alsoshare known a health caremedical proxy directive, relate to the doctors’ abilityis to theasprincipal’s a durable power of attorney for health care or an advance directive. An condition and information as the doctors are bound by the Health individualPortability appoints a and trusted person to be hisAct or her representative in the Insurance Accountability (HIPAA). Unless event the creator of the document can no longer make medical decisions for the agent under the Springing Power of Attorney can provide or herself. thehimproper authorization, the doctors may be unable to provide the certifications is due to HIPAA constraints. cost associated a legal document in which anThe individual states his or with obtaining the doctors’ certifications is another consideration. her wishes regarding medical treatment and end of life care. An individual’s Finally, the Springing Power of Attorney, together with theincluded in preferences for medical treatment and end of life care are often doctors’ certifications, will need to be reviewed by the banks and other financial institutions. This scrutiny by the financial institutions may further delay your agent’s ability to act on your behalf. In an effort to avoid the complications presented by a Springing Power of Attorney, choose a Durable Power of Attorney and consider appointing an agent you know you can trust. If you need a Durable Power of Attorney or if you have any questions about POAs, please contact me. Estate Planning, Probate, and Administraton Wills and Trusts Powers of Attorney Advance Medical Directives Disabillity Planning

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

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

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

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March/April 2021

The County Woman

Welcome to the March/April 2021 Issue of the Monmouth County Woman! Monmouth County Monmouth County Since 2008

Since 2008

Woman

Spring Has Sprung

It’s hard to believe that it was just over one year ago that the world as we know it changed forever. Although the physical (and mental) effects of Covid-19 are daunting, we can still find the silver lining. One thing the virus has shown us is that we were all guilty of taking the “little” things for granted. Whether that means the ability to visit grandparents, or sending your kids to school, or attending a concert, we will never look at those things the same way again. After the long months of isolation and quarantining, spring 2021 is a welcome distraction. Between the longer days and mild weather, it’s hard to feel anything but hopeful. In fact, studies show that taking your workout outside can improve your mental and physical well being. Whether you indulge in a post dinner walk or a recreation adult sports league, the warmer temperatures will allow you to enjoy the time outside. Spring is the ideal time of year to enjoy simple pleasures. The flowers are blooming, the sun is shining, and we can enjoy the benefit of extra daylight. “Springing forward” has benefits for all. There is much to look forward too on the horizon. Besides the promise of time spent outdoors, St. Patrick’s Day is just around the corner on March 17th and Easter follows in April. Did you know that the reason we wear green on St. Medical Professionals Patrick’s Day is that it makes you invisible to leprechauns (which like to pinch anyone they can see)? Folklore also says that sporting the color will surely bring REHABILITY.................................................................. 2 you good luck. And who among us would not be interested in a little of that in All-Care Physical Therapy Center, LLC......................... 5 2021? Toms River X-Ray, CT & MRI Center............................. 7 Speaking of luck and magic inshould the air,be I All am thrilled to report I got be addressed All correspondence addressed to: thatshould correspondence Shore Vascularto: & Vein Center........................................ 8 engaged over the holidays! I could not be more excited to embark on this new Reproductive Science Center of NJ.............................. 9 Woman The County Woman journey. There is noThe doubt County about it, happy days are fast approaching.

“If we had no winter, the spring would not be so pleasant: if we did not sometimes taste of adversity, prosperity would not be so welcome.” – Anne Bradstreet

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display stands in approved private and public establishments and authorized display stands in approveddistributors private andonly, public establishments and authorized distributors only, Ocean Otolaryngology Associates.............................. 20 or by paid mail subscription. or by paid mail subscription. Trademark and U.S. Copyright Laws protect The County Woman’s Newspaper. No part of Trademark and U.S. Copyright Laws protect The County Woman’s Newspaper. No part of Specialists........................ 22, 23 Atlantic NeuroSurgical this paper may be reproduced without the written permission of thebepublisher. this paper may reproduced without the written permission of the publisher. Kathy A. Banks, DMD............................................ 24, 25 The County Woman’s Newspaper is not responsibleThe for any editorial comment (other isthan County Woman’s Newspaper not responsible for any editorial comment (other than its own), typographical errors from advertisements submitted as camera ready or any Paonessa Colon & Rectal Surgery.............................. 26 its own), typographical errors fromreproducadvertisements submitted as camera ready or any reproductions of advertisements submitted as camera ready.An tions Educational Resource for Women and Their Families of advertisements submitted as camera ready. If an advertisement does not meet our standards of acceptance, we may does revisenot or meet cancelour it atstandards of acceptance, we may revise or cancel it at If an advertisement Law any time, whether or not it has been already acknowledged previously The acknowledged and/orElder any time,and/or whether or not itpublished. has been already previously published. The Publisher Chris chris@thecountywoman.com advertiser assumes sole responsibility for Lam all statements contained in submitted copy and will Doyle & Sacks, LLC............. 3 advertiser assumes sole responsibility for all statements contained Carluccio, in submitted Leone, copy and Dimon, will protect andProduction indemnify the Woman’s Newspaper, its protect owners,and publishers, andthe employees, against indemnify Woman’sShover Newspaper, its owners, publishers, and employees, against Manager & Advertising Sales Lauren any and all liability loss or expense arising out of claims for libel, unfair loss tradeornames, any and all liability expensepatents, arising out of claims for libel, unfair trade names, patents, staff@thecountywoman.com Cosmetic & General Dentistry copyrights and propriety rights, and all violations ofcopyrights the right ofand privacy or other violations propriety rights, and all violations of the right of privacy or other violations resulting fromManager the publication Padden of this newspaper or resulting its LLC, advertising copy. Billing Cooper Certified Public Accountants from the publication of this newspaper or its advertisingAesthetic copy. Dental Creations............................................ 6 The publisher shall be under no liability for failure, The for any reason,shall to insert an advertisepublisher be under no liability for failure, for any reason, to insert an advertisebilling@thecountywoman.com ment. The publisher shall not be liable by reason of ment. error, omission and/or failure to insert anyreason of error, omission and/or failure to insert any The publisher shall not be liable by Designer Design LLC part of an advertisement.Graphic The publisher will not be liable or failure inThe performance Management partGolden offorandelay advertisement. publisher will not be liable for delayFinancial or failure in performance in publication and/or distribution if allCEO or any portion of an issue is delayed or suspended for in publication and/or distribution if all or any portion of an issue is delayed or suspended for Lynn K. Wolf Garden State Trust Company. ............................... 10, 11 any reason. The publisher will exercise reasonable judgment in these instances will and exercise will make any reason. The publisher reasonable judgment in these instances and will make adjustments for the advertiser where and when appropriate. adjustments for the advertiser where and when appropriate. For advertising inquiries, please call: The Woman’s Newspaper assumes no responsibility for unsolicited material orassumes reproducCertified Life Coach The Woman’s Newspaper no responsibility for unsolicited material or reproductions made by advertisers. tions made by advertisers. Jessica L. Conrad, Life Coach.................................... 13 This newspaper will be published by the 15th of every month.will be published by the 15th of every other month. Thisother newspaper TM TM 2008. County Woman, LLC COPYRIGHT 2008. Representations by The Monmouth County Woman, LLC COPYRIGHT Representations by The Monmouth leb

Genovese Counseling Services................................... 15

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P.O. Box 619 Best Wishes, Relievus....................................................................... 16 Turnersville, NJ 08012 Turnersville, NJ 08012 Lauren Shover, Production Manager, & the Staff at the Monmouth County Gastroenterologists of Ocean County......................... 17 Woman Publication The County Woman’s Newspaper is published bi-monthly and isWoman’s available Newspaper free of charge at The County is published bi-monthly and is available free of charge at Ce

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March/April 2021

Medical Professionals

Chronic Ankle Instability Rebecca Kashdan, DPT

With every step you take, your feet are the only connection between your body and the ground. Your feet support you and transmit the force from each step through your ankles, through your lower leg, and to the rest of your body. Many people have, or will have, a sprained ankle at some point throughout their lifetime. An ankle sprain can impact the way you move, whether you are a competitive athlete or simply walking around the grocery store, and can lead to a chronic condition called ankle instability. What is a sprained ankle and why is chronic ankle instability a big deal?

Your ankle is made up of several bones that not only allow you to point and flex your ankle, but also allow you to tilt your foot inward (inversion) and outward (eversion) so that you can adjust to uneven surfaces such as cobblestones, a sandy beach, or divots in your backyard. The bones in your ankle are connected by several ligaments, a type of connective tissue, on both the inside and outside to increase the stability of the joint. When you experience a sprained ankle, usually the ankle rolls inward, resulting in overstretching the ligaments on the outside of the ankle. Occasionally the ankle is forced outward, resulting in overstretching of the ligaments on the inside of the ankle; however, that is much less common. Ankle sprains are often graded based on the severity of overstretching with grade I meaning the ligaments are overstretched but not torn, grade II meaning there is a mild to moderate tear, and grade III meaning there is a significant tear in the ligaments. Symptoms may also include swelling, pain, bruising, and difficulty putting weight on the affected

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foot. If you have experienced a sprained ankle with any of these symptoms, you should see your doctor. Chronic ankle instability is the result of several factors causing a person to sprain their ankle repeatedly. The first factor is overstretched or torn ligaments, resulting in decreased ankle stability. The second factor is muscle imbalance. When the ligaments are stretched or torn, the muscles and tendons surrounding the ankle may also be stretched and irritated, resulting in muscle weakness. The third factor is impaired proprioception. Proprioceptors are tiny nerve receptors located in soft tissue throughout the body that sense your position in space (these receptors allow you to touch your pointer finger to your nose with your eyes closed). The proprioceptors in the ankle are extremely important when it comes to balance and the ability to adjust your ankle on uneven surfaces to prevent falling. When the tissues surrounding the ankle are disrupted, the proprioceptors do not collect the information that they need to help you adjust. All of these factors combined make up an ugly recipe for repeated ankle sprains as well as increasing the risk for falling. An unstable ankle can change the way the forces are transmitted from the foot through the rest of your body, causing problems beyond your foot and ankle.

Physical therapy can help!

Physical therapy can help to break the cycle of chronic ankle instability by preventing future ankle sprains. We use exercises that focus on normalizing muscle imbalances, restoring normal motion, and improving ankle proprioception. Your physical therapist will evaluate your imbalances in order to create a program specifically designed for you. For instance, if you feel fine while standing on flat, stable surfaces but you have difficulty on a plush carpet or an uneven sidewalk, your therapist may have you practice standing and walking on unstable surfaces to functionally strengthen your ankle-stabilizing muscles.

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

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Physical therapy will not repair a torn ligament; however, the therapists at All-Care are trained to develop a program that will promote healing as well as maximize the stability in your ankle by strengthening the surrounding musculature.

Is barefoot exercise good for me?

While proper footwear can provide excellent support for a person with chronic ankle instability, exercising barefoot in a controlled environment helps build natural stability. Often patients with ankle instability perform physical therapy exercises without shoes to increase reliance on the natural stabilizing muscles instead of relying on support from your shoes. You may notice that if you stand on one foot with a supportive sneaker and compare it to standing on one foot without shoes, you tend to “wobble” more without the shoes. That is exactly why we focus on barefoot stability. While barefoot exercise in a controlled environment can be beneficial, high-impact barefoot training such as running or jumping without proper conditioning can lead to many other injuries. Make sure to speak with your doctor or physical therapist before beginning your own barefoot program.

Rebecca Kashdan, DPT Physical Therapist

Rebecca graduated from Rutgers University in 2012 with a Bachelor of Science degree in Exercise Science. She continued her education at Rutgers University and received her Doctoral degree in Physical Therapy in 2015. Rebecca has completed clinical rotations at Duke Regional Hospital in North Carolina as well as Applewood Estates Rehab in New Jersey with a focus on post-op orthopedic, cardiovascular, bariatric and neurological conditions. Rebecca has a particular interest in manual therapy, athletic injuries, balance dysfunction and pathologies of the foot and ankle. She has also worked with several pre-professional dancers from The Rock School for Dance Education as well as the University of the Arts in Philadelphia and is currently a member of the International Association for Dance Medicine & Science. Rebecca firmly believes that understanding the needs of her patients is the key to successful recovery.

March/April 2021

Cosmetic & General Dentistry

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

Dr. Balaji Srinivasan

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

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March/April 2021

Medical Medical Professionals Professionals

737

Prostate MRI 3D Mammography Prostate cancer the most common cancer Breast cancer is is the second leading cause of death in men. women. The American Association among One inCancer 8 women will develop breast predicts will be 164,690 newit cases of cancer inthere her lifetime. Each year is estimated that over prostate cancer in in the 2018. It is typically diagnosed 252,710 women United States will be diagnosed in men 65 years and older. One out40,500 of every 41 will with breast cancer and more than women men will die of prostate cancer. Despite these die from the disease. This is why early detection is so ominous statistics, most men diagnosed with survival important. With early detection, the five-year prostate cancer will not die from this disease. rate is nearly 100%. The latest weapon in the fight against This is due to early and treatment. breast cancer is 3Ddiagnosis mammography (also known as breast One of the newest diagnosinghas prostate tomosynthesis). Thistests newintechnology increased early cancer is the prostate MRI. detection over traditional mammograms, especially in women with dense breasts. Greater accuracy means Q:better Whatbreast is the cancer prostatedetection. gland?

suspicious, patients to be is called Q:need What prostate MRI? back for additional The is multiple A:views. The MRI a machine that uses a powerful magnet instead of images created byradiation 3D mammograms Cancer to create images of the body. A in prostate MRI is able to have such increased accuracy thatimages of the prostate this breast create excellent gland. It is used to diagnose there is decreasedprostate need forcancer this. On is difficult and to determine whethertothe cancer is contained average 3D mammograms reduce detect on within the prostate gland or has spread outside of the prostate callbacks by up togland. 40% It compared to this standard is also able to detect other non-cancerous diseases of traditional mammograms. This means mammogram. the prostate such as prostatitis (infection of the prostate gland), less radiation exposure, increased an abscess of the prostate gland, and benign enlargement of the convenience for our patients, and moreBPH (benign prostatic hyperplasia). prostate gland called peace of mind. Some centers use an endorectal coil. This is an instrument that is inserted into the rectum and is used to help obtain the images Q: What canof Itheexpect when prostate gland. Our powerful cutting-edge MRI is state of having a 3Dthemammogram? art and uses the most sophisticated computer system available A: The prostate gland is found in men, located in the pelvis just to create A: The process of having athe 3Dmost detailed images possible. Our MRI does not This subtle prostate below the bladder at the base of the penis. Its function is to excrete require mammogram is the samethe as ause of an endorectal coil and therefore creates a much Q: What is amake 3Dup mammogram? is it different from cancer is located fluid which helps semen. It is the sizeHow of a walnut, but experience for our patients. conventional 2D more exam.comfortable The in an area that is regular it can grow.mammograms? As men get older, most prostate glands grow in a technologist will position you, biopsy. condition called benign prostatic hypertrophy. It is not known A: 3D mammogram--also called breast tomosynthesis--is one ofwhy the most difficult to compress Q: Are there limitation of the prostate MRI? your breast, and take images This to MRI guided this enlargement it is not cancer, does causeof radiation advanced forms ofoccurs; breasthowever, cancer detection. It uses anor very lowitlevel A: Certain have implanted devices such as pacemakers, from different angles. There’spatients no the to the take multiple pictures of the breast. The x-ray tube moves over the breast in an urologist cancer. Using 3D spinal stimulators, implants, andmammogram blood vessel stents that additional compression required, andcochlear it exact location of the are not compatible with an MRI arc, capturing multiple images of each breast from different angles. A computer technology, the and therefore can pose a danger only takes a few extra seconds. Q: What these is prostate reconstructs pictures tocancer? create a 3-dimensional picture of the breast. cancer A regular so it could cancer was able to to beenter an to the patient. Patients with hip replacements are safe be removed mammogram takesoccurs a singlewhen picture theofbreast. A: Prostate cancer the of cells the prostate gland grow Q:with Do insurance companies clearly seen. can distort the MRI; however, the metal of the hip replacement surgery uncontrollably. Some cases of prostate cancer can grow and spread images of the prostate gland. cover 3D mammograms? Q: What is the advantage of 3D mammogram? quickly; however, in a great majority of cases the prostate cancer Prostate MRI is a new and exciting test to detect prostate A: Medicare, and many private insurers, cover 3D mammograms. In the past, not A: Onevery of slowly. the challenges interpreting is normal dense breast grows In mostofcases, men willmammograms never know they have prostate cancer cancer in men. You may wonder why I would be discussing prostate cancer in a all private insurance companies covered 3D mammograms. However, in August tissue hiding breast cancer. Additionally, overlapping areas ofItnormal dense breast because it is not causing symptoms or affecting their health. has been shown newspaper dedicated to women. I have found that in many households, women New Jersey enacted a mandate requiring nearly all the major health insurers tissue70% can of look This is whywho detecting breast cancer women dense 2018, that all suspicious. men in their eighties die from other causesinwill havewith prostate manage the healthcare for their families. Most questions I am asked about prostate to cover 3D mammograms. breasts found is moreincidentally difficult. The 3-dimensional images of breast tomosynthesis help MRI have been from women inquiring for their husbands, fathers, or uncles. cancer at autopsy. decrease the tissue overlap that can obscure cancers. It also helps distinguish normal Therefore TomsitRiver X-rayforhas performing mammograms is important bothbeen men and women to have the information they overlapping breast tissue from breastprostate cancer. cancer? Q: How do you diagnose and serving theprostate community will need regarding health. for over 30 years. Our 3D Studies have shown thatis 3D significantly improve A: The digital rectal exam the mammograms most commonly used physical exam the to diagnose mammogram is the latest on the market and has the most Toms River X-ray uses the most advanced technology detectioncancer. of breast in women with denser tissue. It also prostate Thecancer, doctorespecially inserts a gloved, lubricated fingerbreast into the rectum to advanced technology. It is our mission to provide the very picks up the breast cancerThe at andoctor earliercan stage, whichthe may be missed by traditional available on the market. We believe this is the best thing examine prostate. evaluate texture and size of the gland, and best for our patients. We thank you for trusting us with your mammography. 3D mammograms find 20-65% more invasive breast cancers we can provide for our patients. As is able to feel for suspicious nodules. health and the health of your loved mammograms, with an average increase of 41%. always, if you have any questions, compared There istoatraditional blood test 2D called a prostate-specific antigen (PSA) test that is used ones. We look forward to offering to determine the presence of prostate cancer. PSA is a protein produced by the please feel free to contact our staff Q: Is there increased radiation performing a 3D you this significant advance in breast prostate gland. It is normally found in the bloodstream in very small quantities. at (732) 244-0777. cancer screening. mammogram? If there are elevated levels of PSA in the blood, this could be a sign of different diseases of the prostate gland, including cancer. A: Mammograms expose patients to veryprostate low levels of radiation. The level of If thereexposure is a suspicion prostate cancer, aisurologist perform radiation from aof3D mammogram the samewill as that fromaabiopsy. traditional Cyrus Khorrami, M.D. Usually 12 individual core samples willany be increased performedrisk. in Cyrus Khorrami, M.D. mammogram. So a patient receives of all the the prostate benefits gland without Medical Director Medical Director With traditional mammograms, various locations to detect cancer. 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

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March/April 2021 September/October 2018

Medical Professionals

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

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

March/April 2021

Medical Professionals

Helping Small Miracles Happen

Recurrent Pregnancy Loss Pregnancy loss is a devastating yet common event that occurs in about 15-25% of pregnancies. Most of these losses take place before the end of the first trimester. However, fewer than 5% of all women will experience two consecutive losses. About 1% of women may be afflicted by three or more losses. Recurrent pregnancy loss (RPL) is defined as having more than two pregnancies identified by ultrasound which did not result in a live birth. The most common cause of these losses, or as more commonly called, “miscarriages,” is an embryonic chromosomal abnormality such as Down syndrome. Other conditions that may contribute to RPL include the antiphospholipid syndrome and anatomic factors. Less likely causes include hormonal or metabolic factors, infections, or clotting disorders. Although the overall prognosis for patients afflicted by RPL is quite good, this diagnosis is emotionally difficult to deal with for the patient. The immense sense of hopelessness that patients may experience can be devastating. For this reason, it is important to understand the patient’s feelings and concerns in order to provide adequate care. As a woman gets older, her chance of miscarriage increases. This happens mainly because age affects the machinery responsible for genetic recombination within her eggs. In women under 35, the risk of sporadic miscarriages is at most 12%. For women over 40, this risk is close to 50%. In a small proportion of cases, the cause for pregnancy loss is due to abnormality. Preimplantation genetic screening can be done to reduce the chance of a chromosomally abnormal pregnancy. Another entity responsible for RPL is called antiphospholipid syndrome. In this case, the mother carries antibodies which can affect the ability of the

embryo to adequately grow and be nourished within the uterus. Blood tests on the mother can be done to identify these antibodies, and a blood thinner may be indicated to improve on the chance of a live birth. Uterine abnormalities are anatomic factors which are responsible for up to 37% of all RPL. The most common uterine abnormality is a uterine septum. Other conditions, such as doubling of the uterus or defects in the shape of the uterus, are less common. Nonetheless, a sonohysterogram or a hysterosalpingogram can be done to evaluate the shape of the uterus. These abnormalities are more commonly associated with second trimester losses. Surgical interventions can lead to very successful pregnancy outcomes. Hormonal problems such as thyroid, prolactin, and poorly controlled diabetes can account for a small proportion of RPL. A blood test can identify these conditions. Depending on the results, medications can be used to optimize these problems. Other inherited clotting disorders are less likely to contribute to pregnancy losses. A thorough history from the patient can help identify if there is a need for additional blood tests to identify a propensity to blood clotting. In summary, it is imperative to provide a diligent investigation of RPL as well as give emotional support in the form of psychological counseling. These patients deserve a caring provider who can listen and help reduce anxiety by clearly communicating and answering all questions and concerns in a timely fashion.

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

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

The Compassionate Connection

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

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

732-918-2500 • FERTILITYNJ.COM

Recipe Spring Time Brunch Entrees Crab Quiche-Serves 6

Compliments of Chef Steph

Prepared pastry for 1 pie crust 4 eggs 2 cups heavy cream 1/8 tsp ground nutmeg 1 cup swiss cheese, shredded 3 T butter 2 T green onion, minced 12 oz crabmeat, well drained 2 T dry vermouth 1/8 tsp cayenne

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Preheat oven to 425. Prepare and place pastry in pie plate. Chill well. With a wire whisk beat the eggs, cream, and nutmeg. Stir in cheese and set aside. In sausepan, melt the butter. Add the green onions and cook until tender. Stir the onions and remaining ingredients into the egg mixture and pour into the prepared crust. Bake for 15 minutes. Reduce temperature to 325 and bake an additional 35 minutes or until knife inserted in the center of the quiche comes out clean. Serve the quiche with salad or toasted English muffins. For dessert, enjoy fresh fruit topped with whipped cream.

The County Woman Magazine www.TheCountyWoman.com

March/April 2021

Financial Management

Spring Cleaning

“Have nothing in your home that you do not know to be useful or believe to be beautiful.” — William Morris The winter is finally over and with spring comes new fragrances and pollens outside. To fully embrace the new season, some decide to clean their homes by moving everything and doing a full clean and assessment of what should be kept or thrown out. We collect treasures over our lifetimes that represent memories and letting go of those treasures can be hard. An article from the Journal of Gerontology: Series B, titled “The Material Convoy after 50” discusses how people divest themselves of possessions as they age. David J. Ekerdt and Lindsey A. Baker through analysis of data from a national panel conclude that “After age 50, people are progressively less likely to divest themselves of belongings. After age 70, about 30% of persons say that they have done nothing in the past year to clean out, give away, or donate things, and over 80% have sold nothing.” Although the authors suggest that with a larger set of possessions, “their continued keeping can be a predicament for oneself and others,” they explore many reasons why less is divested as we age. The reasons they bring up that we find compelling are: 1. The longer we live, the more possessions we accumulate that signify our identity and “The ongoing collection of belongings can secure continuity of the self in the face of aging and vulnerability.” 2. As we age, we feel less up to the task of assessing value and divesting where there isn’t any: “a major reason for less possession management is the rising

risk of poor health at older ages that can limit the capacity to carry out the cognitive, physical, social, and emotional tasks of divestment.” 3. We’ve divested already: “Most obviously, people may have already divested (perhaps by having moved) and so are content with their collection of belongings.” At Garden State Trust Company, we deal with inter-generational wealth transfer and help people make the transition easier for their beneficiaries. Here are some questions to consider when you’re deciding if something should be kept for a beneficiary: In regard to pragmatic value: Have I used this possession in the last five years? Would any of my beneficiaries use this possession, or do they have something already that replicates it’s use they prefer? As an independent trust company, Garden State Trust Company has served as executor to administer and settle many, many estates. Without question, one of the most difficult tasks in an estate is the distribution of non-financial possessions one has accumulated during one’s lifetime, especially when you have multiple beneficiaries with no direction from the deceased as to who is to receive what! We have witnessed relationships between children irreparably damaged because of a fight over a ring, a picture or some other item that they thought would belong to them someday. It’s truly a shame that this happens; however, it happens more than you think. The next time you meet with your estate planning attorney to discuss your Will, make sure the distribution of your “things” is discussed. Spring cleaning may solve some of this problem. Ira J. Brower

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.

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On You. On Your Family. On Your Future. 2101 Highway 34 South • Suite A • Wall, NJ 07719

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732.255.5000 | gstrustco.com March/April 2021

Financial Management

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The County Woman Magazine www.TheCountyWoman.com

March/April 2021

Medical Professionals 12 Professionals November Is National Lung Medical Cancer Awareness Month WhatWhat you should know: What You Need To KnowAnd Cancer: Covid-19 You Need To Know • If you are a heavy smoker, and have been smoking for

Did youSubmitted know that the leading canifdo: by lung Sarahcancer J. Easaw,isMD, FACP cause of cancer several years, askWhat your you doctor you need to do an deaths in both men and women in the U.S.? Approximately 1. If you are actively undergoing cancer treatment, take extra caution X-ray or a CT scan. As of today, than 114 million been 200,000 new cases aremore diagnosed each yearpeople and 27have percent to avoid exposure toto COVID: • Ask your MD about different methods help youstay quitaway from anyone other than diagnosed with COVID 19 worldwide of all cancer deaths are from lung cancer. and 2.5 million have died your immediate household, wear masks, and use strict handwashing smoking. from it. The pandemic is still raging and is impacting healthcare

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

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

Medical Professionals

November Is National Lung Cancer Awareness Month

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ROMANCE TRAVEL Travel ravel

“Create Lasting Memories” 14 River Cruising: An Extraordinary “Create Lasting Memories” Travel Taking With A Packing More fun, more memories! PartIt of raising a family You: is making memories that

55 63

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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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 Six Hawaiian Islands

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amenities and intriguing itineraries to the places ocean-going The coronavirus pandemic has brought travel to a near standstill Now big question is: are Kauai, Maui, and Big Island. BLUFF, ANTIGUA feels both country-club and cozy at the same vessels can’t reach. ✿ RiverCURTAIN cruises arethe luring experienced What do way you take – and changed we’ll think about exploring in the near ocean cruisers off the mega-ships and onto intimate time. This charming resort with an Alain Ducasse-trained chef for wonderful dining has Ocean views 70 T ravel with you? If you’re cruising in the Caribbean 00 T ravel future. And while we’re sad about the trips we’ve had to postpone 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

–leading Italy, Switzerland, and Santaand Fe, to name restrictions the airlines have The beach beautiful to a• turquoise Caribbean Sea.poncho, The river cruisingClub. destinations, like isa 12-day Bordeaux Lightweight sweater, rain zippered plastic bags T ravel villages, stunning beaches, accentuated by whitewashed buildings. imposed for baggage, youorwill haveDanube, to56 consider leaving your entire closet athe few know River cruise, 7-day offer cruise guests local – we for wet suits. they’ll be back on the at home from now on. Some airlines are charging for carry-on bags now, 55 T ravel ravel experience without the long tour bus rides. Fromcalendar April’s • Whatever you forget you can purchase on board or at63 the soon. and other airlines let you board first “Create if you have noLasting carry-on bags.Memories” So was what created to be the ultimate get ✿ BEACHES, TURKS & CAICOS tulips to December’s Christmas Markets, hundredsUntil of then,ports “Create Lasting Memories” or resorts. we’re remembering everything we love are the essentials to pack? Moreisfun, more memories! Part of raising aThe family is making memories that beaches together getaway, where everything Included and unlimited. protected white sand and barges glide along Europe’s historic rivers A few years from now what about travel, and finding new ways to support our global Here isriverboats a packing primer from Carole Kaiman, Travel Professional that your children will cherish Whether you’re dreaming of a romantic escape or celebrating an anniversary or wedding, forever. , with beautiful beaches and great A family vacation is part of those memories. (rated theand best in the Caribbean by Travel & Leisure) exciting watersports and unlimited scuba diving youExamples will remember is the total of canals, which span thousands of miles of Continental community from home. of some the best opportunities a travel expert can create a carefully tailored itinerary to suit your desires. Discover a tropical might help with the process. Today’s to travel as a family are as wide open as your imaginaYou’ve booked your restaurants to rekindle your spirit and feed the soul. experience ofall your vacation, iver cruising beembraces the hottest cruising (for certified divers).connecting North waterways, Seaparadise and surround yourself with remarkable sunsets, fine dining, and world class accommodations. to Black Sea. may Travel colors andNOT cultures, and celebrates tion. From warm beaches to excitinglong adventures, destination offersLine a new Themes: River Cruise awaitedevery vacation trend around in 2017 -even though river the things you forgot to pack. what shares in common as well asnext theescape. A sample of some Romantic destinations will let you of your are about children. Amazing waterparks withTravel body slides, lazy rivers anddream surf withhumankind your ForBEACHES a week inresorts the River Caribbean: A Europe Cruiseexperience. is one of the best ways we • Viking River Cruises, through partnership with • Add a few more tee shirts and another pair of shorts  Greece, think Santorini or Mykonos with small fishing

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

R  Italy

cruises have been operating for decades. *Remember, your Vagabond* differences. Professional andand you’re We have some suggested kid’s focused resorts destinations simulator are a favorite of the kids. The Caribbean Adventure with Sesame Street andwith the XBOXoffers play Viking cruise guests • 2 swimsuits know to explore inland Europe, visiting cities, towns and PBS “Downton Virtuoso Professional ready to pack your Travel  Six Hawaiian Islands , enjoy: each with Abby” its can own personality, where in a private chapel in Florence’s counspecial activities and amenities that the entire family will Cruise lines have upped theirsuitcase. game with expanded In a world that can feel deeply divided, travel unites. (put 1 in your carry-on so you canships goand right to the beach) lounges are so popular with children families. 19 Specialty restaurants and children’s dining areas provide great choices. villages that traditional big usually can’t access. 3 days in England Countryside, and special tour assist you in planning a vacation surrounded by blue waters, and where happiness is a way of life. Top choices amenities and intriguing itineraries to places ocean-going tryside you can renew your vows and have a candlelit Dinner over the Arno River. Now the big question is: 2 cover-ups are Kauai, Maui, and Big Island. It•will be a great family vacation memory. with the mostfamous value andhouse. addedfeels both country-club and cozy at the same of the BLUFF, ANTIGUA vessels can’t reach. ✿ RiverCURTAIN cruises are luring experienced What do you take Riviera Maya, Mexico (1 with sleeves for evenings dining onocean the cruisers beachoff&the 1 mega-ships Pareo) touches to your experience afor wonderful andyou? onto intimate time. This charming resort an make AlainWaterways chef dining has Ocean views •with Avalon “Austrian Highlights” from with IfDucasse-trained you’re cruising in the Caribbean Positano, Italy riverboats with focus on current themes. from every room, a game room and the Ceebee Kids memorable one.•diving WithWatersports so many new including fees and • Yoga pants and 2 tank tops AddMunich aand fewwaterskiing, more tee shirts and another of shorts Vienna to highlighting apair Beer theme. families Greece , think Santorini or Mykonos with small fishing ships were built with in A deluxe family Ocean view restrictions themind. airlines have Club. The beach is beautiful leading to a turquoise Caribbean Sea. The river cruising destinations, like a 12-day Bordeaux , the “Jewel of the Atlantic,” Our dedication to our clients during after everybags vacation • Lightweight sweater,before, rain poncho, and and zippered plastic • 2 shorts and 2 tees imposed for baggage, youorwill haveDanube, tovillages, stunning beaches, accentuated by whitewashed buildings. consider leaving your entire closet • Tauck offers riverfor cruises with its Tauck River cruise, 7-day offer cruise guests the local for wetfamily suits. stateroom with Verandah is perfect for a family of 4 or 5. There’s a 3 story AquaDunk body slide kids makes a world of difference. at enjoy beautiful weather, pink sand beaches home from now on.without Some airlines are charging carry-on bagsApril’s now, • 3 sundresses experience the long tour busforrides. From •program, Whatever you forget you can purchase on cooking board or at the Bridges including family and other airlines let you board first if you have no carry-on bags. So what created ✿ BEACHES, TURKS & CAICOS was to be the ultimate get with no fearFlip onflops, deck,flat or for the younger set, there’s the AquaLab with a looping waterslide. tulips to December’s Christmas Markets, hundreds of • SHOES: sandals, wedges, sneakers ports or resorts. warm friendly people. Conde’ Nast Traveler areand the essentials to pack? lessons. together getaway, where everything is Included and unlimited. The white sand beaches Enjoy Your Travel Experience. riverboats and barges glide along Europe’s historic rivers Aprotected fewor years from now what Here is a packing primer from Carole Kaiman, Travel Professional that Disney destinations vary from Caribbean cruises with Disney’s own private island cruising Europe  Barbados , with beautiful beaches and great • Pashmina Readers have voted Bermuda “Best Island in the Caribbean” 17 times! (rated theand best in the Caribbean by Travel & Leisure) exciting watersports and unlimited scuba diving will rememberof is the total of canals, which span thousands of miles of Continental youExamples some the best 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: 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. The Caribbean Adventure with Sesame Street and the XBOX play • 2 swimsuits know to explore inland Europe, visiting cities, towns and PBS “Downton Abby” offers Viking cruise andresorts, Scenic cruises to fill can the demand. Eachguests line Virtuoso Travel Professional The options gocarry-on on towith Mexican all-inclusive exciting travel to areas • Costume jewelry, (leave the real jewels home) goand Italy where in a private chapel in Florence’s counand her only objective is to give you the best experience possible and (put 1 in your so you canships right to the beach) Carole Kaiman lounges are so popular children families. 19access. Specialty restaurants dining provide great choices. villages that traditional big usually can’t days inchildren’s England Countryside, and special tour assist 3 you inand planning a vacation tryside you can renew your vows and have a candlelit Dinner over the Arno River. 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 (1 with sleeves for evenings dining on the beach & 1next Pareo) generation touches to make your experience a 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 ✿ DISNEY CRUISE were built with families A deluxe Ocean view • Insect Repellent, Sun Protection at SPF) ships It’s a 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. 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 lessons. Aruba • Make up Bag: waterproof mascara, eyeliner, Carole Kaiman at Vagabond Travel, a Virtuoso Agency in Little Silver, today! Enjoy Your Travel Experience. for our Digital Magazine Disney destinations vary from Caribbean cruises with Disney’s private732-222-2792 island cruisinginformation Europe • Pashmina Virtuoso Agency for or latest and Readers have voted Bermuda “Best Island in the Caribbean” 17 times! orRiver 732-842-2600. Travel, Silver own today. a Virtuoso Agency in Little There are several brand new Advisor cruise lines hair conditioner and shampoo with • Sunglasses special highlights for the kids to enjoy. Your Vagabond Travel Virtuoso and some amazing travel ideas.

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We hope this inspires you to keep dreaming. When you’re ready to plan again, we’ll be here.

amenities. entering thethat 732-222-2792 orsun 732-842-2600. Create will lifetime. market such as last Emeralda Waterways • Packable hat and foldable beach bag memoriesmemories A Travel Professional with years of expertise will work for you, Create that a lifetime. For will over 25last years, andresorts, Scenic exciting cruises to fill the The go on to Mexican all-inclusive travel to demand. Each line • Costume jewelry, (leave the realoptions jewels home) and her only objective is to give you the best experience possible and Carole Kaiman has its highlights, such as the and an evening purse South Africa for families, Alaska tours (Perfect forTravel summer vacation) long ships and the to help you realize your romantic dreams. Vagabond next generation Space-Ships. Must Haves: and fabulous Tauck tours of Europe. • Insect Repellent, Sun Protection (with at least 30 SPF) It’s a great *Check out new cruising experience! Start your unforgettable vacation by contacting Travel Advisor & Romance Specialist • Facial and body moisturizer Start your unforgettable vacation www.virtuosolife.com byContact contacting TravelKaiman AdvisoratCarole Kaiman, at Vagabond Carole Vagabond Travel • Make up Bag: waterproof mascara, eyeliner, Carole Kaiman at Vagabond Travel, a Virtuoso Agency in Little Silver, today! for our Digital Magazine Over Virtuoso Agency732-222-2792 for latest information and25 Years or 732-842-2600. Travel, a Virtuoso Agency in Little Silver today. hair conditioner and shampoo and some amazing travel ideas.

Carole Kaiman, Travel Specialist Vagabond Travel Virtuoso Agency 542 Prospect Ave.

amenities. 732-222-2792 or 732-842-2600. Create memories that will last a lifetime. Create memories that will last a lifetime. Little New Jersey LittleSilver, Silver New Jersey07739 07739

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

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Carole Kaiman, Travel Specialist 732-859-5513 732-222-2792 Direct Vagabond Travel Virtuoso Agency 732-842-2600 Office 542 Prospect Ave.

Over 25 Years

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

732-842-2600 Office

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

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

website:

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March/April 2021

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

Home Health Care

The Hope And Joy Of Spring Deborah Walsh,

Executive Director, HomeWorks

This is the time for switching over from winter to spring, embracing hopefulness and creativity, and enjoying sunshine and outdoor activities. But the COVID-19 pandemic has shifted all of that. This spring will be much different from what we were expecting.

Fear is in the air. We are worried for ourselves and others. We are all dealing with altered daily rhythms and an unknown future. We don’t know how long this pandemic will last. How long we will be cut off from our loved ones. How long until life feels “normal” again. Eckhart Tolle writes, “If uncertainty is unacceptable to you, it turns into fear. If it is perfectly acceptable, it turns into increased aliveness, alertness and creativity.” Uncertainty is not going away anytime soon, so we are forced to go through a process of acceptance. This acceptance can foster that kind of “increased aliveness, alertness and creativity” that we all long to feel in springtime. It is still possible, even in this time of anxiety and the restrictions of this season, to experience the hope and joy of spring. Here are some ways you can tend to yourself to make sure that your garden will blossom. Care for your body Our bodies hold energy, anxiety, and trauma. So often we go through the motions of things and ignore what our bodies are experiencing. Eat nourishing food. Sleep well. Take some deep breaths.

Care for your heart Our feelings and emotions are vital to staying present and making this season sustainable. Find a way to process your emotions. Some people process their emotions through art, writing in a journal, or talking about feelings with a trusted friend. Find a way that works for you. Care for your mind Our minds are trained to quickly go into “fix-it” mode. The coronavirus pandemic is beyond our control and there is no easy fix. Meditation, writing down your thoughts, reading, and focusing on something else can help. Don’t let yourself get caught up in pandemic panic; care for your mind so it doesn’t fixate on fear. Care for your spirit To care for your spirit, do something that fills you up. Go for a walk, paint, hug your pet, listen to your favorite music. Pick something that you know is restorative for you. Every challenge in life can be an opportunity for growth, learning, and change. We can be inspired this season by the beauty of stillness, home, family, and nature. We can all practice gratitude and love each other into blooming, even from a distance.

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.

March/April 2021

Medical Professionals

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March/April 2021

Medical Professionals

March Is Colon Cancer Awareness Month Written by: Jai Mirchandani, MD Gastroenterologists of Ocean County

What is a Cancer Screening?

A screening test is a recommended medical test to examine for precancerous lesions prior to the development of cancer. Examples of those kinds of tests include: Mammography to detect breast cancer; Pap Smears to detect cervical cancer and a Prostate Exam, which examines for early prostate cancer. Colonoscopy is a screening test to detect and prevent colorectal cancer. What is the colon and rectum? The colon is a 6 feet long tube, which absorbs excess water and salt into the blood, and converts waster into stool. The rectum is the end of the colon, where waste/stool os stored until it leaves the body during a bowel movement. What is a polyp and why are they important? A polyp is a growth out of the wall of the colon. Polyps are either benign (noncancerous), or pre-malignant (pre-cancerous). Polyps are important because certain polyps can grow large over time into colon cancer. Usually patients have NO SYMPTOMS, if they have a polyp. Polyps are caused by genetic and hereditary factors, as well as dietary and environmental factors.

What is a colonoscopy? A colonoscopy is a test where a flexible tube is inserted into the rectum. Through this tube, a gastroenterologist can visualize the inside of a patient’s colon. Using a colonoscope the gastroenterologist can identify small polyps, and remove them internally. The procedure takes approximately 30 minutes. Patients are given sedation to make them comfortable throughout the entire procedure. The day before the procedure patients must drink a solution to clean their intestines prior to the procedure. If a patient’s colonoscopy is normal, they most likely will not need another procedure for 10 years. What happens to patients who develop Colorectal Cancer? Patients who develop colorectal cancer must undergo further treatments, including possible surgery, chemotherapy and radiation. Ultimately they have a shorter life expectancy. What is the most important thing to know about Colorectal Cancer? The most important thing to know about colorectal cancer is that it is a common form of cancer, and all patients, including men and women are susceptible to developing colon cancer. Most types of colorectal cancer are preventable however, with appropriate screening. Colonoscopy is covered as a screening tool by Medicare and most insurances. Make sure to talk to your doctor to see if you should be screened for colon cancer.

Call to schedule your appointment at gastroenterologists of Ocean County.

How common is Colorectal Cancer, and do I have to worry about it? Colorectal cancer is the 3rd most common cause of Cancer in both men and women. It is estimated by the American Cancer Society that colorectal cancer will be the second most common cause of cancer death in 2016. The lifetime probability of developing colorectal cancer is approximately 1 in 20 for both men and women, making it very common. What are some potential symptoms of Colorectal Cancer? Symptoms of Colorectal cancer include blood in the stool, anemia (low blood counts), changes in bowel habits, abdominal pain and weight loss. Often, however, patients have no symptoms at all.

Omar Tamini, MD Jill Collier, MD Edgar Bigornia, MD

What are risk factors for developing Colorectal Cancer? Family history and genetic factors are one of the biggest predisposing factors to the development of colorectal cancer. If you have a close family member who had either colorectal cancer or colon polyps, you are at an increased risk for developing colorectal cancer. Environmental or dietary factors, such as diets high in red meats, alcohol or tobacco use can predispose patients to colorectal cancer. Also patients who are overweight or have advanced diabetes are also at an increased risk for developing colorectal cancer. What are protective factors for Colorectal Cancer? Diets high in fruits, vegetables and fiber are protective for colorectal cancer. Also, a diet high in calcium has been seen to be a protective for colon cancer as well. Exercise has been seen to be a protective factor as well to prevent colon cancer. Who should be screened for Colorectal Cancer? Any man or woman over the age of 50 years old should be screened for colorectal cancer. Patients with family members with a history of colorectal cancer, or colon polyps, as well as certain symptoms may need to be screened at an earlier age. How do patients get screened? A patient can get screened by stool tests to check for blood, X-ray or CT scan tests, as well as certain blood tests that can assess if patients are at risk for developing colorectal cancer. The best test for screening for colorectal cancer is a colonoscopy, as this test can visualize pre-cancerous polyps, as well as remove these polyps before they have a chance to grow and become colorectal cancer.

Kenneth Glazier, MD Jai Mirchandani, MD Teresa Menadier, MD

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

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

TOP DOCTOR

2021

NJTopDocs

Patient Testimonials

“Dr. Mirchandani and his staff were very professional and caring. They made me comfortable and less apprehensive.” - Joan, age 49, Whiting “I felt comfortable and safe! The warmth I felt from Dr. Mirchandani and his team left me feeling relieved. ‘A piece of cake!’ Excellent!” - Dortha, age 84, Toms River

A Division of Allied Digestive Health

“ The Nursing and Technical staff displayed extraordinary compassion and put me at ease from the moment I arrived. Since I have no memory of the procedure, I commend Dr.Mirchandani and the staff. Overall, I was extremely satisfied.” - Joe, age 46, Toms River

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March/April March/April 20182021

Medical Professionals

ALZHEIMER’S DISEASE: AFFECTING WOMEN DISPROPORTIONATELY TO MEN

DR. ANNA BROCCO, PHARMD, MBA

lzheimer’s disease also affects women disproportionately to men. “The Alzheimer’s Association estimates that nearly two-thirds of those diagnosed with AD are women.” reports Dr. Anna Brocco, PharmD, MBA, Director of Operations and Clinical Research at Advanced Memory Research Institute of NJ. It is also estimated that 60% of those giving care to those with Alzheimer’s and dementia are women.”1

1. Alzheimer’s and Dementia. (n.d.). Retrieved January 29, 2021, from https://www.alz.org/alzheimer_s_dementia

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March/April 2021

Medical Professionals

“BY WORKING TO HELP SLOW THE PROGRESSION OF ALZHEIMER’S, WE ARE WORKING TO IMPROVE THE QUALITY OF LIFE OF WOMEN.”

Left, left to right Lauren Bawiec and Julia Carey, Clinical Research Coordinators. Right, Caitlyn Wojcik, Clinical Research Coordinator and Caring for Caregivers support group leader.

The female driven team at Advanced Memory Research Institute of NJ (AMRI) is just one example of a femaleled care team. AMRI offers more than 50 years of combined expertise conducting clinical trials. AMRI is the premier research center for Alzheimer’s disease and dementia in the tristate area. The AMRI team is working hard to discover new pieces to the Alzheimer’s puzzle to help further diagnosis and develop treatments to help this disease. Caitlyn Wojcik, clinical research coordinator and Caring for Caregivers support group leader at AMRI, shares more statistics from the Alzheimer’s Association. “The statistics show that the caregiver role for someone with Alzheimer’s falls to women. Three out of five unpaid caregivers are women. Women are also 19% more likely to leave their job to assume a full-time caregiver role.” These are startling statistics. “By working to help slow the progression of Alzheimer’s, we are working to improve the quality of life of women,” - Lauren Bawiec, clinical research coordinator. “This is a worldwide public health issue that I hope to be a part of the answer.” Part of the clinical trial process is “can we find the earliest cause of this disease so we can make a difference and make the changes,” says Dr. Sanjiv Sharma, president and principal investigator for AMRI. Clinical trial

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

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participation is a chance for participants to receive high quality care and diagnostic tests that are not widely available to the general population. Through the clinical trial process, a participant does not need to stop their current memory medication and do not require insurance to contribute. “I adore working with my patients and study partners. Their commitment to research and finding a cure drives me to continue to do my best at AMRI.” states Julia Carey, clinical research coordinator. “Their passion and trust empowers me to be part of the Alzheimer’s solution.” At AMRI, we are dedicated to preventing your loved one’s memories from fading away. We stand by our work and invite you to our center for a free consultation. This consultation will look at the patient’s general memory health and capacity for recollection. All our services are 100% free of charge. There are no co-pays, and in fact, we do not even collect your insurance information. If you are concerned about yourself or a loved one, call AMRI today and put your mind at ease.

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

March/April 2021

Medical Professionals

Nasal Congestion And The Dangers Of Over-The-Counter Nasal Sprays Nasal congestion is a common problem. Almost everyone has had a stuffy nose at some point in their lives. Causes can vary, including allergies, sinusitis, viral infection, and anatomical abnormalities. Most people self-treat before seeking medical advice. Over-the-counter intranasal decongestants, drugs such as phenylephrine, can bring near instant relief. These medications are meant for short-term use only, three days or fewer. If used for more than three days, overuse of intranasal decongestants can lead to worsening nasal obstruction and dependence on the medication. The name of this condition is rhinitis medicamentosa. Rhinitis medicamentosa is drug-induced swelling of the nasal passages due to a rebound phenomenon. The more you use the medicine, the more stuffy your nose becomes. People find themselves trapped in a vicious cycle.

Here are some clues that you have rhinitis medicamentosa:

1. Your main and only symptom is nasal congestion. 2. You cannot identify triggers typically seen with allergies.

Christina Gillespie, MD

3. The spray is no longer helping. 4. You experience withdrawal symptoms when you try to quit the spray, such as headaches, sleep trouble, restlessness, and anxiety.

There is only one long-term solution to this problem: you have to stop using the nose spray. If you suspect you are addicted to your nose spray, it is time for you to see an ENT physician. We can help you get off your nose spray. There are medications that can be prescribed for both shortand long-term use to help treat rhinitis medicamentosa. We can also help identify the cause of your nasal congestion and help solve the problem safely for the long term. There are a wide variety of diseases that can cause nasal congestion, conditions such as allergic rhinitis, nonallergic rhinitis, deviated nasal septum, nasal polyps, use of CPAP machine, upper respiratory infection, chronic sinusitis, and pregnancy. ENT physicians have the training and the tools to make the correct diagnosis and get you down the path of breathing clearly through your nose.

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

Bruce W. Peters, DO, FACS

Stephen Kupferberg, MD, FACS

Nurse Practitioner Rajat Sood, APN

54 Bey Lea Rd., Suite 3, Toms River, NJ 1707 Atlantic Avenue, Wall Township, NJ

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

Recipe Chicken In Puff Pastry Compliments of Chef Steph

Serves 4

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

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

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

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March/April 2021

Financial Independence

The Benefits of Tax-Advantaged Savings Vehicles Taxes can take a big bite out of your total investment returns, so it’s helpful to look for tax-advantaged strategies when building a portfolio. But keep in mind that investment decisions shouldn’t be driven solely by tax considerations; other factors to consider include the potential risk, the expected rate of return, and the quality of the investment.

Tax-deferred and tax-free investments Tax deferral is the process of delaying (but not necessarily eliminating) until a future year the payment of income taxes on income you earn in the current year. For example, the money you put into your traditional 401(k) retirement account isn’t taxed until you withdraw it, which might be 30 or 40 years down the road!

Geeta K. Brana Senior Vice President Financial Advisor

Freedom Capital Management 960 Holmdel Road Building 1 Holmdel, NJ 07733 Email:GBrana@fcmadvisor.com Tel: 732-546-9315 Web: FCMADVISOR.COM Geeta K. Brana provides comprehensive wealth management and asset management advisory services to women in transition. Geeta has over twenty years of experience in the international capital markets. Her career started in London in 1995 with Lloyds Capital Markets, where she trained in all aspects of international finance and credit analysis. She joined Sumitomo Mitsui Banking Corporation in 2000, where she gained extensive experience of structuring and trading debt packages for multinational corporations throughout the United Kingdom, Eastern Europe, US and Japan. In 2003, Geeta began her career in the U.S. with Smith Barney’s Wealth Management Division (Citigroup), turning her extensive knowledge to helping individuals. In a primarily male-dominated environment, she was able to build a successful wealth management practice in Washington, DC and later New York City, working with high net worth individuals and institutions. After a career break while her children were young, Geeta has returned to wealth management through Freedom Capital Management (FCM), a boutique independent advisory firm with deep roots in Monmouth County, NJ. Geeta is also the Founder of WHEEL (Women Helping Educate & Enhance Life). Currently, the focus of Geeta’s practice is on “Women In Transition”; assisting women in all phases of their lives.

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.

Tax deferral can be beneficial because:

• The money you would have spent on taxes remains invested • You may be in a lower tax bracket when you make withdrawals from your accounts (for example, when you’re retired) • You can accumulate more dollars in your accounts due to compounding Compounding means that your earnings become part of your underlying investment, and they in turn earn interest. In the early years of an investment, the benefit of compounding may not be that significant. But as the years go by, the long-term boost to your total return can be dramatic.

Taxes make a big difference

Let’s assume two people have $5,000 to invest every year for a period of 30 years. One person invests in a tax-free account like a Roth 401(k) that earns 6% per year, and the other person invests in a taxable account that also earns 6% each year. Assuming a tax rate of 24%, in 30 years the tax-free account will be worth $395,291, while the taxable account will be worth $308,155. That’s a difference of $87,136.

This hypothetical example is for illustrative purposes only, and its results are not representative of any specific investment or mix of investments. Actual results will vary. The taxable account balance assumes that earnings are taxed as ordinary income and does not reflect possible lower maximum tax rates on capital gains and dividends, as well as the tax treatment of investment losses, which would make the taxable investment return more favorable, thereby reducing the difference in performance between the accounts shown. Investment fees and expenses have not been deducted. If they had been, the results would have been lower. You should consider your personal investment horizon and income tax brackets, both current and anticipated, when making an investment decision as these may further impact the results of the comparison. This illustration assumes a fixed annual rate of return; the rate of return on your actual investment portfolio will be different, and will vary over time, according to actual market performance. This is particularly true for long-term investments. It is important to note that investments offering the potential for higher rates of return also involve a higher degree of risk to principal.

Tax-advantaged savings vehicles for retirement One of the best ways to accumulate funds for retirement or any other investment objective is to use tax-advantaged (i.e., tax-deferred or tax-free) savings vehicles when appropriate. Traditional IRAs — Anyone who earns income or is married to someone with earned income can contribute to an IRA. Depending upon your income and whether you’re covered by an employer-sponsored retirement plan, you may or may not be able to deduct your contributions to a traditional IRA, but your contributions always grow tax deferred. However, you’ll owe income taxes when you make a withdrawal.* You can contribute up to $6,000 (for 2020 and 2021) to an IRA, and individuals age 50 and older can contribute an additional $1,000 (for 2020 and 2021). Roth IRAs — Roth IRAs are open only to individuals with incomes below certain limits. Your contributions are made with after-tax dollars but will grow tax deferred, and qualified distributions will be tax free when you withdraw them. The amount you can contribute is the same as for traditional IRAs. Total combined contributions to Roth and traditional IRAs can’t exceed $6,000 (for 2020 and 2021) for individuals under age 50. SIMPLE IRAs and SIMPLE 401(k)s — These plans are generally associated with small businesses. As with traditional IRAs, your contributions grow tax deferred, but you’ll owe income taxes when you make a withdrawal.* You can contribute up to $13,500 (for 2020 and

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2021) to one of these plans; individuals age 50 and older can contribute an additional $3,000 (for 2020 and 2021). (SIMPLE 401(k) plans can also allow Roth contributions.) Employer-sponsored plans (401(k)s, 403(b)s, 457 plans) — Contributions to these types of plans grow tax deferred, but you’ll owe income taxes when you make a withdrawal.* You can contribute up to $19,500 (for 2020 and 2021) to one of these plans; individuals age 50 and older can contribute an additional $6,500 (for 2020 and 2021). Employers can generally allow employees to make after-tax Roth contributions, in which case qualifying distributions will be tax free. Annuities — You pay money to an annuity issuer (an insurance company), and the issuer promises to pay principal and earnings back to you or your named beneficiary in the future (you’ll be subject to fees and expenses that you’ll need to understand and consider). Most annuities have surrender charges that are assessed if the contract owner surrenders the annuity. Annuities generally allow you to elect to receive an income stream for life (subject to the financial strength and claims-paying ability of the issuer). There’s no limit to how much you can invest, and your contributions grow tax deferred. However, you’ll owe income taxes on the earnings when you start receiving distributions.*

Tax-advantaged savings vehicles for college

For college, tax-advantaged savings vehicles include: 529 plans — College savings plans and prepaid tuition plans let you set aside money for college that will grow tax deferred and be tax free at withdrawal at the federal level if the funds are used for qualified education expenses. These plans are open to anyone regardless of income level. Contribution limits are high — typically over $300,000 — but vary by plan. Coverdell education savings accounts — Coverdell accounts are open only to individuals with incomes below certain limits, but if you qualify, you can contribute up to $2,000 per year, per beneficiary. Your contributions will grow tax deferred and be tax free at withdrawal at the federal level if the funds are used for qualified education expenses. Series EE bonds — The interest earned on Series EE savings bonds grows tax deferred. But if you meet income limits (and a few other requirements) at the time you redeem the bonds for college, the interest will be free from federal income tax too (it’s always exempt from state tax). NOTE: Investors should consider the investment objectives, risks, charges, and expenses associated with 529 plans. More information about specific 529 plans is available in each issuer’s official statement, which should be read carefully before investing. Also, before investing consider whether your state offers a 529 plan that provides residents with favorable state tax benefits. The availability of tax and other benefits** may be conditioned on meeting certain requirements. There is also the risk that the investments may lose money or not perform well enough to cover college costs as anticipated. For withdrawals not used for qualified higher-education expenses, earnings may be subject to taxation as ordinary income and possibly a 10% federal income tax penalty. Tax deferred is not the same as tax free. “Tax deferred” means that the payment of taxes is delayed, while “tax free” means that no income taxes are due at all. For example, with a Roth IRA, after-tax dollars are contributed, but qualified distributions (those satisfying a five-year holding period and made after age 59½ or after becoming disabled) are free from federal income tax. Though tax considerations shouldn’t be your only investing concern, by putting your money in tax-advantaged savings vehicles and investments when appropriate, you’ll keep more money in your own pocket and put less in Uncle Sam’s. *Withdrawals prior to age 59½ may be subject to a 10% federal income tax penalty unless an exception applies. **Other state benefits may include financial aid, scholarship funds, and protection from creditors.

March/April 2021

Medical Professionals

The Keys to Beating Back Pain in Your 80s “I just can’t believe how great I feel,” says Jaqueline Camuso, 82. You would never know she had been grappling with intense back pain on and off for nearly 12 months. After seeing three physicians, undergoing multiple treatments for spinal stenosis – a narrowing of the spaces between vertebrae that compresses nerves in the back – and finally getting relief, she’s now sharing her experience to educate others about key lessons for beating back pain in your 80s, or at any age. • Understand spine care is a process. “After injuring my back, my primary care doctor told me I needed to see a pain management doctor. That physician gave me three epidurals, one each month, but I didn’t feel any pain relief until the third injection,” explains Jaqueline. “I was finally relieved, but seven months later, the pain returned. I got another epidural, but the pain persisted. That’s when they told me it was time to start exploring surgery.” “Jaqueline’s experience highlights the fact that there are pain management and therapeutic treatments patients may want to consider before surgery,” says Kyle Chapple, MD, Jaqueline’s neurosurgeon. Dr. Chapple is a boardcertified neurosurgeon at Altair Health. “These methods can work well for some patients or for a period of time,” he adds. “Despite how advanced spine care has become, every patient is unique and it After a year-long battle with spinal stenosis, Jaqueline Camuso is sharing her story to may not be clear what types of non-surgical care will help others beat back pain. actually be effective until they try a particular treatment. While surgical options are very precise, the bottom line is relieving back pain isn’t always a quick fix.”

NEED A SPINE SPECIALIST? HOW ABOUT A TEAM? Spine Surgery Neurosurgery Pain Management Physical Therapy Physiatry Sports Medicine

• Evaluate all of your treatment options. Jaqueline discussed all possible surgical options with Dr. Chapple so they could make a decision together on the best course of care. “This upfront discussion was critical in figuring out my path forward,” says Jaqueline. “Dr. Chapple thoroughly explained what was going on with my L4 and L5 vertebrae and how a laminectomy would relieve the compression of my spinal cord. We talked about a few different approaches for stabilizing my spine, but after he educated me about the coflex® device – which helps shorten recovery time, preserves your natural range of motion and forgoes the need to fuse any vertebrae together – the decision was a no-brainer.” • Ask questions … and more questions. “I was never shy about asking questions, or asking questions more than once,” explains Jaqueline. “Dr. Chapple was incredibly patient. He made sure I understood every single thing we discussed and never made me feel like he was on the clock.” Between the trust Dr. Chapple earned early on and having a solid understanding of the options on the table, Jaqueline was confident in her decision to proceed with two laminectomies and the insertion of two coflex® devices into her lower spine. • Talk with others who have been in your shoes. There’s nothing like learning from others’ experiences. “That’s why I’m sharing my story and talking to everyone I can about what a success my surgery was,” Jaqueline says. “One of my friends is in a similar situation as I was, and we just learned she is also a candidate for the surgery. It’s an amazing feeling to help others advocate for their health.” To learn more, visit AltairHealth.com or call 833.4 ALTAIR (833.425.8247).

The County Woman Magazine www.TheCountyWoman.com

March/April 2021

Medical Professionals

Altair Health is leading the way in game-changing brain, spine and neurovascular care. Together, a team of physicians and clinicians from numerous specialties are leveraging the power of integrated, evidence-based care – and guiding patients through every step of their treatment – to improve outcomes.

MEET OUR PHYSICIANS MAUREEN DARWAL, DO

DAVID WELLS-ROTH, MD

CLINICAL INTERESTS Strokes, aneurysms, vascular malformations, minimally invasive and complex spine surgery

CLINICAL INTERESTS Complex spine surgery, minimally invasive spine surgery

TRAINING Dr. Darwal is board certified in neurosurgery and fellowship trained in open cerebrovascular and endovascular neurosurgery.

TRAINING Dr. Wells-Roth is board certified in neurosurgery and fellowship trained in interventional neuroradiology and skull base neurovascular surgery.

BIO Dr. Darwal is as passionate about being at the forefront of new advances in neurosurgery as she is about taking care of her patients. Beyond the exceptional care she delivers, she has received recognition for her expertise on a range of topics – including minimally invasive spine surgery, carotid stent techniques, flow diversion for aneurysms, chronic subdural hematoma, neuromodulation and nerve damage.

BIO Trained at Weill-Cornell Medical Center and Memorial Sloan Kettering in oncologic surgery of the brain and spine, Dr. Wells-Roth brings leadingedge cerebrovascular surgical and endovascular techniques to patients with acquired and congenital neurovascular disease. He also specializes in the latest surgical advances that treat epilepsy, minimally invasive spine surgery and complex spinal instrumentation.

R O N A L D P. B E N I T E Z , M D

JAGJEET SINGH, MD

CLINICAL INTERESTS Strokes, brain aneurysms, surgical and endovascular management of cerebrovascular disease

CLINICAL INTERESTS Chronic pain, neuromodulation, neuropathy, complex regional pain syndrome and failed back surgery syndrome

TRAINING Dr. Benitez is board certified in neurosurgery and fellowship trained in cerebrovascular surgery and interventional neuroradiology.

TRAINING Dr. Singh is dual board certified in pain medicine and anesthesiology.

BIO Dr. Benitez is one of the few neurosurgeons who specializes in the surgical and endovascular management of cerebrovascular disease. He has written and lectured extensively on the condition and authored one of the first papers describing a novel treatment for brain aneurysms with stenting. In addition to his work developing endovascular procedures, Dr. Benitez is experienced in tumor surgery, especially skull base surgery and acoustic neuromas.

BIO Dr. Singh, a recognized leader in advanced interventional pain management, is passionate about helping patients with chronic pain. He specializes in treating all types of chronic pain, complex regional pain syndrome and failed back surgery syndrome. He is a key opinion leader in neuromodulation, including spinal cord stimulation and neuromodulation for diabetic neuropathy and chemotherapy-induced neuropathy.

HOW CAN WE HELP YOU? To see all providers and learn more, visit altairhealth.com or call 833.4ALTAIR (833.425.8247)

The County Woman Magazine www.TheCountyWoman.com

March/April 2021

31 Professionals HowMedical Do Medical I Know If My Wisdom Professionals H ealth &W ellness If You Have Been Told You Are Not A Candidate For Dental Implants: Teeth Need Treatment? How Do I Know If My Wisdom Teeth Need Treatment? 24

Law

SEE DR. BANKS!

create gum disease. the University of North The initial decision to remove third molars By FUNCTIONAL, we mean Carolina. Importantly, teeth) most often by aimplants Often, patientsthat are(wisdom toldtooth that contacts they areis not candidates for dental the another partmade of the project con- because they during chewing. Usually, on what hap“don’t have enoughtooth bone” or their “sinus isorthodontist. too low.”centrated general dentist or Most butpatients not always, a non-functional pens when whoproblems are referred to the oralthird andmolars Both conditions are correctable in almost all patients, according to Dr. Banks. tooth will be in a location that are not removed. maxillofacial surgeon (OMS) do not have When the gumisridge where and teethwill arebecome missing is tooThird thin to place a dental implant, not normal molars with healthy wisdom teeth that have erupted, or is that a bone because it causes periodontal infection bone grafting can bothersome be performed to correct the problem. What that means grown a cleansable and/or functional cheek ulcerations orown otherbone, don’t replacement product, orbiting, eveninto the patient’s cannecessarily be placedcause into the deficient Impactedarea, wisdom tooth Wisdom tooth and Wisdom tooth with related problem. pain or show overt signs Kathy A. Banks, DMD position in the mouth. stabilized, and allowed to heal. Following healing, dental implants can be placed into that hy A. Banks, DMD with cyst causing bone periodontal pathology neighboring tooth So,with removal of wisdom of infection like swellarea and then restored porcelain teeth.teeth This procedure is called “ridge augmentation” loss and damge to the with decay iswe always appropriate when there ing(dental or pus.decay). The studies By HEALTHY, mean free of gum disease and caries So and can be accomplished in both the top and bottom jaws. second molar tooth. initial decision to no pockets is pathology such as gumthe wisdom mentioned actually there are present inpresent the gums between toothabove and the teeth aredisease, missing, thethe sinus that lies above the there top will dental decay, or infecthatjaw some of downward next tooth forward, or around wisdom tooth itself,show and will be60% noexpand move thirdWhen molars pocketing depths-and that the periodontal status is expected in the area obvious reason patients asymptomredness or swelling or Another other signs ofin infection. healthy wisdom will the andtion. cause bone loss the gumAtoridge. This is with atooth correctable problem as well, according isdom into teeth) is ridge most seek the advicetoofworsen your general that the third molars change of the and third molars abouttime, 40% of dentist, the patients within 2 years. haveBanks. no cavities, or therewisdom wasSinus a cavity that has been treated successfully with remove teeth is when third molars (wisdom teeth Dr. “A Sub-Antral Augmentation –atic commonly called aa ‘Sinus Liftsecond Procedure’ can be in over orthodontist or oralThe and position in–the mouth de by atogeneral good news is that the study also showed that the periodontal disease is likely to dental filling. there is a cyst or a tumor present with no symptoms of pain) had maxillofacial surgeon. Every and the eruption of these teeth performed, sometimes even at the time of implant placement. This procedure increases the amount of r orthodontist. improve following removal of the third molars. patient considering wisdom By CLEANSABLE, meanthe thatwisdom the wisdom is in aof position in the at or we around tooth,tooth signs infection withaincreased is unpredictable. There are other bone in the area where we would like to place a dental implant. Again, bone replacement product or patients whomouth are where allor The study also showed that among the patients whose third molars were visible theifsurfaces of thetooth toothiscan be successfully maintained, the wisdom causing pocketing depths--atand that the tooth surgery is unique. Based publications that discuss the even the patient’s own bone can Ifbethe used.” in the 28-77% of the patients will have cavities in these teeth, depending o the oral and maxilhome, by brushing and flossing. area is difficult to clean, then bacteria damage to a neighboring tooth. periodontal status is expected to mouth, on an examination of your movement, or eruption of third on their rgeon (OMS) do not misconception colonize and create gumifdisease. Acan common is thatdentist the bone into theage. sinus BUT… your or is placed worsen in the the sinus. area of In thereality, second mouth, and a dental panoramic molars;membrane generally speaking, the Inthe patients who chose to retain their third molars, it was shown that mechanical By FUNCTIONAL, we mean that the tooth contacts another tooth during thy wisdom teeth that determines that molars in about is actually lifted uporthodontist (hence to name “sinus lift”) backand to third where it should be, 40% and bone graft material x-ray or cone beam scan, your position and angulation of the cleaning of the third molar teeth did not lower the levels of pathogenic bacteria and chewing. Usually,your but wisdom not always, a non-functional tooth willpatients be in a location ted, or is grown into a teeth are not of the within 2 years. placed under the sinus membrane, restoring the gum ridge and the sinus contour together in one OMSthese canbacteria tell youcan about thefrom conwisdom tooth within jaws, inflammatory mediators. There isthe new evidence that travel that is not normal and will become bothersome because it causes e and/or functional healthy, cleansable or functional, The good news is that the study dition of your wisdom teeth, and and the presence or absence of procedure. the mouth to the bloodstream, and may cause illnesses affecting the heart, kidneys cheek biting, ulcerations or other related problem. n the mouth. or that retaining your wisdom also showed that the periodonthe position of the wisdom teeth available space to accommodate other organs. So, removal of wisdom teeth always appropriate whenprocedures, there is pathology Dr. Banks diagnostic such 3Dand cone beam CT scanning EALTHY we mean freeincorporates teeth maystate-of-the-art leadis to these probtal disease is likely to as improve in the change jaws. The OMSincan the teeth, seem to be the best And finally, theaccurately study showed that the third molars position thetell present such gumto disease, dental or infection. Another obvious reason “That sease and caries (dental of the face and asjaws, herdecay, patients for bone grafting procedures. way, I can lems inevaluate the future, you will need following removal of the third if there is pathology associpredictive But again, time, andfactors. the eruption of these teethyou is unpredictable. There are other to remove teeth is when there is a cyst or a tumor present at or around mouth over o there are no pockets diagnose the wisdom magnitude of the bone to loss in the areamolars. where we would like to place implants and the quality expert consultation further ated with the wisdom teeth there is no formula for predicting publications that discuss the movement, or eruption of third molars; generallythat the wisdom or if the wisdom tooth is causing the gums between thetooth, review your options and seek The study also showed that of the patient’s bone ridge in that area, and pre-plan the surgery to ensure the best possible outcome.” you are notwithin aware the of, jaws, or theand wis-the what a wisdom is going speaking, the position andtooth angulation of the wisdom tooth damage to a neighboring tooth. ooth and the next tooth treatment. among the patients whose third She also prepares and usesoradvanced biologic materials intowisdom grafting procedures suchorto asabsence L-PRFof available space to accommodate dom teeth are likely do. presence the teeth, seemtoto be the BUT… if your dentist orthodontist determines that your teeth are or around the wisdom molars wereoffice visibleatinthe thetime mouth, Pain free doesn’t necessarily causefor future problems. (Leukocyte-Platelet Rich which are retaining made right inwisdom the surgery. bestof predictive factors. again, there is no formula predicting what a wisdom orFibrin) functional, or that your When in But doubt—get them lf, and therenot willhealthy, be no cleansable 28-77% of the patients will have free… tooth is going to do. teeth may lead tomean these disease problems in the future, you will need expert checked out! Schedule your appointment And finally, procedures are painful procedures. “There r swelling or other signs there is a preconceived notion that these cavities in these teeth, depending consultation to further review your options and seek treatment. When in doubt—get them checked out! If you have wisdom teeth, Results Of A Study... with Dr. Banks by calling on. A healthy wisdomanesthesia are multiple options for the surgical part on of their the bone she says. “We offer age. grafting process,” If you have wisdom teeth, the bestis course of actionTo is toOral seek the & advice of your Pain free doesn’t necessarily mean disease free… the best course of action to Practice Limited have no cavities, or general anesthesia Dr. Banks was asedation, member ofnitrous oxide 609-488-2325. intravenous and and local anesthesia” so that all her patients can In patients who chose to general dentist, orthodontist or oral and maxillofacial surgeon. Every RESULTS OF A STUDY... Maxillofacial surgery a cavitybethat has been the American Association of their was considering wisdom tooth surgery is unique. Based on an examination of treated comfortably. Dr. Banks was a member of the American Associationretain of Oral andthird molars, it patient ccessfully with a dental Oral and Maxillofacial Surgeons shown mechanical your mouth, and a dental panoramic x-ray or 249 cone beam scan, Street, your OMSUnit can tell Maxillofacial Surgeons (AAOMS) Task Force onthese Thirdprocedures Molar that Clinical in cleaning “Of course, I’m making itTask sound easy but are Trials technically demanding and take years S. Main 4 (AAOMS) Force on Third of thesome third80 molar teeth didyou notabout the condition of your wisdom teeth, and 2011 and 2012. The Task Force was charged with reviewing different Barnegat, NJ 08005 of practice to gainMolar the proper expertise. You only want your grafting procedures performed by a EANSABLE, we mean Clinical Trialsa in 2011 lower the bone levels of pathogenic the position of the wisdom teeth in the jaws. The OMS can tell you if there is scientific publications resulting from long term, ongoing study of third and maxillofacial surgeon.” wisdom well-trained, tooth is in (wisdom a ABOMS-certified and 2012. The oral Task Force was of Kentucky bacteria and medi- associated with the wisdom teeth thatTel: you are609-488-2325 not aware of, or the molars teeth) conducted at the University andinflammatory pathology n the mouth where charged with reviewing some Thereconcentrated is new evidencewisdom that teeth are likely to cause future problems. the University of North Carolina. Importantly, part of ators. the project faces of theon tooth Kathy A. Banks, DMD different scientific kbanks@drbanksoms.com whatcan happens80 when third molars arepublicanot removed. these bacteria can travel from the Practice Limited To Oral & Maxillofacial Surgery sfully maintained, at tions resulting from a long term, mouth to pain the bloodstream, and Third molars with periodontal infection don’t necessarily cause or show 249 S. Main Street, Unit 4 CallPractice Dr. Banks Today! brushing and flossing. Kathy A. Banks, DMDBarnegat, NJ 08005 ongoing study of third molars overt signs of infection like swelling or pus. The studiesmay mentioned above affecting the cause illnesses Fellow of The American Association Limited To Oral & Maxillofacial Surgery a is difficultactually to clean,show that of Oral & Maxillofacial Surgeons (wisdom teeth) conducted www.drbanksoms.com Tel: 609-488-2325 some 60% of patients withatasymptomatic molars heart, third kidneys and other organs. 609-488-2325 • 249 S. Main Street, Unit 4 Diplomate of The American Board Fax: 609-488-2342 eria can colonize and Barnegat, NJ 08005 the no University of of Kentucky (wisdom teeth with symptoms pain) hadand signs of infection with increased And finally, the study showed of Oral & Maxillofacial Surgery

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KATHY A. BANKS, DMD

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

Fellow of The American Association of Oral & Maxillofacial Surgeons

Diplomate of The American Board of Oral & Maxillofacial Surgery Tel: 609-488-2325 Specialty Permit # 4070 Specialty Permit #4070 Fax: 609-488-2342

Your Expert in the Face, Mouth and Jaws KATHY A. BANKS, DMD Fellow of The American Association of Oral & Maxillofacial Surgeons Diplomate of The American Board of Oral & Maxillofacial Surgery Specialty Permit # 4070

Banks is a graduate of Rutgers University College of Arts and Sciences, Camden with a B.A. in y, and Temple University School of Dentistry, Philadelphia. She completed a one year Advanced Practice Limited To Oral & 249 tion in General Dentistry Residency Program at the University of Medicine and Dentistry of S. Main Street Maxillofacial surgery ersey in Camden and Stratford, NJ, and then completed a four year Post- Graduate Residency Barnegat , NJ 8 AM - 5 PM (Mon. - Fri.) S. Main Unit 4 m in Oral and Maxillofacial Surgery at the University of Medicine and Dentistry of New Jersey in Newark. She is a Diplomate of the 249 American BoardStreet, of Oral and Specialty Lic #4070 Bone Grafting • Dental Implants Barnegat, NJ 08005 ofacial Surgeons and the American Board of Dental Anesthesiology. 609-488-2325 General and Intravenous Anesthesia is a member of the dental staff at Jersey Shore University Medical Center in Neptune, New Jersey and is involved with teaching the postgraduate GPR residents in the Tel: Jaw Pathology and 609-488-2325 Reconstuctive Jaw Surgery www.drbanksoms.com and in her private office setting. She has been instrumental in the development of several New Jersey State Board of Dentistry approved continuing education courses Kathy A. Banks, DMD kbanks@drbanksoms.com by J.S.U.M.C Department of Dentistry Continuing Education Department for dentists, hygienists and dental assistants. Practice Limited To Oral & Maxillofacial Surgery www.TheCountyWoman.com The County Woman Magazine November/December 2017 249 S. Main Street, Unit 4 Kathy A. Banks, DMDBarnegat, NJ 08005 Fellow of The American Association Practice Limited To Oral & Maxillofacial Surgery www.TheCountyWoman.com The County Woman Magazine March/April 2021 ounty November/December 2014 of Oral & Maxillofacial Surgeons Tel: 609-488-2325 www.TheCountyWoman.com 249 S. Main TheMagazine County Woman Magazine www.TheCountyWoman.com January/Feb www.TheCountyWoman.com ounty Woman Woman Magazine July/August 2015 Street, Unit 4 Diplomate of The American Board

Kathy A. Banks, DMD Oral & Maxillofacial Surgery

Barnegat, NJ 08005

Fax: 609-488-2342

Medical Professionals

3125

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 March/April 2021

Medical Professionals

Colorectal Cancer: Are You Aware? What’s The Big Hype? Nina Paonessa, DO, FACOS

Nina Paonessa, DO, FACOS, an established colorectal surgeon practicing in Ocean and Monmouth Counties, answers questions about colorectal cancer, one of the leading cancers in both men and women.

How common is colorectal cancer and who is at risk? Colorectal cancer is the second most common cancer in the United States among both men and women. It affects 140,000 people annually and causes 50,000 deaths. The average person has a one in 20 chance of developing colorectal cancer in his/her lifetime. This risk is increased if there is a family history of colorectal polyps or cancer, and is even higher still in those patients with a history of breast, uterine or ovarian cancer, and patients with a history of extensive inflammatory bowel disease such as ulcerative colitis or Crohn’s colitis. Additionally, a person’s risk for developing colorectal cancer increases significantly with age.

What causes colorectal cancer?

How is colorectal cancer treated? Nearly all cases of colorectal cancer require surgery. Radiation and chemotherapy are sometimes required in addition to surgery. If the cancer is diagnosed and treated in the earliest stages, approximately 80-90% of patients are restored to their normal health. The cure rate decreases to 50% or less when the cancer is diagnosed in the later/advanced stages. Less than 5% of all colorectal cancer patients require a colostomy or “bag,” thanks to modern technology. Additionally, modern technology has made possible minimally invasive colorectal surgery using laparoscopic or robotic surgery techniques. Both laparoscopic and robotic colorectal surgery are types of minimally invasive surgery in which small incisions are made to perform major surgery. This allows for shorter hospital stays, decreased incisional pain and earlier return to work and other activities.

Can colorectal cancer be prevented? Colorectal cancer is one of the few cancers that is preventable. Obtaining a screening colonoscopy at regular intervals is the single best way to prevent colorectal cancer. Your colorectal surgeon or specialist is able to review the guidelines for screening colonoscopy based upon your age, medical history and family history. Although not definitively proven, studies published in the literature mention additional factors that may lower your risk of developing colorectal cancer and include eating a high-fiber, low-fat diet, maintaining a healthy weight, and engaging in regular, vigorous exercise.

It is generally agreed that nearly all colon and rectal cancer begins in benign polyps, called adenomas. These pre-malignant polyps, or growths, occur in the wall of the colon and/or rectum and may eventually increase in size and become cancer, or medically speaking, carcinoma. This is known as the “adenomacarcinoma sequence.” Several factors have been mentioned in the literature that may increase a person’s risk for developing colorectal cancer, including age, a diet high in fat and cholesterol, an inactive/sedentary lifestyle, obesity, smoking and environmental exposures.

What are the symptoms of colorectal cancer? Unfortunately, polyps and early cancers do not produce any physical signs or symptoms. Therefore, symptoms usually indicate late or advanced disease. The most common symptoms of colorectal cancer are rectal bleeding and changes in bowel habits such as constipation or diarrhea. These symptoms are common in many other disorders of the gastrointestinal tract, so it is very important to have a thorough examination should you experience them. NOT ALL RECTAL BLEEDING IS DUE TO HEMORRHOIDS. It is very important for patients to remember this and seek evaluation if they are experiencing rectal bleeding. Other symptoms such as abdominal pain and weight loss are usually late symptoms and quite possibly indicate advanced/extensive disease.

How is colorectal cancer diagnosed? Evaluation of colorectal cancer is first begun with a complete history and physical exam, including a digital rectal exam and possibly testing the stool for blood. A colonoscopy is the most definitive test used to diagnose colorectal cancer. A colonoscopy is performed by a colorectal surgeon or other specialist in order to get a direct visualization of the inside of the colon and rectum. A colonoscopy is a safe, painless, outpatient procedure performed under a light sedation. Based upon the findings on colonoscopy, your colorectal surgeon or other specialist may recommend other testing such as blood work, a CT scan of the abdomen and pelvis, pelvic MRI and/or ultrasound.

Colon and Rectal Surgery

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Community

Answering Needs. Advancing Potential.

LADACIN Network provides a continuum of care, including educational, therapeutic, social, residential and support services to infants, children and adults with complex physical and developmental disabilities or delays. The Agency provides lifetime services to over 3,500 individuals and their families in Monmouth and Ocean Counties.

UPCOMING EVENTS May

10 Online Registration Sponsorship Opportunities Available

19th Annual

RAT Rock Open Charity Golf Classic Monday, May 10, 2021

Time: 8:00 a.m. Shotgun Start Location: Jumping Brook Country Club - Neptune, NJ Cost: $250 per player Visit LADACIN.org Events page for more information and registration HONORING

July

Rosebud Gala

2021 Honorees

World Insurance Associates LLC Ron Taylor

Saturday, July 31, 2021

2020 Honorees

SHERATON EATONTOWN HOTEL

Willis Towers Watson Brick Presbyterian Church Denise Walker

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

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28 42

Featured On The Cover Featured On The Cover

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

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

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

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

www.uuanj.com

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November/December March/April2018 2021

# Medical Professionals 29 Featured On On The The Cover Cover 43 Featured Meet MeetThe ThePhysicians Doctors Meet The DoctorsOf OfOf UniversityUrology Urology Associates Associates University Urology Associatesofof ofNew NewJersey Jersey New Jersey Sam A. Qassab, MD

Imani Rosario, Imani Rosario, MD MD

HAMILTON

Dr. Qassab completed his general Dr. Rosario earned her medical surgicalWhitehorse internship and his urology 1374 Dr. Rosario earned her medical degree from the degree from the internationally residency training at the prestigious Hamilton Sq. Rd. Georgetown University School of Medicine and acclaimed Georgetown University Emory University in Atlanta, completed her post-graduate training in urology at School of Medicine and Georgia. HeNJ is a08690 DaVinci certified Hamilton, Rutgers Jersey Medical School. After completing completed herNew post-graduate robotic surgeon and is extensively her in training, Rosario was appointed Assistant training urologyDr. at Rutgers trained in minimally invasive New Professor Jersey Medical School. After of Surgery in the Division of Urology at Rutgers urologic surgery including robotics completing her training, New Jersey Medical Dr. School. In this position, she was and laparoscopy. While training in Rosario was appointed Assistant responsible for training and teaching medical students, Atlanta, Dr. Qassab had the distinct HOWELL Professor of Surgery theurologists in training. Dr. Rosario is general surgeonsinand pleasure of completing an extra Division of Urology at Rutgers 2364 Routeof9training South 18-months and research New joined Jersey Medical School. In UUANJ in 2016. in urology at the Atlanta Veteran’s Howell, NJof07731 this position, she was responsible Administration Medical Center where he took care our nation’s heroes. for training and teaching medical students, general surgeons, and Dr. Qassab joined UUANJ in 2018. urologists in training. Dr. Rosario is Board by the American BobCertified Peterson, DC, PA-C Board of Urology. She joined UUANJ in 2016. Mr. Robert Peterson is a retired Chiropractor and has been a Physician Assistant for 18 years. Mr. Peterson has been working with UUANJ for theGhosh, last six years. Propa MD He has been an Adjunct Associate Professor at Mercer County College Dr. earned her undergraduate degree at forGhosh 10 years, teaching Biology, Pathology and M.I.T., her medical degree from Mount Sinai School Anatomy and Physiology, and an Assistant of Medicine completed her surgical training at Professor and at the Philadelphia University Physician three respected hospitals in New York City. She is Assistant Studies Program. He has also mentored Fellowship-trained in Robotics and Minimally Invasive other Physician Assistants and Licensed Practical Surgery and is a Board Certified Urologist. Over Nurses. Bob joined UUANJ in 2011. the past years, Dr. Ghosh has served as a Director of a Robotic Surgery Program in a hospital-employed position, as well as a Urologist in Private Practice, giving her aChangala, breadth and Ph.D., depth ofAPN-C experience in both Bhaskara oncology and in general urology. In 2015, she enjoyed the distinction of NJ “Top 40 Under 40,” and has been Dr. Bhaskara Changala received his Ph.D. in featured in the media for her expertise on keynote toxicology South Gujrat University in India my inPSA test came back Myfrom wife were topics our field. Dr. Ghosh hasabnormal. a passion for teaching and and pridesIherself ondevastated her listening and his training as a Nurse Practitioner from skills, critical thinking, and compassion. She joined UUANJ in October 2020. Monmouth University in West Long Branch, New Jersey. He completed preclinical research in pharmaceutical toxicology also while in India. my options and discussed the pros and cons of each treatment Dr. Changala has been a registered nurse and critical care nurse since 2008 and worked in the Post Anesthesia Care Unit at Community and provided us with all the literature so we couldyears refer back to it Medical Center for several prior to joining He joined UUANJ in January 2018. when needed. I couldn’t ask forUUANJ. a better team.”

— B.B Howell, NJ

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FREEHOLD 495 Iron Bridge Rd. Freehold, NJ 07728

For Appointments: TOMS581-5900 RIVER (609) 20 Hospital Drive (732) 928-5300 Toms River, NJ 08755 UUANJ.COM Photos by Tracy Harman Photography

For Appointments (609) 581-5900 (732) 928-5300 UUANJ.COM November/December 2018 March/April 2021 November/December 2020

Women Of Monmouith County Jessica L Conrad, MA, BA, CPC

Anna Brocco, PharmD, MBA Director of Operations and Clinical Research Advanced Memory Research Institute

Certified Life Coach 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

Christine Genovese, LPC

Anna Brocco grew up in Toms River, New Jersey and currently lives in Forked River with her husband and toddler son. She is a graduate of Rutgers, The State University of New Jersey, Ernest Mario School of Pharmacy with her doctorate in pharmacy and later, a master’s degree in business. Throughout pharmacy school and after graduation, Anna worked at Community Medical Center in the pharmacy department where she specialized in IV medication preparation. Anna joined Advanced Memory Research Institute of NJ in 2014 as a clinical research pharmacist and then in 2015, she became the operations manager and then the director of operations and clinical research. Anna uses her clinical trial and business knowledge to bring more research opportunities to the center so that all those who wish to participate in research can have the opportunity. Anna is also an adjunct clinical professor of pharmacy practice at Fairleigh Dickinson University, School of Pharmacy and Health Sciences. In this role, she educates future pharmacists about clinical research and about Alzheimer’s disease and memory loss. If you would like to learn more about AMRINJ, please reach out at 732-341-9500 or www.amrinj.com.

Amy Hatt, CNMT, NMTCB(CT)

Genovese Counseling Services, LLC Christine Genovese is a Licensed Professional Counselor with offices in Tuckerton and Somers Point. Raised in Absecon, she has combined her love of education and healing and started her private practice in 2018. After a successful career in education, Christine retired as a teacher and school counselor from the Galloway Township school system. During that time, Christine earned a Master’s Degree in Education from Marygrove University and a Master’s Degree in Counseling Psychology from Georgian Court University. In 2005, she received the Governor’s Teacher Recognition, and in 2009, she received the School Community Advocate for Education award along with her fellow school counselors. From 2012-2016 Christine worked as a per diem therapist for JFS in Margate. Christine is a Brainspotting Practitioner, which uses a person’s natural gaze along with the therapeutic relationship to process strong emotions. Christine’s practice is limited to adults experiencing major life change, grief and anxiety, and she is especially passionate about working with educators. She is a member of the New Jersey Counseling Association and has enjoyed being in private practice since 2012. Christine enjoys learning about neuroscience, taking metalsmith classes, and hunting for sea glass. Please call 609 568-6299 or visit genovesecounseling.com for more information.

Amy is a nuclear medicine and PET/CT technologist who began her career 12 years ago. She has earned her BS in Allied Health Technologies from UMDNJ, now known as Rutgers, and is licensed in both nuclear medicine and CT. Before joining Toms River X-Ray, she was the lead nuclear medicine technologist at Monmouth Medical Center Southern Campus and worked as a technologist at Community Medical Center. Amy currently performs among the highest volume of Alzheimer’s disease PET/CT studies in the nation. She has always had a passion for helping others, making a career involving patients the perfect fit for her. Born and raised in Toms River, Amy currently resides in Bayville with her husband and two dogs. In her free time she enjoys indoor rock climbing, is an avid runner, volunteers with Northeast Boston Terrier Rescue, and is an Independent Consultant with Arbonne. For more information, call 732-244-0777 or visit www.tomsriverxray.com.

Photo by Donna Andrews Photography

Lead Nuclear Medicine Technologist, Toms River X-Ray, CT & MRI Center

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March/April 2021

Pet Services

“Spring Is Here!” Pets

Springtime is one of the busiest times at the Funny Farm. It’s also known as kitten season. On average, over 120 kittens and cats get adopted from the Funny Farm. These kittens and cats get acclimated to dogs, other cats, ducks, geese, horses, and cows. Funny Farm Rescue & Sanctuary is a place where people and animals can be themselves without pressure or criticism of any kind. One of the best places in the world to learn the meaning Everyoneof can forget about the sadness, regrets, and pain that sometimes life gives. It’s an “unconditional love” is the Funny Farm Rescue & Sanctuary in Written by Matt Reeves emotional escape. Mays Landing, NJ. Cowboy, the baby goat, once lay in Everyone needs painyou for and daysget after getting kicked in the If you’ve ever had a pet, you have a pretty good idea how much they love something to look excited when you come home and how sad they are when you leave. Those leg are by thealucky horse ones. on another farm in South Not all animals are so lucky to have forward someone loveto, them. Jersey. A little neighbor girl heard his cries animals The animals at the Funny Farm Rescue are the exceptions. They have thousands and begged the farmer to take the baby and of people each year who come to visit and humans give them thealike. love they need. Most animals goat to the Funny Farm, where she knew come to the farm from very difficult situations. Many were disabled, abused, injured, or Flowers are blooming, Laurie unwanted. Some people simply didn’t make arrangements for their pets after they would were be able to help. She believed in Laurie and in miracles. Laurie rushed gone and the animals had nowhere to go. How that and must be for these sweet animals skies arescary blue the to a specialized vet, 2 hours away in that gave their owners so much love. sun is shining brightly! him One example is a nameless little black and white baby goat with a broken leg. At lessCowboy had immediate Pennsylvania. than a month old, he was injured and was in a is lot here. of pain. His future was dark. Through Spring New surgery and 5 ayears later, you’d never ts series of miracles, Laurie Zaleski, the Founder of the Funny Farm Rescue, found out about was ever wrong with him. believe anything life. any New this little goat’s situation and didn’t waste time beginnings. rescuing him. We made a custom splint to stabilize leg because he couldn’t on healed. it at all. People He from all over the world Newhishope. Fresh air. stand He fellmade in lovejust with needed food and water brought to his mouth while he lay in a new warm bed forhim and his story, and donated so that he could have the lifehishewing now lives. him. Farley the Farm Manager, a 1-year-old Australian Shepard, took him under y in If you tell your kids that tomorrow they are going to visit the and gave him a lot of love and attention. Cowboy doesn’t remember his past. He remembers love. Love animalsThe at the Farm, it’sand likely theyand willlooked not sleep! If we like tell those get littleFunny goat was black white so much a cow thatreplaces he earned the Love and friendship are never forgotten. In sad so much! y ones. same your Over kids are visit,and theyvisits won’t nameanimals “Cowboy.” thecoming next fewtodays, tosleep manyeither! veterinarians, Zaleski took times, remembering happy times and love can change everything. to There 600 animals at the Funnywhere Farm;they all are him toare theover University of Pennsylvania, hadrescues. the bestThis equipment. Several When you walk or drive through the gates of the Funny Farm, you thousands of dollars werehad spent save now his leg from possible nerve damage and means animals that once littletrying or notohope have new life, new feel different. You can’t help but think to yourself that if it wasn’t for ls amputation. beginnings and new friends too! this place, almost all of these animals would have been euthanized. ess He lived in the house so he could be cared for properly and received much Something magical is in the air. People get to mingle with the ha Who would do this? socialization with other animals and people. And because of this interaction, he has no idea he’s Who a goat,would take on the responsibility of feeding out animals. They are not behind ditches or thick glass windows. The he thinks he’s a dog! He and providing vet care for so many animals. Who would commit to the animalsSeven at themonths Funnylater, Farmnot areonly free to and just happy. for hasroam Cowboy’s leg be healed, heWhen has capturedtime the hearts allthem? over ng it takesoftopeople care for you drive in,He youmakes driveeveryone into a whole new the globe!! laugh and gets into everything! He is now known as the “Donations the You quickly realize that no one person could do world. Inspector.” When visitors come and donate food for the animals, they barely have time to get out of this alone, not on this scale. It’s a team effort. No one has cars whenyou theylook, discover is already inside their car! their Everywhere thereCowboy are animals to tell you that there are no paid employees at the Funny haspeople a wonderful, sweetyou personality and will stop at nothing to make you laugh and has playingHe with or vice lovable, versa. When dea he’s a goat, Farm. Everyone is a volunteer. The goodness of people is an unlimited supply of kisses! Everyone is his friend! Somehow he knows what was done for him and he see the bright smile on a 99-year-old lady f people all over appreciates his life now. something you can literally feel. “Donations who’s holding a friendly skunk, or acomes little from an animal is astounding, but the unconditional love that comes from an animal that to get out of The unconditional love that At the Funny Farm Rescue, life is about making the boy his isarm around Cowboy ou laugh and has waswalking once in with distress nothing short of miraculous! Nearly 400 of these animals at the Funny & Sanctuary are waiting best of Farm every Rescue single day, love and kindness, not about the e for him and he the or a and momyour holding theComing hand of to a the Farm is easy but leaving your new furry friends is very difficult. to goat, meet you family!! past. The bond between humans and animals is real. Spring tional love that comes from an animal that life is precious. If this thereplace is something you know is like we can do as humans to preserve and protect it, in nearly all cases, unny Farm Rescuegolden & Sanctuary All areretriever, waiting iends is very difficult. the unconditional love you receive in return is something you will simply never forget. is such a wonderful time! no other! ect it, in nearly all cases,

“Unconditional Love”

e”

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

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

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

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Theatre & Entertainment

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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March/April 2021

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.

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March/April 2021

Women’s History

The Magnificent “Wordologist” Amanda Gorman

Theguardian.com

As I sit down to write the next feature, I am reflective over the past year, January 6, 2021 and most recently the inauguration of our nation’s President. Regardless of your political views, the inaugural poem read by Amanda Gorman was an incredibly moving piece. As I logged into my computer at work to watch the inauguration, I was just in time to view the 22-year-old Harvard graduate’s presentation of hope and peace to the world. The ability to put into words the current climate of the world with such elegance and power leaves a person, well, speechless.

I was so enamored by Amanda Gorman I had to learn more about her. I watched her speech about 10 times and then as many YouTube interviews I could find. Amanda has a twin sister and another sibling. Amanda was raised by a single mother in California. Amanda was interested in writing at a young age due to her limitations with her speech. Amanda’s writing became her voice. Amanda began performing her written work in the second grade. Amanda’s interest in literature continued to grow, and it has been reported that a speech by Nobel Prize laureate Malala Yousafzai inspired Amanda to become a youth delegate for the United Nations in 2013. By 2014, Amanda received the award of Youth Poet Laureate of Los Angeles. Amanda used her words to advocate for social change and the underserved. In the same year, Amanda “founded” “One Pen One Page,” which is known to be a non-profit organization that “encourages youth advocacy, leadership development and poetry workshops.” All of this greatness before college! By 2015 she was published. At the young age of 19, Amanda was awarded the United States first female African American National Youth Poet Laureate award. Amanda credits former First Lady Michelle Obama for her work in the national award. First Lady Jill Biden was moved by Amanda’s writings after observing Amanda recite her famous poem “In this Place” at the Library of Congress in Washington, DC. Amanda has contagious energy and is incredibly positive. I particularly enjoyed her presentation of a poem that was created from her experience during an audition for The Lion King on Broadway. Amanda Gorman described real-life interactions with her mother and sister that are Poets.org. hilarious, horrifying and a true portrayal of family life. Amanda reflected feeling “broken” at not getting her big break for a part in The Lion King and yet she ends up being selected to write the inaugural poem with few restrictions. Amanda very openly shares that she grew up with a speech impediment and, even when she was a finalist for the inauguration presentation, had her doubts of being selected to write and deliver “The Hill We Climb.” A poem that was started conservatively over the course of a few weeks and then, after the event of January 6, 2021, Amanda seized the opportunity to be the voice of peace. Amanda Gorman has already made an incredibly significant impact on the world and specifically young girls. Amanda has overcome obstacles that have included a Latimes.com

speech impediment, poverty, single-parent households, and the pressures of an Ivy League education. In an interview with James Corden (January 21, 2021), Amanda shared the events that happen after an inauguration. As any young adult would do after getting a good grade, scoring the winning goal or making their bed, Amanda’s reaction and mindset was “maybe she could get a new iPhone.” A young individual so talented, it is quite humbling to see that yes, she is real! Amanda is very self-aware as she described herself as “a skinny black girl, descendant from slaves and raised by a single black mother can dream of becoming a president.” On inauguration day, Amanda Gorman stood before the nation poised, strong, articulate, and delivered a message that will continue to resonate with us for decades. Amanda Gorman has made it known to America that Instagram.com she has a dream to be on the ballot in the 2036 Presidential election. Amanda is not stopping at the inauguration. Amanda recently debuted a children’s book entitled Change Sings. The book is about how a young girl has the power to change through music. Amanda shared in an interview with James Corden that she wanted to write a book in which young girls are activists and not observers in the story. Additionally, it has been reported that Amanda was offered a modeling contract with IMG Models, and by the time of this publication she will have performed before Super Bowl 2021 to honor three pandemic heroes. There is no doubt that Amanda will continue to shine bright through her powerful prose. The historic events of the world over the last year have dimmed the lights for many. I appreciated Amanda’s description of how we have “braved the belly of the beast.” A message quite fitting on many levels in each of our lives. In “The Hill We Climb,” Amanda brings back to focus that we are amazingly resilient wherein she reminds us that “even as we hurt we hope” and we will “rebuild, reconcile and recover.” Amanda gave us more than a simple poem on inauguration day; she gave us inspiration to live each day to its fullest. I encourage everyone to get Messynessychic.com out there and live Happy!

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

March/April 2021

Fine Art Photography

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March/April 2021

Individualized, Innovative & Efficient Care To All Patients

Colon and Rectal Surgery Board Certified in General Surgery and Proctology

• abdominal/pelvic surgery • fecal incontinence • endoanal/rectal ultrasound • anorectal surgery • pelvic floor disorders • office proctology • anorectal manometry/ physiology

603 Higgins Avenue Brielle, NJ 08730 Phone:

1364 Route 72, Suite 5 Manahawkin, NJ 08050

(732) 282-1500 • Fax: (732) 292-9600 • www.paonessacrs.com Office Hours: Monday to Friday 9:00AM to 5:00PM

The County Woman Magazine www.TheCountyWoman.com

March/April 2021